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      • KCI등재

        Prevalence of and factors associated with anxiety and depression in Korean patients with newly diagnosed advanced gastrointestinal cancer

        ( Junghwa Chung ),( Gawon Ju ),( Jiyoul Yang ),( Jiwon Jeong ),( Yusook Jeong ),( Moon Ki Choi ),( Jihyun Kwon ),( Ki Hyeong Lee ),( Seung Taik Kim ),( Hye Sook Han ) 대한내과학회 2018 The Korean Journal of Internal Medicine Vol.33 No.3

        Background/Aims: The purpose of the present study was to assess the prevalence of and factors associated with anxiety and depression in Korean patients with advanced gastrointestinal cancer. Methods: One hundred and twenty consecutive patients with newly diagnosed, advanced gastrointestinal cancer who were scheduled to receive palliative chemotherapy between July 2012 and June 2014 were enrolled in this observational prospective study. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS) and Patient Health Questionnaire-9 (PHQ-9). Results: Thirty-seven patients (30.8%) had anxiety or depression with clinical significance according to HADS or PHQ-9. Multivariate analysis identified lower performance status (odds ratio [OR], 4.19; 95% confidence interval [CI], 1.22 to 14.35; p = 0.023), gastric cancer (OR, 5.39; 95% CI, 0.37 to 78.23; p = 0.018), and knowledge of advanced cancer (OR, 15.07; 95% CI, 1.80 to 125.90; p = 0.012) as significantly associated with anxiety or depression. Twenty-one patients with anxiety or depression visited the psycho-oncologic clinic. In these patients, PHQ-9 score (p = 0.008), global health status (p = 0.023), fatigue (p = 0.047), and appetite loss (p = 0.006) improved from baseline to 3 months after study enrollment. Conclusions: Approximately 30% of Korean patients with advanced gastrointestinal cancer had anxiety or depression. The prevalence of anxiety or depression was higher in patients with poor performance status, gastric cancer, or knowledge of advanced cancer. Psychiatric interventions may be effective in reducing depression and improving quality of life in cancer patients with anxiety or depression.

      • KCI등재

        Anxiety and Depression as Predictive Factors for Quality of Life in Patients with Advanced Gastrointestinal Cancer

        Chung, JungHwa,Kwon, Jihyun,Kim, Hyun Kyung,Ju, Gawon,Kim, Seung Taik,Han, Hye Sook 대한종양간호학회 2016 Asian Oncology Nursing Vol.16 No.4

        Purpose: The purpose of the present study was to assess factors associated with quality of life (QOL) and to determine whether anxiety and depression are predictive of QOL in patients with advanced gastrointestinal cancer at initial diagnosis and during the treatment process. Methods: One hundred and twenty patients with gastrointestinal cancer requiring palliative chemotherapy were enrolled. Results: At baseline, depression, performance status, and anxiety accounted for 55.0% (p<.001) of the variance in global health status score, depression accounted for 22.0% (p<.001) of the variance in functional scales score, and anxiety accounted for 19.0% (p<.001) of the variance in symptom scales score. At 3 months, depression, pain, and performance status accounted for 72.0% (p<.001) of the variance in global health status score, 76.0% (p<.001) of the variance in functional scales score, and 74.0% (p<.001) of the variance in symptom scales score. Conclusion: Anxiety and depression were significant predictive factors of QOL in patients with advanced gastrointestinal cancer. Depression and performance status were significant predictive factors of QOL at both baseline and 3 months, and anxiety and pain were significant predictive factors of QOL at baseline and 3 months, respectively.

      • KCI등재

        공급체인상의 조직간 관계적 특징이 신뢰에 미치는 영향 : 남성정장메이커와 대리점을 중심으로 Focus on Textile Maker and Retailer

        권기대,정락채,신정화 한국의류학회 2003 한국의류학회지 Vol.27 No.2

        The objective of this study is to investigate the impact of firm's of firm's various kind of characteristics on the trust in the supply chains between the textile makers and the retailers. Based on the preceding literature review, six hypotheses are proposed. To test the proposed hypotheses, data were collected utilizing questionnaires from 68 retailers(fashion shop). To analyze the data the SPSSWin statistical package was employed. Two(H4 and H6) out of six hypotheses were accepted, the others were rejected. According to the results, the greater the impact of the shared value and the reputation for the retailers on the textile maker is, the stronger the trust of the retailers in the textile maker is. Based on the research results, we can conclude that the trust management is a very important factor in the supply chains between the textile makers and the retailers.

