• Title/Summary/Keyword: 자가간호활동

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Prevalence of Depression and Its' Correlates among Young-old and Old-old Elderly People with Poverty in Korean Urban Community (일 도시지역 국민기초생활보장 수급 대상 전기노인과 후기노인의 우울 유병률과 관련요인)

  • Kim, Hye-Ryoung
    • 한국노년학
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    • v.32 no.3
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    • pp.941-954
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    • 2012
  • Purpose: The purpose of this study was to investigate the prevalence of depression and its' correlates among elderly people(young-old vs old-old) with poverty. Methods: The sample was 434 of young-old elderly and 209 of old-old elderly people who were 60 and over and basic livelihood recipient in Korean urban community. Depression was measured by Geriatric Depression Scale by Yesavage et al.(1983) in Korean Version. Results: The prevalence of depression was greater for old-old people(63.2%) compared to young-old people(53.9%). Multivariate logistic regression analysis shows the difference of correlates of depression between young-old and old-old elderly people. Prevalence of depression in young-old people was associated with renting in housing type; bad self-rated health status; lack of regular leisure activity; lack of regular eating habit, whereas old-old people was affected by lower social support; moderate or bad self-rated health status; lack of regular leisure activity Conclusion: The finding of differences in prevalence of depression and its' correlates between young-old and old-old people is expected to promote the screening strategy for elderly at risk of depression in Korean community elderly with poverty.

Selected Factors Associated with Formal and Informal Learning During the First Pregnancy (첫 임신 동안 정규와 비정규 학습과 관련되는 선택된 요소들)

  • Lee, Connie W.
    • Women's Health Nursing
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    • v.8 no.3
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    • pp.446-458
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    • 2002
  • 목적: 현 연구는 6-12주된 첫 아기를 둔 여성 152명을 대상으로 첫 임신기간 동안 참여했던 정규와 비정규 학습활동의 정도와 범위를 알아보기 위해 시행된 것이다. 설계와 방법: 연구를 위한 정보수집을 위해 다측면의 자가선택 연구도구를 사용하였고 4가지 구성개념을 측정하였다: 독립변수로 학습에 대한 성향, 학습을 위한 사회적 지지, 임신에 대한 기대, 그리고 종속변수로서 첫 임신 동안 정규와 비정규 학습활동의 참여정도. 또한 일반적 특성으로는 6가지 변수(연령, 인종, 결혼상태, 교육정도, 직업유무, 가족의 수입)를 측정하였다. 3개의 독립변수와 1개의 종속변수사이의 이변량관계를 측정하기 위해 단순회귀분석을 시행하였다. 일반적 특성과 종속변수와의 관계는 t-Test, Point Biserial, Spearman Correlation Coefficients를 이용해 조사하였고 임신 중 학습을 위한 설명적 모델을 유도하기 위해 다중회귀분석을 사용하였다. 결과: 연구결과 3가지 이변량관계가 모두 통계적으로 유의한 것으로 나타났다: 학습에 대한 성향($r^2$=.17, p=.001), 사회적 지지($r^2$=.27, p=.0001), 그리고 기대($r^2$=.17, p=.0001). 교육정도와 결혼상태는 강한 설명력을 가졌고 연령, 인종, 직업유무와 가족의 수입은 통계적으로 유의하였으나 설명력이 약한 변수들이었다. 임상과의 관계: 이러한 결과는 임신 동안 여성의 학습욕구를 만족시키기를 바라는 성인대상의 교육자들 만큼이나 건강관리제공자들을 위한 실제적인 관련성을 보여주고 있으며 또한 중요한 생활사인 임신 동안 자발적인 학습을 하려는 성인을 이해하기 위한 이론적으로 유용한 모델을 제공한다.

