• 한국보건간호학회지
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• 제30권2호
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• pp.247-258
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• 2016

Purpose: The purpose of this study was to evaluate the effects of a comprehensive exercise program for the prevention of urinary incontinence (UI), frailty, and depression, as well as the promotion of physical function in community-dwelling elderly female living alone. Methods: A nonequivalent control group pretest-posttest design was employed. The participants were 76 vulnerable elderly female with a mild-to-moderate urinary incontinence. The exercise group completed 12 weeks of a moderate intensity, comprehensive exercise program. Descriptive statistics, independent t-tests and ANCOVA were used for data analysis with SPSS. Results: Upon the completion of the 12-week exercise program, significant improvements for UI symptoms (p=.001), timed up and go (p<.001), frailty (p=.006), and depression (p<.001) were observed, but not for hand grip strength (p=.053). Conclusion: The findings of this study indicate that the 12-week comprehensive exercise program for the prevention of urinary incontinence had positive effects on improving UI symptoms, physical function, levels of frailty and depression in elderly women living alone. More prolonged exercise programs with other types of exercise should be developed for these vulnerable elderly women, and future studies are encouraged to confirm the effect of the comprehensive exercise program in other settings.

• 지역사회간호학회지
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• 제27권1호
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• pp.51-59
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• 2016

Purpose: The purpose of this study is to provide a disease management, nutrition education, and group exercise program for three months to the moderately frail elderly whose physical functions have deteriorated, and to investigate its effects in order to develop an intervention program. Methods: As a quasi-experiment, this study was conducted based on non-equivalence studies designed as a similar experiment. The milk intake group and calcium intake group participated in the disease education, individual nutrition education, and group exercise program for three months, and the control group was visited once in the three months by a nurse who provided disease education, nutrition education, and oral instruction of exercise, and asked them to exercise on their own every day. For the data analysis, ${\chi}^2$-test, ANOVA and $Scheff{\acute{e}}$ test were used. Results: After three months of intervention, there was a significant difference in the frailty level (p=.029) and bone density (p=.001) between the groups. Conclusion: The comprehensive intervention program had an effect on the bone density and the frailty level of the socially-vulnerable and moderately frail elderly, suggesting that the program can be used as a nursing intervention to prevent functional deterioration and damage of the moderately frail elderly.

• Child Health Nursing Research
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• 제24권2호
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• pp.241-251
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• 2018

Purpose: The purpose of this study was to identify trends in health-related interventions on children attending Community Child Care (CCC) centers, which are part of a health policy to provide after-school care for vulnerable children in South Korea. Methods: From 2007, 109 papers were analyzed using the scoping study method. Results: The number of studies increased steadily between 2007 and 2016. Most studies were based on the social sciences, and the participants were mainly elementary school students. Psychological and social interventions were the most common types of interventions with socio-psychological indicators as measurements. In addition, only a few studies had a clearly defined conceptual framework. The majority of studies did not explicitly indicate that they followed ethical considerations. Conclusion: It is necessary to develop health-related interventions for children attending CCC centers using diverse subjects, types, and evaluation methods, along with improvements in the quality of research methodology. Furthermore, it is essential to clearly articulate and implement ethical considerations in research targeting vulnerable children.

• Architectural research
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• 제12권2호
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• pp.63-72
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• 2010

Affordable housing has been a critical issue in the face of global economy and notably formulated a crucial agenda of the housing policy. While each local government seriously considers many approaches to providing affordable housing, a unique and innovative way to address it at a community level is fully uncovered, particularly nonmetropolitan areas where resources for economic development are limited and vulnerable. The purpose of this study is to examine the mechanism of the provision of affordable housing for the elderly in nonmetropolitan areas. In doing so, this research investigates the housing development and delineates it as one viable solution that stimulates local communities. The affordable housing development, as a viable option to spur local development and vibrate community, is closely reviewed, and the factors to make it feasible are drawn. The findings indicate that it is widely recognized that keeping the elderly in the community positively contributes to maintaining a sustainable community. In fact, the idea of affordable housing development for middle-class elderly people is brought by one inspired long-time resident, and it is expedited by the consensus and cohesion of local community. The development stimulates local businesses in relation to housing, and all homes sold by the elderly moving in the new housing are available for young families. Also, the presence of affordable housing for the elderly who are able to independently live is extended to a picture of aging-in-place at a broader level.

• 한국실내디자인학회논문집
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• 제25권4호
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• pp.125-134
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• 2016

This study intends to identify the spatial characteristics by carrying out the case studies of supportive housing examples of the Top Ten Projects awarded by the AIA Committee on Environments. Information of 7 awarded works was collected and content analysis was made according to design concepts and spatial compositions. As a result, the major design concepts applied to the examples were categorized into 5 points of regeneration of community, accessibility to the community, enhancement of spatial capability, participation and consensus of stakeholders and resident support services. Many supportive houses were built as a project to regenerate the deprived area and to reactivate the community through supplying supportive houses. In addition, supportive houses were developed by independent house type and shared house type and diverse scopes and sizes of community spaces were provided by including residents' exclusive community spaces that provide diverse services to vulnerable residents in addition to individual residential spaces and the community spaces that promote the consensus of residents and community people. The results of this study are expected to be used as basic material that provides the direction of desirable spatial design for introducing supportive housings in Korea.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.495-503
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• 2023

Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.

