• 제목/요약/키워드: Compliance of health behavior

검색결과 134건 처리시간 0.037초

일개 시 미취학 아동의 사회경제적 계층별 건강관리 현황 (Health Status of Preschoolers Depending on the Socioeconomic Status)

  • 방경숙
    • 부모자녀건강학회지
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    • 제9권2호
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    • pp.140-149
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    • 2006
  • Purpose: The current descriptive study examined the health and healthcare status of preschoolers in poverty group compared to those of comparison group. Method: Data were collected from 51 mothers in federal poverty group and 49 in low-income group and 200 mothers in normal income comparison group in one city. The instruments used for this study were Korean CBCL and health related questionnaire. Results: Public assistance group showed more low-birth-weight infants, developmental delay, and hospital admission experiences. Their compliance for vaccination and congenital metabolic disorder test were lower than those of comparison group. Preschoolers' behavior problems were not significantly different depending upon the income of the group. Conclusion: Preschoolers' health and healthcare status are affected by the socioeconomic characteristics of the family. It indicated an need for anticipatory guidance and early intervention that might help to prevent or ameliorate potential health problems in poverty.

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한국인 치료순응도 향상을 위한 개입 효과에 대한 메타분석 (Meta-Analysis on Effectiveness of Intervention to Improve Patient Compliance in Korean)

  • 김춘배;조희숙;현숙정;박애화
    • 보건행정학회지
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    • 제12권2호
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    • pp.23-42
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    • 2002
  • 본 연구는 최근 20년간의 치료순응도 관련 국내연구를 수집하여 연구 동향을 파악하고, 계량적 메타분석을 통하여 순응도 향상을 위한 개입 효과를 산출하여 제시하고자 하였다. 연구 결과는 다음과 같다. 첫째, 1980년대 이후 20여년간 치료순응도와 관련된 연구는 133편에 달하였다. 이중 순응도 향상을 위한 실험연구가 11.3%, 단면연구 및 전향적 관찰연구가 88.7%에 해당하였으며, 후자의 경우 주로 순응도 향상 관련 요인에 관한 연구들이었다. 둘째, 연구대상의 상병 종류는 고혈압이 전체 연구의 24.1%로 가장 많았고, 다음으로 기타 만성질환, 당뇨병 및 결핵의 순으로 주로 이환기간이 길고 완치가 어려워서 치료순응도에 많은 노력을 기울일 필요가 있는 질환들이었다. 셋째, 133편 논문의 질적 메타분석과정을 거쳐 선별기준에 부합되는 논문은 10편으로 순응도 측정은 고혈압의 경우 혈압 조절과 같은 건강효과를, 당뇨병의 경우 뇨당, 혈당 저하와 같은 직접적인 지표 측정의 방법을 측정하였고, 이외에도 약속 이행과 환자의 주관적 보고, 약물 복용이행과 같은 객관적 지표를 측정하였다. 한편 개입방법으로는 행동변화를 적용한 1편의 연구 이외에 교육적, 행동적 및 정서적 개입의 방법을 모두 병행하여 적용하고 있었다. 넷째, 이들 중 6편의 논문에 대하여 순응도 향상에 대한 개입의 통합효과크기를 산출한 결과, 개입을 하지 않은 군에 비하여 개입이 이루어진 경우에 치료순응도 향상 효과는 4.1192여서 커지는 것으로 나타났다. 이를 다시 순응도 측정방법으로 구분하여 분석한 결과, 치료 순응도를 건강결과(혈압)로 측정한 경우 개입으로 인한 유효크기는 0.4679였고, 직접 측정지표(혈당/뇨당)에 의한 경우 개입 후 유효크기는 0.7753으로 나타나 순응도가 향상되었음을 알 수 있다. 이상의 결과에서 다양한 개입활동들이 환자의 치료순응도를 향상시키는 데 기여할 수 있음을 제시할 수 있다. 그러나 계량적 메타분석 기준에 부합되는 연구의 논문 수가 제한적이라는 한계점이 있으며, 연구에 사용되는 개입방법의 시도가 더욱 다양화될 필요성이 제시되고 있어 향후 이와 관련된 많은 연구들이 활성화되기를 기대한다.

