• 제목/요약/키워드: Group Counseling

검색결과 846건 처리시간 0.023초

초등학생을 위한 비만고나리프로그램 개발 및 효과 평가 (Effects of a Weight Control Program for Elementary School Children)

  • 유일영;이정렬;이은숙
    • 한국학교보건학회지
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    • 제11권1호
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    • pp.91-97
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    • 1998
  • The main purpose of this study was to develop, implement, and evaluate a weight control program for overweight elementary school children The results of our previous study in 1996 Identified overweight as one of several health problems among elementary school children in urban areas The research method utilized was a quasi experimental design using one group in a pre and post test comparison The sample consisted of 198 children from 3 elementary schools in Kyung-gi Province who were 20% over the ideal weight for their height Height and weight were measured and a BMI score was calculated at the beginning of the program and monthly thereafter. The program had three components: physical exercise, counseling of children, and health education of children, parents, and teachers. The program lasted from March, 1997 to November, 1997. The data were analyzed using an SAS PC statistical package. The results indicate that the overweight children in two elementary schools had statistically Significant changes in their BMI score after the program while those in one school id not. When the process notes were reviewed it was Identified that the school which showed little change averaged less physical exercise, and less parent and teacher participation in the program In conclusion, a school based weight control program is an effective way to manage and prevent obesity for overweight elementary school children It is suggested that a school wide exercise program may be better accepted by overweight children than a program specifically designed for overweight children only. One of the most important factors which determine the successful outcome of any health promotion project in school is the enthusiasm and cooperation of the principal and school health nurse.

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저소득 가정 영유아 건강 프로그램이 어머니의 양육지식, 행동, 자신감 및 가정환경에 미치는 효과 (Effects of an Infant/Toddler Health Program on Parenting Knowledge, Behavior, Confidence, and Home Environment in Low-income Mothers)

  • 이경주;양수;장미희;염미정
    • 대한간호학회지
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    • 제42권5호
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    • pp.671-679
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    • 2012
  • Purpose: This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment. Methods: A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers. Results: Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development. Conclusion: The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

병원 외래환자의 예약부도 요인 (No-Show Related Factors for Outpatients at a Hospital)

  • 민대기;구훈영
    • 한국전자거래학회지
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    • 제22권1호
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    • pp.37-49
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    • 2017
  • 병원 진료의 효율성과 진료 품질의 극대화를 위해 진료예약을 시행하고 있다. 그러나 예약일에 방문하지 않는 예약부도로 인해 의료서비스 자원이 낭비되고 다른 환자의 진료기회를 박탈하는 등 현대 병원 운영에서 주요한 이슈의 하나로 떠오르고 있다. 이러한 예약부도의 원인을 분석하기 위해 미국의 한 보훈병원의 5만 건 진료예약 데이터를 대상으로 예약부도 요인의 중요도와 유의성을 검정하였다. 랜덤 포레스트와 로지스틱 회귀분석 결과, 예약대기시간, 방문율, 내원거리, 예약부도율, 환자 나이, 중증도, 질병의 복합도, 만성통증, 우울증, 약물의존 등이 주요한 원인으로 파악되었다. 예약대기시간과 방문율, 내원거리, 예약부도율은 SMS 사전 통지를 강화하고 사후 전화 상담을 통해 점진적으로 개선 가능할 것으로 판단되며 기타 요인에 대해서는 환자 그룹별로 차별화된 대응방안을 구성하는 것을 고려해 볼 수 있다.

조손가정 청소년의 생활경험에 관한 연구: 학습정서지원 서비스 이용 경험을 중심으로 (A Study on Daily Life Experiences of Adolescents Being Raised by Their Grandparents: Focusing on the Practical Experience of Learning and Emotional Support Services Provided by a Health Family Support Center)

  • 박경애;이무영;강기정
    • 가정과삶의질연구
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    • 제30권4호
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    • pp.59-75
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    • 2012
  • The purpose of the study shall be to achieve an understanding of learning and emotional support services for adolescents being raised by their grandparents. In-depth interview and qualitative methodology were used to find changes in the service experiences of 10 adolescents being raised by their grandparents by analyzing their experiences at a health family support center. 1 agency in the Chungnam area was selected as a model for its program for adolescents being raised by their grandparents. Ultimately, 78 items as sub-concepts, 44 items as sub-categories, and 4 items as subjects were identified. Specifically, these included school achievement, peer group relationship, family relationship and significant others. In conclusion, they were found to experience slower physical and emotional development and tend to withdraw in social situations. They were also found to have experienced difficulties in communicating with other people and with school achievement. However, it was shown that these adolescents have made positive changes after participating in a program involving a family coach who supports and provides services for them. Also, they were found to have experienced psychologically changes, and improved in their school achievement and personal relationships. Consequently, we will require more effort to provide emotional support, adult role models, counseling intervention, and social support for them.

