• 제목/요약/키워드: Health Problem

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교정시설 재소자의 보건의료관리실태에 관한 고찰 (Review on Correctional Health Care of Custody Facilities)

  • 조유향;성승모
    • 한국보건간호학회지
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    • 제10권2호
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    • pp.61-73
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    • 1996
  • The Korea now incarcerates a greater percentage of its Population than any other country : For 63,000 prisoners in 40 prisons and jails. Most inmates are mate. young, poor, and morbidity groups. Most are substance abusers with substantial physical and mental health needs. Corrections in general and correctional health care in particular have suffered negative consequence : severe overcrowding, insuffcient programs as the acquired immunodeficiency syndrome(AIDS). tuberculosis, and hepatitis. The large increase in the number of substance abusers and sick and terminally ill inmates has rendered our nation's prisons and jails physically or financially unable to deal with their current populations, much less the explosive increases the future holds. It is the magnitude of inmate health problems that threatens to overwhelm the substantial gains made in correctional health care over the past two decades. As measured by recognized standards of inmate health and health services, our correctional systems are in crisis. As a nation. we must respond to the problem of health problem with national strategies that do not overwhelm the capacity of our criminal justice system to care for its inmates.

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여성의 생애주기별 골건강 문제 및 골밀도 영향요인: 2010년 국민건강영양조사 자료 이용 (Problems with Bone Health and the Influencing Factors of Bone Mineral Density in Women across the Life Cycle)

  • 전나미;채현주
    • 여성건강간호학회지
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    • 제21권1호
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    • pp.43-54
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    • 2015
  • Purpose: This study was conducted to identify the problem of bone health and potential influencing factors of bone mineral density (BMD) for women across the life cycle of menopause. Methods: Complex sampling design data analysis was performed on the fifth Korea National Health and Nutrition Examination Survey 2010 in order to identify the problems with bone health, BMD and its influencing factors in 3,499 women who answered the menopausal status. Women's life cycle was categorized by premenopausal, postmenopausal, and elderly. Results: 35.1% of premenopausal women, 73.3% of postmenopausal women, and 96.0% of elderly women had problems with bone health that were related to low BMD. Influencing factors of BMD were residential area, alcohol drinking, and body mass index (BMI) for premenopausal women; age, residential area, education, marital status, income, and BMI for postmenopausal women; and age, education, and BMI for elderly women. Conclusion: Problems with bone health required to be considered as a major health problem in all women regardless their life cycle. Interventions to maximize BMD need to be developed by considering its influencingfactors across the women's life cycle.

교대근무가 근로자의 안전과 건강에 미치는 영향: 일과 삶의 균형(WLB : Work-Life Balance)의 매개효과 (Effects of Shiftwork on Workers' Safety and Health: The Mediation Effect of WLB)

  • 홍민지;오세진
    • 한국안전학회지
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    • 제35권5호
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    • pp.66-73
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    • 2020
  • The change in labor consciousness began to draw social attention to work-life balance (WLB). The WLB is one of the major factors affecting the health and safety problems of workers. Although shiftwork adversely affects WLB, safety, and health problems of workers, WLB of shift workers has received little empirical attention. The purpose of this study was to examine whether WLB mediates the relationship between shiftwork and shift worker's safety and health problems, participation in leisure activities moderates WLB, and finally, whether WLB moderated by participation in leisure activities mediates the relationship between shift work and shift worker's safety and health problems. For the study, the data of the 5th wave of Korean Working Condition Survey(KWCS) conducted by Korea Occupational Safety and Health Agency(KOSHA) of South Korea was used. Conditional process analysis revealed that the relationship between shift work and worker's safety and health problems is mediated by WLB; however, participation in leisure activity showed no moderation effect on WLB. Therefore, the moderated mediation effect has failed to achieve statistical significance. The results indicate that working environment improvement in consideration of the WLB is needed to gain shift worker's long-term safety and health. The implications of this study and suggestions for future research were discussed.