심혈관질환 예방관리를 위한 직장 건강증진 프로그램의 적용 효과 분석 (Effects of a Occupational Health Promotion Program for Prevention of Cardiovascular Disease)

  • 박지원;김용순;김기연
    • 대한간호학회지
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    • 제32권2호
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    • pp.196-205
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    • 2002
  • The purposes of this study was to evaluate an occupational health promotion program for the prevention of cardiovascular disease. Method: This study employed a quasi-experimental non-equivalent pre and post test to evaluate the program. The subjects of this study were 48 employees selected by convenience sampling who were suspected of having hypertension and hyperlipidemia in routine physical examinations and who were working in A University Hospital in Suwon. 25 subjects were assigned to the experimental group and 23 to the control group. Data collection was done using questionnaries before and after the subjects used the program. Results: The results of this study showed that systolic blood pressure, ALT, γ-GTP in the experimental group was lower than that of the control group. There were significant differences between two groups in the percentage of 'irregularity of diet' and in health behavior compliance. There were significant differences between the two groups in the number of complaints of symptoms after using the program. Conclusion: This study shows that there were no obvious differences between the two groups in all areas, but this program had a positive effect on health behavior changes. It is expected that employees' lifestyles can be changed through continuous health promotion programs.

Effect of a Safety Leadership Training Including Coaching on Safety Performance and Climate in Wood-processing Companies

  • Kwangsu Moon
    • Safety and Health at Work
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    • 제15권3호
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    • pp.310-316
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    • 2024
  • Background: The wood-processing industry has historically exhibited high rates of occupational hazards resulting in illness and injury. One of the major causes of high injury rates is small firm size, as resource constraints generally preclude hiring safety officers. This study examined the effect of a safety leadership training program that included coaching for managers on workers' safety behaviors and safety climate in three wood-processing companies. Methods: One or two managers at each site participated in this study. The manager training consisted of safety leadership education, safety observation, positive or corrective feedback on workers' behaviors, goal setting, and low-cost rewards for meeting goals. The dependent variable was the percentage of safe employee behaviors recorded on a critical behavior checklist developed for this study. Safety climate was measured before and after the intervention. An AB multiple baseline design across settings was adopted. After the baseline (A), the training program (B) was introduced to each site at different points in time. Results: After the introduction of safety leadership training, the mean rate of safety compliance increased by 15.3%, from 80.38% to 95.68%, and safety climate scores increased significantly from an average of 3.2 to 3.47. Conclusion: These results suggest that safety leadership coaching can be effective in improving safety management in small sawmilling sites. Implications, limitations, and possible future research directions are discussed.

간호대학생의 혈액매개감염 예방행위 실천도에 영향을 미치는 요인 (Factors Affecting Nursing College Students' Adherence to Prevention Compliance Behavior of Blood-Born Infection)

  • 유성미;공정현;최혜옥
    • 한국산학기술학회논문지
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    • 제19권8호
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    • pp.220-229
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    • 2018
  • 본 연구는 간호대학생의 혈액매개감염관리 지식, 혈액매개감염관리 인식 및 혈액매개감염 예방행위 실천도를 파악하고, 혈액매개감염 예방행위 실천도에 영향을 주는 요인을 파악하고자 시도되었다. 2017년 12월 1일부터 15일까지 G광역시 소재 간호대학에 재학중인 임상실습을 마친 3학년 475명에게 구조화된 설문지를 사용하여 자료를 수집하였다. 연구결과 간호대학생의 혈액매개감염관리 지식 점수는 13.13점(0-18점), 혈액매개감염관리 인식은 4.18점, 혈액매개감염 예방행위 실천도는 4.34점이었다. 혈액매개감염 예방행위 실천도의 경우 가장 점수가 높은 문항은 '환자에게 사용한 주사바늘은 찔리지 않도록 조심한다.' 가장 점수가 낮은 문항은 '환자의 혈액이나 체액이 튈 가능성이 있을 때는 가운이나 마스크를 착용한다.'로 나타났다. 간호대학생의 혈액매개감염 예방행위 실천도는 혈액매개감염관리 지식과 혈액매개감염관리 인식과 양의 상관관계를 보였고, 혈액매개감염 예방행위 실천도에 미치는 영향요인은 나이, 교육경험, 노출유무, 혈액매개감염관리 지식으로 나타났으며 이들 변수의 설명력은 16.3%이었다. 따라서 간호대학생의 혈액매개감염원에 대한 노출 발생률 감소를 위해 간호대학생을 위한 병동 단위의 표준화된 교육 프로토콜 개발 및 적용이 필요함을 알 수 있었다.

