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논문검색은 역시 페이퍼서치

지역사회간호학회지검색

Journal of Korean Academy of Community Health Nursing


  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : - / SCOPUS
  • - ISSN : 1225-9594
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 22권 4호 (2011)

취약계층 독거노인의 우울에 미치는 영향변인

김현미 ( Hyun Mi Kim ) , 최연희 ( Yeon Hee Choi )
4,000
키워드보기
초록보기
Purpose: The purpose of this study was to investigate factors that influenced depression of the elderly vulnerable people living alone in the public home visiting health service center. Methods: The participants for this study were 491 Korean elderly men living in G city. Data were collected from February to July, 2011 using structured questionnaires. x2-test, t-test, Pearson`s correlation coefficient and multiple regression with the SPSS/WIN program were used to analyze the data. Results: The levels of ADL and IADL of the elderly living alone were higher, and the levels of social support and life satisfaction were lower than the normal elderly. Depression was positively related to ADL and IADL and negatively to social support and life satisfaction in the elderly living alone. In addition, age, fall experience, ADL, IADL and life satisfaction had influence on the depression. Conclusion: The elderly living alone are in a more serious health status, especially in depression than the normal elderly. It is necessary to develop depression controlling intervention programs in order to promote healthy lifestyles for the elderly vulnerable people living alone.

보건소 금연클리닉 금연성공자의 재흡연 양상 및 위험요인

김이순 ( Yi Soon Kim ) , 김윤희 ( Yun Hee Kim )
4,700
키워드보기
초록보기
Purpose: The purpose of this study was to investigate the patterns of smoking relapse and to identify risk factors related to smoking relapse among those successful in smoking cessation at the smoking cessation clinics of public health centers. Methods: Data were collected from 1,705 six-month quitters and analyzed by the Kaplan-Meier analysis and the Cox proportional hazard model. Results: The rate of smoking relapse was 38.2% in 1 year, 44.4% in 2 years, and 47.8% in 5 years. The vast majority of relapse (62.3%) occurred within the first six months after quitting. The risk factors related to smoking relapse were age (HR 1.964: 95% CI 1.545, to 2.497), nicotine dependence (HR 1.293: 95% CI 1.087 to 1.539), problem drinking (HR 1.497: 95% CI 1.116 to 2.008), behavioral therapy type (HR 1.398: 95% CI 1.193 to 1.638), and nicotine replacement therapy type (HR 1.363: 95% CI 1.077 to 1.724). Conclusion: For reducing smoking relapse, it is necessary to develop a smoking relapse prevention program for the first six months after quitting and to strengthen behavioral therapy in the course of smoking cessations clinics.

지역사회에 거주하는 당뇨병 노인과 일반 노인의 인지기능 비교

김용숙 ( Yong Suk Kim )
4,700
초록보기
Purpose: This study was to examine the relation between diabetes and cognitive function in older adults. Methods: Eighty community-dwelling patients with diabetes and 506 subjects without diabetes were studied with cognitive function test. Cognitive function was measured by Full-scale IQ, Basic IQ, Executive IQ, Attention Function Index, Working Memory Index, Language Function Index, Visuospatial Function Index, Memory Function Index, and MMSE-K1. Results: In model controlling for education, the diabetic group showed significantly lower scores than the non-diabetic group in in Full-scale IQ (p=.012), Basic IQ (p=.034), Executive IQ (p=.014), Attention Function Index (p=.002), Working Memory Index (p=.037), and Memory Function Index (p=.043). The diabetic and non-diabetic groups that were matched for gender, age, and education showed similar differences in 7 out of 9 cognitive measures. The impairments of Full-scale IQ and Memory Function Index in the diabetic group were, respectively, 2.7 and 2.8 times greater than that in the diabetic group. Conclusion: These results showed that diabetes should be considered to a factor of cognitive impairment in older adults.

