• 제목/요약/키워드: living with the family

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병원중심 가정간호 사업의 평가 연구 -외래 관절염 환자를 대상으로 - (Effects of Hospital-based Home Care Demonstration Project on Physical and Emotional Problems and Cost - effectiveness of Patients having Arthritis)

  • 임난영;김성윤;이은옥;이인숙
    • 근관절건강학회지
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    • 제3권1호
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    • pp.4-22
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    • 1996
  • Purposes of this study were to identify a hospital-based home care model and to improve the physical, emotional and economical effectiveness of arthritic patients through medical and nursing team approach. The design in nonequivalent control group pretest-posttest design with matched samples in terms of age, sex and disease severity. Fifty two patients in each group were assigned in Seoul, Kyunggi, Kangwon and Kwangju. Before and after 6-month period of home care, level of pain, duration of morning stiffness, Richie Index, ADL, self efficacy, depression, cost expenditure were measured. Nine patients were excluded from the control group in the period of study because of denial of participation. Contents of home care provided to the experimental group include mainly distribution of prescribed drugs, 'assessment of patients' condition and side-reactions of drug. All of the information related to the home care patient were reported to the physician. On the bases of these data, the physician prescribe the specific drugs to each patient. Each patient visited the physician every 2 or 3 month for laboratory test. Patients assigned to the control group visited the outpatient clinic once a month as usual. Null hypotheses were selected because physicians concerned about the ineffective change of patients' conditions due to indirect communication with patients through nurses. Level of pain, Richie index, ADL, self-efficacy, depression, duration of morning stiffness and direct medical cost were the home care provided to them. If a family member accompany in a home care group can save 10,676 Won/month in Seoul, 34,000 Won/month in other districts. Other in-direct cost for transportation and meal can also be saved. In conclusion, those patients with low level of ADL, high level of pain and Richie index, living in the remote area definitely need the home care.

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ERG 이론에 근거한 한국 중년여성의 행복에 관한 구성요인 도출 연구 (Meaning of Happiness Based on ERG Theory in Middle-Aged Korean Women)

  • 신희진;김증임
    • 여성건강간호학회지
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    • 제25권3호
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    • pp.315-328
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    • 2019
  • Purpose: The purpose of this study was to explore the components and nature of happiness in middle-aged women in Korea. Methods: Thirty middle-aged women living in metropolitan Seoul and Gyeonggi and Chungcheong provinces agreed to participate in this study. The data were collected through in-depth interviews with the participants in one-on-one settings. The data were analyzed qualitative using Colaizzi's method of phenomenology. Results: The three theme clusters were extracted from the raw data, along with 13 themes and 138 meaningful sentences and phrases. The three happiness theme clusters in middle-aged women were "live healthy for stability," "rule one's mind for harmony," and "activate hopes for self-esteem." The first theme cluster included healthy life, economic stability, physical youth, and positive thought. The second theme cluster included that harmonious family, ruling of mind, my position as invisible person in social relationships, and precious relationships to support. The last theme included the center of one's life is oneself, a sense of accomplishment, self-improvement, recognition of one's worth and rest for one self. The three theme clusters were associated with the existence, relatedness, and growth (ERG) of ERG areas, respectively. Conclusions: We conclude that the core components of happiness in middle-aged women are to live healthy and mind-ruled and activate hope. The nature of happiness is egocentric stability in middle-aged women. The results suggest that theme clusters might be used to develop a scale for measuring happiness in middle-aged women. This will be helpful to assess the psychosocial status of middle-aged women in Korea.

비타민 B 결핍에 의한 노인성 근감소증 (Elderly Sarcopenia and Vitamin B Deficiency: A Relationship?)