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Factors Influencing Maternal Support for Physical Activity of Preschool Children (학령전기 아동 어머니의 아동 신체활동 지지)

  • Ra, Jin Suk;Chae, Sun-Mi
    • Child Health Nursing Research
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    • v.20 no.1
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    • pp.30-38
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    • 2014
  • Purpose: The purpose of this study was to explore maternal physical activity support for preschool children. Methods: Survey methodology using a self-administered questionnaire was employed. Mothers with preschool children from a daycare center in Daejeon participated in the study. One hundred and fifty-six questionnaires were analyzed. Results: Mothers with preschool children showed a moderate level of physical activity support for their children. Significant factors affecting physical activity support of mothers were monthly household income (${\beta}$=.417, p=.002), maternal self-efficacy for physical activity support (${\beta}$=.231, p=.003), information for physical activity support (${\beta}$=.173, p=.022), and experience of education about physical activity support (${\beta}$=.237, p=.002). These variables explained 26.4% of the variance in physical activity support (F=7.628, p<.001). Conclusion: To improve maternal support for increasing physical activity of preschool children, maternal education and appropriate information should be provided to improve self-efficacy for physical activity support.

충북지역 보건진료원이 업무 분석적 연구

  • Kim, Hui-Ja
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.174-175
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    • 1989
  • 본 연구는 보건진료원의 업무를 분석하기 위하여 충북에서 활동하고 있는 보건진료원 136 명을 대상으로, 설문지를 흥해 자료수집을 하였으며 백분률, 평균값, 표준편차로 자료처리를 하였다. 조사기간은 1968 년 8월 1일부터 11월 20일까지 했으며 그 결과를 요약하면 다음과 같다. 1. 보건진료원의 일반적 특성과 업무에 관련 된 배경을 살펴보면 다음과 같다. 보건진료원의 일반적 특성으로 연령 분포는 30 - 34세가 30.1 %로 가장 많았고 결혼 상태는 기혼자가 61.8 % 였다. 종교는 기독교가 42.6% 로 많았고 학력은 3 년제 간호전문대학 과정졸업 자가 78.9 %로 많았다. 현 가족과 동거상태에서 배우자와 자녀가 함께 사는 경우가 76.5% 였고, 보건진료원의 경력은 1 년 마만이 41.2 %로 가장 많았다. 보건진료원의 업무에 관련된 배경을 살펴보면, 근무지역조건은 갑지가 65.3 % 였고, 현 거주지는 보건진료소내 숙소가 대다수 였다. 보건진료소는 신축된 건물이 대다수였고, 보건진료소 시설은 '그저 그렇다'고 대답한 수가 가장 많았다. 보건진료소 운영협의회 수당은 월 $5\sim7$만원인 경우가 85.6 % 였다. 2. 보건진료원의 보건의료제공 실태는 다음과 같다. 보건진료원이 현재 담당하는 주민수는 $501\sim1,000$ 명이 35.3 % 이고, 1,500 명 이상의 주민을 담당하는 경우도 32% 였다. 보건진료소를 이용한 주만은 연평균 1,956 명이고, 보건진료소 평균 이용건수는 1,812건이다. 보건진료원의 직업만족도는 만족한다가 40.6%로 대체로 긍정적으로 나타났다. 3. 보건진료원과 보건의료 관련기관과의 관계는 다음과 같다. 지역주민의 보건의료자원 이용 정도는 보건소 진료소가 1 위로 가장 많았고, 약국, 약방, 의원, 보건지소의 순위로 나타났다. 보건의료 관련기관과의 협조가 잘 되고 있지 않다고 응답한 경우도 있는데, 보건소(19.7 %), 보건지소( 20.2%) 민간보건 의료기관(22.4 %)이며, 그 이유를 알아서 협조가 잘 이루어지도록 노력해야겠다. 원하는 감독체계는 보건소장(47.3 %), 보건간호 전문가(37.2 %)로 나타났으나 이는 현재있는 감독체제내에서 생각한 것이며 간호전문가에 의한 새로운 감독체제를 원하고 있었다. 많이 이용하는 의뢰 기관은 병원(52 %), 의원(24.4 %), 보건소(10.2 %) 순이었다. 4. 보건진료원의 업무 영역별 수행정도를 살펴보면 다음과 같다. 보건진료원의 업무 영역을 7개 영역으로 구분하여 수행평균 평점을 보면통상질환 관리가 3.70점, 사업운영 관리 및 지도가 3.44 점, 사업계획 수립이 3.19 점, 지역사회 조직 및 개발이 3.17 점, 모자보건 및 가족계획이 3.14 점, 지역사회 보건관리가 3.09 점, 보건 정보체계 개발이 3.02 점으로 나타났다. 위의 결과에서 지역사회 보건관리가 3.09점으로 통상질환 관리 3.70 점 보다 낮게 나타났는데 이는 일차보건의료 사업 정착의 과도기적인 현상으로 생각하며, 이 부분을 더 많이 수행해야 할 것으로 사려된다. 5. 보건진료원의 업무 영역별 수행 소요시간의 평균은 다음과 같다. 지역사회 조직 및 개발 3.48 시간, 사업계획 수립 3.55 시간, 지역사회보건 관리 6.74 시간, 모자보건 및 가족계획 5.55 시간, 통상잘환 관리 15.94시간, 사업운영 관리 및 지도 4.39시간, 보건정보체계 3.62 시간으로 나타났다. 보건진료원이 통상질환 관리와 더불어 예방활동을 효율적으로 할 수 있도록 적절한 행정적, 교육적 지원이 있어야 한다고 생각한다.

