• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6919-6924
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• 2013

Background: Between 1998-2009 South Korea experienced significant progress in reducing the male smoking rate from 66.3% to 46.9%. As part of a significant government effort in the area of smoking cessation intervention, the Korean government implemented the national "Smoking Cessation Clinics (SCC)" program in 2004. Materials and Methods: Data covered 804,334 adult male smokers participating in SCC program at 253 public health centers between 2006-2009. We examined participant cessation rates with the SCC program, their characteristics and program intervention components using health insurance status as a socioeconomic status (SES) indicator. Multivariate logistic regression analyses were performed correcting for intra-class correlations within public health centers. Results: The overall 6-month quit rate was high (46.8%). Higher odds of smoking cessation were positively associated with higher levels of behavioral counseling sessions, but not nicotine replacement therapy (NRT). Cessation rates were lower for Medicaid participants than for regular health insurance participants. Disadvantaged younger smokers were less likely to participate in the program. Older smokers were more likely to quit regardless of SES. Stress was cited as major reason for failure. Conclusions: SES inequalities across different age groups exist in smoking cessation among Korean adult male smokers. There is a need for intervention programs specifically targeting sub-populations of SES by different age groups.

• 문화기술의 융합
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• 제8권6호
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• pp.389-395
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• 2022

본 연구는 성인대학생의 핵심역량모형을 개발하는 것을 목적으로 한다. 이를 위해 국내외 문헌연구를 분석하여 성인대학생의 핵심역량을 도출하였으며, 핵심역량의 타당성을 위하여 델파이 조사를 하였다. 이를 위해 SPSS 18.0 프로그램을 이용하여 분석하였다. 연구결과는 의사소통, 문제해결 및 메타, 대인관계, 자기관리·개발, 디지털 정보 문해, 전공지식, 시민의식, 융합, 인성, 전문직업과 글로벌로 총 11개의 성인대학생 핵심역량이 도출되었다. 성인대학생의 핵심역량모형은 델파이 조사의 결과를 바탕으로 01~11의 번호를 부여하여 개발하였다. 성인대학생의 핵심역량은 서로 유기적으로 연계되어 있어 하나의 핵심역량의 함양은 다른 핵심역량에도 영향을 미치는 것으로 나타났다.

• 치위생과학회지
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• 제11권3호
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• pp.265-272
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• 2011

본 연구는 성인과 중 장년 집단의 구강위생상태를 비교하고, 자기평가 구강건강수준의 경로모형을 제시하는데 있다. 성인 및 중 장년 남 여 각각 20명씩 편의 추출한 총 80명이 대상이었다. 2010. 7.1 - 7.30 한 달간 조사하여 수집한 자료를 SPSS VERSION 19.0과 AMOS 19.0으로 분석하였다. 연구결과를 요약하면 아래와 같다. 1. 성인과 중 장년 집단은 자기평가 구강건강수준의 점수와 생활습관이 동질 하였다. 성인 집단의 평균연령은 25.45(${\pm}4.21$)세였고, 중 장년집단의 평균연령은 51.27(${\pm}6.18$)이었다. 2. 성인과 중 장년 집단의 구강위생상태는 12항목 위생검사 중 7항목(58.33%)은 차이가 나타나지 않았다. 그러나 구취 및 설태와 저작기능의 정도, 과민성치아의 수 4 항목은 성인집단보다 중 장년집단이 더 높았고, 반점치아의 수 1항목은 중 장년집단보다 성인집단이 앞과 달리 더 높았다. 이 차이는 매우 유의하였다. 3. 성인 집단의 자기평가 구강건강수준의 점수는 감염 부위의 수, TMJ장애의 정도, PHP의 점수 3변수에 의해서 34% 설명될 수 있었다. 중 장년의 자기평가 구강건강수준의 점수는 저작기능의 정도와 타액분비양의 2변수에 의해서 26%설명될 수 있었다. 4. 성인 집단에서 경로 모형의 적합도는 CFI가 0.96이었고 TLI가 0.94로 RMSEA는 0.00으로 매우 좋았다. 이 경로에 대한 총 효과는 자기평가 구강건강수준의 점수$\rightarrow$감염부위의 수 0.37, 감염부위의 수$\rightarrow$과민성 치아의 수 0.32이였고, 자기평가 구강건강수준의 점수$\rightarrow$TMJ장애의 정도 .26, 부정교합의 정도$\rightarrow$TMJ장애의 정도 -.34이었다. 중 장년 집단에서 경로 모형의 적합도는 CFI가 1.00이었고 TLI가 1.15로 RMSEA는 0.00으로 매우 좋았다. 이 경로에 대한 총 효과는 자기평가 구강건강수준의 점수$\rightarrow$ 저작기능의 정도 0.40, 저작기능의 정도$\rightarrow$감염부위의 수 0.44와 PHP의 점수 0.35, 감염부위의 수$\rightarrow$TMJ장애의 정도 0.41이었다. 이상의 결과는 성인기의 TMJ장애의 정도와 감염부위의 수를 방치한다면 중 장년기 저작기능 악화에 영향이 클 것임을 시사한다. 그러므로 성인기와 중 장년기 집단별로 자기평가 구강건강수준을 바탕으로 한 차별화된 보건교육 프로그램이 개발, 운영되어야 함이 바람직하다.

