• 대한지역사회영양학회지
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• 제12권1호
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• pp.80-89
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• 2007

This study was performed to investigate the effectiveness of nutritional education and exercise intervention on reduction and maintenance of weight. The subjects were 24 obese women whose body mass index(BMI) was over $25kg/m^2$. Nutritional education was performed once a week and swimming was done three times a week throughout this 12 week program. The subjects were recalled 1 month after the program was complete. Nutrient intakes were assessed by 24 hour recall method. Also food habits, dietary behaviors and nutritional knowledge were investigated by self-administered questionnaires before and after the weight control program and one month after completing the program. Height, weight, body composition and blood levels were measured before and after the weight control program and one month after completing the program. During the 12 weeks of the weight control program, body weight significantly decreased from an average of 69.7kg to 65.8kg and to 65.1kg after one month(p<0.05). Body fat and BMI also significantly decreased(p<0.01). Cholesterol and blood sugar levels decreased after 12 weeks and increased one month after completing the program. After taking nutritional education, the nutritional knowledge scores increased. Calcium intake significantly increased after completing the education and one month after completing the program(p<0.01). Iron intake significantly decreased from an average of 12.1g to 11.3g after completing the program and increased to 15.5g one month after completing the progrom(p<0.001). We concluded that our nutritional education and exercise program was effective for reducing and maintaining weight.

• Perspectives in Nursing Science
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• 제7권1호
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• pp.10-22
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• 2010

Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

• 한국콘텐츠학회논문지
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• 제12권1호
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• pp.416-429
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• 2012

본 연구는 회복지향의 통합재활프로그램이 만성정신분열병 환자의 증상, 인지 사회적 기능, 재활동기, 정신건강회복수준에 미치는 효과를 검증하고자 시도되었다. 이 프로그램은 인지분화, 정서관리, 직업재활, 가족교육으로 구성된 4개의 소프로그램과 함께 동기강화프로그램이 포함되어 있다. 연구대상은 지방소재의 일개 국립병원에 입원한 정신신분열증 환자로, 실험군 18명과 대조군 16명으로 구성된 비동등성 대조군 전후시차 설계를 사용하였다. 수집된 자료는 SPSS 12.0을 이용하여 통계 분석하였다. 프로그램의 효과를 검증한 결과, 인지 사회적 기능에 별다른 효과를 나타내지 못했으나, 재활동기수준(유지단계에서 p=.027)과 정신건강회복수준(p=.039)에서만 실험군과 대조군에서 유의한 차이를 나타내어 제한적인 효과를 나타내었다. 입원세팅에서 단기간의 회복지향의 통합재활프로그램은 증상감소나 기능향상보다는 재활 동기나 정신건강회복수준을 향상시키는데 보다 효과적으로 활용될 수 있는 가능성이 있는 것으로 보인다. 임상세팅에서 보다 회복지향적인 서비스를 제공하기 위한 노력이 필요하다.

• 한국간호교육학회지
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• 제5권2호
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• pp.315-331
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• 1999

This study was done to describe health promoting lifestyle and to identify the factors affecting the performance in health promoting lifestyle among the climacteric women. The subjects of this study were 240 women(40 to 60 years old) The sample data were collected using a purposive sampling method, and collected from August 23 to September 6, 1999. The instruments for his study were a health promoting lifestyle scale, a health locus of control scale, a self-esteem scale and a perceived health status questionnaire. Frequency, percentage, t-test, ANOVA, Pearson's correlation and stepwise multiple regression technique with SPSS program were used to analyze the data. The results of the study were as follows ; 1) The average score of performance in the health-promoting lifestyle variables was 166.40. The variable with the highest degree of performance was the sanitary environment , whereas the one with the lowest degree was the professional health maintenance. 2) Performance in the health-promoting lifestyle was positively related to self-esteem, internal health locus of control and negatively related to accidental health locus of control and perceived health status. 3) A significant difference between educational level and health-promoting lifestyle were found. 4) Self-esteem and perceived health status explained 21.0% of the variance for the total health promoting lifestyle. The results of this study show that self-esteem, perceived health status predicted the health promoting lifestyle of the climacteric women. Therefore, health promoting programs that increase self-esteem and perceived health status should be developed to promote a healthy lifestyle of the climacteric women, especially those who have a low level of education.

