• Journal of Korean Biological Nursing Science
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• v.20 no.2
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• pp.103-113
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• 2018

Purpose: This study was performed to assess problems associated with sleep (short and long sleep duration) and to identify risky subgroups with sleep problems among adult cancer survivors. The study is based on the Korea National Health and Nutrition Examination Survey (KNHANES VI and VII) from 2013 to 2016. Methods: The sociodemographic and clinical data of 504 Korean cancer survivors aged 20-64 years was extracted from the KNHANES VI and VII database. Descriptive statistics for complex samples was used, and decision-tree analyses were performed using the SPSS WIN 24.0 program. Results: The mean age for survivors was approximately 51 years. The mean sleep duration was 6.97 hours; 36.2% of participants had short (< 7 hours) and 9.9% had long (> 8 hours) sleep duration. From the decision-trees analyses, the characteristics of the adult cancer survivors related to sleep problems were presented with six different pathways. Sleep problems were analyzed according to the survivors' sociodemographic information (age, education, living status, and occupation), clinical characteristics (body mass index, hypercholesterolemia, and anemia) and health-related quality of life (HRQoL). The HRQoL (${\leq}0.5$ or > 0.5 cutoff point) was a significant predictor of the participants' sleep problems because all six pathways were started from this predictor in the model. Conclusion: Health care professionals could use the decision-tree model for screening adult cancer survivors with sleep problems in clinical or community settings. Nursing interventions considering these specific individual characteristics and HRQoL level should be developed to have adequate sleep duration for Korean adult cancer survivors.

• The Journal of Korean society of community based occupational therapy
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• v.3 no.2
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• pp.47-56
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• 2013

Objective : The objective of this study was understanding the procedure of self-care training in occupational therapy and exploring experienced occupational therapists' perspectives in self-care training Method : A phenomenological study design was used to collect information regarding use of self-care training among occupational therapists working in a different settings. The data collection process was conducted by using a structured interview and survey. Result : The self-care training strategies used by occupational therapists were summarized to four main themes; 1. Different strategies for different age group, 2. Design therapeutic strategy rely on client's natural environment, 3. Use of theoretical background: occupation-based or client-centered, or both. 4. Use of self-awareness stragety; using different method to reflect self-awareness. Conclusion : The self-care training is not just simply conduct ADL training but understanding client's age, environment, theoretical background, and self-awareness of the client. Through eatablishing understandable self-care training strategy according to client's age and environment, the more effective self-care training would be possible.

• The Journal of Korean society of community based occupational therapy
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• v.4 no.2
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• pp.23-30
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• 2014

Objective : The purpose of this study is to investigate the awareness and interest rate of occupational therapy in Korea, and to establish basic data for further development of occupational therapy through the results. Methods : This survey was conducted between October 1th and December 31st 2013 and 308 questionnaires were collected from university student and public. The questionnaires of 308 respondents were analyzed through Cosstabs, Descriptive statistics, Frequency study and t-test, ANOVA analysis using SPSS ver. 18.0. Results : There was a significant difference in the awareness rate of occupational therapy by age and occupation (p<.01). People who were knowledgeable about occupational therapy had a friend or relative related to occupational therapy(33.5%), or were informed through media(37.1%). Positive responses regarding whether responders wanted to find more about occupational therapy were high(53%), and publicity(63.5%) turned out to be the most effective method for advancement. Conclusion : Although there is a lack of public awareness on occupational therapy, high percentage of responders showed positive responses in receiving occupational therapy when they get an injury in the future, and furthermore, learn more about occupational therapy. Based on this result, it is clear that high percentage of people were showing interest to occupational therapy. It could be conjectured that active publicity through internet or media may be effective.

