• Journal of Korea Entertainment Industry Association
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• v.13 no.7
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• pp.361-373
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• 2019

Falls are a threat to the physical health of the elderly as well as to their overall quality of life. The purpose of this study was to identify which type of exercise is effective for improving the balance of the elderly, and to obtain the basic data for developing the falls prevention exercise intervention program for the elderly. We compared to the differential effects between rhythmic step exercise and core muscle strengthening exercise in terms of functional balance test and self-reported balance test. Women older than 65 years and under 80 years of age were assigned to one of the step exercise group(21), core muscle exercise group(20), and control group(21), and for 8 weeks, twice per week, 20-30 minutes of exercise were treated. All participants performed one foot static balance test with open and closed eyes. And they responded to self-reported balance test, such as Fall Efficacy Scale(FES) and Activities-specific Balance Confidence(ABC) Scale. The results of statistical analysis are summarized as follows. First, rhythmic stepping exercise was more effective in improving functional balance than core muscle strengthening exercise. In particular, the effect of step exercise was obvious in the one-foot static balance test with open eyes. Second, the self-reported balance test showed better step exercise than core muscle exercise. Specifically, rhythmic step exercise was more effective in enhancing fall efficacy than core muscle exercise. In conclusion, the rhythmic step exercise was more effective in improving the balance ability of the elderly than the core muscle exercise. The rhythmic step exercise is more related to the lower extremity muscles, and especially since the rhythmic step exercise is performed in various ground changes, it seems to have a high similarity to the fall occurrence situation. For future research, we recommended the development of task-oriented ankle proprioceptive exercise intervention program and exercise equipment based on the specific motion situation in which the fall accident occurs in the elderly.

• Korean Journal of Childcare and Education
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• v.11 no.4
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• pp.63-79
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• 2015

This study explored the effect of mother's employment status on family environment and physical environment and psychological environment, the main concern of this which factors have effects on marital satisfactions of either employed or non-employed mothers. First, the result of analysis on family environment according to mothers' employment status shows non-employed mother's parental stress is higher than employed mother's. Besides, non-employed mother's self-esteem is lower than employed mother's, and non-employed mother's depression is significantly high. Concerning fathers' factors, the level of conflict between husband and wife is higher among husbands when their wives are employed. In the light of childrens' factors, non-employed mothers consider that their children display more negative emotion and more picky. Children's development of employed mothers is included in normal development range more than that of non-employed mothers. Second, conflict between husbands and wives have an significantly negative effect on marital satisfaction regardless wife's employment status. Husbands' cooperation in child-rearing and marital satisfaction have a positive effect on wives' marital satisfaction. The significant factor which influences on employed mother's marital satisfaction is education level of wives. This study would be meaningful in that infancy home environment was compared focusing on the mothers' employment status, and some factors which factors(variables) have impacts on marital satisfaction of infancy mothers were examined.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.8 no.2
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• pp.132-146
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• 2001

Purpose: This study was to analyze the trends and content of all the research (171 research papers) published in the Journal of Fundamentals of Nursing from 1994, when it began to 2000 using an objective tool developed by the researches, and to identify the direction for the future research in Fundamentals of Nursing. Method: Research published in the Journal of Fundamentals of Nursing from 1994 were reviewed. Result: Most of research (94.2%) was non-degree based and funded research was very limited. The average number of researchers per research study was 2.2 and collaborative research has been gradually increasing. The total number of key words was 331 and the average was 2.6 per research. The major key words were not different from other nursing departments and included home care nursing (10 times), health promotion (8 times), self-care (7 times). self-efficacy (7 times), and homo-dialysis (6 times). Eighty seven percent of the research was quantitative research. and there were very few qualitative studies. Considering theory level, it was found that 40% were factor related research For study design, non-experimental studies were most frequent (66%), and the rate, especially of surveys, has remarkably decreased. Selection of subjects by convenience sampling, was most frequent and there were very few studies that provided the rationale for the calculation of sample size. The major subjects of study were patients (44.8%) with various diagnoses. The subjects usually gave oral consent to take part in that study. Giving information (46.9%) and exercise (26.5%) were common nursing interventions, and physiological indices (16.5%). vital signs (10.3%), physical functioning (8.2%), level of knowledge/skill (7.2%) and level of activity (6.2%) were frequently measured as outcome. Variables questionnaires were the major approach used to collect data, and 57.8% of the research provided the Cronbach alpha to guarantee internal consistency of study instruments. Data were analyzed with computerized statistical packages using, ANOVA (42.0%), T test(39.5%), and chi-square test. For the last seven years, nursing research in Fundamentals of Nursing has gradually improved in both quantify and quality. Conclusion: It was difficult to find any uniqueness or difference compared to other departments of nursing. In fact, because the history of the Journal of Fundamentals of Nursing is rather short, we can expect that there will be further improvement in qualify and content in the future.

