• 한국콘텐츠학회논문지
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• 제18권1호
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• pp.573-586
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• 2018

본 연구의 목적은 중 노년층 여성 초심상담자들의 상담과정과 상담학습에 있어서 경험하게 되는 어려움과 관련된 스트레스에 대한 질적 탐색이다. 연구 참여자는 종교기관, 각 상당대학원과 일반대학원에서 상담을 전공하거나 학습하고 있는 중 노년층 여성참여자로서 157명을 대상으로 하였다. 자료 수집에 있어서 연구 참여자들 각 개인에게 먼저 기술을 통한 자료를 획득하였으며 이를 통하여 2017년 5월부터 8월까지 3개월간에 걸쳐 일대일 개인별 면접을 실시하였다. 자료를 분석을 위해서 CQR을 통한 분석을 실시하였다. 결과로서 중 노년층의 초심상담자들은 학업과 상담 두 가지 영역에서 각 어려움으로 인한 스트레스를 경험하는 것으로 나타났다. 학업영역에서는 학업적 어려움으로 경험하는 스트레스 증상, 내용, 가중 요인의 세 가지 핵심요인으로 분류되었으며, 상담영역에 있어서는 상담 실제에서의 스트레스가 내담자, 슈퍼비전, 상담자 역량, 사회 환경적 요인의 네 가지 핵심요인으로 구분되었다. 본 연구의 의의는 중 노년층의 여성 초심 상담자들이 경험하고 있는 스트레스 영역을 구체화하여 중 노년층 여성 초심상담자들이 향후 전문 상담자로서 성장해나가는데 있어서 이들을 교육하는 교육기관에 구체적인 도움이 되는 정보를 제공하였다는데 있다. 이후 본 연구의 시사점과 제안 점을 논의하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제29권1호
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• pp.125-146
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• 2023

본 연구의 목적은 직장 내 지지와 직장 내 상담접근성이 직장 내 괴롭힘 피해 근로자의 우울에 미치는 영향을 확인하고 수준 간 상호작용효과를 검증하는 것이다. 분석을 위하여 2017년 국가인권위원회에서 실시한 조사에서 직장 내 괴롭힘 피해 경험이 있는 642명의 응답 자료를 사용하여 다층분석을 적용하였다. 분석결과는 다음과 같다. 첫째, 피해자가 인식한 직장에 대한 안전감에 따라 집단을 분류한 결과, 직장에 대한 안전감을 낮게 인식할수록 피해자의 우울이 높았다. 둘째, 피해자가 직장 내 지지를 높게 인식할수록 피해자의 우울이 낮게 나타났다. 셋째, 직장 내 상담접근성이 높을수록 피해자의 우울이 낮게 나타났다. 넷째, 직장 내 지지와 우울의 관계에서 직장 내 상담접근성의 정적인 상호작용효과가 확인되었다. 즉 직장 내 상담접근성이 높을 때 직장 내 지지가 피해 근로자의 우울을 낮추는 영향이 크게 나타났다. 이상의 결과는 직장 내 괴롭힘에 대한 직장동료나 상급자의 지지 및 회사의 대응에 관하여 안전하고 신뢰로운 조직문화를 형성하고, 근로자의 고충 처리를 담당하는 상담 및 도움창구의 운영이 직장 내 괴롭힘 피해 근로자의 대응을 돕고 우울을 완화하는 보호자원으로 기능할 수 있음을 시사하였다.

• 대한지역사회영양학회지
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• 제28권6호
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• pp.480-494
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• 2023

Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.

• 대한영양사협회학술지
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• 제5권1호
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• pp.64-73
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• 1999

Carbohydrate(CHO) counting is a meal planning approach used with diabetic patients that focuses on carbohydrate as the primary nutrient affecting post-prandial glycemic response. However, it has not been used in meal management of diabetic patients in Korea. CHO counting can be used by clients with type 1 and 2 diabetes. The purpose of the study was to determine the barriers to utilize the CHO counting when three levels of CHO counting were educated to type 2 diabetic patients who started continuous subcutaneous insulin infusion (CSⅡ) therapy by nutrition lectures and counseling. And the CHO-to-insulin ratios were determined for the individual patients who followed the carbohydrate counting as a meal management, and the factors to influence the CHO-to-insulin ratios were selected through the stepwise regression analysis. Twenty- four subjects were received three lectures, and one or two nutritional counseling for a month. The average age of the subjects was 50.7 years, and the duration of diabetes was 9.4 years. Their body mass index (BMI) was 21.5 kg/$m^2$. The difficulties of using CHO counting were 1) confusing the CHO exchange system to diabetic food exchange system, 2) lack of basic nutrition and not distinguishing nutrients such as CHO, fat and calorie, and 3) lack of motivation to make effort to count and record the amount of carbohydrates eaten. Nutritional counseling replenished the nutrition education and made patients practice CHO counting. Average CHO-to-insulin ratios at breakfast, lunch and dinner were 4.1$\pm$3.3, 2.9$\pm$2.6 and 2.9$\pm$3.0units/23g of CHO, respectively. CHO-to-insulin ratios were influenced by gender, age, BMI, post-prandial blood glucose levels and post-prandial c-peptide levels. The effective education and nutritional counseling of CHO counting can make CHO counting applicable to type 2 diabetic patients as meal management for improving glycemic control with less hypoglycemic episode.

