• Title/Summary/Keyword: 지역정신보건

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Citizen Participation in the Process of Establishing the Community Health Plan: Based on the results of roundtable discussions to Resolve the Health Disparity (지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로)

  • Lee, Su-Jin;Hong, Nam-Soo;Kim, Keon-Yeop;Ryu, Dong Hee;Bae, Sang Geun;Kim, Ji-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.151-161
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    • 2021
  • The purpose of this study was to identify citizens' needs and what they perceive the health-related problems are so public opinion can be reflected in the Daegu Community Health Plan. A citizen participation group was organized, and two roundtable discussions were held in June and July 2018. The number of participants in the first and second round was 40 and 44, respectively. Customer itinerary guidance, DVDM (Definition, Value, Difficulty, and Method) Map, and Persona-based scenario method were used for the roundtable discussions. The measures to improve the health status proposed by the citizens included expanding access to health services, establishing health services centered on small-living areas, expanding mental health services, creating health-friendly environments, resolving environmental problems, and improving social health. In addition, enhancing communication and creating harmonized environments, improving access to healthcare, generating pleasant physical environments, and assigning socials roles for vulnerable individuals were brought up as the means to resolve health disparities. The strength of the present study lies in the fact that, unlike survey methods, the citizens' exact needs were identified by sharing their thoughts. Moreover, it was proven that practical measures would be needed to implement citizen participation in planning health-related projects.

Preparation to Perform Activities of Suicide Prevention according to Professional Type (지역사회 정신 건강 서비스, 자살 전문직 유형에 따른 자살예방행동 준비도)

  • Park, Kyongran;Lee, Gyungjoo;Kwon, Min;Yeom, Mijung;Yang, Soo
    • Journal of Korean Public Health Nursing
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    • v.29 no.1
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    • pp.40-52
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    • 2015
  • Purpose: This study examined the characteristics of preparation to perform activities of suicide prevention according to professional type. Methods: A structural survey was conducted from Dec. 10, 2012 to Jan. 4, 2013 for 355 participants working at suicide prevention institutions in S city. The data were analyzed in terms of frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 18.0. Results: Self-evaluation knowledge of characteristics was a significant distance depending on education and economic status. Participants were classified according to four groups based on professional type; public health nurse, social worker, fire officer, and administrative staff. Significant differences in experiences in suicide, the several items of self-evaluation knowledge, and the preparation to perform activities of suicide prevention were observed according to professional type (p<.05). Correlation among the experience, self-evaluation knowledge and preparation to perform activities of suicide prevention showed a positive correlation in public health nurse, social worker, and administrative staff (p<.05). In all professional types, the variable that predicted preparation to perform activities of suicide prevention was self-evaluation knowledge (p<.001). Conclusion: Tailor-made suicide prevention programs that affect changes in preparation to perform activities of suicide prevention should be developed by professional types.

Factors Contributing to Death Preparation in Community-Dwelling Elderly: Using Korean National Survey on Elderly 2014 (지역사회 거주 노인의 죽음준비 영향 요인: 2014 노인실태 조사 활용)

  • Lee, Ga-Eon;Jeon, Hye-Jeong;Yu, Jung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.167-175
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    • 2018
  • The purpose of this study was to investigate the status and the factors associated with death preparation of in Community-Dwelling Elderlys. This study was secondary analysis using with 2014 National Survey on the Elderly in Korea. The number of respondents were 10,281. Data were analyzed with the x2 test, t-test and multiple logistic regression using the SPSS/WIN 23.0 program. 37.7% of respondents had done death preparation. The factors associated with death preparation were sex(CI=1.02-1.25), age(CI=1.90-2.28), living area(CI=1.21-1.45), education level(CI=1.16-1.42), spouse status(CI=1.50-3.22), economic level(CI=1.13-1.36), limit of activity(CI=1.11-1.40), life satisfaction(economic satisfaction(CI=1.17-1.35), children relationship satisfaction(CI=1.25-1.43), friends and neighborhood relationship satisfaction(CI=1.10-1.28)). Based on these results, it is necessary to develop programs for reinforcing elder's psychological death preparation for elders in community organization. To consider elder's characteristics like gender and living area.

The Effects of Health Promotion Initiatives with Community Participation and Parterships: The Case of Sabong-Myeon in Jinju City (지역사회참여와 파트너쉽에 기반을 둔 지역건강증진사업의 효과: 진주시 사봉면 사례)

  • Jeong, Baekgeun;Kim, Jang-Rak;Kang, Yune-Sik;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.39 no.4
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    • pp.209-221
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    • 2014
  • Objectives: The objective of this study was to identify the effects of area-based health promotion initiatives with community participation and partnerships conducted in Sabong-Myeon, Jinju City for three years. Methods: We used data from the '2008 Sabong-Myeon Health Survey' and the '2011 Health Plus Happiness Plus Community Health Survey'. The study comprised 520 systematically sampled individuals, composed of 300 adults in 2008 and 200 adults in 2011. We compared some health behavior and mental health indicators as well as social capital levels between these two surveys. Results: The prevalences of smoking and walking exercise in 2011 were significantly higher than those in 2008. The prevalences of high risk alcohol consumption in men, stress perception, depressive symptoms experience, and suicide ideation were significantly lower than those in 2008. The proportion of people having a high level of social capital in 2011 was significantly higher than that in 2008, regardless of sex or marital status. However, the difference in the proportion was not statistically significant among people with a high educational background. Conclusions: This study suggested that the 3 years' implementation of area-based health promotion initiatives conducted in Sabong-Myeon might help to improve the mental health and social capital level of this community. The long-term health effects of area-based health promotion initiatives with community participation and partnerships need to be studied further, and lessons from these initiatives can be obtained by adapting proper evaluation methods.

