• 제목/요약/키워드: Community health promotion program

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미국의 CHES 프로그램: 현대 보건교육사의 역할과 제도의 발전 (The United States CHES Program: The Role and Development of the Modern Health Educator)

  • Sohn, Ae-Ree;Burzo, Jamie
    • 보건교육건강증진학회지
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    • 제27권5호
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    • pp.63-71
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    • 2010
  • 목적: 보건교육 분야는 상대적으로 새로운 영역이나 전 세계적으로 건강증진의 중요성에 대한 요구가 강조되면서 빠르게 발전되고 있다. 많은 나라에서 보건교육사 프로그램을 제도화하는 노력을 하고 있다. 본 연구는 미국의 보건교육사 제도를 고찰함으로써 국제적 보건교육사 제도의 개발 및 발전에 기여하는 데 있다. 방법: 본 연구는 문헌고찰을 통하여 미국의 자격증 제도, 보건교육사의 역사 및 다양한 현장에서 보건교육사의 역할과 특성을 파악하였다. 결과: 보건교육사의 역할과 기술은 현장에 따라 다르게 요구되나 크게 일곱 가지의 대영역으로 분류되며, 35개의 기술 분야에서 163개의 하위기술이 필요한 것으로 나타났다. 미국은 의료비의 증가로 인하여 만성질환의 조기발견과 예방사업을 위하여 미국의 보건교육사는 2006년에 2006명에서 2016년에는 78,000명으로 증가될 것으로 전망된다. 보건교육사는 다양한 분야에서 고용되고 있으며, 주로 지역사회 건강단체, 연구소, 보건센터(병원, 의원, 보건소), 학교, 정부공무원 및 사업체 등에서 활동하고 있다. 결론: 미국의 보건교육사 제도의 발전은 보건교육사 프로그램을 개발하고 발전시키고자 하는 여러 나라에 좋은 모델이 될 수 있다. 또한 미국 보건교육사의 다양성과 전문성은 한국의 보건교육사 제도의 발전에 도움이 될 것으로 여겨진다.

중·노년층 남성의 성공적 노화 영향요인 (Influencing Factors on Successful Aging of Middle and Old Aged Men)

  • 홍승정;윤미경;이세원;안혜경;유시영
    • 한국산학기술학회논문지
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    • 제14권7호
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    • pp.3275-3283
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    • 2013
  • 목적: 본 연구는 중 노년층 남성을 대상으로 주관적 건강, 사회적지지, 지역사회 환경, 자기효능감 등 성공적 노화의 영향요인을 분석하고 검증하는 것이다. 방법: 서울과 경기 지역의 50~79세의 144명을 대상으로 설문조사하였으며 수집된 자료는 SPSS 18.0으로 분석하였고, 성공적 노화의 영향요인을 파악하기 위하여 단계적 다중회귀분석을 시행하였다. 결과: 성공적 노화에 가장 큰 영향을 미치는 요인은 사회적지지였으며, 다음은 자기효능감, 지역사회 환경, 주관적 건강의 순이었다. 이들 변인들이 중 노년층 남성의 성공적 노화를 49.5% 설명하였다. 결론: 중 노년층 남성들의 성공적인 노후를 위한 프로그램과 중재에 이들 변인들을 고려하는 것이 필요하며, 추후 성공적 노화를 위한 복지와 건강증진을 강화하는데 중요한 요인으로 고려할 수 있다.

싱가포르 보건의료체계의 약사 양성교육과 약사 직능에 대한 체계적 고찰 (A Systematic Review on the Vocational Pharmacy Education and Pharmacists' Role in the Singapore's Healthcare System)

