• 대한물리의학회지
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• 제19권2호
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• pp.29-45
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• 2024

PURPOSE: This study aimed to compare the effects of pain level, lower back pain dysfunction level, psychosocial level, hip abductor strength (HAS), number of positive lumbar instability tests, and dynamic balance (DB) by applying lumbar stabilization exercises according to the presence or absence of gluteus medius muscle weakness in chronic lower back pain (CLBP) patients with lumbar instability. METHODS: Thirty-five CLBP patients with lumbar instability were divided into the gluteus medius weakness (n = 18) and gluteus medius non-weakened (n = 17) groups using the gluteus medius manual muscle test. Intervention applied conservative physical therapy and lumbar stabilization exercises to both groups that lasted three times a week for four weeks. To compare the intervention effects, the quadruple visual analog scale (QVAS), the Korean version of the Oswestry disability index (K-ODI), fear-avoidance beliefs questionnaire (FABQ), HAS, lumbar instability tests positive response counter (LIC), and DB were measured. RESULTS: Significant differences were shown for QVAS, K-ODI, FABQ, HAS, LIC, and DB for both groups pre- and post-intervention (p < .05). Compared to the gluteus medius weakness group, the gluteus medius non-weakened group showed a significant difference (p < .05) in the changes in QVAS, K-ODI, FABQ-W, FABQ-total, and HAS. CONCLUSION: In CLBP patients with lumbar instability, having gluteus medius weakness was less effective in improving lumbar stabilization exercise than gluteus medius non-weakness regarding pain level, lower back pain dysfunction level, psychosocial level excluding physical activity, and hip abductor strength. Therefore, additional gluteus medius strengthening exercises are necessary for patients with lumbar instability and gluteus medius muscle weakness.

• 한국간호교육학회지
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• 제9권2호
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• pp.298-309
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• 2003

The educational preparation of nurses has been the focus of considerable debate globally. It is needed the change of the basic nursing education for professional nurse to prepare the trends of the health care needs of clients for coming new generation. And also it is believed that educational preparation for being nurses is to be responsible to clients' needs. The purpose of the study was to develop a baccalaureate program in nursing. This study were implemented through three stages from April 2001, to April 2002.: preparation stage which were consisted of reviewing of the literatures, interviewing the fellow nurses in a variety workplace, and consulting professors who were concerned with the nursing education to identify the present educational problems, and analyzing the contents of seven major courses in nursing education, evaluation stage about a new developed curriculum with the directors of the five nursing schools, and confirmation stage of new developed education programme. The developed education programme was designed as a four year program with 126 credit hours including 39 credit hours of liberal arts, 34 credit hours of supplementary courses, and 53 credit hours of nursing major based on the four basic nursing dimensions of human, health, environment and nursing. Nursing majors were consisted of Nursing Ⅰ(oxygenation), Nursing Ⅱ(nutrition elimination), Nursing Ⅲ(activity rest), Nursing Ⅳ(neurologic- endocrine protection), Nursing Ⅴ(fluids electrolytes/sex reproductive), Nursing Ⅵ(psycho-social), Community Health Nursing, Fundamental Nursing, School Health, and Emergency care. This new nursing programme was focused on the nursing education for prevention and rehabilitation nursing care as well as the acute and chronic nursing care at hospital, on the integrated nursing programme to become effective, and the nursing process to encourage the critical thinking. The new education programme focused on the professional nurses who are responsible the nursing ethics, communication skills, and professional beliefs to suit the future trends in health. And also it will be needed for faculties to manage the integrated curriculum, to analyze the contents of each subject, and to communicate with each other before a new education programme apply to their education programme in future. This research was supported by the Han Kok Medical Science Foundation

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7547-7554
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• 2015

