• 제목/요약/키워드: Actual health

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보건소의 간호인력 실태와 개선 방안 (Actual Conditions and Improvement Strategies regarding the Nursing Workforce in Public Health Centers)

  • 한영란;양숙자
    • 한국보건간호학회지
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    • 제31권3호
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    • pp.421-435
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    • 2017
  • Purpose: Public health centers (PHCs) provide a variety of healthcare services according to the Regional Public Health Act (RPHA). We aim to analyze the changes in public healthcare services according to the legislation and the number of public health nurse (PHN) involved in the service, and propose an alternative to effectively distribute the public health nursing workforce for protecting the health rights of people. Methods: This is a review study that deduced the results from literature review. Results: During the revision of the PHC law to the RPHA, several services were added. Health related laws have forced the PHCs to provide services for these legislations. Consequently, the workload on the PHNs has been increasing. However, the PHNs have been consistently lacking. In 2017, there are 16.2 full-time nurses per center. Furthermore, About 50% of the PHCs are not meeting the minimum requirements of licensed or qualified health professional workforce outlined in 1997. In addition, 43% of the nurses in the PHCs are part-time nurses. Conclusion: We suggest that the minimum requirements of health professional workforce should be modified to reflect the increase in the workload of PHNs, and a legislation to enforce PHCs to fulfill these requirements is needed.

생활터 중심의 건강마을 만들기 사업 (The Healthy Village Projects Centered on the Living Site)

  • 최영미;김지은
    • 한국농촌간호학회지
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    • 제13권1호
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    • pp.21-33
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    • 2018
  • Purpose: The purpose of this study was to identify health problems in the community by providing healthy village projects centered and based on the actual living site and to enhance the empowerment of the community related to health. Methods: The participants were 600 people who lived in one of the 5 villages under the jurisdiction of one Primary Health Care Post (PHCP) in D city. The Community Health Practitioner (CHP) carried out the projects to increase geographical and temporal accessibility by building infrastructures through connecting human and physical resources in the community. The health leaders who were trained through the project consistently managed, and periodically checked the residents' health status. Results: The participants in the projects had significantly lower levels of depression, routine stress, and activity of daily living (ADL) disorders, and higher interpersonal relationships, and health-related quality of life (HRQoL) compared to the control group. Conclusions: The healthy village projects centered on the living site led to voluntary participation from the residents, improve HRQoL and enhanced empowerment of community.

Role of Supervisor Consultation Toward Work Engagement: A Prospective Cohort Study

  • Nuri P. Adi;Tomohisa Nagata;Kiminori Odagami;Masako Nagata;Koji Mori
    • Safety and Health at Work
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    • 제15권2호
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    • pp.147-150
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    • 2024
  • Background: We examined the association between supervisor consultation, as an actual practice representing supervisor support, and work engagement. Methods: This was a prospective cohort study in Japan, involving 14,026 participants who met the requirement for a one-year follow-up. Supervisor consultation was measured using a single question, and work engagement was defined using the Japanese version of the nine-item Utrecht Work Engagement Scale (UWES-9). Associations were examined using linear regression analysis. Results: Supervisor consultation was positively associated with work engagement after adjusting for gender, age, education, income, and industry (𝛽 = 3.474; p < 0.001). The relationship remained significant after adjustment for perceived supervisor support, although the coefficient decreased (𝛽 = 1.315; p < 0.001). Conclusion: Supervisor consultation probably acted on work engagement in different ways than perceived supervisor support.

산업장 여성 근로자의 건강과 약물사용 (A Study on Health condition and Drug use of Female Workers in Incheon area)

  • 조원순
    • 한국보건간호학회지
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    • 제9권2호
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    • pp.17-32
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    • 1995
  • The purpose of this study is to promote health for young female workers. It is based on questionnaires collected from 215 female workers in Incheon area. This study includes health condition (fatigue scores), occupational disease, knowledge of abused drugs and the actual condition of drug use. The results are summerized as follows: - $47.4\%$ visited their health center and were treated with diseases like cold and headache $(34.9\%)$, gastroenteric disease $(6.5\%)$, trauma $(7.9\%)$ and chronic disease such as diabetes and hypertension $(3.3\%)$ - $44.7\%$ received regular health education and $4.7\%$ among them received education on abused drugs. - $20.5\%$ were suffering from work related diseases such as gastroenteric disease, headache, trauma, repiratory disease, skin problem, arthritis, low back pain, shortsightness and tuberculosis. - Total mean fatigue score as an indication of health status was $9.0\pm5.4$ points out of 30 points. Physical mean score (group I) was $3.92\pm2.2$ points and psychological mean score was $2.5\pm2.3$ points and neurosensory mean score was $2.6\pm2.1$ points out of each 10 points. - They recognized analgesics $(55.0\%)$ and the next are laxatives $(49.8\%)$, inhalants $(40.0\%)$, narcotics $(24.2\%)$, stimulants $(24.0\%)$, antihistamines$(5.9\%)$, diuretics $(3.0\%)$, tranquilizer $(2.4\%)$ and sedatives $(1.4\%)$ - They used analgesics $(37.2\%)$ the most and then laxatives $(6.0\%)$, stimulants$(5.6\%)$, diuretics $(1.9\%)$, antihistamines$(0.5\%)$, And nobody used tranquilizer, sedatives, narcotics and inhalant. - The relationship between career, drug abuse education, health center utilization and and the actual condition of drug using was examined. The longer the career and the more educated with drug abuse, the less drug used. And those who utilized health center rarely used more drugs. - The relationship between career, health center utilization, the score of fatigue and use of analgesics was also examined. Those group who have a longer career above 3 years and the group who have never used health center used more analgesics. And the group of fatigue score above 11.0 points used a little more analgesics than the other group. These results indicate that analgesics are the most frequent used drugs among female workers. Those analgesics such as geborin, penzal, saridon, aspirin, tyrenol should be used properly. These basic data is submitted for the education and consultation which are carried out by industrial nurses for promoting health of industrial workers.

