• Title/Summary/Keyword: 건강을 위한 행동

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Research on the Need Assessment Tool for the Korean Elderly at Home Focused on their Desires Based (한국 재가노인의 욕구중심 사정도구 개발에 관한 연구)

  • Kirn, Young sook;Jung, Kook in;Park, So rah
    • 한국노년학
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    • v.27 no.2
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    • pp.459-472
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    • 2007
  • This research has its purpose of developing a tool to assess the needs of the Korean elderly at home population and to provide adequate services by evaluating their physical, psychological, and socio-environmental aspects. This developed tool is composed of two hundred questions and has the advantage of combined physical, psychological and social environmental situation assessment of the elderly at home. The tool also contains not only the objective view of the professionals, but also the subjective appeals of the elderly at home population so that it can reflect their substantial desires. The assessment tool was developed over 21 months from July, 2004 to March, 2006 and this period can be divided into three different stages. In the first stage, collecting of questions for the desire-focused assessment of the elderly by literature investigation and researching foreign source materials was carried out, and this ultimately developed assessment tool was applied to the long-term care insurance pilot project in the second stage. In this process, we revised some insufficiencies of this tool after we applied to elderly of 250 from the pilot project and other 200 elderly from this research team. For the last stage, the tool was completed by using inquiries of the focused group and the group of professionals to ensure its reliability and validity. In the process of developing the tool, the total of 200 questions under 13 subcategories was selected. The 13 subcategories are basic information, subjective appeals, information of the main helper, use of services, house environment, condition of health, condition of rehabilitation, daily living(ADL, IADL, defecation, assistance), social maintenance, behavioral disability, medical health, living habits, and strength. This tool is on the purpose to assess thoroughly the desires that the elderly at home population has and to provide the best service they need.

Development of an evaluation tool for dietary guideline adherence in the elderly (노인의 식생활지침 실천 평가도구 개발)

  • Young-Suk Lim;Ji Soo Oh;Hye-Young Kim
    • Journal of Nutrition and Health
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    • v.57 no.1
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    • pp.1-15
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    • 2024
  • Purpose: This study aimed to develop a comprehensive tool for assessing dietary guideline adherence among older Korean adults, focusing on the domains of food and nutrient intake, eating habits, and dietary culture. Methods: Candidate items were selected through a literature search and expert advice. The degree of adherence to dietary guidelines was then evaluated through a face-to-face survey conducted on 800 elderly individuals across five nationwide regions. The items for dietary guideline adherence evaluation tool were selected through exploratory factor analysis of the candidate items in each of the three areas of the dietary guidelines, and construct validity was verified by performing confirmatory factor analysis. Using the path coefficient of the structural equation model, weights were assigned to each area and item to calculate the dietary guideline adherence score. A rating system for the evaluation tool was established based on national survey results. Results: A total of twenty-eight items were selected for evaluating dietary guideline adherence among the elderly. Thirteen items related to food intake, seven to eating habits, and eight to dietary culture. The average score for dietary guideline adherence was 56.9 points, with 49.8 points in the food intake area, 63.2 points in the eating habits area, and 58.6 points in the dietary culture area. Statistically significant correlations were found between dietary guideline adherence scores and food literacy (r = 0.679) and nutrition quotient scores (r = 0.750). Conclusion: The developed evaluation tool for dietary guideline adherence among Korean older adults can be used as a simple and effective instrument for comprehensively assessing their food and nutrient intake, dietary habits, and dietary culture.