Background: The use of smokeless tobacco (SLT) among women is increasing in India, especially among those with limited education and resources. Preventing the initiation of SLT among women is critical since it has known negative consequences for oral and reproductive health. Most research on tobacco initiation in India focuses on adolescents. This paper addresses the unrecognized issues of post marital initiation among women of reproductive age, highlighting the importance of reproductive stages in women's tobacco initiation. The objective is to examine the correlates of SLT initiation among low income women in Mumbai from pre-marriage through early marriage, first pregnancy and beyond, using case examples to illustrate initiation during each of these stages. Materials and Methods: In 2011-2012, cross-sectional community level survey data were collected from a representative sample of 409 daily SLT-using married women aged 18-40 years in a low income community in Mumbai. Information on socio-demographics, initiation by reproductive stage, types of tobacco use, childhood exposure to tobacco, learning to use, and initiation influences and reasons were collected through a researcher-administered survey. Univariate and bivariate analysis assessed factors influencing initiation of SLT use by reproductive stage. In addition 42 narratives of tobacco use were collected from a purposive sample of pregnant and non-pregnant married women addressing the same questions in detail. Narratives were transcribed, translated, and coded for key concepts including initiation of tobacco use. Results: Thirty-two percent of women initiated SLT use before marriage, 44% initiated after marriage but before pregnancy, 18.1% initiated during their first pregnancy and the remainder started after their first pregnancy. Mean age of marriage among women in this study was 16 years. Younger women (i.e. age at time of the interview of less than 30 years) were 0.47 [95% CI (0.32, 0.87)] percent less likely to initiate after marriage than women aged more than 30 years. Women who got married before 18 years of age were 2.34 [95% CI (1.40, 3.93)] times more likely to initiate after marriage than their counterparts. Childhood exposure was a predictor for initiating SLT use prior to marriage but not after. Women reporting tooth and gum pain were 1.85 times more likely to initiate after marriage than their counterparts. Husband and neighbours were the most significant influences on post-marital initiation. Narratives highlighted differences in processes of initiation pre and post marriage and during pregnancy. Conclusions: Most tobacco prevention interventions are directed to adolescents in school. This study suggests that especially for low literate or illiterate women, school based interventions are ineffective. To be effective strategies to prevent SLT initiation must reach women in urban areas at or immediately after marriage and during their first pregnancy. Messages must negate culturally rooted beliefs about the health benefits of SLT in order to prevent initiation and onset of daily use.

• 대한지역사회영양학회지
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• 제25권1호
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• pp.1-12
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• 2020

Objectives: This study investigates the current state of consuming breakfast among elementary school students residing in Malang, East Java, Indonesia, and to identify factors that influence breakfast behavior. Methods: The research model was set up as per the health belief model, and slightly modified by adding the subjective normative factors of the theory of planned behavior. The survey was conducted from July 17 to August 15, 2017 using a questionnaire, after receiving the permission PNU IRB (2017_60_HR). Results: The subjects were 77 boys (49.4%) and 79 girls (50.6%) suffering from malnutrition with anemia (21.2%) and stunting ratio of Height for Age Z Score (HAZ) (11.5%). Furthermore, moderate weakness (14.8%) and overweight and obesity (12.3%) by Body Mass Index for Age Z Score (BMIZ) were coexistent. According to the results obtained for breakfast, 21.8% did not eat breakfast before school, with 18.8% of the reasons for skipping breakfast being attributed to lack of food. Even for subjects partaking breakfast, only about 10% had a good balanced diet. The average score of behavioral intention on eating breakfast was 2.60 ± 0.58. The perceived sensitivity, perceived severity, perceived benefits, and self-efficacy of the health belief model correlated with breakfast behavior. Of these, self-efficacy (β=0.447, R²=0.200) and perceived sensitivity (β=0.373, R²=0.139) had the greatest effect on breakfast behavior. Mother was the largest impact person among children. Conclusions: In order to increase the level of breakfast behavior intention among children surveyed in Indonesia, we determined the effectiveness by focus on education which helps the children recognize to be more likely to get sick when they don't have breakfast, and increase their confidence in ability to have breakfast on their own. We believe there is a necessity to seek ways to provide indirect intervention through mothers, as well as impart direct nutrition education to children.

• 자원ㆍ환경경제연구
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• 제15권2호
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• pp.147-175
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• 2006

