• Title/Summary/Keyword: 영양중재프로그램

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Factor Influencing Health-Related Quality of Life in Korean Hypertensive Seniors with Osteoarthritis (골관절염이 동반된 고혈압 노인의 건강관련 삶의 질 영향 요인)

  • Kim, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.169-180
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    • 2021
  • This study was undertaken to determine the degree of quality of life, and factors influencing osteoarthritis in hypertensive elderly 65 years or older patients, using data from the 7th National Health and Nutrition Survey 2018. Totally, 843 subjects were included from a national sample. The SPSS WIN 26.0 program was used to analyze complex samples by applying the Rao-Scott chi-square test, t-test, and multiple regression analysis. Results indicate that quality of life of the hypertensive group with osteoarthritis is significantly lower than the group with only hypertension (t=5.07, p<0.001). Factors affecting the decrease in quality of life of the hypertensive group were age, subjective health status, and activity restrictions, and the explanatory power was 46.1% (F=12.33, p<0.001). In the hypertensive group with osteoarthritis, the effective factors included gender, cohabitation status, economic activity, subjective health status, activity restriction, body mass index, sleep time, stress perception, and depression, and the explanatory power was 44.6% (F=99.82, p<0.001). Subsequent studies showed that in order to improve the quality of life of hypertensive seniors, intervention programs are required to actively accommodate health conditions and minimize activity restrictions. In addition, for the elderly with osteoarthritis and hypertension, it is necessary to include exercise and nutrition education for body mass index management, and the development and intervention of multidisciplinary participation programs to strengthen mental health.

Analysis of Convergent Factors on Subjective Health Status of Patients with Depression (우울증 환자의 주관적 건강상태에 대한 융복합적 요인 분석)

  • Kwon, Myoung-Jin;Kim, Young-Ju
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.309-316
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    • 2016
  • The purpose of this study was to identify converged factors influencing subjective health status of patients with depression. The subjects of this study are 117 people answered that depression years of the 2013 National Health and Nutrition Examination Survey subjects. The results of this study were that the factors influencing subjective health status were education level, number of family member, quality of life, subjective body awareness, stress and they explained 55.9% of the variance. Therefore the intervention is considering various converged influencing factors should be done when the primary care for the promotion of subjective health status of patients with depression. This study identified a complex convergence of factors influence the subjective health status of patients with depression could be helpful on developing nursing intervention programs. It is necessary to identify forward more various social religious factors and disease influence the subjective health status of patients with depression.

Factors Affecting Suicidal Ideation of Depressed Adults by Age (우울감있는 성인의 나이에 따른 자살생각 영향요인)

  • Kwon, Myoungjin
    • Journal of Digital Convergence
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    • v.16 no.4
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    • pp.267-276
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    • 2018
  • The purpose of the study was to provide basic data for planning and offering nursing intervention to prevent suicide attempts by identifying the factors influencing the suicidal thoughts of depressed adults. The subjects of this study were 1,202 individuals who answered clearly in 2013-2015 National Health and Nutrition Survey. A composite sample plan file was generated using the IBM SPSS 23.0 program, and then the data were weighted and analyzed. Suicidal ideation was influenced by income (50-60s), number of family members (50-60s), marital status (40-50s), subjective health (30-50s, over 70s), stress (30s, over 50s), economic activity status (50s), diabetes (60s or older), alcohol consumption (60s), and Body Mass Index (BMI) (40s). These results suggest that tailor-made interventions for the prevention of suicide need to take into account the general and health-related factors of the subjects.

The Effect of a Community-Based Nutrition Intervention Program on Dietary Behavior and Nutritional Status of Low-Income Elderly Women in Gwangju City (광주지역 일부 저소득층 여자노인에서 지역사회 영양중재 프로그램 적용에 따른 식행동 변화 및 영양상태 개선 효과)

  • Kim, Bok Hee;Yang, Ji-Suk;Kye, Seung-Hee;Lee, Yoonna
    • The Korean Journal of Food And Nutrition
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    • v.27 no.3
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    • pp.495-506
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    • 2014
  • This study was conducted to measure the effect of a community-based nutritional intervention program on dietary behaviors and nutrient intakes of low-income elderly women in Korea. The subject of the study was a group of 88 elderly women using the free meal service in Dong-gu, Gwangju city in Korea. The study was carried out from April to July 2009, and the pretest, application of nutrition education, and post-test were applied in each stage. This community-based nutrition intervention program consisted of snack supplement and nutrition education provided three times a week and 36 times in total. The nutrition education was led by the nutritionists and professionals using various educational media. Snack supplement included were milk, soymilk, carrot juice, bread, yogurt, and bananas. The result of pretest showed that the nutrient intakes of the subjects were much below the Recommended Nutrient Intake (RNI) level of Dietary Reference Intake for Koreans. Comparison of the dietary behavior score and nutrient intakes before and after the nutritional intervention program indicated that the food behavior score increased from 3.1 to 5.6 (P<0.001) and intake of energy, protein, carbohydrate, thiamin, niacin, vitamin C, iron, and potassium of the subjects all increased significantly (P<0.05). Mean Adequacy Ratio (MAR) of their nutrient intakes was also improved from 0.53 to 0.64 (P<0.01). These results indicated that the nutrition intervention program conducted in this study was effective in improving dietary behavior and nutrient intakes of elderly women in local community.

