• 제목/요약/키워드: Home-based program

검색결과 874건 처리시간 0.027초

치매노인을 돌보는 가족의 부담감과 우울반응에 관한 연구 (A Study on the Burdens and Depressive Reactions on Families who Cared for Patients Suffering from Senile Dementia)

  • 김영자;이평숙
    • 대한간호학회지
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    • 제29권4호
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    • pp.766-779
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    • 1999
  • The purpose of this study was to investigate the relationship between the burden on families who live with an elderly person suffering from senile dementia, and the degree of their depression. There were 400 participants in this study, staying in the Seoul and Kyonggi areas from August 1, 1997 to February 28, 1998. Among the group, 100 participants took care of their patient at home, and another 300 participants left 100 patient at a day-care center, 100 sanatorium for senile dementia(asylum for helpless elderly people), 100 an infirmary for elderly people. Eventually 242 subjects out of the 400 were selected for the data analysis. The Zarit (1980) tool was employed to measure the degree of burden and Zung's(1965) “Self-Rating Depression Scale” was employed for the data analysis. The data was analyzed, and the percentage, t-test, ANOVA and Person's Correlation Coefficient were calculated. The results are as follows : 1. The average degree of burden that care-giving families felt was 49.13, which is somewhat high. 2. The average degree of depression that care -giving families felt was 51.95, which is relatively high. 3. The degree of burden was directly affected by the relation with the patient(F=2.48, P<.05), and the socio-economic status of the family(F=5.17, P<.05). Its also affected by the patient's educational status(F=2.17, P<.05). 4. The degree of depression of the family was significantly dependent on sex(t=-2.05, P<.05), age (F=2.99, P<.05), the relationship with the patient(F=3.65, P<.01), socio-economic status (F=7.74, P<.001), occupation(t=2.82, P<.01), health status(F=4.42, P<.01), and the place of residence(F=4.30, P<.01), The patient characteristics was significantly dependent on his/her educational status(F=3.85, P<.01), the period of suffering from senile dementia(F=2.47, P<.05), and smoking habit(F=6.17, P<.001). 5. The relationship between the degree of burden and that of depression reads r=0.43, which is statistically positive correlation in the high significant level. Upon analyzing the entire summation, most care-givers for elderly patients suffering from senile dementia lack time in caring for themselves. They also experience chronic fatigue and mental discomfort caused by the isolation from society, curtailment of certain activities, a sense of responsibility for their patients, and limits of their endurance in taking care of their patients over time. In conclusion, this study emphasizes the necessity for the following propositions : 1. In order to measure the degree of burden that Korean care-giving families undergo, a new tool must be developed on the basis of Korean culture. 2. An educational program based on the demands that care-giving families undergo must be developed, and its clinical effect also has to be examined.

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저소득층 재가노인의 지각된 건강상태, 수면, 우울, 통증이 삶의 질에 미치는 영향 (The Effects of perceived health status, sleep, depression and pain on quality of life by Gender in Community-dwelling Older Adults)

  • 장경오;박수진;배두이
    • 한국산학기술학회논문지
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    • 제15권3호
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    • pp.1566-1575
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    • 2014
  • 본 연구는 저소득층 재가노인의 지각된 건강상태, 수면, 우울, 통증이 삶의 질에 미치는 영향을 알아보고자 시행된 서술적 조사연구이다. J시에 소재하는 보건소에 등록된 저소득층 재가노인을 대상으로 2012년 12월 20일부터 2013년 2월 15일까지 설문지를 통하여 수집되었으며, t-test, ANOVA, 상관분석, 다중회귀분석으로 분석하였다. 그 결과 지각된 건강상태는 평균 $9.89{\pm}2.21$점, 수면은 평균 $39.72{\pm}8.79$점, 우울은 평균 $7.13{\pm}7.54$점, 통증은 평균 $5.37{\pm}1.90$점, 삶의 질의 평균은 $7.61{\pm}2.25$점이었다. 저소득층 재가노인의 지각된 건강상태가 좋고, 수면양상이 좋으며, 통증정도가 낮고, 우울정도가 낮을수록 삶의 질이 좋은 것으로 나타났다. 삶의 질에 영향을 미치는 요인으로는 지각된 건강상태, 통증, 수면이었으며, 44.6%의 설명력을 보였다. 그러므로 저소득층 재가노인의 삶의 질을 향상시키기 위해서는 체계적인 건강관리를 위한 프로그램 개발 및 적용이 필요하다.

