• Title/Summary/Keyword: nutritionist

검색결과 64건 처리시간 0.031초

투석전 만성신부전 환자의 영양상태 평가 및 식습관 조사 (Assessment of Nutritional Status and Survey of Dietary Habits in Predialysis Patients of Chronic Renal Failure)

  • 노숙령;최윤정
    • 동아시아식생활학회지
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    • 제13권5호
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    • pp.408-424
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    • 2003
  • The purpose of this study was to analyze the nutritional status and dietary habits in predialysis patients of chronic renal failure(CRF). The patients group was composed of total 35 persons with chronic renal failure(diabetes exclusion), male 20, female 15 who were treated in the kidney internal department and the control group also composed of 35 persons, male 18, female 17 who were classified as normal by the medical examination. Their dietary habits, nutritional status and nutritional knowledge were investigated from two general hospitals in Inchon, middle of this year 2002. There were 31.4% of low weight patients (BMI below 20), 77.1% of anemia patients (serum hemoglobin below 12g/㎗), 6S.6% of hypertension patients with diastolic blood pressure over 90mmHg, 80% with systolic blood pressure over 140mmHg, 20% of hypercholesterolemia patients (serum cholesterol over 230mg/㎗), and 22.9% of hyperlipemia patients (serum triglyceride over 200mg/㎗). The cardiovascular disease seemed to be caused by the abnormality of lipid metabolism. The possibility of the bone disease was shown from patients of hyperphosphatemia (serum phosphorus over 4.7mg/㎗, 22.9%) and hypocalcemia (serum calcium below 8.4mg/㎗, 25.7%). Intake of insufficient calories which was caused by the lack of appetite affected on the nutritional status. The intake of most nutrients was not significantly different from the RDA for Koreans. Consequently, the patient groups took a lot of salt even after the diagnosis of CRF. But patients ate 6.lg of salt which were more than the recommended amount 2∼4g for patients with CRF. The patient groups, who had the experiences of nutritional counselling, had significantly higher nutritional knowledge related to CRF than control group. Unfortunately, patients could not have enough chances for nutritional counselling by the nutritionist even though they needed the nutritional informations and dietetic treatments. The continuous research is expected with regard to the detail plan for the improvement of nutritional support and the nutritional counselling because it is important to decide the requirements of nutrients for patients with kidney disease, considering the kidney function and status of nutrition.

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고등학교 급식시설 운영실태 및 ATP Bioluminescence를 이용한 위생상태 조사연구 (Evauation of Management & Hygienic Status of High School Foodservice using ATP Bioluminescence Assay)

  • 계승희;황성희
    • 한국식품영양학회지
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    • 제30권3호
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    • pp.515-524
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    • 2017
  • An investigation was conducted to evaluate the hygienic status of 53 high school foodservice systems in Gyeonggi province by using hygiene management guide checklist, ATP bioluminescence assay of food utensils were conducted during process. The 5 hygiene management guide checklist groups about personal hygiene, cooking facilities control, cross contamination control, cook and storage control, management control were checked by experts and had good grades but there were some inadequate behaviors on observation. Total cleaning levels were inadequate, including hand, rubber gloves, aprons, knives, food tray, machine and instruments. The possibility of cross contamination is also noted in handles for refrigerators, ovens, food dryers, hand washing. It was also noted that there were too much work on the nutritionist and cook, additional personnel need to be added. lack of space, deterioration of facilities were identified in some high school foodservice systems. ATP bioluminescence assay was conducted on surface of food facilities, ATP ranged $1,393{\pm}5,041.2RLU$ on yellow gloves, $244{\pm}258.7RLU$ on pink gloves, $3,780{\pm}11,418.6RLU$ on apron, $49,056{\pm}62,831.4RLU$ on refrigerator grip, $41,422{\pm}61,259.8RLU$ in oven, $31,407{\pm}41,344.9RLU$ on hand cleaning board.

