• 대한지역사회영양학회지
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• 제15권4호
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• pp.485-497
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• 2010

The purpose of this study was to investigate effects of the developed nutrition education program focused on individual daily energy requirements and food exchange units using Food Exchange System for diabetes mellitus at a community health center. Developed the nutrition education program, four weeks' nutrition education including provided twice individual meal as diet therapy (2 hour/lesson/week, 4 week), was provided to 20 diabetic elderly (12 male, 8 female, 50-75 yrs): 1st lesson "Introduction: management of diabetes mellitus", 2nd lesson "6 Food groups and sources of 6 food groups", 3rd lesson "Individual daily energy requirements and food exchange units", and 4th lesson "Food choice for diabetes mellitus". For effects' analysis of the developed program, we assessed the changes in anthropometric characteristics; biochemical characteristics and nutrient intakes using 24 hr recall method. Effects of the developed nutrition education program were as follows: weight was significantly decreased, blood urea nitrogen (BUN) and glycosylated hemoglobin (HbA1c) were significantly decreased, and distribution of subjects in BUN and HbA1c was significantly changed. In protein : fat : carbohydrate (PFC) ratio, it was significantly changed from 15.98 : 16.30 : 66.69 to 17.51 : 18.94 : 64.10. In evaluation of nutrient intakes by Dietary Reference Intakes for Koreans (KDRI), protein, fiber, fat, vitamin E, niacin, folic acid, calcium and zinc were shown significantly positive changes in distribution of subjects according to intake level. The index of nutrition quality (INQ), nutrition adequacy ratio (NAR) and mean nutrition adequacy ratio (MAR) were significantly increased. In conclusion, the developed 4 weeks' nutrition education program focused on individual daily energy requirements and food exchange units using Food Exchange System for diabetes mellitus at community health center may improve the symptom of diabetes mellitus.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권5호
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• pp.243-251
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• 2023

Objectives: Although a few studies have investigated the relationship between kidney and oral function (number of remaining teeth), their results remain inconclusive. Therefore, this study aimed to investigate the relationship between kidney function and oral health in community-dwelling healthy elderlies and examine the factors associated with kidney function. Materials and Methods: We used cross-sectional data from the Shimane prefecture cohort recruited by the Center for Community-Based Health Research and Education in 2019. We collected clinical data on dental status, background factors and kidney function (estimated glomerular filtration rate [eGFR], mL/min/1.73 m² and creatinine levels, mg/dL). Results: The study enrolled 481 participants, whose mean age was 66.7±7.4 years, and 223 (46.4%) participants were men. Multivariate analysis revealed significant correlations between eGFR (B=0.17, P=0.04), creatinine (B=-0.54, P<0.01), and the number of remaining teeth. The number of remaining teeth was associated with creatinine and eGFR, which are indicators of kidney function. Conclusion: This study suggests that preserving the teeth may prevent decline in kidney function. Dental professionals should provide instructions and professional care to reduce the risk of systemic diseases such as kidney dysfunction.

• 농촌지도와개발
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• 제24권4호
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• pp.279-293
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• 2017

Community attachment is an important variable for affecting community satisfaction. The study aims to identify the factors influencing community satisfaction on rural community capacity. Particularly, the study examine the moderating effects of the community attachment between community capacity and community satisfaction. Data were collected from 289 residents of rural villages through questionnaires. Results of a factor analysis yielded four dimensions of community capacity which are learning opportunity and technique, leadership, grasping problem, and community attitude. Results show that learning opportunity and community attitude among four dimensions of community capacities have significance for community satisfaction. And community attachment among community capacity factors has a positive effects as a moderator between community capacity and community satisfaction. Results also indicated that community attitude has an interactional effects with moderator. It was suggested that community attachment should be considered in rural community development policy.

• 농촌의학ㆍ지역보건
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• 제48권3호
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• pp.205-217
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• 2023

이 연구는 강원도 건강플러스 마을사업이 건강주민운동으로의 발전 과정과 강원도 건강플러스 마을사업의 시기별 특징을 분석하고 건강주민운동으로 발전할 수 있었던 요인을 도출하기 위하여 주민, 보건소 담당자, 트레이너들에 대한 심층 면담으로 자료를 수집하여 주제분석 방법으로 질적 연구를 수행하였다. 연구 결과, 강원도 건강플러스 마을사업이 건강주민운동으로 발전할 수 있었던 요인은 다음과 같다. 첫째, 주민 스스로 할 수 있다고 믿었다. 둘째, 이·통장이 아닌 일반 주민을 만났다. 셋째, 주민이 말하게 하는 교육과 긍정적 평가를 시행하였다. 넷째, 주민이 하고 싶은 사업에서 시작했다. 다섯째, 주민이 행동할 때까지 기다렸다. 여섯째, 기다린다는 것은 방관이 아니라 지속적인 동화 과정이다. 일곱째, 단기적 성과를 요구하지 않았다. 주민참여형 건강증진사업이 건강주민운동으로 나아가기 위해서는 이 연구에서 도출된 발전요인을 참고한다면 도움이 될 것으로 생각된다.

