• 제목/요약/키워드: middle-aged

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경남지역 일부 갱년기.폐경기 여성의 식사와 건강보조식품에 관한 신념 - 포커스그룹 심층면접 연구 - (Climacteric and Menopausal Women's Beliefs on Daily Meals and Food Supplements - A Focus Group Interview Study -)

  • 변정순;김미정;이경혜
    • 대한지역사회영양학회지
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    • 제16권2호
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    • pp.239-252
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    • 2011
  • The aim of the study was to explore the current status as well as personal views, attitudes, and beliefs regarding daily meal consumption (DM) and food supplement use (FS) in conjunction with the improvement of health condition of the women. Eight focus group interviews were performed and the interview material was condensed systematically with the aim to extract core meanings related to DM, FS, and menopause-associated health. Participants were 40 in number and showed ages ranging from 45 and 60 years with various menopausal status. Current status and beliefs about DM, resources of purchase motivation of FS, types of FS that are currently used, and perceived effects and personal beliefs about FS are discussed. Theme content analysis revealed 3 themes for beliefs about DM, 5 themes for beliefs pertaining FS, and 4 themes for the association between DM and FS. Non-dietary factors such as positive mental attitude and exercise appeared to be also important to maintain good health. The bottom line message from this study may be that proper nutrition through daily meals is essential for good health, while food supplement are used merely to supplement the diet. Findings from this study may deepen our understanding of how women who translate their lifespan through "menopause" perceive the roles and meaning of DM and FS, suggesting health professionals need to monitor and evaluate DM and implement strategies targeting the improvement of daily meal quality of middle and older aged women.

우리나라 폐경전 여성에서 칼슘, 단백질, 인의 섭취상태가 골밀도에 미치는 영향 (Effects of Dietary Calcium, Protein, and Phosphorus Intakes on Bone Mineral Density in Korean Premenopausal Women)

  • 오재준
    • Journal of Nutrition and Health
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    • 제29권1호
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    • pp.59-69
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    • 1996
  • Effects of dietary calcium(Ca), protein, and phosphorus(P) intake on bone mineral density (BMD) were investigated in 129 Korean premenopausal women(age 31-54 years) without diagnosed disease. BMD was measured at the spine(vertebrae L2-4) and femur(neck, Ward's triangle and trochanter). By stepwise multiple regression analysis it was shown that protein, Ca, and P intakes affected most significantly on BMD at the vertebrae L2-4, protein and P intakes affected most significantly on BMD at the femoral neck and Ward's triangle, and body mass index(BMI) affected most significantly on BMD at the trochanteric region. When ate-matched BMD % at the vertebrae L2-4 and all femoral sites was grouped by three levels(<90%, 90-99%, >=100%), only at the vertebrae L2-4>=100% and 90-99% groups had higher Ca intakes than <90% groups. When Ca, protein and P intakes of the recommended level for Korean(RDA) were grouped by three levels (Ca or P ; <=650mg/d, 650-750mg/d, >=750mg/d, Protein ; <=55g/d, 55-60g/d, >=65g/d), only at the vertebrae L2-4>55g/d of protein intake had higher age-matched BMD % than <=55g/d intake, >=750mg/d of Ca and P intakes, age-matched BMD % than <=650mg/d. In RDA range of Ca, protein, and P intakes, age-matched BMD % of the vertebrae L2-4 and all femoral sites was greater than 90%. Correlation between Ca intake and vertebral BMD was examined closer. There was more significant linear correlation between vertebral BMD and Ca intake below 800mg/d(r=0.346, p<0.0001)than above(r=0.376, p<0.019), implying a threshold effect and vertebral BMD was better expressed as a function of the logarithm of calcium intake(r=0.3881, p<0.0001). These results suggest that Ca, protein, and P intakes greater than RDA help to maintain proper BMD in middle-aged prementopausal women. Especially dietary Ca have important role in increasing the vertebral BMD and 800mg/d of Ca intake is optimum amount.

