• 한국보건간호학회지
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• 제11권2호
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• pp.38-56
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• 1997

A great deal of attention has been paid to the quality of life in citizens due to the increased number of long term life expectancy. reported as effective in the health promotion of the senior citizens. In this study, the principal investigator developed an exercise program for the senior citizens, which could be educated and managed by nursing staff. This kind approach may support the need of exercise program on regular base via the social organization, which may mean the intentional change of life style. The exercise program consisted of exercise, health education, and a direct the population of the senior A regularexercise has been nursing care. A quasi -experimental study was conducted to investigate the effects of excercise program on health of the elderly in senior citizen's center. Independent variable was a 9 weeks exercise program. Dependent variables were: 1) physical health [e.g. physical fitness(cardiopulmonary endurance, back muscle strength, grip strength, muscular tolerance, flexibility and body fat proportion), physiologic parameters(blood pressure, pulse, respiration. and blood glucose), and perceived physical health status; 2) mental health measured by depression score; and 3) cognitive perception of exercise measured by usefulness and self-efficacy. A total of 37 subjects was randomly assigned into either the control group (without the exercise program: n=18) or the intervention group(with the exercise program: n=19). The results of the study analyzed using a SAS, were as follows: 1) In physical fitness of physical health, there was a significant improvement in cardiopulmonary tolerance. back muscle strength. muscular tolerance and flexibility in the intervention group, compared to the control group, while no difference in grip strength and body fat proportion. The exercise program resulted in decreases in blood pressure, pulse, respiration and blood glucose within normal range and improvement of perceived physical health status in the intervention group. 2) There was a slight increase of mental health(depression score) in the intervention group compared to the control group. but without statistical significance. 3) There was a significant improvement in cognitive perception of exercise(e.g. usefulness and self -efficacy) in the intervention group, compared to the control group. It was concluded that the exercise program employed in this study was appropriate for women senior citizens and had a positive effect on health in general.

• Journal of Nutrition and Health
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• 제35권1호
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• pp.124-136
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• 2002

As the elderly population has increased in recent years in Korea chronic degenerative diseases prevalent in the aged have garnered attention in relation to food behavior. In general, dietary intakes of elderly Koreans were inadequate in quality as well as in quantity. Especially, intakes of Ca, vitamin A, and riboflavin along with total energy were insufficient. They tended to consume high carbohydrate and low fat energy rates which may be resulted from long standing vegetable-based flood patterns. Relationships between dietary intakes and indices of cardiovascular diseases revealed that blood pressures and serum lipids patterns tended to be poor in individuals having high abdominal fat accumulations which seemed to be related with dietary consumption of high carbohydrate and insufficient intake of many nutrients. These results suggested that a nutritionally balanced diet including animal sources floods is needed in order to prevent an abdominal obesity and cardiovascular diseases. The bone health status of the Korean elderly appeared poor. It was more serious in women recording a higher prevalence rate of osteopenia and osteoporosis than in men. There were strong associations between dietary factors and bone health status. Bone mineral density was found to be higher with higher intakes of protein energy rate, the total amount of feeds, and many nutrients including Ca and p, indicating that a good quality diet is essential in maintaining healthy bone status in later life. mental health condition of the elderly as measured by cognitive function and the degree of depression was also inadequate and had strong association with dietary consumption. The positive results were obtained in individuals having an adequate dict. Therefore, it could be summarized that the physical as well as mental health in elderly Koreans are highly related with their dietary patterns. Thus, the older adults need te consume nutritionally well balanced diet in sufficient amount, which contains various flood items including significant amounts of animal source floods in a daily diet in order to maintain healthy condition.

• 디지털융복합연구
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• 제18권5호
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• pp.505-512
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• 2020

본 연구는 S시 25개 자치구에 소재하는 치매안심센터 서비스에 대해 치매노인의 이용만족도를 조사함으로써 새로운 정책이 효과적으로 운영되고 있는지에 대한 기초자료를 제공하기 위한 것이다. 절차는 2019년 7월 1일부터 9월 30일까지 치매안심센터를 이용하는 217명의 치매노인에게 설문지를 통한 자가기입식 설문조사이다. 이용만족도 도구는 일직선 양끝에 부정-긍정표현을 표시한 도표평점척도이다. 연구결과, 이용만족도는 기관 신뢰가 불신보다(t=9.74, p<.001), 치매진단은 인지장애가 치매보다(t=0.13, p=.034), 우울은 경증이 중증에 비해(t=2.31, p=.022) 유의하게 높았다. 로지스틱 회귀분석으로 분석한 만족도 비(比)는 성별, 연령, 교육, 걷기 요인에서 유의한 차이를 보였다. 결론적으로 새로 도입된 치매안심센터의 만족도 개선을 위해 이용자의 특성을 고려한 건강지원 프로그램을 운영하는 것이 중요하다.

