• Journal of Preventive Medicine and Public Health
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• 제12권1호
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• pp.107-120
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• 1979

In order to determine the knowledge of, attitudes to, and practice of housewives toward health care in a rural area, a survey with questionnaire was carried out with 87 housewives who were sampled randomly from 6 villages in Sudong Myun, from April 16th to 21st, 1979. The following results were obtained. 1. Of the housewives studied, 61.5% knew that B.C.G. is a vaccine for T.B prevention and 12.3% knew that D.P.T. is a vaccine for diphtheria, pertussis, and tetanus. 2. The vaccination rate of the children under six-year of the housewives studied was: polio 83.1%, B.C.G. 75.4%, D.P.T. 66.2%, and measles 55.4% respectively. 3. The vaccination rate was higher in children in the area near from the health subcenter than in there of the area further away. 4. Out of 87 respondants, 87.5% knew one or more methods of contraception for spacing children. These were: loop 69.0%, oral pill 66.7% and condom 14.9% respectively. 5. Out of 87 respondants, 82.2% knew the methods of contraception for sterilization. These were: laparascopy 87.5% and vasectomy 16.9%. 6. Out of 87 respondants those who had experience using contraceptive methods were 70.1% and present users were 47.1%. 7. Contraception practice rate was higher in the group of housewives having middle school education or above than those having primary school education or less. 8. Functions of the health subcenter listed by respondants were: patients care 72.4%, family planning 31.0%, vaccination 23.0%, T.B. control 3.4%, health education 3.4%, infant birth delivery assistance 1.1% respectively. 9. Housewives who knew that there is a village health voluntary worker in their own village were 63.2%(55), and 58.2% of those who knew appreciated her activities. 10. Purposes of expenditure of Myun community health development funds listed by respondants were: aid for patient care 34.5%, aid for health subcenter operation 16.1%, and aid for Myun health development 6.9% respectively. 11. It seems that both of the distance from the health subcenter and the utility rate level of the village health voluntary worker are co-related to the B.C.G. vaccination rate of children. 12. It seems that both of the distance from the health subcenter and the utility rate level of the village health voluntary worker are not co-related to the rate of contraception practice.

• 한국보건간호학회지
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• 제16권2호
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• pp.454-468
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• 2002

Historically, women's health needs have been viewed primarily as reproductive, and all other health needs have been dealth with without considering their responses to disease and treatment(Strickland & Giger, 1994). It has mostly been through the efforts of women's group, especially health care team, that more recognition has been given to the overall health of women worker in recent years. The purpose of this study was to examine the depression, self-esteem and health practice in order to identify health care strategies to improve health promotion among women workers in small workplace. The consisted of 94 women workers who work at small manufacturing industry. The data were collected from January to February, 2002. The instruments for this study was Rogenburgs self-esteem scale, Zung s depression self-reporting scale and Breslow & Enstrom s health habits scale. The analysis of data were performed with frequency, percentage, t-test, ANOVA. $\chi^2$ test, pearson correlation and multiple regression using SPSS Win 10.1 program. 1. The average depression score was 1.87 which is relatively low and the average self-esteem score was 2.75 which is relatively moderate. The total mean score for health practice was 4. 10(range 0-7) which is relatively high moderately. 2. Health practice had not a statistically significant correlation with depression and self-esteem, but the depression had a statistically significant correlation with self-esteem(r=-.401, p=.000). 3. There was not a significant difference In depression, self-esteem and health practice according to the general characteristics 4. There was a significant difference in sub category of health practice according to the status of living with family and status of marriage. As far as the health practice of women workers living with family practiced better health than women workers no living with family concerning breakfast(p=.03) and as far as the health practice of women workers no living with family practiced better health than women workers living with family concerning sleeping time(p=.04). There was a significant difference in breakfast(p=.04), smoking(p=.00), and BMI(p=.05) according to the status of marriage. 5. The major factor was age and explained for $7\%$ of health practice. The repeated study should be carried out to figure out the health practice and its related factors of female workers at small manufacturing industry.