• Journal of Digital Convergence
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• v.12 no.8
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• pp.397-410
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• 2014

This study sought to identify types of health behavior clusters among Korean adults and their related factors. A secondary analysis of 1,441 subjects, aged 19 to 64, in the 2009 Korean National Health and Nutrition Examination Survey (KNHANES IV-3) was conducted. A cluster analysis was used to identify types of clusters related to physical activity, smoking, and alcohol drinking. A complex samples chi square test and multivariate logistic regression were performed to analyze the associations between types of health behavior clusters and sample's characteristics using SPSS WIN 21. Five clusters were identified: health promotion, smoking, alcohol drinking, passive attitude, and risky behavior. The passive attitude cluster had the most subjects, with 47.7% of subjects as members. Socio-demographic factors, hypertension, and depressive symptoms were associated with membership in the alcohol drinking, smoking, passive attitude, or risky behavior cluster rather than the health promotion cluster. The findings of this study suggest that integrated health promotion programs incorporating multiple strategies need to be investigated. In addition, further studies should explore psychosocial factors that affect health behavior clusters, such as stress, self-efficacy, social support, and social networks.

• Journal of muscle and joint health
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• v.4 no.2
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• pp.197-220
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• 1997

The lack of a comprehensive theory describing the mechanism of adaptation scientifically has been one of the limiting factors for the development of nursing intervention of patients with chronic illness. Since Roy's theory provides the general conceptual framework depicting adaptation process with structural stimuli and control mechanism, it is appropriate to understand the process of adaptation. But in Roy's theory, the propositions about cognator and regulator as control mechanisms are not clearly defined. For this reason, most of the previous researches applying the Roy's theory have disregarded the study of cognator and regulator. For the patients with chronic illness such as rheumatoid arthritis, it was reported that adaptation states were different for the same stimuli due to the difference of the control mechanism. Moreover in nursing it is important to identify the control mechanism which can be and must be intervened by nurses. It was the Lazarus and Folkman's theory that proposed the control mechanism. They suggested that individual differences in the reaction against the perceived stress are due to the difference in appraisal and coping. Therefore, the synthesis of Roy's and Lazarus and Folkman's propositions might help to clearly understand the mechanism of adaptation. From this point, a theoretical framework has been developed and tested. The subjects were the 297 patients who had been diagnosed rheumatoid arthritis and attended the outpatient clinic. A hypothetical prediction model of adaptation was tested by the covariance structure analysis with PC-LISREL 7.13. As a result, the overall fit was good($x^2$=78.83, p=0.00 ; GFI=0.96 : AGFI=0.90 ; RMR=0.04) for the hypothetical model. In the final model added GA(5, 1), the overall fit was increased ($x^2$=57.82, p=0.003 ; GFI=0.97 ; AGFI=0.93 : RMR=0.036). Except the fact that illness symptoms affected physical adaptation directly, it was supported that focal and contextual stimuli affected physical and psychosocial adaptation through appraisal and coping. Therefore, it was asserted that the synthesis of two theory's propositions was appropriate. So this model would be useful for the theoretical framework in the nursing practice. And this study synthesizing and testing the theory might contribute to establish nursing's scientific base.

• 재활복지
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• v.22 no.3
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• pp.169-188
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• 2018

The aims of this study was to investigate the effect of the Tele-rehabilitation service on health promotion and quality of life for individuals with disability. The subjects were 3 men who agreed with participating in service and were assessed of health promotion level with physical/psychological scales and quality of life. The service consists of 20 sessions for 13 weeks. The results are as follows: First, all participants improved psychosocial health promotion (subjective health level) factor. Second, physical health promotion (upper limb function, strength, range of motion) maintained and improved, but there was little change. Third, the quality of life was higher than before. In addition, qualitative research showed that participants experienced a positive change in subjective health status, emotional stability, benefit, and self efficacy, and they were satisfied with the service. Based on the results, it was shown that participation helps improve the health and quality of life of the individuals with disability in the community. This study can be used it as a basic data for establishing a Tele-rehabilitation service for individuals with disability in local community.

