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      • KCI등재

        전라남도 일부 지역 노인들의 신체적·정신적 기능 원활 정도에 따른 식생활 패턴의 차이

        윤은주,전순실,Yoon, Eunju,Chun, Soon-Sil 한국식품영양학회 2013 韓國食品營養學會誌 Vol.26 No.4

        This study investigated dietary patterns among the elderly over 75 years old living in Jeollanam-do area in May 2012. Although structured interviews were conducted with 236 consenting subjects, only 194 who completed the ADL, IADL, and K-MMSE tests were used for statistical data analysis. Using ADL, IADL, K-MMSE scores, cluster analysis was first performed and resulted in two groups: IFG (Insufficiently Functioning Group) and SFG (Sufficiently Functioning Group). Chi-square tests for nominal scales, Mann-Whitney tests for ordinal scales, and ANOVAs and t-tests for interval and ratio scales were conducted to compare two groups. More than 70% of IFG were illiterates compared to 28.1% of SFG. 'Excessive eating', 'appetite', 'digestion', and 'balanced diet' did not differ between groups. SFG more frequently had snacks and ate out and were more likely to take health supplements than IFG. Among the 100 major food items, consumption frequencies of several foods differed between groups. Study implications and limitations were discussed.

      • KCI등재

        전라남도 장수지역 및 서울 일부 지역 거주 80대 노인의 맛 선호도, 식품섭취빈도, 영양 섭취 상태 비교

        전순실,윤은주,Chun, Soon-Sil,Yoon, Eunju 한국식품영양학회 2016 韓國食品營養學會誌 Vol.29 No.1

        In this study, we compared diet related attributes such as food taste preference, food consumption frequency and nutrition intake between elderly residents in their 80's of areas in Jeollanam-do that are well known for longevity and those of a part of Seoul. Structured in-depth interviews were conducted by trained interviewers on 125 consented subjects (67 Jeonnam and 58 Seoul). Differences of groups were tested using Chi-square tests for nominal or ordinal data and t-tests and ANOVA tests for ratio data. The elderly from Jeonnam tended to sleep longer, express emotion more freely, and interact with others more often than those from Seoul. The elderly tended to prefer sweet or salty tastes, which might be highly related to serious health problems. The most frequently consumed foods were napa cabbage kimchi (2.19 times/day) and multigrain rice (1.99 times/day). Elderly from Jeonnam tended to consume garlic, milk, beans and roasted barley/corn teas less often; whereas, they consumed porridge, dried radish greens, potato, fermented fish, dried fish, pork rib, pork belly, soybean paste soup, soybean paste/Ssamjang, other kimchis, pickled vegetables, snacks, cookies, and green/black teas more often than elderly residents from Seoul. Differences in nutrition intake between the regions were greater than differences between the perceived levels of household economic status. NAR and INQ for folate were lower among elderly from Jeonnam than those from Seoul, while those for protein, vitamin C, niacin, vitamin $B_6$ were higher. The study results indicated that elderly from Jeonnam engaged in a more diverse diet than the elderly from Seoul.