      • KCI등재

        Cognitive-Communication Abilities in Elderly Individuals Wearing Hearing Aids through Web-Based Auditory Training

        Hyo Sun Chung,Junghwa Bahng 한국청각언어재활학회 2024 Audiology and Speech Research Vol.20 No.1

        Purpose: This study aimed to explore the impact of web-based auditory training on speech perception in noise and cognitive-communication abilities in elderly individuals wearing hearing aids. The focus was on addressing communication difficulties commonly experienced by this demographic. Methods: Twenty participants, with over 6 months of hearing aid use, were divided into a training group (undergoing 8 weeks of weekly 60-minute web-based auditory training) and a non-training group. The training program included tasks like listening to sentences in noise, short and long stories, sentence arrangement, and crossword quizzes. Various assessments, such as Korean Repeat and Recall Test and Brief test Cognitive-Communication Disorders evaluations, were conducted before and after training. The Korean version of Montreal Cognitive Assessment test served as a prescreening measure for cognitive impairments. Results: Significant improvements were observed in the training group’s speech perception in noise, recall, and cognitive-communicative abilities post-training. Conversely, the non-training group showed no statistically significant differences. Conclusion: The findings suggest that web-based auditory training holds promise for enhancing cognition and communication in elderly hearing aid users. Future studies could further explore the comparative effectiveness of auditory training by categorizing participants into face-to-face, remote, and hybrid groups. This research contributes valuable insights into addressing communication challenges in the aging population through innovative training methods.

      • KCI등재

        중산층 노인대상 식품안전·영양관리 교육 사업 평가를 위한 도구 개발

        장혜자(Chang, Hyeja),유효이(Yoo, Hyoi),정하림(Chung, Harim),이혜상(Lee, Hyesang),이민준(Lee, Minjune),이경은(Lee, Kyungeun),유창희(Yoo, Changhee),최정화(Choi, Junghwa),이나영(Lee, Nayoung),곽동경(Kwak, Tongkyung) 한국영양학회 2015 Journal of Nutrition and Health Vol.48 No.6

        우리나라가 고령화 사회에 진입함에 따라 노인 의료비 부담이 증가하고 있으며, 질병을 예방하고 건강 수명을 연장하기 위해서는 공적 사업의 일환으로 식품안전·영양관리 프로그램을 개발하고 이를 효과적으로 실행하는 방안이 마련되어야 한다. 본 연구는 균형성과표 (BSC: balanced score card) 개념을 적용하여 내용적으로는 고객관점, 재무관점, 학습과 성장, 내부 프로세스 관점에서 평가지표를 추출하였고, 형식면에서는 성과측면, 과정측면, 구조측면으로 구분하여 노인대상 식품안전 영양관리 교육 프로그램을 평가하는 도구를 개발하였다. 노인 대상교육 프로그램 평가도구의 초안을 개발하고, 이를 설문지로 전환하여 전문가 집단에게 평가지표에 대한 타당성 평가를 의뢰하였다. 평가지표에 대한 적합성은 1, 2차 결과를 토대로 ‘그렇다 (4점)’, ‘매우 그렇다’ (5점)를 선정한 전문가의 빈도 (백분율)가 75% 이상, 평균점수 3.8점 이상인 지표로 선별하였다. 델파이 그룹은 학계 전문가 26명, 중앙정부기관 16명, 지역사회 운영기관 24명으로 총 66인으로 구성하였다. 1차, 2차 평가에 모두 참여한 전문가는 총 32명의 의견을 토대로 프로그램의 평가도구를 ‘성과측면’ 28문항, ‘과정측면’ 9문항, ‘구조측면’ 17문항으로 최종적으로 완성하였다. 배점은 성과지표 50점, 과정지표 20점, 구조지표 30점으로 구성된다. 노인 대상 식품안전·영양관리 교육서비스 확산을 위해서는 효과적으로 평가할 수 있는 평가 도구의 구비가 선행되어야 한다. 본 연구에서 개발한 평가 도구를 활용한다면, 노인대상으로 식품안전 및 영양관리 교육프로그램 사업을 효과적으로 실행하는지를 평가할 수 있으며, 프로그램을 가장 효율적, 효과적으로 전달할 수 있는 경로를 탐색하는데 도움이 될 것으로 기대된다. Purpose: The aim of this study is to develop an evaluation tool for operation of food safety and nutrition education projects for middle class elderly using the concept of the balanced score card. Methods: After the draft of the evaluation tool for the elderly training projects was completed, it was revised into the questionnaire and the validity of the indicators was tested by the Delphi group. The validity of the indicators was rated using a 5-point scale. The Delphi group consisted of 26 experts in the education sector, 16 government officials, and 24 professionals of the related area in communities. The first round test was conducted from July 9 to July 17, 2012, and 45 persons responded. The second round test was conducted from July 18 to July 25 and 32 persons responded. Results: The indicators, which were answered by more than 75 percent of the experts as ‘agree’ (4 points), ‘strongly agree’ (5 point) were included as the final indicators for the evaluation tool: 28 items out of 36 in outcome perspectives, 9 items out of 12 in process perspectives, and 17 out of 20 items in structure perspectives. The score was allocated as 50 points for outcome indicators, 20 points for process indicators, and 30 points for structure indicators. Conclusion: Completion of the evaluation tool is a prerequisite to determine whether the program is effectively implemented. The monitoring tool developed in the study could be applied for identification of the most optimal delivery path for the food safety and nutrition education program, for the spread of the food safety and nutrition education program for middle class elderly.

