• 제목/요약/키워드: Health promotion activity

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Relationship between chronotype and depressive symptoms among newly hired hospital nurses in the Republic of Korea

  • Semi Lee;Han-Na Jung;Jia Ryu;Woo-Chul Jung;Yu-Mi Kim;Hyunjoo Kim
    • Annals of Occupational and Environmental Medicine
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    • 제34권
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    • pp.32.1-32.12
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    • 2022
  • Background: This study was conducted to examine the relationship between chronotype and depressive symptoms to provide grounded knowledge in establishing nurses' health promotion strategies. Methods: The subjects of this study were 493 newly hired nurses working in 2 general hospitals within the university from September 2018 to September 2020. Sociodemographic and work-related characteristics were collected from a medical examination database and a self-reported questionnaire. These included sex, age, marital status, living situation, education level, alcohol consumption, physical activity, prior work experience before 3 months, workplace, and departments. To analyze the associations between the chronotype and depressive symptoms, multiple logistic regression analyses were performed to calculate odds ratios (ORs). Results: Among participants, 9.1% had depressive symptoms and 16.4% had insomnia. The subjects are divided into morningness (30.2%), intermediate (48.7%), and eveningness (21.1%). The multiple logistic regression analysis controlling for age, living status, education level, alcohol consumption, physical activity, workplace, prior work experience before 3 months, and insomnia, revealed that the OR of depressive symptoms in the eveningness group was 3.71 (95% confidence interval [CI]: 1.50-9.18) compared to the morningness group, and the R2 value was 0.151. It also can be confirmed that insomnia symptoms have a statistically significant effect on depressive symptoms (OR: 2.16, 95% CI: 1.03-4.52). Conclusions: Our findings suggest that evening-type nurses are more likely to have depression than morning-type nurses. We should consider interventions in a high-risk group such as the evening type nurses to reduce depressive symptoms in nurses.

퇴행성관절염 노인의 유연성운동과 온열요법이 통증과 일상활동장애 정도 및 생활만족도에 미치는 영향 (The Effect on the Pain, Discomfort in Daily living and Life Satisfaction of Flexibility Exercise and Local Heat in Rural Elderly with Osteoarthritis)

  • 홍선경;강혜영
    • 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.

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경기도 일개 지역사회 대표집단에서 고호모시스테인혈증의 유병률 및 관련요인에 대한 단면조사연구 (Prevalence of Hyperhomocysteinemia and Related Factors in a Community-based Health Examination Survey: A Cross-sectional Study)

  • 김수정;임경숙;송미숙;강연지;이순영
    • Journal of Preventive Medicine and Public Health
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    • 제42권5호
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    • pp.337-342
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    • 2009
  • Background : Many previous studies have shown that elevated homocysteine in the serum is a well known risk factor for cardiovascular disease and this is associated with other risk factors for cardiovascular disease, but any Korean data on this is limited. Objectives : This study aimed to calculate the prevalence of hyperhomocysteinemia and to analyze the relation between elevated homocysteine and the lifestyle factors of Korean adults. Methods : We conducted a cross-sectional survey that included 650 men and 743 women (age range, 20 to 79 years) who were residents of Gwangju City in Gyeonggi-do. These subjects participated in the health interview and examination survey from November to December 2005. The total homocysteine, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglyceride in the serum were measured. All the participants had their body composition measured such as height and weight, and we obtained health-related behavioral information through the self-entry questionnaire. Results : Very right-handed skewed distributions of homocysteine were shown in men and women. The prevalence of hyperhomocysteinemia was 22.6% in men and 13.7% in women in Gwangju city. On the multiple logistic regression analysis, hyperhomocysteinemia was associated with age (OR=1.02, 95% CI=1.01-1.04), male gender (OR=1.60, 95% CI=1.02-2.52), severe general physical activity (OR=0.32, 95% CI=0.15-0.69) and nutrient consumption (OR=0.49, 95% CI=0.31-0.76). Conclusions : There is a great prevalence of hyperhomocysteinemia in adults of Gwangju City, Korea and it was associated with both genetic factors and lifestyle risk factors. This study can suggest that comprehensive lifestyle modification is needed in order to diminish the prevalence of hyperhomocysteinemia and to prevent CVD.