• Journal of Hospice and Palliative Care
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• v.22 no.4
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• pp.185-197
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• 2019

Purpose: Hospice volunteers are serving an invisible yet pivotal role in the hospice and palliative care team. This study investigated how effectively a continuing education program could enhance hospice volunteers' competency. Methods: A total of 20 hours (four hours per week) of training was provided to 30 hospice volunteers who participated in the continuing education for hospice volunteers. Efficiency of the education was analyzed with an exploratory mixed-methods design. For quantitative analysis, the volunteers were asked, before and after the training, about their attitudes towards hospice care, what makes a meaningful life, self-efficacy and satisfaction with their volunteer service. Descriptive statistics, paired t-tests, and Wilcoxon signed-rank test were performed using SPSS Window 20.0. For qualitative research, participants were placed in three groups for a focus group interview, and data were analyzed by content analysis. Results: A quantitative study result shows that this training can significantly affect hospice volunteers' attitudes and improve their self-efficacy. A qualitative study result shows that participants wanted to receive continuous education from the physical/psychosocial/spiritual aspects to better serve end-of-life patients and their family members even though they have to spare significant time for the volunteer service. They wanted to know how to take good care of patients without getting themselves injured and how to provide spiritual care. Conclusion: The continuing education program reflecting volunteers' requests is strongly needed to improve their competency. An effective continuing education requires continuous training and support in areas where hospice volunteers are interested in. A good alternative is to combine web-based and hands-on training, thereby allowing hospice volunteers freely take training that suits their interest.

• Korean Journal of Social Welfare
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• v.58 no.1
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• pp.291-318
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• 2006

There were many studies conducted on economical aspects of employment among the elderly in national level, however, very few studies examined social and psychological aspects of senior employment and employment preferences of the elderly persons. The purposes of this study were to examine major determinants of decision making in employment, and to explore some relationships among decision making of employment, socio-economic factors, health and psycho-social factors, and labor and economical factors among non-working elderly persons in the community. In all, two-hundred-twenty elderly persons were interviewed and one-hundred-ninety-four were analyzed in this study. The descriptive statistics, analysis of variance, correlation analysis, and logistic regression were used for the data analysis in this study. The study found that the respondent's sex, ages, education, numbers of children, physical health, ADL, self-efficacy, economical stress, numbers of years in labor, asset of real estate, family allowances, and the benefit levels of pension were major determinants of decision making in employment among non-working elderly persons. Finally, some implications were discussed for developing effective senior employment in national policy, job related services, and welfare programs of the elderly persons for the successful aging.

• The Journal of Korean society of community based occupational therapy
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• v.10 no.1
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• pp.1-15
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• 2020

Objective : The purpose of this study is to investigate the factors affecting occupational therapist's job stress through meta-analysis. Methods : In order to achieve the purpose of the study, 15 studies that examined job stress of occupational therapists were selected for analysis. The general characteristics of individual papers and the magnitude of the effect of related variables on job stress were calculated. The effect size of related variables on job stress and sub-factors (Fisher z) were calculated. Results : The results were found that the effect size on job stress was not significant in the variables of education level, salary and age. The largest effect size was found to be turnover intention (ES=1.161). There was no significant effect size in sub-factors of interpersonal conflict, organization system and insufficient job control. There was a significant effects in physical environment, lack of reward, job insecurity, job demand and occupational climate. Conclusion : The results of this study were suggested that an approach depending on sub-factors is needed to reduce job stress of occupational therapists. Satisfaction, burnout, and self-efficacy, which are psychological factors, are considered to be needed a program for psychological empowerment in order to reduce the job stress of the occupational therapist with a medium effect size according to individual sub-factors.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.3
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• pp.209-217
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• 2016

The aim of this study was to identify stress, motivation for a the healthy lifestyle and IADL of the elderly with arthritis. This study examined 117 elderly person over the age of 65 years living in S city. The data were analyzed using an independent t-test, Pearson correlation coefficients, and stepwise multiple regression with the SPSS Win 12.0 Program. Significant negative correlations were observed between stress and IADL, significant positive correlations between motivation on healthy lifestyle and IADL. The predictors on IADL were the physical area of stress (${\beta}=-0.354$, p<.001) and self-efficacy of motivation on healthy lifestyle (${\beta}=0.250$, p<.001). The model explained 18.5% of the variance. More study will be needed to explore a range of factors influencing the IADL and develop education programs for effective healthy lifestyle of elderly people with arthritis.