• 대한간호학회지
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• 제37권4호
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• pp.478-489
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• 2007

Purpose: The purpose of this study was to determine the effects of a Health Maintenance Program on physical functions and mental health of the elderly in nursing homes. Method: Sixty elderly(over 65 years old) in a randomized control study participated in a 16-week group-based intervention including functional exercises and health education. The participants were divided into 3 groups(Health Maintenance Program Group, Supportive Music Exercise Group, and Control Group) of 20 elderly each. Data was collected from Dec. 1st, 2005 to Mar, 30th, 2006. Physical function of lower body strength was assessed using a 30-second chair test, flexibility was assessed using a sit-and-reach test, and static balance was assessed by the ability to balance on one leg with open and closed eyes. Depression was assessed using the Korean Form of the Geriatric Depression Scale and self esteem was assessed using Rosenberg's Self Esteem Questionnaire. Data was analyzed by Chi-square test, One-way ANOVA, and Repeated measure two factor analysis. Results: A Health Maintenance Program significantly increased muscle strength, flexibility and static balance, but depression and self-esteem scores were not significantly changed. Conclusion: Findings demonstrated that a Health Maintenance Program was more effective on physical function than mental health of the elderly in nursing homes.

• 대한지역사회영양학회지
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• 제15권2호
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• pp.206-226
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• 2010

The purpose of this study was to examine the effect of eating with family or alone on the self-rated mental or physical health and then work out strategies of making people recognize the importance of eating with family and its practice. Study subjects were 610 primary school 5th- and 6th-grade students in Daejeon Area. A questionnaire survey was carried out. 57.9% of students had working mothers. The frequency of meal in a day was $2.90{\pm}0.42$ and this frequency was lower in students who had working mothers (p < 0.05). The frequency of skipping breakfast (times/week) was $1.02{\pm}1.77$. The frequencies of eating alone (times/week) were $1.04{\pm}1.65$ for breakfast and $0.97{\pm}1.52$ for dinner. Also, the frequency of eating alone for dinner was higher in students who had working mothers (p < 0.001). When the frequency of eating alone for breakfast or dinner was higher, the frequencies of skipping breakfast and dinner were also higher (for all, p <0.01). When the frequency of eating alone for breakfast or dinner was higher, the self-rated positive mental health were lower (p < 0.05 and p < 0.01 respectively) and the self-rated negative mental health (for dinner, p < 0.05) and the self-rated negative physical health was higher (p < 0.05 and p < 0.01 respectively), thus presenting negative health. The frequencies of eating with family (times/week) were $3.37{\pm}2.50$ for breakfast and $4.14{\pm}2.19$ for dinner. Also, the frequency of eating with family for dinner was lower in students who had working mothers (p < 0.01). When the frequency of eating with family for breakfast was higher, the frequency of skipping breakfast was lower (p < 0.01). When the frequency of eating with family for dinner was higher, the frequency of skipping dinner was lower (p <0.01). In addition, when the frequency of eating with family for breakfast or dinner was higher, the self-rated positive mental health were higher (for both, p <0.01) and the self-rated negative mental health was lower (for breakfast, p < 0.01) and self-rated negative physical health were lower (for both, p <0.01), thus presenting positive health. Therefore, in order to maintain positive health, it is necessary to recognize the importance of eating with family at home and educate people to carry out a systematic and continuous dietary life, thus increasing eating with family and reducing eating alone and skipping a meal.

