부모와 비동거 대학생의 학기 중 식습관에 영향을 주는 요인

전해옥 청주대학교 보건의료과학연구소 2016 보건의료과학연구 Vol.4 No.2

The purposes of this study were to investigate eating habits among college students who not living with their parents during the semester and to identify the factors that influence eating habits. Data were collected through self reported structured questionnaire form 131 college students by convenient sampling methods form September 7 to October 5, 2015. A multiple linear regression showed that eating efficacy for controling negative emotion(β=.32, p=.001) and eating efficacy under social situation(β=.44, p<.001) were identified as significant predictors of eating habits. These variables accounted for 48% of eating habits(F=29.48, p<.001). Therefore, as a strategy to improve eating habits, for college students who not living with their parents during the semester, healthy eating program should be provided to enhance eating efficacy for controling negative emotion and under social situation.

간호대학생의 임상실습으로 인한 심리적 위기 극복 경험: 근거 이론적 접근

전해옥 청주대학교 보건의료과학연구소 2018 보건의료과학연구 Vol.6 No.2

The purpose of this qualitative study was to explore the overcoming psychological crisis caused by clinical practice among Korean nursing students. 10 participants with overcoming psychological crisis were recruited by theoretical sampling methods. Transcribed interview contents were analyzed using Corbin and Strauss’s grounded theory method. 173 concepts, 50 subcategories, and 17 categories were deduced from the open coding process. As a result of axial coding based on the paradigm model, the core category was extracted as ‘survive in unfamiliar and scary war situations’ consisting of a four step process: psychological shock, psychological crisis, surviving in a crisis, and overcoming the crisis. Based on these results, it can be seen that nursing college students who experienced psychological crisis during clinical practice need effective intervention to cope with positive growth and development aspect through active coping.

한국 관절염 여성 노인에게 적용된 운동프로그램의 통증 조절 효과에 대한 메타분석

전해옥 청주대학교 보건의료과학연구소 2022 보건의료과학연구 Vol.10 No.2

This study aimed to conduct a meta-analysis to investigate average effect size for pain control of exercise program applied to Korean elderly women with arthritis. Literature search and selection were conducted using electronic databases, targeting papers published over the last 10 years until November 10, 2021. The six studies were analyzed using the comprehensive meta-analysis 3.0 program. In the selected 6 studies, the types of interventions were varied, such as aquatic exercise and nordic walking exercise, home program including taping and hip abductor exercise, aquatic rehabilitation exercise, sling sensorimotor training program, and progressive dynamic balance training. Considering the heterogeneity of 6 studies, the average effect size calculated using the random effect model, Hedge's g was -1.017, showing a significant effect size. Nordic walking program was analyzed to show the largest effect size for pain control in elderly women with arthritis. Therefore, the exercise program considering the physical characteristics of the elderly was found to be helpful in controlling pain in women with arthritis. It is necessary to contain the characteristics of the exercise program identified as having a great effect on pain control in the program plan.

만성질환 관련 비마약성 진통제 처방 노인의 약물사용 실태 및 약물복용이행에 영향을 미치는 요인

전해옥,김복연,김혜숙,채명옥,김명애,김아린 기초간호학회 2017 Journal of korean biological nursing science Vol.19 No.1

통계청에 따르면 한국의 2015년 65세 이상 고령인구는 656만 명으로 전체 인구의 13.2%를 차지하고 있으며, 2005년 9.3%에 비해 급속하게 그 비율이 증가되는 것으로 나타났다[1,2]. 2014년 보건복지부 노인실태조사 결과에서는 65세 이상 노인인구 전체 응답자의 89.2%가 1개 이상의 만성질환을 앓고 있는 것으로 보고하고 있어[3], 증가하는 고령인구 비율만큼 만성질환을 가진 고령인구 또한 빠르게 늘어나고 있는 실정이다.

노인본태성고혈압 환자의 자가간호에 영향을 미치는 요인

전해옥 지역사회간호학회 2008 지역사회간호학회지 Vol.19 No.1

Purpose: The purpose of this study was to investigate influencing factors on self-care in the elderly with essential hypertension. Method: The research instruments included the Self-Care Scale, the Knowledge Scale Related to Hypertension, the Self-Efficacy Scale and the Family-Support Scale. Results: The self-care was significantly associated with knowledge (r=.510, p=.000), self-efficacy (r=.708, p= .000), and family support (r=.403, p=.000). The major factors that affected subjects’ self-care were knowledge and self-efficacy, which explained 58.7% of self-care. Conclusion: Hypertension knowledge and self-efficacy are important factors for nursing interventions in caring for elderly patients with hypertension. It is needed to develop nursing programs for elderly patients with hypertension and to provide nursing interventions to improve knowledge and self-efficacy and, thereby, improving the selfcare of elderly patients with hypertension. 우리나라는 2006년 65세 이상 노인인구의 비율이 9.5%로 지난 2000년에 고령화 사회에 진입 한 이후 고령화가 심화되어, 향후 2018년에는 이 비율이 14.3%가 되어 고령사회에 진입하고, 2026년에는 20.8%가 되어 초 고령사회에 도달할 것으로 전망되고 있다(Korea National Statistical Office, 2006). 노인 의료비 또한 노인인구보다 더 빠른 속도로 증가하고 있는데, 2004년 노인인구는 1990년에 비하여 1.9배 증가하였지만, 같은 기간 동안 노인의료비는 21.5배 증가하였으며, 건강보험 총 진료비의 22.8%를 차지하고 있다(National Health Insurance, 2005). 우리나라의 인구 고령화 속도는 세계적으로 비교해 볼 때도 매우 빠르며, 이에 파급되는 사회ㆍ경제적인 노인문제 또한 대두되는 중요한 사회문제가 아닐 수 없다. 통계청이 제시한 주요 3대 사망원인을 살펴보면,2005년 65세 이상 인구의 사망원인 1위는 암(악성 신생물), 2위 뇌혈관질환, 3위 심장질환으로 우리나라에서 심혈관질환으로 인한 사망은 전체 사망원인 중 25%를 차지하고 있는데, 연령이 증가할수록 사망률이 높다.