  • 권기상;장혜정;유선녕;안순철;권오유
    • 생명과학회지
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    • 제33권7호
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    • pp.574-585
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    • 2023
  • 노인들에서 근감소증은 의료-간호비용 증가의 주요 원인 중 하나가 되고 있다. 한국에서는 근감소증 예방 대책이 일반적으로 특정 질병이 없는 노인들을 대상으로 하지만, 요양원-요양병원에서 집단 거주하는 노인들의 근감소증 대책도 필요하다. 근감소증은 운동량 감소, 단백질 및 영양분(미네랄, 비타민 포함) 섭취 감소, 테스토스테론 및 성장호르몬 변화, 염증 등의 원인으로 발생한다. 분자 생물학적인 정확한 병태생리 기전의 이해가 요구된다. 근감소증은 골다공증, 낙상으로 인한 골절, 치매, 당뇨병, 심혈관 질환 등의 증상을 연결될 수 있다. 비타민 B 패밀리(B1-3, B5-7, B9 및 B12) 결핍을 근감소증 유발의 연구 대상으로 선택한 이유는 다음과 같다. 이는 비타민 B가 에너지 및 단백질 대사에 직접 관여하여 정상적인 신경 기능 유지에 필수적이다. 비타민 B 결핍은 신경-근육 질환, 신경성 질환으로 나타날 수 있으며, 노인성 근감소증과 병행하는 경우가 많다. 노인들은 적정치 이하의 비타민 B 패밀리 섭취, 흡수 장애 및 무식증 문제 등을 겪을 가능성이 높다. 초고령화 사회에서 elderly가 자립적으로 일상생활을 할 수 있는 'health lifetime'을 유지하는 것은 개인의 행복추구와 사회경제적 부담을 줄일수 있는 최고의 목표이다. 본 연구는 근감소증과 관련하여 노인들의 근육량 감소 및 근육 기능 저하를 조절하는 수용성 비타민 B 패밀리의 최신 정보를 제공한다. 또한, 비타민 B 패밀리를 통한 마이오카인에 의한 근감소증의 조절 가능성도 소개한다.

The Primary Care Performance of Three Types of Medical Institutions: A Public Survey using the Korean Primary Care Assessment Tool

  • Jung, Hye-Min;Jo, Min-Woo;Kim, Hyun-Joo;Jang, Won-Mo;Lee, Jin-Yong;Eun, Sang-Jun
    • 한국의료질향상학회지
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    • 제25권2호
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    • pp.16-25
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    • 2019
  • Purpose:The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance. Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions. Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions. Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

거주환경 개선을 위한 농촌주택 개보수 인식에 관한 연구 - 전라남도 농촌마을 거주자를 대상으로 - (A Study on the Perception for Rural Housing Remodeling for Improved Residential Environment - For Rural Residents in Jeollanam-do -)

  • 김윤학
    • 한국농촌건축학회논문집
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    • 제16권3호
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    • pp.27-36
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    • 2014
  • The purpose of this study is to provide necessary information for the establishment of remodeling range needed first to support the future remodeling of rural housing. For this, this study examined landscape characteristics of rural housing such as an outer wall, a roof, a fence, and a gate which are main elements of forming the landscape of a rural village and rural residents' perception for remodeling. The results were as follows. The subject rural housing mostly had a timber structure and a masonry structure. Common roof types were a hip-and-gable roof and a gable roof. Frequent materials were a panel, a tile, and slate and common colors were primary colors such as reddish brown, black, and gray. A fence made of cement blocks and finished by a white paint was often found. A closed gate with iron frames was common. A standup kitchen and a flush toilet inside the house were common. The family members of rural residents were mostly two including a farmer husband and his wife. Elderly people of sixty and over were the most common. For residential environment satisfaction, a half of respondents were not unsatisfied with residential environment mostly due to an old house. Most respondents who were not satisfied with residential environment had high perception for the need of remodeling. The most commonly asked remodeling part was a roof, followed by a toilet, and an outer wall, indicating that the need of exterior remodeling was higher than that of interior remodeling. For a remodeling method, a total improvement was preferred. Although some rural village housing was improved by support of the government, local governments, or social groups, there are still many old houses. As this co-existence of improved houses and old houses hinders the landscape of rural village, it is necessary to give a support. But rural residents' requests should be first actively reflected to establish a guideline of supporting rural house remodeling.

