• 제목/요약/키워드: Community health care

검색결과 2,057건 처리시간 0.026초

장애아 어머니의 부담감과 사회적지지에 관한 연구 (A Study of Burden and Social Support in Mothers of Handicapped Children)

  • 전화연;권혜정;김상진
    • 대한물리치료과학회지
    • /
    • 제4권2호
    • /
    • pp.439-452
    • /
    • 1997
  • Mothers of handicapped children experience many problems and difficulties related to the child's prolonged dependency and demands for special care. Social support can be identified as stress-relieving factor, social support is considered to decrease the amount of negativeness in an individual or family. This study attempted to identify the level of burden and social support in mothers of children who are handicapped, and to determine whether social support is an effective strategy for burden relief in these mothers. The method used in the study was a correlational descriptive survey using a questionnaire. The subjects for the study were 42 mothers who have the handicapped children, between two to twelve years of age, being treated at S General Welfare House for Handicapped and S Rehabilitation Center in Seoul. The data were collected during 1 month from March 20 to April 20, 1996. The instruments used for this study was a structured questionnaire which was the Burden scale developed by Suh Mihae and Oh Kasil(1993) and the PRQ(Personal Resource Questionnaire) scale developed by Brandt & Weinert(1981). The collected data were analyzed using the SPSS computer program, yielding frequencies, percentiles, means, standard deviations, $x^{2}$-test, Pearson's correlation coefficienct, t-test and ANOVA. The results of this study are as follows ; 1)The range of age in the subjects was $29{\sim}44$ years, the range age in the handicapped children was $2{\sim}12$ years. 2) The mean score of burden, for the mothers of the handicapped children was 2.75(standard deviation was 0.47) of a possible total of 5. 3) The mean score of social support, for the mothers of the handicapped children was 4.99 (standard deviation was 0.59) of a possible total of 7. 4) There was an negative correlations hip between burden level and the social support, but there was no statistically significant correlationship between burden level and the social support(r = -.2252, p = .076) 5) In the general characteristics influencing on the burden level was significantly related with the sex(t = - 2.87, p = .007) and the degree of child's handicap level(F = 11.8680, p = .000l). In the general characteristics influencing on the social support was significantly related with the family(husband) support(F = 3.5199, p = .0240). There were significant differences in the mother's levels of burden depending upon the severity of child's handicap. In other words, the degree of mother's burden was directly proportionate to the degree of child's handicap level. There were significant differences in the mother's levels of social support depending upon the family(husband) support. In conclusion, on the basis of the results of this study, there was no statistically significant correlationship between burden level and the social support. Above results suggest that strategies for the intervention programs in diminishing the mother's burden and reinforcing the social support.

  • PDF

데이터마이닝 기법을 활용한 한국인의 고위험 음주 예측모형 개발 연구 (Developing the high-risk drinking predictive model in Korea using the data mining technique)

  • 박일수;한준태
    • Journal of the Korean Data and Information Science Society
    • /
    • 제28권6호
    • /
    • pp.1337-1348
    • /
    • 2017
  • 본 연구는 질병관리본부에서 실시한 전국 규모의 자료인 지역사회건강조사 2014년 자료를 이용하여 고위험 음주자들의 특성 및 요인을 파악하고 고위험 음주 예측모형을 개발했다. 예측모형 개발은 데이터마이닝 방법 중 로지스틱 회귀분석, 의사결정나무, 신경망 분석 3가지 방법을 적용했으며, 로지스틱 회귀분석의 주요 결과로는 40대 남자의 위험도가 높았고, 사무직과 판매서비스직의 위험도가 높았다. 특히 현재 흡연자인 경우 고위험 음주 위험도가 높았다. 3가지 방법 중 AUROC (area under a receiver operation characteristic curve) 측면에서 신경망 분석과 로지스틱 회귀분석이 가장 높게 나타났다. 또한 고위험 음주 예방을 위한 우선 관리 대상자를 선정함에 있어 신경망 분석과 로지스틱 회귀분석으로 개발된 예측모형의 사후확률을 기초로 두 가지 모형 모두 예측분포의 상위 10%인 집단에 해당되는 경우를 선정한 결과 신경망 분석이나 로지스틱 회귀모형 1가지 모형으로 적용하는 것보다 반응률 및 향상도가 다소 개선되는 것으로 나타났다. 본 연구에서 개발된 고위험 음주 예측모형과 우선 관리 대상자 선정 방법은 문제적 음주 예방 및 개선 교육, 절주 프로그램 개발 등에 보다 세분화되고 효과적인 건강관리 서비스를 제공을 위한 기초자료가 될 수 있을 것이다.

