• Title/Summary/Keyword: 일차가족

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Development of an Education Program for Parent Caregiving Families (노부모 부양가족 교육 프로그램 개발)

  • 홍숙자
    • Journal of Families and Better Life
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    • v.13 no.1
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    • pp.47-57
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    • 1995
  • 본 연구는 노부모부양가족의 어려움과 요구에 적합한 프로그램을 개발하여 노부모를 부양하는 성인자녀를 실제적으로 도와주고 그들의 부양부담감을 감소시키고자 하는 데에 목적이 있다. 이러한 목적을 위해서 일차적으로 우리나라 노부모 부양가족의 요구가 고려된 실험적 노부모 부양가족 프로그램을 구상하였다. 구상된 프로그램으로 노부모가 한분이라도 생존해 계신 여덟명의 교육대상을 소규모 집단으로 모집하여 시범교육을 실시하였다. 실시과정에서 파악되는 문제점과 개선점을 검토하고 사전 검사후 사후 검사를 2회 실시하여 프로 그램의 효과를 검증평가하였다. 그 결과 본 프로그램의 참여가 프로그램의 목적과 관련된 부양에 필요한 지식정보와 자기결단 및 통제력 수준을 향상시키고, 부양자로 하여금 보다 긍정적인 노부모 부양태도나 인식을 가지게 한 것으로 나타나 프로그램의 효과성을 입증해 주었다.

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Evaluating the Primary Care Quality of a Public Health Center in a Rural Area (농촌 지역 보건소 일차의료의 질 평가)

  • Byeon, Young-Kwan;Choi, Yong-Jun
    • Journal of agricultural medicine and community health
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    • v.42 no.1
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    • pp.24-35
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    • 2017
  • Objectives: This study aimed to evaluate the primary care quality of a public health center in a rural area using the Korean Primary Care Assessment Tool (KPCAT). It also examined some methodological issues in applying the KPCAT and interpreting its results. Methods: Seventy-nine patients who had visited their doctor more than four times responded to the KPCAT questionnaire. Descriptive statistics and a radar chart were used in analyzing data. Sign test was used to test the KPCAT score difference by don't know option scoring methods. Results: Median and interquartile range of the public health center's KPCAT scores were forty-five and sixteen points, respectively. Only the median of the first contact domain reached the expected value of seventy-five points. The proportions of those who scored under the expected value were under fifty percent in two of four comprehensiveness items, all of three coordinating function items, two of five personalized items and all of four family/community orientation items. There were some methodological issues including, how to score don't know option and make sure response scale consistency. Conclusions: There was much room to improve the primary care quality of the rural public health center. Especially, improvement is needed in the domain of coordinating function and family/community orientation. We also hope that methodological improvement of the KPCAT contributes to more valid and reliable primary care assessment.

특집 - 혈관질환의 주범

  • 사단법인한국당뇨협회
    • The Monthly Diabetes
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    • s.238
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    • pp.26-29
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    • 2009
  • 대혈관질환은 당뇨병환자의 주된 사망원인으로 당뇨병이 없는 사람에 비해 발생할 확률이 2$\sim$5배 높은 중대한 합병증이다. 혈관합병증이 발생하는 원인은 한 가지가 아닌 여러 가지 원인들이 복잡하게 관여하는 것으로 알려져 있다. 최근 많은 연구결과에 따르면 당뇨병성 혈관 합병증의 발생은 일차적으로 동맥경화증에 기인하며 이와 관련된 위험인자로 고혈당, 고혈압, 고지혈증, 흡연, 비만, 운동부족, 가족력 등이 있다.

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Health Policy for The Senile Dementia in Korea (치매노인의 건강한 삶을 위한 노인복지정책 방향)

  • 최용민
    • Journal of Life Science
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    • v.8 no.6
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    • pp.729-736
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    • 1998
  • The purpose of this study is to examine the senile dementia in Korea and then provides policy alternatives for the heal-thy life of the aged. The increaase of life expectancy is the hope for all, accordingly unhealthy life will be misfortune for them including their family. The physiological dysfunction of human body causes diverse problems. Among them, the most serious one is the malfunction of brain to include both Alzheimer's disease and senile dementia. When considering the poor analysis for senile dementia and the non-systematic aspect of national health policy for the aged, this paper has concluded that more planned programs should be developed for the aged in viewpoint of national criteria.

