관절염환자에게 적용한 타이치 운동의 효과

송라윤,이은옥 대한류마티스 건강전문학회 2003 근관절건강학회지 Vol.10 No.1

타이치 운동교실 참여 후 골관절염 여성환자의 통증, 체력, 신체기능 및 우울의 변화

송라윤,이은옥,이인옥 대한류마티스 건강전문학회 2002 근관절건강학회지 Vol.9 No.1

Objective. The 12 forms of Sun-style Tai Chi exercise has been developed specifically for arthritis patients in order to reduce their symptoms and to improve physical functioning. This quasi-experimental study examined the changes in pain, balance, muscle strength and physical functioning in women with osteoarthritis at the completion of the 12 week Tai Chi exercise program. Methods. The patients with osteoarthritis who signed the consent form were screened by their primary physician according to the inclusion criteria and invited to the study. Total of 66 osteoarthritis women with an average age of 63 years were participated in the Tai Chi exercise. At the completion of 12 weeks, 34 patients completed both pretest and posttest measures with 48% of overall dropout rate. Outcome measures were physical symptoms, balance, muscle strength, physical functioning, and depression. Paired t-test was utilized to examine differences between pre and post-measures. Results. After participating in the Tai Chi exercise program, the women with osteoarthritis showed significant improvements in their physical fitness measures, and consequently in their physical functioning. In physical fitness test, there were significant improvements in balance, flexibility, muscle strengths of knee, grip, and back muscles after the Tai Chi exercise. However, No significant differences were found in pain and stiffness of their knee joints and depression measure. Conclusion. The 12 forms of Tai Chi exercise has been found safely applicable to the older women with osteoarthritis for 12 weeks, and effective in improving balance, flexibility, and muscle strengths, and consequently lessening difficulties of performing their activities of daily life.

노인의 건강생활예측을 위한 동기측정도구의 검정

송라윤 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Background: The purposes of the study were to develop Motivation Scale for health behavior in elderly population and to test the psychometric characteristics of the scale. Data collection procedure was performed from April, 2001 to February, 2002 with 134 older adults either institutionalized or living in the community. Methods: The subjects of the study were 72 years of age in average, and the majority of them (78%) were female. Those with no formal education were about 50%, and 10% reported with the higher education. Most of them were married but widowed, and 28% of them were still living with their spouse. Results: The motivation scale was applied to the subjects to test the psychometrics and the findings were as follows. 1) The motivation scale consisted of 28 items with 4 point Likert scale, including subscales of self-efficacy, perceived benefits, perceived barriers, and emotional salience. 2) The reliability test showed that Cronbach alpha of the new instrument of motivation scale was 0.71, which was, according to Nunally, acceptable level considering that the instrument was still in an early stage of development. 3) The validity test of the instrument was performed by specifically assessing content validity, criterion validity, and construct validity. For criterion validity, the correlation between motivation and health behavior was moderately high (r=0.6, p < 0.001), and the subscales of the motivation were also significantly correlated with health behavior performance except for perceived barriers. 4) For construct validity, factor analysis was performed to show that 45% of variance in motivation scale was explained by 4 sub-dimensions of the motivation. Conclusion: The study findings confirmed the applicability and usefulness of motivational scale for health behavior in older adults, and further study for applying the modified motivation scale would be focusing on this population with various characteristics in living situation and health status.

