• Journal of Nutrition and Health
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• 제37권3호
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• pp.223-235
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• 2004

A functional ability and adequate nutritional status are the major determinants of health status, Self-rated health (SRH) is a worldwide method to assess health status and it is recognized as a predictor of morbidity and mortality in the elderly, This study was designed to evaluate the functional ability and nutritional risk according to SRH in the elderly. Four hundred nine free-living elderly people (118 male, 291 female), aged $\geq$ 65 years were interviewed by trained interviewers using structured questionnaires including demographic information, SRH, anthropometric measurements, functional ability, general health status, and nutritional risk. SRH was divided into three status such as “Good”, “Moderate” and “Poor” status. And all the data were analyzed by oneway ANOVA, spearman correlation, and x$^2$ analysis using SPSS 9.0 version at p 〈 0.05. Of all the subjects, 48.9％ perceived their health status as “poor”, and their functional abilities (activities of daily living, instrumental activities of daily living) were more impaired than their counterparts (“good” and “moderate”). Poor self-rated health was also related to: a higher prevalence of illnesses (p 〈 0,001) especially in hypertension, arthritis. Self-rated health was significantly related to food security (p 〈 0.001), food enjoyment (p 〈 0.001) ,and nutritional knowledge (p = 0.0 13). Also NSI checklist total score was the highest in “poor” health status (p 〈 0.001). Better self-rated health was related to better food security, and better food enjoyment. However, smoking, alcoholic intake, exercise, eating behaviors, and demographic characteristics were not significantly different among the three SRH status. SRH was closely related to chronic diseases, functional ability, and nutritional risk in the elderly. Therefore, public health strategies for the elderly should be focused on the elderly who are “poor” in SRH, to improve nutritional status and functional ability, and to reduce risk factors of chronic diseases.

• 근관절건강학회지
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• 제8권1호
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• pp.122-140
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• 2001

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and functional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and good of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fitness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy. BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status. perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39%. Perceived barriers of action were directly influeced by past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status. which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style. Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention.

• 성인간호학회지
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• 제25권2호
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• pp.170-182
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• 2013

Purpose: This study investigated the effectiveness of simulation training with a hybrid model of student nurses' performance ability and reported self confidence. Methods: A nonequivalent control group with pre-posttest was designed. Data collection was done during the first semester in 2012 at a college of nursing in Seoul. Nursing performance ability and reported self confidence related to taking care of patients with urinary problems were evaluated. The treatment group (n=96) received simulation training of a catheterization procedure with a hybrid model involving standardized patients and a mannequin. Nursing students in the comparison group (n=84) did not receive the simulation training but would receive it prior to their next clinical practicum's. Results: The treatment group showed a significantly higher performance ability and reported self confidence than that of the comparison group. The perceived helpfulness and contentment of the simulation training in experimental group was high. Conclusion: The findings of this study demonstrated that simulation with a hybrid model was effective in teaching skills prior to the clinical experience which suggests that skill development is not dependent on the actual clinical situation. Nurse educators should consider simulation training as a tool beyond that of clinical practicum.

• 대한통합의학회지
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• 제12권1호
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• pp.97-108
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• 2024

Purpose : In this study, we aimed to determine the impact of the COVID-19 pandemic on nursing students' adjustment to college life by focusing on their empathic ability, perceived stress, and resilience. Methods : We applied a descriptive survey research design, which included a self-report questionnaire. The participants comprised 307 nursing students in B city. The data were analyzed by calculating the percentages, means, standard deviations, t-tests, ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical regression using SPSS 23.0. Results : The participants' empathic ability score was 3.30±.42, perceived stress score 1.85±.49, resilience score 3.44±.64, and adjustment to college life score 3.25±.52. Adjustment to college life was positively correlated with resilience (r=.43, p<.001) but negatively correlated with perceived stress (r=.27, p<.001). Factors affecting adjustment to college life include, among general characteristics in Model 1, in descending order, major satisfaction-satisfied (β=.54, p<.001), interpersonal conflict: never (β=.26, p=.018), health status: healthy (β=.25, p=.002), character: positive (β=.21, p=.006), character: optimistic (β=.19, p=.015), parents' economic power: high (β=.15, p=.047), and gender: male (β=.11, p=.016). Model 1 was statistically significant (F=11.67, p<.001), and the explanatory power was 41 %. In Model 2, empathic ability, perceived stress, and resilience were added as independent variables. When including the dependent variables, the factors that most influenced adjustment to college life were perceived stress (β=-.37, p<.001), major satisfaction-satisfied (β=.36, p<.001), health status-healthy (β=.25, p<.001), gender-male (β=.10, p=.015), and resilience (β=.10, p=.029). Model 2 was statistically significant (F=17.65, p<.001), and the explanatory power was 56 %. Conclusion : We found that gender, major satisfaction, health status, perceived stress, and resilience affected adjustment to college life among nursing students who had experienced the COVID-19 pandemic. To increase their ability to adjust to college life, a gender-specific intervention program should be developed that can improve the students' health status, major satisfaction and resilience, and reduce their perceived stress.