Developing educational programs to increase awareness of food additives among elementary school students (식품첨가물에 대한 초등학생들의 인식 개선을 위한 교육 프로그램 개발)

  • Soo Rin Ahn;Jae Wook Shin;Jung-Sug Lee;Hyo-Jeong Hwang
    • Journal of Nutrition and Health
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    • v.57 no.4
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    • pp.451-467
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    • 2024
  • Purpose: This study aimed to develop a four-hour food additive education program for elementary school students to provide them with accurate information on food additives. Methods: A survey was conducted among 133 elementary school students living in Gyeonggi Province to identify the level of food additive awareness. A four-hour food additive education program and educational materials (PPT, activity sheets, and teacher guidelines) were developed based on the results of the food additive awareness survey. The developed educational programs were based on the Theoretical Model of Stages of Behavior Change. An elementary school nutrition teacher conducted a pilot education for 83 elementary school students to evaluate the feasibility of the developed education program. A survey was conducted to evaluate the effectiveness and satisfaction of the pilot education program. Results: The results of the Food Additive Awareness Survey showed that only 42.1% of people were aware of food additives; 46.3% wanted to know more about food additives, and 54.3% required food additive education. Food coloring (44.7%) and artificial sweeteners (18.7%) were the most common food additives of interest. What they wanted to know about food additives was the safety of food additives (36.8%) and the role and function of food additives (20.3%). After the pilot training on food additives, the level of awareness of food additives was improved significantly, and the percentage of participants who recognized the need for food additive education and promotion increased. According to the satisfaction survey of the food additives education, the interest, understanding, real-life application, learning method, and content amount were approximately 90%. Conclusion: The educational program developed through this study will change the negative perceptions of food additives in elementary school students to a positive one. It will do so by helping nutrition educators educate students on this important subject.

Survey of Insomnia Treatment Status for Doctors (의사 대상 불면증 치료 현황 조사 연구)

  • Choi, Yeonsun;Lee, Mi hyun;Choi, Jae-Won;Kim, Soohyun;Kim, Jichul;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.23 no.2
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    • pp.77-83
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    • 2016
  • Objectives: The present study investigated current practices of insomnia treatment among Korean doctors in clinical settings. Methods: A total of 100 doctors participated in the present study and filled out a series of survey questions regarding their treatment of insomnia patients. Results: The results revealed that the primary type of insomnia treatment was pharmacological and that the most popular medication was zolpidem. The majority of doctors reported that they also utilized non-pharmacological treatments such as sleep hygiene education and cognitive-behavioral therapy. However, these treatments tended to result in low satisfaction. In addition, the doctors perceived that patients largely preferred pharmacological treatments to non-pharmacological ones and did not have sufficient knowledge of non-pharmacological treatments. Conclusion: Many doctors believed that non-pharmacological treatments for insomnia were important, but reported that they were difficult to implement in practice. The results of this study suggest that improved medical conditions for non-pharmacological treatments and education of physicians are necessary to appropriately treat insomnia.

The Development and Initial Validation of the Korean Version of Strengths Scale of Individuals with Mental Illness (한국형 강점척도-정신장애인용 개발연구)

  • Park, Jung-Im
    • The Journal of the Korea Contents Association
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    • v.17 no.3
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    • pp.596-608
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    • 2017
  • This study was carried out in order to develop and validate the Korean Version of Strengths Scale for individuals with mental illness. The first step taken to develop the scale was to construct sample items for the Strengths Scale using literature research and three focus group interviews of individuals with mental illness. Secondly, two professors of the Social welfare Department of a University and two mental social workers reviewed these sample items to select and compile a final version of the scale. Lastly, the scale's reliability and validity was verified through an empirical study of 478 individuals with mental illness who conduct the survey items. The explanatory factor was that the sample items can be grouped into seven factors. Factor 1 was 'Vocation', Factor 2 was 'Family and Social Support', Factor 3 was 'Optimism', Factor 4 was 'Resources Utilization', Factor 5 was 'Coping Behavior', Factor 6 was 'Leisure', Factor 7 was 'Health'. The Confirmatory analysis showed that the model demonstrated a goodness- of-fit. Finally, the Korean Version of Strengths Scale for individuals with mental illness was developed consisting 40 items and was proposed a mental health social work implications.