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Experience of Aging Simulation Clothes among Undergraduate Nursing Students (간호대학생의 노인체험복 착용경험에 관한 연구)

  • Jeong, Hyesun;Kim, Eungjong;Kim, Junghee
    • 한국노년학
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    • v.30 no.1
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    • pp.141-157
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    • 2010
  • This quasi-experimental study examined the experience of simulation clothes and its effects among undergraduate nursing students. Method: The experimental group consisted of 44 sophomore students in a diploma nursing program, while 41 students comprised the comparison group. Only the experimental group experienced the functional decline of aging after taking on simulation clothes. Homogeneity between the groups was analyzed using t-test, and Fisher's exact test. Paired t-test and t-test were adopted for testing changes of attitudes and awareness of supporting elders. In addition, contents of students' reports of the aging simulation experience were analyzed. Results: No significant quantitative effect was observed in attitudes toward elders and awareness of supporting elders. However, the simulation experience seemed to have enhanced students' understanding of elders and of basic elder care as well. Furthermore, the students could think of preparing for their later lives. Conclusion: The experience of simulation clothes is a meaningful learning opportunity in gerontological nursing curriculum. Students' experiences need to be shared and reinforced in a discussion session. Safety should be secured in the process of the experience. The simulation experience can be further developed to raise its quality.

The Influences of Accomplishment of Outcome-based Education in Nursing Students (간호학생의 성과기반교육 달성도에 미치는 영향)

  • Yoo, Je Bog;Won, Jongsoon;Chung, Seung Eun
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.329-336
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    • 2019
  • The study was to identify the factors affecting accomplishment of outcome-based education of nursing students. Study subjects were recruited 364 nursing students of junior and senior. We collected data using self-reported questionnaire of communication competence, critical thinking disposition, self-leadership, research competence and accomplishment of outcome-based education. accomplishment of outcome-based education showed statistical differences according to grade, understanding of outcome-based education, satisfaction of outcome-based education, and experience of clinical practicum. Accomplishment of outcome-based education was positively correlated with communication competence, critical thinking disposition, self-leadership and research competence. The influences of accomplishment of outcome-based education were satisfaction of outcome-based education (${\beta}=0.33$, p<0.001), self-leadership (${\beta}=0.21$, p<0.001), research competence (${\beta}=0.18$, p<0.001), critical thinking disposition (${\beta}=0.17$, p<0.003), communication competence (${\beta}=0.14$, p=0.006), and experience of clinical practicum (${\beta}=0.10$, p=0.023). These variables explained 38.1% of total valiance on the accomplishment of outcome-based education. It would need to develop and apply formal and non-formal educational courses for enhancing self-leadership, research competence, critical thinking disposition, and communication competence.

Factors Influencing Hospital Nurses' Turnover Intention: A Cross-sectional Survey (간호사의 이직의도 영향요인)

  • Yeun, Eun-Ja;Kwon, Young-Mi;Je, Mi-Soon;An, Jeong-Hwa
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.94-106
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    • 2016
  • Purpose: This study was to identify internal marketing, nursing professionalism, emotional exhaustion, personal accomplishment that influence turnover intention among hospital nurses and to predict in turnover intention. Methods: A cross-sectional sample of 270 hospital nurses from 2 university hospitals in Seoul and Chungbuk, South Korea. The data were collected from May to June, 2013 and using analyzed with t-test, ANOVA and stepwise multiple regression by using SPSS 19.0 program. Results: The mean score for nurse turnover was $3.91{\pm}0.53$, internal marketing $2.58{\pm}0.48$, nursing professionalism $3.30{\pm}0.64$, emotional exhaustion $3.23{\pm}0.64$, and personal accomplishment $3.24{\pm}0.41$. The significant factors of turnover intention were emotional exhaustion, internal marketing, nursing professionalism, work unit, nurse position, and education. And these factors explained 25.1% of the variance in turnover intention. Conclusion: The results from this study indicated a need to develop the intervention program to prevent turnover intention. These findings establish a baseline that will lead to further research.

