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      • KCI등재후보

        제 2형 당뇨 환자의 운동행위 변화단계에 따른 변화과정, 의사결정균형 및 자기 효능감에 관한 연구

        김춘자 성인간호학회 2002 성인간호학회지 Vol.14 No.1

        Purpose: This study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of exercise behavior using Transtheoretical Model in patients with type 2 diabetes mellitus. Method: The study method was a survey in 100 type 2 DM patients at out-patients clinic of Y medical center from March 19, 2000 to October 30, 2000. Result: The results were as follows: The subjects were divided into five stages of exercise behavior : 15.0% in pre-contemplation stage, 33.0% in contemplation stage, 17.0% in preparation stage, 16.0% in action stage and 19.0% in maintenance stage. The subjects in pre-contemplation stage used all processes of change in the least. "Dramatic relief(DR)", "Environmental reevaluation(ER)" and "Self reevaluation(SR)" were identified as main processes of change in contemplation stage. "Consciousness raising(CR)", "DR" were used higher than average in preparation stage. "Helping relationships(HR)", "CR", "ER", "SR", "Social liberation(SL)", "Counter conditioning (CC)", "Reinforcement management(RM)". "Self liberation(SEL)" and "Stimulus control(SC)" were used higher than average in action stage. The subjects in maintenance stage used all process of change the highest except "DR"and "HR". "Cons" score of decisional balance was the highest in pre-contemplation stage, "Pros" score was the highest in action stage and "Self-efficacy" score was the highest in maintenance stage. Conclusion: This study can provide the basis of staged matching exercise program using TTM for more effective and useful intervention.

      • KCI등재

        중장년 장애인의 대사증후군 위험요인에 따른 유병특성과 영향요인

        김춘자,박지원,박형란 한국장애인재활협회 2015 재활복지 Vol.19 No.3

        본 연구는 경기도 S시 방문보건센터의 2014년 방문건강관리사업에서 기초조사를 완료한 186명 중장년 장애인을 대상으로 대사증후군 위험요인에 따른 유병특성과 영향요인을 파악하기 위한 후향적 조사연구이다. 본 연구에서 중장년 장애인 대상자의 대사증후군 위험요인에 따른 유병특성은 고혈압(55.4%),당뇨(40.3%), 고콜레스테롤(29.6%), 복부비만(25.3%)순으로 높았다. 특히 장애인 대상자의 83.9%에서 대사증후군 위험요인을 한 가지 이상 가지고 있는 위험군으로 나타났다. 대사증후군 위험군에 통계적으로 유의한 영향요인은 연령증가(OR=1.10), 남자(OR=2.91), 관절염을 동반할 경우(OR=3.87)에 위험이 높은 것으로 나타났다(p<0.05). 특히 성별에 따라 복부비만은 여자가 남자보다 2.16배 높고, 고혈압은 남자가 여자보다 2.40배 더 높았으며, 관절염을 동반하는 경우 고혈압이 2.30배 더 높았다. 따라서 본 연구결과를 토대로 중장년 장애인의 대사증후군을예방하기 위해서는 우선적으로 고혈압과 당뇨를 중심으로 연령, 성별, 관절염 등의 영향요인을 고려한 맞춤형 중재전략개발을 제언한다. This study was to evaluate the prevalence of metabolic syndrome (MS) risk factors and its associated characteristics of lifestyle behavior, health status, and chronic diseases in 186 disabled middle-aged adults. The study design was a retrospective study using secondary data analysis from the Tailored Health Visiting Service Program with baseline data collected from public health centers in Suwon, Korea from January to December 2014. The most prevalent risk factor was elevated blood pressure (55.4%), followed by elevated postprandial 2-hour blood glucose level (40.3%), elevated total cholesterol (29.6%), and abdominal obesity (25.3%).More than four-fifth of the participants (83.9%) had one or more metabolic syndrome risk factors. They were more likely to be older (OR=1.10), men (OR=2.91), and have a medical history of osteoarthritis (OR=3.87) than the participants without MS risk factors (p < 0.05). Women had 2.16 times higher prevalence of abdominal obesity than men, whereas men had 2.40 times higher prevalence of hypertension than women. In addition, participants with osteoarthritis were 2.30 times more likely to have hypertension than those without osteoarthritis. The study results suggested the need of community-based program that aimed at screening and managing MS risk factors according to age, gender, and a medical history of osteoarthritis to reduce cardio-metabolic risks among disabled middle-aged adults.