본 연구는 환경오염물질로부터의 건강위험에 대한 소비자들의 반응을 분석하는 데 중요한 세 가지 요소인 위험인지(perceptions), 자기보호행동(behavior) 그리고 가치평가(valuation)를 체계적으로 분석하고자 시도하였다. 소비자들의 수돗물 음용과 관련한 건강 위해 가능성에 대한 염려와 우려 수준에 영향을 미치는 요인들을 분석하고, 나아가서 건강상 안전한 음용수에 대한 소비자들의 선호를, 정책적으로 논란이 되고 있는 유해물질인 비소를 사례로 조건부행동접근법(contingent behavior method)을 적용하여 측정하였다. 전라북도 지방에 거주하는 500명의 소비자들을 대상으로 한 실증분석의 결과는, 대부분의 응답자들이 수돗물에 잔류된 유해물질로 인한 건강위험에 대해 상당히 우려하고 있었으며, 이러한 우려와 염려의 심각성이 산발적이고 임의적이라기보다는 나이, 성별 그리고 가족수 등 응답자들의 인구통계학적 특성에 따라 이질적이지만 체계적으로 반응하였다. 그리고 이러한 주관적인 위험인식은 또한 안전한 음용수에 대한 구매의도에도 영향을 미쳤다. 아울러 응답자들에게 제시된 객관적 건강위험정보는 단독으로는 영향을 미치지 않았지만, 실제 위험회피행동 여부를 나타내는 변수와의 상호작용이 허용되자 안전한 음용수의 선택에 유의한 영향을 미쳤다. 물론 실제 시장구매상황에서 익숙한 가격의 차이 역시 안전한 음용수에 대한 진술된 선호를 설명하는데 매우 중요한 변수였다. 또한 가상선택에 참여하지 않은 무응답자들을 제외할 경우 표본선택편의의 가능성이 통계적으로 유의하였고, 이러한 표본선택편의는 특히 가격변수의 계수추정치에 영향을 미쳤으며, 결과적으로 건강위험 감소에 대한 지불의사 추정치에도 영향을 미치는 것으로 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.2895-2898
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• 2015

Background: In the years 2014, coverage rates of cervical cancer screening in Nakornnayok province accounted to 76.5%. This was lower than the government's specified goal of 80%. Community health volunteers are members of a Thai healthcare alliance established to help promoting healthcare service communication and collaboration at the primary level. Such village health volunteers (VHVs) are established in most villages. Objective: To assess the knowledge and attitudes of cervical cancer screening among VHVs. Materials and Methods: The subjects were 128 VHVs from four Nakornnayok sub-districts; namely KlongYai, Chomphol, Buangsan and Suksara, Thailand. The study was conducted from December 2014 to January 2015. The questionnaire was designed to assess the knowledge and attitude of cervical cancer screening provided by the VHVs. In addition, cervical cancer screening coverage rates of each area were collected. The demographic data, scores of knowledge, attitudes, practices and the cervical cancer screening coverage rates were analyzed by one-way ANOVA. Results: The questionnaire reliability was assessed as 0.81. The total knowledge and attitude scores were 10 and 15 points. The mean knowledge scores of KlongYai, Chomphol, Buangsan and Suksara were 6.8, 7.0, 6.5 and 9.0 points, respectively. The VHVs had a high level of overall knowledge about cervical cancer screening. The mean attitude scores were 12.4, 13.2, 13.4 and 13.1 points. VHVs had a positive attitude to the promotion of cervical cancer screening at the overall level. The percentages of VHVs promoting cervical cancer information in respective districts were 72.2, 94.3, 94.9 and 50.0. However, the cervical cancer screening coverage rates were 62.4%, 34.7%, 80.3% and 47.3% respectively. Conclusions: The knowledge, attitudes and percentages of promoting information of cervical cancer screening among VHVs in the four sub-districts were high but did not correlate with the cervical screening coverage rates for each area. VHVs needed to understand socio-cultural beliefs of the women in the target population and design suitable strategies to encourage higher cervical screening coverage.

• 실천공학교육논문지
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• 제15권2호
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• pp.449-457
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• 2023

본 서술적 조사연구의 목적은 대학생의 호흡기감염 예방행위에 영향을 미치는 요인으로 건강신념과 호흡기 감염관리 자기효능감을 알아보고자 시도되었다. 대상자는 경상북도 K 시 일개 대학에 재학 중인 학생 178명으로 2020년 9월 1일부터 10월16일까지 구조화된 설문지로 자료를 수집하였다. 연구결과는 다음과 같다; 건강신념은 참여자의 성별(t=-2.86, p=.005), 전공계열(F=2.95, p=.034), 처방된 약물 복용 유무(t=2.18, p=.030)와 유의한 차이가 있었다. 호흡기 감염관리에 대한 자기효능감은 대학생의 성별(t=-3.56, p=<.001), 전공계열(F=4.59, p=.004)과 유의한 차이가 있었다. 건강신념(r=.276, p<.001)과 호흡기 감염관리에 대한 자기효능감(r=.195, p<.001)은 호흡기감염 예방행위에 정적 상관이 있었다. 다중회귀분석 결과 호흡기 감염관리에 대한 자기효능감(β=.66, p<.001)이 호흡기감염 예방 행동에 유의한 영향을 미치는 것으로 나타났고, 모형의 설명력은 43%로 나타났다. 따라서, 대학생의 호흡기감염을 예방하기 위한 행동을 촉진하기 위해서는 호흡기 감염관리에 대한 자기효능감을 강화할 수 있는 프로그램이 개발되어야 할 것이다.