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일개 도시 지역사회 간호센터 모형개발을 위한 요구조사 (A Study on Model Development for Urban Community Nursing Center)

  • 윤순녕
    • 지역사회간호학회지
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    • 제13권2호
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    • pp.260-271
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    • 2002
  • Objectives: The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods: Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results: 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal. state, and local governments. 2) Of the total health management members, 37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion: A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.

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사회복지분야의 간호활동실태 및 간호수요에 관한 연구 (A Study of Activities and Demand on Welfare Nursing in Korea)

  • 김영임
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.203-215
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    • 1996
  • Social security is concerned with ensuring all citizens maintain basic needs, community health nursing maintains and promotes health for all community members. Lately, This new area of community health nursing, concern social welfare has increased. The objectives of this study are, first, to analysis the activities of nurses at community social welfare institutes, second, to estimate nursing demand for social welfare areas. The study methods used were as literature review, an analysis of statistical data and case study etc. The analytical framework also included a demand analysis of nursing manpower in community social welfare areas. The major results are as follows; 1. Employees which work at social welfare institutes number 55,464, nursing manpower (including nurse aids) number 1,458 and this is 3% of the total employees. Within nursing manpower, nurses number 780, nurse aids number 670. 2. The rates of nurses among total employees were high in institutes for mental disorders and institutes for the age. 3. The salary level of nurses was lower than average and the rates of retirement showed a roughly middle level in welfare institutes. 4. The satisfaction level of nursing services was high, and it is the trend that nurses substitute for nurse aids which retire at social welfare institutes. 5. Nurse demand that follows legal criteria is 2,221, but only 35% are working. It is therefore insufficient from the minimum of 733 to a maximum 1433. 6. The sufficiency rates by institution were high at institutes for vagrants, aged and the handicapped. In conclusion, the conditions are of nurses which are working in with the social welfare institutes are poor. Also the number of nurses compared rates of demand were in surplus. But, the basic direction of welfare policy is universal-preventive and provision of the family and of community centered service, and nursing service demand in the social welfare institute will increase continuously, we predict. Therefore, we will need a positive plan such as the development of an inservice education program and the construction of an information collection system etc.

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조선족 중년여성 근로자의 심혈관질환 예방 교육자료 개발 및 평가: Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) 이용 (Development and Evaluation of Cardiovascular Disease Prevention Education Materials for Middle-aged Korean-Chinese Female Workers: Applying Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P))

  • 이현경;김정희;유리;이자인
    • 지역사회간호학회지
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    • 제27권3호
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    • pp.284-298
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    • 2016
  • Purpose: The purpose of this study was to develop and evaluate the quality (understandability and actionability) of health education materials for Korean-Chinese (KC) female migrant workers, using Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P). Methods: Educational needs assessment was conducted with 3 focus groups with 20 KC women and a focus group with 4 community stakeholders. The quality of the educational materials was evaluated by 3 experts and a community stakeholder, followed by a survey with 15 KC women using 17 items for understandability and 7 items for actionability by means of a Korean version PEMAT-P. Results: The health educational calendar consists of 12 subjects out of 9 topics related to healthy lifestyles for preventing cardiovascular diseases. The overall mean understandability score was 98.8% and the overall mean actionability was 100%. Conclusion: Involvement of KC women and community stakeholders in the development of educational materials was found to be an effective strategy for increasing understandability and actionability of educational materials for KC female migrant workers. This study also demonstrates the PEMAT-P is a useful evaluation tool, emphasizing the actionability of educational materials.