• 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.

• 치위생과학회지
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• 제14권3호
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• pp.342-348
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• 2014

본 연구는 김제시 B면 K면에 소재하고 있는 초등학교 중에서 학교구강보건실이 설치된 1개교(실험군), 학교구강보건실이 미설치된 3개교(대조군)를 표본학교로 선정하여 김제시 K보건지소의 학교계속구강건강관리사업이 중지되기 전 사업의 혜택을 받은 3~6학년, 사업이 중지된 후 혜택을 받지 못한 1~2학년을 비교대상으로 구강상태를 평가하여 다음과 같은 결과를 얻었다. 영구치우식경험자율은 전체 실험군 50.6%, 대조군 66.8%로 유의한 차이를 나타냈으며 (p<0.01), 사업혜택을 받은 3~6학년에서 실험군 58.9%, 대조군 76.1%로 나타나 유의한 차이를 나타냈다(p<0.05). 우식경험영구치율은 전체 실험군 34.8%, 대조군 56.5%로 나타나 유의한 차이를 보였고(p<0.001), 사업혜택을 받은 3~6학년 실험군 41.1%, 대조군 64.2%로 나타나 유의한 차이를 보였다(p<0.01). 우식경험영구치지수는 전체 실험군 1.35개, 대조군 2.97개로 유의한 차이를 보였고(p<0.001), 사업혜택을 받은 3~6학년 실험군 1.73개 대조군 3.66개로 나타나 역시 유의한 차이를 나타냈다(p<0.001). 우식영구치지수는 전체 실험군 0.72개, 대조군 1.96개로 나타나 유의한 차이를 보였고(p<0.001), 충전영구치 지수는 실험군 0.63개, 대조군 0.99개로 나타나 유의한 차이를 보였다(p<0.05). 사업중지 1~2학년 실험군에서 우식영구치지수 0.42개, 대조군 1.12개로 나타나 유의한 차이를 보였고(p<0.05), 사업혜택을 받은 3~6학년 실험군에서 우식영구치지수 0.89개 대조군 2.34개로 나타나 역시 유의한 차이를 보였다(p<0.01) 우식영구치율은 전체 실험군 57.23%, 대조군 64.16%, 충전영구치율은 실험군 42.77%, 대조군 34.81%로 나타났고 사업중지 1~2학년 우식영구치율은 실험군 63.89%, 대조군 76.17%로 나타났으며, 사업혜택을 받은 3~6학년의 우식영구치율은 실험군 54.81%, 대조군 60.98%로 나타났다. 이상의 결과를 토대로 초등학교 구강보건실에서 실시하는 학생계속구강건강관리사업의 효과를 확인하였으며, 학생들의 구강건강증진을 위해 계속적인 유지와 활성화를 위한 노력이 필요할 것으로 생각된다.

• 동서간호학연구지
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• 제21권1호
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• pp.18-27
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• 2015

Purpose: The purpose of this study was to investigate the relationship between health knowledge and health promoting behavior in the elderly. Methods: The participants of this study were 114 men and women over 65 years at P-myeon, Yeongju-si, Gyeongsangbuk-do. Data were collected from March 1st to April 9th in 2011. The survey was carried out via the face to face interview using structured questionnaires. Results: Eighty nine percent of the participants responded that they were aware of the types of healthcare service. The most desirable service was 'long term care insurance system'. The average of health knowledge was 7.94 (${\pm}1.51$) out of 10 and average of health promoting behavior was 2.81 (${\pm}0.30$) out of 4. Health promoting behavior showed a positive correlation with health knowledge (r=.189, p=.044). Conclusion: The health promoting behavior in the elderly was related with health knowledge. Therefore, the enhancement of health knowledge is needed to improve health promoting behavior in the elderly. Education for self care and providing information for health care are needed for health maintenance and improvement in elderly. In addition, program development for providing health knowledge and nursing intervention for supporting health promoting behavior are in need.

