• 대한지역사회영양학회지
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• 제25권3호
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• pp.189-203
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• 2020

Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

• 대한지역사회작업치료학회지
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• 제1권2호
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• pp.31-43
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• 2011

목적 : 지역사회에 거주하는 뇌졸중 환자를 대상으로 사례연구를 통해 지역사회중심재활서비스에 대한 소개와 중재 결과를 제시하고자 하였다. 연구방법 : 지난 2009년 7월 처음 내소한 63세 여성 뇌졸중 환자 1명을 대상으로 지역사회중심 재활서비스를 제공하였다. 대상자의 일상생활동작수준을 평가하기 위해 수정바델지수(Modified Barthel Index; MBI)를 이용하였고, 우울정도를 측정하기 위해 Beck 우울척도(Beck Depression Inventory; BDI)를 사용하였다. 중재 기간은 2011년 4월 27일부터 2011년 11월 30일까지로 세계보건기구에서 제안한 지역사회중심재활서비스와 일반적 작업치료를 제공하였다. 결과 : 환자의 MBI는 35점에서 55점으로 일상생활수행능력이 증가하였고, BDI는 26점에서 14점으로 우울증세가 큰 폭으로 감소한 것을 확인하였다. 초기 5~10분이던 서기 훈련이 30분 이상으로 늘어난 것으로 보아 근력 및 근지구력도 증가하였다. 치료시간에 환자의 기분변화가 심했던 이전과 달리 안정되고 웃는 모습을 자주 볼 수 있었다. 보호자 역시 환자가 심리적으로 안정된 상태를 체감할 수 있었다. 결론 : 지역사회로 복귀한 만성 뇌졸중 환자에게 지역사회중심재활서비스를 적용하여 기능수준 및 삶의 만족도가 향상된 것을 알 수 있었다.

• 지역사회간호학회지
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• 제9권1호
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• pp.181-199
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• 1998

This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.

• 한국농촌건축학회논문집
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• 제10권4호
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• pp.65-72
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• 2008

Recently, has been the subject of high interest in rural areas. However it incite the damage to rural landscape and destruction of the locality. The reason is the economic logic that potential was ignored of community. In the meantime, has thrown out the importance to restore damaged rural landscape. So, pleasant natural environment and community resources to create value. Therefore, the purpose of this research, redefine the value of the future of rural landscape that the community design and community planning is to offer basic data. The results of study are as follows; First, the landscape that all human perception through the senses, so the community planning to landscape the locality of the formation is a very important element. Second, if it build a new building would have to find space in community. So, the plan must reflect the community and the locality, If so the landscape of th community, the building will be imbibe naturally. Third, the rural area of the rural community when planning for past, present and future should be thoroughly analyzed, and for the future direction of the community will be set up. Finally, analyzing correctly past of the community to reconfigure the rural community is very important. When configure the space of rural community, if created the new space based on original characteristic of the community, the landscape will be kept in rural community.

• 한국시스템다이내믹스연구
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• 제14권3호
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• pp.75-103
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• 2013

The purpose of this study is to use system dynamics to establish the relation among each variable through the construction process of Community Planning Model, and examine what changes policy scenarios per alternative cause in Community Planning through policy simulation of the constructed model. Therefore, this study extracted chief variables of Community Planning Projects through precedent researches related to Community Planning, and extracted variables were prepared as causal map to examine in what causal cycle feedback structure within Community Planning they can be explained. Next, Community Planning Model was constructed based on the prepared causal map. The model was verified by specialists' interviews and simulation of example areas. This study, which aimed to construct Community Planning Model using system dynamics, has a significance in that it prepared the foundation to provide useful methodology in monitoring the progress of project or establishing the plan of future Community Planning Projects.

• International Journal of Contents
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• 제6권3호
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• pp.10-14
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• 2010

Researchers in Korea and elsewhere have carried out a wide variety of important research activities in their respective fields, producing valuable research results. For such diverse research results to be shared and exchanged among researchers working in the same discipline and research subject there needs to be a community environment based on free utilization of information. Against this backdrop, this study seeks to classify and reprocess the reference/factual content owned by the KISTI (Korea Institute of Science and Technology Information), a state-run distributor of information on science and technology, by the different research subjects. It also seeks to develop and provide a community model based on the concepts of open archiving and open access for the researchers specialized in the related fields of research. This community model is developed focusing on the research results from the field of bioscience, where the most extensive studies are currently being conducted. To develop the community model, this study: (a) surveys the current status of the content owned by KISTI; (b) analyzes the patterns and characteristics of biological scientific content among the KISTI-owned content; and (c) designs a web platform where researchers can freely upload/download research results.