• 한국식품영양과학회지
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• 제39권9호
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• pp.1305-1312
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• 2010

본 연구는 병원 영양과에서 실시하고 있는 치료식 섭취환자의 영양상담에 대한 인식과 영양상담 만족도 요인으로서의 지식전달 요인, 인지적 대화요인, 감성적 대화요인, 촉진능력 요인과의 관계를 파악함으로써 앞으로 병원 영양과에서 환자들의 영양상담에 대한 만족도를 높이는데 필요한 기초자료를 제공하고자 시도하였다. 조사대상은 부산지역 400 병상 이상의 병원에 입원중인 치료식 섭취환자를 퇴원하기 직전에 직접 1:1 면담법을 이용하여 설문조사를 실시하였다. 배부된 설문지 중 총 153부(98.7%)를 분석에 사용하였으며 본 조사는 2008년 1월 21일~2월 28일에 진행하였다. 조사대상 환자 중 영양상담을 받은 경험이 있는 환자가 전체의 57.5%로 나타났고, 영양상담을 받은 계기는 의료진이 권해서가 64.1%로 가장 높았고 영양상담 방법은 개별교육이 58.0%로 나타났다. 영양상담에 대한 인식에서 영양상담 이해에 대한 긍정적인 견해는 75.0%, 중요도는 83.0%, 영양관리에 도움이 되는 정도는 78.7%로 나타났다. 영양상담에 대한 전체 만족도 점수는 3.80점이며, 각 세부요인에서 지식전달 요인 3.80점, 인지적 대화 요인 3.71점, 감성적 대화 요인 4.05점, 촉진능력 요인은 3.61점으로 나타났다. 영양상담의 만족도 점수가 낮은 항목은 '퇴원 후 식사요법 정보제공', '맞춤형 영양정보 제공', '구체적인 식단 제시', '식단 작성 방법 설명'으로 나타났다. 영양상담에 대한 인식인 이해도, 중요도 및 영양관리 도움정도는 영양상담에 대한 만족도인 지식전달 요인, 인지적 대화 요인, 감성적 대화 요인, 촉진 능력 요인과 모두 유의적인(p<0.01) 양의 상관관계를 나타냈다. 이상의 결과를 살펴볼 때, 영양사들은 환자들의 영양에 대한 이해도 및 중요도를 높일 수 있는 다양한 영양상담 도구의 개발 및 활용 방안에 대한 노력이 필요하겠다. 환자와의 영양상담시 환자 스스로 영양관리를 독립적으로 실행에 옮길 수 있도록 환자들을 위한 구체적인 식단제시, 조리방법, 맞춤형 영양관리 방법 등의 촉진 요인들에 대해서 영양사들은 더 많은 관심을 가져야 하겠다. 즉, 실제 식사와 관련된 조리체험교실, 시식회 등의 개최를 통해 환자들에게 보다 직접적이고 실질적으로 다가갈 수 있는 환자 중심적인 영양상담이 필요하며 특히, 맞춤형 영양상담을 통해 환자의 치료 효과를 높이기 위해서는 현재로서는 부족한 영양사 인력의 증원이 절실히 필요하겠다.

• 동아시아식생활학회지
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• 제18권1호
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• pp.135-148
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• 2008

This study examined the dieting behaviors and diet-influencing factors among college students in the Youngnam region. The data were collected by a self-administered questionnaires during May, 2007. One hundred-ninety samples were ultimately analyzed by SPSS Windows. The results were as follows. First, when comparing calculated BMI with perception of individual body image, many respondents regarded themselves as overweight although they were within normal BMI. Second, over four-fifths of the respondents indicated they were concerned with diet, and many respondents answered that they needed education and information on dieting. In terms of diet knowledge, the mean for correct answers was 77.9%. Mass media were very important sources for acquiring diet information, and the most popular dieting method was fasting therapy. The results of regression analyses to determine the factors affecting several dieting practices showed that grade, monthly allowances, diet awareness, diet knowledge, perception of individual body image, and BMI were significant.