인슐린 의존성 당뇨병 학생을 대상으로 실시한 영양교육의 효과 (Evaluation of Nutrition Education for Insulin Dependent Diabetic Students)

  • 이정희;박동연;윤진숙
    • Journal of Nutrition and Health
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    • 제28권10호
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    • pp.1015-1021
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    • 1995
  • This study was conducted to evaluate changes in nutritional knowledge, attitudes, behavior intention and behavior in a sample of 27 insulin dependent diabetic students participating in diabetics' camp. Nutritional knowledge related to diabetes, attitudes toward diabetes treatment and behavior intention about dietary changes were tested before and after nutrition education. Six months after nutrition education, an open ended questionnaire about their actual behavior changes was mailed to all participants and 17 of them responded. Pre-and post-testing showed that nutrition education was effective in significant changes in knowledge and in promoting positive attitudes and behavior intention. Increases of knowledge were consistently the same regardless of sex, level of education, regularity of diet, and duration of disease. Compared to male students, female students showed more positive change in knowledge, attitudes and behavior intention. It also appeared that middle school students showed more positive improvement in knowledge, attitudes and behavior than elementary and high school students. A follow-up test showed that their actual behavior changes were not squared with their behavior intention. They pointed out difficulties in having proper amount of meals and snack and the conflict with school time schedule as the major reason for discordance. These findings suggest that nutrition education for diabetics can be effective to improve their knowledge, attitudes and behavior intention and understanding about barriers to behavior change is important for better compliance to the disease.

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건강통제위 개념의 국내 간호연구 분석 (Health Locus of control : A Review of the Nursing Research in Korea)

  • 이은희;임숙빈;김인자;이은옥
    • 대한간호학회지
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    • 제23권4호
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    • pp.694-712
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    • 1993
  • A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.

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기독교인의 코로나19 건강예방행위 영향 요인 (Influencing Factors of Christians' COVID-19 Health Prevention Behavior)

  • 방설영;제남주;박미라
    • 한국산업융합학회 논문집
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    • 제26권2_2호
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    • pp.293-306
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    • 2023
  • The purpose of this study is a descriptive research study to analyze the factors that affect Christians' COVID-19 preventive behavior. The subjects of the study were 262 adult Christians, and the data collected were using SPSS 25.0 and AMOS 21.0 programs. As a result of the study, the subject's religious maturity level was 4.21 ± .55 points out of 5 points, COVID-19 stress was 2.86 ± .73 points out of 5 points, optimism bias was 2.94 ± 1.26 points out of 7 points, and COVID-19 preventive health behavior was 4 points. The total score was 3. 54 ± . 44 points. As a result of the correlation analysis of the subject's religious maturity, COVID-19 stress, optimistic bias, and COVID-19 preventive health behaviors, COVID-19 preventive health behaviors were faith maturity (r=.156, p=.012), COVID-19 stress (r=.216, There was a positive correlation with optimism bias (r=174, p=.005). In conclusion, it can be said that the higher the religious maturity, the higher the COVID-19 stress, and the higher the optimistic bias, the better the preventive health behavior of COVID-19, and the explanatory power of the overall model was 9.4%. In the post-COVID-19 era, it is necessary to develop educational programs that can prevent infectious diseases and promote health in the community.

코로나백신 접종 영향 요인 및 백신접종에 따른 건강 행태: 2021년 지역사회건강조사를 활용하여 (COVID-19 Vaccination Influencing Factors and Health Behavior by COVID-19 Vaccination: Using the 2021 Community Health Survey)

  • 박초열;이소은
    • 보건의료생명과학 논문지
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    • 제10권2호
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    • pp.315-327
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    • 2022
  • 본 연구는 2021년 지역사회건강조사 자료를 활용하여, 인구사회학적 특성 및 건강상태 등 코로나백신 접종 영향 요인에 대해 분석하고, 코로나백신 접종여부에 따른 방역수칙의 준수 및 건강행태 영향, 감염에 대한 인식을 알아보았다. 연구대상자는 지역사회건강조사 대상자 중 203,449명으로 하였고, 분석은 카이제곱분석, 로지스틱 회귀분석을 실시하였다. 조사대상자 중 92.4%가 코로나백신접종을 하였고, 성별, 연령, 교육수준, 가구소득, 기초생활수급, 경제활동, 결혼상태, 미충족의료, 건강검진, 인플루엔자예방접종, 고혈압, 주관적 건강상태가 코로나백신 접종에 영향을 미치는 것으로 나타났다. 코로나 백신 비실시군에서 방역수칙 및 건강행태 수준, 코로나 감염 염려가 백신 실시군보다 낮게 나타나 조사결과를 활용하여 코로나백신 접종 유도를 위한 정책수립, 교육 및 홍보 방법 등의 연구가 요구된다.