• 한국비블리아학회지
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• 제13권1호
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• pp.199-213
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• 2002

공공기관으로서의 공공도서관의 책임성은 지역사회를 기반으로 한 봉사의 제공에서 찾을 수 있으며, 이는 지역주민의 요구 파악과 이를 만족시키기 위한 봉사의 계획 과정을 통하여 구현된다. 예산 압박을 경험하고 있는 공공도서관에서는 과거 일정 기준에 의한 평균적인 봉사의 제공에서 벗어나 각 지역사회와 지역주민의 특성에 맞는 봉사를 확대하고 있다. 본 논문에서는 1970년대 이후 공공도서관 연구의 주요 과제라 할 수 있는 이용자 및 지역사회의 특징과 요구의 분석, 그리고 지역사회의 요구를 만족시키기 위한 봉사 계획의 수립과정에 관한 연구 성과들을 정리하고, 지역사회를 기반으로 한 봉사의 확대를 위한 지침이 필요함을 제안하였다.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.25-40
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• 2021

Objectives: The purpose of this study was to examine effects of health promotion program based on self-efficacy theory on physiological indicators, self-efficacy, grits, and health promotion behavior in community elderly. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the health promotion program based on self-efficacy theory for 8 weeks from October 8 to November 26, 2020. Results: t-test showed that systolic blood pressure (t=-2.12, p=.040), self-efficacy (t=3.78, p<.001), grit (t=3.75, p<.001) and health promotion behavior (t=2.89, p=.002) were significant differences between the two groups. In other hands BMI (t=-1.26, p=.213), diastolic pressure (t=-1.07, p=.287), total cholesterol (t=-1.67, p=.102), LDL-cholesterol (t=-0.76, p=.451), HDL-cholesterol (t=-0.57, p=.567) and triglyceride (t=-1.76, p=.094) were no significant difference between two groups. Conclusions: The health promotion program based on self-efficacy theory was found to be an effective nursing intervention program in improving physiological indicators, self-efficacy, grit and health promotion behaviors of community elderly.

• 치위생과학회지
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• 제14권2호
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• pp.214-222
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• 2014

본 연구는 취약계층 아동의 구강건강증진과 구강건강생활 실천 활성화를 위해 일부 지역사회의 보건소와 지역사회 내 치위생학과 및 지역아동센터를 바른 구강건강생활 실천 을 도모할 수 있는 협의체로 구성하여 운영한 계속구강건강관리 프로그램이 취약계층 아동들의 구강건강관련 행동에 미치는 영향을 파악하여 얻은 결과는 다음과 같다. 1. 구강건강증진 프로그램 운영 전 고학년에 비해 저학년의 구강보건지식 수준이 낮은 것으로 나타났고(p<0.05), 이는 프로그램 운영 후에서 동일한 양상을 나타냈다(p<0.05). 또한 프로그램 운영 후 저학년과 고학년 구강보건지식 수준이 증가하였고, 이는 통계적으로 유의하였다(p<0.001). 2. 구강건강증진 프로그램 운영 전후 구강보건인식 변화를 비교한 결과, '내가 무엇을 하든지 치아우식증은 생길 것이다'에 대한 인식은 프로그램 운영 전후 모두 긍정적인 태도가 높았다(p<0.05). 3. 탄산음료 섭취 비율은 프로그램 운영 전 저학년과 고학년은 통계적으로 유의한 차이가 있었으며(p<0.05), 과자섭취 비율은 저학년의 경우 프로그램 운영 후 먹지 않는 비율이 높아졌고, 고학년의 경우 주 1~2회 먹는 비율이 다소 증가하였다(p<0.05). 4. PHP index의 변화는 프로그램 전에는 저학년에 비해 고학년이 치면세균막 관리 능력이 우수하였으나(p<0.05), 프로그램 운영 후에는 학년별의 차이가 없이 모든 학년에서 관리능력이 향상되었다(p<0.001). 이상의 결과로 볼 때 지역사회 협의체를 통한 구강건강증진 프로그램 운영 전후 구강보건지식, 인식, 행동의 변화가 긍정적으로 변화하였으므로 취약계층 아동의 구강건강생활을 실천을 도모할 수 있도록 지역사회 내 다양한 자원과 연계하여 지역사회 자원을 적극적으로 활용해야 할 것이며, 다양한 자원의 적극적인 지지가 필요할 것으로 판단된다.

• 지역사회간호학회지
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• 제21권4호
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• pp.532-540
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• 2010

Purpose: The purpose of this study was to compare similarities and differences in research trends for community health nursing between Korea and Japan. Methods: Comparison was made in terms of research design, data collection and sampling method, and key concepts from community health nursing research by literature review. We analyzed original articles from representative Journals covering community health nursing research from 2004 to 2008. Results: We found that research design was quite different between the two countries. Quantitative research design was dominant in Korea, while qualitative and qualitative research designs were used equally in Japan. In particular, outcome research was found only in Korean papers. Conclusion: Based on the comparison, the following recommendations are suggested related to the strengths and weaknesses of research concepts and methods observed in each country. It is suggested that future collaboration should be undertaken especially to improve the diversity of research design and method. More diverse research designs should be used in both countries. Particularly in today‘s aged society, evidence-based research and outcome research are needed for community health nursing in both countries.