자기조절프로그램이 고혈압환자의 혈압 및 자가간호행위에 미치는 효과

추향임,김광숙,Choo, Hyang Im,Kim, Gwang Suk 한국농촌간호학회 2011 한국농촌간호학회지 Vol.6 No.1

Purpose: This study was done to verify the effects of a self-regulation program for management of hypertension. Method: Thirty patients with hypertension registered in a community health center were selected as the experiment group, and control group were patients in another community health center, matched for age and gender. The self-regulation program included daily blood pressure checks, periodic counseling, and health education. A self-check digital device with instructions was provided for self-monitoring of blood pressure, and the participants were interviewed before they took part in the program. Results: The first hypothesis was supported: There will be a greater reduction in both systolic and diastolic blood pressure for patients with hypertension who participate in the self-regulation program compared to patients in the control group. The second hypothesis was also supported: Patients with hypertension who participate in the self-regulation program will perform self-care activities better than those in the control group. Conclusion: The findings indicate that a self-regulation program reduces systolic and diastolic blood pressure and improves self-care in patients with hypertension. It is recommended that this self-regulation program be used in community health clinics for management of hypertension and prevention of complications.

[정책사례] 전남 완도군_산넘고 물건너 외딴섬까지 민관 파트너쉽 민원서비스

추향 한국자치학회 2012 월간 공공정책 Vol.75 No.-

노인의 스트레스 수준과 우울 및 심박변이도의 관계

추향임 ( Choo Hyang Im ) 국제뇌교육종합대학원 뇌교육연구소 2022 뇌교육연구 Vol.30 No.-

이 연구는 노인의 한달간 스트레스량 및 우울과 심박변이도 지표 간의 관련성을 알아보고 임상적 활용성을 모색해보고자 하였다. 이를 위하여 평균나이 76세의 남녀 노인 70명을 대상으로 5분간 심전도를 측정하였다. 집단은 스트레스량을 기준으로 스트레스량이 낮은집단과 높은집단으로 분류하였다. 각 지표들 간의 상관관계와 t-검정에서 주요 결과는 다음과 같다. 첫째, 스트레스량이 높아지면 우울 점수도 높아지고, 심박변이도의 SDNN, RMSSD, pNN50, HRV index 및 Total power는 낮아지는 상관관계를 보였다. 둘째, 스트레스량이 높은집단은 낮은집단에 비해 우울 평균점수도 높아졌다. 또한 생리적 회복탄력성을 반영하는 SDNN과 부교감신경 조절력을 반영하는 RMSSD 및 pNN50, 자율신경계의 전반적인 활성도를 반영하는 HRV index 및 Total power의 평균값은 낮아졌다. 이상과 같이 각 지표들은 상호보완적 관계가 있어 노년기 스트레스 및 우울 수준을 반영하고 예측할 수 있는 생리적 지표로써 심박변이도는 활용될 수 있을 것이다. This study aims to examine the relations between stress amount, depression and heart rate variability indicator for one month in the elderly and seek the clinical availability of the research results. For achieving the purpose of this study, ECG (electrocardiogram) was measured with 70 male and female elders aged 76 for five minutes. The subjects of this study were divided into low stress group and high stress group based on the stress amount. The results of correlations and t-test among all indicators were summarized as follows. First, there were correlations that the higher the stress amount was, the higher the depression scores were and the lower SDNN, RMSSD, pNN50, HRV indexes and total power were. Second, higher stress amount group showed high average depression scores compared to lower stress group. In addition, it was found that the average scores of SDNN showing physiological resilience, RMSSD and pNN50 reflecting amplitude of accommodation of parasympathetic nerves and HRV index and total power showing the overall activity of autonomic nervous system were lowered. Therefore, it is considered that as there are complementary relations among all indicators, the heart rate variability will be available as a physiological indicator which can reflect and predict the s tress and depression level in the elderly.

노인의 전두엽 및 후두엽 뇌파 지표와 주관적기억감퇴의 관계

추향임(Choo, Hyang-Im),심준영(Shim, Jun-Yeong) 한국웰니스학회 2023 한국웰니스학회지 Vol.18 No.2

圖們線雜記

秋香生 朝鮮鐵道協會 1933 朝鮮鐵道協會會誌 Vol.12 No.4

圖們線雜記(下)