• 대한물리치료과학회지
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• 제15권3호
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• pp.43-54
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• 2008

Background : We aimed to determine the effect of a mental practice on the electromyography (EMG) activity of the quadriceps femoris muscle of the affected side in a hemiplegic patient during sit-to-stand and stand-to-sit tasks. Methods : We recruited a male patient who had suffered from right hemiplegia. A single-subject experimental A-B-A design was used. The reliability of visual analysis, which was primarily employed in this study design, was supported by using the "2- standard-deviation band" method. The target motions consisted of two activities: sit-to-stand and stand-to-sit. The EMG measurements of the quadriceps femoris muscles of the affected and unaffected sides were made in 8 sessions in the baseline (A), mental-practice (B), and follow-up (A) phases. During the mental practice phase, the 10-min mental practice was performed, and the mental practice was withdrawn in the follow-up phase in order to identify the carry-over effects of the treatment. Data was calculated as the percentage of the ratio of the quadriceps EMG activity values of the affected side on unaffected side. Result : The percentage EMG-activity ratio showed a greater increase in the mental-practice phase than in the baseline, and it was maintained during the follow-up phase. Most of the data points in the mental-practice and follow-up phases were positioned above the "2-standard-deviation band." Conclusion : These findings suggest that mental practice can be used to improve the physical function of hemiplegic patients.

• 재활치료과학
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• 제12권4호
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• pp.53-65
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• 2023

목적 : 본 연구는 정신건강 분야에서 근무하는 작업치료사가 정신질환자에게 신체기능 향상 중재를 제공한 업무 경험 및 실태를 파악하고자 시도된 연구이다. 연구방법 : 2022년 11월 7일에서 11월 14일까지 정신건강 분야에서 근무하는 작업치료사를 대상으로 자료를 수집하였다. 이메일을 통해 설문지를 배포하여 응답을 수렴하였으며, 수집된 응답지 46부에 대해 기술통계 및 상관관계를 분석하였다. 결과 : 설문응답자는 여자(58.7%), 20~30대(84.8%)가 가장 많았고, 주로 정신건강복지센터(41.3%)에서 근무하였으며, 정신건강작업치료사 수련과정(91.3%)을 수료하였다. 정신건강분야 경력은 1년 이상 3년 미만(65.2%), 담당 업무는 프로그램(71.1%), 사례관리(62.2%), 행정업무(57.8%)가 가장 높았으며, 신체기능 향상을 위한 중재(73.9%)를 제공한 경험이 있었다. 자료 분석 결과 신체기능 중심 그룹 중재의 빈도는 주 1~2회(41.2%)가 많았고, 스트레칭, 유산소운동, 산책 순이었으며, 개별 중재의 빈도는 주 1~2회(38.1%)가 많았고, 산책, 스트레칭, 유산소운동 순으로 도출되었다. 결론 : 작업치료사는 정신건강 전문가로서 정신질환자의 다양한 작업과 일상생활활동에 균형 잡힌 참여를 가능하게 한다. 현재 다수의 작업치료사들이 정신건강 분야에서 정신질환자의 신체기능 향상을 위한 다양한 작업치료적 중재를 제공하고 있으나 이에 대한 연구는 아직 부족한 실정이다. 본 연구를 통해 정신건강작업치료의 중요성과 신체기능 향상 중재의 근거 기반 서비스 제공의 필요성을 확인하였다. 이를 통해 정신질환자들에게 더욱 효과적인 치료를 제공할 수 있는 기반이 마련될 것으로 기대한다.

• 한국노년학
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• 제37권2호
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• pp.329-347
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• 2017

