• Perspectives in Nursing Science
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• 제9권2호
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• pp.94-101
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• 2012

Purpose: The purpose of this study was to examine the relationship between glucose control, diabetes self-care and depression in community dwelling older adults with type 2 diabetes mellitus. Methods: The cross-sectional survey data of 148 older adults at a senior center were analyzed in this study. We collected data on diabetes self-care, depression, and demographics by face-to-face interviews. Blood samples for HbA1C were obtained from the participants. Results: The average duration of diabetes for the participants was $10.6{\pm}9.31$ years. Fifty percent of the participants had HbA1c higher than 7.0% (mean 7.179%). The level of diabetes self-care was related to depression (r=-.225, p<.01). HbA1c was positively related with the duration of diabetes diagnosis (r=.224, p<.01). The only sub-dimension of diabetes self-care that was related to depression was exercise (r=-.307, p<.01). Conclusion: Only half of the community dwelling older adults with type 2 diabetes had an optimal level of diabetes control. Supported by the evidence, the longer the duration of diabetes since the initial diagnosis, the poorer the glucose control was. Identification and intervention for depression in people with diabetes should be considered to improve diabetes self-care, especially to perform more exercise.

• 대한한의학회지
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• 제44권4호
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• pp.1-13
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• 2023

Objectives: Weight counseling is an inevitable process for patients with obesity who intend to lose weight; however, the contents of real-world counseling practices remain uncertain in Korean medicine (KM) practice. This study aimed to explore the structure and constituents of obesity counseling in KM. Methods: Qualitative methods were used to explore the structure of weight counseling and clinicians' approaches to weight counseling, particularly the advice and main constituents of weight counseling in KM. Nine KM clinicians (4 women, 5 men) from nine clinics completed face-to-face, individual and semi-structured interviews from September 2019 to February 2020 in Seoul, Daejeon, Cheonan, Seongnam, Asan, and Hwaseoug. The interviews were digitally recorded, transcribed verbatim, and categorized based on their constituents. Results: During weight loss counseling, the six principal constituents of KM identified were: planning with patients, motivation, correcting misinformation on weight loss, dietary and exercise advice, medication guidance, and customized guides for each type. Conclusion: Clinicians with in-depth knowledge about obesity prescribed personalized guidance for exercise, diet, and medication through an integrative approach. The study results provide an in-depth understanding of weight counseling in KM. These six constituents could guide the counseling provided by clinicians in obesity care.

• 지역사회간호학회지
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• 제33권3호
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• pp.332-339
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• 2022

Purpose: Bus drivers are at high risk of chronic diseases due to risk factors associated with poor diet, physical inactivity, high levels of sedentary behaviors, and unfavorable working environments. This study developed a mHealth program for bus drivers, and examined the effectiveness of a mHealth program for promoting physical activity among bus drivers using wearable devices and health coaching. Methods: Forty-seven workers from two bus companies were allocated to the experimental group and the control group. Participants were asked to wear a wearable device (Fitbit Charge HR) during waking hours for a day. Participants in the experimental group were provided with a Fitbit, weekly face-to-face health coaching, a mHealth workbook, and text and photo messaging for 12 weeks. The control group only received a Fitbit. Results: By week 12, there were significant differences between the experimental and control groups in exercise self-efficacy (p<.015) and daily walking steps (p<.001). Conclusion: The findings have demonstrated that the mHealth program using wearable devices and health coaching is effective for bus drivers for promoting physical activity. Based on our findings, it is recommended to encourage the mHealth program using wearable devices and health coaching for bus drivers' wellness.

• 대한간호학회지
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• 제38권5호
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• pp.730-738
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• 2008

Purpose: The purpose of this study was to identify the mediating effect of depression in the relationship between muscle strength of extremities and falls among community-dwelling elderly. Methods: Two hundred forty-seven participants were recruited from a public health center, a hall for the aged and a school for the aged in B city. Face-to-face interviews were conducted using questionnaires from May to September of 2007. Data was analyzed with descriptive statistics, Pearson correlation, and multiple regression using the SPSS WIN 14.0 program. Results: There was a significantly negative relationship between muscle strength of lower extremities and falls, muscle strength of left upper extremity and falls, and muscle strength of right upper extremity and falls. Depression positively correlated with falls. Depression showed mediating effects between muscle strength of extremities and falls. Weakness of muscle strength of extremities increased depression and the increased depression increased the frequencies of falls. Conclusion: For the effective management and prevention of community-dwelling older adults' falls, exercise programs including depression-decreasing strategies should be established. These exercise programs can decrease depression which is the mediator role between the degrees of muscle strength of extremities and falls.