가족발달단계에 따른 간호요구영역에 관한 연구 (Study of The Area of Nursing Need by the Family Developmental Stage)

  • 최부옥
    • 대한간호학회지
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    • 제7권2호
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    • pp.43-59
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    • 1977
  • The Community Health Service considers the family as a service unit and places the emphasis of its service on the health problems and the nursing needs of the family rather than the individual. From the conceptual point of view that tile community health service is both health maintenance and health promotion of the family, the community health nurse should have a knowledge of the growth and development of the family and be responsible for the comprehensive support of normal family development. The community health nurse often is in a position to make a real contribution to normal family development. In order to investigate the relationship between the areas of nursing need and family development, the following objectives were established 1. To discover the general characteristics of the study population by the stage of family development. 2. To discover specific nursing needs in relation to the family developmental stage, and to determine the intensity of the nursing needs and the ability of the family to cope with these needs. 3. To discover overall family health nursing problems in relation to the family developmental stage and determine the intensity of the nursing need and the problem solving ability of family. Definitions : The family developmental stages as classified by Dually were used stage 1. Married couples(without children) stage 2. Childbearing Families (oldest child birth to 30 months of age) stage 3. Families with preschool children (oldest child 2½-to 6 years) stage 4. Families with schoolchildren (oldest child 6 to 13 years). stage 5. Families with teenagers (oldest child 13 to 20 years) stage 6. Families as launching centers (first child gone to last child′s leaving home). stage 7. Middle- aged parents (empty nest to retirement) stage 8. Aging family member (retirement to death of both spouses) The areas of nursing need were defined as those used in the study, "A Comprehensive Study about Health and Nursing Need and a Social Diagram of the Community", by tile Nursing research Institute and Center for population. and Family Planning, July 1974. The study population defiled and selected were 260 nuclear families ill two myron of Kang Hwa Island. Percent, mean value and F- test were utilized in tile statistical analysis of the study result. Findings : 1. General characteristics of the study population by tile family developmental stage ; 1)The study population was distributed by the family developmental stage as follows : stage 1 : 3 families stage 2 : 13 families stage 3 : 24 families stage 4 : 41 families stage 5 : 50 families stage 6 : 106 families stage 7 : 13 families stage 8 : 10 families 2) Most families had 4 or 5 members except for those in stage, 1, 7, and 8. 3) The parents′ present age was older in the higher developmental stage and their age at marriage was also younger in the higher developmental stages. 4) The educational level of parents was primarily less than elementary school irrespective of the developmental stage. 5) More than half of parents′ occupations were listed as laborers irrespective of the developmental stage, 6) More than half of the parents were atheists irrespective of the developmental stage. 7) The higher the developmental stage(from stage 2 to stage 6 ), the wider the distribution of children′s ages. 8) More than half of the families were of middle or lower socio-economic level. 2. Problems in specific areas of nursing need by family developmental stage, the intensity of nursing need and the problem solving ability of the family : 1) As a whole, many problems, irrespective of the developmental stage, occurred in tile areas of Housing and Sanitation, Eating Patterns, Housekeeping, Preventive Measures and Dental care. Problems occurring ill particular stages included the following ; stage 1 : Prevention of Accident stage 2 : Preventive Vaccination, Family Planning. stage 3 : Preventive Vaccination, Maternal Health, Family Planning, Health of Infant and Preschooler. stage 4, 5 : Preventive Vaccination, Family Planning, Health of School Children. stage 6 : Preventive Vaccination, Health of School Children. 2) The intensity of the nursing need in the area of Acute and Chronic Diseases was generally of moderate degree or above irrespective of the developmental stages except for stage 1. Other areas of need listed as moderate or above were found in the following stages: stage 1 : Maternal Health stage 3 . Horsing and Sanitation, Prevention of Accident. stage 4 . Housing and Sanitation. stage 5 : Housing and Sanitation, Diagnostic and Medical Care. stage 6 : Diagnostic and Medical care stage 7 : Diagnostic and Medical Care, Housekeeping. stage 8 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Dental Care, Eating Patterns, Housekeeping. 3) Areas of need with moderate problem solving ability or less were as follows : stage 1 : Diagnostic and Medical Care, Maternal Health. stage 2 : Prevention of Accident, Acute and Chronic Disease, Dental Care. stage 3 : Housing and Sanitation, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of Infant and preschooler, Eating Patterns. stage 4 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of New Born, Health of Infant and Preschooler, Health of school Children, Eating Patterns, Housekeeping. stage 5 . Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Preventive Vaccination, Maternal Health, Eating Patterns. stage 7, 8 : Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measures, Dental Care, Preventive Vaccination, Eating Patterns , Housekeeping. Problem occurrence, the degree of nursing need and the degree of problem solving ability 1 nursing need areas for the family as a whole were as follows : 1) The higher the stages(except stage 1 ), the lower the rate of problem occurrence. 2) The higher the stage becomes, the lower the intensity of the nursing need becomes. 3) The higher the stages (except stages 7 and 8), the higher. the problem solving ability. Conclusions ; 1) When the nursing care plan for the family is drawn up, depending upon the stage of family development, higher priority should be give to nursing need areas ① at which problems were shown to occur ② where the nursing need is shown to be above moderate degree and ③ where the problem solving ability was shown to be of moderate degree. 2) The priority of the nursing service should be Placed ① not on those families in the high developmental stage but on those families in the low developmental stage ② and on those areas of need shown in stages 7 and 8 where the degree nursing need was high and the ability to cope low.

