• Title/Summary/Keyword: 기초의학

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Factors Related to Physical Activities of Elderly with Hypertension between Urban and Rural Areas (고혈압 노인의 도농 간 신체활동참여 관련요인)

  • Paek, Hyun-Hee;Lee, Sok-Goo
    • Journal of agricultural medicine and community health
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    • v.40 no.2
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    • pp.62-71
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    • 2015
  • Objectives: This study was performed to find the differences in physical activity according to general characteristics and factors related to physical activity between the elderly over 65 with hypertension living rural and urban areas. Methods: This study included 681 participants (221 rural, 460 urban) with hypertension from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V). The collected data were analyzed through an $x^2$-test to examine the differences in physical activity and multiple logistic regression to assess factors related to physical activity between the elderly over 65 with hypertension living rural and urban areas. Results: The significant statistical factors related with physical activities for the urban hypertension group were education level, activities of daily living, and quality of life. However, the related factors for rural residents were activities of daily living and limitation of activity. Conclusions: The study results indicated that the factors that affected the level of physical activity revealed difference in case hypertension between the urban and rural groups. An awareness of the importance of physical activity will have a positive influence on improving the physical function and quality of life for elderly people with hypertension.

Depression and Social Support among Adults in Jeju Province, South Korea (제주지역 성인의 사회적 지지와 우울)

  • Park, Eun-Ok
    • Journal of agricultural medicine and community health
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    • v.36 no.1
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    • pp.25-35
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    • 2011
  • Objectives: This study aimed to compare depression and social support according to general characteristics and to investigate the influence of social support on depression. Methods: This study analyzed raw data from a project funded by Jeju Province. Data were collected through home visit interview with 750 households selected by using a randomized cluster sampling method. CES-D was used to measure depression, and the Medical Outcomes Study Social Support Survey was used to measure social support. The data of 1,155 subjects were analyzed using t-test, ANOVA, and regression. Results: The mean was 11.35 for depression and 75.53 for social support. Women showed a higher depression score and a lower social support score than men did. Older people; the divorced or the bereaved; and those in groups comprising people with lower education, lower social class, poor health, or high stress presented higher depression and lower social support. The result of stepwise regression showed that social support was one of the predictive variables of depression, and 22% of variance was explained by social support in this study. Conclusions: Social support was a powerful predictive variable of depression, and it was suggested that to prevent and manage depression, strategies that enhance social support should be developed and evaluated.

Educational Effects of Traditional Classroom Instruction and Video Self-instruction (VSI) for Cardiopulmonary Resuscitation(CPR) in Boy's High School Students (고등학교 남학생에서 심폐소생술에 대한 전통적교실학습과 영상자가학습의 교육효과)

  • Park, Sang-Sub;Baek, Hong-Seok;An, Ju-Yeong
    • Journal of agricultural medicine and community health
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    • v.36 no.1
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    • pp.13-24
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    • 2011
  • Objectives: The purpose of this study is to compare educational effects between traditional classroom instruction and video self-instruction (VSI) for cardiopulmonary resuscitation (CPR) in boy's high school students. Methods: This study was carried out targeting totally 96 boy students(47 people for experimental group, 49 people for control group) in the second grade of high school where is located in G city of G province from July 9-10, 2009. The experimental group and control group were arbitrarily selected two classes in the second grade. One class was assigned to the experimental group. another class was assigned to the control group. The experimental group was educated with VSI for CPR. The control group was educated with traditional classroom instructions for CPR. The analysis was performed with SPSS WIN (version 12.0) program using frequency chi-square($x^2$) test, independent samples t-test, and paired t-test. Results: After instructions, the knowledge, attitude, self-confidence, and skill performance accuracy scores on CPR increased statistically in both group. The increases of self-confidence ($2.40{\pm}0.73$) and skill performance accuracy score ($2.67{\pm}0.29$) in the experiment group were significantly higher than those ($2.01{\pm}0.96$ and $2.54{\pm}0.31$) in the control group, respectively. Conclusion: This study suggested that VSI was more effective than traditional classroom education for self-confidence and skill-performance accuracy in CPR. To confirm it, more studies are warranted.

