• 제목/요약/키워드: 반건강

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HOME NURSING CARE NEEDS IN RURAL KOREA (한국 농촌 지역의 가정간호 요구에 관한 연구)

  • KIM, SUNG SILL
    • Journal of Korean Academy of Nursing
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    • 제18권1호
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    • pp.44-69
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    • 1988
  • 보건의료기술이 고도로 발달되었다 하더라도 의료의 혜택이 필요할 때 누구에게나 언제든지 제공될 수 없는한 전체 국민의 건강요구를 포괄적으로 충족시킬 수 있는 제도나 방법이 필요하게 된다. 본 연구는 사회 집단의 최소 단위인 가정을 중심으로 수행되고 있는 지역사회 가정간호의 합리적 수행에 필요한 기초자료를 얻기 위하여 가정간호 요구의 사정 및 가정간호 수행에 관하여 연구하였다. 가정 간호(Home Nursing Care, Home Health Care)는 추후관리를 받아야 할 대상자, 고령자, 만성질환자에게 규격화되어 있는 병원간호를 가정이라는 친숙한 분위기에서 개별적으로 제공되는 가정 중심의 심리적 안정은 물론 시간과 경비를 절감하는 효과적 간호수단이다. 본 연구의 목적은 첫째 우리나라 농촌가정의 가정간호의 요구는 무엇이며 그 요구의 원인은 무엇인가\ulcorner 둘째, 농촌가정에서 가지고 있는 상병에는 어떠한 것이 있으며 행하여 지고 있는 가정간호의 내용에는 어떤 것들이 있는가\ulcorner 셋째, 가정간호 수행자는 누구이며 이에 대한 수혜자의 만족도는 어느 정도인가\ulcorner 본 연구의 방법은 1985년 6월 18일 부터 8월 7일 까지 C군에 거주하는 주민중 11개소 보건진료소가 소재한 반의 주민 전체 1,027명 중 상병자 159명과 30세 이상의 인구 440명, 가구주 239명을 대상으로 가정방문을 통한 면접으로 질문지를 기록케 하여 자료를 수집하였다. 연구의 도구는 첫째 간호요구의 측정을 위한 도구로 Virginia Henderson의 기본간호활동 14가지를 기초로 지역주민 50명과 현직 간호원 50명에게 개방질문으로 얻은 내용을 중심으로 제작하였으며 둘째, 가정간호수행에 대한 도구로 Orem의 간호이론 중 간호방법 5가지를 근거로 개발하였다. 본 연구의 내용은 보건진료원에 의하여 사정된 간호요구와 그 원인들을 인간의 기본요구 영역별로 분류하여 가정간호진단을 위한 지역사회 가정간호사정 및 진단도구로 쓸 수 있도록 개발하였으며, 상병자에 대한 가정간호 수행은 수행빈도와 수행내용에 따른 수행자와 수행 만족도를 측정하였다. 1. 가정간호요구에 대하여 1) 가정간호요구 측정은 신체영역 중 몸을 청결히 하고 몸차림을 단정히 하여 피부를 보호하기 내용에서 더위나 추위에 대하여 옷을 맞추어 조절하기의 요구, 적절한 식사와 수분섭취하기 내용에서 배변의 요구, 또한 몸을 움직이고 바람직한 체위를 유지하기 내용에서 한가지 자세를 계속하기의 요구가 높았고 정상호흡하기 내용에는 일상활동시 호흡에 대한 요구가 높은 편이었다. 사회, 심리, 영적 간호요구 영역에서는 자신이 신앙에 따라 예배하기 내용에서 신앙으로 어려움을 극복하려는 요구가 높았으며 여러가지 오락의 형태를 취하여 이에 참여하기 내용에서는 취미생활의 요구가 높았다. 2) 가정간호요구는 연령이 높을수록 높았고 성별로는 여자의 가정간호요구가 남자보다 높았으나 내용별 요구의 차이는 없었다. 2. 가정간호수행에 대하여 1) 가정에서 수행되는 가정간호내용으로는 직접간호가 가장 많이 수행되었으며 내용으로는 구강청결, 옷 갈아 입기, 투약, 음식투여, 대ㆍ소변보기의 빈도가 많았다. 건강한 환경제공의 간호수행내용에서는 적당한 실내온도 유지하기의 빈도가 많았으며 안내와 지도내용에서는 투약요령 알기의 빈도가 많았으며, 보호와 지지내용과 교육의 간호수행내용에서는 현 상태 인정하기와 투약 방법에 대한 교육하기의 간호수행빈도가 가장 많았다. 2) 간호수행자에 있어서 직접간호 수행은 본인 스스로 하는 빈도가 가장 많았으며 안내와 지도 및 교육의 간호수행은 전문가가 많았고 보호와 지지간호는 가족이 많았고 건강한 환경제공간호는 배우자에서 더 많았다. 3) 간호수행자에 대한 만족도는 직접간호 방법에서는 가족이, 안내와 지도는 배우자가, 보호지지, 건강한 환경제공 및 교육에서는 전문가에 의한 간호수행 만족도가 높았다. 4) 상병상태에 따른 주 증상은 관절통 요통이 가장 많았고 상병자는 남자가 많았고 주 중상에 대한 성별간의 큰 차이는 없었다. 이상 가정간호요구와 정도 및 가정간호 수행의 내용을 기반으로 가정간호사업의 시행이 시급하다는 결론을 내릴 수 있었으며 가정간호사업의 시행을 위한 제도적 보완개선책이 요구된다고 결론을 지을 수 있다.

