• 제목/요약/키워드: Secondary adult education

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유방암 환자의 분노관리 자기효능감 증진 프로그램 개발 (Development of a Program for Anger Management Based on Self-efficacy in Patients with Breast Cancer)

  • 오복자;최승이
    • 성인간호학회지
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    • 제21권2호
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    • pp.199-211
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    • 2009
  • Purpose: The purpose of this study was to develop a program for anger management based on self-efficacy. Methods: In this study, four types of approaches to enhance anger control were developed; 1) a role play for vicarious experiences; 2) an assertive training for anger expression; 3) a 30-minute long education program & a 20-minute long telephone call coaching for verbal persuasion; and 4) a booklet for anger management and self care behaviors. One group pretest-posttest design was used for evaluating the program. Study subjects were 6 cancer patients undergoing chemotherapy. The group were received a 4-week intervention, 60 ~ 90 minutes a day weekly, and measured the variables at baseline, 4 weeks later. Anger-in, anger-out, and anger-control were measured by STAXI-K. Data was analysed by Wilcoxon using SPSS/WIN 12.0 program. Anger situation was analysed according to primary anger-thoughts and secondary anger-thoughts based on cognitive theories of anger. Results: The program for anger management consisted of a role play, assertive training, education, telephone call coaching and a booklet. The program revealed significantly less Anger-in (Z = -1.997, p = .046), anger-out (Z = -2.207, p = .027). No difference, however, was found in anger control (Z= -1.826, p=.068). Conclusion: This evaluation suggested that more assertive training and longer intervention may be needed to maximize anger control.

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입원 환자의 건강정보문해력에 관한 연구 (Health Literacy of Inpatients at General Hospital)

  • 홍인화;은영
    • 성인간호학회지
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    • 제24권5호
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    • pp.477-488
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    • 2012
  • Purpose: The purpose of this study was to investigate the health literacy of inpatients at general hospitals. Methods: The sample of this study was 157 inpatients from secondary general hospitals located in a J city during April 1st to April 15th, 2011. The linguistic health literacy was measured by Korean Health Literacy Assessment Tool (KHLAT). The functional health literacy was measured by Korean Functional Health Literacy Test (KFHLT). Results: The mean score of the linguistic health literacy was $36.03{\pm}16.33$ (percent of correct answer: 54.6%). The mean score of the functional health literacy was $9.62{\pm}4.75$ (percent of correct answer: 56.6%). The linguistic and functional health literacy were by age, education level, marital status, socioeconomic status and their health status. There was statistically a significant correlation between the linguistic health literacy and the functional health literacy (r=.75, p<.001). Conclusion: The health literacy of inpatients was strongly related to education level and age. There is a need to develop the educational materials for adjusting the health literacy level of inpatients.

거주형태에 따른 한국 노인의 삶의 만족도 관련 요인 (Factors associated with Life Satisfaction among Older Adults in Korea according to Living Arrangements)

  • 이시은
    • 성인간호학회지
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    • 제28권6호
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    • pp.659-668
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    • 2016
  • Purpose: This study utilized secondary data and investigated the factors associated with life satisfaction by living arrangements among community-dwelling adults aged 65 years or older in Korea. Methods: A total of 2,134 participants were selected from the 2014 Korean Longitudinal Study of Aging (KLoSA). Univariable and multivariable logistic regression were used for data analysis. Results: The significant factors associated with life satisfaction in older adults living with others were education level (odds ratio [OR] 1.73, 95% confidence interval [CI] 1.41~2.11), place of residence in medium-size city (OR 1.57, 95% CI 1.25~1.97), place of residence in rural town(OR 1.52, 95% CI 1.19~1.95), depression (OR 2.99, 95% CI 2.43~3.68), frequency of contact with neighbors (OR 1.39, 95% CI 1.10~1.76), and social participation (OR 1.48, 95% CI 1.14~1.93). In contrast, factors associated with life satisfaction among older adults living alone were education level (OR 1.93, 95% CI 1.15~3.24) and depression (OR 2.49, 95% CI 1.48~4.19). Conclusion: These findings indicated that nursing interventions for improving life satisfaction among older adults should take into account their specific living arrangements.

Nutrition Education for the Elderly in the US

  • Reicks, Marla
    • Journal of Community Nutrition
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    • 제4권1호
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    • pp.51-58
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    • 2002
  • Eating behavior change as a result of nutrition education interventions as secondary prevention strategies can contribute to an increase in life expectancy and better health for older adults in the United States (U.S.). Many of the chronic conditions prevalent in older adults are modifiable by dietary changes, including heart disease, diabetes mellitus, hypertension, obesity and osteoporosis. Important demographic observations in the U.S. including the projected large increase in number of older adults by 2030 have implications for nutrition education focus and services. A comprehensive review of nutrition education interventions for older adults in the U.S. published in 1995 identified elements from adult education theories that contribute to the effectiveness of nutrition education. These elements have been the focus of more recent studies with older adults providing additional evidence for relationships between concepts from commonly used behavior change theories and dietary patterns or change. In the U.S, an important program contributing to nutritional adequacy of the diet for older adults is the Elderly Nutrition Program which provides resources for congregate dining and includes a mandatory nutrition education component. Nutrition education is also provided through clinic based programs, and print and broadcast media. Application of the Transtheoretical Model has shown that the level of interest or motivation to comply with dietary guidance may be greater for some older adults due to an increasing burden of chronic disease and poorer quality of life, while others may not feel a need to change lifestyle habits.

