Mobiletype - Moyamoya Adolescent Salutogenesis: A Usability Test

Jihee Han,Tae Park,Won-Oak Oh,Anna Lee 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim(s): Moyamoya disease (MMD) is a rare, chronic, and progressive intracranial arteriopathy. It is critical for individuals with MMD to have the capability of managing their symptoms. This study aimed to 1) develop a mobile application (APP) titled ‘Moyamoya Healthy Youth’ that can help adolescents with MMD to improve their health, and 2) conduct the usability test of this app. Method(s): The app development was guided by Antonovsky (1987)’s Salutogenesis Theory. The app’s usability was evaluated by the Intervention Mapping Protocol. We reviewed prior studies regarding MMD and relevant interventions. We performed individual or focus group interviews targeting adolescents with MMD, parents, and healthcare providers. Additionally, we conducted a survey to identify MMD symptoms. Based on the findings, healthcare professionals (pediatric nursing professors, MMD specialists) and app developers (app development consultant, programmer, user interface designer) created the ‘Moyamoya Healthy Youth’ app. Subsequently, pediatric nurse practitioners and pediatric nursing professors, high school students, and app development professionals used the app themselves and evaluated the app"s easiness and usefulness. Results(s): Considering availability, accessibility, and visibility, this app had been developed from August to November 2020. The app"s system structure was employed a server/client system using HTTP and Web API. The server configuration used the MySQL database and Apache Tomcat/Spring Framework. The client configuration was performed by Android SDK. This app has been uploaded to Google Play. The main screen of the app consisted of ‘Diary’, ‘Daily Report’, and ‘Cheer Up Message’. In terms of the usability test, the mean scores of the easiness and usefulness of using the app were 4.42 (SD = 0.34) and 4.52 (SD = 0.22), respectively, which could be regarded as favorable levels. Conclusion(s): This study verified the usability of the ‘Moyamoya Healthy Youth’ app. This app could contribute to the enhanced self-management skills of adolescents with MMD.

고령자의 건강증진을 위한 지원주택의 공용공간 특성 분석

성초희(Sung, Chohee),이연숙(Lee, Yeunsook) 한국실내디자인학회 2017 한국실내디자인학회 학술대회논문집 Vol.2017 No.10

Vulnerable elderlies have greater chance to get aged poorly because they can easily be exposed to deteriorate environment which can affect health. It is important to provide healthy sustainable environment effectively since the population often have spatial and economical constrains. Providing communal spaces in multiplex housing can be a key to bring wellness to elderlies since the aged group have large portion of their life spending time around houses. The purpose of the study is to classify different types of communal spaces in supportive housing, then analyse individual qualities in terms of Salutogenesis. The chosen case is first supportive housing built in South Korea, located in Seoul. The house has total of 18 communal spaces including multi-purpose room rooftop garden and so on. The spaces are classified with 5 different purposes; space for basic living, community enhancement, supporting activities, spaces for the life convience, and spaces corresponding to modern society. The communal spaces is largely related to social health and, it means sense of coherence has strong correlation with communal spaces. Providing appropriate hardware and software for communal spaces can lead to good social health resulting strong sense of coherence for achieving Salutogenesis.