• 대한가정학회지
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• 제36권6호
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• pp.27-40
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• 1998

The purpose of this study was to examine the role of children's characteristics, family environment and child care quality in socio-emotional development of children among dual-worker families. The sample consisted of 138 children aged 5-7 and their parents. Descriptive statistics, t-tests, correlation analysis, one-way ANOVAs, and stepwise regression were used to analyze data. Results showed that there were significant sex differences in children's temperament and popularity. Mother's marital satisfaction had a negative correlation with peer rejection. Low maternal role conflict and child's age had effects on children's self-perception. Moreover, sex and age of the child, mothers' responsive parenting, number of teachers in the classroom were significant predictors for children's peer rejection.

• 한국콘텐츠학회논문지
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• 제22권10호
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• pp.330-348
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• 2022

본 연구의 목적은 방문요양 요양보호사의 소진 경험에 관한 질적 사례연구 수행을 통해 이들의 소진 예방 및 극복을 위한 유용한 이론적, 실천적 시사점을 도출하는데 있다. 이를 위해 방문요양 요양보호사들이 65세 이상 장기요양급여 서비스 대상 노인 및 그 가족보호자와, 파견하는 재가노인복지센터와의 관계경험 안에서 어떠한 맥락을 경험하였는지를 분석하였다. 분석 결과, 도출된 상위범주는 총 12개로, '의심받는 존재로 전락한 나', '추락한 자존감', '더 하고 싶지 않은 방문요양보호사 활동', '억압된 존재', '폭력적 상황에 노출', '가치절하된 돌봄 노동자', '전문 직종으로 인정받기 어려운 일', '일의 경계선이 명확하지 않는 노동', '노인가족에 대한 실망', '개선되기 쉽지 않는 사회적 인식과 노력', '파견기관의 열악한 처우', '파견기관에 대한 불신'으로 나타나고 있다. 위와 같은 연구결과 및 논의점을 바탕으로, 방문요양보호사의 소진을 예방하거나 감소하기 위한 제언방안을 제시하였다.

• 한국가족복지학
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• 제43호
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• pp.37-59
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• 2014

돌봄 노동의 사회적 필요성이 증가하고 그 시장의 규모 역시 증가하고 있으나, 돌봄 노동의 주요 공급자로서 여성 노동자들의 노동가치는 제대로 평가를 받고 있지 못하다. 본 연구는 현재 돌봄 서비스를 제공하고 있는 돌봄 여성 노동자를 대상으로 돌봄 여성 노동자의 일반적 특성과 돌봄 노동의 특성요인(근무특성과 대인관계특성)들 중 돌봄 여성 노동자들의 이직의사에 영향을 미치는 요인이 무엇인가를 규명하는데 목적이 있다. 위의 목적을 달성하기 위하여 본 연구에서는 돌봄 서비스를 제공하고있는 대구 경북의 돌봄 여성 노동자를 대상으로 31개의 기관, 530명을 대상으로 설문조사하였고 그중 387부를 로짓 회귀분석을 통해 이직의사에 대한 영향 요인을 검증하였다. 분석결과는 다음과 같다. 로짓 회귀분석 결과, 이직의사에 영향을 미치는 요인은 학력, 보수적절성에 대한 인식, 계약 외일, 노동 강도, 이용자와의 관계, 제공기관과의 관계요인으로 밝혀졌다. 즉 돌봄 여성 노동자의 학력이높을수록, 보수적절성에 대한 인식이 낮을수록, 계약 외 일을 할수록, 노동 강도가 높을수록 이직의사가 있는 것으로 나타났으며, 이용자와의 관계와 제공기관과의 관계요인에서는 관계가 좋지 않을수록돌봄 노동을 떠나려는 이직의사가 높은 것으로 나타났다. 위와 같은 연구의 결과를 고려하여, 돌봄 여성 노동자들이 직무를 지속하도록 하기 위해서 돌봄 노동자의 노동조건에 대한 국가적 차원에서의 지도 감독을 강화하여야 하며, 이용자와 돌봄 노동자가 상호 대등한 협력적 관계를 유지하도록 하기 위한 대인관계교육 제공이라는 정책 및 실천적 함의를 도출하였다.