Relationship among LOHAS of Korean Food, Perceived Value, and Satisfaction, and Customer Loyalty of Korean Restaurant - In case of Japanese inbound tourist in Korea- (한식로하스의 지각된 가치가 고객만족 및 고객충성도에 미치는 영향: 일본관광객을 중심으로)

  • Lim, Mi-Ra;Ahn, Dae-Hee;Lim, Ji-Hyun
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.472-484
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    • 2013
  • The purpose of this research is to prove a possibility which contributes the globalization of Korean dining and its potential in perceptions from international visitors about images of LOHAS they have. The main study results as follows. There were three subordinate concepts; health, eco-friendly, and substantiality. Second, perceived value noticeably affected the satisfaction of korean restaurant. respectively, the satisfaction of korean restaurant also noticeably affected customer loyalty. This research suggested academic implications of contributable view on foodservice management and tourism study based on the result from Japanese visitors with their Perceived value and domestic restaurant customer loyalty toward Korean dining LOHAS. This study also suggests the implication of the globalization of Korean dining and taking a position as a supporter of the globalization plan from korean dining foundation. Additionally, this study intended to present capable contribution based on the results of study with related proposals of globalization of Korean dining, Korea in-bound tour, and its interagency.

Study on Poverty of the Middle Aged Men Living in Chokbang Area (쪽방거주 중고령 남성의 빈곤 사례연구)

  • Kim, Dong-Seon;Mo, Seon-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.222-235
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    • 2020
  • This study examines the poverty progress and its factors which drove the lives of the middle-aged men in Chokbang area. The observed examples are the retired government officials and the self-employed who have been classified as the ones in the economically-middle class but currently as the welfare recipients. According to the results of in-depth interview and observation, the poverty of the observed has undergone the progress of trigger, worsening, breakup, desperation and stabilizing stages. The poverty factors found in this study could be categorized into two factors; circumstantial factors(bankruptcy after IMF, debt guarantee for relatives) and inner factors(the participants' behavior and characteristics). The circumstantial factors worked mainly in the trigger stage and the inner factors contributed to worsening economic crisis and facilitating the progress. According to the result, this study suggests not only individual-scale measures such as encouragement of familial bond or medical treatment of the alcoholism but also social measures including proper regulation of shark loan and opportunity supply to exit from poverty.

Literature Review of Therapeutic Milieu of Psychiatric Patient and Suggestion for Changing Environment of Psychiatric Wards in Korea (치료적 환경에 대한 문헌적 고찰 및 정신과병동 환경변화에 대한 몇가지 제언)