A prospective randomized trial of xylometazoline drops and epinephrine merocele nasal pack for reducing epistaxis during nasotracheal intubation

  • Patel, Sonam;Hazarika, Amarjyoti;Agrawal, Prachi;Jain, Divya;Panda, Naresh Kumar
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제20권4호
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    • pp.223-231
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    • 2020
  • Background: The most frequent complication of nasotracheal intubation (NTI) is epistaxis. Epinephrine nasal gauze packing has been used conventionally as a pre-treatment for reducing epistaxis, but it carries a disadvantage of pain and anxiety in patients. However, xylometazoline drops are easier to administer and more convenient for patients. We aimed at comparing the effectiveness of xylometazoline drops and epinephrine merocele packing in reducing bleeding and postoperative complications in our population. Methods: Our study enrolled 120 patients in a double-blind randomized controlled trial. We randomly allocated ASA1 or 2 adult patients into 2 groups: Group X and Group E. Group X received 0.1% xylometazoline nasal drops, and epinephrine (1:10,000) merocele nasal packing was used in Group E. The primary outcome was the incidence of bleeding during NTI; the severity of bleeding, navigability, bleeding during extubation, and postoperative complications were secondary outcomes. We used IBM SPSS and Minitab software for statistical analysis, and P < 0.05 was considered statistically significant. Results: We analyzed the data of 110 patients: 55 in Group X and 55 in Group E. The two groups did not have different bleeding incidence (56.4% vs 60.0%; P = 0.70); however, the incidence of severe bleeding was less with xylometazoline than with epinephrine (3.63% vs 14.54%; P < 0.05). We also observed less bleeding during extubation (38.2% vs 68.5%; P < 0.05) with xylometazoline. Other secondary outcomes were akin to both groups. Conclusion: The incidence of severe and post-extubation bleeding was significantly less with xylometazoline. Hence, it may be an effective alternative for reducing the incidence and severity of epistaxis during NTI.

데이터 비식별화 원리의 이해를 위한 파이프 게임 기반 초등 정보보호 교육 요소 제언 (Suggestion of Elementary School Information Security Education Elements Based on Pipe Game to Understand the Principle of Data De-Identification)

  • 김진수;김상춘;박남제
    • 정보보호학회논문지
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    • 제31권5호
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    • pp.1063-1070
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    • 2021
  • IT 기술이 발전함에 따라 IT 전문인력 양성의 중요성이 강조되고 있으며, IT 인력 양성을 위한 교육이 기술적인 인재 양성을 위한 성인 대상의 교육 뿐만 아니라 초중등 교육과 같은 어린 피교육자들을 대상으로 하는 교육의 필요성이 확대되고 있다. 특히 2015 개정 교육과정에서부터는 필수교과로 정보 교과가 추가됨에 따라 초중등 대상의 교육과정에서 IT 기술의 원리를 이해하며, 이해한 내용을 바탕으로 문제를 풀어나가는 응용력을 기를 수 있도록 요구하고 있다. 현재 IT 기술들을 융합하여 새로운 서비스들을 제공하기 위해 갖은 연구가 진행되고 있으며, 그 과정에서 개인정보의 사용이 요구되는 경우 개인정보의 유출을 방지하기 위한 철저한 보안이 선결된다. 또한 데이터를 외부로 전송하는 과정에서 개인정보를 식별할 수 없도록 하고 있다. 본 논문에서는 데이터의 전달 과정에서 발생하는 비식별화 과정을 초등과정 피교육자를 대상으로 파이프 게임을 이용하여 이해할 수 있도록 하는 교육 방법을 제안함으로써 교육 현장에서 효과적인 IT 교육에 도입할 수 있는 교육 요소를 제언하였다.

재미 한국인과 우리나라 성인의 구강건강상태에 영향을 미치는 요인에 관한 연구 (Factors that influence the oral health status between Korean adults living in Korea and the US)

  • 김연화
    • 한국치위생학회지
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    • 제13권4호
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    • pp.597-604
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    • 2013
  • Objectives : The purpose of the study is to compare and investigate oral health status between Korean adults living in Korea and the US. Methods : Subjects were 1,785 persons including 399 Korean adults living in Virginia, US and those from the second year 2011 of the 5th National Health and Nutrition Survey. Darta were analyzed using SPSS 12.0 for frequency analysis, t-test, one-way ANOVA, and post-hoc Tukey. Results : 1. In general characteristics, adult living in Korea revealed higher DT and DMFT than those in the US. 2. In oral health status, adult living in Korea revealed higher DT and DMFT than those in the US. 3. The variables affecting oral health status in Korean adults in the US were age, private health insurance and number of tooth brushing. 4. The variables affecting oral health status in adults in Korea included gender, age, private health insurance, smoking, drinking, use of secondary oral hygienic products and number of tooth brushing. Conclusions : It is necessary to emphasize the importance of oral health care and to establish the oral health education in dental care agencies.