• 한국치위생학회지
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• 제10권2호
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• pp.255-268
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• 2010

Objectives : In the field of dental hygiene, infections pose a serious problem. This issue has left many patients and dental staff exposed to microbes with potentially far-reaching effects. The purpose of this study was to find solutions which could improve Dental health policies and promote improved methods for the control of infections. This survey was conducted between March 3, 2008 and March 30, 2008, in the metropolitan area. The research was carried out in dental clinics and dental hygienists were surveyed through a questionnaire. Methods : Collected data was examined using the SPSS 14.0 program, using frequency, mean and standard deviation analysis, T-test, one-way ANOVA, Scheffe's test and Duncan's test. Further analysis was given using Logistic Regression. Results : The Performance of Infection Control by dental hygienists in Dental Clinics was shown at $2.96{\pm}0.42$. Disinfection, sterilization and the wearing of masks is high at $3.65{\pm}0.64$, $3.64{\pm}0.65$. The perception of the importance of infection control is higher among dental hygienists than dentists. Of the dental hygienists surveyed, 83.9% were exposed to at least one accident while at work. Age and years of experience were important in relation to infection control practices. The rate of infections and the number of accidents experienced related to the dental hygienists performance of infection control. The performance of infection control is influenced by the dental hygienists own perceptions, and the perceptions of their dentists. The dental hygienist's working conditions and their beliefs related to infection control were shown to influence their performance of infection control practices. Conclusion : At the conclusion of this investigation, it was determined that systematic refresher training of infection control should be delivered through further education and various media. Dental health care workers should be encouraged to practice these action items presented in the training. For successful implementation of infection control in every dental health-care setting, it is highly demanded that effective safe-guard tools, strategic support and standardized action items against infection problems are developed.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5349-5357
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• 2015

Background: Breast cancer is the most common cancer and the leading cause of cancer mortality among women of all ethnic and age groups in Malaysia. Delay in seeking help for breast cancer symptoms is preventable and by identifying possible factors for delayed diagnosis, patient prognosis and survival rates could be improved. Objectives: This narrative review aimed to understand and evaluate the level of in-depth breast cancer knowledge in terms of clinical breast examination and breast self-examination, and other important aspects such as side-effects and risk factors in Malaysian females. Since Malaysia is multicultural, this review assessed social perceptions, cultural beliefs and help-seeking behaviour in respect to breast cancer among different ethnic groups, since these may impinge on efforts to 'avoid' the disease. Materials and Methods: A comprehensive literature search of seven databases was performed from December 2015 to January 2015. Screening of relevant published journals was also undertaken to identify available information related to the knowledge, perception and help-seeking behaviour of Malaysian women in relation to breast cancer. Results: A total of 42 articles were appraised and included in this review. Generally, women in Malaysia had good awareness of breast cancer and its screening tools, particularly breast self-examination, but only superficial in-depth knowledge about the disease. Women in rural areas had lower levels of knowledge than those in urban areas. It was also shown that books, magazines, brochures and television were among the most common sources of breast cancer information. Delay in presentation was attributed mainly to a negative social perception of the disease, poverty, cultural and religion practices, and a strong influence of complementary and alternative medicine, rather than a lack of knowledge. Conclusions: This review highlighted the need for an intensive and in-depth breast cancer education campaigns using media and community health programmes, even with the existing good awareness of breast cancer. This is essential in order to avoid misconceptions and to frame the correct mind-set about breast cancer among women in Malaysia. Socio-cultural differences and religious practices should be taken into account by health care professionals when advising on breast cancer. Women need to be aware of the risk factors and symptoms of breast cancer so that early diagnosis can take place and the chances of survival improved.

• 근관절건강학회지
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• 제21권1호
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• pp.1-10
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• 2014

Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.