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Neurocognitive Deficits in Patients with Schizophrenia and Unaffected First-Degree Relatives (조현병 환자와 발병하지 않은 일차친족에서 신경인지의 결함)

  • Kim, DoHoon;Kim, Jiwoo;Hwang, Sunyoung;Kim, Byungsoo;Won, Seunghee
    • Korean Journal of Biological Psychiatry
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    • v.21 no.2
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    • pp.65-73
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    • 2014
  • Objectives This study aimed to identify the differences and the profiles of cognitive deficits in remitted patients with schizophrenia and first-degree relatives of schizophrenic probands. Methods A total of 26 remitted states of schizophrenia patients were included in the study and the same number of unaffected first-degree relatives of schizophrenic probands and healthy controls were matched for age, sex, years of education. Cognitive function of all participants was measured by using the Digit span test, the Continuous performance test, the Rey auditory & visual learning test, the Complex figure test, the Verbal fluency test, the Wisconsin card sorting test and the Finger tapping test. The effects of subsyndromal symptomatology and general intelligence score were controlled. Results Schizophrenia patients' group showed more significant impairment than other groups in verbal memory (learning, immediate recall, delayed recall), visual memory (copy, immediate recall, delayed recall) and cognitive flexibility domains. The family group and the patient group commonly performed significantly worse than healthy controls in working memory and verbal fluency (category) tests. There were no differences in sustained attention, psychomotor performance. Conclusions Our research shows that the deficit in working memory and verbal fluency could be strong candidates of endophenotypic marker in schizophrenia.

Factors Influencing Stress Appraisal of Cancer Patients' Primary Caregivers (암환자의 일차간호제공가족의 스트레스 인지평가 영향 요인 분석)

  • Shin, Gye-Young;Kim, Mae-Ja
    • Korean Journal of Adult Nursing
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    • v.14 no.1
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    • pp.125-134
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    • 2002
  • Purpose: The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. Method: The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. Results: Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. Conclusion: These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.

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A Converged Study on the Influence on the Quality of Life for Early and Late Middle-aged Men (전후기 중년 남성의 삶의 질 영향 요인에 대한 융합적 연구)

  • Kim, Hyang-Soo;Kim, Song-Soon;Park, Mi-Hyeon
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.133-145
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    • 2018
  • This is a descriptive study on what factors influence the quality of life of early and late middle-aged men. This research is the secondary analysis which was conducted with the data of 170 people and the primary data from 2017 by using SPSS/WIN program. The results show that the main factor is depression in early middle-aged men and social support for late middle-aged men, whose overall ability to explain was 77.8% and 64.7%, respectively. Therefore, this research suggests that multidisciplinary and converged approaches-developing nursing intervention programs based on the factors shown in this paper, creating social environment, strengthening social supportive system and making policies-be required for the enhancement of middle-aged men's quality of life.