골다공증에 대한 인지측정도구 개발 (Development of an Osteoporosis Awareness Scale for Women)

  • 최의순;김주후;정미영;황경혜
    • 대한간호학회지
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    • 제38권6호
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    • pp.813-821
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    • 2008
  • Purpose: This study was conducted to develop an instrument measuring awareness of osteoporosis. Methods: The process included construction of a conceptual framework, generation of 86 preliminary items, verification of content validity, selection of secondary items, verification of construct validity and extraction of final items. The 86 items were reviewed for content validity by two groups of experts and were tested to evaluate inter item correlation coefficient by two groups of adult women. From June to August 2007, data were collected from 383 adult women who lived in Seoul and provinces in Korea. Data were analyzed by performing item analysis, Varimax factor analysis and Cronbach's alpha. Results: There were 31 items in the final instrument categorized into 5 factors. The factors were labeled as "preventive behaviors (10 items)", "risk factors (5 items)", "characteristics of osteoporosis (6 items)", "improving bone health (5 items)", and "bone physiology (5 items)". Cumulative percent of variance was 60.92% and eigen values ranged from 1.20 to 12.44. Cronbach's alpha was .948 and ranged from .804 to .917. Conclusion: Validity and reliability of the scale are confirmed in this study showing its utility for measuring awareness of osteoporosis for women. Utilization of the scale will also contribute to designing an appropriate prevention program for osteoporosis.

성인 여성의 모유수유 예측요인: 국민건강영양조사 제7기 3차년도(2018)의 2차 자료 분석 (Predictors of Breastfeeding in Adult Women: a Secondary Data Analysis of The Seventh Korea National Health and Nutrition Examination Survey(KNHANES VII-3), 2018)

  • 성지숙
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.440-448
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    • 2020
  • 본 연구는 제7기 3차년도(2018) 국민건강영양조사 통계 자료 중 건강 설문 조사 결과를 토대로 인구사회학적 특성 및 건강관련 특성이 성인 여성의 모유수유에 미치는 영향요인을 파악하고자 시행되었다. 자료는 가중치를 적용하여 SPSS Win 22.0 프로그램의 복합표본 분석방법을 이용하여 분석하였다. 성인 여성의 모유수유에 영향을 미치는 요인을 알아보기 위하여 복합표본 다중 로지스틱 회귀분석을 한 결과, 연령, 교육 수준, 흡연이 모유수유에 영향을 미치는 것으로 나타났다. 30-39세 연령군인 경우 19-29세 연령군인 경우보다 3.06배, 초등학교 이하의 학력인 경우가 대학 이상의 학력인 경우보다 4.70배, 비흡연자가 흡연자에 비해 2.51배 모유수유율이 높았다. 따라서 30세 미만의 연령의 경우 모유 수유에 대한 교육을 더욱 강화하고 40세 이상의 연령의 경우 모유생산량을 높이고 돌봄 제공서비스를 제공해야 한다. 또한 학력이 높은 경우에는 직장생활 등의 제한된 환경에서의 효율적인 모유수유 방법을 익히고 수유부를 배려하는 사회적 분위기 조성이 필요할 것이다. 뿐만 아니라 여성 흡연자의 금연프로그램에는 임신 및 수유와 관련된 교육이 포함되어야 할 것이다.

한국 성인 음주 남성의 고위험 음주 관련 요인: 2차 분석 연구 (Factors associated with high-risk drinking among men in Korea: a secondary analysis)

  • 채현주
    • Journal of Korean Biological Nursing Science
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    • 제26권1호
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    • pp.49-59
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    • 2024
  • Purpose: This study was conducted to identify factors associated with high-risk drinking in Korean men. Methods: This study was a secondary analysis using data from the Korea National Health and Nutrition Examination Survey (KNHANES VIII-2), 2020. Data were downloaded from the KNHANES website. The subjects of this study were 1,653 alcohol-drinking men between 19 and 64 years of age. Data were analyzed using the Rao-Scott chi-square test and complex sample logistic regression statistics. Results: The high-risk drinking rate among alcohol-drinking men was 27.1%. High-risk drinking was more common in men who smoked (odds ratio [OR] = 2.11, p < .001), men with a middle school education or lower (OR = 1.91, p = .016), men who lived with a spouse (OR = 1.61, p = .025), men who slept less than 6 hours on weekends (OR = 1.51, p = .016), and men who perceived stress (OR = 1.30, p = .044), while it was lower in men who were underweight (OR = 0.19, p = .006). Conclusion: To reduce the rate of high-risk drinking, it is necessary to provide an intervention that considers factors associated with high-risk drinking among men. In particular, smoking was the most important factor associated with high-risk drinking, implying that the integrated management of drinking and smoking is necessary to reduce high-risk drinking.