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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 : 26권 1호 (2015)

경도인지장애 노인의 개인별 인지기능강화 프로그램적용의 효과

박인혜 ( In Hyae Park ) , 최인희 ( In Hee Choi ) , 강서영 ( Seo Young Kang ) , 김윤경 ( Youn Kyoung Kim ) , 이정미 ( Chong Mi Lee )
4,000
초록보기
Purpose: This study was conducted to investigate changes in cognitive functions, depression and life-satisfaction for elderly participants with mild cognitive impairments participating in an individual cognitive improvement program. Methods: A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were senior citizens over 65 years of age who had been clinically diagnosed with mild cognitive impairments in G City and J Province (experimental group: 29, control group: 27). The experimental group participated in the individual cognitive improvement program based on Korean traditional tales and games for nine weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in K-MMSE (t=-2.5, p=.016), MoCA-K (t=-2.6, p=.008), depression (t=3.51, p=.001), and life satisfaction (t=-2.75, p=.008) when compared to those in the control group. Conclusion: These results indicated that the individual cognitive improvement program was effective in improving cognitive functions, depression, and life-satisfaction among the elderly with mild cognitive impairments. Therefore, the application of this individual cognitive improvement program developed in this study by visiting nurses may strengthen the cognitive functions of seniors with mild cognitive impairments.

ORIGINAL ARTICLE : The Effect of Copayment on Medical Aid Beneficiaries in Korea

( Jin Joo Oh ) , ( Jeong Myung Choi ) , ( Hyun Joo Lee )
4,000
초록보기
Purpose: This study was to ascertain whether there are differences in health care utilization and expenditure for Type I Medical Aid Beneficiaries before and after applying Copayment. Methods: This study was one-group pretest posttest design study using secondary data analysis. Data for pretest group were collected from claims data of the Korea National Health Insurance Corporation and data for posttest group were collected through door to-door interviews using a structured questionnaire. A total of 1,364 subjects were sampled systematically from medical aid beneficiaries who had applied for copayment during the period from December 12, 2007 to September 25, 2008. Results: There was no negative effect of copayment on accessibility to medical services, medication adherence (p=.94), and quality of life (p=.25). Some of the subjects` health behaviors even increased preferably after applying for copayment including flu prevention (p<.001), health care examination (p=.035), and cancer screening (p=.002). However, significant suppressive effects of copayment were found on outpatient hospital visiting days (p<.001) and outpatient medical expenditure (p<.001). Conclusion: Copayment does not seem to be a great influencing factor on beneficiaries` accessibility to medical services and their health behavior even though it has suppressive effects on outpatients` use of health care.

보건소 중심의 노인운동 프로그램에 대한 체계적 문헌고찰

한숙정 ( Suk Jung Han ) , 이영란 ( Young Ran Lee ) , 조정민 ( Chung Min Cho ) , 임미영 ( Mee Young Im )
4,800
초록보기
Purpose: The purpose of this study was to investigate the research methods, types and effects of community health center exercise programs for the elderly. Methods: We established the PICOTS-SD (Participants, Interventions, Comparisons, Outcomes, Timing of outcome measurement, Setting, Study Design), reviewed 583 studies from electronic database of DBpia, KoreaMed, KISS, RISS, NDSL and Pubmed, and finally selected 20 studies based on the inclusion and exclusion criteria. Methodological quality was assessed with the Risk-of-Bias Assessment tool for non-randomized studies. Results: With regard to research methods, the majority of studies on community health center exercise programs for the elderly were performed after 2010 and using non-equivalent control group pretest-posttest research design. As for the types and effects of exercise programs, the exercise period ranged from 6 to 28 weeks, and the most common exercise frequency was three times a week for 60 minutes. In addition, mixed-type and group exercise programs were performed most commonly. Conclusion: The results of this study provide a basis for the development of exercise programs to improve elders` health.

당뇨 환자의 운동실천에 따른 건강행태, 의료이용 및 의료비용 비교

차지은 ( Ji Eun Cha ) , 윤순녕 ( Soon Nyung Yun )
4,600
초록보기
Purpose: The purpose of this study was to compare the use of health services and health expenditures between non-exercise and exercise groups of diabetic patients and among three groups divided according to exercise intensity. Methods: Data were obtained from the Korean Health Panel Survey of 2011. The participants of this study were 864 diabetic patients who did exercise (walk, moderate exercise, or vigorous exercise) or not. Data were subsequently analyzed using the SPSS 21 Program. Results: The exercise group showed higher percentages of medication compliance, non-smokers, and regular diet than the non-exercise group. The hospitalization percentage, the number of outpatient hospital visits, and health expenditures were higher in the non-exercise group than in the exercise group. There was no difference among the three groups divided according to exercise intensity in the use of health services and health expenditures. Conclusion: These results show that exercise is a way to reduce diabetic patients` use of health services and their health expenditures.

노인의 학대경험과 대처양식이 자살생각에 미치는 영향

정정희 ( Jeong Hee Jeong ) , 김정순 ( Jung Soon Kim )
4,000
키워드보기
초록보기
Purpose: The aim of this study is to determine the impact of abuse experience and coping styles on suicidal ideation in Korean elders. Methods: Data were collected from the 2011 Korean National Survey on the Elderly. The participants were 10,537 elders aged 65 or older who had replied to the question on suicidal ideation. Socio-demographic and health related factors, abuse experience, and coping style were included as the influence factors of suicidal ideation. Data were analyzed using x2-test and logistic stepwise regression with the SPSS/WIN 21.0 program. Results: The prevalence of abuse experience among the elders was 12.7% and that of suicidal ideation was 11.2%. Elders with abuse experience (OR=2.79, 95% CI=2.39~3.26) were more likely to have suicidal ideation but those with an active coping style (OR=0.69, 95% CI=0.57~0.84) were less likely to have suicidal ideation even with other influence factors controlled. Conclusion: Abuse experience of the elderly was a major risk factor that increased suicidal ideation, and active coping style was a protective factor that reduced suicidal ideation. These findings show that careful attention to elderly abuse and education for active coping style are necessary to reduce suicidal ideation among the elderly.

청소년의 인터넷 사용과 건강행태 관련성

김은경 ( Eun Gyeong Kim )
4,000
초록보기
Purpose: The study was performed in order to identify the relationship between health behaviors and Internet use among adolescents. Methods: The study used raw data from the Korean Youth Risk Behavior Web-Based Survey that was performed in 2012. Data of a total of 74,186 students were analyzed using SPSS/WIN 18. The data were analyzed using descriptive statistics, t-test, and Pearson`s correlation. Results: Internet use and health behaviors were significantly related to gender, depression, suicidal intent, parents` educational level, cohabitation with parents at home, school location, and grade. There was a significant association between Internet use and health behaviors in adolescents. Conclusion: Health promotion and education programs need to consider factors found relevant in this study.
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