• 한국교육논총
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• 제40권1호
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• pp.1-16
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• 2019

본 연구의 목적은 고등학생이 지각한 부모의 양육태도 및 교사의 자율성지지와 자기주도 학습능력과의 관계를 알아보고자 하는 것이다. 이를 위해 고등학교 1-3학년 341명을 대상으로 학생이 지각한 부모의 양육태도와 교사의 자율성지지, 자기주도 학습능력을 측정하는 설문조사를 실시하였으며, 수집된 자료를 SPSS 21.0 통계 프로그램을 이용하여 분석하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 고등학생이 지각하는 부모의 양육태도는 성취적 양육태도가 가장 많이 나타났으며, 자율적 양육태도는 상대적으로 적게 나타났다. 고등학생이 부모의 양육태도를 성취 지향적, 애정적, 자율적인 것으로 지각할수록 자기주도 학습능력이 높은 것으로 나타났다. 둘째, 고등학생이 지각한 교사의 자율성지지는 남학생이 여학생보다 상대적으로 더 높게 지각하는 것으로 나타났으며, 고등학생의 자기주도 학습능력에 유의한 예측력을 갖는다는 것을 확인하였다. 따라서 고등학생이 지각한 교사의 자율성지지는 자기주도 학습능력에 영향을 끼치며 이는 교사가 통제행동을 하는 것 보다 자율성 지지 행동을 할 때, 학생들의 자기주도 학습능력 향상에 도움이 된다는 것을 시사한다.

• 문화기술의 융합
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• 제7권4호
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• pp.519-526
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• 2021

본 연구는 포스트 코로나 시대의 간호대학생이 지각하는 자기주도학습능력, 감성지능, 그릿 및 간호전문직관의 정도를 확인하고, 간호전문직관의 영향요인을 파악하여 긍정적인 간호전문직관을 확립하는데 도움이 되고자 실시하였다. G광역시에 소재한 간호학과 학생 218명을 대상으로, 2021년 2월 22일부터 3월 28일까지 자가 보고식 설문조사로 시행된 서술적 조사연구이다. 수집한 자료는 SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 분석결과, 전공만족도, 감성지능, 그릿이 높을수록 간호전문직관이 긍정적이었으며, 간호전문직관에 영향을 미치는 요인으로는 감성지능과 전공만족도로 설명력은 61.7%이었다. 본 연구결과를 기반으로 간호대학생의 감성지능과 전공만족도를 높이기 위한 교과활동 및 비교과 활동의 전략이 요구되며, 이러한 활동 전략이 간호대학생의 긍정적인 간호전문직관 확립을 위해 도움이 될 것으로 기대된다.

• 융합정보논문지
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• 제12권4호
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• pp.38-46
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• 2022

본 연구의 목적은 온라인 수업에서 간호대학생의 지각된 학업성취도, 학습동기, 자기주도학습능력, 인지적 실재감 간의 상관관계를 파악하고, 지각된 학업성취도에 영향을 미치는 요인들을 규명하기 위함이다. 2020년 10월 19일부터 10월 30일까지 W군에 위치한 일 개 대학 간호대학생 210명을 편의표집 하였으며, 부적절한 응답자를 제외한 202명의 자가보고 설문지를 SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 본 연구결과 지각된 학업성취도는 학습동기(r=.45, p<.001), 자기주도학습능력(r=.50, p<.001), 인지적 실재감(r=.64, p<.001)과 유의한 양의 상관관계를 보였다. 회귀분석 결과 주관적 성적(β=-.152, p=.001), 자기주도학습능력(β=.102, p=.030), 인지적 실재감(β=.705, p<.001)은 지각된 학업성취도에 대해 57.0%의 설명력을 보였다(F=91.00, p<.001). 따라서 본 연구를 토대로 간호학생들의 자기주도학습능력을 증진시키기 위한 다양한 중재방안을 개발하고, 인지적 실재감을 높이는 수업설계를 하는 노력이 필요하겠다.