First Report of Myiasis Caused by Cochliomyia hominivorax (Diptera: Calliphoridae) in a Diabetic Foot Ulcer Patient in Argentina

  • Olea, Maria Sofia;Centeno, Nestor;Aybar, Cecilia Adriana Veggiani;Ortega, Eugenia Silvana;Galante, Guillermina Begona;Olea, Luis;Dantur Juri, Maria Julia
    • Parasites, Hosts and Diseases
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    • 제52권1호
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    • pp.89-92
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    • 2014
  • Myiasis is usually caused by flies of the Calliphoridae family, and Cochliomyia hominivorax is the etiological agent most frequently found in myiasis. The first case of myiasis in a diabetic foot of a 54-year-old male patient in Argentina is reported. The patient attended the hospital of the capital city of Tucum$\acute{a} $n Province for a consultation concerning an ulcer in his right foot, where the larval specimens were found. The identification of the immature larvae was based on their morphological characters, such as the cylindrical, segmented, white yellow-coloured body and tracheas with strong pigmentation. The larvae were removed, and the patient was treated with antibiotics. The larvae were reared until the adults were obtained. The adults were identified by the setose basal vein in the upper surface of the wing, denuded lower surface of the wing, short and reduced palps, and parafrontalia with black hairs outside the front row of setae. The main factor that favoured the development of myiasis is due to diabetes, which caused a loss of sensibility in the limb that resulted in late consultation. Moreover, the poor personal hygiene attracted the flies, and the foul-smelling discharge from the wound favoured the female's oviposition. There is a need to implement a program for prevention of myiasis, in which the population is made aware not only of the importance of good personal hygiene and home sanitation but also of the degree of implication of flies in the occurrence and development of this disease.

수학 영재 교육 대상 학생의 기하 인지 수준과 증명 정당화 특성 분석 (An Analysis of Justification Process in the Proofs by Mathematically Gifted Elementary Students)

  • 김지영;박만구
    • 한국수학교육학회지시리즈C:초등수학교육
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    • 제14권1호
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    • pp.13-26
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    • 2011
  • 본 연구의 목적은 초등수학 영재 교육 대상 학생들의 기하 인지 수준과 그들이 증명을 전개하는 과정에서 논리적인 정당화의 특성을 분석하고 이를 기반으로 수학 영재 교육을 위한 시사점을 제시하는 것이다. 이를 위하여 서울특별시 A영재교육원에 재학 중인 5, 6학년 학생 18명을 대상으로 그들의 기하 수준을 확인하고 그들이 기하문제를 증명을 하고 설명하는 과정에서 어떤 논리적인 정당화를 해 가는지 분석하였다. 연구 결과 이들은 van Hieles의 기하 사고의 0수준부터 4수준 중에서 대부분 2∼3수준에 있었다. 그리고 증명의 정당화 과정에서 이 영재 교육 대상 학생들은 잘라 붙이기와 수치적 접근을 사용하려는 시도와 이미 선행으로 학습한 내용의 기억을 되살려 사용하는 예가 많았고, 독창적이고 일반적인 증명으로 이끌어가는 데는 어려움을 가지고 있었다. 따라서 초등수학 영재 교육 대상자들을 위한 교육은 이들의 수준에 맞는 보다 정교화된 과제로 이들이 자신들의 증명의 정당화 과정을 인지하면서 보다 창의적이고 연역적 사고의 수준으로 이끌어 줄 필요가 있다.

