• KOREAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES
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• v.8 no.2 s.28
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• pp.10-18
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• 2001

우리나라 대기오염의 수준은 지난 90년대 초반 이후 아황산가스와 총부유분진의 농도가 감소하고, 대신 오존과 이산화질소의 농도가 증가하면서 점차 다른 선진국에서 경험하는 대기오염현황을 보이고 있다. 한편 PM10과 PM2.5와 같은 미세분진의 경우 그 측정기간이 짧고 자료가 제한적이지만, 일부 지역에서 증가추세를 보이고 있으며, 그 수준을 비교하였을 때 현재 선진국에서 책정한 미세분진의 규제농도를 훨씬 상회하는 것으로 판단된다. 대기오염으로 인한 건강영향으로는 급성으로 고농도에 수 시간에서 수 일 동안 노출되는 경우 폐기능의 저하, 심박동의 변화, 그리고 신체내 염증물질의 증가 등 인체 기능의 변화가 보고되고 있으며, 기존에 폐장질환이나 심혈관질환을 앓고 있는 사람들의 경우 증세의 악화와 의료이용의 증가 등을 경험하거나 더 나아가 사망에 이르러 수명이 단축되는 것이 보고되고 있다. 급성노출의 경우 미세분진 PM10 10 $\mu$m/m3 당 전체 사망률이 0.5-1$\%$ 가량 증가하는 것으로 보고되며, 만성노출을 조사한 코호트 연구에 근거하는 경우 대기오염에 노출되는 전체 인구에 있어 PM2.5 1 $\mu$m/m3 당 1개월의 수명이 단축되는 것으로 추정되고 있다. 아직 대기오염으로 인한 건강영향의 기전이 전부 밝혀진 것은 아니지만, 일부 연구에서 대기오염물질 중에서 전이금속의 역할이 보고되고 있으며, 대기오염에 노출되면서 기관지, 폐포 및 혈액 등에서 염증매개물질의 분비 및 확산 그리고 심장을 비롯한 각 장기 기능의 변화가 보고되고 있다. 한편 이러한 변화들이 증세와 건강상의 비가역적 변화를 야기하는데 있어 대기오염 수준의 역치는 없는 것으로 판단되고 있다. 이러한 대기오염의 영향에 대한 개인수준의 해결책으로서는 자동차 사용의 절제 및 개인적인 쓰레기 소각의 자제 등 오염원 발생의 감소와 함께 대기오염 수준에 따른 증세 및 투약의 적절한 조절과 신체 활동의 조절을 통하여 오염원을 회피하는 것이 강조되어야 하며, 또한 흡연 특히 실내흡연의 금지와 실내 주방기구 및 난방기구의 관리 등이 구체적으로 제시될 수 있다. 마지막으로 대기오염물질들이 신체에 들어와 산화제로 작용하는 만큼, 식품을 통한 항산화제의 섭취가 일반적인 건강관리 수준에서라도 반드시 강조되어야 할 것이다.

• Journal of Korean Academy of Nursing
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• v.37 no.5
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• pp.790-800
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• 2007

Purpose: This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. Methods: A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record. Results: Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up. Conclusion: Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

• Research in Community and Public Health Nursing
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• v.18 no.3
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• pp.382-390
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• 2007

Purpose: The purpose of this study was to identify the effects of taekwon aerobic on obesity indices and cardiovascular risk factors in middle-aged obese women. Method: Data were collected from 19 middle-aged obese women who participated in taekwon aerobic exercise. This research adopted one-group pretest-posttest design. Taekwon aerobic was applied 3 times in a week for 12 weeks, and the obesity indices and cardiovascular risk factors were checked before and after the program. Body weight, BMI and % body fat for obesity indices were checked, and total cholesterol, triglyceride, HDL-cholesterol and the ratio of total cholesterol/HDL-cholesterol for cardiovascular risk factors were measured. The data was analyzed by paired t-test using SPSS/win 10.0. Results: There were significant differences in body weight, BMI and % body fat after the taekwon aerobic exercise. There was a significant difference in total cholesterol. However, there were no significant differences in triglyceride, HDL-cholesterol and the ratio of total cholesterol/HDL-cholesterol after the taekwon aerobic exercise. Conclusion: This study showed that taekwon aerobic exercise decreased obesity indices and lowered total cholesterol in the cardiovascular risk factors. The results of this study show that taekwon aerobic exercise is effective in enhancing the health of middle-aged obese women.

