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위탁기간3년, 누구를 위한 것인가?

  • Kim, Tae-Yeong
    • Social Workers
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    • no.8 s.40
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    • pp.4-11
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    • 2005
  • 현대사회에서 내 집 마련은 가정의 안정적 유지를 위한 기본적 요소이다. 그러나 지난 5월 통계청에서 발표한 '1/4분기 가계수지 동향'을 기준으로 가계소득 329만 1,000원인 도시근로자가 대출이나 부모의 도움 없이 저축만으로 내 집을 마련하는데 걸리는 기간은 서울 25평 아파트 20년 9개월, 32평형은 27년 5개월 걸리는 것으로 집계됐다. 그렇다면 '사회복지'라는 커다란 영역안에는 어떠한 형태의 집들이 존재할까? 우리나가 거의 대부분의 사회복지기관, 시설들은 지방자치단체에 의해 법인에게 위탁, 임대되어지는 것이 대부분이다. 물론 국가가 법인직영의 반위탁 형태로 운영되는 곳도 있지만 아주 극소수이다. 우리나라 지역복지의 핵심 주체인 지역사회복지관의 경우(한국사회복지관협회, 2005) 사회복지법인 289개소, 재단법인 47갯, 사단법인 9개소, 학교법인 22개소, 지방자치단체 직영이 14개로, 거의 대부분의 복지관이 민간위탁으로 운영되고 있다. 대부분이 전세집살이를 하고 있는 것이다. 이번호에서는 이러한 민간위탁의 미흡한 제도와 과정에 대한 현장의 소리를 들업고자 한다.

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A Study of Industrial Workers' Knowledge, Attitude, and Practice of Health Care Services in Busan City (산업장 근로자의 산업보건관리에 대한 지식 태도 및 실천에 관한 조사 연구 -부산지역을 중심으로-)

  • Huang, Bo-Sun;Shin, Yu-Sun;Yun, Suk-Ok;Lee, Ji-Hyun;Kim, Jung-Soon;Kim, Lee-Soon;Kim, Bok-Yong;Kang, Young-Mee
    • Research in Community and Public Health Nursing
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    • v.4 no.2
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    • pp.100-108
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    • 1993
  • The purpose of this study was to identify the workers the Knowledge, Attitude, and Practice of industrial health care services. The study was conducted from Dec 10, 1992 to Jan 20, 1993. The data was collected from 849 workers in 56 companies in Busan City. The data was analyzed by using the mean, S.D>, T-test, ANOVA. The tool for measuring the degree of Knowledge, Attitude and Practice of industrial health care of workers was developed by community health nursing academy and the reliability an of the tool was 0.82810. The results were as follows : 1. The general characteristics of workers : Distribution of workers consisted of laborer(55.0%), office workers(45.0%), in an age range from 25-39(55.0%), male employees were(69.7%), married employees were(62.4%), the educational level with the highest percentage was high school graduates(54.2%). The present work force had a career for 7 years or more with an income of 300-700 thousand won monthly(43.2). 2. The degree of Knowledge Attitude and Practice about industrial health care services of workers : The total score of the Knowledge, Attitude, and Practice was 49.09 points out of a possible 80(mean Score=2.46) 1) The total score of the Knowledge was 15.73 points out of 24. (Mean score=2.62) The following are the Knowledge scores: The necessity examination of occupational disease was(3.34) The knowledge of occupational disease was (3.12) The knowledge of health education was(1.29) 2) b. The total score of the Attitude was 26.01 point out of 44(mean score=2.36) The following are the Attitude scores: The necessity of health education for health examination was (3.14). The importance of health examination was(3.08) The necessity of measurement for working environment was(2.99). The satisfaction of the content in the periodic health examination was low(1.81). 3) The total score of the Practice was 7.35 points out of 12(mean score=2.45) The following are the orders of Practice scores: The participation in health examination was higher than in health education(1.33). 3. The general characteristics and the degree of knowledge, Attitude, and Practice of workers of industrial health care. 1) The level of worker's knowledge was significantly related by working part(t=2.54 P=0.000), marital status(F=4.35 P=0.029), educational level(F=3.91 and P=0.020), monthly income(F=2.98 P=0.029) 2) There were no significant difference between the general characteristics and the attitude of workers. 3) The practice was significantly related with working part(T=2.52 P=0.012), sex(T=2.28 P=0.23), marital status(F=4.25 P=0.012), monthly income (F=2.76 P=0.034) 4) The total score had a significant difference with working part(T=2.39 P=0.017), sex (T=3.84 P=0.000), marital status (F=3.18 P=0.032). Educational level (F=3.20 P=0.033), and monthly income(F=3.05 P=0.022).

