• 대한간호학회지
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• 제36권3호
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• pp.551-560
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• 2006

Purpose: This study was to develop and prove the effects of aself management compliance promotion program for primary hypertension patients who reside in rural communities. Method: The content of the self management compliance promotion program developed by this study was as follows: A leader trains patients as a group or individually, in walking, education and green tea therapy from the first to twelfth week. From the thirteenth to twenty fourth week, the patients should perform walking and green tea therapy by themselves. One hundred twenty subjects volunteered to participate in the study, who were among those registered as hypertension patients in the 14 community health clinics located in Chungcheongbuk-do. Result: Systolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, triglyceride, step width, and degree of obesity decreased significantly. High-density lipoprotein cholesterol, step length, knowledge of hypertension, and self management compliance significantly increased, Conclusion: A self management compliance promotion program for primary hypertensive patients enhances biophysical index and knowledge on hypertension, thus ultimately suggesting a nursing intervention for promoting self management compliance.

• 한국조경학회지
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• 제42권2호
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• pp.19-32
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• 2014

본 연구는 도시공원의 관리운영을 위한 민간기금 조성측면에서 부산시 APEC기념공원을 대상으로 가상평가법(Contingent Valuation Method: CVM)을 이용하여, 쾌적한 도시공원 유지를 위한 거주민이 인식하는 경제적 가치를 평가했다. 그 결과, 부산시 APEC기념공원의 관리운영을 위해 월 가구당 지불 가능한 추정금액은 5,673원에서 8,358원으로 평가되었다. 추정금액을 공원 유치권역의 가구로 확대하여 살펴보면, 2012년 편성된 공원 관리예산의 2.2~3.3배 수준으로 분석되어, 지역 거주민들이 인식하는 쾌적한 공원 유지를 위해 지불의사금액이 편성된 관리예산보다 높은 것으로 나타났다. 그리고 도시공원의 관리운영을 위한 지불의사금액에 영향을 주는 응답자의 사회적 요인으로는 연령, 교육수준, 소득으로 분석되었으며, 연령대가 높고, 교육수준이 높은 응답자에서 지불의사가 높은 것으로 평가되었다. 또한, 거주민의 공원이용 및 인식에 따라 도시공원 관리운영을 위한 지불의사금액에 많은 영향을 미치고 있는 것으로 나타났다. 특히 공원이용 빈도가 높은 거주민이 지불의사가 높으며, 주1회 이상 공원이용자가 전체 지불의사금액보다 1.1배 높은 추정금액으로 평가되었다. 그리고 공원의 필요성을 인식하는 것보다 공원을 만족하는 것이 더 높은 지불의사금액으로 이어지는 것을 밝혀냈다. 따라서 공원 만족도 제고를 위한 공원시설관리 및 이용프로그램 운영이 필요하며, 공원에 대한 인식을 기부로 연결할 수 있는 공원문화 보급정책이 필요하다고 판단된다.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.239-246
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• 2016

Purpose: The purpose of this study was to investigate the effect of denture care skills education program on denture self-care, denture satisfaction and subjective oral status among the elderly. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Total 61 elderly who visited a seniors center, Seoul, Korea, participated in this study. Participants were 31 elderly for the experimental group and 30 elderly for the control group. The experimental group received a lesson in denture care skills education program which was developed by the researchers. Using a structural questionnaire, the elderly's perception about denture self-care, denture satisfaction and subjective oral status were measured before and after the intervention. Descriptive statistics, independent t-test, chi-square test, and ANCOVA test were performed using SPSS WIN 21.0. Results: The experimental group showed significantly higher scores in denture satisfaction(p<.001), QOL of oral health(<.001), concern for oral health(p=.005), subjective oral health status(p<.001), bad breath(p=.010), oral dryness(p<.001) and number of denture clearing(p<.001). Conclusion: The results suggest that the denture care skills education program for elderly at a senior center was effective. Further work is required to develop more effective denture care skills education programs and an oral health promotion program to improve the health status of the elderly.