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실험실의 안전성 확보에 관한 연구 (- A Study on the Improvement of Safety in the Laboratory -)

  • 지철구;권혁일
    • 대한안전경영과학회지
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    • 제6권4호
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    • pp.47-59
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    • 2004
  • Safety in the laboratory has been a growing interest due to recent recurrences of the fatal accidents such as physical or chemical explosions. It is not easy to determine the extent to what the industrial safety and health law should be applicable to the laboratory. Most laboratory workers are not sufficiently trained and recognized for the generic features of safety and health. The actual conditions of safety and health in the laboratory are not familar with laboratory workers. Safety and health in the laboratory is unfortunately in the dead ground. Therefore, it is most imperative to secure safety in the laboratory. This study proposes a method to improve safety in the laboratory.

실험실 안전성 확보에 관한 연구 (- A Study on the Improvement of Safety in the Laboratory -)

  • 지철구;권혁일
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2004년도 추계학술대회
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    • pp.289-299
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    • 2004
  • Safety in the laboratory has been a growing interest due to recent recurrences of the fatal accidents such as physical or chemical explosions. It is not easy to determine, to what extents the industrial safety and health law should apply the laboratory. Most laboratory workers are not sufficiently trained and recognized for the generic features of safety and health. The actual conditions of safety and health in the laboratory are not appropriate for laboratory workers. Safety and health in the laboratory is unfortunately in the dead ground. Therefore, it is most imperative to secure safety in the laboratory. This study proposes a method to improve safety in the laboratory.

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사할린 영주귀국 노인의 건강상태와 자아통합감 (Health Status and Ego-Integrity of the Permanent Elderly Returnees from Sakhalin)

  • 이영수;송경애
    • 한국보건간호학회지
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    • 제30권1호
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    • pp.5-16
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    • 2016
  • Purpose: This correlational study was conducted to determine the relationship between health status and ego integrity of permanent elderly returnees from Sakhalin. Methods: We surveyed 94 permanent elderly returnees from Sakhalin, living in Gimpo, Korea. Data were analyzed using the SPSS/WIN 18.0 program for descriptive statistics, t-test, $Scheff{\acute{e}}$ test, ANOVA, and Pearson correlation coefficient. Results: The mean score of total health status was 3.7 on a 5 point Likert scale. The mean score of ego integrity was 3.6 on a 5 point Likert scale. The health status showed significant correlation with the ego integrity of the permanent elderly returnees from Sakhalin. Conclusion: In the present study, although the health status of the permanent elderly returnees from Sakhalin appeared to be good, the lack of awareness about health care and the need for ego integrity, is in itself the actual suffering. Thus by providing health education along with medical information can enhance the health management. And, this practice can be self regulating for the society and can provide institutional support for the permanent elderly returnees from Sakhalin, which they require.

과소/과잉노동과 근로환경 (Under and Over Employment and Working Conditions)

  • 이경용;송세욱;김영선
    • 한국산업보건학회지
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    • 제24권4호
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    • pp.536-546
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    • 2014
  • Objectives: The major objective of this paper is compare the exposure work hours and experieence of ill health symptoms among under and over employment and matched group. Workers with over employment have more exposed to hazards than that with under employment because that workers with over employment work more than those with ender employment. Methods: This study as heuristics one used the third Korean Working Conditions Survey done by Occupational Safety and Health Research Institute in 2011. The sample size is 50,023 economic active persons. Over and under employment were measured by matching method of preferred and actual work hours. The exposed work hours to hazards were measured according to 13 hazardous factors and the experience of ill health symptoms were scaled by the number of experienced 14 ill health symptoms. To compare the exposure and the symptoms experience were compared by mean difference test with F test. Results: The proportion of over employment in male employees is 32.1% and that in female employees is 29.3% and under employment rate is 11.2% in mae and 13.9% in female employees. There is significant difference of the rate of over and under emplyment among age groups, industrial sectors, occupational groups and the state of employment. The difference of the exposed work hours to hazards among under, over and matched group were statistically significant in all hazards by gender. The exposed work hours to hazards in over employment were more than those in under employment. The number of experienced symptoms in over employment is statistically significantly more than that in under employment. Conclusions: Workers with over employment may be vulnerable group in the criteria of hazard exposure and health status. The results have some implications and limitations because that this study is heuristic one. The mismatch of preferred and actual working hours may be unfavorable work condition that has impact on safety and health of workers. The impact mechanism may be investigated as future study, Because that this study used cross sectional survey data, some causal relationships cannot be evaluated.