대학생들의 정신건강과 인성교육을 위한 `건강생성론`과 그 적용 -안토노브스키의 `통합력(Sense of Coherence)`을 중심으로-

최정화 ( Choi Jeong-hwa ) 한국윤리교육학회 2017 윤리교육연구 Vol.0 No.44

대학생들의 정신건강과 인성교육을 위한 이론적 근거를 찾으며 본고에서는 아론안토노브스키가 창안한 `건강생성론(Salutogenesis)`에 주목한다. 건강생성론은 심신 건강에 관한 새로운 패러다임을 제시하여 건강을 증진시키는 요소에 대하여 관심을 기울인다. 대학생들이 받는 스트레스 상황과 인생 문제와 관련하여 일반적 내성자원과 강한 `통합력(Sense of Coherence)`을 가지고 문제를 해결할 수 있다. 통합력은 이해력, 관리력, 의미부여의 세 가지 측면으로 이루어진다. 강한 통합력을 지닌 사람은, 약한 통합력과 고착화된 통합력을 가진 사람들에 비해서 자신이 가진 다양한 내성자원을 사용하여 당면한 문제를 자율적으로 해결한다. 대학생들은 스트레스 직면 상황에서 빈곤한 내성자원에 대하여 불안감을 느끼고, 그들이 처한 다양한 현실에 대해서 효율적으로 대처하지 못하는 느낌을 가진다. 강한 통합력을 가진 사람은 문제를 해결한 후 긍정적인 피드백을 받고 그로 인해서 강인한 존재감과 자신감을 가지게 되고 차후의 문제에 직면하여 더 잘 해결하게 되는 선순환을 경험한다. 대학생들의 인성과 정신건강을 위하여 다양하고 구체적인 일반적 내성자원을 기르고 스트레스, 그리고 보다 큰 인생의 문제에 대하여 능동적으로 대처할 것이 권장된다. 교육자와의 긍정적 피드백 과정을 거치며 대학생들은 당면한 문제점을 직시하고 각자가 지닌 건강을 증진하는 요소와 강점들을 발견하게 된다. In order to develop a theoretical basis for the development of mental health and moral education of college students this article explores Aaron Antonovsky`s concept of `Sense of Coherence (SoC).` Antonovsky`s salutogenetic approach offers a new paradigm of mental and physical health inasmuch as it is focused on the various elements that are at play in the maintenance of a healthy state of being. The stress and manifold challenges which college students are confronted with in their lives can be overcome by means of what Antonovsky termed `Generalized Resistance Resources (GRR)` and a strong `Sense of Coherence.` The `Sense of Coherence` consists of three elements, which are 1) comprehensibility, 2) manageability and 3) meaningfulness. Having a strong SoC is shown to enable a person to use and apply his or her Generalized Resistance Resources (GRR) much more efficiently compared with persons possessing only a weak or damaged SoC. College students in stressful situations generally feel more anxious as they have fewer GRR and therefore often feel that they are more or less incapable of solving the problems that manifest themselves in these stressful situations. But those with a strong SoC can build up a stable personal identity and self-esteem through positive feedback, which is why in the next challenging situation they have to face they are better equipped with the power to overcome it and can make the experience of entering into a health-bolstering upward spiral. This article`s intention is to provide college students with advice on how to acquire various and concrete GRR and how to promote their personality development and mental health in order to overcome the ever tightening grip of stress and to become able to solve greater life challenges autonomously. Thus the students themselves will find health-maintaining - that is `salutogenetic` - life elements and personal strength in the actual process of solving problems.

경찰공무원의 건강증진을 위한 구조모형 구축: 건강생성이론을 기반으로

공태명 ( Kong Tae Myoung ) 한국경찰학회 2021 한국경찰학회보 Vol.23 No.6

This study established and verified a structural model focusing on Antonovsky(1987)'s Theory of Salutogenesis to promote the health of police officials. Through this, the factors affecting the health status of police officials were identified through the AMOS program. The summary of the research results is as follows. First of all, it was confirmed that the higher the insight and social support, the lower the job stress. Second, the higher the insight and the better the non-shift workers, the better health behavior was found. Third, it was confirmed that high insight, high perception of social support, and many health behaviors lead to good health. So far, several studies have been conducted on various factors that cause stress(such as burn-out or exhaustion of stress, post-traumatic stress disorder, etc.), some studies related to health-related job characteristics such as shift work and night work. However, this study is meaningful in that it integrated various factors such as health-related behavior and job stress such as integration, social support, health-related job characteristics, drinking, smoking, physical activity and eating behavior, etc. through a structural model.

