• 가족자원경영과 정책
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• 제23권1호
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• pp.17-34
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• 2019

Older women who live alone are among society's most vulnerable people, since they experience increased risk of multiple chronic diseases and have limited financial protection. This can lead older women living alone to catastrophic health expenditure(CHE), which is defined as a healthcare expenditure that exceeds a certain portion of a household's ability to pay. Using the Korean Longitudinal Study of Ageing(KLoSA), this study investigated the incidence of CHE among older women living alone and identified the factors related to this incidence. Applying health expenditure thresholds of 10%, 20%, 30% and 40% of ability to pay, the proportions of those with CHE were 41.3%, 22.9%, 14.6%, and 9.4%, respectively. Logistic regression models were used to identify factors related to CHE incidence, which include demographics, income, the number of chronic diseases, perceived health status, and health insurance type. The results show that the health care safety net in South Korea is insufficient for older women living alone. The findings can guide policymakers in improving healthcare and welfare policies to protect people from catastrophic payments. Particularly, welfare policies should be established for poor non-recipients who are not included within the benefits scope of the National Basic Livelihood Security System due to the unrealistic criteria of income recognition and family support obligation.

• 보건교육건강증진학회지
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• 제33권2호
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• pp.27-37
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• 2016

Objectives: This study investigated the relationship between adolescents' suicidal ideation and their physical health conditions to contribute to lower suicide rates among adolescents. Methods: Secondary analysis of 2108 high school students of $10^{th}$ grade was conducted using the Korean Child and Youth Panel survey in 2013. The association between suicidal ideation and socio-demographic and health characteristics were analyzed using Chi-square tests and regression models. Results: Adolescents' physical health conditions were significantly related to suicidal ideation. In particular, rhinitis and various symptoms such as feeling feverish, low appetite, feeling of nausea, stomachache while studying, and sleeping problem showed statistically significant relationships with suicidal ideation (P < .05). Furthermore, the higher frequency of diseases and body symptoms increases the rate of suicidal ideation. Considering socio-economic characteristics, family structure was also important. Conclusions: Physical health condition is a major contributor to adolescent's suicidal ideation. results suggest that improving social support system for adolescents' physical health conditions across family and school may be important in suicide prevention efforts.

• 대한지역사회작업치료학회지
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• 제3권2호
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• pp.1-12
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• 2013

목적 : 본 연구는 대전광역시에 거주하는 독거노인과 가족동거 노인들을 대상으로 시간관리능력과 일상생활 활동을 비교하고, 집단 간의 관계를 파악함으로써 노인의 건강관리 방안을 찾는 기초자료를 제공하고자한다. 연구방법 : 연구대상은 65세 이상의 독거노인과 가족동거 노인을 MMSE-K로 선별한 후 각 40명씩 총 80명을 선정하였다. 시간관리능력은 설문지를 사용하였고, 일상생활활동은 FIM을 사용해 평가하였다. 연구기간은 2013년 5월부터 6월까지 진행되었다. 본 연구의 자료분석은 SPSS 20.0 프로그램을 사용하였다. 결과 : 독거노인과 가족동거 노인의 시간관리능력 및 FIM에 대한 총점의 점수비교는 두 집단 간에 통계적으로 유의한 차이를 보이지 않았다. 집단 간 세부항목 점수의 비교에서는 FIM의 세부항목 중 사회적 인지항목에서 사회적 상호작용, 문제해결능력, 기억력 모두 두 집단 간에 통계학적으로 유의한 차이를 나타냈다. 결론 : 본 연구를 통해 가족동거 노인에 비해 상호작용의 기회가 부족한 독거노인이 사회적 인지기능에 저하가 있음을 알 수 있었다. 이를 바탕으로 향후 지역사회 작업치료 안에서 노인의 인구 사회학적인 특성을 고려한 다양한 프로그램 개발과 연구가 이루어져야 할 것이다.