      • KCI등재

        보호동기이론을 적용한 나트륨 과다섭취에 따른 위험성 및 나트륨 섭취 감소 방안의 효과성에 대한 부산·경남 지역 남녀 대학생들의 인식 비교 연구

        장수현,윤은주,Jang, Soo-Hyun,Yoon, Eunju 한국식품조리과학회 2016 한국식품조리과학회지 Vol.32 No.1

        The purpose of this study was to investigate whether there was a gender difference in motivating university students to decrease their sodium intake and to identify effective motivating factors. Within the protection motivation theory (PMT) framework, a survey questionnaire was developed to measure participants' perceptions on the severity of and the vulnerability to risk of serious diseases due to the high sodium intake, as well as the effectiveness (response efficacy) and the ability to perform preventive measures (self-efficacy). Behavioral intentions on five specific practices (checking nutrition label, consuming more fruits and vegetables, consuming less soups, avoiding spicy and pungent food, purchasing less instant or restaurant foods) related to decreasing sodium intake were also included. A total of 294 usable response data were collected from university students (92 male, 202 female) in Busan and Gyeongnam in June 2015 and analyzed using IBM SPSS 22. Severity was the highest (4.04) PMT factor followed by response efficacy (3.72), self-efficacy (3.42), and vulnerability (3.26). Compared to male students, female students thought that the threat was more severe (t=6.035, p<0.001) and reducing sodium intake would be effective to prevent serious illnesses (t=4.724, p<0.001), but their vulnerability and self-efficacy perceptions were not different from male students. Among the five items measuring behavioral intention, female students were more likely to increase fruits and vegetables consumption (t=3.811, p<0.001), while male students were more likely to avoid spicy and pungent foods (t=2.336, p=0.020). Based on findings of this study, the recommended strategy to effectively motivate university students to lower their sodium consumption level is the development of campaign focused on increased vulnerability perception, response efficacy, and ease of practicing preventive measures instead of emphasizing the severity of the consequences.

      • KCI우수등재

        유아 놀이에서 의성어 · 의태어 사용 의미 탐구

        김윤미(Yoon Mi Kim),윤은주(Eunju Yun) 한국아동학회 2017 아동학회지 Vol.38 No.1

        Objective: The aim of this study was to examine the meanings of onomatopoeia and mimetic words contextually used contextually when children play together. Methods: The participants included 40 children (ages 3–5 years) attending “M Daycare Center” in Seoul and “S Daycare Center” in Seongnam (a city in Gyeonggi-do). Twenty rounds of play observations were conducted at the centers. Once per week from May to October 2015. Results: The onomatopoeia and mimetic words observed were primarily relate to physical movements, sounds, and shapes. These types relate to Max van Manen’s life-world existentials, correlating with spatiality, corporeality, and relationality. The characteristics of onomatopoeic and mimetic words used were additive and were used by the children to refine and diversify their language skills and enrich their linguistic imaginations. Conclusion: Onomatopoeic and mimetic words help children design their own play situations based on their creativity and help them share the play with their peers.

      • KCI등재

        보호동기요인이 나트륨 저감화 관련 행동 의도에 미치는 영향 - 경남·부산 지역 대학생을 중심으로 -

        장수현,윤은주,Jang, Soo-Hyun,Yoon, Eunju 한국식품영양학회 2016 韓國食品營養學會誌 Vol.29 No.1

        In this study, we investigated protection motivation and behavioral intention to prevent serious illnesses related to excessive sodium intake among the university students in Gyeongnam and Busan. Within the protection motivation theory (PMT) framework, a survey questionnaire was developed to measure participants' perceptions on the severity of and the vulnerability to the threat of serious diseases due to the high sodium intake as well as the effectiveness of preventive measures (response efficacy), and the ability to perform them (self-efficacy) along with their willingness to follow recommendations (behavioral intention). Data was collected in June 2015. Study participants were divided into either low (n=117) or high (n=177) sodium intake behavior groups based on their current behaviors. Exploratory factor analysis was performed to measure construct validity and Cronbach's alpha was calculated to check reliability of measurement items. The high sodium intake behavior group perceived higher vulnerability than the low sodium intake behavior group among four PMT factors. Differences of the other three factors were not significant between the two groups. The results of hierarchical regression analysis indicated that self-efficacy and response efficacy affected behavioral intention of high sodium intake behavior among students. Hence, development of strategies to increase self-efficacy and response efficacy are strongly recommended.