• 대한영양사협회학술지
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• 제25권4호
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• pp.237-256
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• 2019

The purpose of this study was to verify whether Mediterranean diet, which proved to have a significant effect on preventing dementia for people aged 65 or older, could be well modified to be a Korean-style Mediterranean diet. This study was performed as a randomized-controlled trial for 6 weeks. Functional physical changes, cognitive scores, depression scores and dietary changes were all assessed. The walking speed (P<0.001) and the cognitive scores were statistically improved in only the experimental group (P<0.001), and the depression scores were also significantly improved in only the experimental group (P<0.01). The dietary intake showed a 30% improvement for consuming more than 7 cups per day of vegetables and fruits. When the participants were contacted four months after the end of the study, 90% of them said that the Korean-style Mediterranean diet was feasible and 100% said the nutrition interventions helped them maintain the diet during their daily lives. The results suggest that although the Mediterranean diet can be difficult to apply, any limitations of this healthy diet can be overcome.

• 인간식물환경학회지
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• 제22권5호
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• pp.489-503
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• 2019

This study aimed to analyze the preference of subfertile women for forest therapy programs depending on their emotional characteristics, and to provide basic data for the development of forest therapy programs in order to promote the mental health of subfertile women. Among the surveyed emotional characteristics of subfertile women, the level of emotions including pressure to become pregnant, impatience and frustration were high, while that of emotions including anxiety and fear; depression, hopelessness, helplessness, loneliness and sadness tended to be medium. The level of emotions including shame and guilt tended to be low. The top six forest therapy programs preferred by subfertile women include a deep breath of air /phytoncide, forest bathing/wind bathing/sun bathing, self-esteem recovery program, eating organic foods, low body bathing/foot bathing/hot spring bathing, and breathing/breathing exercises. Subfertile women highly pressured to become pregnant showed significant differences in the preference of the self-esteem recovery program, Domar 's relaxation therapy, NLP therapy, and sleeping in the woods, while women with anxiety and fear showed significant differences in the preference of walking barefoot in forests, mountain walking in silence, listening to water sounds/ hand and foot soak, self-esteem recovery program, NLP therapy, cognitive behavior therapy, aroma therapy, integrated art therapy in forests, forest bathing/wind bathing/sunbathing, a deep breath of air/phytoncide, and observing stars. Women with depression, hopelessness, helplessness, loneliness, and sadness showed significant differences in eating organic foods, self-esteem recovery program, counseling/coaching, and cognitive behavior therapy. The significance of this study was to analyze the preference of subfertile women, as subjects, for forest therapy program. The results of this study are expected to be used as basis data for developing forest therapy programs for subfertile women.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.47.1-47.14
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• 2023

Background: This study aimed to examine the impact of chronotype on depressive symptoms and explore the mediating effects of sleep quality, pre-sleep cognitive arousal, and social jetlag in a sample of wage earners. Methods: A total of 3,917 waged workers were surveyed online in July 2022. Logistic regression and mediation analysis were used to assess the relationship between chronotype (morningness, intermediate, and eveningness) and depressive symptoms (Patient Health Questionnaire ≥ 5), and the mediating effects of Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Pre-Sleep Arousal Scale (PSAS). All analyses were adjusted for age, education level, income level, marital status, coffee consumption, alcohol consumption, physical activity, occupation, employment status, and working hours to calculate odds ratios (ORs). Results: The chronotypes of all the participants were divided into morningness (4.7%), intermediate (93.5%), and eveningness (1.8%). Multiple logistic regression analysis showed an increased risk of depression in the eveningness chronotype (OR: 2.96; 95% confidence interval [CI]: 1.51, 5.86). Regarding the mediation analysis, ISI mediated 28.44% (95% CI: 16.39-40.5), PSQI for 31.25% (95% CI: 19.36, 43.15), and PSAS-Cognitive Score (PSAS-C) for 23.58% (95% CI: 10.66, 36.50) of the association between chronotype and depressive symptoms. However, social jetlag did not significantly mediate this relationship. (percentage mediated = 0.75%, 95% CI: -3.88, 5.39) Conclusions: Evening chronotypes exhibit an increased risk of depressive symptoms, which ISI, PSQI, and PSAS-C partially mediated. This suggests that interventions to improve sleep quality and maintain adequate sleep habits may effectively prevent and treat depression in employees with an eveningness chronotype.

