국내 성인을 대상으로 한 산림치유활동이 우울에 미치는 효과에 대한 메타분석

이윤정(Yunjeong Yi),안지연(Jiyeon An) 한국산림휴양복지학회 2021 한국산림휴양학회지 Vol.25 No.4

본 연구의 목적은 산림치유활동이 우울에 미치는 영향을 체계적 고찰과 메타분석으로 분석하여 산림치유활동 확대를 위한 기초자료를 마련하는데 있다. 6개의 핵심 데이터베이스(RISS, KISS, DBpia, ScienceOn, KoreaMed, KMbase)를 이용하여 체계적인 검색을 수행하였다. 전체 효과 크기를 추정하기 위해 R project 4.1.0을 사용하였고, 선정된 논문의 질평가는 RevMan 5.4.1을 사용하였다. 체계적 검색으로 확인된 1,149편의 연구 중 최종적으로 총 11편의 연구가 선정되었고, 12개의 분석데이터가 메타분석에 포함되었다. 산림치유활동의 우울 감소에 대한 전체 효과크기는 -0.976(CI=-1.292~-0.660)였다. 조절효과를 분석하기 위해 참여 대상자(비질환자 vs 질환자), 프로그램 형태(다회차프로그램 vs 일회차프로그램), 회기 당 시간(120분 미만 vs 120분 이상)의 하위그룹으로 분석하였지만 통계적 차이는 없었다. 산림치유활동이 성인의 우울 감소에 효과가 있는 것으로 입증되었으므로 앞으로 다양한 산림치유활동이 개발 및 운영되는데 본 연구가 기초자료로 활용되기를 기대해본다. This study was to evaluate the effects of forest therapy on depression through systematic review and meta-analysis. A systematic search was performed using six core databases (RISS, KISS, DBpia, ScienceOn, KoreaMed, KMbase). R project 4.1.0 was used to estimate the overall effect size, and RevMan 5.4.1 was used to evaluate the quality of the studies. A total of 11 studies were finally selected out of 1,149 studies, and 12 dataset were included in the meta-analysis. As a result of the study, the overall effect size of forest therapy for depression was -0.976 (CI=-1.292~-0.660). To analyze the moderating effect, the subgroups were participants (healthy vs patient), type of program (session vs event), and duration per session/event (over 120 minutes vs below 120 minutes), but there was no statistical difference. Since forest therapy have been proven to be effective in reducing depression in adults, it is expected that this study will be used as basic data for the development and implementation of various forest therapy in the future.

임목밀도에 따른 운동 시 고막체온과 피부체온 간의 관계

이윤정(Yunjeong Yi),이인숙(Insook Lee),박범진(Bum-Jin Park),송초롱(Chorong Song),임은실(Eunshil Yim) 한국산림휴양복지학회 2022 한국산림휴양학회지 Vol.26 No.2

국민기초생활보장수급자 노인의 건강 특성이 우울에 미치는 영향

허정이(Hur, Jungyi),이윤정(Yi, Yunjeong),이금재(Lee, Keum-Jae),김희걸(Kim, Hee Gerl) 한국보건간호학회 2013 韓國保健看護學會誌 Vol.27 No.2

Purpose: This study was conducted to determine the prevalence rate of depression and the associated factors affecting the depression among the elderly beneficiaries of the national basic livelihood scheme. Methods: From the beneficiaries of the “visiting health care program” in a city the beneficiaries (aged 65 years or older) of the national basic livelihood scheme were selected. A total of 677 subjects were included in the study and hence for data analyses. Results: The observed prevalence rate of depression was 80.5% (mild depression was 60.2%, and severe depression was 20.3%). The factors influencing depression were indicative of subjective health status, walking exercise, hypertension, and diabetes. Conclusion: On the basis of our study results, as a strategy to reduce the prevalence rate of depression among the elderly concerned, we are of the opinion that it is very much necessary to motivate them to practice continuous and regular walking exercises in easily accessible places by mobilizing community resources such as visiting nurses and volunteers. Such efforts may not only immediately reduce the morbidity rate of depression among the low-income elderly, but also, in the long run, prevent suicides and contribute to improving their mental health status to an appreciable extent.

