• Title/Summary/Keyword: 자가관리프로그램

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Effects of Fall Prevention Program applying HSEP on Physical Balance and Gait, Leg Strength, Fear of Falling and Falls Efficacy of Community-dwelling Elderly (HSEP를 적용한 낙상예방프로그램이 재가노인의 신체균형과 보행, 하지근력, 낙상공포 및 낙상효능감에 미치는 효과)

  • Yoo, In-Young
    • 한국노년학
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    • v.29 no.1
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    • pp.259-273
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    • 2009
  • Purpose: This research was conducted to determine the effects of a multifactorial fall prevention program applying HSEP(Home Support Exercise Program) on physical balance and gait, leg strength, fear of falling and falls efficacy of the community-dwelling elderly. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 20 subjects in the experimental group and 21 in the control group. The fall prevention program consists of HSEP and fall related education. The intervention was performed for once a week in the senior citizen center and twice a week at home for 8 weeks. Results: There were significant differences in physical balance and gait, leg strength(hip extensor, hip flexor, knee flexor, ankle plantarflexor, ankle dorsiflexor) and falls efficacy between the experimental group and control group. Conclusion : The fall prevention program applying HSEP used in this study was very effective in increasing physical balance and gait, leg strength and falls efficacy. Finally this study would recommended that a fall prevention program applying HSEP should be extended to community facilities such as elderly welfare center and nursing home.

Analysis of Sustainable Management Factors in County Parks Based on the Sustainability Evaluation Framework of Korea Nature Parks - Focus on the 11 County Parks in Gyeongsangnam-do - (자연공원 지속가능성평가에 기반한 군립공원 지속가능성 영향요인 분석 - 경남권역 11개소 군립공원을 대상으로 -)

  • Hong, Sukhwan;Ahn, Rosa;Tian, Wanting;Heo, Hagyoung;Pak, Junhou
    • Journal of the Korean Institute of Landscape Architecture
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    • v.48 no.3
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    • pp.12-21
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    • 2020
  • This study aims to implement the Sustainability Evaluation Framework of Korea Natural Parks to county parks in Gyeongsangnam-do, and to review the performance status of management effectiveness evaluation (MEE) and identify factors that influence the improvement of management effectiveness in protected areas. County park officers evaluated current management using this framework that was developed based on the MEE framework designed by the Korean Ministry of Environment. Among the principal values of county parks, 'natural and ecological' is indicated as the most important, followed by 'cultural and historic value' and 'leisure and recreation'. Natural disasters and climate change, visitor impact-inappropriate visitor behavior are indicated as current threats, and three county parks administrators viewed that there was no particular threat to their park. According to MEE results, the most effective management fields were 'State of cultural and historic value', 'State of leisure and recreational value', 'Current state of principal value'. The comparatively weaker fields were 'Threatened species management', 'Invasive species management', 'Management monitoring and evaluation'. The effects of sustainable management on county parks were analyzed through a regression analysis, and the influence of management factors reveal 'Annual budget', will impact attaining higher management scores. This study presents the current management information about county parks and provides support for the basis for the planning of county parks in Korea, suggesting the influencing factor.

Development and Evaluation of a Community Staged Education Program for the Cardiocerebrovascular Disease High-risk Patients (심뇌혈관질환 고위험군을 위한 지역사회 단계별 교육프로그램 개발 및 효과 평가)

  • Lee, Hye-Jin;Lee, Jung-Jeung;Hwang, Tae-Yoon;Kam, Sin
    • Journal of agricultural medicine and community health
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    • v.37 no.3
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    • pp.167-180
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    • 2012
  • Objective: This study was conducted to evaluate an education program for cardiocerebrovascular high-risk patients. Methods: This program was developed according to Tyler's model for curriculum development. To evaluate the effects of this program, we measured clinical outcome change (weight, waist circumference, systolic blood pressure, diastolic blood pressure) and behavior change stages (checking blood pressure, blood sugar levels, doing physical activity, consistent maintenance of food intake, eating low amounts of salt, abstention from tobacco and alcohol) before and 4 weeks after participation in the education program. The group of subjects consisted of High-risk group patients who attended basic program(32 patients), and staged program(37 patients) during KHyDDI meetings from Oct. 2009 to May 2010. Results: The staged educational program was developed three aspects(disease, nutrition and exercise)and three stages(basic, in-depth and individual education). In the staged education program, the evaluations were made by measuring clinical outcome and stage of behavior before and after education. Significant differences were found in waist circumference, systolic blood pressure, diastolic blood pressure, consistent maintenance of food intake(p<0.05), and eating low salt(p<0.001)and their self efficacy. Conclusion: In the practice-oriented staged education program, significant differences were found in the clinical outcomes and stage of behavior before and after education. Possible limitations of the study include the small number of participating subjects and the short follow-up management period, but the results indicate that continued application of this program could contribute to the prevention of cardiocerebrovascular diseases for the elderly patients with long periods of chronic diseases.

