• 지역사회간호학회지
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• 제5권2호
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• pp.109-129
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• 1994

Chronic health problems has become a major concern and challenge to the health care professionals today. Especially hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Self-care is an essential factor that keeps chronic patients in control of their health and wellness. Thus this study was conducted to identify the effect of the comprehensive self-regulation program as a nursing intervention on the promotion self-care performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi-experimental research with pre and post test design was used. The subjects of the study was consisted of thirty persons with mild or moderate essential hypertension from two companies in Cheong-ju city. The whole program was carried out from October, 1993 to February, 1994. The self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The instruments used for data collection in this study were as follows : 1) Instruments used for measuring the knowledge about hypertension, multiple health locus of control, and perceived benifits and barriers were adapted from previous studies and modified by author to be fit for the subjects. 2) Self-efficacy scale and self-care performance record were developed by the author. 3) Physiological parameters included systolic / diastolic blood pressure, body weight, level of blood cholesterol, and 24hour ambulatory blood pressure. The post-experimental Cronbach's Alpha as the reliability test of scales were 0.703-0.897, an appropriate level of confidence. The effect of the program was analyzed by experimental stages ; the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t-test and t-test, repeated measure ANOVA, and pearson's correlation to de termine the effect of program. The results were as follows : 1) After the self-regulation program, scores on knowledge(t=-2.41, p=.011), perceived self-efficacy (F=5.60, p=.001), self-care performance(F=22.31, p=.0001) were significantly higher than those before the program. 2) After the program, both systolic and diastolic blood pressure were significantly lower than those before the program(F=10.89 -13.11, p=.0001). However in 24hour ambulatory blood pressure, systolic mean pressure was nearly significantly lower, but not in diastolic mean pressure. 3) After the program, the body weight was significant decresed(t=5.53, p=.0001), but the blood cholesterol level was not decreased significantly except in those cases with higher cholesterol level. 4) There were significant relationships between changes in self-care performance and diastolic pressure at 1st week (r=.3389, p=.033) and changes in self-care performance and systolic pressure at 9th week(r=.3651, p=.024). 5) There were significant relationship between perceived self-efficacy and self-care performance at 5th week(r=.5313, p=.001) and 9th week (r=.3026, p=.052). 6) After the program, internal health locus of control and perceived benefits did not show significant change, but perceived barriers was significantly lower than those before the program (t=3.57, p=.0001). From the above results, it can be concluded that 1) The self-regulation program is an effective nursing strategy to promote self-care performance of hypertensives and to lower the blood pressure. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings. 2) The synthesis of Orem's self-care theory and Bandura's self-regulation & self-efficacy theory in this study was proved to enhance explanation and prediction of the change of self-care behavior. Thus the result of the study would contribute in development of the self-care theory and an expansion of practice-theory.

• 지역사회간호학회지
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• 제5권1호
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• pp.81-96
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• 1994

The primary purpose of this study was to identify factors affecting health promoting lifestyles of college students on the basis of Pender's Health Promotion Model. The subjects were 1,159 students of one university in Seoul. These data were collected by self reporting questionnaire from April 19 to May 3, 1993. This study examined health promoting lifestyles, cognitive-percep-tual factors: perceived health status, perceived importance of health, health locus of control, and health conception, and modifying factors: sex, grade, major, residence type, and attendance at a health care course. The instruments used in this study were Health Promoting Lifestyle Profile by Walker et al. (1987), Health Value Scale by Wallston et al. (1976), Health Locus of Control by Wallston et al. (1978), and Health Conception Scale by Laffrey(1986). The data were analyzed by Cronbach's $\alpha$, mean, standard deviation, percentage, t-test, ANOVA, Pearson's Correlation Coefficient, and Stepwise Multiple Regression with SPSS PC+ Program. The results were as follows : 1. The means of health promoting lifestyles revealed total 3.33, self actualization 3.74, health responsibility 2.72, exercise 2.80, nutrition 3.55, interpersonal surpport 3.76, and stress management 2.96. Interpersonal support showed the highest score and health responsibility showed the lowest score. 2. No significant differences between sex, grade, major, and residence type, and health promoting lifestyles Were founded(p>.05). Attendants at a health care course showed a significant higher score than nonattendants (p<.001). Male showed a significant higher score in exercise subscale, female showed significant higher scores in health responsibility, nutrition, interpersonal support, stress management subscales(p<.001), residence type showed a significant difference in nutrition subscale(p<.001). 3. No significant differences between perceived health status and sex, grade, major, residence type, and attendance at a health care course were founded(p>.05). Perceived importance of health showed no differences among sex, grade, major, and residence type(p>.05), showed only in attendance at a health care course (p<.001). Attendants at a health care course showed a significant higher score than nonattendants(p<.001). No significant differences between health conception and sex, grade, major, and residence type were founded (p>.05), only significant difference between health conception and attendance at a health care course was founded(p<.05). Nonattendants showed a significant higher score in clinical health conception, attendants showed a significant higher score in wellbeing health conception(p<.05). 4. A significant positive correlation between health promoting lifestyles and perceived health status was founded(r=.2415, p<.001). A significant positive correlation between health promoting lifestyles and perceived importance of health was founded (r=.1475, p<.001). The health promoting lifestyles revealed significant positive correlations in internal and powerful others locus of control (r=.3187, p<.001: r=.1475, p<.001), but revealed a significant negative correlation in chance locus of control(r=-.997, p<.001). A significant positive correlation between health promoting lifestyles and clinical health conception and wellbeing health conception were founded (r=.1241, p<.001 : r=.3047, p<.001). 5. Perceived health status was the highest factor predicting health promoting lifestyles of college students(R=.3415, $R^2=11.62$). Perceived health' status, perceived improtance of health, internal locus of control, wellbeing health conception, powerful others locus of control accounted for 28.19% in health promoting lifestyle patterns. In conclusion, college students who reported more helath promoting lifestyles evaluated their health positively, perceived importance of health highly, perceived their health as affected by theirselves, powerful others but not by chance or luck, and accepted health as high level wellness rather than merely the absence of illness. Those who attending at a health care course had healthier lifestyle patterns. And attendance at a health care course had significant. correlations in these cognitive-perceptual factors. Further studies are required to identify reasons of attending a health care course, and to compare health promoting lifestyles pre-post attending a course related to health care.