  • 권누리;조은
    • 한국임상약학회지
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    • 제25권3호
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    • pp.187-199
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    • 2015
  • Background: Singapore has the stable healthcare system with utilizing pharmacist manpower in proper positions by demand of populations' health among Asian countries. Objective: This study aims to systematically review (1) the pharmacists' role and (2) the pharmacy education system of Singapore in comparison with Korea. Method: We searched for information about academic, medical and governmental institutions related to professional pharmacists' practice in Singapore by primarily using database such as DBpia, KISS, Google Scholar and ProQuest and the official website of the Singapore Ministry of Health. We contacted and arranged the visit schedules with National University of Singapore, National Health Group's polyclinics, Agency for Integrated Care, National University Hospital, and community chain pharmacies. During onsite visits, we interviewed pharmacists working in each institution and obtained additional documents and materials relevant to this manuscript work. Results: To become a registered pharmacist in Singapore, the pharmacy curriculum requires four full-time academic years and six additional months allotted for pre-registration training. Pharm.D. course is offered for pharmacy graduate students with additional two full-time years of study. Team teaching and inter professional education program seem the most significant method in pharmacy education. Pharmacists working at hospitals, polyclinics, and community pharmacies in Singapore take broader roles and offer more cognitive services such as smoking cessation program and medication reconciliation. Especially, pharmacists in Agency for Integrated Care fill the role of primary care providers for the continuing care of the community through the governmental support toward the patients-centered integrated care. Conclusion: Singaporean pharmacists take significant and active roles in collaboration with other healthcare providers. Efforts such as interprofessional pharmacy education and governmental endorsement of the systematic and interactive care between pharmacists and other medical providers in Singapore are needed to be urgently applied to Korea healthcare system for the promotion of population health.

레크리에이션 댄스가 저소득층 여성노인의 우울과 생활만족도에 미치는 효과 (The Effects of Recreation Dance on Depression and Life Satisfaction in Elderly Women in a Low Class Community)

  • 윤숙례;최혜정
    • 한국보건간호학회지
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    • 제16권1호
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    • pp.135-147
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    • 2002
  • It is essential to improve the quality of life of the elderly in aging society. Regular exercise as nursing intervention is needed to prevent diseases, maintain and promote their health, and thus promote the quality of life for the elderly, especially who generally had poor cognition for their health maintenance and promotion in a low class community. Subjects consisted of 30 women. over 65 years old in a community welfare center, who lived in the low class apartments financially supported by the local government in G city, Gangwon Province, Korea. The program consisted of dancing on music for approximately 50 minutes, 3 times a week for 10 weeks. Experimental data were analyzed with $x^2-test$, t-test, mean values, standard deviation, percentage of change and paired t-test using SAS program. After the recreation dance, the mean value of the experimental group was decreased from 7.62 to 7.44 (t=-0.258, P=0.799), and that of the control group was also decreased from 7.00 to 6.58 (t=-0.971, P=0.349) in depression. However, there were no statistically significant differences in scores of depression between two groups. In life satisfaction, the mean value of the experimental group was increased from 19.07 to 26.50 (t=2.392, P=0.030), but that of the control group was decreased from 15.92 to 13.71 (t=-1.060, P=0.305). Thus it shows that there was a statistically significant improvement on life satisfaction after the recreation dance.

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노인의 주관적 건강상태, 죽음불안, 삶의 의미가 신체화 증상에 미치는 영향; 지역사회 중심으로 (A Study on the Effect of Subjective Health Status, Death Anxiety and Life Meaning of the Elderly on Somatization; Focusing on Local Community)

  • 김해연;조정림
    • 문화기술의 융합
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    • 제8권3호
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    • pp.415-426
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    • 2022
  • 본 연구는 지역사회 노인의 주관적 건강상태, 죽음불안, 삶의 의미가 신체화 증상에 미치는 영향을 파악하기 위해 실시되었다. 자료수집은 K도와 B시에 있는 65세 이상 노인 241명을 대상으로 2018년 2월 1일부터 3월 25일까지 구조화된 설문지를 이용하여 시행되었다. 자료분석은 SPSS WIN 21.0을 이용하여 t-test, ANOVA, Pearson's correlation coefficients, Multiple Regression Analysis로 분석하였다. 지역사회 노인의 신체화 증상에 영향을 미치는 요인은 삶의 의미(𝛽=-.260, p<.001), 주관적 건강상태(𝛽=-.256, p<.001), 죽음불안(𝛽=.163, p<.01) 순으로 신체화 증상에 유의미한 영향을 미치는 것으로 나타났다. 따라서 지역사회 노인의 삶의 의미가 낮을수록, 주관적 건강상태가 좋지 않을수록, 죽음불안이 높을수록 신체화 증상이 높아지므로 신체화 증상을 감소시키는 프로그램 개발과 적용이 필요하다.

