• Journal of Community Nutrition
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• 제3권2호
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• pp.110-119
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• 2001

This study was designed to assess the needs for nutrition education and educational materials for older adults. Two cross-sectional surreys were conducted. The first survey, conducted by personal interviews, was part of the large-scale elderly nutrition study. Subjects were adults aged 50 and over, recruited from 6 large cities and 8 middle-sized cities(n = 1,850). The second survey, done by mail survey using open-ended questions, was conducted with dietitians working at public health centers or hospitals(n = 53). Adults aged 50 and over were interested in topics such as healthly eating(32.1%), hypertension/stroke and diet(22.1%), osteoporosis and diet(11.4%), and diabetes and diet(9.2%). Television and radio(58.2%), health professionals(12.2%) and friends(7.9%) were common sources of nutrition information. Preferred topics of nutrition education and sources of nutrition information were different by general characteristics of subjects, suggesting that nutrition education or educational materials be planned considering the characteristics of subjects. About 70% of subjects indicated that they sometimes use or do not use nutrition information in daily lives, suggesting the need to provide more practical information. Among 53 facilities responding to the second survey, 73.6% provided nutrition education for older adults. Common topics for nutrition education included diabetes(39.3%), hypertension and stroke(19.1%) and general nutritional management(11.2％). These were consistent to the topics preferred by older adults. As materials In elderly education, dietitians wanted primarily to use leaflets and slides. Boards, booklets and posters were other commonly cited materials. For contents of elderly educational materials, dietitians mentioned the nutritional management for age-related diseases(33.8%), general nutritional management for older adults(25.4%) and practically applicable information(19.7%). They also suggested that nutrition education materials for the elderly should use larger print and attractive pictures, and be easily understood, as well as presenting simple, specific and practical information. These results provide baseline information for developing nutrition education and educational materials for older adults.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.184-192
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• 2017

본 연구는 노인 당뇨환자를 위한 교육용 기능성 게임 콘텐츠(롤리폴리 160)를 개발하고 적용가능성을 평가하기 위한 예비연구이다. 롤리폴리 160은 문헌고찰, 요구도 조사 및 자문의뢰, 게임을 활용한 기능성 콘텐츠 추출, 롤리폴리 160 개발, 사용자 사전 만족도 조사, 보건교육자 대상 워크샵, 롤리폴리 160 수정, 롤리폴리 160 사용자 만족도 조사와 같은 8단계 연구절차를 걸쳐서 개발되었다. 롤리폴리 160은 노인 당뇨환자가 자가관리를 할 수 있는 3가지 모듈(식사자가관리, 카드게임, 퀴즈게임)로 직관적으로 구성되었으며, 6가지 원칙에 입각하여 설계되었다. 첫째, 사용자의 연령을 고려한 직관적인 인터페이스를 구축하였다. 둘째, 음식은 한국인이 주로 섭취하는 음식위주로 배열하고 음식선택시 칼로리 학습이 동시에 이루어지도록 하였다. 셋째, 사용자 선택한 음식의 칼로리와 영양소(탄수화물, 지방, 단백질, 칼슘, 나트륨)가 분석되고, 문진표에 기록한 모든 검사자료는 년, 월, 주 별로 그래프로 도식화하여 변화추이가 한눈에 파악되도록 설계하였다. 넷째, 필요한 자료는 저장하여 출력하여 교육 자료로 활용 가능하도록 하였다. 다섯째, 사용자의 자료는 호환 및 합산이 가능하며 1억 명까지 회원가입이 가능하도록 하였다. 여섯째, 필요 시 모바일 App으로 개발이 가능하도록 설계하였다. 롤리폴리 160을 활용하여 119명의 노인 당뇨환자에게 당뇨교육을 실시한 후 만족도 점수는 5점 만점 중 4.26점으로 나타났다. 이는 롤리폴리 160이 당뇨환자 자가간호 도구로 적절하며, 향후 보건소나 병 의원에서 당뇨환자를 교육하는 프로그램으로 활용가능성이 있음을 시사해준다.

