• Journal of Korean Academy of Nursing
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• v.20 no.1
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• pp.88-117
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• 1990

The purposes of this study are to delineate a profile of the state of a stroke patient's adaptation at 3 months after hospitalization and to explore the relationship between the level of adaptation and the variables which influence the adaptation of hemiplegic patients. To these ends, theoretical framework was derived basically from the stress adaptation model. The basic assumption underlying the level of adaptation is influenced by the presenting focal, contextual and residual stimuli. This group of stimuli is further operationalized and represented by a perception of stress. which is the perceived effect of the disability and by the mediating variables such as sociodemographic factors as an external conditioning variables and perceived social support and hardiness personality characteristics as an internal intervening variables. The dependent varibales in this study is the level of physical, psychological and social adaptation and is hypothesized to be a function of the interaction between 3 sets of variables namely, the perceived disability effect, external conditioning variables and internal intevening varibles. A total of fourty three subjects from 3 general hospitals in Seoul were observed and interviewed with the aid of 7 structured instruments. The data were collected twice on each subject : first at the pre-discharge period arid at 3 months post-discharge from hospital for the second time. The study was carried out for the period from February to August, 1988. The instruments used for the study include 4 existing scales and 3 scales developed by the researcher for this study. They are : 1) The ADL dependency scale and the scale of the clinical physical functions for the assessment of physical adaptation. 2) the SDS(self report of depression) to measure the level of psychological adaptation. 3) The scale for the amount of social activities for the measurement of the level of social adaptation. 4) The scale for the perceived effect of disability for the measurement of the focal stimuli. 5) The health related hardiness scale and the perceived interpersonal support self evaluation list(ISEL) for the measurement of the hardiness personality character and the perceived social support. The data obtained were analyzed using percentage, oneway ANOVA, Pearson coefficients correlation and stepwise multiple regression. The findings provide valuable information about the present level of physical adaptation at 3 months after discharge. The patient revealed a decreased ADL dependency and lowered limitation of physical function as compared with pre - discharge state. Psycholcgically, the average degree of depression at follow up was within normal range of depression. Socially, the amount of social activities was very low. The one way ANOVA and the correlational analysis revealed the relationship between the 3 sets of variables and the adaptation level as follows : 1) The perceived disability effect was related to the degree of the depression and the amount of social activities but was not related to the physical adaptation. 2) Among the sociodemographic variables, sex and education were related to the difference of ADL dependency and the change of physical function. These factors indicate that women more than men and educated more than the less educated were found more independent. The education was also related to the degree of depression suggesting that the higher the educational level, the more well adapted the patients were both physically and psychologically. Age, marital status and job state were not found to be related to the patient's adaptation level. 3) Among the internal intervening variables, the health related hardiness characteristic was related to the differences of ADL dependency, physical functions and the social activities, indicating that the higher the hardiness character the higher the level of physical and social adaptation. 4) The perceived social support, another internal intervening variable, was related to the degree of depression and the social activities. This data suggest that the higher the perception of social support, the better adapted the patients were psychogically and socially. In summarizing the results of the correlational analysis, the level of physical adaptation was influenced by sex, the years of education and the hardiness character. The level of psychological adaptation was influenced by the years of education, the perceived disability effect and the perceived social support. And the level of social adaptation was influenced by the perceived disability effect, the hardiness character and the perceived social support. The stepwise multiple regression analysis shows findings as follows : 1) The most important factor to explain the difference of ADL dependency was sex, indicating females were more independent than males. 2) The most important factor to explain the difference of physical function and the degree of depression was the patient's education level. 3) The strongest explaining factor for the amount of social activities was perceived self esteem(one of the subconcepts of perceived social support). Thus the most important factors influencing the level of adaptation were found to be sex, education, the hardiness character and self esteem. From the above findings, the significance of this study can be delineated as follows : 1) Corroboration of the assumed relationship between the various variables and the adaptation level as suggested in the conceptual model. 2) Support for the feasibility of the cognitive approach for nursing intervention such as hardness character training, counselling and teaching for self-care in the chronic patients.

