• 제목/요약/키워드: nutrition management program

검색결과 674건 처리시간 0.027초

외래 및 퇴원환아 부모의 전화상담요구와 간호중재에 대한 조사연구 (An investigational study on telephone calls to the pediatric nursing unit)

  • 강화자;한경자;최명애;박승현;김영미;권원경;김선구;안혜영;허미영
    • Child Health Nursing Research
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    • 제2권1호
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    • pp.112-126
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    • 1996
  • The purpose of this study was to investigate the current status of the need of telephone call and to identify the status of nursing intervention through telephone. Head nurses of the pediatric nursing unit and a nurse of pediatric outpatient clinic wrote down the telephone record of calls by parents of children discharged from hospital from 7 am to 3 pm during the period of March to June, 1995. Content of 120 telephone calls but for 26 calls with incomplete record among 146 calls were analyzed into frequency of general characteristics, needs and nursing intervention. The needs of telephone call were identified and classified into 11 areas and analyzed into frequency of detailed content by 11 areas. Nursing intervention was identified and classified into 10 categories, and analyzed into frequency of detailed content by 10 categories. The findings of this study were as follows ; The need of telephone call was identified with nutritional state, medication, vital signs, language retardation, personal hygiene, vaccination, administration procedure, physical symptoms, follow up care management and others. The most frequent needs were physical symptoms and vaccination. A kind of food among nutrition dose of drugs among medication, fever among vital signs, cough among physical symptoms, and content of vaccination among vaccination was the most frequent needs. Nursing intervention through telephone was identified with instruction, knowledge offer, information offer, judgement, solicitation, referral and instruction, referral, connection, reassurance, reservation, and regulation. Instruction, knowledge offer and information offer was the most frequent nursing intervention by telephone call. Instruction was about a visit to hospital, a visit to nearby clinic, instruction about symptoms,, instruction about nursing care procedure, retelephoning and vaccination. Knowledge offer was about vaccination, knowledge related to medication, and dental care. Information offer and judgement was about vaccination and medication. Referral and instruction delivery was about instruction delivery following consultation to doctor, visit to emergency room and a visit to hospital following consultation to doctor. These results suggest that telephone call intervention program should be established as a field of extended pediatric nursing role in health care delivery system for the children.

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건강증진행위의 영향요인 분석 -위암환자중심 - (Predicting Health-Promoting Behaviors in Patients with Stomach Cancer)

  • 오복자
    • 대한간호학회지
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    • 제25권4호
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    • pp.681-695
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    • 1995
  • It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle In addition to a series of other carcinogens increases various neoplasmic diseases. Therefore the importance of lifestyle that minimizes such impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is re-lated to the Korean lifestyle and as there's a possibility of its recurrence, people with stomach cancer need to lead a healthy lifestyle. The purpose of this study is to provide a basis for nursing intervention strategies to promote health promoting behaviors that are constructive to a healthy lifestyle. A multivariate model was constructed based on the fender's health promotion model and Booker's health belief model by including influential factors such as hope. The sample was composed of 164 patients with stomach cancer who visited outpatient clinics of a university hospital in Seoul. The following instruments were used in the study after some adaptation : Wallston and others' multidimensional health locus of control scale Laffrey's health conception scale, Lawston and others' health self- rating scale, Walker and others' health promotion lifestyle profile and Rogenberg's self esteem scale. In addition Moon's health belief scale was used with some modification. For self efficacy, the present author constructed a self-efficacy scale based on previous research. The above mentioned instruments were tested in a pilot study with 24 patients with stomach cancer. The reliabilities of instruments were tested with Cronbach's alpha(0.574∼0.949). Data were analyzed using a SAS program (or Pearson correlation coefficients, descriptive correlational statistics and stepwise multiple regression. The results are as follows : 1. The scores on the health promoting behavior scale ranged from 55 to 145 with a mean of 107.91 (S. D : 16.50). The mean scores(range 1-4) on the different dimensions were nutrition 3.14, exercise 2.48, stress management 2.69, health responsibility 2.65, interpersonal relationship 2.878E self actualization 2.85. 2. There were significant correlations among all the predictive variables & the health promoting behavior (r=.20-.55, p〈.01) 3. Stepwise multiple regression analysis showed that : 1) Hope was the main predictor and accounted for 29.8% of the total variance. 2) Self efficacy, perceived barriers & self esteem accounted for an additional 14.6% of the total variance. 3) Hope, self efficacy, perceived barriers & self esteem altogether accounted for 44.3% of the total variance. In conclusion, hope, self efficacy, perceived barriers & self esteem were identified as important variables that contributed to promote health promoting behavior.