• 디지털융복합연구
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• 제20권4호
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• pp.759-768
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• 2022

본 연구의 목적은 코로나 19 장기화로 지역사회주민 만성질환 예방 관리를 위해 온라인 기반 만성질환관리 비대면 프로그램을 적용하여 그 효과를 확인하기 위한 단일군 전후 설계 유사실험 연구이다. 본 연구의 프로그램은 간호, 영양, 운동 프로그램으로 12주간 실시하였다. 대상자는 보건소 만성질환 관리센터를 이용하는 성인 남녀 69명으로 2021년 5월 3일부터 8월 6일까지 프로그램 적용 전후 수축기압, 이완기압, 공복 혈당, BMI와 우울, 삶의 질의 설문 도구를 사용하여 조사하였다. 자료 분석은 SPSS 20.0을 이용하여 분석하였다. 연구 결과, 수축기압, 이완기압, 공복혈당이 유의하게 감소하였으며, 삶의 질에서도 유의하게 나타났다. 우울은 유의하지 않았으나 경중 우울이 감소하였다. 따라서 위드 코로나 시대에 지속적인 만성 질환 관리를 위해 다양한 비대면 프로그램 프로그램을 개발하여 적용 관리한다면 심뇌혈관질환으로 이행을 방지하고 만성질환 예방 및 건강 유지 증진에 기여할 것이라 사료된다.

• 공학교육연구
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• 제24권1호
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• pp.34-45
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• 2021

This research is a case study about "Critical Thinking and Debate Education" class which was done for freshmen at the engineering college of "S" Women's University. Real time remote classes through LMS and ZOOM were the most effective tools under on-line circumstances, considering the fact that video lectures only cannot cultivate students' capabilities of critical thinking and communication. Throughout the analysis on students' self-reflection journals and lecture evaluations, this paper examined considerable future points and the pros and cons of "Critical Thinking and Debate Education" under online presentation and discussion situation. As research outputs, students told they could feel less nervousness and anxiety when they exercise and have a presentation because they could choose familiar space for them. In addition, students also told that they feel comfortable about both self-feedback and peer evaluation, repeatedly seeing the recorded video clip. However, on the contrary, sometimes students felt uncomfortable due to unstable internet connection through the online classes, and they also were regretful about the missing chances of interaction between a teacher and students and of intimate exchanges among students. They also told they had felt a kind of limit of enhancing their presentation skills just in front of the monitor. Considering these outcomes, this research paper points out that online education needs to be proceeded by strengthening multi layered feedback to students with the build-up of a non-face-to-face stable educational infrastructure, application of online instructional strategy, and utilization of YouTube platform and video contents. Through this research paper, I hope the new system of encompassing on/off line "Critical Thinking and Debate Education" and effective teaching and learning method can be developed soon by strengthening the strength of online education.

• 보건행정학회지
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• 제21권4호
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• pp.493-510
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• 2011

Objectives : This study aims to explore how social support and social network are related with health behavior. Methods : The target population was 12,449 people in Chungcheongbuk-do. The sample was accrued for the period of 3 months in 2008 by face to face interview of direct visiting from systematic sampling method. The instruments used in this study were social support, social network and health behavior. Results : There was significant difference in the level of social support and social network by sex, age, educational level, occupation, and monthly income(p<0.05). There was significant difference in the level of social support by alcohol drinking, physical exercise. There was significant difference in the level of social network by smoking, alcohol drinking, physical exercise, obesity(p<0.05). Multivarite analysis shows significant difference in the level of social instrumental support by smoking, physical exercise. It shows significant difference in the level of social emotional support by smoking. It also shows significant difference in the level of social network by smoking, physical exercise. Conclusion : These results suggest that social support and social network may be associated with health behavior. Because this study was cross sectional research, the order was not found between social support, social network and health behavior. Through a study on monitoring, we will obtain more information for relationship.

• 한국산업보건학회지
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• 제32권2호
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• pp.146-152
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• 2022

Objectives: The purpose of this study is to confirm whether there is a factor to affect the evaluation of fit test of a 2nd class half masks using a OPC test method. Methods: Total 34 adults including Males and Females were tested using OPC-based fit testing equipment while wearing a 2nd class half filtered mask. Results: 1. The result of measuring face dimensions using different tools such as a 3D scanner and digital calipers revealed that the variation of lip width was not statistically significant because there was only a difference of about 4 mm. However, it showed that a difference in face length was statistically significant enough with 10 mm(p<0.000). 2. The fit factor for each exercise stage according to gender was the highest at 124.54(p<0.001) in Step 3, and the fit factor was the lowest at 73.75 in Step 1. 3. In the evaluation of the degree of fit factor according to gender, female passed 67.44%, which was higher than the value in male(p<0.038). 4. The acceptance rate of the group having a face length of shorter than 110 mm was 91.67%. On the other hand, the acceptance rate of the group with a face length of longer than 110 mm was 47.27%(p<0.000). 5. The fit test was possible because the fit factor with 2nd class half masks corresponding to FFP1(Filtering Face Piece 1) was passed 55% or more. Conclusions: The test results showed that using a 2nd class half filtered mask, it is important to wear a properly designed mask so that face size does not affect the fit factor.