• Journal of Preventive Medicine and Public Health
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• 제39권6호
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• pp.505-510
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• 2006

Objectives : The purpose of this study is to evaluate the association of the angiotensin converting enzyme (ACE) insertion/deletion (I/D) polymorphism with cardiovascular disease risk factors. Methods : Out of a total of 608 middle-aged adults who visited local health centers, 424 subjects (104 male, 320 female) who had not been diagnosed with hypertension, diabetes mellitus, or hyperlipidemia were included in this study. ACE genotypes were determined in all subjects by polymerase chain reaction methods. Results : Statistical differences in high-density lipoprotein (HDL) cholesterol levels according to ACE genotype were observed using ANOVA (p<0.05), but no differences were found in other cardiovascular risk factors. Specifically, men with the DD and DI genotypes had significantly lower HDL cholesterol levels than those with the 11 genotype based on the LSD multi-comparison test (p<0.05). Conclusions : In men, the D-allele of the ACE I/D polymorphism was significantly associated with reduced HDL cholesterol levels. In the future, larger studies are needed to confirm this relationship between ACE I/D polymorphism and HDL cholesterol.

• 재활간호학회지
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• 제3권2호
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• pp.196-211
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• 2000

The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care centers in Seoul. This was pre-experimental study, and the subjects were 27 post stroke hemiplegic patients. The program was composed of five sessions and each session had health education on stroke, ROM exercise and recreation. Data were collected from May to November, 2000, and all subjects were asked to complete the Questionnaires, be measured vital signs and grasping power. Data were analyzed with frequency, percent, paired t-test, and Pearson's correlation coefficient using SAS(version 6.12) program. The results were as follows : 1) The scores of ADLs were increased from 27.04 to 28.22 after program, and that was statistically significant(p=.005). 2) The scores of IADLs were increased from 18.70 to 19.78 after program, and that was statistically significant(p=.004). 3) The grasping power of right hand were increased from 21.87kg to 26.93kg after program, and that was statistically significant(p=.002). But the grasping power of left hand were statistically insignificant(p=.919). 4) The scores of depression were decreased from 39.63 to 35.30 after program, and that was statistically significant(p=.030). 5) The scores of hope were increased from 30.89 to 34.15 after program, and that was statistically significant(p=.002). 6) The scores of self-efficacy were increased from 67.70 to 76.37 after program, and that was statistically significant(p=.000). According to the results of this study, the scores of Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings (IADLs), hope, and self-efficacy and the grasping power were improved and depression was reduced in post stroke patients participating in self-help management program. Therefore we recommend to use self-help management programs as a nursing intervention for the post stroke patient.

• 디지털융복합연구
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• 제13권1호
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• pp.25-35
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• 2015

본 연구는 대전, 세종, 충 남북 지역의 어린이집에서 근무하는 보육교사 375명을 조사대상자로 하여 그들의 이직의도에 영향을 미치는 요인을 분석하였다. 어린이집은 가정, 민간, 공공형, 법인 등의 4개 유형으로 나누어 분석하였다. 본 연구의 주요결과는 다음과 같다. 첫째, 보육교사의 이직의도 수준은 4개의 모든 집단에서 보통수준보다 높았으며, 집단별로 통계적으로 유의미한 차이가 나타났다. 둘째, 이직의도에 영향을 미치는 주요 요인은 각 집단별로 다른 것으로 나타났다. 가정과 민간어린이집 보육교사는 직무스트레스의 영유아관리, 조직건강의 원장 리더십 영역으로 나타났다. 공공형 어린이집 보육교사는 직무스트레스의 행정업무, 조직건강의 원장 리더십 영역으로 나타났으며, 법인형태 어린이집 보육교사는 직무스트레스의 동료 및 학부모와의 관계, 조직건강의 교사능력 영역으로 나타났다. 이러한 연구결과에 기초하여 어린이집 유형에 따른 보육교사의 이직의도를 감소할 수 있는 집단별 맞춤형 방안을 처음으로 제시했다는 점에서 본 연구의 의의가 있다.