노인 고혈압 자가간호행위 측정도구의 타당도와 신뢰도 검증 (Psychometric Properties of the Hypertension Self-Care Behavior Scale for Elders with Hypertension in Korea)

  • 안나;전영희;송영신
    • 기본간호학회지
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    • 제24권1호
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    • pp.1-8
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    • 2017
  • Purpose: The purpose of this study was to evaluate the psychometric properties of the Hypertension Self-Care Behavior Scale for older adults with hypertension in Korea. Methods: A cross-sectional descriptive study was used with 196 participants. Translation and back-translation were performed by bilingual nursing professionals and a nutritionist. Reliability and validity such as content validity, construct validity, and concurrent validity were conducted. To evaluate the concurrent validity, the correlation coefficients between the Korean version of Hypertension Self-Care Behavior and concurrent scales (hypertension adherence scale and self-efficacy scale) were calculated. Results: The total 20 items for the Korean version of the Hypertension Self-Care (HBP-SC) Behavior Scale were retained during item-analysis. In explanatory factor analysis, a two-factor solution was proposed and the two factors named, 'HBP-SC Diet behavior' and 'HBP-SC Health behavior (except diet)'. The two factors accounted for 48.9% of the variances. The Korean version of the Hypertension Self-Care Behavior Scale correlated with concurrent variables such as hypertension adherence and self-efficacy. For reliability of the Korean version of the Hypertension Self-Care Behavior, Cronbach's ${\alpha}=.92$. Conclusion: Findings show that the Korean version of the Hypertension Self-Care Behavior is reliable and valid for measuring self-care behavior of older adults with hypertension.

Current status of nutritional support for hospitalized children: a nationwide hospital-based survey in South Korea

  • Kim, Seung;Lee, Eun Hye;Yang, Hye Ran
    • Nutrition Research and Practice
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    • 제12권3호
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    • pp.215-221
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    • 2018
  • BACKGROUND/OBJECTIVES: The prevalence of malnutrition among hospitalized children ranges between 12% and 24%. Although the consequences of hospital malnutrition are enormous, it is often unrecognized and untreated. The aim of this study was to identify the current status of in-hospital nutrition support for children in South Korea by carrying out a nationwide hospital-based survey. SUBJECTS/METHODS: Out of 345 general and tertiary hospitals in South Korea, a total of 53 institutes with pediatric gastroenterologists and more than 10 pediatric inpatients were selected. A questionnaire was developed by the nutrition committee of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition. The questionnaires were sent to pediatric gastroenterologists in each hospital. Survey was performed by e-mails. RESULTS: Forty hospitals (75.5%) responded to the survey; 23 of them were tertiary hospitals, and 17 of them were general hospitals. Only 21 hospitals (52.5%) had all the required nutritional support personnel (including pediatrician, nutritionist, pharmacist, and nurse) assigned to pediatric patients. Routine nutritional screening was performed in 22 (55.0%) hospitals on admission, which was lower than that in adult patients (65.8%). Nutritional screening tools varied among hospitals; 33 of 40 (82.5%) hospitals used their own screening tools. The most frequently used nutritional assessment parameters were weight, height, hemoglobin, and serum albumin levels. In our nationwide hospital-based survey, the most frequently reported main barriers of nutritional support in hospitals were lack of manpower and excessive workload, followed by insufficient knowledge and experience. CONCLUSIONS: Although this nationwide hospital-based survey targeted general and tertiary hospitals with pediatric gastroenterologists, manpower and medical resources for nutritional support were still insufficient for hospitalized children, and nutritional screening was not routinely performed in many hospitals. More attention to hospital malnutrition and additional national policies for nutritional support in hospitals are required to ensure appropriate nutritional management of hospitalized pediatric patients.