신규간호사의 이직 경험 (Experience of Turnover in New Nurses)

  • 김선애;전혜원
    • 한국보건간호학회지
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    • 제28권3호
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    • pp.644-657
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    • 2014
  • Purpose: The purpose of this study was to try to understand the essence of the experience early turnover of the new nurse by applying the phenomenological method and to provide basic data for a community-based management program. Method: Phenomenological approach was used to identify subjects experience. Subjects were five new nurses, with less than one year of clinical experience in clinical practice. This study used in-depth interview. Results: there were 104 meaningful sentences or phrases, with 41 generally comprehensive thema. Finally, thema were classified into 12 thema clusters. Conclusion: Finally, based on the results, some suggestions regarding management of early turnover of new nurses are needed. First, we proposed a new characterized of hospital selection method for each hospital. Second, practical training in clinical practice in the school and the community is necessary in order to reduce the real impact of new nurses. New nurses require various support elements in order to mitigate the real shock the first time they encounter clinical practice. Third, addition of work-related training and promotion of a self-esteem program will be needed. Fourth, interview opportunities with seniors who adapted successfully in clinical should be provided for new nurses. In addition, continuous communication should be provided for new nurses.

운동교육 프로그램이 보건소 내원자의 운동습관과 건강상태에 미치는 영향 (Effects on Exercise Behavior and Health Status of Exercise Education Program in a Public Health Center)

  • 조인혜;이태용;성시경
    • 농촌의학ㆍ지역보건
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    • 제29권1호
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    • pp.185-194
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    • 2004
  • 건강증진사업을 실시하고 있는 충청남도 1개 군의 보건소에서 내원하는 주민 중 신체적 운동을 통하여 자신의 건강을 증진시키고자 하는 동기가 있는 주민을 대상으로 보건소의 운동 프로그램 교육을 받은 교육군 142명과 교육을 받지 않은 비교육군 72명에서 대하여 2003년 4월부터 9월까지 건강상태(SF-36) 변화와 운동행태의 변화에 대해 조사한 결과 다음과 같은 결론을 얻었다. 운동 프로그램을 교육받은 군에서는 비교육군에 비해 높은 운동지식과 태도를 보였으며, 교육 후 비교육군에 비해 운동 횟수의 증가를 보였다. 교육군에서 비교육군보다 건강상태의 점수가 전반적으로 높아졌으나 통계적으로 유의하지는 않았다. 운동 실천군은 운동 비실천군에 비해 운동에 대한 지식과 태도가 높았고, 조사 기간동안 운동 횟수의 증가를 보였다. 이와 같이 운동 교육 프로그램은 보건 기관 방문자들의 지식과 태도 및 운동을 다소 향상시켰다. 비교적 단기간의 소규모 연구로서 운동 교육 프로그램에 의한 건강상태의 증진효과는 뚜렷하지 않았으나 향후 적절한 강도의 장기적 운동 교육 프로그램을 통한 연구가 이루어 진다면 보다 긍정적인 효과를 기대할 수 있을 것으로 사료된다.

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아동의 예방접종에 미치는 영향 요인 - Pender의 건강증진모형 적용 - (Factors Influencing Children's Immunization)

  • 임은실;천의영;임미란;이경자
    • 지역사회간호학회지
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    • 제17권2호
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    • pp.283-294
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    • 2006
  • Purpose: The purpose of this study was to identify the factors influencing childhood immunization. Method: Data were collected by questionnaires from 251 Parents who have 6 months to 7 years old children at public health centers in Seoul and Kyunggi Province. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Result: According to general characteristics of the parents and children, there were statistically significant differences in education level of parents, child immunization card, gender, age, and birth order of children. The main factors that affected children's immunization were perceived barriers of action, perceived control, birth order of children, child immunization card, and education level of parents, and these factors explained 49.4%(explanatory power of this model was 49.4%). Conclusion: The results of this study showed strategies for compliance of children immunization. Therefore, when the program are developed for public immunization, these factors need to be considered.