      • KCI등재

        모바일 앱 기반 신체활동증진 전략과 기술… 어디까지 왔나?

        조정환(Junghwan Cho),송금주(Geumju Song),오정화(Junghwa Oh),정해권(Haekwon Chung) 한국체육측정평가학회 2016 한국체육측정평가학회지 Vol.18 No.1

        신체활동 증진을 위한 개입이 가용한 근거기반의 정보들을 바탕으로 개인수준 또는 인구집단수준에서 실천되고 있다. 더불어 최근에는 모바일 환경을 기반으로 한 개입전략에 대한 관심이 학계와 시장에서 급속히 확산되고 있다. 이 연구는 건강증진 캠퍼스 구축의 일환으로서 모바일 앱을 활용한 신체활동증진 개입전략 연구 및 적용 기술현황을 정리하는 데 목적이 있다. 건강증진행동 모형, 모바일 기반에서의 신체활동 개입 전략, 모바일 앱의 신체활동증진 개입콘텐츠 그리고 체계적 문헌분석(SR) 수준에서 모바일 앱 적용의 평가적 연구 결과 등을 소개하였다. 최근 모바일 앱은 신체활동이 발생하는 정황(context) 인식을 기반으로 하는 설득기술의 개발 적용이 강조되고 있으며, 특히 정밀한 위치기반 정보를 활용하여 사용자의 신체활동 패턴 또는 프로파일을 개입전략에 활용하는 추세에 있다. 모바일 앱 적용에서는 개인 수준, 개인 간, 지역사회 또는 인구집단 수준 그리고 생태적 환경간 복잡성의 상호작용관계 이해가 무엇보다 중요하며, 진보하고 있는 기술영역에서의 부담(burden)을 어떻게 최적화하느냐가 관건이다. 개인수준 정보수집의 범위와 한계, 다양한 학문영역과 현장 이해관계자의 참여와 협업 기반 확보는 모바일 앱 기반의 신체활동 개입전략의 시작이자 마지막 관문이 될 수도 있다. Based on evidence-based information, interventions to promote physical activity have been implemented in individual and population levels. Further academic and market areas have recently paid attention to intervention strategies using mobile devices. The purpose of this study is to provide an overview existing intervention studies and technologies applied to the interventions to promote physical activity using mobile applications that would be a key element for building a healthy campus. This study introduces intervention strategies which are based on a health promotion model and mobile technologies and examples of intervention using mobile applications to promote physical activity. Moreover systematic reviews that examined the effects of mobile application applied interventions also are reviewed. The current trend of mobile technologies has emphasized the application of a persuasive technology which is based on a context recognition in which physical activities occur and has utilized users’ physical activity patterns or profiles using location based information for physical activity intervention strategies. When using mobile application for physical activity promotion, it is important to understand complex interactions within an ecological environment including intrapersonal, interpersonal, community, and population levels. Also, it is critical to optimize a burden regarding the advanced technology area. The biggest challenge for a physical activity intervention using mobile applications would be resolving a feasibility issue on data collecting of personal-level information and securing an involvement of multidisciplinary experts and stakeholders and their cooperation for the development and assessment of the intervention.

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