• Child Health Nursing Research
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• 제25권2호
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• pp.234-243
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• 2019

Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetes-related attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation-behavior skills model. Methods: Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children's hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05. Results: The mean score of self-management in adolescents with type 1 diabetes mellitus was $61.23{\pm}10.00$ out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (${\beta}=.504$, p<.001) and family support (${\beta}=.188$, p<.001) were significant predictors of self-management. Conclusion: It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

• 한국학교ㆍ지역보건교육학회지
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• 제1권2호
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• pp.73-85
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• 2000

This research has attempted to provide the basic data of health education in middle school students whose positions are very important in health promotion of the whole people. Especially, we are focused on the relationship between their individual family environment and health promotion behaviour. We have surveyed and collected all the information of the effects which has come from the family environment, and given the period from 22nd of May to 27Th with 375 boys and girl students who live in the cities and suburbs of Chung Cheong Buk-D, and used SPSS program in the analyse of the information. The conclusions were as follows; 1. Gender, the residential area, the living pattern with parents, and religion have showed very close effects in the promotion health behavior of the middle school students. 2. Statistically, explained health promotion behavior has got 59% and hygiene and daily life habit in inferior group has 48% with these rates, there should be a special management on those factors. 3. The responsibility according to the value direction factors of home has showed relationship as follows; $\circ$ hygiene and daily life habit(p<.001) $\circ$ communicable disease control(p<.01) $\circ$ mental health(p<.05) $\circ$ health promotion behavior(p<.001) The above results showed that the middle school students health promotion behavior were affected by the responsibility according to the value direction factors of family, the responsibility according to the group characteristics factors of family and psychological process factors of family. With this result, family environment is essential factor for students abilities of building up his/hers health promotion behavior.

• 한국사회복지학
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• 제52권
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• pp.63-87
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• 2003

우리 사회에서 여러 사회문제의 예방차원에서 가족생활을 증진시키고, 사회복지의 중요한 자원인 자원봉사를 활성화시킬 수 있는 새로운 대안으로서 가족자원봉사에 대한 관심이 커지고 있다. 이에 본 연구는 가족자원봉사의 효과를 실증적으로 검증하기 위하여 정태적 집단비교설계방법으로 전국에서 가족자원봉사 프로그램에 6개월 이상 정기적으로 참여한 가족을 대상으로 가족 건강성을 조사하고 통제집단과 비교 분석하였다. 연구결과는 가족자원봉사 경험을 가진 실험집단(494명)이 통제집단(534명)보다 가족 건강성의 모든 영역(가족의 결속력, 가족원간의 의사소통, 가족의 문제해결능력, 가치체계 공유, 역할 유연성)에서 유의한 차이를 보였다. 또한 통제집단 중 가족이 정기적으로 함께 하는 활동이 있는 경우에도, 가족자원봉사 경험이 있는 가족과 비교하여 가족 건강성이 낮았다. 따라서 가족자원봉사경험이 여타 다른 가족활동보다 가족 건강성에 긍정적인 영향을 미치고 있는 것을 알 수 있었다. 가족자원봉사를 활성화하기 위한 방안으로 가족단위의 자원봉사에 맞는 프로그램의 개발, 융통성있는 가족자원봉사 개념규정, 가족자원봉사를 실시하고 있는 다양한 기관사이의 연계, 가족자원봉사의 시간 활용을 위한 탄력적인 근무제도 도입 등 가족자원봉사의 장애요소의 해결들이 제시되었다.

• 지역사회간호학회지
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• 제13권1호
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• pp.57-67
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• 2002

Purpose: Chronic hepatic disease is caused by inappropriate management of the hepatitis B virus. In Korea. there is an increasing number of chronic hepatic patients. who are at risk of dying from liver failure or hepatocellular carcinoma. Therefore it is important to manage the hepatitis B virus appropriately. Method: The patients diagnosed with chronic hepatic disease or HBV carrier who registered at a community health center or hospital were assessed regarding health man agement status and educational needs. The data was collected from 179 persons by convenient sampling between May, 2000 and April. 2001. The data were was analyzed for general characteristics using the descriptive method, factors influencing educational needs and health management using t-test and ANOVA. Results: 1. The average health management score was 18.2 from 12 to 24 range. Those who unknown were unaware of the presence of HBsAg, attending the educational program and keeping undergoing treatment at the community health center or hospital were had a higher management score(p< .05). 2. The educational needs regarding nutritional management(64.8%) was the highest topic with chronic hepatitis patients. The second highest topic was spreading prevention among family members (52.0%), and keeping medication (45.8%), the degree of physical activities(44.1%), and spreading prevention in public(39.1%). Those who were unaware of the presence of HBsAg (p< .001), less than 12 months after HBsAg (+)(p< .05), keeping treatment (p< .05) were higher educational needs. 3. The use of alternative therapy was 27.9% of subjects. The subjects thought it was helpful for disease management(42.1%), mostly, family members and relatives recommended to use (57.9%), and medical regimen was ignored during the alternative therapy. Conclusion: Based on the results, an educational program about prevention of type B hepatitis and management for patients having type B hepatitis should be developed.