지역사회 노인의 도구적 일상생활수행능력 영향요인: 생태학적 모델을 기반으로

허정이(Hur, Jungyi),이윤정(Yi, Yunjeong),김희걸(Kim, Heegerl) 한국보건간호학회 2020 韓國保健看護學會誌 Vol.34 No.3

Purpose: This is a descriptive survey research study that identifies the intrapersonal, interpersonal, and organizational and community factors affecting the instrumental activities of daily living (IADL) in community-dwelling seniors. Methods: The study used data from a 2017 national survey of senior citizens, and includes 10,299 subjects aged 65 years or more. Complex sampling was performed to increase accuracy of the population, and hierarchical logistic regression was performed to identify the factors affecting IADL in seniors. Results: Amongst the organizational and community factors, we determined that the number of health centers, welfare facilities for senior citizens, hospital beds, and community sport facilities affected IADL in seniors, even after adjusting for intrapersonal and interpersonal factors. Conclusion: Helping seniors to maintain IADL independence for a longer duration is essential for their physical and social independence. Therefore, when establishing and developing policies for health promotion programs, efforts should be undertaken to actively reflect the level of IADL functions, and to create an accessible health and medical welfare environment by considering characteristics of senior citizens for operating programs.

보건의료업의 안전보건활동 및 안전문화의식정도 - 음식·숙박·가스·전기업종과의 비교 -

권영미,김순례,정혜선,이윤정,이관형,Kwon, Young-Mi,Kim, Soon-Lae,Jung, Hye-Suni,Yi, Yunjeong,Yi, Kyun Hyung 한국직업건강간호학회 2008 한국직업건강간호학회지 Vol.17 No.2

Purpose: This study intended to investigate how health and safety organization, management, activities and safety culture of healthcare industries are different from other industries (food, lodging, gas, and electricity industries). Method: Data were analyzed using '2005 The National Survey for Occupational Safety and Health Tendency'. Results: For health and safety training, both new training and regular training time of healthcare sector was lower than comparison sectors. For health and safety manager assigning form, there were many case in healthcare sector to assign a safety manager as a deputy and a health manager as an additional job, there were some differences from comparison sectors. It was found that establishment of countermeasures by cause investigation and analysis execution for occupational accidents in the healthcare sector was lower than comparison sectors. For health and safety activities and safety culture awareness, they were estimated in healthcare sector to be lower than comparison sectors. Conclusion: Healthcare sector had relatively lower health and safety activities and safety culture awareness compared with comparison sectors. So, it is required business owner's concerns and efforts to assign exclusively responsible health and safety manager and to activate health and safety training and occupational accident prevention.

숲 태교의 개념 분석

이인숙(Lee, Insook),방경숙(Bang, Kyung-Sook),이윤정(Yi, Yunjeong),김성재(Kim, Sungjae),김다솜(Kim, Dasom),장상윤(Jang, Sang-Youn),문민지(Moon, Minji) 한국산림휴양복지학회 2018 한국산림휴양학회지 Vol.22 No.3