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중년 남성의 자살생각 영향요인 (A Study on Factors Affecting Middle-aged Men's Suicidal Ideation)

  • 이선영;허명륜
    • 한국산학기술학회논문지
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    • 제16권7호
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    • pp.4777-4785
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    • 2015
  • 본 연구는 중년 남성의 자살생각 정도를 확인하고, 영향요인을 파악하여 고위험 대상자를 선별하기 위한 기초자료를 제공하고자 시도하였다. 2012년에 질병 관리 본부에서 시행된 국민건강영양조사 자료 중 제 5기 3차 자료를 이용 하였고, 40-64세의 남성을 대상으로 하였다. 수집된 자료는 가중치를 적용하여 SPSS 19.0 프로그램의 복합표본분석방법을 이용하였으며, 빈도분석, 교차분석, 로지스틱 회귀분석으로 분석하였다. 그 결과 중년남성의 10%가 자살 생각이 있는 것으로 파악되었고, 소득 수준이 낮은 경우 보통에 비해 1.972배 자살 생각이 높았다. 배우자가 있는 대상자에 비해 미혼이 2.587배, 배우자 없는 경우가 1.482배 자살 생각이 높았고, 비만인 대상자에 비해 저체중 대상자는 18.183배 자살 생각이 높았다. 화이트 칼라 직종에 비해 블루 칼라와 무직은 각각 1.349배, 13,342배 자살 생각이 높았다. 또한 높은 활동 정도를 보이는 대상자에 비해 낮은 활동을 보이는 대상자는 2.998배 자살 생각이 높은 것으로 나타났다. 따라서 소득이 낮은 대상자, 미혼 또는 배우자가 없는 대상자, 우울감이 있는 대상자, 무직이나 블루칼라 종사자, 활동 정도가 낮은 대상자는 자살 생각이 높은 고위험으로 볼 수 있겠다. 그러므로 중년 남성의 자살 예방을 위하여 일차적으로 이러한 고위험 대상자를 선별하여 관리 할 필요가 있으며, 이들에게 스트레스, 우울, 체중을 고려하는 내용을 포함하여 자살 예방을 위한 사회, 정책적 차원에서 프로그램을 개발하여 적용해야 한다.

대학생의 건강증진행위에 대한 연구 (A Study on the Health Promoting Behavior of University Students)

  • 염순교;허은희;정연강;권혜진;김경희;노은선;한경순;한승의
    • 지역사회간호학회지
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    • 제9권2호
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    • pp.396-409
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    • 1998
  • The purpose of this study is to inquire into the degree of health promotion activity of university students, and to confirm the general factors of health promotion behavior in order to offer basic data for a nursing strategy to improve health promotion behavior. For this research, data was collected from university men and women through questionnaires from February 18 to March 20 in 1998. The author develop a measuring instrument on the basis of related reviews of health promoting behavior in the prevention of chronic disease, as well as accounting for demographic factors, biological factors, and circumstanctial factors. The content validity of the instrument was authenticated by two professors of the science of nursing,. and the reliability was confirmed by a 'cronbach' ${\alpha}'$ after moditying the content through a pre-test on 30 students. 475 persons were analyzed in terms of an average, percentage, t-test, ANOVA by 'SPSS-PC'. The analyzed data was the following. 1. The acting degree of health promoting behavior was 3.26 point out of 6. Among the sub-levels of health promoting behavior, the order of importance was the following. self-actualization (4.62), interpersonal(4.60), stress management (4.0l), nutrition(3.68), responsibility(3.1l), liquid and cigaretles ues(2.85), and exercise (2.33). 2. The differences in health promoting behavior according to subject's general character were the following. Age(F=6.012, p=.003), major (F=7.243, P=.000), sex(t=7.60, P=.000), religion(F=2.454, p=.045), living status(F= 2.849, p=.024), health concern of parents(F= 7.596, P=.000), taking health programs(F= 2.710, p =.007), case history of the family( t = -1.980, p=.048). Health promoting behavior is affected by a higher age, majoring in the social sciences, having religion, male, living in the relatives' home, having to take health programs and a higher health concern of the parents. Suggestions: 1. The degree of health promoting behavior appears low in this study. It is crucial, therefore, to develop a health program to improve health promoting behavior and to study how to center the daily health life of students.