• 한국인구학
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• 제34권3호
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• pp.179-209
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• 2011

본 연구는 한국보건사회연구원의 "2009년도 전국 결혼 및 출산 동향 조사" 패널자료를 활용하여 20~44세에 이르는 2,678명의 미혼 남녀(남 1,425명, 여 1,253명)가 생각하는 이상적인 일 가정 양립 방안, 성역할 태도 및 저출산 원인에 대한 견해 등을 성별 및 교육정도에 따라 알아보고 이들 사이의 관계를 탐색적으로 분석해 보았다. 이를 통해 향후 저출산 문제 해결을 위해 미혼 남녀들의 일 가정 양립을 어떻게 지원할 것이며, 이 과정에서 미혼 남녀의 성역할 태도가 어떻게 변화되어야 할 것인가를 유추해 보고자 했다. 연구결과를 정리하면, 첫째, 이상적인 일 가정 양립 방안은 미혼자의 성별에 따라 차이가 없었으나 교육정도에 따라서는 통계적으로 유의한 차이가 드러났다. 둘째, 이상적인 일 가정 양립방안과 부부 성역할 태도 및 성별 간 관계에 있어서는 여성에 비해 남성이 '남성은 직장, 여성은 가사'를 더 찬성했으며, 전일제일 보다 시간제 일을 선호하는 미혼자들이 '남성은 직장, 여성은 가사' 방안에 대한 찬성이 높았다. '남편의 자녀 돌봄 능력'에 대해서는 여성이 남성보다 그리고 2자녀를 두고 전일제로 일하겠다는 미혼자가 1자녀를 두고 전일제로 일하겠다는 미혼자에 비해 높은 평가를 보였다. 셋째, 두 자녀 이상을 두고 전일제로 일하고자 하는 미혼 남녀가 저출산 문제를 가장 심각하게 받아들이고 있었다. 넷째, 저출산 이유로 가장 높은 동의를 보인 것은 '양육비와 교육비용'이었으며 다음으로 '주택마련의 어려움'과 '취업여성의 증가'였다. "취업여성의 증가"를 저출산의 원인으로 여기는 정도는 남성보다 여성이 높게 나타났으며, 무자녀로 전일제 일하는 것을 원하는 미혼자들에게서 이러한 성향이 두드러지게 나타났다. 이러한 연구결과를 통해 일 가정 양립방안과 성역할 태도에 대한 기본적인 이해를 높일 뿐만 아니라 저출산 문제에 대한 정책적 개입방향을 제시하고자 하였다.

• 대한통합의학회지
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• 제9권3호
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• pp.99-110
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• 2021

Purpose: The purpose of this study was to understand the experience and meaning of falls among care workers caring for the elderly. Methods: The participants comprised 10 care workers in Seoul and Gyeonggi Province, South Korea. The data collection period was from September to November 2020, and the data were obtained through individual in-depth interviews. The collected data were analyzed using the content analysis method of qualitative research. The main interview questions were as follows: First, in the event of a fall, "can you tell us about your experience and how you dealt with the fall?; second, "can you tell us about your role and the role of family members or the center that manages falls that occur outside of nursing visits.", third, "can you tell us about the difficulties in managing falls based on your experience?", and fourth, "how are falls that occur during nursing visits managed?" Results: As a result of analyzing the experiences of nursing care workers of falls while caring for elders in their homes, five main themes were derived. These were understanding the characteristics of the elderly at home, understanding possible emergency situations, providing caring services, minimizing physical harm, and delivering clear information. Conclusion: A significant finding of this study was that care workers who visit and provide care to elders at home confirmed the need for standard guidelines on appropriate responses in the event of a fall at home and the importance of managing emergencies arising from falls among elders at home. These results highlight the need for the development of emergency response education programs, such as programs on fall care among nurses and care workers who provide care to the elderly, and for enhanced understanding of the fall risk of elders who live at home.