본 연구는 임부와 태아를 위한 ‘숲 태교’의 개념을 정의하고 명확한 속성을 규명하고자 시행되었다. 이를 위해 혼종모형을 활용하였으며 첫째, 이론적 단계로 2017년 4월 10일부터 5월 15일까지 MEDLINE, EMBASE, Cochrane CENTAL, DBpia, RISS, KISS 데이터베이스에서 총 510건의 문헌 중 선정기준에 해당하는 58건의 전문을 분석하여 숲 태교의 차원, 선행요인, 결과, 속성을 파악하고 이를 통해 잠정적 정의를 제시하였다. 둘째, 현장연구단계에서는 7개월 이상 임부 혹은 첫아이가 24개월 미만인 모성 10명, 조산사 또는 산전교육담당 간호사 5인, 숲태교지도사 혹은 산림치유지도사 6인을 대상으로 태교와 숲 태교에 대한 심층 면담을 통하여 자료를 수집하였다. 셋째, 최종단계에서 이론적 단계와 현장단계를 종합하여 분석하고 개념을 재정의하였다. 숲 태교의 개념은 전인적 자기 건강관리 행위, 믿음과 소망(태교에 대한 믿음, 건강한 아기를 바라는 소망), 감각 자극을 통한 태아발달과정 지지, 부모–태아 상호작용, 가족결합력 강화, 자연환경의 치유적 활용의 속성을 가진다. 궁극적으로는 본 연구의 숲 태교 개념 정립을 통하여 임부 및 태아 건강증진에 효과적인 숲 태교 프로그램 개발이 필요하다. The purpose of this study was to define and clarify the concept of ‘Forest taegyo’ for pregnant women and fetus applying the hybrid model. First, on the theoretical stage, the study analyzed 58 full texts meeting the standard among 510 pieces of literature from MEDLINE, EMBASE, Cochrane CENTRAL, DBpia, RISS and KISS from April 10 to May 15, 2017 and suggested a provisional definition of forest taegyo after figuring out the dimensions, predisposing factors, results and attributes of forest taegyo. Second, on the on-site survey stage, data were collected through an in-depth interview on taegyo and forest taegyo with 10 mothers who are pregnant for more than 7 months or have their first child aged under 24 months, 5 midwives or prenatal education nurses and 6 forest taegyo instructors or forest therapists. Third, it redefined the concept of forest taegyo after synthesizing and analyzing the theoretical and on-site survey stages. The concept of forest taegyo has the following attributes. Holistic self health management behavior, Faith and hope(Belief in taegyo, hope for having a healthy baby), Supporting fetal development process through sensory stimulation, Parental-fetal interaction, Strengthening family cohesion, Utilizing forest environment for healing. Ultimately, it is necessary to develop the forest taegyo intervention programs that prove the effectiveness of health promotion of pregnant women and fetus based on the established concept of forest taegyo in this study.

DACUM법을 이용한 숲태교 산림치유지도사의 직무분석 및 교육과정 개발

이인숙(Lee, Insook),김성재(Kim, Sungjae),방경숙(Bang, Kyung-sook),이윤정(Yi, Yunjeong),이수진(Lee, Sujin),김다솜(Kim, Dasom),장상윤(Jang, Sang-Youn) 한국산림휴양복지학회 2020 한국산림휴양학회지 Vol.24 No.1