중.소규모 사업장의 국소배기장치 설치 실태와 문제점 및 개선방안 (Additional Improvement and Evaluation of Exhaust Ventilation Systems at Small and Medium Sized Enterprise)

  • 임성근;박두용;김원기;김수근
    • 한국산업보건학회지
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    • 제20권1호
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    • pp.1-9
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    • 2010
  • Objectives : The purposes of this study were to evaluate exhaust ventilation systems(EVSs) and to suggest problems and improvements. Methods : For 50 small and medium-sized enterprises, we carried out evaluation of EVSs. We evaluated hoods with smoke tester and measurement of capture velocity. In addition, we used several indicators for performance evaluation designed in this study. Results : 1. Based on the smoke flow pattern and the criteria of occupational health and safety act, 67.8% of hoods were rated 'good' level at smoke test whereas 26.3% were rated 'good' level at measurement of capture velocity. 2. 29.3% of hoods, of which ratio of measured actual air flow at hood(Qah) to required ideal exhaust air flow at hood(Qih) was 1 or more, were rated 'good' level. 3. The % of EVS, of which ratio of measured actual air flow at stack(Qast) to total required ideal exhaust air flow at hood(Qith) was 1 or more, was 29.0%. 4. For the ratio of measured Qast to existing air flow at fan(Qfan), only 5% of EVSs were 1 or more and 26.0% were 0.8 or more but less than 1.0. 5. For the ratio of measured Qast to total measured actual exhaust air flow at hood(Qath), 74.0% were 0.8 or more but less than 1.0. 6. The percentage of EVS, of which ratio of total measured Qath to existing Qfan was 0.8 or more, was 19.0%. 7. The percentage of EVS, of which ratio of total measured Qath to total required ideal exhaust Qith was 1 or more, was 26.0%. 8. For the comprehensive evaluation indicators designed in this study, 29.0% were 0.8 or more. Conclusions : We found that few exhaust local ventilations at small and medium-sized enterprises were rated 'good' level and that most exhaust local ventilations had 'poor' design and installation. Therefore, relevant professional manpower and enterprises have to construct exhaust local ventilation where it is needed, and technical guidance and economic support are needed to improve 'poor' exhaust local ventilation after self-evaluation.

건설현장 장년 근로자의 안전보건 실태조사 및 재해감소 방안에 관한 연구 (Research of Actual Condition and Mitigation Plan for aging Workers' Health and Safety at Construction Sites)

  • 김판기;방성덕;김경석;김형관
    • 한국건설관리학회논문집
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    • 제18권1호
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    • pp.37-47
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    • 2017
  • 대한민국 총 인구에서 50세 이상 준고령자가 차지하는 비율은 2010년 29.2%에서 2015년 34.8%로 증가하였다. 이에 따라 전체 건설근로자 대비 50세 이상 건설근로자의 비율은 2010년 20.1%에서 2015년 27.0%로 증가하였다. 이러한 노령화 시대에 맞추어 건설업계에서는 장년근로자들에 대한 재해예방대책을 주어진 사업목표, 예산집행 등을 절차에 맞게 충실히 수행해왔으나 근본적인 재해예방에 한계가 있었다. 이는 건설재해예방의 대책들이 아직까지 장년근로자보다는 전 연령을 고려하고 있기 때문이라 판단된다. 본 연구에서는 건설현장에서의 장년근로자의 안전보건실태를 조사하고 재해감소방안을 제시하였다. 특히 급격히 증가되고 있는 장년근로자의 재해를 감소시키기 위하여 관련문헌 및 안전규정과 산업재해원인통계, 산업재해현황통계 등을 고찰하고, 전국 건설현장에서 공사활동에 직접 참여하고 있는 근로자 3,549명을 대상으로 한 설문조사를 통해 안전보건 실태를 조사, 그간의 재해예방사업 추진현황 및 문제점 분석 등을 통한 재해감소 종합대책을 제시하였다. 본 논문에서 제시한 대책을 실제 정책에 반영할 수 있다면 점진적으로 증가추세인 건설현장에서의 장년근로자 재해를 줄일 수 있을 것으로 기대된다.