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The Impact of Direct-to-Consumer Advertising of Prescription Medications on Healthy Lifestyle (전문의약품 소비자광고가 생활습관 변화에 미치는 영향에 대한 연구)

  • Yang, Hae-Kyung
    • Journal of the Korean Home Economics Association
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    • 제50권4호
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    • pp.103-113
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    • 2012
  • In the U.S. where Direct-to-Consumer Advertising (DTCA) of prescription medications is permitted, spending on DTCA has been accelerating. As a result, it has been an issue of intense public policy attention regarding whether DTCA is beneficial to the public by promoting a healthy lifestyle. Most of the literature concerning DTCA focuses on its impact on demand and empirical evidence regarding its impact on health-related behavior is scant. This study uses a database of DTCAs for high blood cholesterol, hypertension, diabetes, and overweight treatment medications that have appeared in nationally circulated U.S. consumer magazines during 2000 to 2004 and the Simmons National Consumer Survey in order to compute the level of individual advertising exposure and examines whether those who are exposed to DTCA are more likely to engage in regular exercise and diet control. The study finds evidence that for those with chronic conditions, greater exposure to DTCA leads to less exercise but more diet control. By therapeutic class level, exposure to DTCA leads to less exercise for those with hypertension and who are overweight, whereas those with high blood cholesterol are more likely to engage in regular exercise. Looking into differential responses by socioeconomic status, those with less education are more likely to engage in exercise after being exposed to DTCA. The results imply that the effects of DTCA vary by therapeutic class. In order to enhance the benefits of DTCA, it is important to closely monitor the messages in DTCA and require it to include messages that promote lifestyle change should it be a part of the treatment.

Association Between Total Sleep Duration and Suicidal Ideation: Based on 14th Korean Youth Health Behavior Survey (제14기(2018년) 청소년건강행태조사 자료를 이용한 청소년 총 수면시간과 자살 생각 사이의 연관성)

  • Kim, Jae-Hyun;Kang, Seung-Ho;Jeong, Da-Young;Choi, Jung-Yeoun;Boo, Yoo-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • 제20권12호
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    • pp.652-662
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    • 2019
  • This study demonstrates the association between total sleep duration of adolescents, and its effects on their physical and mental health. Chi-square test and the multiple logistic regression model were applied to analyze the data collected in 2018 by the Korean Youth Health Behavior Survey (n = 52,928), conducted by the Korea Centers for Disease Control & Prevention. Our analysis indicates increased suicidal ideation with insufficient total sleep duration as per the recommended amount and grade (OR: 1.17, 95% CI: 1.06-1.29, p-value: 0.00]. Especially, insufficient sleep among adolescent girls significantly increases the risk of suicidal thoughts (OR: 1.22, 95% CI: 1.06-1.41, p-value: 0.01). Sufficient sleep showed reduced risk of suicidal ideation among boys (OR: 0.83, 95% CI: 0.71-0.96, p-value: 0.02). We propose that to reduce the risk of suicide among teenagers, policy considerations are required to ensure sufficient sleep.