Correlations Between Mental Health, Depression level, and Internet Addiction among Elementary School Students in a Rural Area (농촌 지역 초등학생의 정신건강, 우울 정도 및 인터넷 중독과의 상관관계)

  • Oh, Hyo-Sook
    • Journal of the Korean Society of School Health
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    • v.25 no.1
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    • pp.31-38
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    • 2012
  • Purpose: This study was conducted to understand the relationships between mental health, level of depression, and internet addiction among elementary school students in a rural area. Methods: The survey was carried out on a convenience sample of 212 elementary school students during May of 2008. Results: In results, There were 17.5% of risk group of mental health level, 12.6% of depression level, and 2.8% of internet addiction among subjects. It represents statistically significant positive correlation between depression level and internet addiction. Conclusion: In conclusion, there were considerable numbers of risk group in mental health and depression level among elementary school students. Therefore, the development of mental health program for preventing depression and internet addiction should be needed.

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Health Promotion Activities in California, USA (미국 California 주의 건강증진사업 사례)

  • Song Hwang, Myung-Hee
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2005.09a
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    • pp.121-149
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    • 2005
  • 미국 캘리포니아 주의 건강문제로는 흡연, HIV/AIDS, 천식, 정신질환, 아동비만, 유방암, API, 건강한 생활양식 형성, 인종간의 건강격차 등을 들 수 있다. 이러한 건강문제를 해결하기 위해 캘리포니아주에서 진행되는 지역사회 중재전략은 지역사회 단체와의 협력이라는 특성을 지니고 있으며, 도시지역의 노인이나 다양한 인종들을 대상으로 하는 프로그램들의 경우는 교회를 통한 접근방법이 빈번하게 활용된다. 중재 프로그램들은 지역사회 조직모형과 역량강화의 개념을 활용하며, 문화적으로 다른 배경을 가진 인구집단을 대상으로는 이들의 요구에 맞는 프로그램을 진행하는 형태로 기존의 프로그램을 채택하는 것이 아닌 이들의 다양한 요구에 맞도록 수정된 프로그램을 제공하고 있다. 개인 간 의사소통을 활용하여 사회적 관계망의 활성화를 도모하며, 일반인이 건강지도자가 되는 교육모형도 활용하고 있다. 한국교민사회 자문위원회(Korean Community Advisory Board, KCAB)는 CDCPRC(CFCH)의 기금으로 진행되는 연구 프로젝트를 수행할 목적으로 1993년 설립되었다. 장기적인 지역사회 건강증진을 위하여 전문가와 일반인 지도자들이 지역사회에서 협력하는 방법을 활용하며 요구도 진단, 수행 평가, 건강옹호와 같은 다양한 사업을 진행한다. 회원들은 핵심 회원과 일반회원으로 구분되고 이들은 사업의 수행과 관련된 의사결정에 도움을 주게 된다. 한국교민사회 자문위원회가 수행한 프로그램은 'Health is Strength', 'Virtual Village Program'이 있으며, 현재는 'Quitting is Winning'이라는 미국거주 한국 남성을 대상으로 하는 인터넷 금연 프로그램을 수행하고 있다. 또한 캘리포니아 주 거주 한국인의 건강상태에 대한 조사를 진행하고 그 결과를 보고하는 프로젝트를 진행하고 있다. 이들이 하는 주요 업무는 지역에서 발생되는 건강문제에 대한 우선순위를 파악할 수 있도록 하여 한국교민들의 건강요구를 파악하고 사업의 우선순위를 설정하는데 도움을 주고 있다. 센터에서 진행되는 한국교민 대상 연구나 사업에 가장 효과적일 수 있는 방법에 대한 지침이나 정보를 제공한다. 또한 문화적으로 민감한 사항이나 적절성 여부에 대한 확인을 하며 연구결과를 보고하고 확산하는데 도움을 주고 있다. 캘리포니아 주는 다양한 인종들이 거주하는 지역이다. 따라서 문화적 민감성이나 문화적 대응전략, 문화적 적절성은 건강증진사업을 수행할 경우에 매우 중요한 이슈가 된다. 또한 이들은 소수민족인 경우가 많아 언어장벽으로 인하여 의료서비스 이용에 제한을 받게 된다. 따라서 보건의료전문가들은 이러한 문화적 요소들을 능숙하게 다루는 기술이 필요한데, 이러한 기술이란 문화가 다른 사람들 간에는 갈등이 존재한다는 점을 인식하고, 건강관련 믿음과 건강행동에 영향을 미치는 사회문화적 요인들을 파악하고, 대안적 해결책을 제시하며, 결과를 평가할 수 있는 능력을 의미한다. 이러한 영역에서 health care interpreter는 소수인종의 보건의료 서비스의 원활한 이용을 위하여 매우 활발한 역할을 수행하고 있다.