국내 뇌졸중 환자를 대상으로 한 간호중재 연구현황 및 분석 (The Analysis of Trends and Contents of Nursing Intervention Research for Stroke Patients in Korea)

  • 홍명선;조현숙;염영희;김근면
    • 기본간호학회지
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    • 제19권1호
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    • pp.109-121
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    • 2012
  • Purpose: This study was conducted to provide background information on nursing interventions to further enhance the quality of nursing practice and related professions, based on those performed for stroke patients. Methods: The analysis was performed in light of 84 researches papers on nursing intervention published between 1990 and 2010, and based on NIC(Nursing Interventions Classification) and NOC(Nursing Outcomes Classification). Results: 1. The quasi-experimental design was used as the most primary form of research design across 69 papers that constitute 82% of the total. 2. The number of nursing intervention methods identified throughout 84 research papers was 144. Based on the NIC that 90(62.5%) of those interventions fell into the physiological basic domain while 53(36.8%) belonged to the behavioral domain. 2) Interventions on activity and exercise management, physical comfort promotion, patient education conducted by class level of NIC were 40(27.78%), 34(23.61%), and 31(21.53%) respectively. 3) Outcomes of mobility, psychological well-being, energy maintenance, health & life quality measured by class of NOC among 317 dependent variables 79(24.92%), 64(20.19%), and 63(19.87%) respectively. Conclusion: Most interventions were classified as belonging to few particular domain types, which triggers needs for the development and application of multidisciplinary intervention methods through a more collective approach.

일부 신도시 고등학생의 식생활태도, 체위와 체력 변화에 대한 연구 (Effects of Eating Behavior and Body Fat on Exercise Performance of High School Students in Sungnam Area)

  • 이영미;윤상원
    • 대한지역사회영양학회지
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    • 제3권2호
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    • pp.190-201
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    • 1998
  • This study was carried out with 505(243 boys and 262 girls in the Sungnam area) high school students to investigate the effects of eating behavior and anthropometric variables of weight and height on excercise performance. General characteristics about subjects and eating behavior were surveyed by questionnaire, anthropometric data were collected using two methods. The weight and height of subjects in 1996 were measured, but the same data in 1995 were collected from health records of each student. Body fat content of subjects was measured by BIA(Body Impedance Analysis). The grades of exercise performance, which were evaluated by physical education teachers were collected from records of a physical strength test score of each subject. From these, the following result were found. Groups with different eating behaviors such as skipping meals, overeating, food preference for a specific food(milk, carbonated drink etc.) were significantly different in their weight and height and body fat contents. The growth rate of height in first and second grade boys was significantly higher than that for grade boys. The amount of weight gain from second grade to third grade was significantly more than that of other grades both for boys and girls. The mean of BMI was $21.66\pm{2.95}$ in boy, $21.50\pm{2.62}$ in girls. The percentage of body fat was $24.91\pm{6.55%}$ in boy $34.73\pm{4.88%}$ in girls. Amounts of body fat were significantly increased in third grade. The group with higher fat content and the higher BMI group had lower values of physical strength. And the ability to exercises perform decreased significantly by promotion of grade. The other variables such as degree of concern about weight control and preference of exercise, and frequencies of exercise per week were significant factors in body fat content and physical strength. As a countermeasure for these problems, nutrition and health education must be developed for adolescents and a practical, proper physical activity guidance campaign for them is necessary.

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중학교 여학생의 비만도에 따른 식습관 및 신체활동 (Eating Patterns and Physical Activities according to Obesity of Female Middle School Students)

  • 한애경;윤현경;조윤희;박정모;김미원
    • 동서간호학연구지
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    • 제18권2호
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    • pp.120-128
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    • 2012
  • Purpose: The purpose of this study was to analyse eating patterns and physical activities according to obesity of female middle school students in Korea. Methods: The 2010 Korea Youth Risk Behavior Survey (KYRBS) data was used for analysis. The subjects of this study were 11,996 female middle school students (10,118 normal weight and 1,778 overweight). The data were analyzed using descriptive analysis, independent t-test, and ${\chi}^2$-test. Results: The findings of this study Indicated that 52.1% of the normal weight group did efforts to lose weight, whereas 60.1% of the overweight groups did. The most common way of reducing body weight was 'reducing food intake', followed by 'regular exercise', 'taking diet supplements' and 'fasting'. Among the entire groups of respondents, 54.6% did not receive dietary education at school over the past year. In addition, 18.8% in normal weight group and 17.0% in overweight group had never receive physical education at school over the past year. Conclusion: The health provider should enhance the school based dietary education and physical education programs for the promotion of adolescents' health status and healthy behaviors.