  • Lee, So-Woo
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.80-90
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    • 1976
  • 정신과 영역의 환자를 위해 간호원의 역활을 필요로 한 이래 여러 가지 간호의 개념으로 간호원의 역할이 변화되어오고 있다. 정신과 환자의 안전만이 가장 큰 치료의 중심일 때는 병동열쇠의 위엄에 곁따라 보호관리에만 치중해 왔으며 정신의학에서 약물요법, 전기요법의 치료과정이 생기면서 간호원의 역할 변화 및 지식의 요구를 필요로 하게 되었으며, 환경과 개인의 밀접한 관계를 중시해오면서 치료적 환경속으로 환자의 인간적 치료가 강조되었을 때 의사소통과 대인관계의 인적 환경으로써 또한 간호원의 역활이 중요시 되어왔다. 이런 관점에서 치료적 환경에 대한 정확한 이해는 간호행위과정의 불완전을 제거하며 보다 활발한 정신과 환자간호에 기여하는 일 일 것이다. DR. Bartom은 병실 환경이 비생산적이고 비 치료적일때 성격의 변화는 물론 행동적 특성의 변화까지 가져올 수 있다고 말했다. 즉 무감동적이고, 무조건적 순종이 있으며 솔선하여 행하는 행위가 줄고 장래 계획에 대한 자극이 줄어들고 될대로 되어 가는 상태 그 자체에 머물러 있어 인간의 특징적 의미와 가치를 상실하게 된다는 것이다. 정신과 병실은 잠정적 체류지로 보아야 하겠고 이 체류지에서의 영향이 환자에게 보다 유익하게 끼칠려면 간호원이 지속적으로 치료적 분위기를 유지해야 할 것이다. 치료적 입장으로서의 간호의 활동 초점은 대인관계에서 환자의 의식수준과 자아관련 수준에서의 취급이 무의식 수준에서의 탐구조사보다 바람직하다. 치료적 가치로써 치료적 환경의 이론적 근거를 DR. Sullivan 은 인간의 상호관련 문제에 두고 있다. 즉 상호작용이 존재하는 환경은 어떠한 곳이든 성격에 영향이 있고 이 성격은 대인관계의 복잡성으로부터 결코 떨어질 수 없다는 얘기다. 자아구성 또한 환경의 영향을 받는데 Cumming은 병동환경과 자아구성 재동기간에 밀접성을 시사한바 있다. Visher와 O'sullivan은 정신과적 치료중에서 일상생활에서 경험되어지는 의사소통과 대인관계속에서 학습되어지는 여러 가지가 있기 때문에 매일의 활동획이 치료적 방향으로 계획되어 져야 한다고 말했다. Maxwell Jones 또한 치료적 환경의 유용한 가동은 전 직원의 기여에 있으며 이는 정신건강을 최적으로 올려 줄 것이다. 라고 말했다. 이러한 상황에서 간호원은 의미 없이 환자의 감정 욕구를 깨닫지 못하고 감정지지를 주지 못하며 정서적 긴장을 예방하지 못한 체 환자와의 관계를 유지한다면 현대간호의 개념에서 이탈되어지고 발달되어지지 못한 미숙아 현상이 유지 될 것이다. 보다 바람직한 치료적 환경 유지는 간호로써 환자에게 기여해 주는 일이다. 간호의 역활과 더불어 전문적 태도는 따뜻하고 포용성 있게 그리고 융통성 있게 대함은 물론 간호인 자신의 "자기이용"을 깊이 그리고 치료적으로 이용할 것을 깨달아야 할 것이다. 즉 정신과 병실에서의 간호원 존재 자제가 환자에게 미치는 영향도 고려해야 한다는 것이다. 덧붙여 환자를 위한 일주일 병동 행사표를 Model로 제시하였고 그 안에서의 간호원의 역활을 약술하였다.

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Factors of Breast and Cervical Cancer Screening Behaviors in Married Female Immigrants (여성 결혼이민자의 유방암과 자궁경부암 검진행위에 영향을 미치는 요인)

  • Choi, Na-Youn;Lee, Byoung-Sook
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.326-336
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    • 2015
  • This study intended to identify the factors of breast and cervical cancer screening behaviors in married female immigrants and provide information for the development of intervention programs to promote the behaviors. Pender's Health Promotion Model was the conceptual framework of this study. The subjects of this study were 157 female immigrants living in Daegu and Gyeongbuk area. It was found that 33.1% of subjects had mammography, 22.9% of them did breast self-examination, and 51% of them had cervical cancer screening test. The breast cancer screening behavior increased 1.25 times as the score of social support increased one point, 1.13 times as the score of perceived benefit increased one point, 3.58 times when the subjects had experiences of breast and cervical cancer education, and 1.24 times as the score of action plan increased one point. The cervical cancer screening behavior increased 2.89 times when the subjects had experiences of breast and cervical cancer education, and 1.23 times as the score of social support increased one point. However, the cervical cancer screening behavior decreased 0.82 times as the score of perceived barriers increased one point.

Pollution Status for Agricultural Reservior in Chungbuk Province (충북지역 농업용 저수지의 오염실태 조사연구)