• 한국콘텐츠학회논문지
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• 제15권12호
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• pp.304-313
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• 2015

본 연구는 대학생의 우울, 불안, 금주 자기효능감, 음주문제 정도를 알아보고 음주문제에 영향을 미치는 요인을 파악하여 문제음주 예방을 위한 중재방안을 마련하고자 시도되었다. 경기도 소재 3개 대학의 보건복지계열 학과에 재학 중인 대학생 538명을 대상으로 하였으며 구조화된 자기보고식 설문지를 이용하여 자료를 수집하였다. 수집된 자료의 분석은 SPSS 18.0 프로그램을 이용하여 기술적 통계, t-test와 ANOVA, Scheffe 사후 검증, Pearson Correlation coefficients, 다중회귀분석으로 실시하였다. 연구결과 음주문제는 우울, 불안과는 순상관관계가, 금주 자기효능감과는 역상관관계가 있는 것으로 나타났으며, 음주를 하는 전체 대상자의 음주문제에 영향을 미치는 요인은 성별, 학년, 불안, 금주 자기효능감으로 나타났다. 이러한 결과를 토대로 대학생의 음주문제를 예방하기 위해서는 부정적인 감정을 효율적으로 관리하는 능력과 더불어 인지적 전략으로서 자기효능감을 강화함으로써 자기관리능력을 향상시킬 수 있는 중재를 개발하고 적용 할 필요가 있을 것이다.

• 한국콘텐츠학회논문지
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• 제21권9호
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• pp.652-665
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• 2021

본 연구는 개인이 사회적 존재로서 지켜가야 할 이타행동의 가치에 주목하고 이를 예측하는 정서와 공감요인의 상대적 효과를 확인하는 데 목적이 있다. 기존 이론들에 따르면, 긍정적 정서와 공감이 높은 사람들이 이타행동을 많이 하는 경향이 있는데, 이를 보다 현실적으로 구현할 수 있기 위해서는 이타행동의 예측요인들에 대한 보다 세부적인 탐구가 필요하다. 이에 본 연구에서는 이타행동에 미치는 긍정적/부정적 정서와 정서적/인지적 공감의 효과를 각각 심리적 안녕감, 우울감, 공감적 관여, 조망수용의 차원에서 확인해보았다. 학부생 329명을 대상으로 설문을 진행하여 회귀분석을 실시한 결과, 이타행동에 심리적 안녕감은 영향을 미친 반면 우울감은 영향을 미치지 않았다. 또한 이타행동에 공감적 관여는 영향을 미치는 반면 조망수용은 영향을 미치지 않았다. 또한 네 가지 요인들의 상대적 효과를 확인한 결과, 이타행동에는 공감적 관여, 심리적 안녕감 순으로 효과를 미치는 반면, 우울감과 조망수용은 유의한 영향을 미치지 않았다. 본 연구를 통해 이타행동에 미치는 정서와 공감의 영향을 재검증하고 요인들의 상대적인 효과를 확인하였다. 끝으로 연구의 시사점과 한계점 등을 함께 고찰해보았다.

• 대한물리의학회지
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• 제15권1호
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• pp.65-76
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• 2020

PURPOSE: The purpose of this study were to determine an intervention that involves proprioceptive exercises combined with cognitive task completion for adults with chronic ankle instability and to investigate the effects of the exercises on the static balance, dynamic balance, and ankle function of such individuals. METHODS: A total of 30 adults suffering from the aforementioned condition were randomly divided into experimental (n=15) and control (n=15) groups. The experimental group performed proprioceptive exercises in combination with cognitive tasks for 15 minutes in each session that was held three times a week for four 4 weeks, whereas the control group carried out only proprioceptive exercises. A Wii Balance Board, which enables examining the fluctuation area distance, and speed, was used to determine static balance; a Y-balance test kit was employed to measure dynamic balance; and the side hop, figure-of-8 hop, and square hop tests were conducted to ascertain ankle function. RESULTS: The results showed that the static balance, dynamic balance, and ankle function of both the experimental and control groups significantly improved. The participants were instructed to perform one-leg postural exercises with and without vision blocking for the affected leg. The experimental group showed more significant improvement than did the controls in terms of the fluctuation distance, speed, and area of static balance. CONCLUSION: In conclusion, although combined proprioceptive exercises and cognitive tasks were insufficient to enhance all types of balance among the subjects, it effectively reinforced their static balance.

• 대한간호학회지
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• 제23권4호
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• pp.694-712
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• 1993

A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.