지역사회 독거노인의 고령친화적 환경수준이 건강증진행위에 미치는 영향: 사회적지지와 통합균형감의 매개효과

장은하,백옥미,홍석호 한국노년학회 2022 한국노년학 Vol.42 No.4

본 연구는 Lawton & Nahemow의 개인-환경 적합성 이론과 Antonovsky의 건강생성이론을 기반으로 독거노인의 고령친화적환경수준, 일반적 저항자원인 사회적지지, 통합균형감이 건강증진행위에 미치는 영향을 살펴보고, 고령친화적 환경수준과 건강증진행위간의 관계에서 사회적지지와 통합균형감의 매개효과를 검증하였다. 이를 위해 한국연구재단의 지원사업 확장형 리빙랩을 통한 노인맞춤형 주거복지 통합서비스 개발의 일환으로 진행된 실태조사를 일부 활용하였다. 실태조사의 조사대상자 중 독거노인을 추출하였고, 결측치 및 정규성 검증을 통해 477명을 최종 분석에 사용하였으며, 연구결과는 다음과 같다. 첫째, 주요 변수들 간 직접적인 영향관계를 살핀 결과, 고령친화적 환경수준이 사회적지지, 건강증진행위에 직접적인 영향을 미치는 것으로 확인되었으며, 사회적지지는통합균형감과 건강증진행위에 직접적인 영향을 주는 요인으로 나타났다. 또한 통합균형감은 건강증진행위에 직접적인 영향을 미치는것으로 확인되었다. 둘째, 개별 매개효과 및 이중 매개효과를 검증한 결과, 고령친화적 환경수준이 사회적지지를 거쳐 건강증진행위에영향을 미치는 경로의 개별 매개효과가 유의한 것으로 확인되었다. 또한 고령친화적 환경수준은 사회적지지와 통합균형감을 매개하여건강증진행위에 유의한 이중 매개효과가 있는 것으로 확인하였다. 이러한 연구결과를 바탕으로 독거노인의 건강증진행위를 도모하기위한 이론적, 실천적, 정책적 함의 및 제언을 제시하였다. Based on Lawton & Nahemow's Person-Environment fit theory and Antonovsky’s Salutogenesis theory, we examined the level of age-friendly environment for elderly people living alone, social support and a sense of coherence for their impact on health promotion behaviors, and tested a mediating effect of social support and a sense of coherence for the relationship between the level of age-friendly environment and health promotion behaviors. For this purpose, we referenced to a survey conducted by National Research Foundation as part of the project ‘Developing Living and Welfare Integrated Service Tailored to Elderly People through Expanded Living Lab.’ Among the survey participants, we identified elderly people living alone, and used data of 477 people for the final analysis in consideration of missing value and test of normality. The following describes the analysis results. First, an examination of direct influence among the main variables showed that the level of age-friendly environment directly affected social support and health promotion behaviors, and social support directly affected a sense of coherence and health promotion behaviors. Also, a sense of coherence directly affected health promotion behaviors. Second, we tested both individual and dual mediating effects, and observed a meaningful individual mediating effect for the path from the level of age-friendly environment to health promotion behaviors via social support. Also, the level of age-friendly environment showed dual mediating effects on health promotion behaviors via social support and a sense of coherence. Based on these findings, we provide political implications as well as theoretical and practical suggestions.