  • Oh, Kwang-Young;Kim, Jin-Soo;Song, Chang-Sub;Kwon, Sung-Ill;Song, Chul-Min
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.987-992
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    • 2007
  • 충청북도 내의 농업용 저수지중 26개소를 선정하여 관개초기, 홍수기 및 비관개기의 연 3회에 걸쳐 저수율을 파악하고 채수를 실시하였다. 또한, 현장(수온, pH, DO, EC)과 실내 수질분석(Cd, As, Cn, Hg, 유기인, Pb, $Cr^{+6}$ PCB, ABS, COD, SS, TP, TN)을 실시하여 저수지의 오염도를 평가하였다. 저수율 측정결과, 홍수기(97%)가 관개초기(72%)나 비관개기(66%)보다 높게 나타났다. pH 값의 측정결과, 수질기준$(6.0{\sim}8.5)$을 만족하고 있는 저수지의 비율은 35%(9개소)의 낮은 값을 보였다. EC와 DO 및 SS농도의 측정결과, 거의 모든 저수지에서 수질기준을 만족하고 있었으며, COD, TN, TP농도 측정결과, 수질기준 만족도는 관개초기 100%, 홍수기 81%, 비관개기 65%로 나타나, 저수량이 많은 관개초기보다 저수량이 적은 비관개기에 질소와 인의 관리가 필요한 것으로 판단된다. 또한, 사람의 건강항목(CN, Hg, 유기인, PCB, Cd, 비소As, Pb, $Cr^{6+}$, ABS)은 모든 저수지에서 관개 초기, 홍수기 및 비관개기에 모두 수질기준을 만족하였다. 점오염원을 관리하기 위해서는 저수지 상류유역에 있는 마을하수도를 정비하고, 축산분뇨처리시설 등을 설치하여 저수지로의 유입부하량을 저감할 필요가 있다. 또한, 비점원오염을 관리하기 위한 대책으로서, 질소농도를 저감시키기 위해서는 용존성 성분을 제공하는 비료의 시용량을 줄여야하며, TP농도를 저감시키기 위해서는 강우시 입자성 인의 유출을 제어할 필요가 있으며, 이를 위해서는 비가 많이 오는 여름철에 나지(裸地)나 밭에 식생이나 멀칭(mulching) 등으로 토양침식을 방지할 필요가 있다.가용한 장 단기간의 관측자료와 물수지 분석 연산식의 추정치를 바탕으로 관측자료에 의한 물수지 분석을 수행하였다. 분석 결과로 산지 소하천 유역인 설마천 시험유역의 각 수문요소의 물이동간의 정량적인 값을 알 수가 있었으며, 앞으로 추가적이고 지속적인 수문모니터링이 운영되고 물순환 해석 모형에 의한 검증이 수행된다면 정량적인 물순환 관계를 규명할 수 있을 뿐만 아니라 이와 관련된 수문요소기술을 확보할 수 있을 것이다.절한 타협과 조정을 필요로 한다. 그러나 절제의 한계를 넘어선다고 생각되거나, 조정의 노력이 불가능하거나, 실패했을 때 폭력적인 행동으로 나타나게 된다. 리차즈(I.A Richards)는 분노와 공포는 일단 겉잡을 수 없는 경향이 있다고 하면서 오늘날 폭력에 대한 요구가 일상의 정서 생활에 있어, 억압을 통한, 빈곤함을 반영하고 있지 않은지 생각해봐야 할 것이라고 충고한다. 조성 가이드라인(안)을 제시하였다.EX>$\ulcorner$세종실록$\lrcorner$(世宗實錄) $\ulcorner$지리지$\lrcorner$(地理志)와의 비교를 해보면 상 중 하품의 통합 9개소가 삭제되어 있고, $\ulcorner$동국여지승람$\lrcorner$(東國與地勝覽) 에서는 자기소와 도기소의 위치가 완전히 삭제되어 있다. 이러한 현상은 첫째, 15세기 중엽 경제적 태평과 함께 백자의 수요 생산이 증가하자 군신의 변별(辨別)과 사치를 이유로 강력하게 규제하여 백자의 확대와 발전에 걸림돌이 되었다. 둘째, 동기(銅器)의 대체품으로 자기를 만들어 충당해야할 강제성 당위성 상실로 인한 자기수요 감소를 초래하였을 것으로 사료된다. 셋째, 경기도 광주에서 백자관요가 운영되었으므로 지방인 상주지역에도 더 이

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