• 제목/요약/키워드: Family health management

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대학생의 가족학대경험, 가족스트레스와 행복의 관계 : 사회적 지지와 가족탄력성의 매개효과를 중심으로 (Relationship between Family Abuse Experience, Family Stress and Happiness in University Students : The Mediating Effects of Social Support and Family Resilience)

  • 김민경
    • 가정과삶의질연구
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    • 제29권6호
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    • pp.41-54
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    • 2011
  • The purposes of this study were to find correlation between family abuse experience, family stress, social support, family resiliency and happiness in university students, and to explore the mediating role of social support and family resiliency between family abuse experience, family stress and happiness. The subjects were 295 university students. The data were analyzed by means of frequency analysis, Pearson's correlation and structural equation modeling with SPSS and AMOS. Instruments were Lee's(2010) Happiness Scale for university students, Strauss'(1988) CTSP(Parent-Child Conflict Tactics Scale), McCubbin's(1981) FILE(Family Inventory of Life Events and Changes), Yu's(2004) Family resiliency of Family Health Scale and Park's(1985) Social Support Scale. The major findings were as follows; Family abuse experience was positively correlated with family stress and negatively correlated with social support, family resiliency and happiness. Family stress was negatively correlated with family resiliency. Social support and family resiliency were positively correlated with happiness. Family abuse experience positively influenced family stress and negatively influenced social support and family resiliency. Social support positively influenced family resiliency and happiness. Family stress negatively influenced family resiliency. Family resiliency positively influenced happiness. Thus education program and counseling should be provided to increase happiness and family resiliency, and social support should be provide to increase the quality of life for university students.

Adolescents' health behaviors and obesity: Does race affect this epidemic?

  • Dodor, Bernice A.;Shelley, Mack C.;Hausafus, Cheryl O.
    • Nutrition Research and Practice
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    • 제4권6호
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    • pp.528-534
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    • 2010
  • This study explores the influence of health behaviors and individual attributes on adolescent overweight and obesity using data from Wave II (Add Health). Structural equation model/ path analysis using maximum likelihood estimation was utilized to analyze the relationships of health behaviors and attributes with obesity. Results of the model reveal that the causal paths (adolescents' attributes and health behaviors) for overweight and obesity were different for African American and Caucasian adolescents. Generally, African Americans were more susceptible to overweight and obesity than Caucasians. Although increasing levels of vigorous physical activities lowers the risk for obesity among African American and Caucasian adolescents alike, low family SES and being sedentary were associated with overweight and obesity among Caucasians. No significant associations were found among African Americans. Increased hours of sleep at night relate positively with obesity among African Americans. These findings suggest important elements in the consideration of race in developing effective intervention and prevention approaches for curbing the obesity epidemic among U.S. adolescents.

직장 기혼 여성의 일-가정 갈등이 우울에 미치는 영향 (The effect of work-family conflict on depression in married working women.)

  • 김성국;박수연;이현실
    • 디지털융복합연구
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    • 제15권3호
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    • pp.267-275
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    • 2017
  • 이 연구는 우리나라 직장 기혼 여성의 일-가정 갈등 요소가 정신건강의 대표적 지표인 우울에 미치는 영향을 살펴보기 위해 갈등 요인들을 개인단위, 조직단위에서 파악하여 어떤 요소들을 중심으로 접근해야 할지 고찰하였다. 여성가족패널조사 5차 년도 자료 중 현재 남편과 동거 중인 기혼 유배우 여성이며 임금근로자인 1,299명을 대상으로 분석하였다. 위계적 회귀분석을 통해 모형검증을 실시하였고, 일-가정 갈등 특성이 포함된 4번째 위계 모형에서 설명력은 12.5%(p<0.001)로 일반적 특성들을 통제한 상태에서 직장 기혼 여성의 일-가정 갈등은 우울에 유의한 영향을 주는 것으로 나타났다. 특히, 가정에서 일에 대한 갈등(${\beta}=.150$, p<0.01)이 우울에 가장 높은 영향을 주는 것으로 나타났다. 직장 기혼 여성은 성역할 고정관념에서 자유롭지 못하여 가정 내 역할 갈등이 심화되면 이러한 문제가 직장 내 업무수행의 어려움으로 이어지게 된다. 이는 직장 여성의 정신건강에 부정적인 영향을 미칠 뿐 아니라 장기적으로 가정의 건강과 국가 생산력의 손실을 불러일으키는 원인이 되므로 이들의 일-가정 갈등을 덜어줄만한 적절한 사회 정책적 대처가 필요하다.