본 연구의 목적은 강화도 지역 노인의 신체적, 정신적 건강과 인간관계 크기를 설명해주는 사회연결망 연결정도가 관련성이 있는지를 분석하여 노년기의 사회적 관계가 지역사회 노인의 건강을 예측할 수 있는지를 알아보고자 하는 것이다. 연구대상은 강화도 A군에 거주하는 65세 이상 남녀 노인 643명으로, 2011년에서 2012년까지 실시된 "한국인의 사회적 삶, 건강과 노화에 대한 조사(KSHAP; Korean Social Life, Health and Aging Project)" 1년차 자료를 사용하여 위계적 회귀분석을 실시하였다. 분석결과 첫째, 통제변인으로 사용한 인구통계학적 변인 중에서 성별, 소득, 연령은 노인의 신체적 건강과 상관관계를 보이는 것으로 나타났다. 남성이 여성보다, 소득이 높을수록, 연령이 낮을수록 신체적 건강이 더 좋은 것으로 나타났다. 둘째, 인구통계학적 변인 중에서 학력, 소득, 연령은 정신적 건강과 상관관계를 보이는 것으로 나타났다. 학력이 높을수록, 소득이 높을수록, 연령이 낮을수록 정신적 건강이 더 좋은 것으로 나타났다. 셋째, 방향이 포함된 사회연결망에서 외향연결정도와 내향연결정도 모두 노인의 신체적, 정신적 건강을 예측하는 것으로 나타났다. 본 연구결과는 한 개인의 대인관계가 노인의 건강을 예측하는 데 있어 내가 교류한다고 생각하는 사람의 수(외향연결정도) 뿐만 아니라 나와 교류한다고 생각하는 사람의 수(내향연결정도)도 같이 고려할 필요가 있다는 것을 시사하며, 방향에 따른 연결정도의 두 지표가 신체적, 정신적으로 취약할 수 있는 고립된 개인들을 찾아내는데 활용될 수 있다는 점에서 지역사회 노인에 대한 건강 증진 및 복지 차원에서 의미가 있다.

• 한국치위생학회지
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• 제23권1호
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• pp.43-53
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• 2023

Objectives: We developed an integrated cognitive function improvement program comprising cognitive, emotional, and physical domains, and remotely applied it to middle-aged adults to investigate its effects on oral health, cognitive function, and mental health improvement. Methods: The experimental group underwent the program remotely, using the Zoom platform. A total of 24 participants were recruited and divided into 12 experimental and 12 control groups. The program comprised cognitive, emotional, and physical activities. The sessions lasted 90 min and were performed twice a week for 6 weeks from April to May 2022. Results: Cognitive function, arousal, physical, and mental stress were significantly improved in the experimental group after the intervention than at the baseline (p<0.05). Regarding oral health, tongue plaque decreased 1.34-fold (p<0.01) and saliva increased 1.04-fold (p<0.05) in the experimental group after the intervention than at the baseline. Moreover, the experimental group showed significant improvements in tongue plaque and saliva than the control group (p<0.05 for tongue plaque and p<0.01 for saliva). Regarding mental health, social support significantly increased 11.67-fold (p<0.05) in the experimental group than at the baseline. The experimental group also showed significantly improved social support than the control group (p<0.01). Conclusions: The non-face-to-face integrated cognitive function improvement program for middle-aged adults improved their cognitive function and oral and mental health. Based on these findings, this program may be a useful health program tool for middle-aged individuals.

• 한국산학기술학회논문지
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• 제21권10호
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• pp.274-282
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• 2020

본 연구의 목적은 서울시 돌봄 서비스 노동자들의 직무스트레스와 정신건강 요인이 구강 증상에 미치는 영향에 대하여 살펴보고자 한다. 연구 방법은 돌봄 서비스 노동자 150명을 대상으로 7월 24일부터 8월 6일까지 설문조사를 시행하였다. 조사항목으로는 직무스트레스, 정신건강(신체증상, 불안, 불면), 주관적 구강 증상을 조사하였으며, 연구 결과 다음과 같다. 직무스트레스(p=0.001)는 구강 증상에 유의한 영향을 주는 것으로 나타났다. 또한, 신체증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001) 모두 구강 증상에 유의한 영향을 주는 것으로 나타났다. 위험 요인 중 신체 증상이 구강 증상에 가장 큰 영향을 미치는 것으로 나타났다. 또한 직무스트레스, 불안 증상, 불면 증상, 구강 증상의 상관성 결과, 직무스트레스가 증가할수록 신체 증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001), 구강 증상(p<0.01)이 모두 증가하는 양의 상관성을 나타냈다. 돌봄 서비스 노동자들은 돌봄 대상자를 신체적·정신적으로 보살펴야 하는 업무를 수행하므로 육체적·심리적 노동력 소진이 크다. 자신의 건강과 구강건강 상태가 좋아야 업무수행력을 높일 수가 있기에 노동자들의 정신건강을 위한 제도적 확대 방안이 필요하며, 구강건강 증진을 위한 맞춤별 구강보건교육 프로그램 도입이 매우 필요하다고 사려된다.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.39-49
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• 2010