본 연구의 목적은 DACUM법을 적용하여 숲태교 산림치유지도사의 직무를 분석하고 교육과정을 개발하는 것이다. 연구 과정을 통해 숲태교를 담당하는 산림치유지도사의 직무를 정의하였고 4개 직무(숲태교 대상자 이해, 숲태교 전문성 함양, 숲태교 프로그램 운영, 자기계발)와 12개의 작업을 추출하여 모형으로 구조화 하였다. 숲태교를 진행해 본 경험이 있는 산림치유지도사 12인으로 DACUM 위원회를 구성하여 각 작업의 중요도, 난이도, 수행빈도를 밝혔다. 수행빈도가 가장 높은 직무인 ‘숲태교 실행 및 평가’는 중요도와 난이도도 가장 높게 나타났다. 이를 통해 숲태교 산림치유지도사들이 가장 중요하게 생각하는 직무에 숙달되지 않았음을 확인할 수 있었다. 도출된 직무분석 결과를 토대로 이론 12시간, 실습 4시간의 총 3개 교과목(숲태교의 이해, 임신과 태아의 이해, 숲태교의 실제)의 10개 강좌로 구성된 교육과정을 개발하였다. 이에 대해 실무자 10인을 대상으로 내용타당도 검정을 실시하였으며, 전체 내용타당도가 0.8로 나타나 타당한 과정으로 평가되었다. 숲태교 산림치유지도사의 직무에 대한 심도있는 고찰을 바탕으로 작성된 본 교육과정은, 숲태교 산림치유지도사가 숲태교 프로그램을 전문적으로 진행하기 위한 심화 교육과정으로 활용될 수 있을 것이다. The purpose of this study is to analyze the duties of Forest healing instructor in charge of Forest Taegyo by applying the DACUM and develop the curriculum. Through the research process, we defined the duties of Forest healing instructor in charge of Forest Taegyo and structured them into models by extracting four tasks (Understanding a person to be serviced Forest Taegyo, Fostering professionalism about Forest Taegyo, Implementing Forest Taegyo programs, Self-development) and 12 tasks. The DACUM Committee was formed as a working-level staff of 12 Forest healing instructor in charge of Forest Taegyo to reveal the importance, difficulty and frequency of each task. Forest healing instructor in charge of Forest Taegyo considered the most important task is a real thing to do on the ground, but they were able to confirm that they were in trouble as they had not yet mastered those tasks. Based on this, a 10-lectures curriculum consisting of a total of 3 subjects (The understanding of Forest Taegyo, The understanding of pregnancy and fetus, and The practice of Forest Taegyo) was developed for 12 hours in theory and 4 hours in practice. The content feasibility test was conducted among 10 working-level employees, and the overall content feasibility level was 0.8, which was evaluated as a reasonable process. Therefore, it is believed that the curriculum prepared based on an in-depth examination of the duties of Forest healing instructor in charge of Forest Taegyo can be used as a advanced education course for Forest healing instructor for professional implementation of Forest Taegyo program.

숲 태교에 대한 서비스 실무관리자와 임부의 인식

방경숙(Bang, Kyung-Sook),이인숙(Lee, Insook),김성재(Kim, Sungjae),진영란(Chin, Young Ran),김미주(Kim, Miju),이윤정(Yi, Yunjeong),박지윤(Park, Jiyun) 한국산림휴양복지학회 2017 한국산림휴양학회지 Vol.21 No.2

본 연구는 숲 태교를 제공하고 있는 보건소와 지방자치단체의 실무관리자, 산림복지전문가와 숲 태교의 수혜자인 임부를 대상으로 각각 포커스그룹 면담을 이용하여 숲 태교에 대한 인식을 파악하고 숲 태교의 활성화 방안을 제시한 질적 연구이다. 연구결과 숲을 이용한 태교에 대해서는 서비스 실무관리자와 임부 모두 그 효과를 긍정적으로 인식하고 있었으나 숲에의 접근성의 문제, 임부의 안전 문제, 다양한 숲 태교 프로그램의 부족 문제 및 숲 태교에 대한 홍보 부족의 문제가 서비스 확산이나 참여의 장애요인으로 파악되었다. 이러한 장애요인을 극복하고 숲 태교 프로그램을 활성화시키기 위한 방안으로는 산림청이나 지방자치단체의 공모사업 등을 통해 좋은 프로그램 모델이 개발되고 확산될 수 있는 기회를 마련하는 것, 보건소와 연계하여 숲 태교를 임부교실의 일부 프로그램으로 넣어 운영하는 것, 임신주기에 적절한 숲 태교 프로그램을 다양하게 개발하여 적용하는 것, 그리고 임부가 쉽게 접근할 수 있는 정보 사이트를 통해 적극적인 홍보를 하는 것이 제안되었다. 생애 주기의 시작인 태아와 임부를 대상으로 한 숲 태교는 휴양, 건강, 문화, 교육의 요소들을 모두 포괄하는 산림복지 서비스이므로, 본 연구에서 파악된 장애요인의 극복 방안을 적극적으로 활용한다면 숲 태교 프로그램이 보다 더 활성화될 수 있을 것으로 본다. The aim of this qualitative study was to identify the perception of service providers (practitioners at health center and local government) and of pregnant women on the Forest Prenatal Education Program (FPEP) using focus group interview, and the strategies for activation of it for forest prenatal service. As results, service providers and pregnant women perceived about the effect of FPEP positively. The perceived barriers of service diffusion and participation were accessibility to forest, problem of pregnant woman’s safety, lack of program diversification, lack of public relations and government support. To overcome these barriers and activate FPEP, it is necessary to develop standard program model and give activation opportunity through Korea forest service or local government project. Health center can make a connection between pregnant woman class and FPEP, and various programs those appropriate for each pregnancy cycle need to be developed. Also, it is necessary to increase public relation through internet site that easily accessible with helpful information about FPEP. As FPEP is forest welfare service that include rest, health, culture, education factors, we hope to overcome obstacles and forest prenatal education program become active in practical field.