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Estimates of the Number of Workers Exposed to Diesel Engine Exhaust in South Korea from 1993 to 2013

  • Choi, Sangjun;Park, Donguk;Kim, Seung Won;Ha, Kwonchul;Jung, Hyejung;Yi, Gwangyong;Koh, Dong-Hee;Park, Deokmook;Sun, Oknam;Uuksulainen, Sanni
    • Safety and Health at Work
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    • v.7 no.4
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    • pp.372-380
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    • 2016
  • Background: The aim of this study was to estimate the number of workers exposed to diesel engine exhaust (DEE) by industry and year in the Republic of Korea. Method: The estimates of workers potentially exposed to DEE in the Republic of Korea were calculated by industry on the basis of the carcinogen exposure (CAREX) surveillance system. The data on the labor force employed in DEE exposure industries were obtained from the Census on Establishments conducted by the Korea National Statistical Office from 1993 to 2013. The mean values of prevalence rates adopted by EU15 countries were used as the primary exposure prevalence rates. We also investigated the exposure prevalence rates and exposure characteristics of DEE in 359 workplaces representing 11 industries. Results: The total number of workers exposed to DEE were estimated as 270,014 in 1993 and 417,034 in 2013 (2.2% of the total labor force). As of 2013, the industry categorized as "Land transport" showed the highest number of workers exposed to DEE with 174,359, followed by "Personal and household services" with 70,298, "Construction" with 45,555, "Wholesale and retail trade and restaurants and hotels" with 44,005, and "Sanitation and similar services" with 12,584. These five industries, with more than 10,000 workers exposed to DEE, accounted for 83% of the total DEE-exposed workers. Comparing primary prevalence rates used for preliminary estimation among 49 industries, "Metal ore mining" had the highest rate at 52.6%, followed by "Other mining" with 50.0%, and "Land transport" with 23.6%. Conclusion: The DEE prevalence rates we surveyed (1.3-19.8%) were higher than the primary prevalence rates. The most common emission sources of DEE were diesel engine vehicles such as forklifts, trucks, and vans. Our estimated numbers of workers exposed to DEE can be used to identify industries with workers requiring protection from potential exposure to DEE in the Republic of Korea.

Factors Influencing on the Job Satisfaction for Care Workers - Case Study of Jeollanamdo - (요양보호사의 직무만족에 영향을 미치는 요인 - 전라남도 지역을 중심으로 -)

  • Kim, Hye-young
    • Korean Journal of Social Welfare Studies
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    • v.42 no.4
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    • pp.35-59
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    • 2011
  • As the long term care insurance for the elderly has been established for 3 years it was noticed that the success of the policy is depending on the care workers. This study is to analyze and evaluate what are the characteristics and factors influencing their job satisfaction. The questionnaire survey was conducted over 291 care workers who are employed at 61nursing home for the elderlyin Jeollanamdo. The survey result is as following. Firstly, 93.5% of workers were female, 78% of them were over 40-50 years old, and 68.7% of them werelower than a high school graduate as their academic background. Secondly, 63.2% were contract-based or temporary employees, 53.3% had a work-related education less than 5 times for the past year, and 79.7% had an annual salary lower than KRW 20 million. Thirdly, the overall job satisfaction was 3.19 on the Likert scale of 5. Also, the job satisfaction was higher for the care workers working and getting paid by home than by company, for full-time workers than temporary workers. In addition, it was found that the more workers have work-related education and the higher their annual salary is, the higher their job satisfaction is. The study evaluated the factor influencing on their job satisfaction and suggested the way to improve it based on the survey analysis.