      • KCI등재

        어린이집 원장의 보호동기가 식단관리 행동의도에 미치는 영향

        장수현(Soo-Hyun Jang),윤은주(Eunju Yoon) 한국식품영양과학회 2018 한국식품영양과학회지 Vol.47 No.5

        본 연구는 식단관리가 영유아에게 미치는 영향 측면에서 어린이집 원장들의 올바른 식단관리 행동의도에 이들이 인지하고 있는 각 보호동기 요인들이 얼마나 영향을 미치는지 살펴보았다. 포커스 집단면담과 선행연구를 바탕으로 측정도구를 개발하였으며, 부산지역 어린이집 원장을 대상으로 2015년 12월 4일에서 12월 24일까지 자가기입식 설문조사를 실시하였다. 조사에 참여한 대부분의 원장은 학력이 높고 40~50대였으며, 민간어린이집 또는 가정어린이집을 운영하고 있었다. 보호동기 요인인 심각성, 취약성, 대처효능감, 자기효능감, 대처비용이 행동의도에 영향을 미치는지 연구가설을 설정하고 수집한 자료로 구조방정식 모형 분석을 수행한 결과, 식단관리를 부적절하게 했을 때 영유아에게 미치는 위협에 대한 인지된 심각성과 이를 예방할 수 있는 체계적인 식단관리 방안에 대한 인지된 자기효능감이 행동의도에 유의한 정의 영향을 미치는 것으로 나타났다. 그러므로 어린이집 원장들이 체계적인 식단관리를 실천하도록 촉진하기 위해서는 부적절한 식단관리가 초래할 수 있는 영유아 측면의 문제점을 부각함과 동시에 이러한 위협요인을 쉽게 효과적으로 제거할 수 있다는 자신감을 심어주는 메시지를 개발하는 것이 필요한 것으로 사료된다. 다시 말해, 교육이나 연수를 통해 영양사가 작성한 식단의 중요성, 식단 확보의 용이성, 조리사 통제 노하우, 표준레시피 사용 방법 등을 전달하여 보다 쉽게 체계적으로 식단을 관리할 수 있다고 인식하도록 하여 자기효능감을 상승시키는 한편, 부적절한 식단 관리에 따른 문제의 심각성(성장 및 발육의 저해, 잘못된 식습관 형성, 사회성발달 저해 등)을 함께 주지시킨다면 효과적으로 행동의도를 높일 수 있을 것이다. 이러한 연구결과는 앞으로 어린이 급식 관련 발전방안의 정책을 모색하는데 유용한 자료로 사용될 수 있을 것으로 기대한다. This study examined daycare center directors’ perception of the protection motivation and examined how it affects their menu management intention. Within the protection motivation theory framework, measurement items were developed based on literature reviews, a focus group interview, and experts’ reviews. Among the 299 survey respondents, 99.7% were female, 80.3% were in their 40s or 50s, 76.2% operated private or home daycare centers, and 24.1% had a graduate degree. They believed the most significant advantage that they could acquire by adopting systematic menu management was ‘providing a balanced diet to children’ followed by ‘promoting good eating habits on children’. Before testing the research hypotheses, the validity and reliability of the measurements were obtained by exploratory factor analysis and reliability analysis, and the consistency of the construct was examined by confirmatory factor analysis. Structural equation modeling showed that severity perception and self-efficacy positively affected the director’s menu management intention significantly in the child protection aspect. Therefore, for the purpose of promoting desirable menu management at daycare centers, it is strongly recommended to increase the director’s severity perception (the degree of threats resulting from inadequate menu management, such as malnutrition, inappropriate eating habits and sociality development, etc.) and self-efficacy (how well and easily a director can execute the courses of action required to implement a proper menu management, such as how to obtain a menu prepared by a dietitian, how to control a cook, how to use a standardized recipe, etc.) simultaneously during a compulsory education session or a specialized seminar.

      • KCI등재
      • KCI등재

        식품안정성 수준에 따른 한국노인의 건강상태와 영양섭취현황: 제7기 (2016-2018) 국민건강영양조사 자료 활용

        맹아름(Ahreum Maeng),이지현(Jeehyun Lee),윤은주(Eunju Yoon) 한국영양학회 2021 Journal of Nutrition and Health Vol.54 No.2