• 근관절건강학회지
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• 제6권2호
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• pp.197-210
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• 1999

Muscle stiffness, pain and discomfort in dally activities are cardinal symtoms on arthritis. To reduce these symtoms, a nonequivalent one-group pre & posttest experiment was carried out at a rural community health post area in Chonbuk province during eight weeks (from 25th of January to 20th of March, 1999). The subjects were sixteen rural old women(65-89yrs) with osteoarthritis. And to reduce the level of pain, discomfort in daily living and to increase that of life satisfaction, 30 minutes of flexibility exercise followed by $15{\sim}20\;minutes$ of local heat therapy were done three times a week. Pain scale from Arthritis Impact Measurement Scales developed by Meenan(1980) for pain, Jette's Daily Activity Discomfort Scales revised by Lee(1988) for discomfort and Life Satisfaction Scales developed by Youn(1982) for life satisfaction were used as research instruments. The data were collected by face-to-face interviews with Investigator and the experiments were done under demonstration and supervision of investigator in community health post. The data were analyzed in percentage and Wilcoxon sign rank sum test by SPSS/PC+ program. The result could be summarized as follows ; 1. The scores of experiment group who were applied hot bag followed by flexibility exercise were tended to be significant lower in the level of pain statistically(Z=4.949, P=0.0001). 2. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be significant lower in the level of discomfort in daily living statistically(Z=2.7226, P=0.0279). 3. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be higher in the level of life satisfaction, but there was no significant statistical difference(Z=-1.2087, P=0.2171). In conclusion, flexibility exercise with local heat therapy could be identified as an effective therapy to reduce pain and discomfort in daily living of the rural elderly with osteoarthritis. And as a community health practitioner, the investigator concluded that this exercise with local heat therapy could be developed as a health promotion program for the rural aged people.

• 농촌의학ㆍ지역보건
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• 제47권3호
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• pp.166-180
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• 2022

본 연구는 팬데믹 시기 비대면 비만관리 프로그램의 개발하여 적용한 후 그 효과를 평가하고자 하였다. 근거기반 비대면 비만관리 프로그램 개발은 Intervention Mapping Protocol (IMP)를 이용하였다. 프로그램의 운영은 대구광역시 시민건강 놀이터 온라인 채널을 통해 참여를 신청한 과체중 및 비만 성인 48명을 대상으로 2020년 9월 14일부터 11월 13일까지 8주 동안 실시하였다. 효과평가는 프로그램 전·후 자가 신체 계측 측정, 건강행태 설문 및 만족도 설문 분석을 통해 평가하였다. IMP를 통한 중재 프로그램의 개발은 IMP 6단계의 과정을 적용하였고 1단계 요구사정은 간호·영양·운동 교육자 면담을 통해 대상자 선정 기준, 프로그램 운영 방법 등을 결정하였다. 2단계 목표 설정은 비만관리를 위한 행동 변화목표 3가지를 설정하였고 3단계에서는 건강·영양·운동 영역별 근거기반으로 건강행태 변화를 위한 중재 방법 및 수행 전략을 선택하였다. 4단계 프로그램 설계는 8주 동안 대상자의 수행 과제 및 인증방법 등 구체적으로 프로그램을 설계하였고 5단계에서는 개발된 프로그램의 실행 계획을 작성하고 실제 적용하였으며 6단계에서는 적용한 프로그램의 효과를 평가하였다. 비대면 비만관리 프로그램 참여 전·후 신체 계측 값을 통한 효과 평가 결과 평균 체중은 1.2kg이 감량되었고, 허리둘레는 3cm가 감소하였으며, 체질량지수(BMI)는 0.8kg/m² 감소하였다(p<0.05). 대상자의 건강행태 설문을 통한 효과 평가 결과는 프로그램 참여 전·후 1일 평균 섭취 열량, 과일 섭취, 걷기 운동 실천 등의 생활습관이 긍정적으로 개선되었고 통계적으로 유의한 차이가 있었다(p<0.05). 프로그램 과정 평가를 위한 만족도는 4.57±0.63점으로 높게 나타났다. 본 연구 결과에 근거하여 비대면 비만관리 프로그램은 팬데믹 시기에 시간과 장소의 제약 없이 전문가의 개별상담과 자가 신체 계측 측정 및 기록을 통한 대상자의 적극적인 참여가 가능한 프로그램으로 지역사회 성인 대상 비대면 비만 관리에 유용하게 활용될 수 있을 것이다. 그러나 비대면 비만관리 프로그램은 앱 사용 등 대상자의 나이에 따라 비대면 프로그램 참여에 일부 제약이 있다. 따라서 본 연구로 개발된 비대면 프로그램과 함께 필요시 대면 프로그램의 병행을 제언하며, 추후 장기적인 프로그램의 운영에 따른 효과 평가를 검증하기 위한 지속적인 연구들이 필요할 것으로 사료된다.