Church Architectural Amenities Improvement Program for the Aged (고령자를 위한 교회건축 편의시설 개선방안)

  • Lee, Jong-Hee;Kim, Ju-Yeon
    • Korean Institute of Interior Design Journal
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    • v.19 no.6
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    • pp.206-213
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    • 2010
  • This study, for church architectural amenities for the aged, with a base of 'laws on securing promotion of convenience for the disabled, aged, and pregnant women,' would like to propose improvement program after figuring out church worker (priest)'s willingness for amenities improvement, request of the aged church members, and level of request by different ages of the aged church members and total number of church members. The scope of geographical range for the study is limited to Northern side of Han River in Seoul and the churches with its own building having 500 to 3,000 people attending services, and implementation range, with a base of laws on promotion of convenience, separates specific items into mediation facility, interior facility, sanitary facility, and other facilities. The study selected 40 workers in church and 339 aged church members as subjects. As analysis method for the study, we have measured reliance level of questions by performing reliance test on each question, and performed frequency analysis in order to observe church worker's willingness to improve and request level of the aged church members. And, in order to find out the difference on opinion by the aged church members and total number of church members, we have performed "One way ANOVA," that verifies average difference. For evidence analysis we have verified all of them in attention level of p<.05, and for statistics analysis we have analyzed them using SPSSWIN 12.0 program. We are proposing improvement program based on study and analysis as next: First, since most of church workers have strong willingness to improve amenities we have learned that it is very optimistic to see improvements on church's amenities in the future. Second, since the aged church members' level of request was high on 3 of mediation facilities, elevators, and restrooms, it is desirable to improve mainly with these facilities. Third, the result on level of request for facilities based on the total number of church members revealed that the churches with 1,000-2,000 members have the highest level of request. Thus, we feel that the churches with 1,000-2,000 members should try harder to improve compared with churches with different number of members. Fourth, since the level of request on church amenities by different age group showed that the age group with 65-70 had the highest level of request on all facilities, except elevators, there are needs to apply the opinions of this age group more in depth based on this result.

Current State of Occupational Health in Small-Scale-Enterprises of Korea (50인 미만 소규모사업장의 보건관리 실태)

  • Yun, Soon-Nyung;Kim, Young-Im;Jung, Hye-Sun;Kim, Soon-Lae;Yoo, Kyung-Hae;Song, Young-Sook;Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.90-104
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    • 2000
  • This study was carried out to investigate the current state of occupational health management and characteristics of employees working in small-scale-enterprises (SSE) employing less than 50 workers. Samples were chosen among the two thousands employees working in 838 factories where located in Youngdungpo-Ku, Seoul, Korea. The study results were as followed: 1. Most factories investigated in the study were manufactures (68.6%) which were established in 5 to 10 years ago (29.2%), employing less than 5 workers (72.9%) and registered in accident compensation insurance (23.0%). 2. Health screening was undertaken in 24.9% workplaces for periodic health examination and in 1.5% for special health examination. Environmental monitoring was done in 3.3% factories. Very few factories displayed Material Substance Data Sheet (MSDS) in 3.1% among the total factories. 3. Workplaces usually had their own toilets in 75.9% and washing basin in 58.6% as types of sociowelfare facilities. 4. Employees responded in the study were mostly in the range of age from 30 to 39 in 34.7%. male in 84.8%. the married in 70.3%. manual workers in 42.0%. mostly working regularly 51 hours per a week in 48.2% and earned 710.000 Won to 1.000.000 Won per month in 35.0%. Medical utilization for employees were covered by factories sponsored medical insurance in 12.7% and by provincial sponsored medical insurance in 83.4%. 5. Two point six percents of employees were suffered by diseases. The health complaints indicated were mainly digestive problems in 46.7% and hypertension in 24.4%. 6. Employees wore personal protective equipments for work such as gloves in 48.1%. safety shoes in 30.5%. ear plug in 5.5% and mask in 6.9%. Based on the results of study, we recommend that various types of occupational health management should be developed according to workplace working condition of each factory. In addition to the development of occupational health strategies. we think that it is more important to monitor and to allocate how effectively they operate each other on the basis of longitudinal continuity. Besides, we would like to insist that these all management effort should be focused on prevention of disease and occupational health education of employees.

