• 지역사회간호학회지
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• 제16권4호
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• pp.446-457
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• 2005

Purpose: The purpose of this study was to analyse researches on nursing intervention for elderly health promotion. Method: A literature review of 38 researches was carried out using guidelines developed by the present researchers. Result: The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elders and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%), and each group consisted of 10 to 29 elders. The dependent variables used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self-concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risks of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%). Conclusion: We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.

• 대한간호학회지
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• 제46권6호
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• pp.836-847
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• 2016

Purpose: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. Methods: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, $x^2$ test, t-test, and Heckman selection model analysis were conducted using SAS 9.3. Results: Presence of family caregiver distress was significantly associated with days of nurse visits (${\beta}$=-.89, p=<.001) and home helper visits (${\beta}$=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (${\beta}$=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult. Conclusion: The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 추계학술대회
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• pp.210-212
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• 2018

OECD (경제협력개발기구) 발표에 따르면 2009년부터 우리나라 노인 자살률은 높은 수치를 기록하고 있으며 관련 이유로 젊은 시절과 비교되는 사회적 참여도와 우울증이 있다. 정보화시대에 접어들어 커뮤니티 사이트의 영향으로 유대관계의 형성 및 확장이 쉬워졌다. 하지만 노인을 위한 커뮤니티 사이트가 부족하고 이마저도 고령친화적이지 않은 인터페이스 때문에 이용하기 어려운 실정이다. 이에 본 논문에서는 노인의 사회적 고독감 해결 및 정보화 사회 참여를 위한 커뮤니티 모바일 앱에 관한 내용을 서술하고자 한다. 노인이 커뮤니티 사이트를 사용하기 힘든 이유에 대해 분석하고, 사용자 평가 모델 중 하나인 PACMAD를 바탕으로 사용자 시나리오에 초점을 맞추어 신체적, 인지적 조건을 고려한 커뮤니티 모바일 앱 인터페이스 및 콘텐츠를 제안한다. 이로써 고령층의 정보화 사회 참여를 이끌어내는데 바탕이 되고자 한다.

• 디지털융복합연구
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• 제11권11호
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• pp.499-508
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• 2013

본 연구는 빠른 속도로 증가하고 있는 농촌 노인의 성공적 노화를 위한 중재 프로그램 개발의 기초자료를 얻고자 농촌 노인들의 성공적 노화의 영향요인을 조사한 서술적 조사연구이다. 자료 수집은 2012년 9월부터 12월까지 W군에 거주하는 65세 이상 노인 208명을 편의추출하여 설문지를 통해 자료를 수집하였다. 자료분석은 SPSS 21.0 program을 사용하였으며, independent t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple regression으로 분석하였다. 연구결과 농촌 노인의 성공적 노화에 영향을 주는 설명요인으로 사회적 지지, 우울, 인지기능, 생산적 활동, 일상생활활동 순서로 나타났으며, 설명력은 42.1%였다. 농촌 노인의 성공적 노화를 위해서는 지역사회와의 연계를 통한 보건의료서비스제공 및 사회적 활동 등 사회적 지지체계 구축이 가장 필요하며, 이에 따른 맞춤형 간호 중재 프로그램 개발의 필요성을 제언한다.

• Journal of Preventive Medicine and Public Health
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• 제37권3호
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• pp.282-291
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• 2004

Objectives : The aim of this study was to investigate the functional status variables related to the care time of health professionals for patients in long-term care facilities. Methods : The functional stati of 1001 patients in 8 long-term care hospitals were examined by the Resident Assessment Instrument for Long-term Care Facility Version 2.0. The care time of health professionals for patients was calculated using data from a self-reported task survey by nurses, auxiliary nurses, private aides, doctors, physiotherapists and social workers. Results : The average care time per diem was 240.6 minutes. The care time by doctors, nurses and private aides were 11.0, 71.0 and 139.5 minutes, respectively. The lower the function of activities of daily living (ADL) and the greater the symptoms of extensive services, special care and clinical complexity, the more care time was served. On the contrary, the greater the symptoms of nursing rehabilitation, depression, cognitive disorder, behavior problem and psychiatry/mood disorder, the less care time was served. Age and gender were not significantly related to the care time. Conclusions : Developing a case mix classification system for elderly long term care patients may be helpful for both of patients and health care providers. The ADL, extensive services, special care and clinical complexity of variables should be considered in the development of a case mix system for the long term care of patients in Korea.

• 한국산학기술학회논문지
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• 제10권9호
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• pp.2492-2500
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• 2009

본 연구에서는 베트남전 참전 군인 중 고엽제 후유(의)증 환자와 한국전쟁 참전 상이군인을 대상으로 전반적인 심리적 특성을 파악하기 위해 로샤 검사를 실시하고 반응결과를 한국전 참전 재향 군인 집단과 비교분석하였다. 이를 위해 베트남 참전 군인 중 고엽제 후유의증 환자 20명과 한국전쟁 참전 재향군인 21명을 대상으로 개별적으로 로샤 검사를 실시했다. 각각의 변인들을 Exner 종합체계(2006)의 구조적 요약의 대표적 군집들을 중심으로 비교분석하였다. 즉 핵심영역, 반응결정인, 결정적 특수지표에서의 차이를 비교분석하였다. 그 결과 베트남 참전 집단은 6.25 참전집단에 비해 (1)인지적 경직성 (2) 문제해결에 있어서의 비효율성, (3)정서억압 (4)과잉경계 (5)불안 (6)우울 등의 가능성이 더 높은 것으로 나타내었다. 이러한 결과들은 베트남전쟁 참전 재향군인에서 과거 전쟁 경험에서의 정신적 외상과 관련된 후유증이 지속되고 있을 가능성을 보여주는 것이다. 마지막으로 본 연구의 제한점과 시사점에 대해 논의하였다.