유비쿼터스 보건의료서비스 활성화지원 법률안의 제안 (Suggestion of Law for Supporting u-Healthcare's Activation)

  • 조형원
    • 의료법학
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    • 제10권1호
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    • pp.171-211
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    • 2009
  • Because Korea has the excellent informational technology, it was expected to be able to improve the accessibility to healthcare and compete with other nations in excellence through u-Healthcare. But we can't complete the excellent u-Healthcare because of the law to be able to use only the tele-counselling between doctor to doctor or doctor to nurse. First of all, we must complete the law to be able to use the improved u-Health containing of telemedicine between doctor to patient. Though other factors, the procurement of safe IT, the credibility to healthcare service provider containing of nutritionist and occupational therapist etc. are prepared for erecting u-Healthcare, we can get the final and decisive u-Health policy only by means of Law for supporting u-Healthcare's Activation. The important sections of Law for supporting u-Healthcare's Activation are as follows. Sec. 4 The Minister for Health, Welfare and Family Affairs and the dean of associated administrative division have to erect the combined plan for u-Healthcare's Activation. Sec. 11 Government and local autonomous entity can support the facility and equipment to be necessitated for using u-Healthcare to improve the medical accessibility of person in the region with poor medicine. Sec. 13 Doctor can support other doctor's medical action through IT and if there are not medical risk, doctor can give medical act directly to the special patients. Sec. 21 If pharmaceuticals is necessitated in u-Healthcare, remote doctor has to send the patient the electronic prescription and the pharmaceutist to receive the electronic prescription has to delivery the pharmaceuticals in accordance with patient's demand.

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조정 종목 상비군 선수의 훈련기 신체구성 및 영양섭취에 관한 연구 (A Study of Body Composition and Energy Intake for Intensive Training Period on Junior Rowing Team Players)

  • 김수남;박주희;김세환
    • 운동영양학회지
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    • 제13권2호
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    • pp.123-130
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    • 2009
  • The purpose of this study was to provide the basic information on nutritional condition for improving performance of the national junior rowing team players(male n=17, female n=14). To attain this purpose, their body composition and energy intake situations were investigated during their three-week winter training camp. Measurement of body composition measured by the interval, and two days, and dietary intake in this study to investigate the type and amount of food, the researchers measured directly, and then refer to the record subjects to investigate the dietary intake and the adoption of a Weighing Method. The result is as follows. During training, body composition due to the high intensity training to maintain a properly balanced diet is the consumption of energy, weight and body composition has a positive influence. The male players' average energy intake is 5,951.6 kcal(72.6 kcal/kgBW, 150%), the rate of the three main nutrients, carbohydrate, fat, protein, is 72.6 : 8.7 : 18.7 respectively. For the female, the average energy intake is 3,685.6 kcal(51.8 kcal/kgBW, 121%), and the rate of the three main nutrients is 76.3 : 8.5 : 15.2. Both of male and female were taken sufficient Vitamin, mineral and other nutrient according to %RI(recommended intake). Based on the results of a survey of elite athletes and nutrition management and the systematic introduction and review of the program in conjunction with a professional nutritionist would need, and can also be applied to expand the school to the scene, the reality of the program review and development of qualified need.

Nutritional Intervention for a Patient With Sleeve Gastrectomy

  • Seonhye Park;Sohye Kim;Soyoun Kim;Ah-Reum Shin;Youngmi Park
    • Clinical Nutrition Research
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    • 제12권3호
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    • pp.177-183
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    • 2023
  • Bariatric surgery is the most effective treatment for sustained weight reduction, and it can result in substantial improvements in the severity of type 2 diabetes, metabolic syndrome, nonalcoholic fatty liver disease, and quality of life. However, sleeve gastrectomy, a weight loss surgery that removes two-thirds of the stomach, reduces appetite and nutrient absorption, impairing digestion and the absorption of nutrients like iron, vitamin B12, and protein-bound nutrients. This case study aims to demonstrate that patients undergoing sleeve gastrectomy require long-term and periodic monitoring of biochemical data, weight changes, and caloric and protein intake by a professional nutritionist to prevent malnutrition and nutritional deficiencies. In this case study, a 48-year-old woman was diagnosed with morbid obesity, hypertension, sleep apnea syndrome, and chronic gastritis. At initial evaluation, she was 160 cm tall and weighed 89 kg, with a body mass index of 34.8 kg/m2. At 1 postoperative year, she consumed 650 kcal and 25 g of protein per day, the percentage of excess weight loss was 141.1%, and body mass index was 21 kg/m2. Compared to preoperative levels, calcium and folic acid levels did not decrease after 1 postoperative year, but hemoglobin, ferritin, and vitamin B12 levels decreased. In conclusion, when patients experience rapid weight loss after sleeve gastrectomy, follow-up should be frequent and long. Dietary education should be conducted according to digestive symptoms, and oral nutritional supplements, including vitamins and minerals.