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A Study on the Recognition, Knowledge, and Self-Efficiency of the Basic Cardiopulmonary Resuscitation of Care Helpers (요양보호사의 기본심폐소생술에 대한 인지, 지식 및 자기효능감에 대한 연구)

  • Lee, Jae-Min
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.1
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    • pp.7-18
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    • 2012
  • Purpose: The purpose of this study is to help care workers to do their best as first respondents by analysing their recognition, knowledge, and self-efficacy on basic CPR (cardiopulmonary resuscitation) that is directly connected to the lives of patients and thus their education and methods can be improved for their positive basic lifesaving work. Method: For this purpose 360 structured questionnaires were used to the subjects in the eastern area of Jeonnam province from June 20 to July 4, 2011. Of these questionnaires 217 were used excluding 113 incomplete, 27 error, and 3 male ones. The collected data were analysed by the real number, the percentage, the average, the standard deviation, t-test, ANOVA, and Tukey with SPSS WIN 18.0. Results: 1. In the view of subjects, those aged over 51 accounted for 96(44.2%) as the majority, high school graduates, 95(43.8%), worked for 1 or more than 1 year-less than 2 years, 66(30.4%), experienced to see persons collapsed losing their consciousness, 46(21.2%), took the education, 184(85.7%), had 1 session of education, 80(43%), got the last education for 2 or more than 2 years 68(37%), and practiced through mannequin for the education aids, 86(46.7%). 2. There was significant difference in the view of recognition with the length of work (p=.010) and experienced to see persons collapsed losing their consciousness (p=.020), in the view of knowledge with academic background (p=.040) and the length of work, and in the view of self-efficacy with academic background (p=.002), the length of work (p=.010) and experienced to see persons collapsed losing their consciousness (p=.000). 3. There was significant difference in the session of education (p=.000), last education (p=.025) and education aids for basic CPR. Self-efficacy had significant difference according to the session of education for basic CPR (p=.001) and the time of education (p=.000). 4. There was correlation between recognition and self-efficacy (r=.41). The higher the recognition is, the better the self-efficacy improves. However the correlation between knowledge and self-efficacy was so low that the former did not have influence on self-efficacy. Conclusions: It needs to offer education to the lifesaving workers based on their experiences. If there is education more than 2 sessions in a year with mannequin and the simulation providing sufficient hours, care workers' recognition would be increased resulting in higher self-efficacy and thus they could keep the role of active lifesaving worker at the first practical site.

Influencing Factors on the Health Promotion Lifestyle Modification after Medical Examination (건강진단 후 수검자의 건강증진생활양식 변화의 영향요인분석)