• 유통과학연구
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• 제15권7호
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• pp.73-83
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• 2017

Purpose - The purpose of this paper is to explore the CSR activities of small enterprises in hospitality and tourism industry in South Korea. Since previous research on CSR activities has considerably focused on large enterprises whereas small enterprises have relatively less attention, this study aims to explore the characteristics of small enterprises in hospitality and tourism industry and their CSR activities. Research design, data, and methodology - The population of interest for this study was social enterprises registered in Korea Social Enterprise Promotion Agency (2016), and it was used to verify the social enterprises which has a certification for social enterprises. From 1672 companies in total, the sampling frame was a database with 117 companies in hospitality and tourism industry. This study investigates social enterprises' CSR activities on the company's official websites (e.g., company reports, magazines, the news articles, and interviews). The websites of the selected enterprises in hospitality and tourism industry were analyzed for examining CSR activities by the quantitative content analysis. All of the CSR activities in small social enterprises were classified into six dimensions based on the stakeholder theory. Results - The findings of this study provide the characteristics of the 117 small social enterprises and their specific CSR initiatives. A total of eight main business lines were identified: 1) fair travel, 2) leisure/sports, 3) accommodation/camping, 4) medical tourism, 5) exhibitions/art events/cultural events, 6) leisure activities for vulnerable social groups, 7) Korean traditional culture, and 8) ecotourism/agricultural tourism. The CSR initiatives were classified into six dimensions: 1) environment, 2) employment, 3) multicultural families and vulnerable social groups, 4) local community, 5) economic prosperity, and 6) product. Conclusions - This study revealed the special CSR initiative examples of small enterprises in hospitality and tourism industry. Small social enterprises participate in CSR activities mainly related to their own business lines. Moreover, these enterprises are more closely embedded in their local community development, job creation and education for local residents and vulnerable social groups, and traditional heritage preservation. The findings of this study provide theoretical and practical implications and they can contribute to enrich CSR with literature for small enterprises in hospitality and tourism industry.

• 보건행정학회지
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• 제32권2호
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• pp.205-215
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• 2022

Background: The purpose of this study is to identify the factors infecting the medical care utilization from a new perspective by newly classifying the categories of administrative districts using the urban decline index and medical vulnerability index as indicators. Methods: This study targeted 150,940 people who used medical services using the 2015 cohort database (DB), 2010-2015 urban regeneration analysis index DB, and 2014-2015 public health and medical statistics DB. The decline of the region was classified using the urban decline index typed using k-means clustering and the medical vulnerability index typed using the quantile score calculation. Regression analysis was performed 3 times with medical expenditure, length of stay, and the number of outpatient visits as dependent variables. Results: There were 37 stable region (47.4%), 29 health vulnerable region (37.2%), and 12 decline region (15.4%). The health vulnerable region had lower medical expenditure, fewer outpatient visits, and a higher length of stay than the stable region. The decline region was all higher than the stable region but had no significant effect. Conclusion: The factors that cause the health disparity between regions are not only factors related to individual health behavior but also environmental factors of the local community. Therefore, there is a need for a systematic alternative that properly considers the resources within the community and reflects the characteristics of the population.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.435-445
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• 2018

본 연구의 목적은 지역사회 취약계층 당뇨병노인을 위한 건강보존프로그램을 개발하고 프로그램을 적용하여 그 효과를 검증하는 것이다. 건강보존프로그램은 전문직 은퇴노인이 멘토로서 취약계층 당뇨병노인 멘티에게 건강보존을 위한 프로그램을 제공하는 것이다. 본 연구는 유사실험연구로서 비동등성 대조군 전후 설계이며 대상자는 실험군 25명, 대조군 22명이다. 본 프로그램은 전문직 은퇴노인을 대상으로 4주, 12회기 건강보존에 관한 멘토 교육 프로그램과 8주, 24회기의 취약계층 당뇨병노인을 위한 멘토링 프로그램을 포함한다. 혈액학적 변수와 신체적 변수는 혈액검사와 Inbody 230(Biospace)를 활용하여 측정하였고 정신사회적 변수는 설문지를 통하여 측정하였다. 자료수집기간은 2015년 12월부터 2016년 5월까지이며 자료분석은 SPSS 20.0.를 사용하여 독립 t-test로 하였다. 건강보존프로그램을 통해 실험군이 대조군보다 공복시 혈당(p<0.01), 총콜레스테롤(p<0.01), 중성지방(p=0.04), 수축기 혈압(p=0.03), 허리둘레(p<0.01)와 우울증상이 유의하게 감소되었고 사회적 지지는 유의하게 증가되었다. 본 연구의 결과는 건강보존프로그램이 취약계층 당뇨병노인의 사회적 지지를 효과적으로 증가시키며 공복시 혈당, 총콜레스테롤, 중성지방, 수축기 혈압, 허리둘레와 우울증상을 효과적으로 감소시키는 것을 알 수 있다. 그러므로 취약계층 당뇨병노인의 삶의 질 향상을 위해 건강보존프로그램을 활용할 것을 제언한다.

• 농촌계획
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• 제26권4호
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• pp.81-91
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• 2020

This study was conducted to analyse climate change impact on agriculture infrastructure and propose improved measures on vulnerable areas. Recently, Climate change has resulted in damaging effects on agricultural fields through increases in drought intensity and flood risk. It is expected that this impact will increase over time. This study shows that Gyeong-gi and Chung-nam provinces are affected by drought and Gyeong-buk and Gyeong-nam provinces are affected by heavy rain. However, there are also regional variations within each province. Agricultural infrastructure affected by drought may also be affected by heavy rain. Increased damages on the infrastructure due to increased extreme weather events require preventive measures especially in vulnerable areas. In order to minimize the damage by climate change, we need to introduce a reform in the system which selects project region by analysing climate change impacts. Furthermore, impact assessment of climate change from projects such as 'water supply diversification', 'flooded farmland improvement', and 'irrigation facility reinforcement' also need to be adopted to improve the measures. The results of this study are expected to provide a foundation for establishing measures on coping with climate change in the agricultural sector.