• 수산해양교육연구
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• 제27권1호
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• pp.1-12
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• 2015

This article starts with a review of the system characteristic(easiness, flexibility, reliability) and individual characteristic(self-efficacy, achievement motive, computer ability) through education satisfaction especially in relation to the education performance(perceived usefulness, educatee value). We found that all variables significantly affect the education satisfaction, but only computerized ability doesn't significantly affect the education satisfaction. Education satisfaction significantly affect the education performance. This paper suggests that the followings; first, response time of systems is valuable factor in KcLep. Second, self-efficacy and achievement motive are more important then computer ability in KcLep educatee. Finally, software developer and teacher always think about rapid response time of systems and exchange of data for the education performance in KcLep.

• 간호행정학회지
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• 제5권3호
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• pp.501-512
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• 1999

The aim of this study was to utilize the 20 steps in the three phases from the book, 'Twenty steps for developing a Healthy Cities Project $2^{nd}$ Ed., 1995, WHO/EURO' to survey Healthy Cities to identify the similarities and differences by implementation rates and perceived significances among Healthy Cities worldwide. For this study, a self-administered questionnaire was developed based on the book. The questionnaires were delivered by air-mail and e-mail to 213 Healthy City coordinators or directors in 43 nations from Jan 13 to Feb 10, 1999. The responses were gathered up until March 31 from 40 Healthy Cities in 17 nations, mostly in the USA and in the European regions. The main results are as follows; Overall the perceived significances were higher for healthy cities with higher implementation rates and there were significant differences for 'set-up office', 'plans strategy', 'increase health awareness', 'mobilize intersectoral action', and 'secure healthy public policy'. 1. According to national health system, the implementation rate, perceived significance and implementation ability of the 20 steps were higher in the healthy cities with a comprehensive-type health system as compared to those with an entreprenetrial & permissive health system. Overall there were significant differences in the steps 'mobilize intersectoral action', and 'secure healthy public policy'. steps which were predominant in the healthy cities with a comprehensive-type health system. There was no concordance in the ranks of implementation rate and perceived significant score. 2. According to the length of implementation time, the perceived significance and implementation ability were higher in healthy cities with more than 6 years compared to those with less than 6 years, although implementation rate was the same. Overall there was a significant difference in 'secure healthy public policy' the step which was predominant in the healthy cities with more than 6 years of implementation. 3. According to population covered by the Healthy City Project, the implementation rate and implementation ability were higher in healthy cities with more than a population of 100 thousand. There was no significant difference in perceived significance, but there were differences in the following, 'find finances', 'set-up office'. 'mobilize intersectoral action' in the implementation rate and implementation ability. These three steps were predominant in the healthy cities with a population of more than 100 thousand. 4. The population covered by the Healthy City Project was the only effective factor influencing the total implementation ability of each healthy city, and it was higher for those cities with a population of more than 100 thousand. In Conclusion, the implementation rate, the perceived significance and the implementation ability were higher in cities with a comprehensive -type health system, with more than 6 years of healthy city experience and with a population of more than 100 thousand. To increase the reliability and the validity of the questionnaire and the results of this study arising from lack of sufficient data, repeated study needs to be considered with a more refined questionnaire delivered to more healthy cities worldwide.

• 한국생활과학회지
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• 제13권3호
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• pp.371-380
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• 2004

This study investigated about tendency of friendships characteristics and self-esteem of elementary and middle school girls, especially how they differ with respect to grades and how self-esteem differ in terms of friendships characteristics of elementary and middle school girls. The results of this study were as follows: First, regarding general tendencies of friendships and of self-esteem, this study showed that most adolescents had best friends, close friends and a group of friends. Also, almost all had more than three close friends, hung around with a group of friends consisting of 5 to 8 young people, interacted with friends more than once a week. Most adolescents perceived 'social acceptance' as most important, followed by general self-worth, conduct behavioral, cognitive ability, physical appearance and the physical ability. Second, this study showed that there were significant differences in terms of general characteristics and self-esteem based on grade. Third, this study showed there were significant differences in the level of self-esteem according to whether the adolescents had best friends, how many close friends they had, how many had a group of friends, and how frequently they interacted with friends.