A study on improvement for national examination of dental hygienists in Korea (현행 치과위생사 국가시험 개선에 관한 조사)

  • Nam, Young-Ok;Jang, Sun-Hee;Kim, Seon-Yeong
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.2
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    • pp.425-440
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    • 2010
  • 목적 : 현재 우리 사회는 건강증진에 대한 욕구가 증가함에 따라 보건의료에서 질적 서비스향상이 요구되고 있고, 구강진료를 분담하는 치과위생사들도 보다 전문적인 역할을 수행하기 위해서는 지식과 기술의 수준향상이 필요하다. 이에 치과위생사의 질적 수준을 향상시키는 데 가장 빠르고 효과적인 방법이 국가시험제도이며 국가시험에서의 타당성과 신뢰성을 높이고 필요한 과목과 내용을 직무를 중심으로 조정한다면 가장 좋은 방법이라고 사료되어 현행 우리나라 치과위생사 국가시험제도에 따른 문제점을 파악하고 캐나다 국가시험 제도와의 비교를 통해 문제점을 분석하고 이에 따른 개선책을 알아보았다. 방법 : 전국 치과위생사 교육기관에 근무하는 교수와 의료기관에 종사하는 치과위생사 중에서 최근 국가시험 응시경험자를 대상으로 2008년 6월 9일부터 6월 23일까지 설문조사를 실시하였으며 E-mail 과 Fax를 이용하였다. 캐나다 국가시험제도는 National Dental Examinations American Dental Association. National Board Dental Hygiene Examination Candidate Guide자료를 사용하여 비교하였다. 자료의 분석은 SPSS통계프로그램(Version 11.0)을 이용, Chi-square 검정을 하였으며, Fisher's Exact Test에 의한 검정을 실시하였다. 결과 : 1. 국가시험과목구성은 현행 국가시험과목구성에 문제가 있는 것으로 사료되어 과목조정 필요성이 큰 것으로 나타났고, 특히 대학근무자가, 나이가 많을수록, 재직기간이 길수록 더 높았다. 2. 국가시험 문제의 유형은 암기해석 문제가 대부분이었고 난이도는 비교적 양호하였으며, 전문성도 있는 것으로 조사되었다. 3. 과목조정 필요성은 구강생물학개론, 치과임상학 순으로 상대적으로 높았다. 캐나다 국가시험과 비교해 보면 치과임상학과 구강위생학개론 분야의 조정이 더욱 필요한 것으로 나타났다. 4. 한국과 캐나다의 국가시험제도는 형식은 비슷하나 내용과 과목의 구성에서는 큰 차이가 있었다. 5. 캐나다의 국가시험과 비교 시 한국은 치과위생사의 포괄적인 치과위생관리능력을 평가하기 어려웠다. 결론 : 이상의 결과로 보면 현행 국가시험은 과목 구성이 부적절하므로 조정의 필요성이 시급한 것으로 조사되었으며, 캐나다 국가시험과는 과목구성에서 큰 차이가 있었고 치과위생사에게 요구되는 포괄적 치과위생관리능력을 평가할 수 없는 것으로 조사되어 현행 국가시험 개선이 요구되었다.

Development of Real Time Smart Structure Monitoring System for Bridge Safety Maintenance using Sensor Network (센서 네트워크 기반 실시간 교량 안전관리를 위한 지능형 구조 건전성 모니터링시스템 개발)

  • Jo, Byung-Wan;Kim, Heon;Lee, Yun-Sung;Kim, Do-Keun
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.221-230
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    • 2016
  • As structures' long term performances and users' safety have been highlighted, a new maintenance technique using IT has drawn attention around the globe. Therefore, throughout the paper, by analyzing bridge's static and dynamic data using wireless measuring sensor, a "real time smart bridge monitoring system" has developed. Smart bridge monitoring system is consists of three main parts a sensor that can measure major members' movement, a wireless system that informs the data from the sensor, and the database system that analysis the data. In order to test the performance of the system, five different were placed on the Olympic Bridge, Seoul. The power system of the sensors was replaced by self-sustain solar energy system. In order to validate data from the real time smart bridge monitoring system, the data was collected for a week from both wireless system and the wired system and the two data were compared to see the relevance.