Association of Knowledge and Cultural Perceptions of Malaysian Women with Delay in Diagnosis and Treatment of Breast Cancer: a Systematic Review

  • Khan, Tahir Mehmood;Leong, Jamie Pik Yan;Ming, Long Chiau;Khan, Amer Hayat
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권13호
    • /
    • pp.5349-5357
    • /
    • 2015
  • Background: Breast cancer is the most common cancer and the leading cause of cancer mortality among women of all ethnic and age groups in Malaysia. Delay in seeking help for breast cancer symptoms is preventable and by identifying possible factors for delayed diagnosis, patient prognosis and survival rates could be improved. Objectives: This narrative review aimed to understand and evaluate the level of in-depth breast cancer knowledge in terms of clinical breast examination and breast self-examination, and other important aspects such as side-effects and risk factors in Malaysian females. Since Malaysia is multicultural, this review assessed social perceptions, cultural beliefs and help-seeking behaviour in respect to breast cancer among different ethnic groups, since these may impinge on efforts to 'avoid' the disease. Materials and Methods: A comprehensive literature search of seven databases was performed from December 2015 to January 2015. Screening of relevant published journals was also undertaken to identify available information related to the knowledge, perception and help-seeking behaviour of Malaysian women in relation to breast cancer. Results: A total of 42 articles were appraised and included in this review. Generally, women in Malaysia had good awareness of breast cancer and its screening tools, particularly breast self-examination, but only superficial in-depth knowledge about the disease. Women in rural areas had lower levels of knowledge than those in urban areas. It was also shown that books, magazines, brochures and television were among the most common sources of breast cancer information. Delay in presentation was attributed mainly to a negative social perception of the disease, poverty, cultural and religion practices, and a strong influence of complementary and alternative medicine, rather than a lack of knowledge. Conclusions: This review highlighted the need for an intensive and in-depth breast cancer education campaigns using media and community health programmes, even with the existing good awareness of breast cancer. This is essential in order to avoid misconceptions and to frame the correct mind-set about breast cancer among women in Malaysia. Socio-cultural differences and religious practices should be taken into account by health care professionals when advising on breast cancer. Women need to be aware of the risk factors and symptoms of breast cancer so that early diagnosis can take place and the chances of survival improved.

한국 간호학 박사학위논문의 내용과 경향분석: 1982-2010년 양적 연구를 중심으로 (Analysis of Trends and Contents of Nursing Doctoral Dissertations in Korea)

  • 이광자;강윤희;구미옥;김경희;김옥수;서연옥;서은영;양수;이은현;이자형;최명애;하양숙
    • 대한간호학회지
    • /
    • 제42권2호
    • /
    • pp.302-309
    • /
    • 2012
  • Purpose: This study aimed to identify contents and trends of Korean nursing doctoral dissertations in terms of research methodology and theoretical characteristics. Methods: The design of the study was descriptive study and a total of 1,089 quantitative studies completed between 1982 and 2010 were reviewed using the analytical framework developed by the researchers. Results: The majority of studies utilized the experimental design (51.5%) and the others were survey design (38.8%) and methodological design (5.0%). Study subjects were shown as patients (45%), care givers (11.2%), ordinary persons (40.6%) and others (3.2%). There were growing trends in experimental design and patients as subjects. The prevailing data collection settings were hospitals (45.8%) and community (27.8%). The theoretical frameworks that studies were based on were the existing theories (37%) and a newly developed theoretical framework by a researcher (25.2%). a framework derived from other studies by the researcher (25.2%). Majority of studies (78.5%) employed a single theory as a theoretical framework. However, 31.8% of studies had no theoretical framework based on. Conclusion: Findings of this study provided the opportunities to shed new light on the current status of Korean doctoral dissertation and to deliberate on the future direction of nursing studies in Korea.