• 성인간호학회지
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• 제23권6호
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• pp.543-553
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• 2011

Purpose: This study was designed to explore the parental stress, behaviors and need for parental education of young women with breast cancer and how these variables are related to their children characteristics. Methods: The subjects were 110 young women with breast cancer who have a child. Data were collected using questionnaire of parenting stress, parental behaviors and need for parental education. Results: The subjects reported many unmet needs for parental education, and have the highest level of need for education related to breast cancer. Women with daughters have higher level of need for parental education compared to subjects with sons. There was a negative correlation between parenting stress and parental behaviors and between parenting stress and need of parental education. Conclusion: As these results, the development and application of parental education program for mothers with breast cancer in the future should be considered with the demographic characteristics, the social and cultural environment, parenting stress, and parental behaviors of parents and children.

• 성인간호학회지
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• 제12권2호
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• pp.267-277
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• 2000

The purpose of this study was to help the women with stress urinary incontinence lead more comfortable life, by letting them to do pelvic muscle exercise and to learn by direct experience the effect that urinary incontinence is controlled. The research design was a one-group pretest-posttest design. The subjects were 16 middle-aged women(over 38) with stress urinary incontinence. The study was conducted from August 1, to October 11, 1999. Women trained themselves for muscular strength and endurance, every the other day for each exercise for six weeks at home(that means each exercise for more than three days a week) in the pelvic muscle exercise program which was developed by Dougherty et al., and filled out exercise participation card every week. They visited laboratory once a week to get visual feedback, by means of Perineometer, of how the pelvic muscle exercise was going on. Stress Urinary Incontinence Scale that Lee, Young-Sook revised and supplemented Hendrickson's original scale was used for measuring the frequency and situation scores of urinary incontinence, "30 minute pad test" was carried out for measuring the amount of urinary incontinence, and Perineometer was used for measuring maximum vaginal contraction pressure. Percentage, mean, standard deviation and Wilcoxon signed ranks test were used for data analysis by means of SPSS/PC+ WIN 9.0 program. The results were summarized as follows : The hypothesis 1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly degree of urinary incontinence would reduce compared to before the exercise was supported. The hypothesis 1-1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly frequency of urinary incontinence would reduce compared to before the exercise was supported (p=.003). The hypothesis 1-2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the situation scores of urinary incontinence would reduce compared to before the exercise was supported(p=.044). The hypothesis 2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the amount of urinary incontinence would reduce compared to before the exercise was supported(p=.001). The hypothesis 3 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the maximum vaginal contraction pressure would increase compared to before the exercise was supported (p=.012). These results suggest that pelvic muscle exercise program has an effect on women with stress urinary incontinence in the degree and amount of urinary incontinence and maximum vaginal contraction pressure. So it is judged that training women with stress urinary incontinence for pelvic muscle exercise is an effective nursing intervention strategy in order to care urinary incontinence.

• 성인간호학회지
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• 제14권3호
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• pp.327-336
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• 2002

Purpose: This study is designed to develop a health promotion program for improvement of health status by means of a change of life-style and health behavior in the elderly. The purpose of this study is to provide a basis for nursing intervention strategies to promote health behaviors. Method: The health promotion program consisted of health education, group discussion, emotional support, health and telephone counsel. As a quasi-experimental design, the none-quivalent control group pretest-posttest design was utilized for this study. The subjects of this study consisted of 50 people, over 60 years of age attending 2 senior colleges in S city. They were divided into two groups: 24 in the experimental group and 26 in the control group. Data was collected from July 2, 2001 to August 21, 2001. For the analysis, SPSS PC 10.0 Window version was adopted and descriptive analysis, ${\chi}^2-test$, t-test, paired t-test, MANOVA were used for data analysis. Result: The health behavior and life satisfaction of the elderly improved significantly (F=18.305, p=.000 ; F=17.478, p=.000). But there is no significant difference in the perceived health status(F=3.807, p=.057). Conclusion: The health promotion program is confirmed as proper to promote the health in the elderly. In addition, assessment and support will be simultaneously done to manage the health of the elderly. Finally this study supports intervention for the elderly and provides a basis for further investigations.