Objectives: This study analyzed the factors that influence the mental health of adolescents in Korea, China, and Japan. Methods: The survey was conducted in each country between November 2008 and January 2009. The respondents were 1,390 Korean, Chinese, and Japanese students aged between 14 years and 16. The mental health was measured by the School Mental Health Scale of Ochanomizu University (2004), which is composed of six scales: physical symptoms, eating disorders, depression, interpersonal relationship, powerlessness, and impulsiveness. Results: The relationship with family and friends are strongly associated with mental health. As for Korean and Chinese female students experienced mental illness more than male. Regarding Korean students, the time to use TV computer game is related to relationship and impulsiveness. The mobile phone use more than three hours is related to depression and relationship for Japanese, and the number of family member less than three, is associated with powerlessness for Chinese. Conclusion: Regular and effective health education is required in order to improve students lifestyles and family and peer relationships. This study also offers the fundamental information for health promotion programs for Korean, Chinese and Japanese students.

• Journal of Preventive Medicine and Public Health
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• 제55권3호
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• pp.213-225
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• 2022

Objectives: The aim of this qualitative study was to investigate how members of the general public in Korea interpret the concept of health, and which dimensions of health are most important to them. We also explored their perceptions of the EuroQoL 5-Dimension (EQ-5D), including the EuroQoL visual analogue scale (EQ-VAS). Methods: We conducted face-to-face, in-depth interviews with 20 individuals from the general population, using a semi-structured interview guide. Content analysis was performed with verbatim transcripts and field notes to identify codes and categorize them according to their similarities and associations. Results: In total, 734 different codes were derived and classified into 4 categories. Participants cited the importance of both the mental and physical aspects of health, although they emphasized that the physical aspects appeared to play a larger role in their conceptualization of health. Participants noted that the EQ-5D has the advantage of being composed of 5 dimensions that are simple and contain both physical and mental areas necessary to describe health. However, some of them mentioned the need to add more dimensions of mental health and social health. Participants showed great satisfaction with the visually well-presented EQ-VAS. However, participants opined that the EQ-VAS scores might not be comparable across respondents because of different ways of responding to the scale. Conclusions: While physical health is a fundamental aspect of health, mental and social aspects are also important to Koreans. The content of the EQ-5D broadly matched the attributes of health considered important by Koreans.

• 한국직업건강간호학회지
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• 제29권1호
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• pp.58-68
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• 2020

Purpose: Workers with chronic health problems find it difficult to maintain their work because of socioeconomic difficulties. The purpose of this study was to evaluate the relationships between physical, ergonomic, and mental health hazards in the workplace and chronic health problems of Korean workers. Methods: A total of 28,807 wage workers participated in the study and were selected using the Fifth Korean Working Conditions Survey (2017). Multiple logistic regression analysis was used to determine the associations between physical, ergonomic, and mental health hazards and chronic health problems. Results: Of the participants, 1,220 (4.23%) had chronic health problems. Even after adjusting the general characteristics, vibration, noise, high temperature, low temperature, dust, chemical and cigarette smoke, fatigue and painful posture, dragging or pushing or moving of heavy objects, repetitive hand or arm movements, working with a computer or smartphone, use of internet or e-mail, and anxiety situations increased the risk of chronic health problems. Conclusion: The study reaffirms that exposure of physical, ergonomic, and mental health hazards in the workplace significantly increases the risk of chronic health problems.