뇌 , 척추질환 노인 환자 주 가족수발자의 부담감에 영향을 미치는 요인

박희경 ( Hee Kyung Park ) , 박경민 ( Kyung Min Park )
4,000
초록보기
Purpose: This study of this study was to identify factors influencing the burden of main family caregivers who take care of elderly patients with brain and spinal diseases. Methods: This was conducted as descriptive research and data were collected from 255 main family caregivers who were taking care of elderly patients with brain and spinal diseases from 4 hospitals in Daegu and Gyeongbuk Province. Stepwise-multiple regression was used to identify the influencing factors of burden felt. Results: As the score of burden felt by the main family, economic, social, physical, interdependent and emotional burdens were high in order. Factors influencing burden felt by main family care givers taking care of elderly patients with brain and spinal diseases were changed relation with patient after hospitalization, daily life ability, marital status, education and family caregiver`s personality (explanatory power of 24.6%). Family caregivers felt a heavier burden when their relation with the patient was changed negatively or when the patient`s activity of daily living was low. Conclusion: Based on these results, we need to develop coping measures and interventional programs for reducing the burden felt by the main family caregivers of elderly patients with brain and spinal diseases.

지역사회 만성질환노인의 약물사용과 우울예방 교육 프로그램 효과

김영주 ( Yeong Ju Kim )
4,000
초록보기
Purpose: This study was conducted to evaluate the effects of an education program on the knowledge of medication and prevention of depression in the elderly at a local community. Methods: This study utilized the nonequivalent control group pretest-posttest design. Thirty consecutive people were included in this study for the experimental group, and another 30 people were allocated to the control group. The program was performed once a week for 3 weeks. Data were collected from March 15 to April 30, 2010 and statistical analyses were performed by x2-test and independent t-test using the SPSS/WIN 12.0 program. Results: There were statistically significant differences in the knowledge of medication, depression and medication compliance between the experimental and control groups. Conclusion: This study demonstrated that an education program for the knowledge of medication and prevention of depression in the elderly with chronic disease could improve their knowledge of medication and their medication compliance, and decrease their depression. These results suggest that education of knowledge with social psychology can be an effective and practical method of management to the elderly with chronic disease at local communities.

발반사 마사지가 재가 여성노인의 수면, 우울 및 피부온도에 미치는 효과

김정순 ( Chung Soon Kim ) , 홍세화 ( Se Hwa Hong ) , 김세령 ( Se Ryeong Kim ) , 김여진 ( Yeo Jin Kim )
4,600
초록보기
Purpose: The purpose of this study was to examine the effects of foot reflexology on sleep, depression and skin temperature of the female elderly at home. Methods: This research used the non-equivalent control group pretest-posttest design. The participants were 45 elders residing at home: 23 in the experimental group and 22 in the control group. The experimental group received 30-minute foot reflexology 8 times for 2 weeks. The results were analyzed using x2 test, t-test with the SPSS/WIN 12.0 program. Results: The results showed that foot reflexology was significantly effective in improving the quality of sleep, reducing depression, and raising the temperature of both feet. However, the temperature of both palms was not statistically significantly different between the two groups. Conclusion: The results of this study indicated that foot reflexology is an effective nursing intervention in improving the quality of sleep, reducing depression, and raising the temperature of both feet. Therefore, it is recommended to use foot reflexology as a complementary nursing intervention for elderly women at home in community.