Survey of the public's knowledge and opinions;the therapeutic effects of current orally administered drugs for periodontal diseases (시판중인 경구 치주질환치료제의 효과에 대한 일반인의 인식도 조사)

  • Sohn, Kang-Bae;Yang, Byung-Kun;Lee, Chul-Woo;Kim, Tae-Il;Ku, Young;Han, Soo-Boo
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.179-194
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    • 2006
  • 목적 : 이번 연구에서는 일반인의 치주질환 치료제에 대한 인식도를 설문을 통하여 알아보았고 현재 국내에서 시판중인 치주질환, 치료제를 의약품 검색 사이트를 이용하여 조사하였다. 조사한 치료제의 효과를 해당 약품의 성분과 관련된 문헌을 고찰함으로써 알아보았다. 재료 및 방법 : 일반인의 치주질환 치료제에 대한 인지도를 조사하기 위하여 열 개의 문항으로 구성된 설문을 실시하였다. 설문은 한림대학교 성심병원 산업의학과에 정기 건강검진을 위하여 내원한 사람들을 대상으로 하였다. 보건복지부에 등록된 치주질환 치료제를 조사하기 위하여 킴스 온라인 홈페이지를 이용하였다. 의약품 종합 검색 페이지에서 '추가조건 입력하기'의 '복지부 분류'란에 '231. 치과-구강용약'의 조건을 주어 검색하였다. 검색 결과로부터 경구 치주질환 치료제를 구별하여 정리하였다. 치주질환 치료제와 관련된 문헌을 조사하기 위하여 미국 국립도서관의 검색 서비스인 Pubmed 홈페이지를 이용하였다. 검색어는 각 지료제의 성분명과 치은염, 치주염, 치주질환의 조합어를 사용하였다. 결과 : 설문에 참여한 사람은 100명이었다. 이 중 85%는 치주질환이라는 말을 들어본 적이 있었으며 72%는 자신의 치주건강상태가 좋지 않다고 생각하였다. 14%는 치주질환 치료제를 복용한 경험이 있었다. 61%는 치주질환 치료제에 관한 정보를 광고로부터 획득하였다. 향후 치주질환 치료제의 선택과 관련하여 35%는 치과의사에게, 24%는 의사에게 그리고 20%는 약사에게 문의하겠다고 대답하였다. 치주질환 치료제는 70개였다. 이 중 38개는 아스코르빈산 제제, 25개는 옥수수 불검화 추출물 제제, 5개는 저용량 독시싸이클린 제제였고 아보카도-콩 불검화물과 동양의학적 제제가 각각 한 개였다. 결론 : 치주질환 치료제에 대한 일반인의 인지도는 비교적 낮았으며 정보를 획득하는 주요 경로는 광고였다. 일반인들이 치주질환 치료제를 선택하는 데 치과의사는 큰 역할을 하지 못하였다. 시판중인 치주질환 치료제는 70개였다. 치료제는 다섯 개의 군으로 분류할 수 있었으며, 아스코르빈산 제제, 옥수수 불검화 추출물 및 저용량 독시싸이클린이 대부분이었고 아보카도-콩 불검화물과 동양의학적 제제는 각각 한 개였다. 옥수수 불검화 추출물과 저용량 독시싸이클린은 임상 연구에 의해 그 효과가 입증되었으나 아스코르빈산 제제는 임상 연구가 없었으며 따라서 이상적인 제제라고 할 수 있다. 기존의 문헌에 기초하여 볼 때 옥수수 불검화 추출물과 저용량 독시싸이클린만이 전통적인 치주질환 치료법(SRP)과 병행하여 치료제로 사용될 수 있다.

