• 보건교육건강증진학회지
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• 제32권5호
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• pp.43-51
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• 2015

Objectives: Socioeconomic factors are one of the significant factors explaining drinking problems in our society. From the poverty and inequality perspective, not only absolute poverty but perceived level of poverty or inequality has a direct effect on one's health and health behaviors. The purpose of the study is to explore the growth trajectories of problem drinking in Korea in relation to poverty and perceived income. Methods: Data from 13,414 adults were analyzed using 4 years of data (2010 to 2014) from the Korea Welfare Panel. Main variables included poverty status, perceived income inequality, and problem drinking. A latent growth modeling was employed for the analysis. Results: The non-poverty group had higher initial level of problem drinking; however, the poverty group showed higher rate of increase in problem drinking rate. The perceived income inequality had no significant influence on the initial level, but over time, those with higher level of perceived income inequality showed higher rate of increase in problem drinking. Conclusions: Findings showed that poverty and inequality affect changes in problem drinking. Efforts to prevent and decrease problems related to alcohol should not only focus on changing individuals' behavior but also on decreasing the inequality gap.

• 한국병원경영학회지
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• 제15권4호
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• pp.1-26
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• 2010

We achieved both industrialization and democratization during the shortest period in the world. We also achieved good performance in national health insurance: universal coverage, solidarity in financing, equitable access of health care. However, national health insurance system has faced the problem of sustainability: various expenditure and financing problems. The problem of sustainablity has two facets of economic sustainability and fiscal sustainability. Economic sustainability refers to growth in health spending as a proportion of gross domestic product(GDP). Rapid increasing rate of health spending exceeds the growth rate of domestic product. Growth in health spending is more likely to threaten other areas of economic activity. Concern on fiscal sustainability relates to revenue and expenditure on health care. Health care financing face demographic and technical obstacles. Democratic obstacle is aging problem. Technical obstacle is collection of contribution. Expenditure of health care has various problems in benefit structure and efficiency of health care system. In this article, I suggest several policy reforms to enhance sustainability: generating additional revenue from value added tax, changing method of levying contribution, increasing efficiency of health care system by introducing the competition principle. restructuring of benefit scheme of health insurance. contracting with health care institutions to provide health care services.

• 한국학교ㆍ지역보건교육학회지
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• 제17권3호
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• pp.1-10
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• 2016

Objectives: The purpose of this study was to verify correlation between social support & psychosocial stress and drinking behavior after consuming alcohol among college students. Methods: This study surveyed by questionnaire 440 students who consumed alcohol regularly from 36 colleges around the country in 2014. Data were analyzed using the program SPSS 21. Results: The effects of social support on problem behavior after drinking and psychosocial stress had significant influence with each path coefficient -0.178(CR= -3.408, p<0.001) and -0.294(CR= -6.195, p<0.001). Also, the effects of psychosocial stress on problem behavior after drinking had significant influence with path coefficient -0.141(CR= -2.858, p<0.05). Social support had significant influence(p<0.001) on problem behavior after drinking through psychosocial stress, serving as a mediator variable, and social support had significant influence on problem behavior after drinking through psychosocial stress. Conclusions: Problem behavior after consuming alcohol held strong relevance in social support and psychosocial stress.

• 치위생과학회지
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• 제15권4호
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• pp.480-487
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• 2015

본 연구는 2013년 KNHANE 자료를 이용하여 우리나라 성인의 구강건강 상태와 HRQoL 관련성을 EQ5D 구성요소를 중심으로 평가하고자 하였다. 16~64세 성인 3,252명을 최종 분석대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 치아통증과 운동능력, 통증 및 불편은 통계적으로 유의한 관련성을 나타냈고, 저작 불편과 말하기 불편은 EQ5D 구성요소 5가지 모두 통계적으로 유의한 관련성을 나타냈다. 주관적 구강건강 인식은 자기관리, 일상활동, 통증 및 불편, 불안 및 우울과 통계적으로 유의한 관련성을 나타내어 구강건강 상태와 EQ5D 구성요소의 관련성을 확인하였다. 또한 EQ5D 구성요소에 미치는 영향을 통제변수를 보정 후 로지스틱 회귀분석으로 살펴본 결과 치아통증, 저작 불편, 말하기 불편, 주관적 구강건강 인식이 불안 및 우울에 영향을 미치는 것으로 나타났다. 구강건강 증진은 HRQoL을 향상시킬 수 있는 방안이 되므로, 구강건강의 중요성을 인식하고 예방차원의 교육 및 프로그램이 필요하다고 생각된다.

• 한국직업건강간호학회지
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• 제16권1호
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• pp.89-97
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• 2007

Purpose: The purposes of this study were to identify the scores of perceived job stress, health perception and health promoting life style in community health nurses and to define the correlations of three variables. Method: The data were collected by 68 subjects, using the self-reported questionnaires. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, and pearson correlation coefficient. Result: The mean score of job stress was $3.19({\pm}.60)$, health perception scale was $3.04({\pm}.49)$ and health promoting life style profile was $2.49({\pm}.30)$. The relationship among job stress, health perception and health promoting life style were not statistically significant. The relationships between age, overloading job, knowledge & skill deficit and problem of interpersonal relationship were statistically significant. The relationship between religion and problem of interpersonal relationship was statistically significant. The relationships between single of marital status, knowledge & skill deficit and problem of interpersonal relationship were statistically significant. The relationship between career and stress management was statistically significant. Conclusion: These results suggested that health promotion program for community health nurses to reduce job stress, promoting health promoting life style should be carefully developed so as to provide better quality of health care services to the community people.