액티브 시니어(Active senior)의 여가유능감, 통합력 및 건강증진행동의 관계분석

강희엽(Kang, Hee-Yeob) 한국여가레크리에이션학회 2019 한국여가레크리에이션학회지 Vol.43 No.1

통합력(Sense of Coherence)과 자살생각, 사회적 지지의 연관성 연구

김지연,김창엽 한국보건사회학회 2014 보건과 사회과학 Vol.0 No.36

The aim of this study is to examine on the relationship between suicidalthought and Sense ofCoherence (SOC) and to identify social support as GeneralResistant Resources (GRRs) for improving SOC. For the study, Seoul WelfarePanel Study (SWPS, 2010) was analyzed and final sample is consists of 2,357individuals aged 18 and over. This study consisted of two parts. First is to verifythat SOC has an impact on suicidal thought, even though social structural·psychological factors(sex, age, marital state, education level, income level anddepression) were controlled. Second is to examine whether social support(perceived social support and social participation) has a positive influence onincreasing SOC as GRRS. For this analysis, hierarchical logistic regression waslastly conducted. The main results of this study were as follows. First, SOC has on great positiveeffects on decreasing suicidal thought; moreover SOC can decrease impacts ofdepression on suicidal thought. Second, it was confirmed that comparatively highlevel of social support, social participation are the factors for promoting SOC. Based on the results, suggestions might be done that GRRS, such as socialsupport should be developed as policy because SOC is necessary to reducesuicidal as well as depression. 본 연구의 목적은 Antonovsky의 건강생성이론에 따라 자살생각과 통합력의 연관성의 검증하고통합력을 향상시킬 수 있는 일반적 저항자원으로서 사회적 지지를 규명하는 데 있다. 본 연구를 위하여 2010년 서울시 복지패널자료를 활용하였고, 18세 이상의 성인을 대상으로 최종 대상자수는 2,357명으로 하였다. 이 연구의 분석은 두 부분으로 나눠지는 데, 첫 번째는 인구・사회・심리적 요인(성별,연령, 결혼상태, 교육수준, 소득수준, 우울 정도)을 통제하고도 통합력이 자살생각에 영향을 미치는지 검증하였고, 두 번째는 일반적 저항자원으로서 사회적 지지(지각된 사회적 지지, 사회참여)가 긍정적 영향을 미치는 지를 규명하였다. 이를 위해 최종적으로 위계적 로지스틱 회귀분석을 실시하였다. 주요 연구결과는 다음과 같다. 첫째, 통합력은 인구・사회・심리적 요인을 통제하였음에도 불구하고여전히 자살생각에 강력한 영향을 미치는 것으로 나타났다. 또한 통합력은 우울증이 자살생각에 미치는 영향의 크기를 줄이는 완충효과를 나타냈다. 둘째, 비교적 높은 수준의 지각된 사회적 지지와 사회참여수준이 통합력을 향상시킬 수 있음을 확인하였다. 이러한 결과를 바탕으로 하면 자살생각은 물론 우울증을 줄이기 위해 통합력을 향상시키는 것이 필요하다. 또한 이러한 통합력을 향상시키기 위해 사회적 지지와 같은 일반적 저항자원의 개발에 정책적 노력을 기울여야 할 것이다.

건강생성론에 근거한 근로자의 일관적 감각(SOC), 건강관련 삶의 질 및 생활,건강만족도에 관한 한일 비교연구

이응철 ( Eung Cheol Lee ),이성국 ( Sung Kook Lee ),이원기 ( Won Kee Lee ) 대한보건협회 2015 대한보건연구 Vol.41 No.3