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인지행동요법과 현실요법이 대학생의 문제해결능력과 역기능적 태도에 미치는 효과 (The Effects of Cognitive-Behavioral Therapy on Problem-Solving Ability and Dysfunctional Attitude in Undergraduate Students)

  • 현미열
    • 한국학교보건학회지
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    • 제18권2호
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    • pp.121-131
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    • 2005
  • Purpose: This study examined the effects of cognitive-behavioral therapy on problem-solving ability and dysfunctional attitudes in undergraduate students. Method: This study was conducted between September 2004 and May 2005. The subjects consisted of 23 undergraduate students. The experimental group (n=13) participated in a cognitive-behavioral therapy that consist of 8 session over an 8-week period. The control group (n=10) participated in a reality therapy that also consisted of 8 sessions over an 8-week period. Problem-solving ability and dysfunctional attitudes were measured for all subjects before and after therapy. These data were analyzed by unpaired t-test and t-test with the SAS program. Results: Following cognitive-behavioral therapy, the experimental group experienced a significant decrease in score of problem-solving ability and in approach-avoidance style (the subscale in the problem-solving ability). There were no changes in these values after the reality therapy in control group. Conclusions: In light of these results, cognitive-behavioral therapy has a positive effect on problem-solving ability in undergraduate students.

부모-자녀 의사소통이 청소년의 자아개념, 문제행동에 미치는 영향 (The Effects of Parent-Adolescent Communication on Self-Concept and Problem Behavior)

  • 문영숙
    • Child Health Nursing Research
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    • 제14권4호
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    • pp.405-414
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    • 2008
  • Purpose: The purpose of this study was to examine the effect of parent- adolescent communication on self-concept and problem behavior of adolescents. Method: The participants in this study were 480 students from middle schools in Daejeon City. Data were collected from May 19 to 30, 2008 and analyzed using SPSS WIN 14.0 version. Result: The mean scores for communication with fathers and mothers were 2.98 and 3.35 respectively and for self-concept, 2.80. The highest reported percentage for problem behavior over the past year were going to the noraebang (Karoki) or videobang (PC Cafe) (78.6%). Significant differences were found for the influence of parent-adolescent communication on self-concept and problem behavior. Communication with fathers and with mothers was positive correlated (r=.365, p<.001). The difference in self-concept for communication with fathers was F=60.40, p<.001, and with mothers, F=51.74, p<.001 and for problem behavior, for communication with fathers, F=3.33, p<.05, and with mothers, F=10.05, p<.001. For self-concept and communication with fathers the correlation was r=.512, p<.001, with mothers, r=.453, p<.001 There was a negative correlation between self-concept and problem behavior(r=-.248, p<.001). Conclusion: This results suggest that practical parent-adolescent communication programs should be developed and applied to bolster communication of adolescents with their parents.

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사회심리적 작업환경이 문제음주에 미치는 영향: 연령 차이 (Association between Psychosocial Work Environments and Problem Drinking: Age Differences in Korean Male Workers)

  • 전경숙;최은숙
    • 한국직업건강간호학회지
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    • 제20권2호
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    • pp.119-129
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    • 2011
  • Purpose: This study firstly examined the pattern and prevalence of drinking. Secondly, we investigated the association between various psychosocial work environment and problem drinking among Korean male workers in different age groups. Methods: The study sample was a weighted population of 3,289 (3,289 survey samples) men aged 20 to 64 years who responded to the 2006 Korean Working Condition Survey. Social support from colleague and supervisor, work autonomy, psychological wellbeing at work, and intellectual and emotional work demand were assessed. Results: After considering sociodemographic factors, smoking, occupational characteristics and other psychosocial work environment factors, problem drinking was associated with "intellectual work demand" for the 20~34 year old group. Social support from colleague and supervisor was significantly associated with problem drinking in the 35~49 year old group. For the 50~64 year old group, problem drinking was associated with 'work autonomy'. Conclusion: The present study clarified that certain psychosocial work environmental factors relate to problem drinking, and the association varies among different age groups.

