• 제목/요약/키워드: Health and social needs

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사회복지사의 보건소 노인보건복지사업 참여를 위한 사회복지사 역할개발연구 (A Study on Role Development for Social Workers Providing Health Center-based Health and Welfare Services for the Elderly in Community)

  • 조소영
    • 한국보건간호학회지
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    • 제11권1호
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    • pp.138-162
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    • 1997
  • This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

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Associations Between Conventional Healthy Behaviors and Social Distancing During the COVID-19 Pandemic: Evidence From the 2020 Community Health Survey in Korea

  • Rang Hee, Kwon;Minsoo, Jung
    • Journal of Preventive Medicine and Public Health
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    • 제55권6호
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    • pp.568-577
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    • 2022
  • Objectives: Many studies have shown that social distancing, as a non-pharmaceutical intervention (NPI) that is one of the various measures against coronavirus disease 2019 (COVID-19), is an effective preventive measure to suppress the spread of infectious diseases. This study explored the relationships between traditional health-related behaviors in Korea and social distancing practices during the COVID-19 pandemic. Methods: Data were obtained from the 2020 Community Health Survey conducted by the Korea Disease Control and Prevention Agency (n=98 149). The dependent variable was the degree of social distancing practice to cope with the COVID-19 epidemic. Independent variables included health-risk behaviors and health-promoting behaviors. The moderators were vaccination and unmet medical needs. Predictors affecting the practice of social distancing were identified through hierarchical multiple logistic regression analysis. Results: Smokers (adjusted odds ratio [aOR], 0.924) and frequent drinkers (aOR, 0.933) were more likely not to practice social distancing. A greater degree of physical activity was associated with a higher likelihood of practicing social distancing (aOR, 1.029). People who were vaccinated against influenza were more likely to practice social distancing than those who were not (aOR, 1.150). However, people with unmet medical needs were less likely to practice social distancing than those who did not experience unmet medical needs (aOR, 0.757). Conclusions: Social distancing practices were related to traditional health behaviors such as smoking, drinking, and physical activity. Their patterns showed a clustering effect of health inequality. Therefore, when establishing a strategy to strengthen social distancing, a strategy to protect the vulnerable should be considered concomitantly.

요양보호 대상노인의 서비스 요구도 평가 (Needs Assessment of Elderly for Community-based Long-Term Care)

  • 이재창;김은경
    • 간호행정학회지
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    • 제11권1호
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    • pp.67-77
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    • 2005
  • Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

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암 환자의 치료에 대한 요구도와 관련된 요인분석 (Analysis of the Factors Related to the Needs of Patients with Cancer)

  • 이정아;이선희;박종혁;박재현;김성경;서주현
    • Journal of Preventive Medicine and Public Health
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    • 제43권3호
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    • pp.222-234
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    • 2010
  • Objectives: Limited research has investigated the specific needs of patients with cancer. This study was performed to explore patients needs and the related factors. Methods: The data were collected by 1 National Cancer Center and 9 regional cancer centers in Korea. An interview survey was performed with using a structured questionnaire for the subjects(2661 patients who gave written informed consent to particiate) survey 4 months after diagnosis and review of medical records. Data were analyzed using t-test, ANOVA and multiple regression analysis. Results: When comparing the relating factors related with patient needs to the sociodemographic characteristics, the female group showed a higher level of recognition for physical symptoms, social support needs. The younger group showed a significantly higher level of recognition for health care staff, psychological problems, information and education, social support, hospital services needs. In addition, the higher educated group showed a higher level of recognition for health care staff, physical symptoms, social support needs. The higher income and office workers group showed a higher level of recognition for hospital services needs. When comparing the relating factors related with patient needs to the cancer, the breast cancer group showed a higher level of recognition for all needs excluding physical symptoms, accessibility and financial support needs. The combined radiotherapy with surgery and chemotherapy group showed a higher level of recognition for psychological problems, information and education, social support needs. Conclusions: This study showed that needs on patient with cancer was significantly influenced by female, higher educagion, lower income, having religion, office worker, liver cancer, breast cancer, colon cancer, chemotherapy, and combined therapy.

Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea

  • Yi, Jinseon;Lee, Insook
    • 지역사회간호학회지
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    • 제29권1호
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    • pp.41-53
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    • 2018
  • Purpose: This study was conducted to identify the factors affecting on unmet healthcare needs of married immigrant women, especially who are working in South Korea. Methods: It is designed as a cross-sectional descriptive study. We analyzed data from 8,142 working married immigrant women to the 'National Survey of Multicultural Families 2015.' Based on Andersen's health behavior model, logistic regression was conducted to determine the predictors of unmet healthcare need. Results: The prevalence of unmet healthcare needs among the subjects was 11.6%. In multivariate analysis, significant predictors of unmet needs included existence of preschooler, country of origin, period of residence in predisposing factors, monthly household income, helpful social relationship, social discrimination, Korean proficiency, working hour per week in enabling factors, and self-rated health, experience of grief or desperation in need factors. Conclusion: The association between labor-related factors and unmet healthcare needs of marriage immigrant women currently working was found from nationally representative sample. Support policies for immigrant women working more than legally defined hours and having preschooler should be supplemented to reduce unmet healthcare needs. In addition, eradicating discrimination in workplace, enlarging social relationship, and developing culturally competent nursing services tailored to health problems caused by labor are needed.

소아암 완치자의 삶의 질 향상을 위한 서비스 욕구 (Childhood Cancer Survivor's Services Needs for the Better Quality of Life)

  • 김민아;이재희
    • Child Health Nursing Research
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    • 제18권1호
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    • pp.19-28
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    • 2012
  • Purpose: The study aimed to identity specific needs for services and programs to help childhood cancer survivors adjust and adapt to life after treatment. Methods: In-depth interviews were conducted with 31 childhood cancer survivors, diagnosed with cancer before the age of 18 and currently between 15 and 39 years of age. Each survivor had completed his/her cancer treatment. Results: The participating cancer survivors reported needs for services related to psychological counseling, schooling and learning, social skills, mentorship, integrated health management, self support activities, families of survivors, and public recognition and awareness. Conclusion: The results of the study indicate a need to better understand childhood cancer survivors, provides a basis for developing various services and programs to improve the quality of life among childhood cancer patients, survivors, and their families, and supports the importance of psychosocial adjustment.

요양시설 노인의 간호요구도 및 일상생활 수행능력 (Activities of Daily Living and Nursing Needs of the Elderly in Nursing Home)

  • 김귀분;이혜경;석소현
    • 지역사회간호학회지
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    • 제20권1호
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    • pp.1-11
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    • 2009
  • Purpose: The study was a survey study to identify the Activities of Daily Living (ADL) and nursing needs of the elderly in the nursing home and derive the fundamental data for offering the better quality of nursing service to them. Methods: The subjects were the 111 elderly aged over sixty five living in the nursing home located in Seoul. Measures were the nursing needs scale and ADL scale. The data were analyzed by SAS 11.0. Results: First, with regard to the nursing needs, the general need was scored average 3.0, and the emotional' social need was 3.7, and the physical need was 3.1, and the informational need was 2.7. Second, the ADL was scored at the average of 2.7, bathing 1.9,. eating 3.1. Third, In correlation between the nursing needs by area, the informational nursing needs showed the sheer correlation with the physical nursing needs, emotional' social nursing needs. The physical nursing needs showed the sheer correlation with the informational. social nursing needs, and the inverse correlation with the ADL. Conclusion: It is necessary that it should improve the service to meet the emotional and social nursing needs and develop the extensive nursing programs satisfying their desires based on the general traits of the elderly.

