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      • KCI등재

        지역사회 노인들의 치매에 대한 두려움과 관련된 요인

        박영임,박정수,윤현서,김남희,전진호 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.4

        The purpose of this study was to examine the fear of elderly people for dementia and the factors of dementia. The subjects in this study were 400 elderly people who were selected by stratified proportional systematic sampling from among the elderly residents aged 60 and up in some regions. A survey was conducted to find out their knowledge of dementia and the factors of dementia. The rate of the respondents who underwent dementia screening stood at 28.9 percent, and that of the respondents who experienced it just stood at 10.2 percent. The rate of the respondents who were aware of dementia-related medical expenses and related management services stood at 11.7 percent, which was low. As for anxiety over dementia, 36.5 percent were anxious about their own possibility of contracting dementia, and 18.3 percent were anxious about their spouses' possibility of contracting it. They were more afraid of dementia than any other disease such as cancer or stroke. As many as 70.1 percent, which were the highest percentage, were fearful of it. Concerning the relationship between anxiety over dementia and diagnosis, the rate of being diagnosed with dementia was higher in the anxious group. Regarding influential factors for anxiety over dementia, the elderly people who were female and who had spouses were more anxious, and the respondents who had a better knowledge of it were less anxious. The findings of the study illustrated that the elderly people were anxious over dementia, but that a very low percentage of them received education about that or underwent dementia screening. To remedy the situation, dementia screening should be more publicized in local community, and various education should be provided for elderly people to be knowledgeable about the disease. The development of prolonged educational programs is required in consideration of the characteristics of the elderly instead of merely offering education just on a temporary basis. In addition, it's important to raise awareness of dementia not only among individuals but in the whole society in order to improve the quality of life of elderly people with dementia 본 연구는 노인들의 치매에 대한 두려움과 요인을 알아보기 위하여 일부지역 60세 이상의 논인을 대상으로 층화비례계통추출법으로 400명을 선정하고 치매지식과 치매요인에 대한 설문조사를 실시하였다. 치매에 대한 검사 경험률은 28.9%였고, 경험률은 10.2%에 불과하였으며, 치매관련 치료비 및 관리서비스 인지율은 11.7%로 낮았다. 본인의 치매 걸림에 대한 불안감은 36.5%, 배우자 불안감은 18.3%였고, 암, 중풍 등의 다른 질환보다 두려움이 70.1%로 가장 높았다. 치매 불안감과 진단의 관계에서는 불안군이 치매진단율이 높았다. 치매에 대한 불안에 영향을 미치는 요인은 여성, 배우자 있음에서 불안감이 높았고, 지식수준이 높을수록 감소하였다. 연구결과 치매에 대한 불안감은 가지고 있으나 실질적으로 교육을 받거나 진단은 받는 경우는 매우 낮았다. 이를 개선하기 위해서는 현재 지역사회에서 치매선별검사에 대한 홍보활동과 더불어서 치매에 대한 지식을 가질 수 있도록 다양한 교육이 이루어져야 하며, 노인의 특성을 감안하여 일회성이 아닌 지속적인 교육프로그램의 개발이 필요할 것으로 사료된다. 또한 치매의 경우 개인의 인식개선도 중요하지만 사회전체의 인식개선도 함께 이루어져 치매노인의 삶의 질 향상을 도모하여야 한다.

      • KCI등재

        재가 취약계층 노인의 보완대체요법에 대한 태도, 이용 및 유해반응

        박영임,송미숙,안옥희,양순옥,이인숙,현혜순 한국지역사회간호학회 2014 지역사회간호학회지 Vol.25 No.1

        Purpose: The purpose of this study is to obtain information of use of complementary and alternative medicines(CAMs) and any reported adverse effects of them on vulnerable elders in a community. Methods: 1,837 elderlysubjects aged 65 or higher with health problems were selected from those who were enrolled in a public healthcare center and received visiting health management services. A proportional stratified sampling method wasused. Data collection was completed by face to face interviews using a structured questionnaire. The descriptivestatistics and x2-test were used to analyze the data. Results: The prevalence of CAM use last year was 57.5%,and 10.4% of the subjects reported adverse effects of the therapies. The mean score of the subjects’ attitudestowards CAM was 4.1±3.44 (range 1~10). The major sources of advice and exposure to CAM therapies were mostlikely to be from family and friends (72.5%). The primary reason for choosing CAM was to manage symptomsand relieve pain (86.6%). Conclusion: These findings suggest the need to develop nursing strategies for reducingand preventing adverse effects of CAM use by promoting awareness of using safe and appropriate CAM therapies.