한방차가 시설노인의 생리적 기능과 행동변화에 미치는 영향 (The Effects of Oriental Herbal Tea on the Physiological Function and Behavioral Change of Elders at Geriatric Facility)

  • 김수경;이정은;윤미경;고희정
    • 한국산학기술학회논문지
    • /
    • 제15권3호
    • /
    • pp.1448-1457
    • /
    • 2014
  • 평균수명이 연장되면서 노인인구비율 증가와 함께 각종 노인성 질환이 증가하고 있다. 노인성 질환을 대상으로 한약재를 이용한 치료적 접근위주의 연구는 시도되고 있으나, 건강관리 차원에서 예방적 접근방법으로 한방건강 음료로서의 한방차에 대한 연구는 미미한 실정이다. 본 연구는 노인요양시설을 이용하는 노인을 대상으로 한방차의 섭취가 생리적 기능과 행동변화에 미치는 효과를 확인하기 위한 비동등성 대조군 전후 설계의 유사 실험연구이다. 대상자는 실험군 20명, 대조군 18명으로 총 38명이었다. 2013년 5월부터 6월까지 1회 100ml씩, 일 3회, 30일간 본 연구에서 개발한 한방차를 적용하였고, 양자분석기로 생리적 기능을, 구조화된 설문지로 행동변화를 측정하였다. 수집된 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 분석 결과 실험군에서 생리적 기능 중 혈류순환(t=-4.466, p<.001), 간기능(t=-2.855, p=.007), 뇌기능(t=-2.545, p=.015), 골밀도(t=-6.125, p<.001), 혈당(t=-4.180, p=<.001)과 행동변화의 하위지수인 정서적 요인(t=2.389, p=.023)에서 유의한 변화가 나타났다. 따라서 노인의 생리적 기능 향상과 정서적 안정에 긍정적인 효과가 나타난 한방차의 음용은 노인요양시설에서 노인 건강을 위한 효과적인 중재 방법으로 활용될 수 있다고 사료된다.

전국 간호전문대학 남학생의 제특성에 관한 조사연구 (Characteristics of Male Diploma Nursing Students in Korea)

  • 김혜성
    • 대한간호학회지
    • /
    • 제9권2호
    • /
    • pp.63-72
    • /
    • 1979
  • This study was performed to investigated of characteristics of male diploma nursing students. Data were collected by means of a mailed questionnaire. The sample included 29 respondents from 3 diploma nursing colleges during the period of Nov. 1st-15th, 1978. Major findings included. 1 ) Motive by which the objects of this investigation have chosen the science of nursing. Twenty-one (72.4%) responded, “As nursing occupation is a public welfare work, ”the highest rate, eighteen (62.3%) chose on advices of their parents and acquaintances. Seventeen (58.6%) reflected as a means of life with an occupation in hope of employment abroad. 2) Appreciation of nursing occupation. Twenty-two (75.9%) of opinions that the nursing job is called for by society was pre-dominent. While eighteen (62.1%) replied, “It is the job fit for the male sex, too.”“It is admitted as specialized occupation.”, or“It needs various human relation.”3) Degree of satisfaction wilt the science of nursing. Fifteen (51.7%) responded neither satisfied nor dissatisfied, while eight (27.6%) indicated as “satisfied”and four (13.8%) as“dissatisfied.”4) Degree of satisfaction with the faculty. Sixteen (55.2%) replied, “common, ”the highest, while ten (34.5%) indicated as“dissatisfied, ”two (6.9%) as“satisfied.”The reason for dissatisfaction with the faculty; The responses regarding dissatisfaction was twenty-three (79.3%) as insufficiency of the faculty. Thirteen (44.8%) indicated“the lack of personal cultivation of the faculty.”, And eleven (37.9%) indicated as“the quantitive shortage of the faculty, ”or“the vagueness of learning estimation.”5) Degree of satisfaction with the clinical, training. Eight (27.6%) responded as“common, ”or “dissatisfied, ”while seven (24.1%) indicated as“satisfied.”Reason for dissatisfaction with the training ; Twenty (69.0%) indicated“deficiency of personal treatment to the students of the men of business in the hospital”with respect to the reason, eighteen (62.1%) was indicated as gap between theory and practice, while eleven (37.9%) indicated“insufficiency of the equipment and materials of the hospital.”6) Interest in employment after graduation. Twenty-five (86.2%) indicated“going abroad”while fifteen (51.7%) indicated “education of nursing, ”which were the highest responses. Thirteen (44.8%) chose“Community Health Nursing (Health Center, Industrial Health).”7) Interest an employment during clinical nursing. Sixteen (55.2%) was interested in an operating room or the department of anesthesia, while fifteen (51.7%) was indicated “psychiatry, ”Eight (21.6%) chose a intensive care unit or a emergency room.

