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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.
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.
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.
Purpose: This study aimed to identify the factors influencing infection-related characteristics and patient safety culture on awareness of blood-borne infection prevention between operating room nurses and general ward nurses. Methods: Participants were 198 nurses(operating room nurses 98 and general ward nurses: 100) working at three general hospitals and three university hospitals in three cities. Data were collected using a structured questionnaire from September 11 to October 14, 2020. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient, and multiple regression with IBM SPSS/WIN 26.0 program. Results: Typically, 39.8% of nurses in the operating room and 24.0% of ward nurses experienced injuries such as needles and sharp instruments used by the patient. The awareness of patient safety culture was identified to be higher for the ward nurses. Factors influencing the awareness of blood-borne infection prevention in operating room nurses were patient safety culture and wearing protective equipment for infection prevention while nursing infected patients. Moreover, the explanatory power of these variables was 19.4%. In general ward nurses, the patient safety culture was identified as a significant predictor, which accounted for 16.5% of awareness of blood-borne infection prevention. Conclusion: To prevent hospital infection, a strategy is needed to improve the level of awareness of blood-borne infection prevention and patient safety culture of operating room nurses. To this end, the difference in infection-related characteristics and influencing factors between the operating room nurses and the general ward nurses should be considered and planned. ...
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.
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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, 증가하는 고령인구 비율만큼 만성질환을 가진 고령인구 또한 빠르게 늘어나고 있는 실정이다.
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.
Purpose: The aim of this study was to determine the related factors for psychological crises in Korean middle aged adults. Methods: RISS, KISS, National Assembly Digital Library, CINAHL, and PubMed were searched for relevant articles published until October 3, 2016. Finally, a total of 23 studies were included. Meta-analysis of the studies was conducted using Comprehensive Meta-Analysis 3.0 software to calculate the effect size. Results: The related variables of psychological crisis were categorized into 23 variables and 5 factor groups. The effects size (ES) of the overall defensive variables was –0.28. In the defensive factors, the psychological factor (ES=-0.67), followed by cognitive and behavioral factor (ES=-0.34), physical factor (ES=-0.31), and social relational factor (ES=-0.29) had the greatest effect on psychological crises. The effects size of the overall risk variables was 0.48. In the risk factors, the physical factor (ES=0.61) had the greatest effect on psychological crises, followed by the psychological factor (ES=0.53), and cognitive and behavioral factor (ES=0.10). Conclusion: An intervention program is needed to strengthen the defensive factors and reduce the risk factors for psychological crises of Korean middle aged adults.
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.