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

  • Jina Son;Ha I Kang;Eun young Jung;Hae won Ryu;Kyung-Ha Lee
    • Clinical Nutrition Research
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    • 제12권2호
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    • pp.99-115
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    • 2023
  • Patients with colorectal cancer may experience symptoms such as diarrhea, nausea, and anorexia, during surgery and chemotherapy, which can increase the risk of malnutrition. In addition, dietary habits play a key role in the onset of colorectal cancer; therefore, it is necessary to improve dietary habits to prevent recurrence during treatment after diagnosis. In this study, a clinical nutritionist conducted 4 interviews for patients diagnosed with colorectal cancer and scheduled for colectomy: before surgery, after surgery, 1st chemotherapy, and 2nd chemotherapy, and provided nutrition care for each treatment course to determine its effects on nutrition status and disease prognosis. Significant weight loss but no decrease in muscle mass was observed during treatment. Body fat mass, although not statistically significant, showed a decreasing tendency. The percentage of people who responded 'yes' to the below items increased after compared to before receiving nutrition education: 'I eat meat or eggs more than 5 times a week,' 'I eat seafood at least three times a week,' 'I eat vegetables at every meal,' 'I eat fruits every day,' and 'I eat milk or dairy products every day.' These results indicate that the patients changed their dietary habit from a monotonous eating pattern to a pattern of consuming various food groups after receiving nutrition education. These results suggest that continuous nutrition care by clinical dietitians, according to the patient's treatment process, can help improve the patient's nutritional status and establish healthy eating habits.

호스피스 팀 구성원의 직무지침 개발 (Development of Task Guidelines for Hospice Team Members)

  • 노유자;한성숙;유양숙;용진선
    • Journal of Hospice and Palliative Care
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    • 제4권1호
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    • pp.26-40
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    • 2001
  • 목적 : 본 연구는 우리나라 호스피스 팀 구성원의 직무지침을 개발하여 앞으로 호스피스 제도화 방안에 기초자료를 제공하기 위하여 수행되었다. 방법 : 관련 국내외 문헌고찰을 토대로 호스피스팀 구성원의 직무 지침안을 설정하여 직무지침에 대한 도구를 개발하였다. 개발된 도구의 내용 타당도를 2차에 걸쳐 전문가에게 우편 설문조사하였다. 1차 조사는 1999년 12월부터 2000년 1월까지 국내 호스피스 기관에 종사하고 있는 실무자 및 호스피스 전문가 126인을 대상으로 하였으며, 2차 조사는 2000년 8월부터 10월까지 35인을 대상으로 하였다. 자료는 조사자가 직접 기관을 방문하여 설문지를 통해 수집하였다. 결과 : 1차 조사에서 호스피스 조정자, 간호사, 사목자, 사회복지사, 약사, 영양사, 치료사, 자원봉사자, 그리고 간호 조무사의 역할과 자격은 CVI가 80.0점 이상인 문항으로 선정하였다. 의사의 자격 중 '마취제 관리 자격증을 소지한 자' 문항은 78.6점 이었고, 자원봉사자 팀장의 자격에서 '대학 이상의 학력소지자' 문항은 74.7점 이었으므로 제외시켰다. 2차 조사에서 호스피스 간호사, 사목자, 사회복지사, 약사, 영양사, 치료사, 자원봉사자, 그리고 간호 조무사의 역할과 자격은 CVI가 80.0점 이상인 문항을 선정하였다. 그러나 호스피스 조정자의 역할 중 '신체적, 사회적, 심리적, 영적 상태를 진단하고 계획한다' 문항이 77.9점이었고, 자원봉사자 팀장의 역할 중 주 1회 팀회의에 참여하고 대상자를 위한 공식적인 간호계획에 참여한다'가 78.6점이었으나 1차에서 80점 이상이었기 때문에 포함시켰다. 결론 : 개발된 직무지침을 적용한 후 수정, 보완하는 과정과 한국 실정에 적합한 호스피스 팀 구성원의 직무지침 표준을 위한 연구가 필요하다.

