• 제목/요약/키워드: Family health management

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백혈병 생존 아동 건강관리를 위한 부모코칭 영역 개발 (Development of Parent Coaching Domains for the Health Management of Childhood Leukemia Survivors)

  • 임성현;오원옥
    • Child Health Nursing Research
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    • 제24권1호
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    • pp.68-77
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    • 2018
  • Purpose: The purpose of this study was to develop parent coaching domains for the health management of childhood leukemia survivors. Methods: In this study, we conducted a literature review and in-depth interviews with 6 parents of childhood leukemia survivors who were identified using convenience sampling. We identified areas of parent coaching through the 4 stages of the GROW model, which are: goal setting, realistic grasp, confirmation of realization, and search for alternatives. Results: Nine domains and 27 subcategories emerged from the study. The 9 parent coaching domains for the health management of childhood leukemia survivors were routine life management, education and information provision, emotional support for the surviving children, social support for the surviving children, follow-up management, family support, school life management, symptom management, and improvement of growth and development. Conclusion: This research developed 9 parent coaching domains for the health management of children surviving leukemia. The results of this study are expected to contribute to the efficient health management of childhood leukemia survivors by enabling practitioners to continuously identify new coaching domains as needed for their health management. Researchers should improve the health management of childhood leukemia survivors by developing nursing interventions for these new coaching areas.

보건진료원 직무수행에 영향을 미치는 요인에 관한 연구 - 경기도 관내 보건진료원을 중심으로 - (A Study on the Factors which influenced the Performance of Community Health Practitioners' Function -Around the CHPs in Kyonggi-province Area-)

  • 이명숙
    • 한국보건간호학회지
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    • 제3권1호
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    • pp.18-37
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    • 1989
  • This study was done in order to analyze the factors which influenced the performance level of community health practitioners' task. Interview survey was done during the period from August to October, 1986. Interviewee were 166 CHPs among total of 217 CHPs in Kyonggi province area. Multiple stepwise regression and canonical correlation analysis were used to identify major factors influenced to perform community health practitioners' task. The results of this study were summarized as follows: 1. General characteristics of CHPs 1) Personal characteristics The average age of CHPs was 37.8 years and their marital status was $77.6\%$ of married, educational back-ground was $65.3\%$ of junior college graduation. Their job career was $38.6\%$ of between 1-3 years, $33.3\%$ of between 3-5 years, $22.2\%$ of less than 1 years. Most of CHPs$(62.8\%)$ were fully satisfied with their job, $33.3\%$ were moderately, and $3.8\%$ were not satisfied. 2) Working environmental condition Only $31.7%$ of CHPs were satisfied with their working condition of primary health post, $26.6\%$ were not satisfied. Half of CHPs$(52.5\%)$ replied having good cooperation with health center, $10.1\%$ replied bad. Cooperation with health subcenter was good in $32.9\%$, and bad in $21.9%$. Cooperation with private health institutions was good in $34.2\%$, bad in $21.6%$. 2. Performance level of community health practitioners' task Among a total of 52 contents of their functions medical history taking. physical examination, referral of diagnostic laboratory work-up($(86.4\%)$, health assessment of pregnant women$(82.1\%)$, development of health information system$(79.4\%)$, supervision of health workers $(78.4\%)$, follow-up of family planning acceptors$(77.3\%)$, and follow-up of family planning acceptors' side effects$(77.3\%)$ were actively performed. Diagnosis of pregnancy$(62.1\%)$, sampling of drinking water for quality test$(52.5\%)$, making list of equipment' & supplies $(51.5\%)$, evaluation of primary health post activities $(37.6\%)$, organization of village health workers$(32.4\%)$ and management of village health workers $(30.1\%)$ were poorly performed. 3. Stepwise multiple regression analysis of job function The factors which influenced the performance level of community health practitioners' function were age, marital status, educational level, job career, job satisfaction, satisfaction of working environment of primary health post, cooperation of health center, cooperation of health center, cooperation of private health instiutions in orders. These 9 variables were able to explain job function from $25.7\%$ of program planning to $6.7\%$ of management of common disease. 4. Canonical correlation analysis between the performance of function and general characteristics of CHPs. Cooperation of private health institutions was found to be the factor influencing task performance of community organization, management of primary health post, technical supervision of health personnels. Job satisfaction of CHPs was also found to be the factor influencing task performance of family planning, management of common disease and maintenance of health information system.