• 한국임상보건과학회지
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• 제1권2호
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• pp.39-47
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• 2013

Purpose. To examine the orientation of the eco-friendly Health care service on korean Hospital nurses Methods. Between October 2012 and November 2012, two hundred eighty five nurses (mean age, $25{\pm}17$ years; age range, 22~42yrears) were enrolled in this study. They performed a questionnaire which related to environmental problem, hospital infectious wastes manage and eco-friendly care service orientation. Results. Within the results, There were statistically significant correlation between "Hospital infectious wastes management" and "environmental problem awareness"(r=0.45, p<.001), "eco-friendly care service orientation"and "environmental problem awareness" (r=0.48, p<.001), and "eco-friendly Health care service orientaton" and "Hospital infectious wastes management"(r=0.50, p<.001). Conclusions. In current study, these results express that it is necessary to promote environmental problem awareness and hospital infectious wastes management practice for the "orientation of the eco-friendly Health care service on korean hospital nuurses.

• 한국융합학회논문지
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• 제10권2호
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• pp.293-299
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• 2019

본 연구의 목적은 구조방정식모형을 활용하여 스마트폰중독 위험군 대학생의 대인관계문제, 스트레스대처방식, 정신건강의 관계를 분석하는 것이다. 연구 결과, 대인관계문제는 정신건강의 심각성을 악화시키는 직접적 영향력을 미치는 것으로 나타났다. 스트레스대처전략은 대인관계문제와 정신건강 사이의 영향관계에서 부분 매개효과를 갖는 것으로 나타났고, 소극적 대처는 위험요인, 적극적 대처는 보호요인으로 분석되었다. 이러한 결과를 바탕으로 스마트폰중독 위험군 대학생의 정신건강 증진을 위한 다양한 실천적 정책적 개입전략을 제시하였다.

• 보건의료산업학회지
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• 제6권4호
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• pp.245-254
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• 2012

The purpose of this study was to approve the effects of nursing simulation-based education on problem solving process and self-efficacy for nursing students. The nursing students of 244 participated the nursing simulation-based education of 60 hours. The questionnaire survey on problem solving process and self-efficacy were conducted 2 time(before education, after education) to the nursing students. The data were analyzed by the SPSS 12.0 program. The results were as follows; There was a statistically significant increase in problem solving process(t=2.637, p=.012) but no statistically significants self-efficacy(t=0.135, p=.743) effects of nursing simulation-based training in nursing college students. There was a significant positive correlation between problem solving process and self-efficacy(r=0.737, p=.017). In conclusion, the study found that nursing simulation-based education for nursing students may increase problem solving process but no effective self-efficacy.

• International Journal of Internet, Broadcasting and Communication
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• 제15권2호
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• pp.210-217
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• 2023

The purpose of this study is to develop a physical activity program for problem drinkers living in side rooms(Jjok-bang) based on the health belief model. In order to develop a physical activity program suitable for and applicable to the characteristics of the problem drinkers, the detailed components of the health belief model and the learning goals for each program were linked. It consists of a total of 10 activities, and in the introductory stage of each program, physical examination and gymnastics were conducted, and in the development stage, 10 physical activities were conducted to help the movement of large and small muscles and concentration. In the final stage of organizing, it consisted of time to express one's emotions through writing and painting and to reflect. The developed program was commissioned by an expert to derive the content validity coefficient (CVI=.75). Through the physical activity program developed in this study, it is believed that the problem drinking behavior of problem drinkers living in side rooms can be gradually reduced. The physical activity program developed in this study is expected to gradually reduce the problems of problem drinkers living in Jjock-bang. In the next step, we propose a study that quantitatively and qualitatively analyzes the intervention effect by applying this program to clients.

• 지역사회간호학회지
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• 제12권2호
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• pp.361-374
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• 2001

This study was done to identify a status of home visiting project as a community health nursing system, that was the organization. personal who have age, educational background, marital status, position, experience of the home visiting in the public sectors in part of Seoul. Kyonggi, Kang-won area, It was done to provide basis data for the development of effective visiting nurses project in the health sectors, where was Health Centers in urban and rural. Branch of Health Center in rural and Health posts. The question airs were distributed 352 public health workers who working place was 118 health workers in 12 health centers in Seoul. 56 public health workers among 39 health center and other public health sectors in Kyonggi and 178 public health workers among health center and health care sectors. Data collected from October to December. 2000. The analysis by SAS system with F test, percentage and frequency. The major result were as follows. The general characteristics of the respondent show that most of them were graduates from community college and RN-BS with broadcast that they had not completed CPHN course but only two health workers have trained for the visiting nurses project. As for their grade in the position, the most of health workers have seventh level and the other CHP were above sixth level in the health care post that in the government structure. This indicates that workers do not have great authority in decision making, the most period of works in the position was one and two years indicating that they change jobs frequently. On an average their clinical experience was 4.11 years which is ideal for the total service. As for preparation of staff for home visiting workers education on visiting nurses program have to receive short term or longer term training course for strong emphasis. The analysis showed that public health visiting workers responds about active job performance that based on an area, approach of acting by districts, education and position are shown statistically significant difference between acceptance of the visiting nursing job show the same as well as visiting nurses project. Special concerns for visiting Nursing care spread came to burden, many of activity carry out main solution is covered the health problem connective support system needs of quality and quantity which out health problem. As 71.1% of visiting health service held on the poor population was under the guardianship of the law, but people who health insurance wide application under law shown a tendency to increase gradually. The general characteristics of the patients showed 56.2% of female on average of age was 66.1 years old, they have health problem was the most of 47.6% of high blood pressure and stroke, the other and as a problem that economics, which is complex welfare with out health problem. Community health care service should be combined health and social work program. The form of delivery of visiting health care given the most guide and education with counselling and support. (33.6%) Among the six category of visiting care service shown statistically significant difference and next is fundamental care, remedy care with priority.