타이치운동 프로그램이 지역사회 거주 노인의 신체기능,인지기능 및 삶의 질에 미치는 효과:인지기능을 중심으로-예비조사 연구

송라윤,장태정 한국가정간호학회 2023 가정간호학회지 Vol.30 No.3

. Purpose: To assess the feasibility, safety, and preliminary estimates of effectiveness of Tai Chi on the functional outcomes of older adults in the community. Methods: This was a mixed-method study that employed a single-group repeated measure design and in-depth interviews. Nine older adults were recruited from the community were recruited to participate in a Tai Chi program, conducted twice weekly for 6 months. Research outcomes included physical function, cognitive function, and quality of life, measured at intervals of 3 and 6 months. Findings: Tai Chi exercises were gradually conducted based on the health status of the older adults. All participants actively participated in the program with an average attendance of 90%. Consequently, the participants showed significant improvements in mobility and their memory recall ability at both 3 and 6 months. Additionally, the results of the Stroop test exhibited improvement 3 months after the commencement of the study program. Quality of life of the participants improved according to the mild cognitive impairment questionnaire, but it did not show significant improvement in health-related quality of life. Conclusion: The Tai Chi exercise program was a safe and, feasible program to improve the physical function, cognitive function, quality of life among the older adults in the community.

12주 심장재활운동이 건강행위들간의 상호작용에 미치는 영향

송라윤 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.1

본 연구의 목적은 12주동안 심장재활운동을 수행한 후 운동이 건강생활을 이루는 6개의 건강행위들간의 상호작용에 미치는 영향을 파악하기 위한 것이다. 현대사회에서 질병이나 사망원인의 대부분이 개인의 생활형태를 변화시킴으로서 예방할 수 있다는 보고가 나온 이래 건강을 유지하고 증진하기위한 행위의 역할은 건강전문인들로부터 관심의 초점이 되어왔다. 다수의 건강행위의 변화를 동시에 추구하는 프로그램들이 성공적인 결과를 보고함에 따라 신체운동과 같은 일개 건강행위를 일정기간 수행하다보면 연속효과로서 다른 건강행위들의 수행까지도 간접적으로나마 이끌 수 있을 것이라는 가설이 대두되었다. 그럼에도 대부분 현존하는 연구들은 일개의 건강행위들에 초점을 맞추고 있어 행위들간의 상호작용은 간과되고 있는 실정이다. 본 연구의 목적을 위하여 사전, 사후 유사실험설계를 이용되었으며, 최근에 관상동맥질환이나 심장관련수술(관상동맥 문합술, 관상동맥성형술 등)로부터 회복되고 있는 환자들을 대상으로 57명의 운동군과 동일수의 비교군을 표출하였다. 운동군은 질병이나 수술에서 회복 후 평균 8주내에 12주간의 심장재활운동에 참여하였으며 비교군은 동일기간 중 조직적인 운동프로그램에 참여함이 없이 일상생활을 지속하였다. 12주간의 연구기간을 마친 114명의 대상자들은 평균연령 64세이었으며, 12주 동안 운동군의 12%가 건강상이나 개인적 이유로 운동집단에서 탈락하였는데 이는 운동프로그램을 이용한 현존연구들의 보고보다 훨씬 낮은 비율이다. 가정방문을 통한 두 차례의 면담이 12주 간격으로 실시되었으며 운동군과 대조군의 면담일정은 개개인의 수술날짜 또는 입원일을 기준으로 일관성 있게 결정되었다. 면담을 통해 Walker, Sechrist와 Pender5)가 개발한 도구를 이용하여 건강식이, 운동관련 행위, 스트레스관리, 대인관계, 건강에 대한 책임행위, 자아실현행위 등의 6가지 건강행위 요소들이 측정되었다. Fisher's Z score를 이용하여 자료를 분석한 결과 12주간의 운동을 마친 후 7개 건강행위 쌍의 상관관계가 운동군에서 대조군의 표준 상관관계 점수보다 유의하게 높게 나타났다. 특히 사전조사에서 유의하지 않았던 운동과 건강식이간(r = .47) 및 운동과 건강책임행위간(r = .47)의 상관도가 사후조사 결과에서는 운동군에서 유의하게 높아짐을 발견할 수 있었다. 운동군만을 대상으로 행위간의 상관도를 운동전과 운동후로 비교해 본 결과, 5개 건강행위 쌍의 상관도가 운동 후 유의하게 증가되었음을 보여주고 있다 (p < .05). 12주간의 심장재활운동 후 증가된 건강행위간 상관도는 운동관련행위와 다른 건강행위간뿐 아니라 다른 건강행위간에서도 유의한 증가를 보였음이 주목할만하다. 본 연구는 일개 건강행위인 신체운동을 수행함으로서 증가된 건강행위들간의 상관도를 통하여 건강증진행위들간의 상호작용이 존재함을 보여주었다. 건강행위들의 다면성과 상호작용에 대한 특성을 바탕으로 하여 좀 더 효율적인 인간의 행위변화를 이끌기 위한 방법으로 복수 건강행위요법이 제시되었다. 건강행위들간의 상호작용을 설명하기 위해 후속연구의 필요성과 함께 가능한 기전들이 논의되었다.