의료보험 다빈도 상병과 1차진료 의사에 관한 연구 (A Study on the Most Frequent Diseases of Health Insurance Program and the Primary Care Physicians in Korea)

  • 김철환;문옥륜
    • 보건행정학회지
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    • 제3권1호
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    • pp.124-145
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    • 1993
  • General practitioners, internists, pediatricians, and family physicians are classified as so-called primary care physicians in the United States. We carried out this study for the purpose of answering the following question; "Who are the primary care physicians in Korea\ulcorner" We analyzed the 663, 154 claims which were drawn from the health insurance processing file made during the period of one month, April 1992 on the basis of systemic random sampling technique. The 663, 154 cases were matched with the doctor's file registered at the National Federation Medical Insurance by using the indivisual physician code number and analyzed according to the kind of specialty. If we follow the Geyman's definition of primary care physician in the United States, this study shows that they can take care of 43.2% of the total private clinic's claims in Korea. Provided that general practitioners and family physicians are considered the same way as in the United Kingdom, they could with only 8.3% of the total claims in Korea. The most frequent diseases are those which rank first to 46th in the total private clinic's claims. The proportion of the most frequent diseases was highest for pediatricians(90.4%) and followed by internists(81.4%), otolaryngologists(78.7%) and family physicians(76.5%). The proportion of the most frequent diseases in the most common 46 diseases was highest for radiologists(80.4%) and the next was as follows : general practitioners(78.3%), family physicians(67.4%), and internists(67.4%). We classified the most common 20 diseases of each specialty into 17 categories of ICD-9 and compared it with those of general practitioners. The specialists who had managed a similar disease pattern to those of general practitioners were identified as anesthesiologists, family physicians, general surgeons, and internists. Some specialists practicing at private clinics managed the diseases which were not quite appropriate for their specialties. After we evaluated each specialty by the most common diseases, the most frequent diseases, and the most frequent 20 diseases of each specialty in terms of the 17 categories of ICD-9, a tentative assumption is made that the primary physicians in the Republic of Korea are general practitioners, anesthesiologists, family physicians, internists, and general surgeons. This study has concluded that the categories of the primary care physicians are so diverse that their roles and distributions are distorted accordingly. Vigorous health policy efforts in correcting the malcomposition need to be made for the better provision of primary health care in Korea. in Korea.

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건강가정지원센터의 육아품앗이 사업 실천사례 (A Case Study on Communal Child Care in Healthy Family Support Centers)

  • 차성란
    • 가정과삶의질연구
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    • 제27권6호
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    • pp.189-201
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    • 2009
  • The purpose of this study was to explore the potential development of a communal child care project that would lead towards a more family friendly community. By reviewing the case of the Daejeon Health Family Support Center, the study revealed that many child care providers showed an interest in communal child care. But the providers also had problems seeking both partners for communal child care and a communal place to gather. The Daejeon Health Family Support Center had several elements of strength in communal child care project. First, they provided educational programs for care providers to promote the professional knowledge and skills needed for child care and education. The participants' responses to the program were satisfactory, in that they showed the relative effectiveness of such programs in improving attitudes towards Pumasi, along with customized services and other programs provided by the Healthy Family Support Center. In addition, the availability of professional child care services in the attached gym, the Saturday classes for dual earner families, and the prompt response by the center to requests that more space be provided, also contributed to the success of Pumasi program.

노인의 실버산업 이용실태에 관한 연구 - 여가서비스를 중심으로 (The study on the realities of silver industry - focusing on the consumption of leisure services)

  • 문숙재;곽민진
    • 가족자원경영과 정책
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    • 제6권2호
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    • pp.97-117
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    • 2002
  • This study aimed at identifying and analyzing consumption of leisure services in silver industry and factors that had effects on them. This focused on the consumption of leisure services and its influence on the variables related to change of elderly's attitude, because socio-economic environment structure is improved and average life span is prolonged. The main findings of the research were as follows: 1. Totally, the percentage of leisure services consumption not so high and kinds of leisure were not various. Also, the reason why they use leisure was just for self-development and their indifference to leisure made them not to use services. 2. There were significant differences in individual characteristics and family-environmental conditions relating the consumption of leisure services in the silver industry. 3. Among variables which influence on the consumption of leisure of the elderly, job was the most significant factors. Also average monthly income, the changable inclination in food, clothing and shelter, social support of the family, status of residing, status of health and source of income were influential variables.