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소셜 미디어 환경에서 대학생들의 건강정보 요구와 추구행태에 관한 탐험적 연구 (An Exploratory Study of Undergraduate Students' Health Information Needs and Seeking Behaviors in Social Media)

  • 김수정
    • 한국비블리아학회지
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    • 제23권4호
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    • pp.239-260
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    • 2012
  • 본 연구는 소셜 미디어의 활발한 이용자 집단인 대학생들을 대상으로 소셜 미디어 환경에서의 건강정보 요구와, 건강정보 추구행태, 그리고 소셜 미디어에서 제공되는 건강정보의 신뢰성에 대한 인식을 알아보았다. 22명의 대학생들을 심층면접한 결과, 소셜 미디어의 이용은 특히 몸에 이상증상을 느끼는 단계에서 증상의 진단을 위해 이루어지거나 건강한 상태에서 건강유지를 위해 활용하는 것으로 나타났다. 대학생들의 개별 소셜 미디어에 대한 신뢰성 인식은 개인별로 큰 차이를 보이고 있어서 온라인상의 건강정보를 효과적으로 평가, 획득할 수 있도록 건강정보 활용능력 교육이 필요하다.

보건복지 통합사업을 위한 보건복지욕구 분석 (Analysis of Health and Social Needs for the Establishment of Coordinated Health and Social Service)

  • 소애영;홍명선
    • 한국보건간호학회지
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    • 제19권2호
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    • pp.188-203
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    • 2005
  • The study was performed to provide basic data for developing a coordinated health and social service model. Method: The subjects consisted of 1000 residents in Wonju city. The sampling process was randomized stratified into 26 geographical areas. The data was collected from Apr. 16nd, to May. 15nd, 2002 by using a structured questionnaire that included general characteristics, the patterns of disease, the family function and the community support systems. The collected data was analyzed by the SPSS. windows program via descriptive statistics, correlation testing and t-tests. Result: 61.7% of the elderly perceived their health status as being poor. There were correlations among age, income and the way clients perceived their health status. The prevalence rate of chronic disease was 70.8% in the elderly. The prevalence rate for arthritis was the highest (33.6%). The average number of diseases in the target populations was 2.31; it was 2.65 in the deprived elderly group and 2.47 in the elderly group. 35.4% of residents did not have any family care giver. 61.2% of the clients needed support by the health and social services. Conclusions; Coordinated health and social services need to be allocated by priority to the elderly and to the socially and economic deprived clients.

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건강의 사회적 결정요인과 필요 치과진료 미수진과의 관련성 (Relationship between Unmet Dental Needs and Social Determinants of Health)

  • 김민영;김지현
    • 한국콘텐츠학회논문지
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    • 제20권2호
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    • pp.360-370
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    • 2020
  • 필요 치과진료 미수진과 관련된 요인을 파악하고자 지역사회건강조사 원자료를 분석하였다. 21만 4861명의 만 25세이상 인구집단을 대상으로 인구학적 요인, 사회경제적 요인, 사회적지지 및 사회적 환경요인, 사회물리적 환경요인과 필요 치과진료 미수진과의 연관성을 확인하였다. 연구결과, 연령이 낮을수록, 소득분위가 높을수록, 교육수준이 낮을수록, 친척, 친구와 자주 접촉하지 않을수록, 친목, 여가 활동에 참여하지 못할수록, 사회물리적 환경(안전수준, 자연환경, 생활환경, 대중교통, 의료서비스)에 불만족할수록 필요 치과진료 미수진율이 높게 나타났다. 필요 치과진료 미수진에 인구학적 요인, 사회경제적 요인 뿐 아니라 사회적지지 및 사회적 환경요인, 사회물리적 환경요인이 통계적으로 유의한 영향이 있음이 확인되었다. 필요 치과진료 수진율을 높일 수 있는 방안으로 건강의 사회적 결정요인에 정책적 요인을 포함하는 추후 연구가 필요하겠다.