• 약학회지
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• 제47권6호
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• pp.390-397
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• 2003

It is common that geriatric patients are on several medications at the same time. With this situation on hand, this study has collected prescriptions of individual geriatric patient and investigated possible drug interactions. In order to minimize the drug interactions and protect those patients from adverse reactions of medication, the gradual implementation and management of the medication history of each individual patient, the establishment of medication counseling system on medicines particularly in need of obligatory advice, the use of an inspection system on drug interactions at the time of prescription, and the implementation of a patient monitoring system on the drugs with narrow margin of safety at hospitals.

• Nutrition Research and Practice
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• 제8권5호
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• pp.571-579
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• 2014

BACKGROUND/OBJECTIVES: The objectives were to investigate the effect of a 12-wk intervention with behavioral modification on clinical characteristics and dietary intakes of young and otherwise healthy obese and to identify factors for successful weight loss. The goal was to lose 0.5 kg per week by reducing 300-500 kcal/day and by increasing physical activities. SUBJECTS AND METHODS: Forty four obese subjects (BMI > 25) and 19 normal weight subjects (BMI 18.5-23) finished the 12-week intervention. Obese subjects participated in 5 group educations and 6 individual counseling sessions. Normal weight subjects attended 6 individual counseling sessions for evaluations of dietary intake and exercise pattern. Anthropometric and clinical characteristics and 3-day dietary records were evaluated at baseline and week12. RESULTS: Weight and serum triglyceride and free fatty acid concentrations in obese group decreased significantly with intervention. Intakes of energy, fat, and cholesterol decreased significantly in the obese. Active participation, realistic weight loss goal setting, and weight gain after high school graduation not during childhood were identified as key factors for successful weight loss. CONCLUSIONS: The 12-week intervention with behavioral modification resulted in reduced energy and fat intakes and led to significant weight loss and improvements of clinical characteristics in the obese. The finding that those who became obese during childhood lost less weight indicates the importance of 'early' intervention.

• 한국식생활문화학회지
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• 제14권4호
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• pp.417-429
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• 1999

The status of general food service administration and nutrition education was investigated in 111 elementary schools located in Inchon Metropolitan Area by questionnaires. The results are as follows ; 1. Most schools served 5 lunches per week. Meal cost per capita was 1212.1 won in urban type school and 979.0 won in rural type school. Most schools(91.9%) had 1 regular dietitian and 1 regular cook. With increasing number of students the number of temporary employees increased significantly. Most school dietitians(86.5%) were in their twenties and had 2 year careers. 2. Most dietitians(90.1%) planned the menu based on the RDA with the first consideration in nutritional needs of the students. Many dietitians(81.8%) surveyed on the food preferences of the students at least once a year. About 86% of the schools had the food service committee which was helpful. Dietitians were the first one in charge of food purchasing and checking, and sometimes a manager in general school affairs worked together. One third of the schools used the volunteer parents in food services. 3. Most school dietitians(97.2%) gave the students nutrition education using handouts once a week. However, they could not teach the students through the classroom lecture because they are not the regular teachers. Food garbages were removed by the professional trash collecting company or by using fermentation machines or by giving them to animals as feeds. School events concerning the food and nutrition were mostly drawing pictures and composition. Only 36.4% of the school dietitians had experienced in nutrition counseling for an individual student. Most of them(99.1%) thought that individual counseling is necessary if they have enough time and chances to do.

• 대한지역사회영양학회지
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• 제11권6호
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• pp.793-807
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• 2006

This study was performed to estimate the effect of alphacalcidol supplementation or nutrition education on the nutrient intakes, bone mineral density and bone markers in continuous ambulatory peritoneal dialysis (CAPD) patients. The 90 CAPD subjects were randomly assigned to 3 groups (alphacalcidol group: AG, nutrition education group: NG, and control group: CG). Alphacalcidol supplementation($0.5{\mu}g/day$) was carried out for 8 months. Nutrition counseling was performed according to the patient s individual question for the first 6 months and scheduled nutrition education with individual counseling was carried out for the last 2 months. In baseline data. there were no significant differences in age, sex, family number, education years and monthly income except the NG showed significantly less duration of CAPD (p< 0.05) compared to other two groups. After intervention all three groups showed tendency of lower intakes. NG revealed less decrease in protein, especially in animal protein calcium from Ca-P binder, dietary calcium, dietary iron and niacin. NG showed significantly more increase in dry weight (p<0.05) and AG in waist circumference (p<0.001) after intervention. The groups did not show significant differences in the changes of biochemical indices related to bone metabolism. NG revealed more increase in trochanter BMD(p < 0.05) compared to other two groups. It seems that nutrition education is more effective in preventing deterioration or improving the bone and general nutrition status.