• Journal of the Korean Society of Industry Convergence
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• v.24 no.6_2
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• pp.809-818
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• 2021

The purpose of this study was to identify the influence of oral health knowledge and awareness of caregivers in charge on the oral health-related quality of life of the elderly in nursing homes. Data were collected from 115 elderly without dementia and their 115 caregivers in nursing facilities in S and C cities. The data were analyzed using SPSS/WIN 22.0 program. The average score for oral health knowledge and awareness of the caregivers were 11.62, 39.22 points each and the oral health-related quality of life of the elderly was 40.62 points. Oral health knowledge, awareness of caregivers and oral health-related quality of life of the elderly showed a difference according to oral health education experience of the caregivers (𝜌<.001), the nursing facility evaluation grade (𝜌=.016), and the oral health education experience (𝜌=.008), working hours of 40 hours or less per week of caregivers (𝜌=.008) each in order. The influencing factors on the oral health-related quality of life of the elderly were the oral health education experience, the working hours per week of the caregivers and the facility evaluation grade. This findings imply that developing customized program and the work environment improvement for caregivers should be considered to improve the oral health-related quality of life of the elderly in nursing homes.

• Journal of Digital Convergence
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• v.17 no.7
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• pp.157-165
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• 2019

Geron-technology contributing to successful "Aging in place" increases the quality of life for the elderly and decreases the social caring cost. This study aims to identify influencing factors on pre-implementation acceptance of geron-technology for the elderly residing in a community. Data for 129 participants were analyzed. Results indicated that location, physical function, lack of technical support by family members, and the high financial cost as a 28% power were identified as the influencing factors on pre-implementation acceptance of geron-technology. Therefore, in the development of health and welfare strategy, these influencing factors should be considered in order to archive 'aging in place' for the elderly.

• The Journal of the Convergence on Culture Technology
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• v.4 no.4
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• pp.249-259
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• 2018

The purpose of this study was to investigate nurses' consciousness of biomedical ethics and professionalism in general hospitals. Participants in this study were 163 nurses working in 3 general hospitals. Data analysis was done using SPSS / WIN 24.0 program. As a result of this study, the consciousness of biomedical ethics of the nurse was moderate. The highest sub-area was 'right to life of fetus' and 'artificial abortion' was the lowest sub-area. The professionalism of the subjects was moderate. The highest sub-area was 'reference professional group' and 'sense of mission' was the lowest sub-area. The nurses' consciousness of biomedical ethics was related to professionalism. Therefore, nurses should be educated to help ethical decision making so that they can have bioethical value and bioethical decision making ability according to the changes and demands of the times. In addition, institutional arrangements to improve professionalism should be provided.

• Journal of Korean Biological Nursing Science
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• v.22 no.2
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• pp.139-147
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• 2020

Purpose: The purpose of this study was to determine the effects of different intensity of aerobic exercise for four weeks on cardiovascular risk factors, reactive oxygen, and antioxidant enzymes in old mice. Methods: Eighteen male C57BL/6 mice age 18 months were randomly classified into the control group (n= 6), the moderate intensity exercise group (n= 6), and the low intensity exercise group (n= 6). The training groups performed the aerobic exercise twice daily for 20 minutes, five days weekly for four weeks. Data were analyzed using descriptive statistics, analysis of variance (ANOVA), the Chi-square test, and the Tukey's test with the SPSSWIN 21.0 program. Results: In this study, among the risk factors of cardiovascular disease, blood sugar (BS) (p= .023) and total cholesterol (TC) (p= .001) were significantly different between the moderate intensity exercise group and the control group. Additionally, there were significant differences in the reactive oxygen malondialdehyde (MDA) (p= .001), the antioxidant enzymes superoxide dismutase (SOD) (p< .001) and glutathione reductase (GR) (p= .015) between the moderate intensity exercise group and the control group. Conclusion: This finding suggests that moderate intensity aerobic exercise promotes the activity of antioxidant enzymes and lowers cardiovascular risk factors in older mice.