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건강증진을 위한 산업장에서의 금연프로그램 적용의 일 연구 (A Study on the Application of a Health Promotion Program about No Smoking in Industry)

  • 최선하;이규난
    • 한국보건간호학회지
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    • 제8권1호
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    • pp.30-52
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    • 1994
  • This study was conducted to diffusion of the health promotion program about no smoking in industry. No smoking program model composed of assessment, plan, implementation and evaluation was developed through the method of literature review and applied to 27 smokers of the management team and dept. of the 1st production in one industry, from October 27 to November 3D, 1993. For the analysis, descriptive statistics and paired t-test were used. The result of this study are summarized as follows: 1. The object was composed of no smoking and reduced smoking. The achievement rate of object was $48\%$. 2. As a result of the implementation of no smoking program, $11\%$ of no smoking rate was obtained. 3. After application of no smoking program, the health age was a little lower but statistical significations was not found. 4. Health education and support of family were effective in health promotion program. Complementary measures about indivisual activity for no smoking were required in no smoking program. In conclusion, subject's response about no smoking program was high and health education and support of family were effective in health promotion· program. And nurses were expected to do their roles as a planner, intervener, manager and supporter in health promotion services.

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한국 노인의 건강증진행위에 대한 문헌분석 연구 (A Review of Research on Health Promoting Behaviors of Korean Older Adults)

  • 구미옥
    • Perspectives in Nursing Science
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    • 제3권1호
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    • pp.17-34
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    • 2006
  • This study was done to suggest directions for research and interventions of health promoting behaviors in Korean older adults in the future. Thirty seven articles for health promoting behaviors in Korean older adults were reviewed and analyzed. Findings are summarized as follows: 1) The total scores of the HPLP in Korean older adults were 2.30-2.44 out of 4 points. In the subscale, the highest degree of performance is nutrition, following interpersonal support, self actualization, stress management, health responsibility and the lowest degree of performance was exercise. 2) The total scores of the Health Behavior Assessment Tool of the Korean Elders were 2.87-3.2 out of 4 points. 3) Among the characteristics of older adults, monthly pocket money, previous job had consistently significant relationships with health promoting behaviors. Sex, job and presence of disease were consistently insignificant relationships with health promoting behaviors. 4) Perceived health status, self efficacy, self esteem, family support and social support had consistently significant correlations with health promoting behaviors. 5) In regression analysis, self efficacy, family support, depression, self esteem were the most powerful predictors of health promoting behavior in more than two articles. Predictors accounted for 14.2-65.2 % of the variance in health promoting behaviors of Korean older adults. On the basis of above findings, It is necessary to develop the interventions for more regular practice of the health promoting behaviors in Korean older adults. The interventions are recommended to focus increasing the exercise & health responsibility and to use the strategies to increase self esteem, self efficacy, social support including family support.

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관절염 환자의 통증과 심리.사회적 상태와의 관계 (The Relationship between Pain and Psychosocial Factors of Patients with Arthritis)

  • 길숙영;오원옥;석민현
    • 한국보건간호학회지
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    • 제20권1호
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    • pp.79-86
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    • 2006
  • Purpose: This study was conducted to examine the relationship among pain, family support, self-efficacy, depression of patients with arthritis. Method: The subjects of this study consisted of 96 patients with arthritis. The data was analyzed ANOVA. Duncan test. Pearson Correlation Coefficients using SAS. Result: Pain showed significant differences according to depression(F=8.12, p=0.001), self efficacy(F=11.52, p<.000) and not significant differences family support(F=0.34, p=0.714). There was a significant negative correlation between family support and depression(r=-.48, p<.000), depression and self efficacy(r=-.41, p<.000). Conclusion: Therefore, for the management of arthritis patient it is required continuous self-management and proper program on self-efficacy promotion.

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노인의 삶의 질에 관한 연구 (Quality of Life for Elderly)

  • 김애련;채옥희
    • 가족자원경영과 정책
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    • 제5권1호
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    • pp.49-60
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    • 2001
  • This research examined elderly’s quality of life(q/l). In order to explore the elderly’s q/l, it was conceptualized into 8 dimensions tapping macro and micro aspects of elderly’s life: physical & mental health, self-esteem, anxiety, social support, family solidarity, economic state, and physical environment. The primary purposes were to describe dimensions of q/l by the elderly’s sociodemographic variables. And the intercorrelations among q/l dimensions were examined and then the effects of q/l sub-dimensions on psychological well-being were analyzed by using multiple regression. Based on the data collected for 677 subjects residing in rural and urban areas, the basic issues hypothesized were explored. The findings appeared that the psychological well-being was a positive function of physical and mental health, self-esteem, social support, and economic state and a negative one of social anxiety, controlling for subjects’s sociodemographic variables.