• Journal of The Korean Association For Science Education
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• v.7 no.1
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• pp.19-32
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• 1987

The primary purpose of this study was to assess understanding of concrete and formal operational science content by concrete and formal operational students in secondary school physical science classes. To carry out this study subjects were selected from junior high schools of over 2500 students, and they were identified as concrete, transitional, or formal operational using GALT(Group Assessment of Logical Thinking) developed by Roadrangka, Yeany and Padilla(1983). Instructional objectives were extracted from the science content taught during the second term of the academic year in the 7th, 8th and 9th grade, and they were classified as concrete or formal operational. Written test involving those objectives were constructed and administered. The results of this study suggested that formal operational thought brought deeper understanding to concrete science content as well as formal science content. Differential effects by sex on understanding of both concrete and formal science content were contradictory through the grade levels. Results of multiple comparison tests suggested that students categorized as formal operational demonstrated no better understanding of concrete science content than those categorized as transitional. However, they demonstrated better understanding of formal science content.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.20 no.1
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• pp.5-15
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• 2013

Purpose: This study aimed to investigate the self-care education experience, self-care performance, and home care service needs of patients with rare and incurable diseases who use a home ventilator. Methods: From2 ventilator rental companies and 5 hospitals, records of 162 subjects were collected to obtain data regarding self-care education experience (23 items) and home care service needs (25 items). Results: Of the subjects, 65.4% were male and 55.6% had a myotrophic lateral sclerosis. The items with the highest and lowest levels of self-care education experience were "using the ventilator"(94.0%) and "community-available resource information"(27.0%), respectively. Meanwhile, self-care was performed well in terms of "personal hygiene"(59.6%) but not performed well in "community-available resource information"(23.7%). "Health status assessment" had the highest need(88.2%) of home care services. Generally, the need of home care services was higher for the patients using invasive ventilators than that for those using non-invasive ventilators. Conclusion: Home care nurses need to not only provide physical care for the patients but also strengthen their roles of enhancing patient access to and utilization of various community resources to provide systematic and individualized training and care.

• Korean Journal of Comparative Education
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• v.19 no.1
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• pp.25-58
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• 2009

This study aimed to establish a conceptual scheme of the quality of university and to develop a set of structured indicators for assessing the quality of university based on the result of comparative analysis of major approaches in foreign countries. Reviewing extensive literatures regarding the quality of higher education, a conceptual scheme of the quality of university, in which three representative approaches such as a goal-accomplishment approach, a customer-satisfaction approach, and a value-added approach were emphasized, was proposed and the quality of university was defined as a function of harmonization of input-process-output elements of universities. To develop indicators for assessing the quality of university, four types of approaches including university accreditation system, commercially-producted university ranking system, college student survey, and direct assessment of students' learning outcomes were reviewed. Finally thirteen sets of evaluation indicators out of six countries were comparatively analyzed. The analyses focused on the format, the content, and the primary concept of the quality in each instrument and a draft of the assessment indicators were structured. The draft of the assessment indicators were verified through a panel of professionals. The final indicators assessing the quality of university consist of three dimensions and seven areas. The input dimension comprised institutional goals, human resources, and physical resources. In the process dimension, curriculum and learning process areas were included. And, finally, the output dimension consists of educational outputs and research outputs. Based on the outcomes of the study, the recommendations were suggested for improving and utilizing the assessment indicators of the quality of university.

• Korean Journal of Community Nutrition
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• v.19 no.4
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• pp.372-385
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• 2014

Objectives: The purpose of this study was to develop web-based self-nutrition management u-Health program for diabetic patients (DMDMG: Diabetes Mellitus Dietary Management Guide) for achieving systematic self-management of diet. Methods: The program consisted of five parts with different contents according to the results of needs assessment. Five major parts were 1) meal management part which contains calorie prescription, meals recording and dietary assessment, 2) prevention of disease part with information of diabetes and assessment of dietary behavior, 3) dietary behavior modification part with an education on dietary behavior modification plan and dietary behavior plan, 4) meal plan containing a training section for meal plan and self constructing part for meal planning by making tables, and 5) information about myself which composed with general and physical information. The system proposed in this study provides nutrients intake results right after input of diet intake, which is possible with simultaneous calculation of input data in the server with 3,495 food and 1,821 meal data base. The nutrients analysis program was evaluated with 26 diabetic patients with two-day 24 hr recall. Results: The differences of nutrients intakes between DMDMG and CANPRO 3.0 ranged from 13.5-16.5%, which was caused by the differences of databases of the two programs. The characteristics of DMDMG were; 1) it can provide an interactive tailored nutrition management, 2) it is a practical tool of diabetes nutritional management, 3) the program gives motivation for the dietary behavior modification. Conclusions: The effectiveness of whole program needs to be conducted, but the program was an innovative tool for self-management of nutrient intakes, diet behaviors, meal management and tailored nutrition education.

