• 제목/요약/키워드: Community-based Program

검색결과 1,477건 처리시간 0.034초

커뮤니티케어 기반의 방문구강건강관리 중재 수혜자의 프로그램 운영 관련 인식 및 태도: 근거이론적 접근 (Awareness and attitudes regarding oral care intervention program based on community care for older adults at home : focusing on the grounded theory)

  • 박명화;박지원;이슬아;장종화
    • 한국치위생학회지
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    • 제23권5호
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    • pp.351-360
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    • 2023
  • Objectives: This study is based on a visiting oral health care intervention program in the community care. This qualitative study was conducted through in-depth interviews to identify awareness and attitudes regarding intervention program among older adults. Methods: The research team visited the homes of the target older adults and conducted in-depth interviews for approximately an hour using a semi-structured questionnaire. The collected voice recordings were transcribed using Clova Note, and AI program by Naver. Using the 'Word Cloud Generator 3.7' program, words of high importance and interest from interview answers were extracted, visualized, and analyzed. Results: Participating older adults acknowledged that their quality of life related to oral health could be improved by increasing the level of oral health awareness and oral health knowledge through the intervention program. In addition, the older adults indicated that their oral hygiene management ability improved compared to before the intervention through expert oral hygiene management and oral health education. Further, as the level of oral health knowledge increased, so too did satisfaction with the intervention program increase. Conclusions: The intervention program for visiting oral health care showed a positive effect on the awareness and attitude of older adults. Thus, it is suggested that education for continuous competency enhancement of dental hygienists and multidisciplinary education for the improvement of general health and quality of life of older adults should be promoted.

재가 관절염 노인의 낙상 예방행위 예측모형 구축 (A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis)

  • 장경숙;송라윤
    • 성인간호학회지
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    • 제27권6호
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    • pp.684-694
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    • 2015
  • Purpose: The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model. Methods: A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program. Results: The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors. Conclusion: The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.

지역아동센터 교사를 위한 인권교육 프로그램의 효과성 - 인권감수성을 중심으로 - (Study on the Effectiveness of Human Rights Education Program for the Teachers in Community Child Center -Focused on Human Rights Sensitivity-)

  • 이혜원;이향란;유정은;이상애;장혜영
    • 한국사회복지학
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    • 제62권4호
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    • pp.149-170
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    • 2010
  • 이 연구의 목적은 지역아동센터 교사의 인권감수성 향상을 목표로 하는 인권교육 프로그램을 개발하고 그 효과성을 검증하는 것이다. 이를 위해 전국의 지역아동센터 교사 102명을 대상으로 인권감수성척도를 사용하여 인권교육 프로그램의 참여를 기준으로 사전-사후검사를 실시했다. 그 결과, 첫째, 교사의 인권감수성 전체가 통계적으로 유의미하게 향상되었다. 둘째, 인권감수성의 3가지 하위척도들 가운데 교사의 상황지각능력, 결과지각능력, 책임지각능력이 통계적으로 유의미하게 향상되었다. 셋째, 인권감수성의 10개 에피소드 가운데 '체포 구속당하지 않을 권리', '장애우의 신체자유권', '이주노동자의 노동권', '구금으로부터의 자유권'에 대한 교사의 인권감수성이 통계적으로 유의미하게 향상되었다. 이를 기초로 향후 인권교육 프로그램의 개발을 위한 실천적 함의가 논의되었다.

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수돗물불소농도조정사업의 치아우식 예방효과 (Caries preventive effect from community water fluoridation program)

  • 하태규;공욱성;김세연;김지수;이정하;김한나;김진범
    • 대한치과의사협회지
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    • 제56권4호
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    • pp.194-207
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    • 2018
  • Objectives: The water fluoridation program has been implemented since 2008 at the Daesan water treatment plant, Changwon City. The aim of this study is to evaluate caries preventive effect of permanent teeth from community water fluoridation program Methods: Evaluation surveys were conducted on 8-, 10- and 12-year olds in the fluoridated and non-fluoridated area of Uichang-gu and Seongsan-gu, Changwon City in 2015. The number of the subjects in 2015 was 722 in fluoridated area and 707 in non-fluoridated area. The caries preventive effect of permanent teeth by community water fluoridation was estimated by the differences in adjusted DMFT and DMFS scores between the program and control groups. Cofounders of mean number of fissure-sealed teeth or surfaces, and number of subjects by gender were adjusted to estimate the caries preventive effect of permanent teeth. Results: The mean DMFT score or DMFS score of children aged 8-, 10- and 12-years adjusted for the number of fissure-sealed teeth or surfaces in fluoridated area were significantly lower than those in non-fluoridated area in 2015. The caries preventive effect of permanent teeth estimated based on the difference of mean DMFT scores adjusted for fissure-sealed teeth, age and number of subjects by gender between control and program group among children was 37.3%. Conclusions: These results suggest that the caries preventive effect of permanent teeth from water fluoridation program at Daesan water treatment plant, Changwon City was so high that the water fluoridation program should be developed in other regions in Korea.

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가산자료모형을 이용한 지역사회기반형 관광수요 분석 (Demand Analysis for Community-based Tourism Using Count Data Models)

  • 윤희정
    • 한국지역사회생활과학회지
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    • 제22권2호
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    • pp.247-255
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    • 2011
  • This study analyzed the demand for a community-based tourism site using a poisson model, a negative binominal model, a truncated poisson model and a truncated negative binominal model as count data models. For these reasons, questionnaire surveys were conducted into 5 community-based tourism sites in Chuncheon city with 406 tourists, and was analyzed using the STATA program. The fitness levels of four models were significant(p=0.0000) using a likelihood ratio test. The study results suggest that the demand of community-based tourism sites for visiting tourists was influenced by a pre-visiting experience, recognition of sustainable tourism, visitation of downtown, purchase of souvenir or farm produce, conversation with regional residents, regional harmony, preservation of natural resources and sex within the poisson and truncated poisson models. However, the variables of visitation of downtown, preservation of natural resources and sex were not significant within the negative binominal model and the visitation of downtown and preservation of natural resources were not significant within the truncated negative binominal model. The results of the visiting demand of community-based tourism sites can provide information for sustainable regional development strategies.