• Therapeutic Science for Rehabilitation
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• v.10 no.1
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• pp.115-127
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• 2021

Objective : The purpose of this study was to investigate the effect of telerehabilitation on executive function, activities of daily living, instrumental activities of daily living, and occupational performance in stroke patients. Methods : The participants of this study were 30 outpatients with stroke residing in community. Both groups underwent the intervention 3 times a week for a total of 18 sessions. For the experimental group telerehabilitation was administered at home to only fifteen participants in the experimental group schedule, and it was supervised by the caregiver. Fifteen people in the control group underwent only the traditional occupational therapy. Executive function and instrumental activities of daily living were evaluated using the Korean version of the Executive Function Performance Test (EFPT-K). The basic daily activities of living were assessed using the Modified Barthel Index (MBI). The Canadian Occupational Performance Measure (COPM) was used to evaluate the client-centered occupational performance. Results : After the intervention, the experimental and control groups showed improvements in executive function, instrumental activities of daily living and occupational performance. Occupational performance improved more significantly in the experimental group than in the control group. Conclusion : Telerehabilitation and occupational therapy positively affect executive function, instrumental activities of daily living and occupational performance of patients with stroke. We suggest that telerehabilitation combined with occupational therapy is more effective in improving the occupational performance of stroke patients.

• Safety and Health at Work
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• v.14 no.4
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• pp.451-456
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• 2023

Background: We conducted a case-control study to identify high-risk occupations and exposure to occupational hazards for acute myeloid leukemia (AML). Methods: When patients with AML admitted to the Department of Hematology in the study hospital for the first time are referred to the Department of Occupational and Environmental Medicine, data on occupation are collected by investigators to evaluate work-relatedness. Community-based controls were recruited through an online survey agency, and four controls per case were matched. Occupational information was estimated using structured questionnaires covering 27 specific occupations and 32 exposure agents. Conditional logistic regression analysis was performed by pairing cases and controls. Results: In the analysis of the risk of AML according to occupational classification, a significant association was found in paint manufacturing or painting work (OR = 2.22, 95% CI: 1.03-4.81) and aircrew (OR = 6.00, 95% CI: 1.00-35.91) in males, and in pesticide industry (OR = 6.89, 95% CI: 1.69-28.07) and cokes and steel industry (OR = 2.00, 95% CI: 1.18-22.06) in ≥60 years old. Moreover, the risk of AML increased significantly as the cumulative exposure to thinners increased. In the analyses stratified by sex and age, the association between pesticide exposure and AML was significant in males (OR = 3.28, 95% CI: 1.10-9.77) and in ≥60 years old (OR = 6.22, 95% CI: 1.48-26.08). Conclusion: This case-control study identified high-risk occupational groups in the Republic of Korea including paint manufacturers and painters, aircrew, and those who are occupationally exposed to pesticides or paint thinners.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.9
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• pp.4285-4288
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• 2012

Background: Opisthorchis viverrini infection is a serious public-health problem in Southeast Asia. It is associated with a number of hepatobiliary diseases and the evidence strongly indicates that liver fluke infection is the etiology of cholangiocarcinoma. Objectives: This study aimed to determine Opisthorchis viverrini infection in elderly people in Surin province, Northeastern Thailand. Methods: A community-based cross-sectional survey was conducted among 333 elderly in 17 districts of Surin province, during one year period from January to December 2011. O. viverrini infection was determined using Kato's Thick Smear technique and socio-demographic were collected using predesigned semi-structured questionnaires, respectively. Results: A total of 333 elderly including 116 males and 217 females were selected from different study sites. Overall intestinal parasitic infection was 16.2%, predominantly in O. viverrini (9.91%) and followed by Strongyloides stercolaris (4.80%) and hookworm (1.50%), respectively. The O. viverrini infection was found higher in males (13.8%) than females (7.83%), and frequently in elderly 60-70 year old with 14.2%. Chi-square testing indicated that education and occupation were significantly associated with O. viverrini infection (P value = 0.02). The distribution of O. viverrini infection was found in 11 districts which was covered 64.7% of the studies areas. The highest prevalence was found in Thatum with 39.1%, and followed by Sangkha (24.0%), Buachet (21.1%), Samrong Thap (19.1%), Si Narong (15.0%), and Ratanaburi (13.3%) districts. Conclusion: This findings stress that O viverrini is still a problem in Thailand. We confirmed, for the first time, the high endemicity of human O. viverrini infections in elderly in Surin province of Thailand, underlying the fact that mass treatment and health education are urgently required.

