• 한국노년학
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• 제28권4호
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• pp.1069-1087
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• 2008

본 연구의 목적은 노인복지시설 입소치매노인을 대상으로 치매행동심리증상에 대한 아로마요법의 효과를 연구하여 치매노인과 부양자에게 양질의 삶을 영위하는 데 도움을 주고, 노인요양시설 등에서 치매노인을 위한 노인요양프로그램의 적용근거를 제공하기 위함이다. 본 연구는 단일집단 사전 사후설계로 진행되었고 연구대상은 시설입소 치매노인으로 의사소통이나 의사표시가 가능한 15명이다. 본 연구의 실험은 라벤더, 카모마일과 그레이프푸룻을 혼합하여 연구조원들이 아로마 손마사지법과 흡입법을 각각 1일 1회씩 총 15일간 3주 동안 제공하였다. 연구결과는 치매행동심리증상에 대한 아로마요법 후의 전체적 변화가 사전의 측정치는 1.47점, 사후1의 측정치는 1.09점, 사후2의 측정치는 1.01점, 사후3의 측정치는 0.71점으로 실험시기에 따른 변화가 유의미한 차이(F=11.501, p<0.001)가 있었고, 실험시기의 차이에도 유의미한 차이가 있는 것으로 나타났다. 항목별 결과는 대화 또는 태도에서 근심, 걱정, 두려움, 공포의 기분, 우울한 기분, 눈에 띄게 수선스러운 동작, 눈에 띄게 저조한 행동, 수면장애 및 야간배회 행동에서 유의미한 차이를 보였다. 본 연구결과를 바탕으로 아로마요법을 치매노인에게 적용하여 양질의 삶을 영위하는 데 도움을 주고, 노인요양시설에서 치매노인을 위한 프로그램으로 활용하면 치매노인의 심신의 건강에 기여할 것으로 기대된다.

• 농촌의학ㆍ지역보건
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• 제24권2호
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• pp.269-289
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• 1999

농촌지역 재택노인들의 건강관심도, 건강실천행위, 주곤적 건강상태, 그리고 일상생활 동작능력과 이들간의 관련성을 파악하고, 이들에 영향을 미치는요인을 알아보기 위하여 일개 군의 65세 이상 재택노인 480명을 대상으로 1998년 11월 15일부터 12월 20일까지 집적 면담하여 자료를 수집하였다. 건강관심도가 높은 상위군이 44.4%, 중위군이 13.1%, 하위군이 42.5%였으며, 건강실천행위는 상위군이 3.8%, 중위군이 18.8%, 하위군이 77.5%였다. 주관적 건강상태는 좋음이 29.0%, 보통이 31.0%, 나쁨이 40.0%였으며, 일상생활동작능력은 고ADL이 91.5%, 저ADL이 8.5%였다. 단변량 분석결과 남녀 전체를 대상으로 하였을 때 건강관심도와 건강실천행위는 유의한 관련이 있어 건강관심도가 높은 사람이 건강실천행위를 많이 하였다. 남녀로 구분하였을 때 남자의 경우 건강관심도와 건강실천행위는 유의한 관련이 있었고, 여자의 경우는 유의한 관련은 없었다. 남자와 여자 모두에서 건강실천행위와 주관적 건강상태는 유의한 관련이 있었다. 즉, 건강실천행위를 많이하는 사람이 주관적 건강상태가 좋았다. 건강실천행위와 ADL의 경우는 남녀가 모두 건강실천행위를 많이 하는 사람이 유의하지는 않았지만 ADL이 좋았다. 남녀 모두에서 ADL이 좋은 경우 유의하게 주관적인 건강상태가 좋았다. 사회인구학적 변수를 독립변수로 하고 건강관심도를 종속변수로 한 다중회귀 분석에서 건강관심도는 연령이 적을수록, 의료보호보다 의료보험인 경우, 대중매체나 병원 보건소등의 건강정보원이 있는 경우, 그리고 정기적인 모임이 있는 경우에 높았다. 건강실천행위를 종속변수로 하고 사회인구학적 특성과 건강관심도를 독립변수로 한 다중회귀분석 결과, 남자의 경우에만 모형이 성립하였는데 건강관심도가 높을수록 건강실천행위를 많이 하였다. 주관적인 건강상태를 종속변수로 하고 사회인구학적 특성과 건강실천행위를 독립변수로 한 일반화 로짓 모형에서 남자는 생활비가 충분할수록, 질병이 없는 경우, 정기적인 모임이 있는 경우, 그리고 건강실천행위를 많이 하는 경우에 주관적 건강상태가 좋았다. 여자의 경우는 배우자가 없는 경우, 생활비를 본인이나 배우자가 부담하는 경우, 질병이 없는 경우, 병원이나 보건소 등의 건강정보원이 있는 경우, 그리고 건강실천행위를 많이 할수록 주관적 건강상태가 좋았다. 사회인구학적 변수에 건강실천행위를 추가한 독립변수와 ADL의 고저를 종속변수로 한 다중 로지스틱 회기분석에서 남자의 경우는 생활비를 본인이나 배우자가 부담할수록, 여자의 경우는 연령이 적을수록, 병원·보건소 등의 건강정보원이 있을수록 ADL이 좋았다. 이상의 결과를 볼 때 남녀 모두 건강에 대한 관심이 높을수록 건강실천행위를 많이 하게 되며 건강실천행위를 많이 할수록 건강수준인 일상생활 동작능력과 주관적인 건강상태가 좋았고, 일상생활 동작능력이 좋을수록 주관적인 건강상태도 좋았다. 그러므로 노인들이 건강에 대한 관심을 가지고 건강실천행위를 할 수 있도록 대중매체와 개인면담을 통한 상담과 보건교육, 지역사회 건강증진 프로그램 등 다차원적인 접근이 필요하다.