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손자녀 양육지원 경험에 대한 할머니들의 해석에 관한 질적 연구 (A Qualitative Study of Interpretations of Grandmothers' Childrearing Experiences)

  • 안희란;김선미
    • 가족자원경영과 정책
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    • 제19권1호
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    • pp.93-109
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    • 2015
  • This study explores interpretations of grandmothers' experiences rearing their grandchildren. For this study, 13 participants provided in-depth interview data, which was analyzed according to Spradely's ethnographic method. Based on the pattern of interpretations, nine concepts were classified into three categories: (i) repentance (compulsive decisions, passivity of the childrearing activity, non-compensation); (ii) sorrow (restrictions on everyday life, renunciation of occupational careers, worsened health); and (iii) satisfaction (decreased isolation in old age, proof of existence for their children, intimacy development with their grandchild). The results of this study show that grandmothers have a higher appreciation for the benefits of relational compensation than for personal cost. Some practical implications are suggested to improve family welfare.

생활과학의 통합성과 실천성 - 과제와 대안 (Proposing Missions and Alternatives for Integrity and Practicality of Human Ecology)

  • 이기영;김유경;송혜림
    • 가족자원경영과 정책
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    • 제14권2호
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    • pp.21-33
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    • 2010
  • This study was designed to establish the standing of Human Ecology by discussing the integrity and practicality of Human Ecology and viewing it from various angles. We dealt with objects of study, viewpoints, and the adoption of research results in discussing the integrity of Human Ecology. We also discussed the practicality of Human Ecology focusing on family welfare, health and policy. This study revealed that integrity and practicality were closely connected and played important roles in the identification of Human Ecology.

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디지털 병원의 CDSS구현을 위한 CPG 개발 (Developing CPG for Implementation of CDSS in Digital Hospitals)

  • 이형래;원장원;이상철;박상찬
    • 품질경영학회지
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    • 제42권1호
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    • pp.81-89
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    • 2014
  • Purpose: The purpose of this study is to propose Clinical Practice Guideline(CPG) model and Clinical Index(CI) for implementing CDSS in digital hospitals. Methods: This study uses EMR data at department of family practice in A hospital; 636 patients, 570 diseases (based on ICD 10-CM criteria), and 37,000 data related with labs and treatments. This study focuses on disease J342 which is the most high rate of incidence. Results: Using the suggested model, this study calculates frequency matrix and probability matrix to find out the correlation of diseases and labs. This study indicates the lab sets of Disease (J342) as CI for CPG. Conclusion: This study suggests CPG model including Lab-based, Disease-Based and Case-based modules. Through 6 level cased-based CPG model, especially, this study develops Clinical Index(CI) such as the Incidence Rate, Lab Rate, Disease Lab Rate, Disease confirmed by Lab.

코로나19로 인한 가정경제 악화가 조손가정 청소년의 정신건강에 미치는 영향 (The Influence of Family Economic Deterioration caused by COVID-19 on Mental Health among Adolescents in Grandparent-headed Families)

  • 장혜림;이래혁
    • 디지털융복합연구
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    • 제20권4호
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    • pp.651-659
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    • 2022
  • 본 연구의 목적은 코로나19로 인한 가정경제 악화가 조손가정 청소년의 정신건강에 미치는 영향을 파악하는 것이다. 이를 위해 본 연구는 질병관리청에서 구축한 2020년 제16차 청소년건강행태조사의 원자료를 활용하여 코로나19로 인한 가정경제 악화 여부가 조손가정 청소년의 불안, 스트레스, 우울, 자살생각에 미치는 영향을 분석하였다. 연구질문에 대한 주요 결과는 다음과 같다. 첫째, 589명의 조손가정 청소년 중 39%가 코로나19로 인한 가정경제 악화를 경험했다. 또한 가정경제 악화를 경험한 청소년이 그렇지 않은 청소년에 비해 불안과 스트레스의 점수가 높았고, 우울과 자살생각의 경험 비율이 높았다. 둘째, 회귀분석 결과, 조손가정 청소년의 코로나19로 인한 가정경제 악화의 경험은 불안, 스트레스, 우울, 자살생각에 통계적으로 유의미한 정적 영향을 미쳤다. 본 연구의 분석 결과를 기반으로 코로나19와 같은 재난 상황에서 조손가정 청소년의 정신건강을 보호하기 위한 방안을 논의하였다.