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유아 교육기관의 급식 운영실태와 유아의 식사 섭취량 조사 (A Study on Kindergarten's Meal Service Program and Children's Food Intake)

  • 이영미;오유진
    • Journal of Nutrition and Health
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    • 제38권3호
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    • pp.232-241
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    • 2005
  • Today, the role of kindergarten is more important as nutrition provider through snack and meal services. Desirable kinds and amounts of food items at school lunch menu were important factors of nutrients intakes in children. This study was performed to assess the kindergarten's meal service program (snack and lunch) and the consumption amount of lunch according to each dishes. Twenty four institutions that cared over one hundred children were observed at Seoul and Kyunggido area. Well-trained observers checked meal and snack serving activity and foodservice facilities by formal checklist. And using the weighing method assessed the consumption levels of food items at lunch. During 3 days, 30 children in each kindergarten were selected randomly according to age, observers measured serving and residual weight of each food. The data was compiles by performing ANOVA-test using SPSS WIN 10.0. The result were as follows: 1) Foodservice facilities in kindergarten was limited to provide qualified foodservice. $91.7\%$ of institution had kitchen, $41.7\%$ had dinning. The kitchen equipment possession rate was $12.5\%$ (oven), $30.8\%$ (heating cabinet), $58.3\%$ (refrigerator). The rate of using document about foodservice was used $83.3\%$ (menu list), $41.7\%$ (daily foodservice record), $25\%$ (standard recipe). $41.7\%$ of institution employed licensed dietitian. Only $41.7\%$ of subjects preserved meal after daily meal service. 2) Meal serving size was decided by teacher, $54.5\%$ at snack and $43\%$ at lunch and pre-divided individual portion type was $36.4\%$ at snack and $28.6\%$ at lunch. The rate of cleaning activity before meal was $72.2\%$ at snack, $90.5\%$ at lunch. And nutrition or sanitation education activity was more performed at lunch time, for examples brushing teeth activity was $12.5\%$ at snack $85.7\%$ at lunch. 3) The consumption amounts of plain cooked rice was $112.7{\pm}26.1{\cal}g$, cooked rice and cereal was $93.06{\pm}27.97{\cal}g$, curry rice was $208.35{\pm}64.84{\cal}g$ and the consumption amounts of these main dishes was significantly different by age (p < 0.001). The consumption amounts of soup was very different according to children's preference. The consumption amounts of seaweed soup was $120.18{\pm}82.13{\cal}g$, wild sesame and bean-paste soup was $40.64{\pm}23.16{\cal}g$. The consumption range of kimchis was from $6{\cal}g\;to\;13{\cal}g$, jorim (braised food) was from $3{\cal}g\;to\;25{\cal}g$, fried food (include stir fried, deep fat fried, pan fried) was from $14.5{\cal}g\;to\;22{\cal}g$, vegetable dish was from $3{\cal}g\;to\;16{\cal}g$. These consumption amount of each dishes was not reached recommended portion size of nutritionally planning menu by nutritionist.