• 한국병원경영학회지
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• 제9권4호
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• pp.87-100
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• 2004

The main objective of this paper is to investigate the burnout state, coping types, and their relationship with organizational citizenship behavior, and based on the investigation, to provide some reference materials for effective management of burnout and appropriate methods of coping. For this purpose, employees of Korean Red Cross Blood Center were selected as the subject of the research. Data for empirical analysis were obtained through mail survey using structured and self-administered questionnaire for 282 employees of five Red Cross Blood Centers across the nation. Following is the summary of the results: 1) Degree of organizational citizenship behavior was higher among the married, the forties in age, and the employees whose major reason for choosing to work at the Center was 'to help other people.' On the other hand, degree of burnout was higher among the single but lower among the forties in age and the employees who chose to work at the Center because of suitable abilities and interests. As for the types of coping, problem-oriented coping method was more frequently used by the married, older, relatively more-educated and higher-grade employees. 2) Among the three kinds of burnout, 'achievement burnout' was found to have the greatest influence on the organizational citizenship behavior, negatively affecting organizational citizenship behavior as a whole and all of its components except for 'sportsmanship.' Next was 'impersonality burnout,' which also had negative effect on organizational citizenship behavior as a whole, and altruism, conscientiousness and sportsmanship among the components. Finally, 'emotion burnout' appeared to have positive effect on altruism and courtesy but negative effect on sportsmanship. 3) Among the various types of coping, 'problem-oriented' and 'positive perspective' coping methods were found to positively influence overall organizational citizenship behavior, whereas 'stress dissolution' had negative effect. These results imply that special management, counselling and education are needed for sociodemographic groups with high burnout to utilize problem-oriented and positive perspective coping methods which are considered to have desirable effects in coping with burnout problems. In addition, some methods should be devised to prevent and manage the 'achievement burnout' that was found to have great negative influence on organizational citizenship behavior.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.197-207
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• 2020

본 연구의 목적은 지역사회 재가 노인 암 생존자의 죽음불안에 영향을 미치는 주요 요인을 파악하기 위함이다. 본 연구는 충청북도 소재 보건진료소 관할 지역에 거주하며, 재가 암환자로 등록된 노인 암 환자 216명을 대상으로 한 서술적 상관관계 조사연구이다. 자료수집 기간은 2019년 2월 27일부터 3월 15일까지이며, 자가보고형 설문지를 배부하여 자료를 수집하였다. 수집된 자료는 SPSS/WIN 24.0 프로그램 이용하여 t-test, one way ANOVA, Pearson's correlation coefficient, Hierarchical multiple regression을 이용하여 분석하였다. 연구 결과, 대상자의 죽음불안은 4점 만점에 2.47±0.39점, 자아통합감 2.60±0.29 점, 우울 6.35±4.0점, 좋은 죽음에 대한 인식은 2.97±0.35점이었다.. 위계적 회귀분석결과, 죽음불안에 영향을 미치는 유의한 요인은 좋은 죽음에 대한 인식(β=.255, p<.001), 우울(β=.185, p= .020), 종교(없음=1; β=.148, p= .021)순으로 나타났으며, 이들 요인들이 노인 암 생존자의 죽음불안을 16.4% 설명하였다. 본 연구 결과 노인 암 생존자의 좋은 죽음에 대한 인식, 우울, 종교가 죽음불안에 영향을 미치는 요인임을 확인하였다. 본 연구의 간호학적 유용성은 지역사회 재가 노인 암 생존자의 죽음불안에 영향을 미치는 요인을 파악한 점이다. 이러한 본 연구의 결과는 지역사회 노인 암 생존자의 죽음 불안을 완화시킬 수 있는 실증적 자료로 유용하게 활용할 수 있을 것이다.

• 한국산학기술학회논문지
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• 제16권2호
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• pp.1318-1327
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• 2015

본 연구는 콜센터 상담사의 인구사회학적 특성, 건강행태 및 직업관련 특성에 따른 이직의도 수준을 파악하고, 특히 직무스트레스와 이직의도 간의 관련성을 규명하고자 시도하였다. 조사 대상은 콜센터를 운영하고 있는 병원 9개소와 기업체 5개소에 근무하고 있는 콜센터 상담사 158명으로 하였으며, 자료 수집은 2013년 2월 1일부터 6월 30일까지의 기간 동안에 자기기입식 설문조사(self-administered questionnaire)에 의하였다. 연구결과, 이직의도에 관련된 요인으로는 연령, 수면시간, 업무요구도, 업무자율성이 유의한 변수로 선정되었다. 특히 직무스트레스 내용과 이직의도 간의 관련성에서는 업무요구도가 높아질수록 이직의도가 높은 반면, 업무의 자율성이 높아질수록 이직의도가 낮아지는 것으로 나타났다. 이직의도에 대한 직무스트레스의 위험비는 업무 요구도가 높은 군에서, 업무자율성이 낮은 군에서, 상사의 지지도 및 동료의 지지도가 낮은 군에서 이직의도가 높은 군에 속할 위험비가 유의하게 증가하였다. 따라서 이직의도를 감소시키기 위해서는 직무스트레스 요인의 개선을 위한 노력이 필요하다고 생각된다.