Survey of Knowledge on Hypertension among the Parents of Elementary School Students (초등학생 학부모의 고혈압 관련 지식에 관한 조사)

  • Kim, Jin-Soon
    • Journal of agricultural medicine and community health
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    • v.30 no.1
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    • pp.29-38
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    • 2005
  • Objectives: Hypertension is the most important risk factors for the cerebrovascular diseases, and also for coronary heart diseases, it is therefore very important that the people have a knowledge on nature of hypertension and it's high risk in order to prevent and detect the hypertension as early as possible. Methods: This study was done to find out the knowledge on hypertension of 434 parents of elementary school students from Kimjae city, Jonbuk province, they were parents in grade 4, 5 and 6 attending two elementary schools. The survey took 10 days from November 20 to November 30, 2003. Results: first, The highest correct answer(94.5%) was "obesity is risk factors for hypertension", followed by "hypertension is closely related with hereditary factors(91.0%) and "high sodium intake is associated with high blood pressure"(85.7%). The lowest correct answer(77.4%) was the classification of blood pressure level between normal and high. Second, Rate of blood pressure measurement for fathers was 53.7% and 54.8% in mothers. Awareness of own blood pressure by fathers was 84.1 %, while 91.1% by mothers. Third, According to blood pressure level reported by parents, fathers with normal blood pressure was 59.2%, high normal blood pressure was 12.2%, while hypertension was 28.6%. It revealed that prevalence of hypertension of fathers was higher than mother (normal: 74.5%, high normal: 7.7%, hypertension: 18.2%). Conclusions: From the results of this study, it is important to strengthen the health education about hypertension for community people and also school students.

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Mental Health of Adolescents in a Community (일 지역사회 청소년의 정신건강 실태)

  • Kim, In-Hong
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.234-243
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    • 2009
  • Objectives: The aim of this study was to establish the basic data for adolescents' mental health states in a community. Methods: 466 middle school and high school students were analyzed by visit-survey with an organized questionnaire from March to June 2008. K-YSR for measurement of mental health was used. Results: The score of total behavior (p<0.01), anxious/depressed (p<0.05), though problems (p<0.001), attention problems (p<0.001), aggressive behavior (p<0.01) and internalizing problems (p<0.05) in girls appeared significantly higher as compare to those the boys. Also, total competence (p<0.05) in high school students appeared significantly lower as compare to those middle school students. Withdrawn (p<0.01) in high school students appeared significantly higher as compare to those middle school students. The though problems (p<0.001) and aggressive behavior (p<0.05) in middle school students appeared significantly higher as compare to those high school students. The distribution of clinical group was school 93.8%, total competence 32.6%, attention problems 8.8%, total behavior problems 8.6%, anxious/depressed 7.7%, aggressive behavior 6.4% et. al. The social (p<0.05), anxious/depressed (p<0.05), attention problems (p<0.01), internalizing problems (p<0.05) and externalizing problems (p<0.05) in girls of clinical group were more frequent significantly as compared to those the boys of clinical group. Also, the social (p<0.01) in middle school students of clinical group was more frequent significantly as compared to those the high school students of clinical group. Conclusions: This study result will be significant in that it can provide basic data for the school mental health services.

A Study on Health Status' Factors Affecting HRQOL in the Elderly Stroke Patients With or Without Sequela (노인 뇌졸중 환자의 후유증 유무에 따른 HRQOL 요인별 중요도 분석)

  • Kim, Souk-Boum;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.1
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    • pp.37-47
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    • 2017
  • Objective : The main purpose of this study was to analyze factors affecting a health related quality of life(HRQOL) in the elderly stroke patients with(Group 1) or without(Group 2) sequela. Methods : This survey performed secondary analysis with 'the fifth korea national health and nutrition examination survey', and investigated 91 elderly stroke patients over 65 years. Results : The results were as followed: HRQOL and self rated health had a significantly lower in Group 1(p<.05). In all groups, HRQOL was affected by self rated health(${\beta}=0.39$), mental health, and medical health significantly(p<.05). In group 1, HRQOL was affected by mental health(${\beta}=0.45$), self rated health significantly(p<.05). In group 2, HRQOL was affected by medical health(${\beta}=0.45$), functional health, mental health significantly(p<.05). Conclusion : In order to improve the HRQOL of stroke patients during rehabilitative therapy, it is important that early detection and early intervention of depression and suicide, which affect mental health status, are important in the case of severe aftereffects. If the patient continues to support his/her current status regardless of aftereffects, he/she can improve the HRQOL with functional recovery of the stroke patient, and finally have a positive effect on the independence of the stroke patients.