일개 생산직 근로자들의 작업수행과 피로도와의 관계

정은숙 ( Eun Sook Jung ) , 차남현 ( Nam Hyun Cha )
4,000
키워드보기
초록보기
Purpose: The purpose of this study was to investigate the relations between fatigue and work-related factors in workers. Methods: A total of 204 subjects aged between 21 and 59 were selected through convenient sampling. Data were collected with a self-reported questionnaire from May 20 to 31, 2011. Collected data were analyzed with SPSS/WIN 17.0. Results: Difference in fatigue according to general characteristics was significant according to duty type. Difference in fatigue according to occupational characteristics was significant according to work intensity, work speed, demand of work concentration, work space, physical environment, largest weight by hands, vibration, visual demand of work, difficulty of work practice, work stress, and rest hours in holiday. There was a positive correlation between fatigue and occupational characteristics. Stepwise multiple regression analyses showed that educational level, work intensity, and rest hours in holiday were the strongest factors associated with fatigue (R2=.363 p<.001). These factors explained fatigue by 36.3%. Conclusion: The findings of this study may be useful in understanding workers` fatigue and developing more specific fatigue relief programs.

지역사회 거주 노인의 저체중 영향요인

김정순 ( Jung Soon Kim ) , 김윤희 ( Yun Hee Kim ) , 유정옥 ( Jung Ok Yu )
4,000
키워드보기
초록보기
Purpose: The purposes of this study were to describe the prevalence of low weight and to investigate related factors contributing to low weight in community-dwelling older adults. Methods: From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV), the researchers selected 2,964 older adults aged over 65. The original study was a population-based epidemiological survey of health and nutrition with a stratified multistage clustered probability design. Data were analyzed using x2-test and multiple logistic regression with the SPSS/WIN 18.0 program. Results: The prevalence of low weight in older adults was 4.7%. The prevalence of low weight was different according to demographic characteristics. That is, the rate was higher in male elders, older ones, and rural residents. In the cases of current smoking, frequent alcohol consumption and no chronic disease, the prevalence of low weight was higher. Age, gender, area of residence, and current smoking were found to be contributing factors to low weight in community-dwelling older adults. Conclusion: The result of this study provides important insights into possible reasons for low weight in community- dwelling older adults and suggests that low weight should be considered in promoting older adults` health.

취약계층 고혈압 대상자를 위한 방문건강관리사업의 비용편익분석

고영 ( Young Ko ) , 이인숙 ( In Sook Lee )
4,800
초록보기
Purpose: This study was to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit perspective. Methods: Target participants were enrolled in 2007~2008 for home visiting care and provided with a home visiting nursing service for more than 18 months in J Ward of S City. Of 391 participants, 244 who satisfied the inclusion criteria were used in the final analysis. Cost-benefit analysis was done using the net benefit and benefit/cost ratio. Results: After providing the home care nursing service, the blood pressure control rate increased from 50.8% to 75.4%. Of the subjects, 39.8% maintained their blood pressure level within the target range. As a whole, the net benefit of home visiting care per person ranged from 434,964.86 to 447,112.43 won and the benefit/cost ratio ranged from 2.82 to 2.84. Conclusion: Home visiting care for vulnerable populations with hypertension was effective in both maintaining blood pressure and reducing blood pressure to the target range. Therefore these results are especially useful for establishing the value of home visiting services for policy makers as well as for prioritizing vulnerable populations.

세라밴드 운동이 여성노인의 유연성, 평형성, 근력에 미치는 효과

김희걸 ( Hee Gerl Kim ) , 남혜경 ( Hye Kyung Nam )
4,000
키워드보기
초록보기
Purpose: The purpose of this study was to examine the effects of thera band exercise on muscle flexibility, balance ability, muscle strength and self-rated health in elderly women. Methods: The quasi-experimental research design (one-group pretest-post test) was employed. Participants were recruited in S-city and a total of 14 elderly women completed 15-week thera band exercise. Descriptive statistics, paired t-test and McNemar-test were used in data analysis by SPSS/WIN 12.0. Results: Compared with those before participation, the participants showed higher muscle flexibility, balance ability, and muscle strength after participation in thera band exercise. Conclusion: Findings of this study indicated that the 15-week thera band exercise program had a favorable effect on muscle flexibility, balance ability and muscle strength of elderly women. Future research needs to develop combined exercise programs with other types of exercise for the health of elderly women.
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