• 대한방사선기술학회지:방사선기술과학
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• 제20권2호
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• pp.49-55
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• 1997

This study was carried out to investigate radiographical and operating conditions of X-ray units and exposure doses to patients during chest radiography, so that the results could provide basic data used for reducing the exposure dose and for providing the diagnostic information with better quality. The conditions and exposure doses of 100 X-ray units mainly used for chest radiography were examined and also 100 radiological technologists mainly handling those apparatus at 76 medical facilities in Pusan were surveyed using a questionnaire from October 1 to December 31 in 1995. The following results were obtained from the study : 1. It was found that most units were capable of taking a high tube voltage radiography by showing 67% of the units equipped with the maximum tube voltage of 150 kV, 94% with more than 500 mA for the rating capacity and 85% with the full wave type of a signal phase. 2. For actual chest radiographical conditions, however, 80% of the units were operated at $60{\sim}100\;kVp$ and only 14% at 100 kVp and over for the high tube voltage. 3. The average exposure time was less than 0.1 second, and eighty four percent of the units adapted the X-ray tube currents ranging from 200 to 300 mA, 80% the focus-film distances between 180 and 210 cm, and 63% the focus sizes of more than 2.0 mm. 4. Most units(98%) employed additional filters made of aluminum, 75% the thickness of filters less than 2.0 mm, and only 2 units the compound filters. 5. Ortho chromatic system was only adopted in 13% of screen film system for the units, and 73% used the grid ratio at 8 : 1 for the low tube voltage during chest radiography. 6. The average exposure dose of all X-ray units during chest radiography was $371\;{\mu}Sv$ with a difference of about 16 times between the minimum to the maximum, and $386\;{\mu}Sv$ both at hospitals and at health centers, followed by $380\;{\mu}Sv$ at general hospitals and $263\;{\mu}Sv$ at university hospitals without showing any statistically significant differences. In conclusion, since patients during chest radiography at medical facilities in Pusan exposed to high levels of radiation, it is recommended that appropriate added filters and grids necessary for the high tube voltage radiography and high-speed screen systems should be adopted and used as soon as possible in order to reduce exposure dose to the patients.

• 대한지역사회작업치료학회지
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• 제10권3호
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• pp.15-26
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• 2020

목적 : 국내의 빠른 고령화로 인하여 노인 인구가 증가하고 있고, 작업치료의 주요 영역들에서 노인들과의 대면하는 비율이 높은 현 상황에서 작업치료사들을 대상으로 노인들에 대한 전반적 인식 및 노인들과의 의사소통 현황을 파악하고자 하였다. 연구방법 : 2020년 4월부터 6월까지 전국의 병원 및 보건소 등에서 노인들을 대상으로 중재를 제공하는 작업치료사들을 대상으로 온라인 설문을 활용하여 데이터를 수집하였다. 노인에 대한 인식, 노인과의 의사소통 저해요소, 노인과의 의사소통 방식을 묻는 3종의 질문지를 배포하였으며 최종 82부를 자료 분석에 활용하였다. 결과 : 작업치료사의 노인에 대한 인식은 대체적으로 부정적인 항목인 높은 것으로 나타났다. 또한 노인들과의 의사소통 저해요소로서 청각 관련, 언어이해 관련, 조음 관련 순으로 응답하였다. 노인들과의 의사소통 방식을 확인한 결과 작업치료사들은 대화반응 관리, 정서표현, 이해증진, 관계조절 순으로 노인들과의 원활한 의사소통을 유도하는 것으로 나타났다. 결론 : 작업치료사들은 대상자들의 사회참여와 삶의 질 증진에 주요한 역할을 수행하는 보건의료전문가인 만큼 노인들의 의사소통 방식 및 자신의 의사소통 기술에 대해 면밀히 파악하고, 개선된 의사소통 방법을 통하여 전문적인 치료적 중재 및 관련 교육들을 제공해야 할 것이다.