• 간호행정학회지
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• 제11권1호
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• pp.67-77
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• 2005

Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

• 디지털융복합연구
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• 제11권12호
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• pp.803-810
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• 2013

지역아동센터는 아동의 지역사회 내 건강하고 안전한 보호와 적응으로의 종합적 복지서비스를 담당하는 사회복지서비스기관으로, 한정된 자원을 가지고 서비스의 효과성을 높이기 위해서는 지역사회연계가 필수불가결하다. 그러나 지금까지의 지역사회연계는 매우 협의적이며 제한적인 의미로만 사용되었으므로 지역사회 내에서 성장하고 지역사회를 배움의 터로 활용해야하는 아동에게는 그 어느 영역보다 넓은 의미에서의 지역사회연계에 대한 새로운 해석이 요구되어진다. 이에 본 연구는 생태체계론적 관점에서 보다 "확장된 개념"의 지역사회연계에 대한 탐색적인 고찰을 통해 아동, 그 중 더욱 사회적 관심과 지원이 촉구되는 빈곤 등의 취약상황에 놓인 아동들의 지역사회 적응과 자기성장을 돕는 기초적 자료로 활용코자 하는 목적을 가지고 있다.

• 대한영양사협회학술지
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• 제20권1호
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• pp.50-62
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• 2014

The purpose of this study was to investigate the food service status of community child care centers in Busan. A survey was conducted from November 1, 2012 to November 30, 2012 using questionnaires. Overall, 66.7% of the community child care centers had a separate dining room. The satisfaction score of the kitchen facility was 4.32 and the satisfaction degree of the dining place was 3.95. Most of the community child care centers were not managed by professionals and the food service was in a relatively poor status. In 61.3% of the community child care centers, the director of the center purchased the foodstuffs. In addition, approximately 72% of the child care centers directly purchased foodstuffs. When preparing meals, nutrition (73.0%), cost (13.5%), and preference (4.5%) were considered as the important factors for respondents. Overall, there were demands for increasing meal costs and improving the food service facilities. In addition, a higher degree of hygiene management resulted in a higher degree of satisfaction from children. Therefore, to improve food service performance at community child care centers, food services should be assisted by professionals and the person in charge of foodservices should be educated food service management.

• 동아시아식생활학회지
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• 제20권2호
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• pp.231-238
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• 2010

This study was evaluate the effects of community based nutrition education program offered to 3rd grade elementary school students. Students enrolled in intervention programs 4 times per class by nutrition teacher & public health center. The subjects were asked to 606 students fill out a questionnaire before and then after completion of community based nutrition education program. After completion of the community based nutrition education program, nutrition knowledge score increased from $5.07{\pm}1.65$ to $6.24{\pm}1.53$ (p<0.001), dietary attitude score increased from $16.79{\pm}2.70$ to $19.52{\pm}2.71$ (p<0.001), dietary behavior score increased from $4.79{\pm}1.23$ to $5.31{\pm}1.14$ (p<0.001). The changes in nutrition knowledge scores were positively correlated with dietary attitude and dietary behavior. Above results showed that community based nutrition education program was effective for the improvement of dietary habits of 3rd grade elementary school students. Therefore this study is suggested effective Community-Based Participatory Research public health program and this program can be used at school and at public health centers.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.495-503
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• 2023

Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.

• The Korean Journal of Ecology
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• 제21권5_1호
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• pp.435-448
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• 1998

The phytosociological investigation was carried out at 32 sites of the riparian vegetation in Musim-Chon stream passed through Choengju-City, Chungcheongbuk-Province by Braun-Blanquet's method from August to October, 1997. The flora of vascular plants in this survey was 202 species. The riparian vegetation was classified into 25 communities as follows. The submerged hydrophytes are Potomogeton malaianus var. latifolius community, Potomogeton crispus community, Myriophyllum verticillatum community-Hydrilla verticillata community and Ceratophyllum demersum community. The floating-leaved hydrophyte is Trapa japonica community. The emerged hydrophytes are Phragmites communis community, Perzicaria thunbergii community, Phragmites japonica community, Oenanthe javanica community, Zizania latifolia community and Persicaria hydropiper community. The herbaceous vegetation of floodplain are Artemisia montana community, Humulus japonicus community, Miscanthus sacchariflorus community, Erigeron anmus community, Impatiens balsamina community, Bidens frondosa community, Setaria viridis community, Ambrosia artemisiifolia var. elatior community and Eragrostis ferruginea community. The woody vegetation of floodplain are Robinia pseudo-acacia community, Stephanandra incisa community and Clematis apiifolia community. The species diversity was low in the upper and down stream, while the diversity was high in the mid stream situated at the center of Choengju-City because of frequent disturbance by citizens. These results suggested that distribution of communities and species diversity was closely related to the disturbance.