• The Journal of Korean society of community based occupational therapy
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• v.7 no.2
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• pp.33-45
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• 2017

Objective : This study is to provide basic data for hospice occupational therapy and to develop hospice occupational therapy curriculum in Korea. Methods : 45 articles were selected from CINAHL, MEDLINE, and Scopus, which were published from 1980 to 2013. The selected articles were analyzed in term of study year, study source, author's characteristics, study subjects, and study designs. Results : The number of studies have increased steadily since the 1980's. A total of 21 research journals was published, and the most highest published journals were American Journal of Occupational Therapy. Qualitative research methodology was employed four times more than quantitative research methodology. Interventions included various formats such as crafts, ADLs trainings, relaxation techniques, care giver educations and applications of spirituality. The doing-being-becoming theoretical framework and the model of human occupation applied to hospice or palliative patients as a theoretical foundation. Conclusion : Hospice occupational therapy has been developed along with hospice and palliative medicine. There also appeared to be a balance on both clinical trials and researches The hospce occupational therapy care has being studied deeply with various topic. More efforts on curriculum developments as well as clinical advances pertinent to the palliative care should be proceed to warrant making the start of the hospice and palliative occupational therapy in Korea.

• Research in Community and Public Health Nursing
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• v.9 no.1
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• pp.5-20
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• 1998

The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest -posttest design. The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students. The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week. There was a pretest before the program and a posttest after the 6 week program. The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC. The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities. 2. The first hypothesis, 'The level of self efficacy of the experimental group will be higher than that of the control group.' was supported(F=10.154, p=.002). The second hypothesis, 'The degree of health promotive behaviors in the experimental group will be higher than that of the control group.' was supported(F=17.349, p=.000). 3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000). 4. The significant variables for health promotion behaviors were religion(t= -1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t= -3.06, p=.00) in socio-demographic characteristics. In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women. The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.

• The Journal of Korean society of community based occupational therapy
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• v.5 no.1
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• pp.45-53
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• 2015

Objective : The purpose of this study is to investigate the awareness and interest rate of residential environment and to establish basic data for further development of occupational therapy through the results. Methods : This survey was conducted between April 1th and May 31st 2015 and 165 questionnaires were public. The questionnaires of 165 respondents were analyzed through Cosstabs, Descriptive statistics, Frequency study and t-test, ANOVA analysis using SPSS ver. 18.0 Results : Looking for recognition percentage of residential environment improvement, 44.8% of people reply the changing the house structure and 26.8% of people reply the cure method. in contrast to 28.5% of people reply the architect, the only 9.1% of people reply occupation therapist. the most people agree that residential environment improvement is important. but there is no difference about answer between sex and age. 5.9% of people reply that improving live environments may be good for improving life quality but 7.6% of people reply independency may increase, it is not important because it must need lot of money for improving live environments Conclusion : The awareness of the residential environment improvement in short supply, but Things that are significant in the distance, the need for further residential environment improvement was broad consensus. residential environment improvement for people with disabilities in economic assistance and occupational therapists and incursion of correlated to require institutional support.

• The Journal of Korean society of community based occupational therapy
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• v.10 no.2
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• pp.25-36
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• 2020

Objective : This study identified the effect of tailored occupational intervention applied to the elderly with mild dementia using the day care center. Methods : This study applied the single-group experimental design to 29 elderly with mild dementia who use the day care center in B area, and conducted a total of 10 sessions once a week, 60 minutes. Intervention consisted largely of group activities and individual activities, and individual activities were conducted one-on-one with various activities necessary to select occupational goals and achieve the goals through consultation between the elderly with mild dementia and the person in charge. The effects of tailored occupational intervention were confirmed through CERAD, BBS, and GDS. Results : Significant differences were shown in the total score of MMSE-KC, time orientation, attention, constructional praxis delayed recall, and trail making test B in the cognitive function changes, and standing to sitting, standing unsupported with eyes closed of BBS in the physical function changes, and in the GDS score in the depression changes (p<.05). Conclusion : Tailored occupational intervention has been shown to be effective in improving cognitive and physical functions of the elderly with mild dementia and reducing depression. This provided a basis for proposing a tailored occupational intervention as an intervention that can be applied to the elderly with mild dementia.