• 한국직업건강간호학회지
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• 제7권1호
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• pp.47-54
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• 1998

The purpose of this study was to identify the factors affected with health promoting lifestyle of teachers to provide the data for efficient health management of teachers. The subjects of this study were 809 teachers, who were chosen in Choong-Buk province. Data were collected by written questionnaires by mail and visiting from September 1 to 30, 1997. Data was analyzed by descriptive statistics, t-test, ANOVA using SPSS/PC(v.4.01) program. The results are as follows; 1. The mean scores of Health Promoting Lifestyle was 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpersonal relationship 2.52, stress management 2.33, exercise 1.91, health responsibility 1.82. Total Health Promoting Lifestyle was significantly different by sex, age, marital status, career, teaching load, monthly income education, number of children. 2. Income was the factors affect with self-actualization, age, marital status, teaching load, number of children, career, education, income were the factors significantly affect with Nutrition. Sex, marital status were the factors affect with stress management, sex, age, career were the factors affect with exercise, and sex, age, marital status, career, teaching load, income, education, number of children were the factors affect with health responsibility. 3. Marital status, sex, age, income, number of children, living with family were the factors significantly affect with Family Function. 4. Sex affected with Self Efficacy. The above findings indicate the need to develop nursing intervention to improve Self-Efficacy, Family Function to improve Health Promoting Lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence Health Promoting Lifestyle of teachers.

• 가족자원경영과 정책
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• 제21권3호
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• pp.1-21
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• 2017

The purpose of this study was to investigate the effect of organizational culture on professionalism. A survey was conducted with 254 family health specialists from July 30th to September 30th in 2013. The results of this study can be summarized as follows; First, three professionalism factors of healthy family specialists were verified -business administration ability, and general administration ability- and five organizational culture factors of the Family Welfare Organization were verified-group culture, development culture, rational culture, sequence culture, and regulation culture. Second, the professionalism scores for healthy family specialists were 3.41 for business practice ability, 3.43 for business administration ability, and 3.18 for general administration. The organizational culture scores for the family welfare organization were 4.08 for group culture, 3.80 for development culture, 3.67 for rational culture, 3.50 for regulation culture,and 3.06 for sequence culture. Third, Rational culture, age, gender, and education level all affected to business practice ability. Position and education level both affected to business administration ability. Monthly income, gender, and education level all affected to general administration ability. This study showed the need for increased management of organizational culture to improve the professionalism of healthy family specialists.

• 보건의료산업학회지
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• 제12권3호
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• pp.131-141
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• 2018

Objectives: This study was designed to determine the effects of middle-aged men's family functionality and self-efficacy on their retirement anxiety, in order to produce methods to alleviate this anxiety, including providing basic information for devising programs that help middle-aged men get better adjusted to and increase their awareness about retirement. Methods: For data collection, the study surveyed 364 middle-aged men who were residing in B Metropolitan City from February. 10 to 25, 2017. Results: This study found that the primary factor influencing middle-aged men's retirement anxiety is self-efficacy, for which the explanatory power for the surveyed men's retirement anxiety was 52.0%. In contrast, family functionality had no effect on retirement anxiety. Conclusions: To make middle-aged men less anxious about retirement, a variety of programs must be created and implemented that help them improve their self-efficacy prior to retirement. Furthermore, these men should be provided with educational and intervention programs that facilitate their adjustment to retirement and increase their awareness about retirement.