입원환아 부모의 간호요구 (Nursing Needs of Parents with Hospitalized Child)

  • 서영미;권인수;조명옥;최운주
    • Child Health Nursing Research
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    • 제5권1호
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    • pp.59-69
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    • 1999
  • The main purpose of this study is to identify nursing needs of parents who have hospitalized child. Research design is a descriptive survey. The subjects for the study were 79 parents who have hospitalized child at a pediatric ward of one of the general hospital attached to a university in J city. The data was collected by researchers using a structured questionnaire. The questionnaire was Likert type 5 point scale, composed of 5 categories with 61 items. The data was analyzed by SPSS/PC. The results of the study were as follows ; 1) Mean score of nursing needs of subjects were 3.93 at 2nd day of admission and 3.99 at 7th day of admission. 2) Among the categories, the highest nursing need at the End day and 7th day of admission was ‘dilect nursing’, in desending order, ‘facilities and environment’, ‘education and counseling’, ‘nursing assessment’. The lowest nursing need was ‘reference’. 3) Differences between the nursing needs of subjects at 2nd day and 7th day were as follows : (1) By categories, there was a significant difference only in the ‘reference’ categoly(t=2.74, P=.008). (2) By items, there were significant differences in items of ‘to check necessary materials(t=2.31, P=.024)’, ‘to understand family function and family relationship(t=2.12, P=.041)’, ‘to set up study room(t=2.22, P=.030)’, and ‘to mediate parent's meeting group(t=3.89, P=.000)’. The above result indicated that nursing needs of parents with hospitalized child were above average, especially very high in items about disease process, and items directly associated with treatment and nursing care. So, nurses have to focus on information about the patient's state of disease, treatment, test and procedure, and in efficiently giving direct nursing care to implement mure effective care for the hospitalized children and their parents. And some future researche is needed to identify the difference of degree of nursing needs of parents with hospitalized child according to admission duration using a different sample and a longer sampling interval.

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방사기저함수 인공 신경망을 이용한 다문화가정 초등학생의 우울증상 경험 예측 모델링 (Radial Basis Function Neural Network Modeling of Depression Experience in Elementary School Students of Multi-cultural Families)

  • 변해원
    • 한국융합학회논문지
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    • 제8권11호
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    • pp.293-298
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    • 2017
  • 이 연구는 방사기저함수(RBF) 인공신경망을 이용하여 우리나라 다문화가정 초등학생의 우울증상 경험 예측 모델링을 구축하였다. 전국조사에 참여한 만 9세 이상 12세 이하 다문화 자녀 초등학생 23,291명(남 12,016명, 여 11,275명)을 분석 대상으로 하였다. 결과변수는 이분형의 우울증상 경험으로 정의하였고, 설명변수는 성, 거주지역, 사회적 차별 경험, 지난 1년간 학교폭력 경험, 한국어 교육 경험, 다문화 가족지원센터이용경험, 한국어 읽기, 한국어 말하기, 한국어 쓰기, 한국어 듣기, 한국 사회 적응 교육 경험을 포함하였다. RBF 인공신경망 모델링 결과, 한국어 교육 경험, 학교 폭력 피해 경험, 한국 사회 차별 경험, 한국어 읽기 수준은 다문화 초등학생의 우울증상을 분류하는 주요 예측 요인이었다. 다문화 아동의 우울증을 예방하기 위해서 한국어 읽기 수준이 저하된 집단에 대한 우선적인 관심과 상담이 필요하다.

결혼 이민자 가족 관련기관의 프로그램 운영 현황에 관한 연구 (A Study of Programs Operation within all the Related Agency Provides Services for Married-Immigrant Families in Korea)

  • 김양희;박정윤;김효민;백선아
    • 가족자원경영과 정책
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    • 제12권2호
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    • pp.121-140
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    • 2008
  • The purpose of this study is to guide in providing quality services to meet the needs of married immigrants and their families. The researched agencies in this study were 14 public agencies and local government agencies, 21 married-immigrant family support centers, and 11 community social welfare centers located in the Seoul and Kyung-Gi areas. The program was categorized by the participating researchers, SPSS WIN 12.0 was used to calculate frequency, percentage and average then cross-tabulation was initiated. The results of the study are as follows: 1) The married-immigrant family support centers provide dominant services compared to public agencies and local government agencies, and community social welfare centers are located in the region of Seoul and Kyoung-Gi in the service areas of education, counseling, culture, child care and protect, support group and network. 2) All agencies provide service targeted to married immigrant women and their children 3) Three different types of agencies are mainly focused on providing Korean education programs. Married-immigrant family support centers and community social welfare centers are focused on providing computer skills programs. Public agencies and local government agencies are focused on providing vocation-oriented education. 4) Married-immigrant family support centers were investigated to service to the needs of married-immigrant families through networking with their neighboring communities.