• Journal of Hospice and Palliative Care
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• 제1권1호
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• pp.56-64
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• 1998

목적 : 본 연구는 서울대학교병원의 말기암환자와 가족을 위한 집단상담 프로그램을 소개하고, 현황 및 문제점을 파악하고자 하였다. 방법 : 1996년 한 해동안 상담에 참석한 말기암환자 및 가족들의 상담기록지를 중심으로 연구자들이 상담한 내용을 분석하였다. 결과 : 참석자 312명은 가족(84%)이 환자(16%)의 4배 이상 참석했고, 대부분 1회만 참석하고 있음을 보여주었다. 참석한 환자 또는 가족이 돌보는 환자의 현황은 나이별로 60대, 50대, 40대가 많았고, 암의 종류는 폐암, 위암, 간암 순으로 많았다. 가족의 특성은 261명으로 배우자, 자녀, 며느리, 형제자매, 부모순으로 많았다. 프로그램에 오게된 경로는 의사의 권유(69%), 병원 포스터(26%), 기타 순이었다. 이것은 의사가 환자와 가족을 집단에 참여시키는데 중요한 역할을 담당하고 있음을 보여준다. 질문은 우선적으로 의료적인 정보에 대한 욕구가 많았다. 이것은 환자나 가족이 의료진으로부터 정보를 제대로 전달받지 못하고 있음을 보여준다. 또한 가족은 환자를 돌보는데 있어서 정보의 제공만으로 해결될 수 없는 여러가지 실제적인 어려움을 주고 있었다. 그 결과 계속적인 24시간 전화상담 서비스 호스피스 시설 가정간호 서비스의 확대, 3차 의료기관과 1,2차 의료기관과의 의뢰 체계 등을 필요로하고 있었다. 따라서 병원에서 제공될 수 있는 프로그램과 지역사회에서 제공될 수 있는 자원, 호스피스 시설과의 연계가 필요하며 이를 관리해줄 수 있는 환자 관리 전담 인력이 필요하다. 결론 : 본 프로그램은 1회(single-session)적인 성격이 강하지만 환자와 가족이 궁금해하는 점들을 만족시켜주므로서 암에 대한 인식이 증가하고 대처능력이 향상되고 있음을 볼 수 있다. 이것은 이 프로그램이 위기에 처한 말기암환자와 가족을 지지하는 프로그램으로서 활용가치가 높다고 볼 수 있다. 추후 연구는 프로그램의 효용성에 대한 평가가 검토되어야 할 것이며, 다른 병원에서도 각 병원의 특성과 참석자들의 특성을 고려하여 보다 발전된 프로그램이 나오기를 바란다.

• 가족자원경영과 정책
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• 제9권4호
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• pp.95-112
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• 2005

The purpose of this study is to identify the characteristics and the limits of, as well as, Propose an improvement of, the government based policies that support poor single families. For this purpose, this study has analyzed the government based supporting policies for poor single families into four different aspects; income support, dwelling support, medical support, and child-caring support. Also, in order to analyze the situation of the poor single family as well as the limits of the government based supporting policies, an in-depth interview has been conducted with 8 personnel (including 7 single parents and 1 social worker). In the final analysis, a total of 5 case studies have been used to identify the characteristics of the government based supporting policies for various poor single families. As a result, it turned out that the economic situation of the poor single families were extremely unfavorable, and the quality of life was extremely low in the aspects of dwelling, nutrition, health child nurturing and education. Therefore, we are proposing the following supporting policies for the improvement of these families' living conditions: increasing income levels, providing job opportunities, securing dwelling places, providing medical support, and implementing child care benefit policies. Furthermore, we are proposing an expansion of the human services provided by the healthy family support center to these poor single families.

• 의료법학
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• 제9권1호
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• pp.385-411
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• 2008

The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.