다문화사회를 위한 의식개선 사업에 관한 연구

  • Jeong, Ji-Yun;Gang, Gyeong-Sik
    • Proceedings of the Safety Management and Science Conference
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    • 2011.04a
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    • pp.461-470
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    • 2011
  • 우리나라는 정부차원에서 교육과학기술부, 문화체육관광부, 여성가족부, 보건복지가족부, 법무부, 지방자치단체 등 관련 부처별로 필요한 분야에 한해 다문화 강사 양성이 이루어지고 있다. 교육과학기술부에서는 2007년 다문화가정 자녀교육 지원계획을 발표하고 2008년부터 각 교육청 주관으로 다문화교육 직무연수를 외부에 위탁하여 중앙 및 각 지방 다문화교육센터를 중심으로 현직교사 대상 '다문화교육을 위한 교사 양성 연수 프로그램'을 지속적으로 운영하고 있다. 문화체육관광부 산하 한국문화예술교육진흥원에서는 2008년에 다문화강사 양성과정을 개설하여 운영하였다. 그리고 여성부는 청소년, 이주노동자, 이주여성을 대상으로 다문화교육을 제공할 목적으로 2008년에 '다문화이해교육 강사양성' 과정을 개설하였다. 그러나 이들은 모두 일회성에 머물러 지속적으로 연계되지는 못했다. 또한 보건복지가족부는 2007년에 '결혼이민자 다문화가족 지원센터'에서 종하며 교육활동을 하기 위한 다문화 강사 80명을 일차적으로 양성하였다. 최근에는 각 지방자치단체별 다문화가족 지원센터에서 결혼이민자를 다문화 강사로 활용하여 청소년들에게 다문화 이해 교육을 제공하도록 하는 '다문화강사 양성과정'을 개별적으로 개설하여 운영하고 있다(설동훈 김찬기, 2009). 한편 법무부는 2008년 5월 다문화 이해증진 및 이민자 사회통합을 위한 정책개발 추진에 우수 대학의 적극적인 참여 기회를 부여하고, 관련 분야에 대한 대학의 새로운 학문 개척 기회를 마련하기 위해 공모 절차를 거쳐 20개의 ABT대학을 최종 선정하였다. 명지대학교는 2010년 3월부터 산업대학원 산업시스템경영학과 국제교류경영학석사 과정에서 국제교류경영 전문가 양성을 운영하고 있다. 경기도 지원 경기도의 새로운 브랜드 가치 실현을 위한 '다문화사회를 위한 의식개선 사업'으로 사회통합 - 다문화사회 공동체 형성을 목표로 총4개의 컨소시엄 기관(시흥시, 수원시, 화성시외국인복지센터, 의정부시외국인근로자지원센터)이 형성되어 2010년 2월22에서 2010년12월20까지 시행되었다. 본 연구는 '다문화사회를 위한 의식개선 사업'을 통해 교육대상자 구분과 사업장 교육 지역별 구분과 일반인 교육 지역별 구분을 파악하고 이를 기초로 우리의 다문화사회에 도움이 될 수 있는 다문화교육의 개선 방안을 제시하고자 한다.

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Factors Influencing Depression in Late Middle-aged Men (후기 중년 남성의 우울 영향 요인)

Epidemiological Characteristics of Patients with Drug-Resistant Tuberculosis (약제 내성 결핵 환자의 역학적 특징)

  • Lee, Jin-Hwa;Chang, Jung-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.4
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    • pp.412-420
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    • 2000
  • Background : There is increasing concern in many countries about the problem of drug-resistant tuberculosis. Prevalence of primary drug-resistant tuberculosis is the optimal epidemiological indicator for long term monitoring of national tuberculosis control program. Our purpose was The purpose of our study is to assess clinical characteristics and socioeconomic status of patients with drug-resistant tuberculosis. Method : We studied 68 cases with drug-resistant Mycobacterium tuberculosis infection diagnosed at the Ewha Womans University Mokdong Hospital from March, 1995 to February, 2000. Results : Patients with primary drug-resistant tuberculosis(PDR) were younger (39.6$\pm$16.3 years vs. 48.2$\pm$16.5 years ; p<0.05), had more population of less than more were under the age of 40 years aged -group(62.9% vs. 36.4% ; p<0.05) and were more highly educated than those with acquired drug-resistant tuberculosis(ADR)(38.9% vs. 11.1% ; p<0.05). In patients with ADR, the rates of familial history of tuberculosis and living in a rented house residence in a rented house were increased higher than compared with to those of patients with PDR. Patients with ADR had more involved lobes(2.0$\pm$0.8 vs. 1.4$\pm$0.7 ; p<0.01) and longer treatment duration than those with PDR(18.3$\pm$7.2 months vs. 10.6$\pm$6.3 months ; p<0.05). Patients with ADR showed larger numbers of resistant were resistant to more number of drugs, lower hospitalization rate and higher rate of self-interruption of medication than those with PDR. In patients with PDR, mono-drug resistance was increased, whereas poly- and multi-drug resistances were decreased compared with those with ADR. Resistance to isoniazid was the highest among antituberculosis drugs, and resistance to isoniazid in patients with ADR was higher than that in patients with PDR(90.9% vs. 71.4% ; p<0.05). Conclusions : Patients with ADR were more likely to include more population be of lower socioeconomic class, and patients with PDR seem seemed to be young and socially active population. For control of drug-resistant Mycobacterium tuberculosis infection, proper isolation and prevention of patient with drug-resistant tuberculosis are needed.

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