근시성 굴절이상과 안압의 상관관계 분석 (Analysis of Correlation by Myopic Refractive Errors and Intraocular Pressure)

  • 김보연;이은희;정미아
    • 한국융합학회논문지
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    • 제11권8호
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    • pp.317-321
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    • 2020
  • 본 연구는 근시성 굴절이상과 안압의 상관관계를 조사하였다. 연구대상자는 20대 성인 남녀 총 39명 (남17명, 여 22명) 총 78안을 대상으로 하였다. 안압은 비접촉식 안압계를 사용하여 측정하였고, 근시성 굴절이상은 경도, 중등도, 고도 근시군 3그룹으로 나누어 상관관계를 분석하였다. 대상자의 성별에 의한 안압과 굴절이상도는 통계적으로 유의한 차이를 보이지 않았지만, 근시성 대상안의 굴절이상도가 증가할수록 안압이 증가하였고 통계적으로 유의한 차이를 보였다. 또한, 경도 근시에 비해 중등도와 고도 근시에서 안압이 높게 나타나는 것은 젊은 나이에 발병할 수 있는 녹내장의 원인이 될 수 있으며, 이는 중장년층의 고도 근시에서 안압과 근시성 굴절이상도간의 상관관계에 대한 바른 인식과 이해에 관한 기초자료로 활용 될 수 있을 것이라고 생각된다.

한국과 미국의 식품 섭취 조사 방법 및 지방섭취량의 비교 (A Comparison of the Methodologies in Food Consumption Surveys and Daily Dietary Fat Intake between America and Korea)

  • 박선민
    • Journal of Nutrition and Health
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    • 제29권10호
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    • pp.1121-1131
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    • 1996
  • The nutritional status is America has been monitored by National Monitoring System since 1960's, mainly conducted by United States Department of Agriculture. The data from these programs were computerized and distributed to researchers. Researchers have manipulated and recalculated the data to produce meaningful results. Korean nutritional status has been investigated by National Nutrition Survey ever year, including food consumption, biochemical measurements and demographic variables. The Korean Nutritional Survey has not been organized and integrated as much as the nutritional survey in the United States and its results have been presented no more than as a report. Its raw data should be distributed to researchers and researchers could use the data to get more information. The purpose of this study is to compare the measurement of food consumption in Korean and America using Korean Nutrition Survey and Continuing Survey of Food Intake by Individuals(CSFII), respectively, and to compare the consumption of fat and foods with a high fat content. The fat consumption in the Unite States has been decreased from more than 40% of total energy intake to 35%, while Koreas have consumed more fat according to the economic growth. However, the fat consumption in Korea was still much lower than that in the United States. Korean should pay attention to saturated fat consumption(animal fat), especially rich middle aged men, since they ate meat as much as much as men in the United States according to a recent study. In America availability of food with a low fat content(e.g. low-fat milk) and new recipes along with nutritional education has decreased fat consumption, especially animal fat, any more. Also, each consumption of polyunsaturated fat and saturated fat should be measured since the ratio of them are more important for preventing heart disease and some cancers.

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학교 아침급식에 대한 경북지역 영양(교)사의 인식 및 시행방안에 관한 연구 (Perception and action plans for school breakfast program by school nutrition teachers and dietitians in Gyeongbuk province)

  • 오향;정해랑;최영선
    • Journal of Nutrition and Health
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    • 제45권4호
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    • pp.362-371
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    • 2012
  • This study aimed at investigating the perception and action plans of the school breakfast program (SBP) proposed by nutrition teachers and dietitians at elementary, middle, and high schools in Gyeongbuk province. The survey was carried via questionnaires throughout April to May 2010. Two hundred ten questionnaires were returned (52.5%) and out of the total, 194 were used for analysis. Of the respondents, 73% disagreed and 27% agreed to the implementation of SBP, although most respondents agreed to the importance of eating breakfast in children. The percentage of disagreement was higher among subjects with working experience of 15 years and more, age of 40 years and more, and those who were employed at elementary schools. The primary reasons of disagreement were 'eating breakfast with family is better' and 'it increases the cost of school foodservice'. The respondents preferred students' optional participation (62.9%) over universal participation (37.1%) of SBP. Action plans of SBP, which were proposed by nutrition teachers and dietitians, included direct operating system by the school, food delivery schedule prior to the day of serving, 2-3 hours of preparation time, serving food 50 minutes before the start of classes, and convenient style menu served at the school cafeteria. Efforts to lessen foodservice employees' workload as well as support from school principals and the Office of Education were suggested as prerequisites for a successful SBP implementation.