Development of Health Status Scale for Abdominal Obesity Elderly (복부비만 노인의 건강수준 측정도구 개발)

  • Kim, Jeong Soo
    • 한국노년학
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    • v.30 no.4
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    • pp.1095-1106
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    • 2010
  • The purpose of this study was to develop a Abdominal Obesity Elderly(AOE) Health Status Scale to assess self rated health level. The subjects of this study were total 255(pretest 56, test 199) elderly over 65year. The data were collected between June to August, 2009. The method of this study as follow: items generation, test of validity and reliability, 5 panels of experts reviewed the preliminary questionnaire and then data were collected from elderly. Factor analysis, Cronbach's alpha, mean, standard deviation were analyzed the data by SPSS-Win 12.0 program. Results of factor analysis, 5 factors with a total of 16 items extracted that were Social level(Social participation 6 items, Physical Activity 2 items), Physical level(Disease Perception 4 items, Physical Index 2 items), Psychological level(Emotional Support 2 items). The reliability of the AOE health status scale was .868(Conbach's α). In the factor analysis Conbach's α correlations for the 5 factors ranged from .806 to .577. Therefore, Content validity, construct validity, reliability of the AOE health status scale were established. The AOE health status scale is a reliable and valid instrument which abdominal obesity elderly health status can be assessed.

The Influence of Positive Thought about Social Capital on Social Participation of the Elderly Koreans (사회 자본에 대한 긍정적인 생각이 한국노인의 사회 참여에 미치는 영향)

  • Lee, Hyo Young;Jeon, Gyeong Suk
    • 한국노년학
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    • v.29 no.3
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    • pp.789-803
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    • 2009
  • We investigated the influences of positive thought about social capital on social participation of the elderly Koreans. The study design was cross-sectional analysis of the National Statistic Office Study of Korean Society Statistics Survey 2003. Participants were total of 8,586 representative samples. Two types of social participation were investigated: meeting attendance and volunteer obligations. The base model included five thoughts about social capital that must be settled as a priority in Korea, i.e., reducing the differences between the rich and the poor, reducing the crime rate, reducing regulations and corruption, improving the moral level, eliminating environmental pollution. Social participation was influenced by positive thoughts about social capital, and different kinds of thoughts had different influences on different types of social participation. The elderly who responded positively to 'reducing the differences between the rich and the poor' attended all two types of social participation more. Along with education and health status, positive thought about social capital is another important factor that influences increased social participation. It may also compensate for deteriorating health with increasing age by promoting social participation. Encouraging social participation is a good way to improve the health of the elderly, as are efforts to change thought about social capital positively.

A Study on the Dental Hygienist's Awareness on the Elderly Long-Term Care Insurance System (치과위생사의 노인장기요양보험제도에 대한 인식도 연구)

  • Park, Jeong-Ran;Kwon, Sun-Hwa
    • Journal of dental hygiene science
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    • v.9 no.3
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    • pp.279-286
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    • 2009
  • This research targeted 253 dental hygienists who are working in parts of the South Gyeongnam Province to identify their Degree of Recognition on the Elderly Long-term Care Insurance System executed on July 1,2008 according to their awareness. The following conclusions were obtained. 1. Experience in managing elderly patients' oral cavity and specialized education on the elderly patients while studying dental hygiene (department) manifested statically significant difference with the appropriate age of the Long-term care worker(p<0.01, p<0.05). Moreover, there was significant difference in the level of understanding on the Elderly Long-term Care Insurance System depending on the experience of volunteering and on whether they got specialized education on the elderly patients while working(p<0.01). 2. There was significant difference in the awareness of the Elderly Long-term Care Insurance System following interest in the health of the elderly patients' oral cavity(p<0.05, p<0.01, p<0.001).

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