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직장 남성의 우울감에 영향을 미치는 요인: 직장 내 대인관계 스트레스와 가족관계 스트레스를 중심으로 (The Influencing Factors on Working Men's Depression: Focusing on Relationship Stress at Work and Family Relationship Stress)

  • 이소희;김성희
    • 가족자원경영과 정책
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    • 제23권4호
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    • pp.75-95
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    • 2019
  • The purpose of this study was to investigate the effects of relationship stress at work and family relationship stress on working men's depression in order to improve their mental health. Data were collected via questionnaire from 313 white-collar workers living in Seoul, Daejeon and Gwangju. There were significant differences in depression depending on age, spouse, age of child, family size and years of labor. There were positive correlations among depression, relationship stress at work and family relationship stress. The family relationship stress was the most influential factor on depression, followed by relationship stress at work. Family relationship stress had a mediating effect on depression and relationship stress at work. These results showed that employers should manage depression of workers in a family friendly way to reduce the stress in relationship at work and home such as work and family balance policy.

건강가정지원센터의 운영모델에 관한 기초조사 - 조직과 평가를 중심으로 - (A Fundamental Survey Study for the Organizational System and Evaluation Strategies of Healthy Family Support Centers)

  • 원소연;장진경
    • 대한가정학회지
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    • 제43권7호
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    • pp.129-145
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    • 2005
  • The Healthy Family Act was established in 2004 to prevent problems of the family and increase thehealthy characteristic of the general family. According to this Act, Healthy Family Support Centers (HFSCs) were founded as a new part of the family welfare institution. The purpose of HFSCs is providing various welfare services to enhance the health and well-being of families in the community. This study investigated the organizational system and evaluation strategies of HFSCs. This research comprised a descriptive study of the organizational system and evaluation strategies of HFSC. The study sample consisted of 217 faculty and field workers. Data were collected from December 2004 to January 2005 and analyzed by frequencies, mean, standard deviation and ANOVA. The results were as follows. First, HFSC's organization should consist of family education, family counseling, family culture-marketing, and network teams. Second, healthy family specialists should have a national certificate of qualifications also they should have more than master's degree level. Third, evaluation of HFSCs should be adapt an incentive system.

신장이식 환자와 가족의 퇴원후 교육요구 (A Study on the Educational Needs of Patients with Kidney Transplants and their Family Members after Discharge from Hospital)

  • 안재현;김남초
    • 대한간호학회지
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    • 제29권6호
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    • pp.1324-1335
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    • 1999
  • The purpose of this study was to explore the educational needs of patients with, kidney transplants and their family members to develop a rehabilitational and educational program. Data were collected from January 29, 1999 to April 20, 1999 with interviews using a structured questionnaire. There were 184 subjects in this study. of them, 107 were patients who had kidney transplants and had visited at the out-patient department of three general hospitals located in Seoul and 77 were family members. The questionnaire used for this study was developed by the investigator through a literature review and from data collected from 11 professional personnel and three kidney transplant patients and their families. The data were analyzed using the SAS program with t-test, ANOVA, Scheff test, Pearson correlation coefficient. The results are as follows; 1) In the patient group, total mean score for educational needs was 154.61 and the item mean score was 3.96. For the family group, total mean score for educational needs was 168.84 and the item mean score was 4.15. So in the family group, educational needs were scored higher than by the patient group. With regard to domains, both patient and family groups had as the highest educational needs, the domain of physical health and the top ten items in the educational needs were also in the domain of physical health. 2) In the patient group, women and the divorce/ bereavement group had higher educational needs in the domain of nutritional management, those who had been admitted longer than four weeks from their kidney transplant had higher educational needs in the domain of physical health and those who were less than 4 years from their transplant had higher educational needs in the domain of follow-up care. In the family group, those who were Catholics and had high school education had higher educational needs in the domain of nutritional management. 3) In the patient group, academic background was positively correlated(r=.208, p=.031) to educational needs.

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위암환자의 건강증진행위 및 관련 요인 (The Factors Affecting Health Promotion Behavior among Stomach Cancer Patients)

  • 윤혜민;김건엽;이태용;김현지;김광환;김대경
    • 한국산학기술학회논문지
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    • 제12권10호
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    • pp.4513-4522
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    • 2011
  • 본 연구는 위암환자를 대상으로 건강증진행위 정도와 건강신념, 가족지지, 자아존중감 등 건강증진행위에 영향을 미치는 관련 요인을 살펴보고자 하였다. 2008년 6월부터 7월까지 대전광역시의 2개 병원에 내원한 위암환자 153명을 대상으로 일반적 특성, 위암질환 관련 특성, 질환에 대한 건강신념 및 가족지지, 자아존중감에 관하여 면담 설문조사를 하였다. 다변량 회귀분석 결과 건강증진행위에 영향을 미치는 관련 요인으로는 연령, 치료방법, 유익성, 장애성, 가족지지, 자아존중감이었으며, 이들의 설명력은 66.6%이었다. 위암환자들의 건강증진행위를 향상시키기 위해서는 유익성과 가족지지, 자아존중감은 높이고, 장애성은 낮추는 보건의료적인 중재 프로그램을 개발하여 적용하는 것이 필요하다.