산양삼(山養蔘) 약침(藥鍼)이 유방암절제술 여성의 심박변이도, 맥파전달속도에 미치는 영향 (Effect of Heart Rate Variability, Pulse Wave Velocity in Women of Breast Cancer Patients Care by Mountain Cultivated Ginseng Pharmacopuncture)

  • 김경철;박상욱;김이순
    • 대한한의진단학회지
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    • 제15권3호
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    • pp.245-260
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    • 2011
  • Objectives: The aim of this experiment is to know the effect of Mountain Cultivated Ginseng Pharmacopuncture on Heart Rate Variability (HRV), Pulse wave velocity (PWV) in Middle Aged Women. Methods: We investigated on 40 women of breast cancer patients. First, we measured their Heart Rate Variability(HRV), Pulse wave velocity (PWV) and then Mountain Cultivated Ginseng Pharmacopuncture $20m{\ell}$ were injected on them. After 30 minutes, we measured Heart Rate Variability(HRV), Pulse wave velocity(PWV) again. As a result, method of non-equivalent control group non-synchronized design were used for evaluation. Results: In HRV, Mean HRV is significantly decreased from 69.15 to 63.34 after injection. Mean RR is significantly increased from 877.20 to 962.10 after injection. SDNN is significantly increased from 32.56 to 41.34 after injection. PNN50 is significantly decreased after injection. RNSSD, SDSD, TP, VLF is significantly increased after injection. Stress Resistance ability is significantly increased from 37.55 to 44.60 after injection. And In PWV, E-R, E-L, H-R, H-L is significantly decreased after injection. Conclusions: Effect of Mountain Cultivated Ginseng Pharmacopuncture on Heart Rate Variability (HRV) increased adaptability of autonomic nervous system and on Pulse wave velocity (PWV) decreased arterial stiffness.

장애인 고용의 결정변인: 연령집단별 차이를 중심으로 (Determinants for the Employment of the Disabled: Focusing on Differences by Age Group)

  • 이효성;고그린
    • 한국콘텐츠학회논문지
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    • 제14권5호
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    • pp.144-155
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    • 2014
  • 본 연구는 장애인 고용의 결정변인에 관한 선행연구가 심리적 특성이 고용에 미치는 영향을 배제했으며, 생의 단계에 따른 고용 결정변인의 차이를 고려하지 못했다는 문제의식으로부터 출발했다. 이와 같은 문제의식에서 본 연구는 첫째, 선행연구에서 고용의 주요 영향요인으로 규명되어 온 인적자본과 함께 심리적 특성을 중심으로 장애인 고용의 결정변인을 규명하고 둘째, 연령집단에 따라 장애인 고용의 결정변인에 어떤 차이가 있는지 밝히고자 했다. 한국복지패널 5차년 자료의 장애인부가조사에 참여한 18세 이상 장애인 1280명의 자료를 이용해 이항로지스틱 분석을 수행했다. 분석결과, 18세에서 40세 이하의 청장년 장애인은 차별을 받은 심리적 경험만이 고용가능성을 유의미하게 낮추었으며, 교육 등 인적자본은 유의미한 영향을 미치지 못하는 것으로 나타났다. 41세 이상 64세 이하의 중년 장애인은 교육수준이 낮고, 건강상태는 높으며, 근로능력이 높을수록 고용 가능성이 유의미하게 증가하는 것으로 나타났다. 65세 이상의 노년 장애인은 근로능력만이 고용가능성을 유의미하게 결정하는 것으로 분석되었다.