Effects of medication adherence interventions for older adults with chronic illnesses: a systematic review and meta-analysis

전해옥,채명옥,김아린 질병관리본부 2022 Osong Public Health and Research Persptectives Vol.13 No.5

This systematic review and meta-analysis aimed to understand the characteristics of medication adherence interventions for older adults with chronic illnesses, and to investigate the average effect size by combining the individual effects of these interventions. Data from studies meeting the inclusion criteria were systematically collected in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The results showed that the average effect size (Hedges’ g) of the finally selected medication adherence interventions for older adults with chronic illnesses calculated using a random-effects model was 0.500 (95% confidence interval [CI], 0.342−0.659). Of the medication adherence interventions, an implementation intention intervention (using face-to-face meetings and telephone monitoring with personalized behavioral strategies) and a health belief model–based educational program were found to be highly effective. Face-to-face counseling was a significantly effective method of implementing medication adherence interventions for older adults with chronic illnesses (Hedges’ g=0.531, 95% CI, 0.186−0.877), while medication adherence interventions through education and telehealth counseling were not effective. This study verified the effectiveness of personalized behavioral change strategies and cognitive behavioral therapy based on the health belief model, as well as face-to-face meetings, as medication adherence interventions for older adults with chronic illnesses.

한국 비만 여성 노인에게 적용된 건강증진프로그램 효과에 대한 고찰

전해옥 청주대학교 보건의료과학연구소 2020 보건의료과학연구 Vol.9 No.1

This study is a review paper to understand the characteristics and effects of the health promotion program applied to obese elderly women in Korea. A systematic review was conducted using Medline, CINAHL, RISS, KISS and DBPia for papers reported from January 2010 to February 2020. All the 10 selected papers were classified as non-randomized controlled trials, and 80% of research field was majors related to sports sciences. Most of the studies applied complex exercise (aerobic exercise and resistance exercise, resistance exercise and pilates, band exercise and core exercise, walking, yoga and band exercise, core exercise), intervention was applied individually, and the length of most programs consisted of 60 minutes, duration: 12 weeks, and total session: 36 times. The health promotion program applied to obese female elderly was mainly a study to evaluate the effects of cardiovascular risk factors, body composition, vascular endothelial growth factors, muscle index, inflammation-related indicators, and physical fitness. Therefore, combined exercise considering the obesity and physical characteristics of the elderly was effective health promotion, and the characteristics of helpful interventions for planning the health promotion program were identified through this research.

관절염 여성 노인의 건강행태, 주거환경이 노후 생활만족도에 미치는 영향- 2017년 노인실태조사를 근거로-

전해옥 이화여자대학교 이화간호과학연구소 2020 Health & Nursing Vol.32 No.1

IPurpose: The purpose of this research is to investigate impacts of the health behavior and housing environment on aging life satisfaction in Korean elderly women with arthritis. Methods: The data of this research were derived from the 2017 National Survey of Older Koreans, conducted from June 12 to August 28, 2017 by the Ministry of Health, Welfare and Family and Korea Institute for Health and Social Affairs. A total of 2,668 elderly women who were diagnosed by doctors with osteoarthritis or rheumatoid arthritis, which are chronic arthritis, were analyzed. Statistical analyses were performed using IBM SPSS 25.0 program. Results: The study result showed that variables related to the health behavior and housing environment showed high explanatory power in satisfaction with health status among the satisfaction with old life. The number of diagnosed chronic diseases, high nutritional risk, and satisfaction with the overall residential environment were found to have an important effect on overall aging life satisfaction in Korean elderly women with arthritis. Conclusion: In order to improve the life satisfaction of elderly women with arthritis, the health behavior management including nutrition and weight management and the improvement of the housing environment will be helpful.

한국 비만여성의 음주, 스트레스, 수면이 우울에 미치는 영향: 연령대별 비교

전해옥 한국보건간호학회 2017 韓國保健看護學會誌 Vol.31 No.3

Purpose: The purpose of this study is to investigate the drinking, stress, and sleep on depression of Korean obese women. Methods: The data of this study were derived from the Sixth Korea National Health and Nutrition Examination Survey (KNHANES Ⅵ-3), conducted from January to December 2015 by Korea Centers for Disease Control and Prevention. The study subjects were 935 adult women between 20 and 70 years old (Body Mass Index≥25). The data were analyzed by the complex sampling design method applying the weights to the IBM SPSS 23.0 program. Results: The study result showed that the frequency of binge drinking, stress perception, sleeping time and depression of Korean obese women showed significant differences according to age group. In the 20-30’s, the stress and sleeping time, the 40-50’s were drinking at once, the frequency of drinking and stress, and the drinking and stress at 60-70’s were significantly associated with an increased risk of depression in obese women. Conclusion: The intervention program for the management of depression in Korean obese women should include the strategies for managing stress and drinking, taking into account differences according to age.

노인 고혈압 환자의 사회적 지지, 우울, 삶의 만족도에 관한 연구

전해옥,김옥수 한국성인간호학회 2008 성인간호학회 학술대회 Vol.2008 No.6