• 한국학교보건학회지
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• 제15권2호
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• pp.249-261
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• 2002

This study was a research study to find out the real picture and practice of student obesity control by primary, middle and high school school nurses. The study sampled 196 school nurses working in the Busan City and Northern Gyungsang Province, who agreed on the purpose of the study. When it comes to the study process, at the meeting of the whole school nurses, the researcher explained the purpose of the study and asked them to complete questionnaires and return on the spot. The study is designed to provide basic data for school nurses in field to systematically and efficiently control student obesity by examining perception of school obesity control and the real picture or practice of obesity control as well as its problems. The study used SPSS 10.0 to analyze data. The results are as follows: Annual plans about obesity control appeared significant at the primary school, 89.3%, higher than 77.3% of the middle and high school(p<0.05). Annual project evaluation showed a significant difference by regions, 56.0% of metro cities vs. small cities(p<0.01). The number of measuring weight of obese students was higher at the primary school than at the middle and high school(p<0.05). Also small cities conducted the weight measurement more often than metro cities(p<0.001). Among the health education methods for obesity, counseling appeared statistically significant(p<.01). The health education showed a significant difference in more experienced school nurses. Among the educational media, environment postings were used at the primary school, 24.0%, higher than 5.3% of the middle and high school. It showed a significant difference(p<.001). OHP or epidiascopes were used at the primary school, 36.4%, significantly higher than the middle and high school(p<.001). In addition, computer was used at the primary school, 21.5%, higher than the middle and high school(p<.05). Problems of obesity education data included a lack of textbooks and programs and a short of educational media. However it didnt show a significant difference in schools or in regions. Counseling activities for obesity showed a significant difference in schools(p<.01) and in regions(p<.001). When parents with obese students were in counseling, those in their 20s used home correspondence and those in their 30s and 40s used phone call(p<.01). The rate of equipment to measure obesity was higher at the middle and high school than the primary school, showing a significant difference(p<.001). Therefore, regular health education curriculums for school nurses should be systematically created to promote student health. Furthermore, it needs to make standard textbooks for health education by grades as well as by levels and to develop various educational programs and educational media.

• Journal of Community Nutrition
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• 제4권2호
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• pp.83-89
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• 2002

We examined the association between eating frequency of rice vs. bread at breakfast and nutrient and food-group intake among 1771 female college students aged 18-20 years. The frequency of main staples at breakfast and the nutrient and food group intake for the previous month were assessed with a validated self-administered diet history questionnaire. We divided main staples into rice, bread, and noodles. As the eating frequency for noodles was almost negligible, we computed the difference of eating frequency of rice minus that of bread(mean = 0.7 times/week). Among 16 nutrients examined, the difference of eating frequency correlated significantly and negatively only with fat intake, especially saturated fatty acid (SFA) (r=-0.31, p<0.001), and significantly and positively with the intake of n-3 poly-unsaturated fatty acid, iron, sodium, protein, carotene, potassium, dietary fiber, and vitamin C (r=0.08-0.15, p<0.001) after adjusting for the energy intake, the residential area, the population size, and the living status with their families. In conclusion, the more frequent intake of rice compared to bread at breakfast correlated with the higher intake of the several vitamins and minerals, and the lower intake of fat, especially SFA. The only unfavorable aspect of the rice group was the higher sodium intake.