• 대한예방한의학회지
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• 제21권2호
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• pp.105-116
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• 2017

Objectives : The purpose of this study was to investigate the effects of Korean medicine based arthritis management program for community dwelling elderly women with osteoarthritis. Methods : A Nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to a experimental group(n = 29) or a control group (n = 30). The Korean medicine based arthritis management program conducted for 12 weeks, 2 times a week. Study outcomes were measured by structured questionnaires from April, 2016 to July. For data analysis, independent t-test, Mann-Whitney U test and ANCOVA were performed using SPSS version 21.0. Results : Pain, stiffness, balance, strength of lower extremity, and self care activity were significant difference between the two groups in pretest and posttest(F = 8.23, p = 006), (F = 9.13, p = .004), (F = 5.74, p = .020), (F = 4.98, p = .030), (F = 8.47, p = .005). Conclusions : The Korean medicine based arthritis management program was effective on decreasing joint pain, stiffness, and increasing balance, strength of lower extremity and self care activity of community dwelling elderly women with osteoarthritis. This program was found to be useful in alleviating and managing joint symptoms of elderly women with osteoarthritis.

• 디지털융복합연구
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• 제14권12호
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• pp.537-544
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• 2016

본 연구의 목적은 기초 수급자들을 대상으로 실시하고 있는 노인들의 불소도포 및 스켈링 사업을 통하여 그들의 구강건강 상태와 구강건강 관련 행태를 살펴보고 잔존 치아 수와의 관련성에 대하여 조사하고자 한다. 65세이상 기초 수급자 노인 660명을 대상으로 자기기입식 설문조사를 시행하였고, 구강검진을 통하여 틀니사용 유무와 잔존 치아 수 등을 조사하였다. 연령이 증가함에 따라 잔존 치아 수는 줄어들었으며, 성별, 연령, 구강위생용품의 사용, 자가 구강상태 진단, 점심 식사 후 칫솔질 유무에 따라서 잔존 치아 수에 차이가 나타났고 통계적으로도 유의하였다(p<0.05). 잔존 치아 수는 대상자 개인의 구강 예방에 대한 관심과 노력으로 예방이 가능하다. 따라서 노인들의 구강건강 행태가 잔존 치아 수에 미치는 융복합적 용인을 샆펴보고, 취약계층에 대한 예방 진료의 확대와 보건관리의 제공을 유지하기 위한 구강관리 프로그램이 지속적으로 제공되었으면 한다.

• 대한지역사회영양학회지
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• 제16권1호
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• pp.155-168
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• 2011

This study was conducted to assess needs of self-management nutrition program for diabetic patients. The survey was conducted among 100 diabetic patients, and the mean age of the subjects was 54.2 years old. Thirty three percent of the subjects were diagnosed diabetes less than 2 years ago. The average nutrition knowledge score about diabetes was 10.2 point, and percentages of correct answers were very high in 'foods rich in fiber' (97.0%), 'relevance of exercise and insulin' (97.0%), 'quantity of insulin injection' (91.0%), and 'diabetes menu' (91.0%). The sources of nutrition information were hospitals/healthcare centers (56.1%), TV/radio (19.2%), and internet (13.1%). Sixty nine percent of the subjects have experienced nutrition education on subjects as 'menu planning skills'(22.4%), 'selecting foods' (22.4%), 'relevance of blood glucose and eating foods' (21.5%) by personal counseling (54.4%). The total score of eating behavior was higher after diagnosed diabetes (35.3) than before (30.0) (p < 0.001). The preferred topics in developing diabetes nutrition information websites were 'diabetes mellitus', 'relevance of blood glucose and foods', and 'selecting foods for diabetes'. The subjects wanted the websites developed by 'using mainly illustrations, pictures, tables' (22.8%) and 'using simple design' (19.6%). The preferred contents in developing diabetes self-management nutrition program were 'dietary life diagnosis', 'chronic disease risk diagnosis', 'calorie control by selecting foods and cooking skills', and 'dietary assessment'. In designing the program, the subjects' most wanted designs were 'be handy and simple in using' (29.3%), 'using simple design' (17.9%), and 'using mainly illustrations, pictures, tables' (15.7%).