• 대한불안의학회지
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• 제17권2호
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• pp.84-91
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• 2021

Objective : Mismatch negativity (MMN) is known to reflect several abnormalities of cognitive functioning. This study is aimed to investigate the differences in MMN among major depressive disorder (MDD) patients with or without suicidal ideation. Methods : Sixty-seven patients with MDD were recruited into this study. MMN was measured by a 64-channel electroencephalography (EEG) using oddball paradigm over the front-central area. Clinical characteristics were assessed using the Beck Anxiety Inventory (BAI), the Beck Depression Inventory-II (BDI-II), and the Beck Scale for Suicide ideation (SSI-BECK). Patients were divided into two groups, no suicidal ideation (N=12) and suicidal ideation (N=55), depending on the presence of suicide ideation in SSI-BECK questionnaires. Results : The MMN latencies were significantly longer in the MDD patients with suicidal ideation than in the MDD patents without suicidal ideation (p<0.05). The MMN amplitudes were not significantly different between the two groups. Conclusion : Suicidal ideation may be associated with longer MMN latencies, and it suggests that MMN may play a potential role in assessing the suicidal risk among MDD patients.

• 생물치료정신의학
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• 제24권3호
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• pp.163-172
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• 2018

Objectives : The aim of this study was to examine associations between quality of life in patients with schizophrenia and their family relationships. Methods : A total of 68 patients with schizophrenia participated in the study. Socio-demographic and clinical data were collected, as well as results from the Subjective Well-being under Neuroleptic Treatment Scale-Short Form(SWN-K), Family Emotional Involvement and Criticism Scale(FEICS), a visual analogue scale for evaluating the degree of perceived criticism(VAS), the Family Adaptability and Cohesion Evaluation Scale(FACES), Beck Cognitive Insight Scale(BCIS), and Rosenberg Self Esteem Scale(R-SES). Psychiatrists administered the Positive and Negative Syndrome Scale and the Calgary Depression Scale for Schizophrenia(CDSS), and collected a history of previous suicide attempts. Results : The SWN-K total scores showed significant negative correlations with scores on the FEICS perceived criticism, CDSS, and VAS measures and significant positive correlations with scores on the R-SES, FACES, and BCIS. Multiple regression analysis revealed that FEICS perceived criticism, FACES, and BCIS scores were significantly associated with SWN-K scores. The FACES total score was significantly lower in patients with a history of previous suicide attempt. Conclusion : The quality of life of patients with schizophrenia was negatively associated with greater perceived familial criticism and positively associated with better family cohesion and higher patient insight. In patients with a history of suicide attempts, family adaptability and cohesion were significantly low.

• Clinical Psychopharmacology and Neuroscience
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• 제16권4호
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• pp.422-433
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• 2018

Objective: Neuropsychiatric manifestations like depression and cognitive dysfunction commonly occur in inflammatory bowel disease (IBD). In the context of the brain-gut axis model, colitis can lead to alteration of brain function in a bottom-up manner. Here, the changes in the response of the hypothalamic-pituitary-adrenal axis and inflammation-related markers in the brain in colitis were studied. Methods: Dextran sodium sulfate (DSS) was used to generate a mouse model of colitis. Mice were treated with DSS for 3 or 7 days and sacrificed. We analyzed the gene expression of brain-derived neurotrophic factor (BDNF), cyclooxygenase 2 (COX-2), and glial fibrillary acidic protein (GFAP), and the expression of GFAP, in the hippocampus, hypothalamus, and amygdala. Additionally, the levels of C-reactive protein (CRP) and serum cortisol/corticosterone were measured. Results: Alteration of inflammatory-related markers varied depending on the brain region and exposure time. In the hippocampus, COX-2 mRNA, GFAP mRNA, and GFAP expression were upregulated during exposure to DSS. However, in the hypothalamus, COX-2 mRNA was upregulated only 3 days after treatment. In the amygdala, BDNF and COX-2 mRNAs were downregulated. CRP and corticosterone expression increased with DSS treatment at day 7. Conclusion: IBD could lead to neuroinflammation in a bottom-up manner, and this effect varied according to brain region. Stress-related hormones and serum inflammatory markers, such as CRP, were upregulated from the third day of DSS treatment. Therefore, early and active intervention is required to prevent psychological and behavioral changes caused by IBD, and region-specific studies can help understand the precise mechanisms by which IBD affects the brain.

• 동서간호학연구지
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• 제24권2호
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• pp.110-118
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• 2018

Purpose: Reminiscence therapy is a widely used intervention for older adults and those with dementia. However, the attributes of the concept of reminiscence is not clearly proposed. The aim of this study was to clarify the concept of reminiscence in Korean older adults with dementia. Methods: The study applied the concept analysis method of Walker and Avant. The literature review included the previous studies of reminiscence from philosophy, literature, art, neuroscience, medicine, psychology, sociology, and nursing. Results: A total of 43 Korean or international papers were analyzed in this study. Attributes of reminiscence in Korean older adults with dementia were regeneration of memories, internal and external communications, expression of suppressed emotions, and recognition of ego identity. The suppressed emotions and ego identity may result from Korean cultural characteristics based on the suppressed environments of many wars and dictatorships in the past. The consequences of reminiscence in Korean older adults with dementia are cognitive enhancement, relief of depression, and improvements of social interactions, ego integrity, and quality of life. Conclusion: The results of this study suggest that the historical and cultural characteristics should be considered to develop effective nursing interventions including reminiscence for Korean older adults with dementia.