Effects of a Mindfulness-Based Mind-Body Intervention Program using Marine Resources on the Improvement of Sleep Quality and Mood Symptoms in Korean Female Emotional Labor Workers : A Pilot Study (해양자원을 활용한 심신치유기법이 여성 감정노동자들의 수면, 우울 및 기분 증상 개선에 미치는 효과 : 예비 연구)

  • Lee, Sang-Ah;Lee, Sung-Jae;Yook, Young-Sook;Huh, Yu-jeong;Lee, Min-Goo;Choi, Hwi-young;Lee, Jae-Hon
    • Sleep Medicine and Psychophysiology
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    • 제25권2호
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    • pp.58-67
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    • 2018
  • Objectives: The purpose of this pilot study was to examine the effects of a mindfulness-based Body-Mind Intervention Program using marine resources on the improvement of quality of sleep, mood symptoms, and cognitive function in Korean female emotional labor workers. Methods: Twelve female workers who experienced excess emotional labor participated at the training camp program for five days in Danghangpo-ocean park, Goseung-gun, Gyeongnam Province in South Korea. Participant sleep quality, mood symptoms, and cognitive functioning before, after, and 1.5 months later were evaluated and analyzed. Results: After participating in the marine resource program, participants reported significantly decreased sleep latency. Global sleep quality, cognitive functions (attention, flexibility, and inhibition control), and mood states, including depression, tension, anger, fatigue, were also improved. These effects were generally maintained after 1. 5 months (PSQI t = 2.63, p = 0.02 ; HAM-D t = 5.92, p < 0.001). Conclusion: A Body-Mind Intervention Program using marine resources was effective in relaxing emotion-related tension and improving cognitive function. To advance this pilot study, it is necessary to carry out further research to investigate the use of marine resources in mental health interventions.

Exploration on the Range of an Urban Community to Form Healing Environment (치유환경 조성을 위한 어번 커뮤니티 탐구)

  • Park, Hoon;Lee, Hae-Kyung
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • 제7권3호
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    • pp.477-496
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    • 2017
  • A drastic development of modern cities and transportation means as part of a rapid industrialization and urbanization for the past half-century has consistently broaden the boundaries of urban dwellers while, at the same time, raising issues as to establishing relationships among them throughout the society following the materialization of modern urban planning. Within the framework of the postmodern concept, there have been consistent efforts to create a community space in appropriate size and, in particular, the concept of New Urbanism and Urban Village that emerged in mid 1800s along with the effort to build a community by building an ideal city provides an important meaning today when people are seeking to restore a healthy community. Against this backdrop, this study aims to explore the concept of community and to determine its optimal scope of implementation in the sense of healing environment under the premise that organizing a healthy city is based on building a solid urban community. The study findings and conclusions are as follows. First, a community is a subject of constant consideration in the process of historical development of the city and has required us to take a variety of strategic approaches and to determine the scope of implementation. Second, the activities of a healthy community have been conducted under various types of environments, including churches, commercial facilities, urban plazas, parks, and streets in various scales, reflecting their unique characteristics. Third, in the process of designing a healthy and sustainable city, determination of location carries significant implications along with building a community of appropriate size, which requires multidisciplinary considerations in addition to functional approaches. Fourth, the composition and design of a modern urban community need to seek practical ways of its implementation within the concept of healing environment.

A Proposal of Emotion Recognition Mobile Application to Improve Depression in Young People (청년층의 우울증 개선을 위한 감정 인식 모바일 애플리케이션 제안)

  • Park, Jaewan;Choi, Bokgiu;Lee, Sangwon;Lee, Hyunju
    • The Journal of the Korea Contents Association
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    • 제20권2호
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    • pp.594-606
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    • 2020
  • On the contrary to the steady rise of social problems about depression, only a few take care of mental health themselves due to their negative perception of psychotherapy. In this study, we propose service design and user interface design of mobile applications that introduce an automatic emotional recognition system to prevent leaving depression unattended. First, we have come up with improvements in the usability of existing apps through literature research and case analysis, and draw out Personas from surveys and in-depth interviews of young people. As an essential element of the design of the Depression Improvement Service, we recommend having three components: writing a diary to manage schedule, recognize users' emotional state through avatar management, and tracking down emotional points to improve the cognitive system. Through this proposal, we want to prevent the development of depression and help to resolve the changes in perception of depression and longitude depression on our own. Ultimately, we publicize the necessity of mental health care application design and expect to lower the personal and social costs for psychiatric care.