Meta-analysis of the effects of smoking prevention programs for young adolescents

송라윤,박문경 한국아동간호학회 2021 Child Health Nursing Research Vol.27 No.2

Purpose: This meta-analysis aimed to analyze the effects of smoking prevention programs for young adolescents at early smoking stages to identify the appropriate characteristics of prevention programs for this population. Methods: Searches of health-related databases and Google Scholar were conducted, and 23 randomized studies were included in the analysis. The main outcome variable was smoking behavior. The analysis was conducted using Comprehensive Meta-Analysis software (version 3.0). Results: Smoking prevention programs significantly reduced smoking behaviors (OR=0.85, 95% CI=0.77~0.93). School-based programs (OR=0.79, 95% CI=0.75~0.83), programs by trained teachers or educators (OR=0.77, 95% CI=0.71~0.83), high-intensity programs (OR=0.82, 95% CI=0.75~0.91), and programs in an in-school setting (OR=0.82, 95% CI=0.74~0.90) had the most significant effect on reducing smoking behavior. Conclusion: For young adolescents, smoking prevention programs are most effective when they are school-based or highintensity programs, and when conducted by teachers or educators with proper training. Further studies are required since there was insufficient research to explore the effect of web-based programs or family-centered programs on adolescent smokers.

안진 검사를 위한 딥러닝 기반의 동공 인식 및 분할 알고리즘

이예린(Yerin Lee),이세나(Sena Lee),류지승(Ji-Seung Ryu),왕형준(Hyeong Jun Wang),서영준(Young Joon Seo),양세정(Sejung Yang) 대한전자공학회 2021 대한전자공학회 학술대회 Vol.2021 No.11

권두언

송라윤 대한근관절건강학회 2005 근관절건강학회지 Vol.12 No.2

관절염환자를 위한 타이치 적용

송라윤 대한류마티스 건강전문학회 2001 근관절건강학회지 Vol.8 No.1

동기강화 프로그램이 노년기 여성의 건강행위, 심혈관질환 위험요인 및 기능적 건강상태에 미치는 영향

송라윤,전경자,노유자,김춘길 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.5 No.1

Purpose: This study was to compare changes in health behaviors, motivational factors, cardiovascular risk factors, and functional status (SIP) after implementing the 6-month motivation-enhancing program to institutionalized elderly women. Methods: Sixty-four elderly women participated. Face to face interviews with blood sampling and anthropometric assessment were conducted at the pretest, 10 weeks and 6 months during the program. Results: 1. The program participants showed significantly better health behaviors over 6 months. The mean motivational level was also significantly improved, especially for perceived benefits, perceived barriers, and emotional salience. 2. The mean of cardiovascular risk factors for the participants was 21.8 at the level of low to moderate risk. After completing the program, total risk score was significantly decreased to 18.7 at 10 weeks, and further to 17.7 at 6 months. A significant reduction was also found in HDL and LDL-cholesterol levels, blood pressure, obesity, inactivity, and stress. 3. The functional status (SIP) was 11% at the baseline and significantly changed in positive direction at 10 weeks(M=9.3) and at 6 month(M=6.3). The significant improvement was also found in physical and psychosocial dimensions and sleep/rest dimension. Conclusion: The motivation enhancing program was effective to reduce cardiovascular risks and to improve the functional status of institutionalized elderly women by motivating them to perform better health behaviors.