• 문화기술의 융합
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• 제10권5호
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• pp.367-372
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• 2024

평생교육원 성인학습자를 대상으로 헤어교육 참여동기와 프로그램만족도, 평생학습 행복지수에 관계를 탐색하고, 평생교육프로그램의 활성화를 위한 기초자료를 제공하고자 하였다. 오늘날 대학은 여러 다양하고 질 높은 평생교육적 요구를 채워 줄 수 있는 현실성을 가진 종합적인 교육기관으로서의 조건을 가지고 있다. 대학부설평생교육원은 대학이 지닌 우수한 이적 물적자원을 잘 활용함으로써 대학의 본질적 작용의 하나인 사회봉사기능을 임하고 교육기회를 크게 확대할 뿐만 아니라, 모든 국민을 위한 학습권 보장에 한 구실을 담당하고 있다. 변화되는 시대의 흐름속에서 이제는 성인들도 재교육을 통해서 직업적 자아정체성을 찾으려 하며, 직업세계에서의 직업적 사회화를 향하여 역할 증대 요구와 책임감 확대, 직업과 고용구조의 불확실성 등의 달라지는 여러 사회적 상황에서 유연하게 대응해 나가야 한다. 연구대상은 G지역에 있는 성인학습자 헤어교육 대상자로 90부의 설문지를 배포하여 자료를 수집하여, 응답이 미비한 설문지를 제외한 85부를 최종적으로 SPSS 26.0 for Windows 분석에 사용하였다. 설문조사기간은 2023년 11월 1일부터 12월 27일까지 이루어졌다. 첫째, 성인학습자의 헤어교육 참여동기는 평생학습 행복지수에 영향을 미치는 것으로 나타났다. 둘째, 성인학습자의 헤어미용종사자의 프로그램만족도는 평생학습 행복지수에 영향을 미치는 것으로 나타났다. 본 연구를 통해 높은 평생학습 행복지수를 극대화시켜줄 수 있는 방안이 무엇인지 파악하고, 이로 인해 100세 시대를 살고 있는 현대인들의 학습욕구를 충족시키고, 잠재능력을 신장시켜, 제2의 인생을 설계하도록 돕고, 자아실현과 사회에 이바지 할 수 있도록 하며 자기주도적으로 꾸준한 평생학습 기회들을 가질 수 있도록 도와야 한다고 판단된다.

• 한국자연치유학회지
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• 제11권1호
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• pp.18-30
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• 2022

배경: 제주도 화산섬 지하자원인 현무암 "숲" 지하 공기(숨골)의 효과를 검증하기 위하여 '지하 공기정화 층을 이용한 공기정화시스템(APS)'을 개발한 후에 정화 공기 체험장을 설치하였다. 이 정화 공기를 채취하여 분석하고 인체에 유용성에 관한 탐색연구가 필요하다. 목적:현무암 "숲" 지하 공기(숨골)를 APS로 채취하여 성분을 분석하고, 이 공기를 체험한 후에 인체에 미치는 영향을 탐색하는 것이었다. 방법: 제주도의 파파빌레 지역의 4개의 지점에 APS 장치를 설치하였다. APS에서 배출하는 지하 공기를 채집하여 자원화 성분을 분석하였다. 또한 공기 밀폐 연구 체험장을 지상에 설치하였으며, 이 체험장의 음이온 농도는 5,000 ions/m³정도이었고, 체험자들이 60~120분 정도 머무르게 한 후에 혈관 상태를 조사하였다. 결과: 현무암 '숲' 지하 공기를 채취하여 분석한 결과는 O₂ 농도는 21.18%로 대기의 평균 산소 농도 20.94%보다 높았다. 폼알데하이드는 검출되지 아니하였고, CO₂농도는 419 ppm으로 실내공기보다 낮았다. 미세먼지(PM2.5) 농도는 24 ㎍/ms 이하였으며, 음이온도 5.000 ions/m³ 이상 검출되었다. 체험한 사람들의 혈관 건강 지수 개선되었고, 평균 맥박의 증가 및 스트레스 해소 등의 효과가 높게 나타났다. 결론: 현무암 "숲" 지하공기(숨골)를 분석하여 규명한 유용한 성분은 자연치유 등에 활용할 가치가 높았고, 체험한 결과에서는 맥박의 증진, 혈관과 스트레스 개선에 효과를 나타냈다. 이러한 조건은 제주지역의 현무암 숲이 자연치유와 웰니스 산업으로 확장하기 위한 새로운 지역이라고 높게 평가할 수 있다.