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고등학생의 건강증진 생활양식과 관련 요인 (The Determinants of a Health Promoting Lifestyle in High school students)

  • 홍외현;김정남
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.330-346
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    • 1999
  • This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in high school students. 304 high school students and 189 vocational high school students living in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4, 1998. Pender and others' Health Promoting Lifestyle Profile, Shere et al's. Self-Efficacy scale, Wallston et al.'s Internal Health Locus of Control scale, Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, MANOVA, ANOVA. Tukey verification and Stepwise multiple regression with an SAS program. The results of this study were as follows: 1. The average score of a health promoting lifestyle performance was 2.38(SD=.36) of a 4 point scale .Self-actualization (mean = 2.80. SD = .60). interpersonal support(mean = 2.73, SD=.47), health responsibility (mean=1.53, SD=.47), nutrition(mean=2.64, SD=.63), exercise(mean=2.71. SD=.72) and stress management(mean=2.37, SD=.58) were also analyzed. 2. The combination of self-efficacy, social-support, internal health locus of control. father's educational level and perceived health status explained 37.97% of the variance in health promoting lifestyles. 3. A Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.0011), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). 4. According to sex(t=7.38. p=.006). economic state(F=6.62, p=.00l), Father's educational level(F=4.25, p=.005), mother's educational level(F=6.94. p=.000l), the grade of educational performance(F=3.74, p=.024), sleeping hours(F=3.47. p=.032) and social support(F=40.76, p=.0001). there were significant differences and modifying factors in health promoting lifestyles. On the basis of the above findings. self-efficacy in cognitive factors, and social support in modifying factors were identified as the variables which explained most of Pender's health-promotion model. Nursing strategies enhancing self-efficacy and social support which have a more significant effect on health promoting lifestyles should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

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한국 노인의 성별에 따른 복부비만에 영향을 주는 요인: 건강 및 건강행태 관련 요인을 중심으로 (Factors Affecting the Abdominal Obesity by Sex among the Korean Elderly: Focusing on Health and Health Behavior Related Factors)

  • 전해옥
    • 한국산학기술학회논문지
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    • 제19권10호
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    • pp.559-568
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    • 2018
  • 본 연구는 한국 노인의 건강 및 건강행태 관련요인을 중심으로 성별에 따른 복부비만에 영향을 주는 요인을 파악하기 위해 수행되었다. 본 연구는 질병관리본부에 의해 2015년 1월부터 12월까지 시행된 제 6기 국민건강영양조사의 원시자료를 사용하였다. 본 연구의 대상자는 만 65세 이상 노인 중 허리둘레를 측정 한 남자 599명 (Weighted n=3,037,943), 여자 793명(Weighted n=3,840,452)이었다. 자료는 IBM SPSS 23.0 프로그램으로 복합표본설계 방법을 통해 분석하였다. 연구결과, 본 연구에서 한국노인은 성별에 따라 인구사회학적 요인, 건강관련 요인 및 건강행태에 있어 유의한 차이를 보였다. 남성노인의 복부비만 비율은 38.3%, 여성노인의 복부비만 비율은 50.5%인 것으로 나타났다. 건강 및 건강행태 관련 요인 중 한국의 남성노인의 복부비만에 영향을 주는 요인은 폭음빈도, 여성노인은 주관적 건강상태가 유의한 영향요인인 것으로 나타났다. 그러므로 한국 노인의 복부 비만 관리를 위한 프로그램은 성별에 따른 건강관련 요인 및 건강행태의 차이를 고려할 필요가 있다. 이에 남성의 경우 다양한 영향요인을 고려한 폭음관리 전략이 요구되며, 여성의 경우 주관적 건강상태에 따른 복부비만의 원인 분석 및 관리방법이 적용되어야 할 것이다.