광주지역 일부 초등학생에서 어린이 식생활실천지침 이행정도에 따른 영양소 섭취수준 비교 (Comparison of the Nutrient Intakes by the Score of Dietary Action Guides for Korean Children among the Elementary School Students in Gwangju City)

  • 김복희;성미영;이윤나
    • 대한지역사회영양학회지
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    • 제16권4호
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    • pp.411-425
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    • 2011
  • This study was conducted to examine differences in nutrient intakes by the compliance with the Dietary Action Guide for Korean Children. The subjects included 343 elementary school students in Gwangju city. Compliance with the Dietary Action Guide for Children showed that 62.4% of subjects had breakfast everyday; 44.3% of subjects ate vegetables/fruits/milk and dairy products daily; 26.8% of subjects ate a variety of lean meats/fish/eggs/bean products daily; 32.9% of subjects enjoyed outdoor activity everyday and ate according to their energy needs; 40.2% of subjects chose healthy and nutritious foods for snack; and 15.5% of subjects avoided food waste. Intakes of most of nutrients including energy were significantly higher (p < 0.05) in those who complied with the Dietary Action Guide well. Also nutrient intakes had the positive correlation with the scores of Dietary Action Guide (p < 0.05). From these results, nutrient intakes of children were significantly influenced by dietary factors suggested in the Dietary Action Guide for Children. In addition, the results also confirmed that good food behaviors were indispensible to maintaining a proper nutritional status. Based on these results, good food behaviors and practice were critical to secure good health and proper nutritional status for children, and that nutrition education should be strengthened in school as well as at home.

에이즈 상담간호사 자격제도 개발을 위한 직무 분석 - 포커스 그룹 연구방법과 데이컴 기법을 중심으로 - (Development of Job Description of HIV/AIDS Counselling Nurse in Korea)

  • 권영미;조경미;주혜주;김성재;전경자;박은희
    • 간호행정학회지
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    • 제15권1호
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    • pp.91-105
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    • 2009
  • Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.

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헬스케어에서 인공지능을 활용한 라이프로그 분석과 미래 (Lifelog Analysis and Future using Artificial Intelligence in Healthcare)

  • 박민서
    • 문화기술의 융합
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    • 제8권2호
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    • pp.1-6
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    • 2022
  • 라이프로그는 다양한 디지털 센서로부터 수집되는 개인의 디지털 기록으로, 활동량, 수면 정보, 체중 변화, 체질량, 근육량, 지방량 등이 포함된다. 최근, 웨어러블 디바이스가 보편화되면서 양질의 라이프로그 데이터가 많이 생산되고 있다. 라이프로그 데이터는 개인의 신체의 상태를 보여주는 데이터로, 개개인의 건강관리 뿐만 아니라, 질병의 원인 및 치료에도 활용될 수 있다. 그러나, 현재는, AI/ML 기반의 상관관계 분석 및 개인화를 반영하지 못하고 있다. 단순 기록이나 단편적인 통계치를 제시하는 수준에 그치고 있다. 이에 본 논문에서는, 라이프로그 데이터와 질병과의 연관성 및 AI/ML 기술의 라이프로그 데이터의 적용 사례를 살펴보고, 더 나아가, AI/ML을 활용한 라이프로그 데이터 분석 프로세스를 제안하고, 실제 갤럭시워치에서 수집된 데이터를 사용하여, 분석 프로세스를 실증한다. 더불어, 미래의 헬스케어 서비스인, 라이프로그 데이터와 식단, 건강정보, 질병정보와의 융복합 서비스 로드맵을 제안한다.

임부의 사회적 지지, 임신 스트레스, 그리고 불안이 삶의 질에 미치는 영향 (Effects of Pregnant Woman Social Support, Pregnancy Stress and Anxiety on Quality of Life)

  • 김정숙
    • 융합정보논문지
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    • 제11권5호
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    • pp.50-56
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    • 2021
  • 본 연구는 임부의 사회적 지지, 임신 스트레스 그리고 불안이 삶의 질에 영향을 미치는 영향요인을 파악하기 위해 시도 되었다. 본 연구는 2개 지역 D 와 S 지역에 거주하는 임부 117명을 대상으로 한 서술적 조사연구이다. 설문 전 연구의 취지와, 목적, 절차에 대하여 설명을 하고 진행하였다. 자료는 SPSS 21.0 을 이용하였고, 빈도분석, 분산분석, t검증, 상관분석, 희귀분석으로 실시하였다. 자료 수집은 2020년 1월부터 2월까지 하였다. 본 연구결과는 일반적 특성에 따른 임부의 삶의 질 차이는 수면시간, 경제수준, 건강상태, 활동량, 임신주기에서 유의미한 차이를 보였다. 삶의 질에 영향을 미치는 변수는 사회적 지지(β= .432, p= .000), 임신 스트레스(β=- .407, p= .000), 불안(β=- .182, p= .010) 순으로 확인되었다. 임부는 임신 스트레스와 불안 등을 경험하는 삶의 질 저하문제로 이어질 수 있어 임부에 대한 건강증진 프로그램 개발을 해야 할 것이며 삶의 질 증진을 위한 적극적인 간호중재 제공에 대한 필요성이 제기된다.