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중년여성의 전환상태 실태조사 (A Survey of Urban Middle-Aged Women's Transition)

  • 박영숙;조인숙
    • 여성건강간호학회지
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    • 제7권4호
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    • pp.486-498
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    • 2001
  • The purpose of this study was to identify transition conditions, health behavior and indicators of healthy transitions among middle-aged women based on Schumacher & Meleis(1994) transition model for developing intervention program for their health promotion. A convenience sample of 221 women aged 40-60 was obtained in Jung-Gu, Seoul and they were asked to complete the questionnaires, which consisted of modified health-promoting lifestyle profile(HPLP), knowledge of menopause, physical well-being, emotional well-being, modified women's role integration protocol (WRIP), Beck's Depression Inventory(BDI), and indicators of healthy transition with subcategories such as subjective well-being, role mastery and well-being of interrelationship. The results were as follows: 1. Women had a mean age of 47.53 years. More than half(53.39%) of the women had jobs and 88.69 % had their spouses, Of 221 women, 51.13 % were premenopausal, 19.91% were perimenopausal, and 28.96% were postmenopausal. 2. Women scored lower on health responsibility and exercise than on self actualization, nutrition and interpersonal support among subcategories of health behavior measured the modified HPLP. Only 11.98% of respondents had breast-self examination and 42.66% had pap smear for screening cancer. 3. In transition conditions, women had poor knowledge about menopause and median level of physical well-being, emotional well-being and stress. 15.45% of the women had clinical depression. 4. As for the outcome index of the transition model, the mean of indicators of healthy transition was 3.69(possible range 1-5). 5. The levels of education and economic and the menstrual status were significantly related to physical well-being, depression and stress in the categories of transition conditions. The total score of health behavior correlated negatively with depression. The total score of indicators of healthy transition correlated with physical well-being, emotional well-being, stress, and depression in the categories of transition conditions. In conclusion, these findings suggested a profile of fragile middle-aged women and contributed to developing the community-based intervention program for health promotion.

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전자파에 대한 지역사회 주민의 지식수준과 관련요인 (Community residents' knowledge level and related factor on electronic wave)

  • 이규수;남철현;김성우;김귀희
    • 보건교육건강증진학회지
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    • 제19권3호
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    • pp.73-85
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    • 2002
  • This study was conducted to examine community residents' knowledge level and related factor on electronic wave in order to provide basic data for development of education and publicity program. 2,000 people, who lived in five big cities and five small and medium cities, were selected ad subjects of this study. The data were collected from May 1, 200 I to August 31, 2001. The results of this study are as follows. According to the average knowledge level of harmful affect of electronic wave on health in general characteristics, female was higher(37.40 ± 5.24 points) than male; ‘forties’ was highest(37.77 ± 5.69 points); ‘married spouse’ was high(36.84 ± 5.59 points); ‘living in small-ta-medium city’ was high(36.84 ± 5.32 points). ‘university graduate’ was highest(37.41 ± 5.32 points) in education level, ‘middle class’ was high(36.61 ± 4.96 points) in economic status, ‘professional technician’ was higher(36.68 ± 6.55 points) than other occupations in occupational type. According to the knowledge level of harmful affect of electronic wave on health in health condition by self-judgment, ‘good health condition’ was highest(36.77 ± 4.99 points). In the case of the knowledge level of those who visited medical institutions for last one year, ‘never visited’ was highest(37.19 ± 5.02 points). In the kind of medical institutions, ‘those who visited general hospital’ was highest(36.58 ± 5.63 points). In the way of knowledge obtainments of electronic wave through education and publicity media, ‘school education’ was highest(37.55 ± 5.19 points). According to the score of awareness level of disease incidence related to electronic wave, allergy and erethism was highest(57.8 points on the basis of 100 points). It appeared in order of leukemia, skin disease or skin cancer, dementia, various cancers, cataract, and brain tumor. The variables which significantly influenced knowledge level of harm of electronic wave were knowledge obtainments of electronic wave, age, economic status, daily TV watching period, sex, period of daily cellular phone use, period of working with computer, and daily VTR watching period. The knowledge of community residents concerning harmful affect of electronic wave on health is needed because people's opportunity of exposing to electronic wave is increasing. Especially, it is the demands of the times to provide information on knowledge of each equipment which generate electronic wave. The government, the product manufacturing companies, related social organizations, and education institutions must make efforts to develop the education program which is needed to make people have right knowledge and attitude.