• 성인간호학회지
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• 제28권6호
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• pp.628-636
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• 2016

Purpose: This study examined the effects of a program designed to prevent ventilator-associated pneumonia (VAP) on VAP rate and endotracheal colonization. The program focused on aspiration prevention and oral care. Methods: A nonequivalent control group post-test only design was utilized. One hundred patients admitted to a medical intensive care unit (MICU) or coronary care unit (CCU) were assigned to either a experimental group (n=50) or a control group (n=50). The participants were selected 48 hours following an endotracheal intubation. VAP prevention program given to the experimental group includes keeping the head of the bed to $30^{\circ}{\sim}45^{\circ}$ high, maintaining continuous endotracheal cuff pressure at 25 cm $H_2O$, performing endotracheal suction before change position, and providing oral care with 0.1% chlorhexidine every four hours. The control group received usual care. Data were analyzed using t-test, $x^2$ test, Mantel-Haenszel $x^2$ and Cox proportional harzard regression model. Results: The experimental group showed a lower VAP rate than the control group although the difference was not statistically significant ($x^2=0.79$, p=.375). The experimental group showed lower colonization in tracheal secretion than the control group ($x^2=14.59$, p<.001). Conclusion: Results showed that a VAP prevention program is effective in reducing colonization of tracheal secretion. Therefore, VAP prevention programs are recommended as an ICU nursing intervention.

• 음성과학
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• 제13권1호
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• pp.85-94
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• 2006

The aim of this study was to examine the characteristics in duration and amplitude of the submental muscle activities during dry and wet swallowing. We examined the middle suprahyoid muscle activities in 32 normal adult women during three swallowing conditions, that is, dry as well as 5 mL & 10 mL water swallowings, using a surface EMG. From the results, there were significant differences in duration: the longest in dry swallowing and shortest in 5 mL water swallowing. However, the mean amplitude per msec increased as the duration decreased. This may imply motor equivalence in swallowing stating that duration and amplitude are complementary in order to achieve a given swallowing goal.

• 성인간호학회지
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• 제21권6호
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• pp.593-602
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• 2009

Purpose: This study was to provide baseline data about nurses' Influenza A (H1N1) knowledge, awareness, and practice of infection control and to identify the significant factor affecting the level of practice. Methods: The subjects of this study were 144 nurses who worked at Influenza A (H1N1) regional base Hospital in D city. Data were collected by self-reported questionnaires during September 2009. The collected data were analyzed using SPSS/WIN 12.0 program. Results: The knowledge of Influenza A (H1N1) was statistically different according to age, unit, career and experience of seasonal influenza vaccination during the last year. The awareness of infection control was statistically different according to age, career, experience of seasonal influenza vaccination for last year and intention to get seasonal influenza vaccination for this year. The practice of infection control was statistically different according to unit, experience of seasonal influenza vaccination for last year, intention to get seasonal influenza vaccination for this year and intention to get Influenza A (H1N1) vaccination for this year. There was positive correlation among knowledge, awareness and practice (p < .05). Awareness was the significant factor affecting the level of practice. Conclusion: An educational program focusing on strategy to change nurse's awareness can be effective for infection control of Influenza A (H1N1) in regional base hospitals.

• 성인간호학회지
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• 제22권6호
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• pp.561-569
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• 2010

Purpose: The purpose of this study was to identify the factors related to depression of elderly patients in geriatric hospitals. Methods: The subjects were 195 elderly patients who met the inclusion criteria of scores more than 18 on the K-MMSE score and no reported mental disease. The data were collected from February 20 to March 20, 2009. The research instruments utilized in this study were depression (GDSSF-K), activities of daily living and self esteem (RSES), social support, life satisfaction. Data were analyzed Pearson correlation and Multiple Stepwise Regression using SPSS 15.0. Results: Depression score were negatively correlation with ADL, social support, life satisfaction and self-esteem. Among the factors studied related to depression, life satisfaction had highest explanatory power of 36.5% and it was followed by physical health status and activity of daily living. These explained 43.7% of the depression. Conclusion: The mean GDSSF-K 8.94, which indicates the higher than middle levels of depression. The findings suggest that it is important to develop educational programs to increase life satisfaction, physical health status and activity of daily living. Nursing interventions, including volunteer activities, health promotion program, and sports program could be useful in enhancing these factors.