      • KCI등재

        경기도 지역 대사증후군 근로자의 생활습관특성, 대사증후군 위험요인 및 심혈관 위험도

        김춘자,박재범,범택,Kim, Chun-Ja,Park, Jae-Bom,Kim, Bom Taek 한국직업건강간호학회 2008 한국직업건강간호학회지 Vol.17 No.2

        Purpose: This study was to investigate the lifestyle characteristics and risk of cardiovascular disease (CVD) among workers with metabolic syndrome(MS). Methods: The descriptive cross-sectional survey design was used. A total of 187 workers with MS were recruited from a university hospital. The anthropometric measures were used and blood data were reviewed from the health record. Data were analyzed using descriptive statistics and multiple logistic regressions with SPSS/WIN 12.0. Results: While 52.2% of women did not do exercise regularly, 30.5% of men did not at all. The prevalence of MS according to each component was as follows: hypertension was 92.0%, obesity was 89.8%, hyperlipidemia was 63.1%, and hyperglycemia was 61.0%. The high prevalence of each component of MS in workers with MS indicated a significantly higher risk of CVD. The odds ratio of risk of CVD was 16.04 (p=.017) in workers with hypertension, when compared to workers without hypertension. Similarly, the odds ratio of risk of CVD was 11.04 (p=.000) in workers with hyperglycemia, compared to workers without hyperglycemia. Conclusion: Increased risk of CVD was significantly associated with lifestyle characteristics and MS risk factors among Korean workers with MS.

      • KCI등재후보

        한·중 문법술어 대역 통일 방안 연구

        김춘자 원광대학교 인문학연구소 2010 열린정신 인문학연구 Vol.11 No.1

        中國的韓國語敎育已經有了半个世紀,但是韓國語語法術語的中文翻譯上至今還沒有任何原則,從事韓國語敎育和硏究的人員分別使用自己翻譯出來的術語。專門術語是學術硏究和建設的出發点,因此有必要對韓國語語法術語的中文翻譯進行專門的硏究,幷統一對應韓國語語法術語的中文翻譯術語。 本論文整理了現今使用的多种多樣的韓國語語法術語的中文翻譯,爲今后的韓國語語法術語的中文翻譯的統一工作做了基础作業,然后從中選出在韓國語敎育中所需的術語,分析出了翻譯中存在的問題点幷將此問題点進行分類,之后根据這些問題点提出了可以减少這些問題的韓國語語法術語的中文翻譯中可參考的翻譯基准(原則)和如何統一韓·中語法對譯術語的方案。

      • KCI등재

        발건강 관리가 인체 활력징후와 불안상태에 미치는 영향

        김춘자,정혜 한국미용학회 2000 한국미용학회지 Vol.6 No.2

        Recently, foot health care(reflexology) is widespreading over people, especially who are under the occupational stress or hypertension. A growing number of people are having foot treatment in many beauty shops and foot care shops. But the rational and logical basis of its effects on body system is not established yet. To understand its effects on vital signs and reduction of tension and anxiety, we selected 33 clients who visited shops for foot treatment and checked the change of their vital signs and degree of tension and anxiety after foot treatment. The results are followings. 1. 70 percent of selected clients are fifties, 73 percent of them are married and most of them are housewives. 2. 67 percent of them are feeling some troubles with their feet. 3. Their purposes of having foot treatment are curing for their foot problems(36 percent) and recovering from fatigue(24.2percent). 4. After foot treatment, 100 percent of clients whose systolic BP was higher than 135mmHg had the normal range of BP and 71 percent of clients whose diastolic BP was higher than 91 mmHg had the normal range of BP It suggests that foot health care reduce tension and lower high blood pressure. Foot treatment also helps normalize hypotension. 5. Foot health care provides the reduction of tension and anxiety also. After the treatment, percentage of the clients who felt tension was reduced from 78.9 percent to 21.2 percent, and percentage of the clients who felt atvciety was reduced from 54.6 percent to 12 percent.

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