Development and validation of a nutrition literacy assessment tool for young adults (젊은 성인의 영양정보이해력 평가도구 개발 및 타당성 검증)

  • Ahn, Seokyoung;Kim, Bogyeong;Um, Mihyang;Park, Yookyung;Kye, Seunghee
    • Journal of Nutrition and Health
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    • v.53 no.2
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    • pp.175-189
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    • 2020
  • Purpose: This study was conducted to develop, validate, and assess the reliability of a questionnaire for nutritional literacy among young Korean adults. Methods: The draft questionnaire contained 65 items in 7 domains (i.e., dietary guideline, nutrition and health, nutrients, 5 food groups [food bicycle], nutrition labeling, portion size, and nutrition management for disease prevention). The authors developed a draft questionnaire based on a literature review. After multiple drafts, 52 items were retained and 13 were eliminated in the 7 domains according to professional advice from 5 nutrition experts. A panel of experts (n = 20) comprised of clinical dietitians and nutrition professors completed the content validity assessment, including quantitative and qualitative feedback. As the results, all items of the portion size were eliminated from the questionnaire. A sample of 211 young adults completed the test-retest reliability assessment. Test-retest reliability was evaluated using intra-class correlation coefficient (ICC) and inter-item reliability by Cronbach α coefficient. Results: The final questionnaire contained 30 items with 5 questions each on the dietary guideline, nutrition and health, nutrients, 5 food groups (food bicycle), nutrition labeling, and nutrition management for disease prevention. The Lawshe content validity ratio for domains ranged from 0.60 to 1.00. The ICC scores for questions ranged from 0.64 to 0.86. Cronbach's α for domains ranged from 0.83 to 0.90 and for the overall questionnaire was 0.87. Conclusion: The questionnaire showed strong content validity, test-retest reliability, and high inter-item reliability, indicating that it is a useful tool for assessing nutritional literacy of young adults.

Factors Affecting the Depression of the Elderly Women in Poverty (빈곤층 여성 노인의 우울에 미치는 영향요인)

  • Park, Eun-A;Lee, In-Sook
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.256-266
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    • 2009
  • Objectives: This study was to investigate the factors affecting the depression of the elderly women in poverty in community. Methods: The subjects were 1,208 elderly women over 65 years who were enrolled in the Public Health Care Center from Apr. 2008 to Jun. 2008. Data were collected using questionnaires including general characteristics, health related behaviors and health status by nurses at the time of enrollment. The collected data were analyzed by descriptive statistics, $x^2$-test, Pearson correlation coefficients and multivariate logistic regression. Results: The major findings of this study are as follows : The elderly women in poverty show a tendency to have lower level in income, education, self-rated health, cognitive function compared with ordinary women in old age. The predictors of depression of the elderly women in poverty were spouse's existence or nonexistence, type of insurance, cognitive function, and self-rated health. Conclusion: These findings suggest the need to develop nursing strategies for decreasing depression in the elderly women in poverty. To decrease the depression of the elderly women, the above-mentioned major influencing factors should be considered.

Factors Related to Allergic Rhinitis in Korean Adults (한국 성인의 알레르기 비염 관련요인)

  • Lee, Jaeyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.749-757
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    • 2018
  • This study was conducted to investigate the factors associated with allergic rhinitis in Korean adults. The investigation was based on secondary data analysis using the National Health and Nutrition Survey data. The subjects of this study were 5,841 adults aged 19 years or older who participated in the National Health and Nutrition Survey for the first year (2016). The collected data were analyzed by complex sample multiple logistic regression analysis using SPSS Statistics 24. The prevalence of allergic rhinitis was 15.4%. In addition, factors related to allergic rhinitis included gender, age, marital status, stress, depression, asthma and atopic dermatitis. The results of this study can be used as basic data for policy and interventions to prevent allergic rhinitis and manage symptoms.