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The Effects of Brisk Walking versus Brisk Walking Plus Diet on Triglycerides and Apolipoprotein B Levels in Middle-aged Overweight/obese Women with High Triglyceride Levels

  • Lee, Mi-Ra;Kim, Wan-Soo
    • 대한간호학회지
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    • 제36권8호
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    • pp.1352-1358
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    • 2006
  • Purpose. The purpose of this study were to investigate the effects of a 12-week brisk walking program on triglycerides (TG) and apolipoprotein B (Apo B) and to compare these effects to those of a brisk walking plus diet program in middle-aged overweight/obese ($BMI{\geq}23$) Korean women with hypertriglyceridemia. Method. This analysis was done with nineteen middle-aged overweight/obese Korean women who completed either the brisk walking program (9 women) or the brisk walking plus diet program (10 women) for 12 weeks. The brisk walking consisted of walking for 20 to 50 minutes/day at an intensity of 40 to 70% of heart rate reserve (HRR) for 3 to 6 days/week. The diet consisted of 60 minutes of group education and 20 to 30 minutes of individual counseling every week. TG and Apo B were assessed pre- and post-intervention. Results. TG and Apo B decreased significantly after the brisk walking program (Z = -2.31, p = 0.021; Z = -2.59, p = 0.009). TG and Apo B lowering effects of the brisk walking program were not significantly different from those of the brisk walking plus diet program (U = 37.0, P = 0.549; U = 42.0, P = 0.842). Conclusion. Brisk walking can be an effective intervention for overweight/obese middle-aged women with hypertriglyceridemia in reducing cardiovascular risk by lowering TG and Apo B levels. Adding diet to brisk walking may have no additional significant effects on changes in TG and Apo B.

여자청소년의 신체관련변인, 자존감, 내적통제력이 섭식장애행동에 미치는 영향 (The Effect of Female Adolescent Body-Related Variables, Self-Esteem and Internal Control on Eating Disorder Behavior)

  • 김갑숙;강연정
    • 가정과삶의질연구
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    • 제25권3호
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    • pp.77-87
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    • 2007
  • This study purports to understand the direct and indirect effects between eating disorder behavior of female adolescents and their body-related variables(concerning the degree of diet regime, weight control, body satisfaction, and obesity), self-esteem and internal control, by checking three sub-categorized behavior of eating disorders of diet behavior, bulimia behavior, and eating control behavior. The sample group used for the study consisted of 190 female high school students and 292 female university students; measurement devices used for the study were those of body-related variables, self esteem and internal control, and eating disorder behavior; and data analysis was performed using ${\chi}2$, t-test, Pearson's correlation, regression analysis and path analysis. The results are as follows. First, there is a significant difference between university students and high school students regarding their body satisfaction, weight control experience, and self esteem. University students are more satisfied with their body, have higher self esteem, and control their weight better than high school students. Second, diet behavior shows a correlation with the degree of diet interest, weight control experience, and body satisfaction. Body satisfaction and internal control proved to be correlated with bulimia behavior, while weight control experience, obesity, and self esteem were correlated with eating control behavior. Third, the variables that showed a direct influence on diet behavior as an eating disorder are diet interest, weight control experience, body satisfaction and obesity, in that the explanatory power of the variables is 60.7% with the highest mark on obesity. The variables that showed effects on bulimia are body satisfaction and internal control with an explanatory power of 2.8%. Indirect variables effecting bulimia include objects, diet interest, body satisfaction, and self esteem. The variable with a direct influence on eating control behavior was self esteem with and explanatory power of 4%, whereas the variables of objects, diet interest, body satisfaction, weight control experience, and internal control were all indirectly correlated with eating control behavior.

기혼여성의 애착안정성과 자아존중감에 따른 우울, 불안 : 초등학생 어머니를 중심으로 (Depression and Anxiety Related with Married Women's Attachment Security and Self-esteem : Focused on the Mothers of Elementary School Students)

  • 곽소현;김순옥
    • 대한가정학회지
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    • 제45권7호
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    • pp.35-48
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    • 2007
  • The purpose of this study was to examine the difference between the depression and anxiety related with maternal attachment security and those with self-esteem. The study subjects were 240 children's mothers from seven Community Social Welfare Service Centers in Seoul, Incheon, and Pyeongtaek, including those from 1st graders to 6th graders of 2 elementary schools in Seoul. Consequently, a total of 200 mothers were selected for this study. The data in this study were analyzed with SPSS 12.0 program by frequency analysis, technical statistics analysis, Cronbach's $\alpha$, Pearson's correlations, partial correlation analysis, and two-way ANOVA. The results of this study are as follows: (1) Paternal attachment security and maternal attachment security indicated a moderate level of negative correlation with depression and anxiety. Self-esteem showed a high level of negative correlation with depression and anxiety. For self-esteem, we divided the subjects into two groups of high and low self-esteem. In the former, anxiety was significantly negatively correlated with paternal attachment security and depression was not significantly correlated with maternal attachment security and paternal attachment security. In the low group, neither depression nor anxiety showed meaningful correlation with paternal attachment security and maternal attachment security. (2) Married women's depression and anxiety had a main effect both in paternal attachment security and self-esteem level, and in maternal attachment security and self-esteem level. However they had no interactive effect in paternal attachment security and self-esteem level, and in maternal attachment security and self-esteem level.