  • PDF

구취발생에 관여하는 구강내부요인에 관한 연구 (A study on the intraoral factor related to oral malodor)

  • 정미애;이은숙
    • 한국치위생학회지
    • /
    • 제8권1호
    • /
    • pp.119-131
    • /
    • 2008
  • This study was peformed in order to find out the relationship between the causing factors and the production of each gas 01 oral malodor, to contribute the oral malodor control at dental clinic as well as to establish the effective application of malodor control project for public oral health program 127 patients from 20 to 40 years old who had been visited for preventive dental cares were participated for the study. Such items as caries status, periodontal status, salivary flow, viscosity, pH. Snyder test, plaque deposit and tongue plaque were checked through the oral examination in order to find out the contributing factors Hydrogen sulfide, Methyl mercaptan, Di-methyl sulfide and Ammonia gas components were checked with Oral-Chroma and Attain, the oral malodor check units. Not only the corelation coefficiencies but also the multi-way variance analysis were calculated between each causing factor and each component of oral malodor gases to estimate the contributing factors of the oral malodor. 1. There was no relationship between the caries status and each component pf the oral malodor such as sulfur compound or Ammonia, both in laboratory test and VAS test (pF0.05). It revealed negative relationship between Hydrogen sulfide and FT(rM-0.1904. pE0.05) as well as the VAS and FT (rM-0.210. pE0.05). S0, it was estimated that the less oral malador was recognized when caries state changed to filled state in Hydrogen sulfide laboratory test or VAS test 2. High relationship was showed between salivary flow and Hydrogen sulfide (rM-0.183, pM0.039), Methyl mercaptan(rM-0.234, p-0.008). Dimethyl sulfide(rM-0.234, pM0.008) and Ammonia(-0.361. pM0.001) gas(pE0.05). 3. There was a high relationship between M-PHP(Modified-Patient Hygiene Performance Index) and tong plaque all kinds of sulfide(rM0.249. pM0.005). Ammonia gas component(rM0.232, pM0.009). 4. It was found that considerable relationship was appeared between the periodontal status and Ammonia gas (rM0.274, pM0.002), so, it should be needed to control Ammonia. Such dental Cares as the prevention or early treatment of periodontal disease and the accelerating the salivary flow as well as reducing the amounts and activities of filament or spiral typed oral micro-organism were recommended for adults, not only for dental care program at the dental clinics but also for public health programs, in order to promote the oral health and quality of file for individual and community peoples.

  • PDF

The Effect of Glasthma Syrup in Asthma: a study protocol for a triple-blind randomized controlled trial

  • Derakhshan, Ali Reza;Saeidinejat, Shahin;Khadem-Rezaiyan, Majid;Asnaashari, Amir-Mohammad-Hashem;Mirsadraee, Majid;Salari, Roshanak;Jabbari-Azad, Farahzad;Jalali, Shima;Jalali, Shabnam
    • 대한약침학회지
    • /
    • 제25권3호
    • /
    • pp.233-241
    • /
    • 2022
  • Objectives: Asthma is a chronic disease, and the demand for herbal medicines in this field has increased in recent years. The new findings highlight the role of the gut-lung axis in the pathophysiology of asthma. Hence, this study will evaluate the safety and efficacy of Glasthma syrup, an herbal formula based on Persian medicine, in improving asthma and regulating intestinal permeability. The formula consists of five herbal ingredients that have anti-inflammatory effects on the respiratory tract, also known as gut tonics. Methods: The study will be conducted as a placebo-controlled, triple-blind, randomized trial. It will consist of a 4-week intervention followed by a 4-week follow-up period. The target sample size is 20 patients with moderate asthma aged 18 to 60 years. Eligible participants will be randomly assigned to either the experimental group or the control group in equal numbers. Patients in the experimental group will take Glasthma syrup (7.5 mL, twice a day), while patients in the control group will take a matching placebo. Both groups will receive a 4-week combination of a long-acting beta2 agonist and a leukotriene modulator as standard of care. Inhaled corticosteroids can be used as rescue medication as needed. Results: The primary outcomes are asthma symptom scale, lung function, and intestinal permeability. Secondary outcomes include quality of life, symptom recurrence rates, and blood tests. A safety assessment will also be conducted during the trial. Conclusion: In this trial, the effects of Glasthma syrup in patients with moderate asthma will be examined. The study will also assess the effects of the formulation on the gut-lung axis by simultaneously monitoring the gut permeability index, asthma symptoms, and lung function.