대학생의 문제도박 예방에 대한 설명모형 구축 및 검증 (Testing an Explanatory Model for Preventing College Students' Problem Gambling)

  • 박향진;김석선
    • 지역사회간호학회지
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    • 제29권1호
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    • pp.97-107
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    • 2018
  • Purpose: A mediated model of Korean college students' problem gambling based on Blaszczynski and Nower's pathway model is developed and tested to explore mediating roles of self-control and irrational gambling beliefs in the association between emotionally vulnerable variables and problem gambling. Methods: 273 student participants recruited from 4 universities in Seoul and Gyeonggi, Korea responded. Data were collected with a structured self-report questionnaire comprising measures of problem gambling, depression, anxiety, coping styles, irrational gambling belief, and self-control. Results: The modified research model provides a reasonable fit to the data. Depression, anxiety, reflective coping, irrational beliefs, and self-control turned out to have direct effects on problem gambling, while indirect effects were reported in some suppressive and reactive styles. These predictors account for 38% of the college students' problem gambling. Conclusion: The findings suggest that developing intervention programs for reducing depression, anxiety, irrational gambling beliefs, and increasing reflective coping and self-control are needed to prevent Korean college students'problem gambling.

청소년 문제음주와 관련한 영향요인에 대한 메타분석 (A Meta-Analysis of Factors Related to Adolescent Problem Drinking)

  • 정슬기;김지선
    • 보건교육건강증진학회지
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    • 제31권1호
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    • pp.71-83
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    • 2014
  • Objectives: This study examined the trend of alcohol-related research, with a specific focus on adolescent problem drinking, to provide evidence for prevention and intervention for adolescent alcohol problems and alcohol policy in Korea. Methods: A total of 17 studies examining adolescent problem drinking were included for meta-analysis. Using CMA (Comprehensive Meta-Analysis) 2.0, the effect sizes of correlation coefficients of variables related to adolescent problem drinking were analyzed. Results: 176 variables were extracted under 4 higher categories and 20 sub-categories. Variables were extracted using the four higher categories, namely individual, family, environmental, and demographics, as the theoretical framework. Results showed that most studies on adolescent problem drinking focused mostly on individual factors followed by family factors. Variables including drinking motivation, drinking expectancy, and peer relations showed relatively higher effect size. Conclusions: Study findings suggest the importance of balance between individual and environmental factors in examining problem drinking among adolescents. In order to provide evidence for alcohol policy, more attention should be given to macro environment that are known to influence adolescent drinking.

범이론과 여가모형을 적용한 절주프로그램이 문제음주행위와 인지에 미치는 효과 (The Effects of the Drinking-Reduction Program Adopting Transtheoretical and Leisure Models on Problem Drinking Behavior and Cognition)

  • 도은영
    • 지역사회간호학회지
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    • 제18권3호
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    • pp.363-372
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    • 2007
  • Purpose: This study is to examine the effects of the drinking-reduction program that utilizes transtheoretical model and leisure ability model on the problem drinking behavior, alcohol outcome expectancy, and abstinence self-efficacy of. problem drinkers at workplaces. Method: The subjects consisted of 54 male problem drinkers who scored over 12 points in the AUDIT-K with 23 persons in the experimental group and 31 persons in the control group. The research results were analyzed using the SAS program with Chi-square test, t-test, repeated ANOVA, and post-hoc comparison. Results: 1) The experimental group showed a significantly lower score in problem drinking behavior than the control group. 2) The experimental group showed a significantly lower score in alcohol outcome expectancy than the control group. 3) The experimental group showed a significantly higher score in abstinence self-efficacy than the control group. Conclusion: These results demonstrate that the drinking-reduction program effectively reduces the drinking behavior of problem drinkers at workplaces, reduces alcohol outcome expectancy, and enhances abstinence self-efficacy. Accordingly, it is considered that a drinking-reduction program can be a useful nursing intervention method for problem drinkers at workplaces to reduce drinking and improve the quality of life.

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