유스호스텔의 숙박공간 구성에 관한 연구 (A Study on the Architectural Planning of Living Space Composition in Youth Hostel)

  • 이승현;이동숙;윤충열
    • 한국농촌건축학회논문집
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    • 제10권3호
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    • pp.51-58
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    • 2008
  • The Youth Hostel in Korea, differently from that of other countries, has been introduced in order to attract School Excursion Group, and was developed as one of Youth Training Facilities. Youth Hostel as Youth Training Facility can be utilized as a healthy experiential space for youth education, as a stage for an international interchange, as a field for the lifelong education of various classes, and is also the Lodging Accommodation which is now highly appearing of the demand as a safe and educational lodging place to both individuals and family-unit tourists. The Purpose of this Research is aimed to provide the necessary fundamental materials to the planned forthcoming future Youth Hostel, after grasping of such present status as well as its structure and composition of space and spacial characteristic. Since Youth Hostel in Korea is managing on the center of the basis for youths and other groups, in order to compute the proper heads, it is required the scale-level which can accommodate all students in One-Unit Grade of a school at minimum. Accordingly, it seems that must be equipped with accommodating capacity of more than 300~400 persons. As because of recent quality-improvement in the portion of Youth Hostel Lodging, it is under planning with containing of the Sanitary Space at inside of lodging room, and Self-Cooking Space as well. In compliance with such various particulars, it looks that the lodging area should be at least more than $3.5m^2$ per a person.

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의복변인에 의한 시장세분화와 라이프스타일과의 관계 -$20\∼30$대 여성의 의복시장을 중심으로- (Apparel Market Segmentation by Clothing Variables and Lifestyle for Adult Women)

  • 원선;강혜원
    • 한국의류학회지
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    • 제12권3호
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    • pp.309-318
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    • 1988
  • The purposes of this study were: 1) to develop specific AIO variables(clothing variables) based on clothing behavior studies, 2) to segment apparel market by clothing variables, 3) to discribe the profile of each segment with clothing variables, lifestyle variables and demographic variables, 4) to Suggest effective strategies on apparel market of women's clothing. The Likert Type clothing questionnaires measured 6 aspects of clothing (fashion, conformity-individuality, practicality, aesthetics, modesty and brand consciousness & status symbols) dealing with activities, interests and opinions. In addition, lifestyle variables were measured with general AIO statements. The questionnaires were administered to 563 young women (students, career women and homemakers) living in Seoul. The data were analysed by factor analysis, ctustering analysis, multiple discriminant analysis, one-way ANOVA ana Duncan's multiple range test. The results of the study were as follow: 1) 4 factors emerged from factor analysis of clothing variables. Factor 1: lower interest in modesty and higher interest in aesthics, Factor 2: brand consciousness and status symbols, Factor 3: conformity, Factor4 : fashion. 2) Lifestyle variables clustered into 3 factors. Factor 1: positive social activity, Factor 2: family-oriented type, Factor S: materialism. 3) By cluster analysis of the 4 factors of the clothing variables, the apparel market of women's clothing was categorised into 3 segments (innovative aesthetics seeker group, brand and status symbols conscious group, clothing unconscious group). 4) The above three segmented groups were also significantly discriminated by lifestyle and demosraphic variables. 5) On the basis of the findings, effective marketing strategies of women's clothing were suggested.

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경북지역 결혼이주여성의 영양지식 및 식생활 교육 프로그램 요구도 조사 (Nutrition Knowledge and Need for a Dietary Education Program among Marriage Immigrant Women in Gyeongbuk Region)

  • 정미정;정은경;김애정;주나미
    • 대한영양사협회학술지
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    • 제18권1호
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    • pp.30-42
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    • 2012
  • The purpose of this study was to provide basic materials and assistance for developing a nutritional education program targeting marriage immigrant women, and it was carried out on 86 female marriage immigrants living in the Gyeongbuk region. An average age of the female marriage immigrants who participated in this survey were 28.6 years, and their home countries were the Philippines (32.6%), Vietnam (29.1%), and so on. Exactly 59.3% of subjects had been married for 1~5 years, and 40.7% of the subjects had an education status of less than middle school graduation. The majority of them (65.1%) had one more children, and 51.2% of subjects were a part of a nuclear-family, with the husband's age between 40~49 years old (58.1%). Concern for nutrition label was significantly different according to number of children (P<0.01), period of marriage (P<0.001), and education level (P<0.05). It was demonstrated that a higher level of education was associated with a higher need to learn about nutritional information. Understanding nutritional facts and knowledge was significantly higher among the women with two children than no child (P<0.05), period of marriage >10 years than <1 year (P<0.01), and education level of college & university graduation than less than middle school (P<0.05). Sixty percent of the women surveyed participated in the education program of 'Korean language' as they were in their country, and the most preferred education program was 'Korean dietary life and culture' (39.5%). Regarding participation and educational method, the majority of subjects responded that they wanted to learn nutritional education in a cooking academy or school (52.9%) and public health center (34.1%).