노인의 건강지각과 건강증진행위 (A Study on Health Perception and Health Promoting Behavior in the Elderly)

  • 이경숙;정영숙
    • 지역사회간호학회지
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    • 제9권1호
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    • pp.72-88
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    • 1998
  • This study was designed to identify the relationship between health perception arid health promoting behavior in the elderly. The subjects for this study were 92 persons over 65, who could be easily met in households, pavilions for the aged, and parks. The data were collected during the period from March 24th to April 12th, 1997 by interviews with a structured questionnaire. The instruments used for this study are as follows: The Health Perception Questionnaire developed by Ware (1979) and translated by Yu Ji-Su(1985). The Health Promotion Lifestyle Profile(HPLP) developed by Walker, Sechrist & Pender (1987) and partially amended by the author of this study. The Health Promotion Lifestyle Profile(HPLP) was parameterized by nutrition, exercise, stress management, self actualization, health responsibility, and interpersonal support. The data was analyzed by frequency, percentage, mean, standard deviation, t - test, ANOVA, and Pearson's correlation using an SPSS program. The results of this study were as follows: 1. Hypothesis 1 : 'The higher the level of health perception in the elderly, the higher the practice of health promoting behavior in the elderly' was supported(r=0.449, p<0.001). 2. The health perception mean score on a four point scale was 2.564. 3. For health promoting behavior, the mean score on a four point scale was 2.560. The factor of the highest mean score was interpersonal support(2.850) and factor of the lowest mean score was exercise(1.964). 4. Among the general characteristic variables, sex(t=4.12, p<0.001), religion(t=2.47, p<0.05), education(F=3.27, p<0.05), marital status (t=2.22, p<0.05), living situation(F=3.50, p<0.05), and hobby(t= -2.57, p<0.05) showed strong connections to health perception. 5. Among the general characteristic variables, religion(t = 1.83, p<0.05), and marital status(t= 2.12, p<0.05) showed strong connections to health promoting behavior. In conclusion, this study revealed that health perception is an important factor related to health promoting behavior in the elderly. The general characteristic variables showed strong connections to health perception and health promoting behavior. Therefore, nurses should consider health perception and general characteristic variables when they plan nursing intervention for the elderly. Also, educational programs encouraging constructive health perception should be developed.

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울산.경남지역 여성고객의 라이프스타일에 따른 외식행동에 관한 연구 (A Study on Eating-out Behaviors Depending on Female Customers' Lifestyle in Ulsan.Gyeongnam Province)

  • 전유명;이종호
    • 한국조리학회지
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    • 제18권3호
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    • pp.18-31
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    • 2012
  • 본 연구의 목적은 여성고객의 라이프스타일 유형이 외식동기 측면의 외식행동에 어떠한 영향을 미치는가를 파악하기 위하여 울산 경남지역의 여성 211명을 대상으로 조사 분석하였다. 연구의 목적을 달성하기 위하여 SPSS 12.0 프로그램을 통해 빈도분석, 요인 분석, 신뢰성 분석, t-test, ANOVA 분석, 다중회귀 분석, 상관 분석을 실시하였다. 분석 결과를 보면, 라이프스타일의 항목은 4개의 요인으로, 외식동기에 따른 외식행동 항목은 1개의 요인으로 추출되어졌다. 주거지역에 따른 라이프스타일 차이검증 결과 유행추구형과 외향적 독립추구형은 변수 모두 유의한 차이가 있는 것으로 나타났으며, 두 요인 모두 울산에 주거하는 여성이 경남에 주거하는 여성보다 높은 평균값을 나타냈다. 연령에 따른 라이프스타일의 분석 결과 부분 채택되어 졌으며, 31~40세의 여성이 유행추구형에서 다른 연령대의 여성보다 높은 평균값을 나타내고 있으며, 51세 이상의 여성은 건강추구형의 생활에서 다른 연령대의 여성보다 평균값이 높게 나타났다. 학력에 따른 라이프스타일 분석결과 대학교 재학 또는 졸업을 한 여성이 다른 학력의 여성보다 평균값이 높게 나타났다. 라이프스타일의 유형이 외식동기에 따른 외식행동에 미치는 영향은 유행추구형, 삶의 질 추구형, 건강추구형이 p<0.001로 유의적인 영향을 미치는 것으로 나타났다.