秋香生 朝鮮鐵道協會 1933 朝鮮鐵道協會會誌 Vol.12 No.5

자기조절증진 프로그램이 지역사회 당뇨병환자의 자기효능과 자가간호행위 및 생리적 지표에 미치는 영향

김영신,조연순,추향임,한은혜,김춘미 한국농촌간호학회 2010 한국농촌간호학회지 Vol.5 No.1

“한궁(韓弓)” 프로그램이 노인의 인지기능 향상에 미치는 영향

권봉안,이윤숙,임은조,추향임 한국스포츠학회 2019 한국스포츠학회지 Vol.17 No.4

This study sought to explore the effects of the Hangung program on the improvement of cognitive functions through changes in the MMSE indicators and the brainwave indicators MDF and AMP, which are related neuropsychological indicators of the elderly.The brain waves were measured in 27 people aged 65 or older in B-ri, Y-gun and in the prefrontal lobes (Fp1, Fp2). The analysis results showed the following meaningful results:In the first MMSE metric, after the experiment, the experimental group changed its MMSE index higher than that of the control group. In addition, the experimental group had higher MMSE index after death compared to the dictionary, and the control group had lower MMSE index after death compared to the dictionary.The second MDF index showed differences between groups in the prefrontal lobes (Fp1, Fp2) after the experiment, and the average value of MDF increased postmortem compared to the dictionary in the left and right hemispheres of the experimental group.The results suggested that the concentration of attention to score points to match the target plate during the Hangung movement program, left and right body balancing through bilateral exercise, flexibility of the arms and muscle strength enhancement will activate the physical function and affect the improvement of brain recognition ability.But the study was limited. There are some limitations in generalizing the effectiveness of the Hangung movement program in that there is no comparison of other types of exercise programs. Therefore, it is expected that research on various exercise programs related to cognitive functions will be conducted based on the two studies. 이 연구는 한궁(韓弓) 프로그램이 노인의 인지기능과 관련 신경심리학적 지표인 MMSE 지표와 신경생리학적 지표인 뇌파 지표 MDF 와 AMP의 변화를 통하여 인지기능 향상에 미치는 영향을 알아보고자 하였다. 이를 위하여 Y군 B리 65세 이상 노인을 27명을 대상으로 간이치매선별검사(MMSE-DS)와 전전두엽 (Fp1, Fp2) 뇌파를 측정 하였다. 분석 결과 다음과 같이 의미 있는 결과를 보였다. 첫 째 MMSE 지표에서 실험 후 실험집단이 통제집단에 비해 MMSE 지수가 높게 변화되었다. 또, 실험집단은 사전에 비해 사후에 MMSE 지수가 높아졌고, 통제집단은 사전에 비해 사후에 MMSE 지수가 낮아졌다. 둘 째 MDF지표는 실험 후 전전두엽(Fp1, Fp2)에서 집단 간 차이가 있었고 실험집단 전전두엽 좌・우 반구에서 사전에 비해 사후에 MDF의 평균값이 증가하였다. 이상의 결과는 한궁운동프로그램 수행 시 표적판을 맞추어 점수를 얻기 위한 주의집중력과 양손운동을 통한 좌・우 신체 균형잡기, 팔의 유연성과 근력증진과 같은 동작이 신체기능을 활성화시키고 뇌 인지기능 향상에 영향을 미침을 시사하였다. 그러나 연구 대상자가 한정 되었고, 다른 형태의 운동프로그램 비교가 없다는 점에서 한궁운동프로그램의 효과를 일반화하기에는 다소 한계가 있다. 따라서 이 연구를 바탕으로 노인 인지기능과 관련 다양한 운동 프로그램에 대한 연구가 이루어지기를 기대한다.

농촌지역 중년과 노인의 자기효능감, 사회적 지지와 지역사회 공동체의식이 건강관련 삶의 질에 미치는 영향

이현경(Lee, Hyeonkyeong),조성혜(Cho, Sung Hye),김정희(Kim, Jung Hee),김윤경(Kim, Yune Kyong),추향임(Choo, Hyang Im) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.6

Purpose: The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL. Methods: A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program. Results: The mean HRQoL score for the participants was 0.87±0.13. Self-efficacy (ß=.13, p=.039) and age (ß= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (ß=.14, p=.040) and significantly mediating relationships between both social support (ß=.05, p=.030) and sense of community (ß=.02, p=.025) and HRQoL. Conclusion: Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.

자기결정성이론과 학습몰입이론을 적용한 MOOC 지속사용의도에 관한 연구 : 한․중 문화차이 분석

김추향,지용득,김광용 한국IT서비스학회 2018 한국IT서비스학회지 Vol.17 No.1

Massive Open Online Course (MOOC) is online education that anyone can register for free and has internet access. MOOC is also called Education Revolution and is spreading rapidly all over the world. Although recent MOOC high-quality classes may enhance the value of MOOC, MOOC learning still needs much research. Since MOOC has low learning completion rate and continuous use rate, various studies on the reasons that learners give up at the beginning of learning have not been tried yetThis research is studied for the continuous intention of use of MOOC applying self-determination theory and learning flow theory based on technology acceptance model. In particular, the research are conducted for cultural difference in continuous usage of MOOC between Korean and Chinese. The research results show that self-determination theory applying perceived autonomy, perceived competence, and perceived relatedness and learning flow is useful to explain continuous use of MOOC. The research also shows that Hofstede theory works well in explaining the cultural difference between Korea and China in continuous usage of MOOC. The result shows that korean is more influenced by perceived external motivation like perceived usefulness and chinese is more influenced by internal motivation like learning flow in continuous use of MOOC.