지역사회 기반 만성질환 관리모형 구축을 위한 연구방안 (Strategy of Research for Developing Model of Community Based Non-Communicable Diseases Control and Prevention)

  • 박윤형
    • 보건행정학회지
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    • 제26권1호
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    • pp.1-3
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    • 2016
  • The prevalence of non-communicable disease (NCD) has been continuously increasing due to population ageing, and the change in consumption and lifestyle patterns. Cancers, cerebrovascular diseases, and hypertensive diseases have been the major causes of deaths in the Republic of Korea since 1983. Numerous studies have suggested the need for a sustained comprehensive treatment tailored for individual patients and recommend the development of a systematic program to manage NCD patients to provide such care. It's necessary to develop the Korean model of the community based NCD prevention and control, consisting strategy of community movement, education for the NCD patients, and partnership the primary care clinic with public health organization to meet the needs in community people.

단체급식의 HACCP 전산프로그램 및 위생관리 평가도구 개발 (Development of the Computer-Assisted HACCP System Program and Developing HACCP-Based Evaluation Tools of Sanitation for Institutional Foodservice Operations)

  • 이정숙;홍희정;곽동경
    • 대한지역사회영양학회지
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    • 제3권4호
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    • pp.655-667
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    • 1998
  • The Computer-assisted Hazard Analysis and Critical Control Point(HACCP) program has been developed for a systematic implementation of HACCP principles in identifying, assessing and controlling hazards in institutional foodservics operations. The HACCP-based sanitation evaluation tool has been developed, based on the results of the computerized assisted HACCP program in 4 service sites of C contracted foodservice company, including 2 general hospitals with 650-beds, one office operation of 400 meals per day, and one factory foodservice of 1,000 meals per day. All database files and processing programs were created by using Unify Vision tool with Windows 95 of user environments. The results of this study can be summarized as follows : 1. This program consists of the pre-stage for HACCP study and the implementation stage of the HACCP system. 1) The pre-stage for HACCP study includes the selection of menu items, the development of the HACCP recipe, the construction of product flow diagrams, and printing the HACCP recipes and product flow diagrams. 2) The implementation of the HACCP system includes the identification of microbiological hazards, the determination of critical control points based on the decision tree base files. 3) The HACCP-based sanitation evaluation tool consisted of 3 dimensions of time-temperature relationship, personal hygiene, and equipment-facility sanitation. The Cronbach's alphas calculation indicated that the tool was reliable. The results showed that the focus groups rated the mean of importance in time-temperature relationship, personal hygiene, and equipment-facility sanitation as 4.57, 4.59 and 4.55 respectively. Based on the results, this HACCP-based sanitation evaluation tool was considered as an effective tool for assuring product quality. This program will assist foodservice managers to encourage a standardized approach in the HACCP study and to maintain a systematic approach for ensuring that the HACCP principles are applied correctly.

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농촌마을의 지역유산활용에 대한 연구 (A Study on the Application of Regional Heritage for Rural Community)

  • 방한영
    • 한국농촌건축학회논문집
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    • 제6권2호
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    • pp.53-64
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    • 2004
  • The result of this study about application methods of regional heritage are important things. 1. Rural community going ahead Rural Activation Policies applied in regional heritage, have principal experience programs based on visiter's demands. 2. The programs applied regional heritage are most useful application methods of traditional-cultural experience, and following, folk-life and nature environment experience. 3. Insufficient of scheme for applying regional heritage, and specific characters and identity of rural community, is coming out the inadequate plan of community design with comparing other neighborhoods.

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노인장기요양보험 등급외 판정자의 관리현황과 개선방안 (A study on the present status and improving management of the non-eligible people in Korean long-term care insurance system)

  • 권진희;한은정;이정석;박종연
    • 보건행정학회지
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    • 제20권2호
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    • pp.104-127
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    • 2010
  • To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.

재가 뇌졸중 환자를 위한 패턴화된 감각향상(PSE) 상지운동 프로그램의 개발 및 효과 (The Development and Effects of an Upper Extremity Exercise Program Based on Patterned Sensory Enhancement for Home-bound Stroke Patients)

  • 홍명선
    • 지역사회간호학회지
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    • 제22권2호
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    • pp.192-203
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    • 2011
  • Purpose: This study was conducted to develop and assess the feasibility of an upper extremity exercise program based on Patterned Sensory Enhancement (PSE) for home-bound stroke patients by measuring the level of upper extremity function, depression, and interpersonal relationship. Methods: The experiments were performed on stroke patients at three different rehabilitation centers in Incheon City. Twenty patients participated in the experimental group or in the control group. The program was executed three times a week for 6 weeks. Data were collected from August to October, 2006. Manual Function Test was used to quantify and evaluate upper extremity function. The depression level and the effectiveness of interpersonal relationship were quantified and measured using CES-D and Relationship Change Scale, respectively. Results: The effectiveness of upper extremity function of stroke patients who participated in the PSE upper extremity exercise program was higher than that of non-participating patients. The depression level decreased and interpersonal relationship improved in the stroke patients who participated in this program compared to those who did not. Conclusion: These findings prove that the PSE upper extremity exercise program for home-bound stroke patients was an effective strategy for enhancing upper extremity function, decreasing the depression level, and improving interpersonal relationships.