연구목적 : 한국과 일본 근로자들의 SOC, HR-QOL 및 생활·건강만족도의 차이와 상관관계를 평가하고, 구조방정식모형을 이용하여 SOC, 삶의 질 및 생활·건강만족도의 관련성 정도를 비교하는 것이다. 연구방법 : 한국과 일본의 제조업에 종사하는 근로자들을 대상으로 유의 표본추출(purposive sampling)법으로 자기기입식설문지를 통해서 얻은 한국 292명, 일본 327명의 자료를 분석하였다. 연구결과 : SOC 전체와 하부영역인 처리가능성 및 유의미성에서 한국이 일본보다 높았으며, 유의한 차이가 있었다. HR-QOL 전체와 하부영역인 심리적인 영역 및 사회적인 영역에서 한국이 일본보다 높았으며, 유의한 차이가 있었다. 생활·건강만족도는 일본이 한국보다 높았지만, 통계적으로 유의한 차이가 없었다. SOC, HR-QOL 및 생활·건강만족도의 상관관계에서 모두 유의하게 일본이 높았다. 구조모형에서는 생활·건강만족도가 HR-QOL에 미치는 영향은 한일 간 유의한 차이가 없었지만, HR-QOL이 SOC에 미치는 영향과 인과관계성은 일본이 한국보다유의하게 높았다. 결론 : SOC는 한국이 일본보다 유의하게 높았다. 이는 한국 근로자가 일본 근로자 보다 건강행동을 잘 수행하며, 건강상태가 좋으며 정신적 건강이 더 양호하다고 할 수 있을 것이다. HR-QOL도 한국이 일본보다 유의하게 높았다. 이는 경제적으로 선진국인 일본이 한국보다 HR-QOL 낮다는 것은, HR-QOL에 미치는 영향이 경제적 측면보다는 사회문화적인 것이나 주관적인 측면이 더 많은 것으로 추측된다. 구조모형에서 SOC가 HR-QOL에 미치는 영향보다 HR-QOL이 SOC에 미치는 영향이 더 크게 나타나, 근로자의 건강유지능력과 스트레스대처능력을 높이고 정신 건강을 위해서는 한국과 일본 모두 HR-QOL을 향상시키는 산업보건 프로그램과 정책이 필요하다고 사료된다. Objective: This comparative study aims to evaluate the correlation and the differences of manufacturing workers in Korea and Japan, and to compare the causal relations among SOC, health related quality of life (HR-QOL) and Life-health satisfaction by structural equation model. Methods: Present comparative study by purposive sampling analyzed the data collected from 292 manufacturing workers in Korea and 327 in Japan with Korean or Japanese self-reporting questionnaire distributed directly. Results: Korea had significantly higher scores in total, manageability and meaningfulness of SOC, and in total, psychological and social portion of HR-QOL than Japan. Life-health satisfaction of manufacturing workers was higher in Japan than in Korea, but did not have a significant difference between Korea and Japan. Whereas Japan has significantly higher correlation in SOC, HR-QOL and Life-health satisfaction than Korea. From the point of the structural equation model, the impact of Life-health satisfaction on HR-QOL did not have a significant difference between Korea and Japan. Meanwhile, Japan had the significantly higher impact and causality of HR-QOL on SOC than Korea. Conclusion: Korea had significantly higher scores in SOC. This might suggest that manufacturing workers in Korea conducted better health behaviors, had better health condition and was mentally healthier than those in Japan. Korea had also significantly higher scores in HR-QOL. This might suggest that HR-QOL was influenced more by sociocultural or subjective aspect than by economic aspect. In the structural equation model, the impact of HR-QOL on SOC was stronger than that of SOC on HR-QOL in both Korea and Japan. Thus, it can be suggested that various industrial health policy for HR-QOL of workers in both Korea and Japan is needed in order to keep healthy, to improve coping ability and to promote mental health.

Sick or sickness? The importance of person centred healthcare and medicine paradigm

Mariateresa Tassinari,Paolo Roberti di Sarsina 셀메드 세포교정의약학회 2014 TANG Vol.4 No.4

When you act for a good or just when you make a choice, you should ask yourself if the result of your action coincides with the principle that has generated it. Health and respect for our own individuality are two essential goods for the human being and also values that medicine itself should guard carefully remembering that its goal is to take care for a person and not only to cure a sick body. The means to achieve all this can only be a person-centered medicine which has the honor and the burden of considering the person (in the Kantian sense) and his health as an end, not a means. The current mainstream concept of health defined in 1948 by the World Health Organization as a state of complete mental, physical and social wellbeing and not merely the absence of disease and infirmity remind us that medical reasoning, based on the pathogenesis operator, is no longer sufficient in dealing with requests from the citizens: is now the right time to shift the focus from sickness to health giving emphasis to the salutogenic medicine approach.

Trust, Social Quality and Wellbeing

PAUL WARD,SAMANTHA MEYER 서울대학교 사회발전연구소 2009 Journal of Asian Sociology Vol.38 No.2

This papers provides an argument regarding the centrality of ‘trust’ for the development and maintenance of ‘social quality,’ and ultimately for the health and wellbeing of individuals, communities and societies. Within the Social Quality theory, trust is located within one of the four conditional domains; social cohesion. This paper provides a background to Social Quality theory within a political and theoretical context in order to demonstrate that trust underpins a number of the social systems that play a role in the development and maintenance of social quality; therefore, we argue, that trust underpins ‘social quality’ and hence the Social Quality theory. We suggest ways in which current social theories of trust may be situated within the Social Quality theory, in terms of the normative and conditional factors. Evidence is provided to support the argument that trust plays a more significant role social quality than the current model suggests.