• 가정과삶의질연구
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• 제24권1호
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• pp.55-69
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• 2006

This study has been performed to investigate group differences and determining factors of burnout of the workers in elderly living facilities. In this study, 131 male and female workers composed of social workers, health practitioners, and other management workers were selected among 23 retirement and nursing facilities in Korea between 2003 and 2005. They were asked about their socioeconomic background, working environment, and their perceptions on burnout in the working places. As for main dimensions of the burnout, there were three elements such as emotional weariness, diminishing personal accomplishment, and depersonalized behaviors. Particularly in this study, the depersonalized behaviors were defined as aggressive or rude verbal and behavioral outbursts from anger. As a result of this study, the following results were found: Most workers have medium level of perception on their commitment and burnout, but there. are some risk factors; newly married young workers were less satisfied or fairly rewarded with their job and as a result, they have significantly higher level of emotional weariness but lower feeling of personal accomplishments. In addition, they occasionality practiced aggressive or rude behaviors such as yelling, threatening, and physically harassing As for the influence of determining variables, long-time workers of long established facilities were more satisfied and less burnout. In addition, there are some impacts of job category; health practitioners were more burnout than social workers. In this study, suggestions are made as follows: first, guiding and settlement programs should be developed for the newly started young married workers, particularly at early stage of their career. Second, future aspects of facility visions should be guided for the workers, so that they are relieved from stressful routines without any future plan. Third, medical workers such as physical therapists and nurses should be further monitored for main reasons of increasing their stress.

• 한국학교보건학회지
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• 제17권1호
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• pp.41-53
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• 2004

Purpose : In an attempt to analyse gender-egalitarianism related to the general characteristics, sexual consciousness and behavior in middle school students, this study was carried out. This study will provide data that can be used to develop sexuality education programs on the basis of gender-egalitarianism. Method : The subjects were 141 students (70 boys and 71 girls) in 4 classes that were randomly selected from among 8 classes of first graders in a coeducational middle school, in Seoul. For the evaluation of gender-egalitarianism, a Gender Egalitarianism Scale modified by the researcher was used. Results : Major findings were as follows: 1. Gender-egalitarianism was significantly higher in girls compared with boys. All of the boys and girls, had high gender-egalitarianism in the aspect of woman's ability in groups without sexual discrimination, but low gender-egalitarianism in woman's sexual conversation and style of dress. 2. Gender-egalitarianism in boys who had experienced intersexual physical contact, categorized as holding hands, embracing, kissing, and petting, was significantly higher when compared with inexperienced boys. 3. Gender-egalitarianism significantly increased as the father's education level increased as well as the father's open-mindedness. Factors influencing gender-egalitarianism was social acceptance, the mass media, the attitudes of the school teachers, and the attitudes of older and younger student in school. Conclusions : Based on these results, boys' gender-egalitarianism was lower than that of girls. Systematic education on gender-egalitarianism, combined with sexuality education, is necessary for middle school students, especially boys. In the long term, social acceptable the, mass media, school and home life should be changed for the achievement of the equality of the sexes.

• Journal of Nutrition and Health
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• 제11권1호
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• pp.1-8
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• 1978

Ninety-three weaning children, 8-36 Mo. old wererandomly selected from rural areas of South Korea. Food and nutrient intake level were measured by the weighing-interview method for two consecutive days in December 1976. Their weaning pattern, dietary pattern, food and nutrient intake level were analyzed. A brief summary of 4he finding follows; 1) 80% of the rural children completed the weaning by the age of 24 months. 2) 44% of 8-12 month olds were living only on breast mil while the rest of the age group received regularly a supplementary food. 3) Over half of the 8-36 Mo old children investigated were receiving the same dietary pattern, arbitrarily called 'Diet K'. Diet K consists of rice-Kimchi-seasoning-oil which is the basic components of an average Korean adult diet. This very composition of the diet K and no other variety of food included inevitably result in low intake of vitamin A, iron, calcium and riboflavin for the children. 4) The weaning children were found to be taking all nutrients except niacin in amount far from sufficient to recommended level. Particularly low were the intakes of good quality protein, iron, vitamin A, riboflavin and vitamin C which met only 15%-37% of the recommended level for 12-36 Mo. olds. 5) It was concluded that majority of the rural children of weaning age in Korea are given the simple diet K and feeding the weaning children only with the basic dietary pattern of adults can not meet the nutritional requirements. This is a part of the study supported by the ROKG/USAID Health Planning Project.