Nursing in Korea (한국의 간호)

  • Hong Shin Young
    • The Korean Nurse
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    • v.23 no.3 s.126
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    • pp.7-21
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    • 1984
  • 한국간호 I. 간호행정제도 및 법규의 변천 1. 간호행정기구 한국의 의료행정은 현대의학의 도입과 더불어 1894년 6월 내부에 위생국을 둔다는 규정이 발표됨으로서 시작되었고 1901년 관제개편에 따라 위생국에 보건과와 의무과가 설치되었다. 그 후 1945년 12월 보건후생부 간호사업국내에 보건간호과 기관간호과 조산 간호과가 설치되었고 각 도에는 간호 사업계가 설치되었다. 1948년부터는 보건사회부 의정국내의 조산간호과가 간호 사업과로 개편되었다. 그후 1970년 간호사업과가 간호사업담당관제로 개편되었으며 1981년부터는 간호사업담당관제도 폐지되어 보건국의 가족보건과나 의정국 지역의료과에서 한 명의 간호원이 참여하는 정도로 간호행정기구가 점차 축소되었다. 2. 간호법규 1)면허 1962년 개정된 의료법에 의하여 간호원의 면허는 문교부장관이 인가한 간호교육기관 졸업자중 간호원 국가시험 합격자로 규정하였다. 조산원의 경우는 1914년 처음으로 조산원 면허등록을 시작하였으며 현재는 간호원 면허를 받은 자로서 보건사회부장관이 지정하는 교육병원에서 1년의 정규 교육과정을 필한자로 그 자격을 명시하고 있다. 2) 자격시험 자격시험은 1916년부터 실시되었으며 1920년 이후는 각 도에서 관할 실시하였다. 그 후 1962년부터는 보건사회부장관의 주도하에 국가시험을 시행하였으며 현재는 국립 보건원에서 간호원을 포함한 의료업자의 국가 시험을 주관하고 있다. 3)간호수가 간호원 조산원에 관한 간호수가 관계 규칙은 1911년에 발표된 것으로 간호원의 경우 출장 시에 출장비와 간호료를 환자가 지불하도록 하는 것이었다. 1925년 5월까지는 각 지역별로 간호수가에 차이가 있었으나 동년 6월부터 수가규정이 전국적으로 통일되었다. 그 후 1953년부터는 국공립병원 간호원들에게도 다른 일반 공직자와 같이 직급을 보함으로서 간호직에 대한 보수가 통일되었으며 1971년부터는 간호직 수당이 제정되었다. II. 간호사업의 분야별 발전 1. 임상간호제도의 발전 1)초기의 임상간호 한국에 서양의학을 기초로 설립된 최초의 병원은 1885년 의사 Allen에 의한 왕립병원이다. 그 후 정부에 의하여 1894년 군부병원이 설립되었고, 1899년 내부병원이 1904년에 적십자 병원이 설립되었다. 당시에 이루어진 현대간호는 일본인 간호원들에 의해 전해진 일본식 간호와 선교사 간호원들에 의해 전해진 서구식 간호방식이 있었는데 이 두 간호방법은 문화적 배경이나 사회적 인습에 의한 많은 차이점을 볼 수 있었다. 2) 일제하의 임상간호 이 당시에 이루어진 일본식 간호방법을 보면 간호원들의 주업무가 환자를 위한 간호보다도 의사 보조에 더 치중한 것을 볼 수 있다. 한편 선교계 병원에서는 입원환자에 대해서는 간호원들이 전인간호를 실시하였으며 병원당국과 의사들의 협조로 많은 간호사업의 발전을 가져올수 있었다. 3) 광복 이후의 임상간호 6.25 동란 후 한국에는 병원이 계속 늘어나 현재 20Bed 이상의 전국의 병원수가 431개소이고 이중 80Bed 이상의 종합병원이 148개소나 된다. 각 병원의 간호사업은 간호사업과 또는 간호사업부의 행정체제로 운영되고 있으며 최근에는 간호과정(Nursing Process)의 개념을 도입하여 문제중심 간호기록인 POMR(Problem Oriented Medical Record) 방법을 시도하고 있다. 또한 면허간호원은 매년 중앙회에서 실시하는 보수교육을 10시간 이상 받고 있다.