A Comparative Study on Healthcare Autonomous Vehicle Technologies between South Korea and the US Based on Social N etwork Analysis (헬스케어 관련 자율주행 자동차 기술 한미 비교 연구 : 사회연결망 분석을 중심으로)

  • Kim, Ho-Kyung
    • Journal of Korea Technology Innovation Society
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    • 제20권4호
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    • pp.1036-1056
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    • 2017
  • The rapid increase of ageing population and chronic disease patients cause high medical expenses, and it led an increased attention to digital healthcare. Smart car technologies for healthcare have been developing to recognize drivers' status and predict diverse driving environments. The present study aimed to understand the research trends of autonomous vehicle technologies of Korea and the United States through time series analysis, network analysis, visualization, and comparison between the two countries. The results suggest that cooperative study needs to be done in common research areas such as driver's safety and algorithms. It is also needed to conduct studies and benchmark about liking technique related to part-to-part and vehicle-to-vehicle as America's competitive advantaged area. In the US, diverse approaches of autonomous vehicle technologies have used to consider the characteristics of various age groups and passengers' health status through sensor, while in Korea, only one aspect, older drivers, is mentioned. Implications for the development direction of autonomous vehicle technologies with competitiveness in considering public health, ethics, and driver's safety and convenience are discussed in detail.

Examining the Factors Affecting Prisoner's Decision-Making for Medical Treatment of Mental Illness after Release from Prison (출소 후 정신질환 치료결정에 영향을 주는 요인에 관한 연구)

  • Hong, Moon-Ki;Park, Jongsun
    • Journal of Digital Convergence
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    • 제20권1호
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    • pp.15-23
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    • 2022
  • There is little research about medical treatment after prison. The purpose of this study is to examine factors influencing mentally-ill prisoner's decision making for medical treatment on release from prison. With the data collected from prisoners in 2019, binary logistic regression was used to analyze the effect of variables on the mentally-ill prisoner's decision making. In result, bipolar disorder, depression, anxiety disorder, and panic disorder decreased the likelihood of answering that I will have no medical treatment plan after prison, whereas lack of experience in receiving medical care increased the likelihood of answering as such. Bipolar disorder, anxiety disorder, counseling, medical treatment, and education had a positive effect on selecting mental hospital in the answer. Depression enhanced the likelihood of choosing mental health center for treatment. Policy implications and directions for future research are discussed.

Qualitative Study on Vocational Rehabilitation Program Participation Experience of Mentally Ill Patients in Psychiatric Day Hospital Care (정신과 환자의 낮병원 직업재활 프로그램 참여 경험에 관한 질적 연구)

  • Kwang-Jin Eom;Jung-Yoo Kim
    • Industry Promotion Research
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    • 제8권4호
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    • pp.209-220
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    • 2023
  • This study used general qualitative research and G-PhotoVoice methods to study the experience of psychiatric patients participating in vocational rehabilitation programs in daytime hospitals. The researcher in this study conducted interviews more than two times with five patients who took part in the program and data was also collected from additional conversations while patients were admitted or on outpatient visit after being discharged from the day hospital. In addition, semi-structured group interview with photos was also conducted. As a result of the study, the participants' experience of participating in the day hospital vocational rehabilitation program was found to be "experiencing difficulties in vocational activities," "joying working together," "getting a sense of stability," and "feeling that they have grown."Based on these findings, this study discussed the implications of activating vocational rehabilitation in daytime hospitals and promoting the growth of psychiatric patients.

Factors Influence the Preventive Behavior Intent against Emerging Infectious Diseases of University Students: Focusing on the Health Belief Model (대학생들의 신종감염병 예방행동의도에 영향을 미친 요인: 건강신념 모형을 중심으로)

  • Hye-Jin Lee
    • Journal of the Health Care and Life Science
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    • 제10권2호
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    • pp.201-209
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    • 2022
  • The purpose of this study was to grasp the degree of preventive behavior of new infectious diseases in university students and to seek a practical plan for preventive behavior. Methods: The subjects of the study analyzed the factors that influenced the degree of preventive behavior of new infectious diseases in university students enrolled in the university of D city material by applying the factors of the health belief model. Results: Research Results First, Severity factors and preventive behavior intent are associated(β.164). Second, no association between the susceptibility factor and the prevent behavior intent. Third, Self-efficacy factors affected preventive behavior intent the most(β.640). Conclusions: The recommendations of the research results are as follows. In the future, institutional supplements and measures to foster the correct awareness level for new infectious diseases and raise the understanding of public health in a state where the possibility of developing new infectious diseases is high, first, regular survey and analysis, secondly, School health education, thirdly, concrete and practicable measures for one's own health management dimension should be introduced preemptively.