• Journal of Korean Gerontological Nursing
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• v.20 no.3
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• pp.204-216
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• 2018

Purpose: The purpose of this study was to examine effects of a muscle strength reinforcement exercise program (MSREP) for older adult patients with hemodialysis (OAPHD) which was designed to improve health status and quality of life of these older adult patients. Methods: Participants were 40 patients with OAPHD: 20 in the experimental group and 20 in the control group. MSREP was conducted with the experimental group for 12 weeks at H geriatric hospital. An assessment was done to determine effects on physical performance, inflammation index, fatigue, muscle strength and quality of life. Short physical performance battery, C-Reactive Protein (CRP), visual analog scale for fatigue, object lifting' proposed by the Life Options Rehabilitation Advisory Council, sit-to-stand test, and quality of life index were used to gather data. Results: Between the 2 groups there was no significant difference in scores for physical performance, fatigue or quality of life. However, the 2 groups showed significant difference in CRP values and muscle power scores on post-test. Conclusion: Findings provide evidence for the potential utility of education for older adult patients with hemodialysis. Also, this program could allow these patients to increase muscle strength, and contribute to achieving better health conditions in OAPHD care.

• Journal of Community Nutrition
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• v.2 no.1
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• pp.62-70
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• 2000

Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

• Journal of the Society of Disaster Information
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• v.16 no.1
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• pp.34-43
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• 2020

Purpose: In this study, we will try to find out problems and improvements of the policies in order to verify whether the plans contribute to the health and welfare of the firefighters properly. Method: By the Delphi analysis by experts. Result: There are problems such as absence of Firefighters' hospital, insufficient mental health education program in fire department, lack of on-site risk assessment system, problem on ineffectiveness of mental and physical health care business, lack of substantiality on mental and physical stability program, absence of mental health education, ensuring the confidentiality for users of mental health programs, lack of support for parent firefighters, lack of firefighters' retirement design and insufficient treatment for female firefighters. Conclusion: There are Improvements such as establishing Firefighters' hospital, improving mental health education and training CISD leaders in the fire department, preparing disaster risk assessment system, effectiveness measurement for visiting psychological counseling projects, improving the program through customer satisfaction surveys, establishment of mental health education system, ensuring confidentiality by improving personnel systems, encourage childcare leave and introduce childcare facilities at fire stations, revitalizing retirement Firefighters and policy development for female firefighters.

• Korean Journal of Health Education and Promotion
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• v.32 no.3
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• pp.33-42
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• 2015

Objectives: This study was conducted to investigate the correlation between the health-related quality of life assessment according to socio-demographic characteristics, health behavior, and BMI for Gyeonggi-do community population. Methods: The 2012 Community Health Survey data was used. The data were collected by using a cross-sectional study with face-to-face interview. The variables of smoking, AUDIT, exercise, BMI, and Euroqol EQ-5D instrument were selected for analyses. The Difference on the EQ-5D index among groups were tested with Mann-Whitney U test and Kruskal Wallis test. Results: The EQ-5D index for Gyeonggi-do community was 0.951(${\pm}0.104$). The index were significantly different by sex, age, marital status, education level, and occupation. The health-related quality of life showed lower EQ-5D index in women than men, older than young, and less educated. The index were significantly different by health behavior (smoking, drinking, moderate physical activity and exercise) for both men and women). For BMIs, the index was lower to under-weighted male and over-weighted female. Conclusions: The findings suggest that the future intervention of health promotion programs should be carefully designed and tailored by health behavior and obese groups.

• Korean Journal of Health Education and Promotion
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• v.28 no.3
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• pp.57-65
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• 2011

Objectives: The purpose of the study is 1) to improve the previously developed KHLAT(Korean Health Literacy Assessment Tool) by testing two versions of KHLAT and 2) to develop guidelines to the grade range for KHLAT. Methods: The two versions of KHLAT(2) KHLAT(4) were administered to students from 1st grade to 12th grade in Busan. Data on 2673 participants were analyzed. Comparisons were made according to the grade range in REALM and the Korean grade range. Results: Both versions showed the increase of scores as the grade level increases. Female scored higher than male. However, the mean score (39.16) of KHLAT(2) was higher than that (29.6) of KHLAT(4). This result might be due to more specified responses of KHLAT(4). This difference was more clearly shown when the REALM grade range and Korean grade range were compared. The mean scores of KHLAT were lower than the means scores of the REALM in USA. Conclusions: The guidelines which were based on Korean school grad range were more suitable for Koreans.