산림복지 서비스에 대한 초등교사의 인식 및 학교기반의 산림활용 건강증진사업 활성화 방안

김미주 ( Kim Miju ),방경숙 ( Bang Kyung-sook ),이인숙 ( Lee Insook ),김성재 ( Kim Sungjae ),이윤정 ( Yi Yunjeong ),진영란 ( Chin Young Ran ),문효정 ( Moon Hyojeong ),하이얀 ( Ha Ei-yan ) 서울대학교 간호과학연구소 2019 간호학의 지평 Vol.16 No.1

Purpose: This study was conducted to identify the perceptions toward school forest programs related to forest welfare services in elementary schools and suggest strategies to activate new programs. Methods: A mixed method research was performed. Four teachers and one forest therapist participated in a focus group interview; 162 teachers answered a survey. Results: The teachers were aware of the effects of the forest program, but there were some barriers, including the question of whether there was an accessible forest, school forest management problems, the risk of teachers’ work overload, and the lack of program diversification for elementary students. Solutions included the expansion of school forests and forest facilities available to students, development of a variety of programs, provision of appropriate information on available facilities, and cooperation with educational institutions for institutionalization and increased effectiveness of school-based forest utilization programs. In addition, a scientific basis for data accumulation is needed. Conclusion: The Ministry of Forestry is cooperating with the Ministry of Education and local education offices to activate a forest-use health promotion program for elementary school students. Additionally, to utilize the forests in regular education courses, teachers should strive to spread positive awareness of forests.

우리나라 중·고등학생의 자살 생각 관련요인 분석

곽수진,이윤정,정혜선 韓國學校保健學會 2009 韓國學校保健學會誌 Vol.22 No.2

Purpose: By analyzing factors related to suicide ideation of Korean middle and high school students. the purpose of this study was to multi-dimensionally understand suicide ideation of Korean middle and high school students and arrange the plans to prevent suicide. Methods: This study used and analyzed the data on 'The 3rd (Year2007) Korea Youth Health Risk Behavior We based Survey (KYHRBWS)' conducted by the Korea Centers for Disease Control and Prevention. In this study we analyzed 74,698 respondents in total. SPSS 12.0 Program was used to analyze the survey. Descriptive statistics, Chi-Square Test and multivariate logistic regression were also used as research methods. Results: 23.8% of the Korean middle and high school students had suicide ideation during the last one year. Girls had higher possibility of suicide ideation by 1.51 times compared to boys. Students with poor academic achievement had more suicide ideation. In terms of health characteristics. students who perceived. themselves as not healthy. and students with short weekday sleeping hours. more drinking experience and more smoking experience had more suicide ideation than others. Furthermore. students who perceived themselves as overweight or obese had more suicide ideation than other students. In terms of mental characteristics, students with high level of stress. low level of happiness and depression had more suicide ideation. Conclusion : As a resuit of this study. we fa found out that the factor that had the biggest influence on suicide ideation of Korean middle and high school students was depression. Consequently, active supports and policies to decrease suicide ideation of Korean middle and high school students are necessary. Therefore, active interviews' education for suicide prevention, and periodical screening inspection should be introduced in schools