Process evaluation of a mobile healthcare program among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement (과체중 및 비만 직장인 대상 모바일 건강관리 프로그램의 참여도에 따른 과정 평가: 12주 중재연구)

  • Imhuei Son;Jiyoun Hong;Young Hee Han;Bo Jeong Gong;Meng Yuan Zhang;Woori Na;Cheongmin Sohn;Taisun Hyun
    • Korean Journal of Community Nutrition
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    • v.28 no.6
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    • pp.466-479
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    • 2023
  • Objectives: A mobile health intervention program was provided for employees with overweight and obesity for 12 weeks, and a process evaluation was completed at the end of the program. We investigated participant engagement based on app usage data, and whether engagement was associated with the degree of satisfaction with the program. Methods: The program involved the use of a dietary coaching app and a wearable device for monitoring physical activity and body composition. A total of 235 employees participated in the program. App usage data were collected from a mobile platform, and a questionnaire survey on process evaluation and needs assessment was conducted during the post-test. Results: The engagement level of the participants decreased over time. Participants in their 40s, high school graduates or lower education, and manufacturing workers showed higher engagement than other age groups, college graduates, and office workers, respectively. The overall satisfaction score was 3.6 out of 5. When participants were categorized into three groups according to their engagement level, the upper group was more satisfied than the lower group. A total of 71.5% of participants answered that they wanted to rejoin or recommend the program, and 71.9% answered that the program was helpful in improving their dietary habits. The most helpful components in the program were diet records and a 1:1 chat with the dietary coach from the dietary coaching app. The barriers to improving dietary habits included company dinners, special occasions, lack of time, and eating out. The workplace dietary management programs were recognized as necessary with a need score of 3.9 out of 5. Conclusions: Participants were generally satisfied with the mobile health intervention program, particularly highly engaged participants. Feedback from a dietary coach was an important factor in increasing satisfaction.

Comparable Influencing Factors for Quality of Health-Life in Osteoarthritis Patients in Urban and Rural Areas (도시와 농촌의 골관절염 환자의 건강관련 삶의 질에 영향을 미치는 융합적 요인 비교)

  • Song, Hye Young;Park, Min Hee
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.311-323
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    • 2017
  • The purpose of this study is to compare factors influencing the quality of life of osteoarthritis patients in urban and rural areas. The data were derived from the sixth Korea national health and nutrition examination survey in 2014 and analyzed using the IBM SPSS Statistics version 21.0 software package considering complex samples analysis. The subjects of study were 599 adults with osteoarthritis over 50 years. The results of the study show that the factors affecting the urban patients' quality of life are healthcare coverage types, knee joint pain, knee ankylosis, hip joint pain, low back pain, limited activities, and subjective health status. The rural patients' quality of life are influenced by knee joint pain, limited activities, and alcohol consumptions. Therefore, the government should create differentiating strategies and approaches, including community rehabilitation programs, to improve the quality of life of urban and rural patients with osteoarthritis.

Evaluation of the sodium intake reduction plan for a local government and evidence-based reestablishment of objectives: Case of the Seoul Metropolitan Government (지자체의 나트륨 섭취 감소 계획 평가 및 근거 기반 목표 재설정 : 서울시 사례를 중심으로)

  • Lim, A-Hyun;Hwang, Ji-Yun;Kim, Kirang
    • Journal of Nutrition and Health
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    • v.50 no.6
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    • pp.664-678
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    • 2017
  • Purpose: To identify the effectiveness of policy evaluation, consistent monitoring is necessary. This study aimed to carry out mid-term evaluation of objectives and programs related to comprehensive plans for sodium intake reduction by 2020 for Seoul city and then reestablish the objectives of the sodium intake reduction plans. Methods: Literature reviews, data analysis, and reviews of expert focus-groups were performed to evaluate objectives, to develop a new goal, and to identify the priority subjects of the sodium intake reduction programs. In order to examine target populations for the programs, awareness and behaviors related to sodium intakes among Seoul citizens were examined by sex, age, and income level using the 2008~2013 Korea National Health and Nutrition Examination Survey data. Results: Current objectives of the sodium intake reduction plan by 2020 for Seoul city were not appropriate, so objectives were reset to 3,600 mg of sodium intake by 2020 among Seoul citizens with 2% reduction per year. Although sodium intake showed a decreasing trend by year, it was still high, especially in men. The sodium intake reduction programs currently in progress have not been assessed at multiple levels across multiple sectors and have only been assessed fragmentarily. For dietary behavior related to sodium intakes by sex, age, and income level, sodium intake was higher in the group with less than 100 g of fruit intake compared to the group with 100 g or more. Subjects aged 30~59 years and the low household income group showed relatively higher sodium intakes. Based on the data analysis and the expert review, the priority subject of the sodium intake reduction programs was determined to be adult men. In terms of a program strategy for sodium intake reduction, multi-level and setting approaches, including work sites, home, and restaurants, were suggested to reduce sodium intakes of the target subject. Conclusion: The suggested objectives should be consistently monitored by data analysis, and the determined programs need to be phased in over 5 years.