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성인의 건강상태, 건강행위가 당뇨병 유병률에 미치는 영향 (Effect of Health status and Health Behavior on the Diabetes Mellitus Prevalence)

  • 홍지연;박진아
    • 한국콘텐츠학회논문지
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    • 제14권10호
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    • pp.198-209
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    • 2014
  • 당뇨병은 유병률과 합병증으로 인한 사망률이 지속적으로 증가하는 질병이다. 본 연구는 성인의 당뇨병 유병률 영향요인을 확인함으로써 당뇨병 유병률의 감소를 위한 중재전략 개발의 기초자료를 제공하고자 시도되었다. 연구대상자는 19세 이상 성인으로 2012년 국민건강영양조사 원시자료를 활용하여 분석하였으며, 5995명의 자료가 분석에 사용되었다. 수집된 자료는 SPSS 18.0 프로그램의 복합표본 분석 모듈을 사용하여 가중치를 부여한 후 분석하였다. 연구결과 19세 이상 성인의 당뇨병 유병률은 10.5%였고, 당뇨병 유병 오즈비는 학력에서 대졸 이상에 비해 중졸은 2.51배, 주관적 건강상태가 매우 좋은 경우에 비해 매우 나쁜 경우 4.77배, 비만인 경우 1.44배, 고혈압을 진단받은 경우 2.57배, 고지혈증을 진단받은 경우 2.63배, 체중조절을 하지 않는 경우 1.31배, 식이요법을 하는 경우 2.75배로 높았다. 본 연구는 당뇨병 유병률을 예측하는 변수로 교육수준, 주관적 건강상태, 비만 유병 여부, 고혈압 의사진단 여부, 고지혈증 의사진단 여부, 체중조절 여부, 식이요법 여부를 밝힘으로써 당뇨병 유병률을 감소시키기 위한 간호중재와 연구방향을 제시하였다.

한국 성인 여성의 수면시간과 치주염과의 관련성 (Relationship between Sleep Duration and Periodontitis in Korean Adult Women: Data from KNHNES 2014)

  • 도경이;이은선
    • 치위생과학회지
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    • 제17권4호
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    • pp.298-305
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    • 2017
  • 본 연구는 한국 성인 여성의 수면시간과 치주염과의 관련성을 확인하기 위해 국민건강영양조사 제 6기 2차년도(2014) 자료를 바탕으로, 만 19세 이상의 한국 성인 여성 총 3,292명을 대상으로 연구를 수행하였다. 대상자의 일반적 특성(연령, 교육수준, 소득수준, 당뇨, 고혈압, 비만)에 따라 치주염의 차이를 확인할 수 있었으며, 흡연과는 관련성이 없는 것으로 나타났다. 수면시간이 7시간 이상인 대상자에 비해 7시간 미만인 대상자의 치주염 위험도가 1.37배(crude OR, 1.37; 95% CI, 1.13~1.65) 높았다. 그러나 대상자의 일반적 특성(연령, 교육수준, 소득수준, 당뇨, 고혈압, 비만)을 보정한 후의 수면시간이 치주염에 미치는 영향력은 더 이상 유의하지 않았다. 따라서 후속연구에서는 두 요인의 직접적인 인과관계를 밝힐 수 있는 전향적 코호트 연구가 수행되어야 하며, 성인 여성의 적절한 수면습관을 도모하고 아울러 구강건강 증진을 위한 포괄적 건강증진 프로그램의 시행이 필요하다고 생각된다.