Household food insecurity and coping strategies in a poor rural community in Malaysia

  • Shariff, Zalilah Mohd.;Khor, Geok Lin
    • Nutrition Research and Practice
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    • 제2권1호
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    • pp.26-34
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    • 2008
  • This cross-sectional study assessed household food insecurity among low-income rural communities and examined its association with demographic and socioeconomic factors as well as coping strategies to minimize food insecurity. Demographic, socioeconomic, expenditure and coping strategy data were collected from 200 women of poor households in a rural community in Malaysia. Households were categorized as either food secure (n=84) or food insecure (n=116) using the Radimer/Cornell Hunger and Food Insecurity instrument. T-test, Chi-square and logistic regression were utilized for comparison of factors between food secure and food insecure households and determination of factors associated with household food insecurity, respectively. More of the food insecure households were living below the poverty line, had a larger household size, more children and school-going children and mothers as housewives. As food insecure households had more school-going children, reducing expenditures on the children's education is an important strategy to reduce household expenditures. Borrowing money to buy foods, receiving foods from family members, relatives and neighbors and reducing the number of meals seemed to cushion the food insecure households from experiencing food insufficiency. Most of the food insecure households adopted the strategy on cooking whatever is available at home for their meals. The logistic regression model indicates that food insecure households were likely to have more children (OR=1.71; p<0.05) and non-working mothers (OR=6.15; p<0.05), did not own any land (OR=3.18; p<0.05) and adopted the strategy of food preparation based on whatever is available at their homes (OR=4.33; p<0.05). However, mothers who reported to borrow money to purchase food (OR=O.84; p<0.05) and households with higher incomes of fathers (OR=O.99; p<0.05) were more likely to be food secure. Understanding the factors that contribute to household food insecurity is imperative so that effective strategies could be developed and implemented.

가정폭력을 경험한 피해자녀의 감정 특성에 관한 정량화 뇌파연구 (Quantitative EEG Analysis on Emotional characteristics of Children experiencing Domestic Violence)

  • 변윤언;원희욱
    • 한국산학기술학회논문지
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    • 제18권11호
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    • pp.166-175
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    • 2017
  • 이 연구는 범죄피해자 지원기관인 (사)한국피해자지원협회(KOVA; Korea Organization Victicm Assistance)에서 2017년 7월 피해상담 전문가의 심리상담을 진행한 두 폭력 가정의 피해자녀들을 대상으로 이루어졌다. 연구참여자는 가정폭력에 대한 피해 호소가 10년이 넘은 가정으로서 폭력피해사실에 대해 경찰서에 직접 신고되어 접수된 이력이 있고 또 피해자녀와 피해자인 어머니가 단기쉼터에 입소하여 함께 거주한 경험이 있는 가정이었다. 가정폭력의 경우 자녀들은 특히, 미성년자인 경우 부모가 제공하는 생활공간에서 폭력피해를 입더라도 자발적으로 벗어나기 어려운 상태에 있으며, 폭력경험을 지속적이고 반복적으로 당하게 된다. 이에 가정폭력 피해자녀들이 현재 가해자-피해자 관계의 부모와 함께 거주하면서 어떤 감정 양상을 나타내고 있는지 그 특성을 정량화된 뇌파 데이터를 수집하고 분석하여 확인하고자 하였다. 뇌파측정은 서울불교대학원 부설 뇌과학연구소에서 진행하였으며, 뇌파측정 데이터 수집은 국제적으로 표준화된 19채널 뇌파측정도구인 브레인마스터를 사용하였고, 데이터 처리는 뉴로가이드를 사용하였다. 가정폭력을 경험한 피해자녀의 감정양상을 정량적 수치 및 뇌지형도를 통하여 분석한 결과 전두엽에 있어서 과잉서파의 문제, 알파파 좌우비대칭, 고베타파 좌우비대칭의 문제를 발견하였다.