A Convergence Study about the Performance of Healthcare-Associated Infection Control Guidelines of Hospital Nurses-based on the Theory of Planned Behavior (병원간호사의 의료관련감염 관리지침 수행에 관한 융합연구-계획된 행위이론(TPB) 기반)

  • Moon, Jeong-Eun;Song, Mi-Ok
    • Journal of the Korea Convergence Society
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    • v.8 no.5
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    • pp.117-125
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    • 2017
  • This is a convergence study to present strategies for performance enhancement by verifying the causal relationship between the influencing factor on the performance of the healthcare-associated infection control guidelines in hospital nurses. Participants were 388 nurses recruited from 16 different tertiary and general hospitals in Korea. Data collection was conducted using self-report questionnaires and analyzed using SPSS 21.0 and AMOS 21.0 programs. The overall fitness was ${\chi}^2=99.64$ (df=14, p<.01), GFI=.94, RMSEA=.10, NFI=.84, CFI=.90. The explanatory power of predictive variables on intention were 23.8%, and those on behavior were 17.7%. As a result of this study, it was found that TPB is an appropriate theory to explain the performance of healthcare-associated infection control guidelines, and repeated studies including multi-level modeling of career experience and organizational influences on behavior with strong social characteristics are needed.

Type of Coping with Stress of Nursing Students (간호학과 학생의 스트레스 대처 양상)

  • Kim, Yun-Jeong
    • Journal of the Korea Convergence Society
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    • v.5 no.3
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    • pp.29-39
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    • 2014
  • This study designed to know subjective structure about type of coping with stress of nursing students using Q-methodology. The statement positions on the sorting continuum were scored from +4(representing the highest level of agreement) through 0(at the neutral position on the continuum) through -4(representing the highest level of disagreement). Factor analysis of the data was undertaken using PC QUANL software to determine if any patterns were discernible. The four types extracted eigenvalues greater than 1.0 and explained approximately 52.14% of the variation in responses(31.73, 10.13, 5.73 and 4.65% respectively).: (1) Positive resolve type, (2) Ignore problem type, (3) Self resolution type and (4) Conversation type. The study results can be utilized in both an effective nursing education and clinical practice.

Sports Injuries in Athletes with Disabilities (장애인선수들의 스포츠상해에 관한 연구)

  • Bogja, Jeoung
    • 재활복지
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    • v.21 no.4
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    • pp.59-75
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    • 2017
  • The purpose of this study was to analyze sports injuries in athletes with disabilities during the 2015 National Games in Korea. We conducted a survey to assess sport injuries in 171 male athletes with disabilities who participated in this study. The shoulder was most frequently injured, followed by the fingers and low back. Contusions were the most common type of injury, and were usually caused by collisions with teammates or contact with equipment. Injuries often occur during enthusiastic play in both competition and practice sessions. Injured athletes are emergently treated with medicated spray and patch application by the head coach. Warm-up and cool-down exercises are recommended to prevent injury, and physical therapy is effective after an injury occurs. Based on these findings, an injury prevention training program and athletic trainers should be provided for athletes with disabilities to ensure appropriate care and rehabilitation.

The Effects of a Foot-Reflex-Massage Education Program on Foot Care in Diabetic Patients (발반사요법 교육프로그램이 당뇨병 환자의 발관리에 미치는 효과)

  • 이영희
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.633-642
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    • 2003
  • Purpose: This study was conducted to evaluate the effects of foot care education program using foot-reflexo-massage in diabetic patients. Method: A convenience sample of non-equivalent control group time series design was used. It provided foot care education to diabetic patients through small book for both group. For the experimental group, foot-reflexo-massage was taught by a researcher and research assistants. Analysis was done by Repeated Measured ANOVA. Result: There was significant increase in foot care knowledge, self care behavior, between the experimental group and the control group over three different times. There was significant in skin temperature and pulse of foot over three different times and interaction by groups or over time, but there was no significant difference between groups. There was no significant difference in blood flow volume and capillary filling time over three different times, between groups, but there was interaction by groups or over time. But there was significant difference in discrimination in change of dosalis pedis artery blood flow. Conclusion: Findings indicate that this study may contribute to develop nursing intervention for foot care of diabetic patients.

Effects of Peer Mentoring Program on the Health Conservation in Elderly Women with Osteoarthritis (동료멘토링 프로그램이 골관절염 여성노인의 건강보존에 미치는 효과)

  • Nam, Jiran;Sung, Kiwol
    • Research in Community and Public Health Nursing
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    • v.28 no.3
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    • pp.227-239
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of peer mentoring program on physical activity, knee joint function, self-care agency and social support, which are health conservation elements in elderly women with osteoarthritis. Methods: This study used a quasi-experimental research design. It is a pretest-and-post 1, post 2 test design of a non-equivalent control group. The subjects were elderly women aged over 65 who were diagnosed with osteoarthritis. A total of 60 patients (experimental group 30, control group 30) who registered with the Senior Welfare Center in City G and in Region D participated in this study. The data were collected from June 29th to September 4th, 2015. The collected data were analyzed with $x^2$ test, Fisher's exact test, independent t-test and repeated measurement ANOVA. Results: The experimental group showed a greater increase in physical activity, knee joint function, self-care agency and social support than the control group. Conclusion: The results indicated that the peer mentoring program is effective in increasing physical activity, knee joint function, self-care agency and social support of elderly women with osteoarthritis.