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The Activities of Dementia Partners and the Quality of Life of the Elderly with Dementia in Rural Area (일 농촌지역 치매 파트너 활동과 치매 노인의 삶의 질)

  • Kim, Sung lim;Kim, Hyunli
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.230-241
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    • 2021
  • Objectives: The purpose of this study was to identify the level of quality of life and related factors in the elderly with dementia living in their houses of rural area who are receiving dementia partners' supporting activities. Methods: The study participants were 55 elderly people with dementia living in their houses who were participating in the dementia partner pilot project among those registered in the public health center in one area and 55 dementia partners. Data were analyzed by independent t-test, ANOVA, Pearson correlation analysis and multiple regression analysis. Results: The factors that had a significant effect on quality of life included depression to predict the quality of life in the elderly with dementia. And its explanatory power was 46.8%. Conclusions: Based on these results, it is crucial not only to maintain physical functions but also to decrease depression by emotional support activities so as to enhance their quality of life, therefore, it is required to develop and apply the integrative supporting programs in rural area. From the result that dementia partner's self-compassion would lower the depression in the elderly with dementia significantly, it is considered to develop the programs to enhance dementia partners' self-compassion.

Limitation in Attraction Efficacy of Aggregation Pheromone or Plant Volatile Lures to Attract the Western Flower Thrips, Frankliniella occidentalis Infesting the Hot Pepper, Capsicum annuum, in Greenhouses (시설 고추재배지에서 꽃노랑총채벌레 집합페로몬과 식물 휘발성 유인제 효능의 한계성)

  • Kim, Chulyoung;Gwon, Gimyeon;Kim, Yonggyun
    • Korean journal of applied entomology
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    • v.60 no.4
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    • pp.369-377
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    • 2021
  • Mass trapping of the western flower thrips, Frankliniella occidentalis, has been considered as an option to control this pest. This study applied the commercial lures to the hot pepper-cultivating greenhouses and assessed the enhancement of the attracting efficiency by adding to sticky traps. There was no color difference in the attracting efficiency between blue and yellow sticky traps. However, the installation position of the traps was crucial in the greenhouses. The more thrips were captured within host cropping area than outside areas of the crop. In vertical trap position, it was the most optimal to install the traps at the crop crown. Using these installation parameters, the yellow sticky traps captured approximately 1% population of the thrips. To enhance the trapping efficiency, the commercial lures containing aggregation pheromone or 4-methoxybenzaldehyde were added to the yellow sticky traps. However, these commercial lures did not significantly enhance the trapping efficiency compared to the yellow sticky trap alone. In contrast, Y-tube olfactometry assays confirmed the high efficiency of the aggregation pheromone or another plant volatile (methyl isonicotinate) to attract the thrips. Interestingly, these lure components had lower attracting efficiencies compared to the hot pepper flowers. The high attractive efficiency of the flowers was supported by the observation that the commercial lure was effective to enhance the trapping efficiency of the yellow sticky trap against F. occidentalis in Welsh onion (Allium fistulosum) field without any flowers. This study indicates the limitation of the commercial lures in application to hot pepper fields for the mass trapping of F. occidentalis. It also suggests active volatile component(s) from hot pepper flowers to attract F. occidentalis.