• 지역사회간호학회지
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• 제24권2호
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• pp.205-213
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• 2013

Purpose: The purpose of this study is to investigate the effects of visiting laughter therapy on depression and insomnia in the vulnerable elderly. Methods: A quasi-experimental nonequivalent control group pretest-posttest design was used for this study. The participants were 87 elderly who were registered in the Tailored Visiting Health Program of public health centers. Data were collected from September to November 2010. The experimental group received visiting laughter therapy froma visiting nurse who had taken laughter training provided by laughter therapy experts. The experimental group received 10~15 min of laughter therapy once a week for 8 weeks. The instruments included Geriatric Depression Scale and Insomnia Severity Index to measure depression and sleep problems before and after the laughter therapy. Results: The results showed that visiting laughter therapy was effective in decreasing depression and insomnia among the vulnerable elderly. Conclusion: These findings indicate that laughter therapy may be an effective nursing intervention to improve depression and insomnia Further studies would be needed to identify the difference of effects according to time, interval, or period of visiting laughter therapy and to evaluate the lasting effect of visiting laughter therapy.

• 한국항공운항학회지
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• 제31권2호
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• pp.81-88
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• 2023

SHM (Structural Health Monitoring) technique for monitoring aircraft structural health and damage, EHM (Engine Health Monitoring) for monitoring aircraft engine performance, and APM (Application Performance Management) is used for each function. APMS (Airplane Performance Monitoring System) is a program that comprehensively applies these techniques to identify the difference between the performance manual provided by the manufacturer and the actual fuel mileage of the aircraft and reflect it in the flight plan. The main purpose of using APMS is to understand the performance of each aircraft, to plan and execute flights in an optimal way, and consequently to reduce fuel consumption. First, it is to check the fuel efficiency trend of each aircraft, check the correlation between the maintenance work performed and the fuel mileage, find the cause of the fuel mileage increase/decrease, and take appropriate measures in response. Second, it is to find the cause of fuel mileage degradation in detail by checking the trends by engine performance and fuselage drag effect. Third, the APMS is to be used in making maintenance work decisions. Through APMS, aircraft with below average fuel mileage are identified, the cause of fuel mileage degradation is identified, and appropriate corrective actions are determined. Fourth, APMS data is used to analyze the economic analysis of equipment installation investment. The cost can be easily calculated as the equipment installation cost, but the benefit is fuel efficiency improvement, and the only way to check this is the manufacturer's theory. Therefore, verifying the effect after installation and verifying the economic analysis is to secure the appropriateness of the investment. Through this, proper investment in fuel efficiency improvement equipment will be made, and fuel efficiency will be improved.

• Smart Structures and Systems
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• 제6권3호
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• pp.277-290
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• 2010

Internationally the load carrying capacity of bridges is decreasing due to material deterioration while at the same time increasing live loads mean that they are often exposed to stresses for which they were not designed. However there are limited resources available to ensure that these bridges are fit for purpose, meaning that new approaches to bridge maintenance are required that optimize both their service lives as well as maintenance costs. Wireless sensor networks (WSNs) provide a tool that could support such an optimized maintenance program. In many situations WSNs have advantages over conventional wired monitoring systems in terms of installation time and cost. In order to evaluate the potential of these systems two WSNs were installed starting in July 2007 on the Humber Bridge and on a nearby approach bridge. As part of a corrosion prevention strategy, a relative humidity and temperature monitoring system was installed in the north anchorage chambers of the main suspension bridge where the main cables of the bridge are anchored into the foundation. This system allows the Bridgemaster to check whether the maximum relative humidity threshold, above which corrosion of the steel wires might occur, is not crossed. A second WSN which monitors aspects of deterioration on a reinforced concrete bridge located on the approach to the main suspension bridge was also installed. Though both systems have provided useful data to the owners, there are still challenges that must be overcome in terms of monitoring corrosion of steel, measuring live loading and data management before WSNs can become an effective tool for bridge managers.