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The Convergence effect of oral behavior on oral health related quality of soldiers (군인들의 구강보건 행태가 구강건강 삶에 미치는 융합적 영향)

  • Kang, Min-Kyung;Seo, Hye-Yeon;Choi, Yu-Ri
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.151-159
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    • 2017
  • The purpose of this study was to investigate oral behavior and quality of life for soldiers. Because this study basis data for the oral health education for soldiers. A total of 400 soldiers in Seoul and Gyeonggi area were surveyed and 361 data were collected. The data were analyzed by the SPSS 19.0 program. Soldiers felt that there were oral health moderated, and oral hygiene behavior was not high. Also, soldiers answer that oral health education is necessary and there was a statistically significant correlation between self rated oral health status and the need for oral health education. As the physical health, mental and social health of soldiers is related to oral health, it seems that the oral health education of soldiers should be regularly and this study can be used basic data of oral health education of soldiers.

A Structural Model on the Mental Health in Children from Dysfunctional Families (결손가정 아동의 정신건강 구조모형)

  • Lee, Hyun Ju;Kim, Hee Kyung
    • The Journal of Korean Society for School & Community Health Education
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    • v.13 no.3
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    • pp.13-31
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    • 2012
  • Purpose: This study was on the structural analysis of the covariant amount in order to evaluate the suitability of the structural models which can explain and predict the mental health of children on the basis of Bronfenbrenner's ecological theory. Methods: A questionnaire was used to survey 269 children from dysfunctional families out of 5th and 6th grade students from 30 elementary schools in one city and 6 counties, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7 programs. Results: The variable which had influence on the self-esteem was the social support. The variable which had influence on the positive reaction under stress was the stress. The variables which had influence on the negative reaction under stress were stress, and self esteem. The variables which had influence on the mental health were the self-esteem and the negative reaction under stress. The main variables to influence the mental health of children from dysfunctional families turned out to be the self-esteem and the negative reaction under stress to the mental health. Conclusion: Evaluating the suitability of the models, I presented the bases on the practical nursing business. They showed the right directions to the mental health care of children from dysfunctional families.

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Anger and Psychosomatic Symptoms in Multi-cultural Families: The Mediating Effect of Parental Attachment (다문화가정 아동의 분노와 정신신체증상: 부모 애착의 매개효과)

  • Moon, So-Hyun;An, Hyo-Ja
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.1
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    • pp.37-47
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    • 2013
  • Objectives: A descriptive correlational study was designed to examine the relationship of anger to psychosomatic symptoms. In addition, this study investigated the mediating effect of parental attachment in relation to anger and other variable. Methods: Data were collected from 112 subjects in grade 4 or 6, and descriptive statistics, Pearson correlation coefficient, and hierachical multiple regression were used with SPSS/PC 18.0 program to analyze the data. Results: There was a significantly positive effects between state-trait anger and psychosomatic symptoms. Father attachment negatively correlated state-trait anger and psychosomatic symptoms. Also, mother attachment negatively correlated state anger and psychosomatic symptoms. However, maternal attachment was not significantly associated with trait anger. Parental attachment had a significant mediating effect in relation to state-trait anger and psychosomatic symptoms. Conclusions: For the effective management of multi-cultural children's psychosomatic symptoms, programs including parental attachment increasing strategies should be established. These programs can increase parental attachment security which is mediator role between anger and psychosomatic symptoms.

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The Relationship between Life-style and Physical, Mental Health Status in College Students (일부 대학생들에 있어서 생활습관과 신체 및 정신건강도와의 관련성)

  • Rhee, Jung-Ae;Lee, Youn-Ji
    • Journal of agricultural medicine and community health
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    • v.18 no.2
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    • pp.173-183
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    • 1993
  • This study reports the relationship between life-style and physical, mental health status in college students. The questionnaire survey was carried out from September to October, 1991. The questionnaire included life-style, physical health condition centered on unhealthy habits and complaints about physical symptoms, and mental condition which was assessed by Zung's self-rating depression scale(SDS). Days absent from school during the last year in males(3.6) were significantly more than those in females (1.0). Days catching the common cold were more in females than in males. The amount of complaints and the SDS score were significantly higher in females than in males. In the relationship between physical and mental health status and individual health habits, abscence-days from school significantly correlated with regular life, snacking, physical exercise, smoking, drinking. The amount of complaints and the SDS score were significantly associated with regular life, regular meal-time, eating breakfast, nutritional balance and physical exercise. In the relationship between health practice index to health status, the group having good habits showed significantly less days catching the common cold, less complaints, less SDS score and less amount of stress. It was also shown that life-style correlated with physical and mental health status.

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