  • Choi, Jae-Young;June, Kyung-Ja
    • Korean Journal of Occupational Health Nursing
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    • v.11 no.1
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    • pp.52-62
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    • 2002
  • Purpose: This study was to analyze changes of motivation and health-promoting lifestyle in 3 months after medical examination, and to identify the influencing factors on the change of health-promoting lifestyle. Methods: The subjects of this study were 81 adults who took medical examination at a general hospital health clinic in Cheonan city. The instruments used in this study were the motivation scale and modified HPLP. For data collection, the first survey was conducted from March 16 to April 19, 2001, and the second survey was carried out by mail three months after the medical examination from June 16 to July 19, 2001. Results: 1. The age of the subjects ranged from 26 to 66 years, 71.6% were male, and the major group was office workers(43.2%). 2. The average score of motivation scale was significantly improved in three months to 520.7(SD=82.7). All sub-scales of motivation scale, self-efficacy(t=-4.204, p=.000), perceived benefits(t=-4.263, p=.000), perceived barriers (t=4.305, p=.000), and emotional salience (t=-6.169, p=.000) showed significant improvements in 3 months. 3. The average score of health-promoting lifestyle was significantly increased to 62.5 (SD=9.8) (t=-5.111, p=.000) after 3 months. Health responsibility(t=-6.098, p=.000), eating habit(t=-3.625, p=.001), exercise(t=-2.557, p=.012), and smoking habit(t=-2.157, p=.034) showed significant improvement. But stress management was not changed at the significant level in 3 months(t=-1.832, p=.071). 4. As the result of multiple regression analysis, it was found that perceived barriers, self-efficacy and monthly mean income had a significant influence on health-promoting lifestyle in 3 months after the medical examination. These variables explained 42.4% of variance in health-promoting lifestyle in 3 months after the medical examination. Conclusion: Periodic medical examination and guidance for healthy lifestyle was effective to change the motivation and to improve health promoting lifestyle.

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Effects of the Integrated Obesity Management Program, which Includes Exercise Therapy, Psychotherapy and Dietary Treatment, on the Body Composition and Blood Composition of Obese Patients Worked in the Industry (운동치료, 심리치료 및 식이요법이 포함된 통합비만관리프로그램이 산업체에 근무하는 비만 환자의 체성분 및 혈액성분에 미치는 영향)

  • Seo, Dongkwon;Lee, Byoungkwon
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.283-290
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    • 2019
  • Purpose : The purpose of this study was to find out how changes in body shape of obese patients could be affected by the combined management of diet and psychotherapy along with exercise therapy to control energy imbalance, the cause of obesity. Methods : In this study, the aerobic exercise program was conducted on 12 industrial workers of "D" company for a total of eight weeks for obese patients with a high body mass index (25 kg/㎡ or higher). The experimental group did not apply the program three times a week. The body type analysis was carried out using the body analyzer (Inbody 770, Inbody, Korea) and blood test and psychological test were performed after 8 weeks of exercise before and after exercise. Results : The results of the group showed a change in weight loss of 6.03 kg (p=.000) on average, which is nearly 10 % of the change in weight. It was also shown that the BMI (body mass index) decreased by 1.76 kg/㎡ (p=.000). Abdominal fat (AO) is also 0.14 % (p=.000), waist circumference (WC, 12.72 cm, p=.000), internal fat (VF, 25.12 %, p=.000), liver function levels AST (5.47 U/L, p=.04), ALT (13.64 U/L, p=.000), total cholesterol, pTC -14.22. Conclusion : Based on the results of this study, the obesity management program will be able to maximize the effects of obesity control if exercise programs and psychotherapy are combined.

Epidemiology and Control of Agriculture Related Injury

  • Koh, Sang-Baek;Lee, Kyung-Suk
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.4
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    • pp.517-523
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    • 2011
  • Objective: The purpose were understanding the epidemiological characteristics of work related injuries of the farmer and establishing injury prevention and control activity. Background: Agriculture is one of the most hazardous industry and job in Korea. Method: We reviewed previous reports regarding the agricultural injury, injury prevention and control. Results: In the agricultural total injury, there were 45,342 hospitalized injury to farmers, injury rate was 35.8/1,000 farmers/years. Of these injuries, 52.6 percent were classed as work related injury. The farm-related injury rate was 17.5/1,000 farmers/years by analysis of Safety Aid System of Farm Workers. There were 2.4 times as incidence rate for farmers compared to non-farmers. Conclusion: Several strategies are available for injury prevention and control. They are as follows; social concern, survey of farm related injury, injury prevention, injury surveillance system and injury compensation.