• 디지털융복합연구
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• 제17권2호
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• pp.255-264
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• 2019

본 연구는 간호사의 비판적 사고 및 간호근무환경과 임상적 의사결정의 관련성을 확인하고 임상적 의사결정에 미치는 관련요인을 확인하기 위한 서술적 조사연구이다. 대상자는 서울시내 일개 상급 종합병원에서 근무하는 간호사 261명으로 자가보고식 설문지를 이용하여 자료수집 하였다. 자료분석은 SPSS 21.0 프로그램으로 기술적 통계, independent t-test, one-way ANOVA, Pearson's correlation coefficients, 위계적 회귀분석을 시행하였다. 임상적 의사결정은 연령, 학력, 직위, 교대근무, 임상경력에 따라 통계적으로 유의한 차이를 보였다. 임상적 의사결정은 비판적 사고 및 간호근무환경과 정의 상관 관계를 보였다. 임상적 의사결정에 대해 영향을 미치는 요인은 직위, 비판적 사고 중 임상적 의사결정, 간호근무환경 중 양질의 간호를 위한 기반 및 인적 물적 자원의 적절성으로 이를 통해 임상적 의사결정의 35.8%를 설명하였다. 그러므로 비판적 사고 향상과 더불어 간호의 전문성 향상을 위한 질 관리, 효과적 인적 물적 자원 관리를 위한 행정지원은 간호사의 임상적 의사결정능력을 향상시킨다.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.405-415
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• 2019

본 연구는 여대생의 지각된 스트레스와 자아탄력성, 월경전증후군 간의 관계를 파악하고, 월경전증후군에 영향을 미치는 요인을 확인하고자 시도되었다. 연구대상자는 경기도에 소재한 1개 대학교의 여대생 215명이며, 자료수집은 자가보고식 설문지를 이용하여 2017년 10월 10일부터 11월 10일까지 시행하였다. 수집된 자료는 기술통계, 상관관계 및 다중회귀분석으로 분석하였다. 대상자의 월경전증후군은 지각된 스트레스(r=.537, p<.001)와는 정적 상관관계, 자아탄력성(r=-.315, p<.001)과는 부적 상관관계가 있었다. 대상자의 월경전증후군에 유의한 영향을 미치는 요인은 식사습관(${\beta}=.123$, p=.031), 월경으로 인한 일상생활 지장 정도(${\beta}=.232$, p=.001), 지각된 스트레스(${\beta}=.441$, p=<.001)로 44.4%의 설명력을 보였다. 이상의 결과를 토대로 여대생의 월경전증후군을 완화하기 위해서는 월경증상관리를 위한 노력과 더불어 심리적 요인과 식생활을 포함한 생활습관 개선을 통합하는 관리프로그램을 개발하고 체계적으로 적용하는 방안을 모색해야 하겠다.

• 대한간호학회지
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• 제48권6호
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• pp.669-678
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• 2018

Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

• 한국직업건강간호학회지
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• 제30권3호
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• pp.120-131
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• 2021

Purpose: This study aimed to compare the effects of an 8 week, self-managed, app-based and poster-based stretching program on musculoskeletal symptoms, flexibility, stretching frequency, self-efficacy, social support, and musculoskeletal disorder knowledge in small manufacturing business workers. Methods: This was a cluster randomized, two-group pretest-posttest design. Workers were assigned to either an app-based (n=20) or a poster-based (n=25) stretching intervention. Both groups received an educational class. The app group also received mobile phone text messages and an app with stretching videos, stretching alarms, stretching records, and information on musculoskeletal disorders. The poster group received workplace stretching posters. Data were collected from April to September 2018 and analyzed with the 𝑥² test, paired t-test, and independent t-test. Results: There was only a significant difference in social support. Significant increase in flexibility and musculoskeletal symptoms were noted for both groups, but social support and musculoskeletal disorder knowledge were significantly changed only in the poster group. More than half of the workers practiced stretching at least 3 times a week. Conclusion: The 8 week, self-managed, workplace stretching program was effective to increase flexibility and stretching frequency to at least 3 times a week. However, effective interventions for musculoskeletal symptoms could not be identified.