• 한국학교보건학회지
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• 제29권3호
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• pp.310-317
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• 2016

Purpose: This descriptive research was carried out to identify how high school students' attitude to death and their meaning of life were affected by hospice volunteering and death education. Methods: This study is based on a structured questionnaire designed for 180 high school students who were given death education while doing volunteer work at non-profit hospice hospitals and another 288 high school students not doing any hospice volunteer work. The collected data was processed by the SPSS 20.0 program and then analyzed by $x^2$ test, t-test and ANOVA test. Results: High school students' attitude to death and their meaning of life showed significant differences depending on whether or not they had volunteered at hospice hospitals. The group with hospice volunteering experience tended to be more negative about death and have a higher meaning of life compared to those without hospice volunteering experience. Students with proper hospice recognition made up 52.4%, those who expressed hopes to receive hospice-care themselves if necessary accounted for 70.5%, and those who said they would like to take care of their family members either at home or at a hospice center if any of them got incurably sick comprised 59.0%. Those who thought dignified death is to be with one's family or any other meaningful person were 47.6% and 18.5% of the students thought that 'thinking they had led a meaningful life' was the core of a dignified death. Conclusion: Given the above results, it became clear that hospice volunteering and death education can affect high school students' meaning of life and their attitudes toward death.

• 근관절건강학회지
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• 제10권1호
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• pp.7-18
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• 2003

This study was to investigate the effects(pain, discomfort, and range of motion) of heat therapy according to the application time among the elderly with osteoarthritis. Study participants were 27 elderly women, who were diagnosed as osteoarthritis, suffered from it for more than 6 months, and who were staying at a nursing home in Busan. The independent variable was heat therapy, which was applied for 20minutes, one time per week according to 3 timetable(before waking up, while in daily living, before going to bed) over 6 weeks. The dependent variables were pain and discomfort measured by 20 points visual analog scales, and range of extension and flexion measured by goniometery. The data were analyzed by descriptive statistics and repeated measures ANOVA. The results were as follows ; 1) There were significant differences for pain(F=9.77 p=.0001), discomfort(F=8.07 p=.001), range of extension(F=3.05 p=.05), and flexion(F=9.67 p=.0001) among heat therapy application times. 2) There were significant differences for pain(F=58.18 p=.0001), discomfort(F=63.68 p=.0001), range of extension(F=11.59 p=.001), and flexion(F=17.59 p=.0001) between before and after applying heat therapy. 3) There were not statistically significant differences for pain(F=.64 p=.531), discomfort(F=.18 p=.836), range of extension(F=1.33 p=.270), and fiexion(F=.26 p=.773) between before and after applying heat therapy according to the heat therapy application times. In conclusion, heat therapy was effective in reducing pain and discomfort, and in improving ROM for the elderly with osteoarthritis, but the effect of it was not different according to the time of application. We recommended further studies with larger sample size, longer and more repeatedly applied to investigate the effect of heat therapy according to the time of application.

• 한국학교보건학회지
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• 제28권3호
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• pp.200-210
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• 2015

Purpose: This study aimed to examine the use of smart phones and their relationship with self-efficacy and academic achievement among students in 5th to 6th grade. Methods: 954 students in $5^{th}$ to $6^{th}$ grade were selected from three elementary schools in K City through purposive sampling. Data of 591 respondents were analyzed by $x^2$ test, ANOVA, correlation analysis and multiple regression analysis using the SPSS/WIN program. Results: First, 64% of the students possessed a smart phone and female students used their phone more than male students. 47.5% of the students said they first used a smartphone in their $5^{th}$ grade and 11.7% said in their 6th grade. Second, heavier use of smart phones was related to a lower level of self-efficacy (p<.001). Third, the more the students used a smart phone, the less they achieved in academic performance (Korean language: p<.001, mathematics: p<.01). Finally, the biggest factor influencing smart phone addiction was longer use of smart phones. In addition, lower self-efficacy and lower ability to adapt to difficult tasks were the factors influencing the increase in smart phone addiction. Less use of smart phones and higher self-efficacy resulted in higher achievement in academic performance. Conclusion: It is essential to decrease students' use of smart phones and improve their self-efficacy and academic performance. Intervention programs to reduce the use of smart phones should include a profound interest, a personality-oriented educational environment and sufficient dialogues with students at home, schools and the local society, beyond simple regulations to prevent adverse effects.