        본 연구는 제7기 (2016-2018년) 국민건강영양조사 자료를 활용하여 노인의 식품안정성에 따른 건강과 영양섭취 현황을 분석하고자 하였다. 식품불안정 그룹일수록 직장건강보험 가입자 비율이 유의적으로 낮았으며, 자신의 건강상태에 대한 주관적 평가 점수가 낮았다. 질환과의 상관관계에서 식품불안정 그룹일수록 남자는 류마티스성 관절염, 골다공증에서 여자는 고혈압과 뇌졸중 진단 비율이 높았으며, 관절염과 골관절염은 남녀 노인 모두에서 질환보유 비율이 유의적으로 높게 나타났다. 의료이용실태에서는 식품안정성이 낮을수록 필요한 의료를 받지 못한 것으로 나타났고, 의료서비스를 이용하지 못한 이유를 분석해본 결과, 경제적인 이유라고 답한 비율이 식품안정성이 낮은 그룹에서 높았다. 또한 남녀 노인 모두 유의하게 나타나는 변수를 보정한 후, 건강관련 삶의 질 저하에 대해 식품안정성에 따라 분석한 결과, 성별에 따라 세부 항목에 차이는 나타났지만 전반적으로 식품불안정 그룹일수록 안정한 그룹에 비해 더욱 삶의 질이 저하되는 위험이 컸다. 한 번에 마시는 음주량이 7잔 이상인 비율이 식품안정성이 낮을수록 남녀 노인 모두 유의적으로 높았으며, 특히, 남자 노인에서는 식품안정성이 낮을수록 가족이나 의사로부터 금주를 권유 받거나, 조사 시점 직전 1년 동안 음주 상담을 받은 경험이 유의적으로 더 높았다. 에너지 필요추정량 (EER)보다 낮게 섭취하는 비율이 남녀 노인 모두 식품불안정 그룹에서 유의적으로 높았으며, 단백질, 비타민 A, 비타민 B₁, 비타민 B₂, 나이아신, 비타민 C, 칼슘, 철분을 낮게 섭취하는 비율 또한 이 그룹에서 유의적으로 높았다. 식품안정성에 따른 영양소의 에너지 섭취비율 및 주요 영양소의 밀도를 분석한 결과, 남녀 모두 단백질, 지방에서의 에너지섭취 비율과 비타민 B₂, 나이아신, 칼슘, 칼륨, 인의 영양밀도가 식품불안정 그룹에서 유의하게 낮게 나타났으며, 식품불안정군 남자노인은 비타민 A, 여자 노인은 철분의 영양밀도가 유의하게 낮은 것으로 나타났다. 결론적으로 식품안정성은 사회경제적인 특성, 건강 상태, 삶의 질, 영양과 밀접하게 서로 연계되어 있는 것으로, 고령화 사회에서 취약 계층인 노인의 식품안정성 영향 요인을 확인하여 식품안정성을 확보하는 것과 함께 이들의 식품안정성과 관련한 건강 문제를 개선함으로써 추후 막대한 사회적 비용이 될 노인 의료비를 줄일 수 있는 영양지원 프로그램을 개발하기 위한 방향성을 설정하는데 있어 본 연구가 도움이 될 것으로 사료된다. Purpose: This study examined general characteristics, health status, accessibility to medical services, health-related quality of life, dietary behavior, and energy and nutrient intakes of the elderly at different levels of food security utilizing data from the 7th Korea National Health and Nutrition Examination Survey (2016-2018). Methods: The elderly subjects (1,721 males and 2,271 females) were divided into 3 groups (secure, mildly insecure, moderately/severely insecure) according to their food security levels. Health and nutrient status was determined using energy intake, nutrient density, the prevalence of insufficient nutrient intake, dietary behavior, and health status. Results: The elderly with food insecurities had a lower self-evaluated health status and a higher prevalence of physician-diagnosed chronic diseases such as arthritis, osteoarthritis, rheumatoid arthritis, osteoporosis for males, and hypertension, stroke, arthritis, and osteoarthritis for females. The associated financial burden was the major reason for not accessing medical services in the food insecure group. Furthermore, the food insecure group had a higher risk of impaired health-related quality of life compared to the secure group. The proportion of subjects with an energy intake below the estimated energy requirement was higher in the food insecure group and a significantly higher prevalence of insufficient intake was observed for all the nutrients (proteins, vitamin A, vitamin B₁, vitamin B₂, niacin, vitamin C, calcium, and iron) assessed in this study compared to the food secure group. Conclusion: This study suggests that food insecurity poses a challenge to the health and nutritional status of the elderly population in Korea and needs proper management. It would be helpful to develop food and nutrition assistance programs to ensure the food stability of the elderly population and assure quality to address gaps in their nutrient intake.

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