• Proceedings of the KAIS Fall Conference
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• 2009.12a
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• pp.322-325
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• 2009

병원의 의료 서비스에 대한 고객의 불만과 고충 내용을 분석하여 불만족을 파악함으로써 고객 불만족의 재발을 막고 이에 대한 해결방안을 제시하고 적용하는 고객만족 경영 전략을 수립하고자 분석한 결과 다음과 같다. 1. 조사대상자의 성별은 남자가 높은 분포를 보였고 계절별로는 환자측면과 보호자측면 모두 여름에 높았고 요일별로는 모든 측면에서 월요일에 불만족이 많았다. 이용형태별로는 환자측면은 외래가, 보호자측면은 입원이 높았고 발생부서별로는 환자측면과 보호자측면 모두 진료부에 대한 불만사항이 많았고 소리함을 통한 접수가 많았다. 2. 불만요일별 항목 특성 중 진료서비스 항목은 진료정 확성이 높은 분포를 보였고 보호자는 진료서비스에서, 환자는 절차서비스에서 높은 불만을 보였다. 3. 발생부서별로는 절차서비스는 진료지원에서 높은 점수가, 진료서비스는 진료부에서 높은 점수를 보였으며 친절서비스에서는 간호부가 높은 점수를 보였고 편의환경서비스에서는 행정부가 높은 점수를 보였으며 통계적으로 유의한 차이를 보였다.4. 불만요인별 상관관계의 결과는 진료서비스는 성별의 역 상관관계를 보였다. 친절서비스는 성별과 연령이 정상관 관계를 보였고, 진료서비스는 역상관 관계를 보였다. 절차서비스는 성별과 연령, 진료서비스, 친절서비스가 역상관 관계를 보였다. 편의환경서비스는 성별과 연령이 정상관 관계를 보였고, 진료서비스, 친절서비스, 절차서비스는 역상관 관계를 보였다. 현 의료서비스에 대한 고객의 불만 및 고충 내용이 병원 의료서비스의 질을 개선하는데 이바지할 수 있는 기초자료로써 그 의의가 있다.

• Journal of Korean Biological Nursing Science
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• v.18 no.4
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• pp.221-230
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• 2016

Purpose: This study was undertaken to explore sex differences in the risk markers of cardiovascular disease (CVD) and psychosocial factors and the relationships among these variables for the community-residing adults. Methods: A cross-sectional study was conducted with a total of 114 participants consisting of 65 men aged 42.85 years old and 49 women aged 46.86 years old. Participants were selected by a convenient sampling of at community cultural centers and churches. They completed a structured questionnaire including demographic characteristics, physiologic risk markers of CVD; lifestyle factors; and depression, social support, and stress. Results: The male participants showed significantly higher systolic and diastolic blood pressures than their counterparts. Significantly higher percent of women were currently non-smokers, and practiced moderate alcohol intake, physical activity, and low fat diet. Among women, the higher the scores of depression and stress were and the lower that of the social support was, the higher blood pressure, waist circumference and BMI were. Among men, those who were less depressed and with higher scores of social support had more physical activity. Conclusion: The findings suggest further studies to explore sex differences of CVD risk markers and psychosocial factors, and their relationships in a larger sample, and to find the mechanism underlying these differences with a prospective design.

• The Journal of the Korea Contents Association
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• v.13 no.9
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• pp.334-343
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• 2013

This study was conducted to examine the readiness for death and death anxiety among hospitalized cancer patients. A convenience sample of 183 cancer patients admitted to four hospitals in Korea was recruited for this study. Data were collected in 2010. Collected data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, and Pearson's correlation coefficient. The mean scores of readiness for death and death anxiety were 1.99(${\pm}0.69$) and 2.21(${\pm}0.59$) out of 4, respectively. 'Psychological readiness' showed the highest mean score among the death anxiety domains, and 'dying process' had the highest mean score among the death anxiety domains. No statistically significant correlation was found between readiness for death and death anxiety. Readiness for death was statistically significantly different according to age, afterlife beliefs, stage of cancer, duration of disease, and number of symptoms. Death anxiety showed significant difference according to faith in God and afterlife beliefs. Distress in the process of dying needs to be managed for cancer patients and spiritual interventions should be considered to relieve death anxiety.