      • SCOPUSKCI등재
      • SCOPUSKCI등재
      • SCOPUSKCI등재

        본태성 고혈압환자를 위한 자기조절 프로그램 관련요인 연구

        박영임,Park, Young-Im 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.2

        Essential hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Thus the comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care 'performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi -experimental research with pre and post test design was used. And the whole program was carried out from October, 1993 to February, 1994. Self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The data was analyzed by experimental stages: the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t -test and F-test, and multiple correlation to determine the variables affecting the effect of program. The results were as follows : 1) Subjects in J company were significantly lower diastolic blood pressure than K company after the program (t=2.39, p=.024). Level of cholesterol was significant difference according to position(t=2.23, p=.034), family history (t=-2.66, p=.013), diagnosis duration, and career(t=2.88, p=.055). Perceived self-efficacy was more significantly increased among the group with family history(t=-3.00, p=.013). 2) Before the program, there were significant positive correlation among the variables: internal-LOC and self-efficacy(r=.3952, p=.015), external-LOC and barriers (r=.6515, p=.000), chance-LOC and Barriers(r=.4133, p=.012). However there were significant negative correlation between internal-LOC and barriers (r=-.3236, p=.041, external-LOC and self -efficacy(r=-.3517, p=.028), self-efficacy and barriers(r=-.6654, p=.000). 3) There were significant relationships between changes in self - care performance and self-efficacy at 5th week (r=.5313, p=.001) and changes in self-efficacy at 9th week(r=.4586, p=.005). 4) After the program, internal health locus of control and perceived benefits showed significant correlation(r=.5673, p=.001, but perceived barriers was negative correlation with perceived self-efficacy (t=-4242, p=.01). From the above results, it can be concluded that the self-regulation program is an effective nursing strategy through the change of variables to promote self-care performance of hypertensives and to increase the self-efficacy. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings.

      • SCOPUSKCI등재
      • DEXA法에 의한 大學一部 男子 柔道選手들의 體構成에 關한 硏究

        朴營任,朴淳永,朴喆斌 경희대학교 체육과학연구소 1993 體育學論文集 Vol.21 No.-

        This study focused on the body composition of Korean Judoists in Dual X-ray Absorptiometry. The principal subjects of this study were 8 National Judoists who participated in the process of Dual Energy X-ray Absorptiometry at K. University Hospital for one year from March 1, 1993 to September 30, 1993. One the basis of the these measurements, the author calculated physical indices and total fat percent. On the results of bone densitometry, the author analyzed body fat weight, body composition between left and right sides, body composition according to body position, bone mineral density and total bone calcium and discrerned the difference between the fatness which was calculated indirectly and which gained from the bone densitometry. 1.General Characteristics The mean age of the subjects was 18.63±1.06 year. 2.Physical Measurement The mean physical growth and development of the subjects were superior to standard value of the average Koreans 3.Body Fat by physical Measument Body surface was 1.7615±0.0365㎡, body volume was 63.14±2.19 l body density was 1.0592±0.0025 l /kg, body fat was 15.02±1.18kg, and body fat percent was 17.8940±0.865%. 4.Body Fat by Bone Densitometry Total body fat percent was 12.13±3.08% and according to body position that of upper limb was 11.39±3.44%, that of lower limb was 13.26±4.15% and that of trunk was 11.02±3.08%. There was significant difference between the amounts of body fat from the methods used in this study; that from physical measurements and from bone densitometry and bone densitometry method could be said most disirable. 5.Body Composition According to Body Position Trunk was highest at 44.36±3.68%, lower limb was 35.87±1.34%, upper limb was 11.78±0.65% and head was 8.01±3.11% in order. 6.Bone Mineral Content, Total Bone Calcium(%) and Bone Density In bone mineral amount and percent by body position, that of uper limb was 443.25 ± 38.75g(5.05 ±0.29%), that of lower limb was 1168.50±114.96g(5.05±0.37%), that of trunk was 1238.88±65.09g(4.37±0.44%) and total bone mineral cvontent was 3377.13±170.48g(5.25±0.18%). Total bone calcium was 1283.38±64.76g(1.918±0.065%). Bone density was 1.29±0.05g/㎠.

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