뇌졸중 노인과 정상 노인의 참여수준 및 삶의 질 비교 (Comparison of Level of Participation and Quality of Life in Stroke Patients and the Healthy Elderly)

  • 이주연;이춘엽;윤태형;김태훈
    • 대한지역사회작업치료학회지
    • /
    • 제9권1호
    • /
    • pp.47-56
    • /
    • 2019
  • 목적 : 본 연구는 뇌졸중 노인과 정상 노인의 참여수준(수단적 일상생활활동, 여가활동, 사회활동) 및 삶의 질을 비교하고, 뇌졸중 노인 및 정상 노인에서 각각 참여수준과 삶의 질의 상관관계를 분석하고자 하였다. 연구 방법 : 뇌졸중 노인 25명과 정상 노인 25명을 대상으로 한국형 노인활동분류카드를 사용하여 활동 참여수준을 평가하고, SF-36을 사용하여 삶의 질을 평가하였다. 결과 : 뇌졸중 노인과 정상 노인은 참여활동보유율, 수단적 일상생활활동 점수, 여가활동 점수, 사회활동 점수, SF-36 점수에서 유의한 차이가 있었다. 뇌졸중 노인에서는 한국형 활동분류카드의 참여활동보유율, 수단적 일상생활활동점수는 SF-36 점수와 유의한 양의 상관관계가 있었으며, 여가활동과 사회활동은 SF-36 점수와 유의한 상관관계를 보이지 않았다. 정상 노인에서는 한국형 활동분류카드의 참여활동보유율, 여가활동 점수, 사회활동 점수와 SF-36 점수는 유의한 양의 상관관계가 있었으며, 수단적 일상생활활동과 SF-36 점수는 유의한 상관관계가 나타나지 않았다. 결론 : 뇌졸중 노인과 정상 노인의 활동 참여수준과 삶의 질은 차이가 있었으며, 뇌졸중 노인과 정상 노인 모두 활동참여수준이 높을수록 삶의 질이 높은 것으로 나타났다. 따라서 뇌졸중 및 정상 노인의 활동 참여수준을 향상시키는 중재는 삶의 질 향상에 도움이 될 것으로 사료된다.

대한간호학회지 논문 분석을 통한 국내 간호연구 동향 - 창간호에서 1999년도까지- (The Trends of Nursing Research in the Journal of the Korean Academy of Nursing)

  • 최경숙;송미순;황애란;김경희;정명실;신성례;김남초
    • 대한간호학회지
    • /
    • 제30권5호
    • /
    • pp.1207-1218
    • /
    • 2000
  • This study examined all the research published in Journal of Korean Academy of Nursing (JKAN) for last 30 years, from its beginning year to year 1999, based on an objective frame of evaluation. The purpose of this study is to reflect the trend of nursing research in Korea to date, and to provide an optimal direction for future research. The total number of 959 studies were analyzed with the following results. 1. Since 1990s, the number of non-degree based research has been larger than that of degree-based research compared to 1970s and 1980s. Both collaborative and funded research has been particularly increased in a gradual rate. 2. Research on nurses or nursing students has decreased while research on more diverse populations such as patients, patient families, or community-dwelling healthy clients has increased. 3. While essential nursing concepts such as human, nursing, and health have been consistently dealt as main research topics, research related to the concept of environ- ment has been insufficiently conducted. 4. It was remarkable that the quality of nursing research has been improved due to the acknowledgement of the importance of the empirical research method within the nursing community. 5. Qualitative research has appeared in the journal since the late 1990s, but it is still regarded to be in its novice stage. 6. Although the utilization of research findings for expanding the nursing body of knowledge has been wide in diverse specialties, most studies are limited to focus on concept development or evolution yet. also, in some of these research finding are utilization already considerably as to develop nursing interventions. Based on these findings, conclusions are extended to the following discussions: For the last 30 years, nursing research in Korea has shown an acute methodological development in both quantity and quality. However, there has been a lack of research on theory development although it is one of the ultimate goals in nursing. Further research should be empirical enough to be utilized in an actual nursing care context, and thus to be basis of developing culturally competent nursing theories in Korea.

  • PDF