소양면 지역사회 환경기초조사 (A Basie Community Health Survey in Rural Korea (Soyang-Myun))

  • 최승렬
    • Journal of Preventive Medicine and Public Health
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    • 제6권1호
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    • pp.133-160
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    • 1973
  • 1. Introduction Community medicine with the concept of comprehensive medical care and an ideal medical care delivery system not only for an individual or family but for the whole community has emerged. In April 1970, the Presbyterian Medical Center started a hospital based community health service project in order to improve the health of the people in rural areas. Prior to commencing a comprehensive medical care system, a family survey was needed. The major objective of this survey was to obtain information concerning the people and their environment so as to be able to plan and implement a comprehensive medical care program in Soyang-Myun. 2. Survey Method An interview using a family record form was carried out for each household. This family record form was designed to get information about demography, family planning, environmental sanitation and vital statistics. Prior to beginning, the members of the survey team were trained in interviewing techniques for three days. The team consisted of a public health nurse, four nurse-aides, a sanitarian and four health extension workers who are working in our project, The survey was carried out during the period November 1971 to March 1972. 3. Project area 1) Population of Soyang-Myun was 11,668; male, 5,962 and female, 5,706. Sex ratio: 104.5. 2) Households : 1,858 3) Family size: The average household consisted of 6.3 persons. 4) Educational level of householder a. Illiterate 13% b. No schooling but able to read 10% c. Preschool children 19% d. Primary school 47% e. Middle school 7% f. High school 3% g. College or University 1% 5) Occupational distribution of householders a. Farmer 67% b. Laborer 13% c. Office worker 4% d. Merchant 4% e. Industrial worker 2% f. Unemployed 8% g. Miscellaneous 2% 6) Religious affiliation a. No religion 74% b. Buddhist 12% c. Protestant 10% d. Catholic 4% 4. Survey results Living Environment : a. Home ownership 95% b. Kinds of roofing Straw-thatched house 84% Tile-roofed house 10% Slate-roofed house 5% Other 1% c. Floor space Less than 6 pyong 10% 6-10 pyong 53% 11-15 pyong 24% 16-20 pyong 9% More than 20 pyong 4% d. Radio ownership 80% Environmental Sanitation : a. the source of drinking water public well 49% private well 30% drainage water 9% steam water 8% well pump 3% water distribution system 1% b. Distance between well and toilet more than 16meters 38% 6-10 meter 31% 11-15 meters 14% Less than 6 meters 17% c. The status of well management Bad 72% Fair 26% Good 2% d. General sanitary state of house Bad 37% Fair 51% Good 12% e. House drainage system had no house drainage. 77% Family Planning : a. 24% of the people have used contraceptives, but 12% ceased to use them. 76% have never used contraceptives. b. used methods 1oop 68% oral pill 16% vasectomy 4% condom 1% tubal ligation 1% two or more methods 10% Maternal Health : a. The number of conceptions of housewives under 50 years of age. 11 times 26% 6 times 11% 5 times 11% 4 times 9% b. The place of delivery own house 88% hospital 1% others 11% Treatment of general sickness : a. The place of treatment Soyang Health Center 31% Hospital (private or otherwise) 26% Pharmacy 14% Herb medicine 5% Private care 5% No treatment 12% Miscellaneous 7% b. Usual causes of diseases Unknown 46% Tuberculosis 29% Neuralgia 8% CVA 3% Bronchitis 3% Others 11%

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Consequences of Water Induced Disasters to Livelihood Activities in Nepal

  • Gurung, Anup;Karki, Arpana;Karki, Rahul;Bista, Rajesh;Oh, Sang-Eun
    • 한국환경농학회지
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    • 제31권2호
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    • pp.129-136
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    • 2012
  • BACKGROUND: The changes in the climatic conditions have brought potentially significant new challenges, most critical are likely to be its impact on local livelihoods, agriculture, biodiversity and environments. Water induced disasters such as landslides, floods, erratic rain etc., are very common in developing countries which lead to changes in biological, geophysical and socioeconomic elements. The extent of damages caused by natural disasters is more sever in least developing countries. However, disasters affect women and men differently. In most of the cases women have to carry more burden as compared to their male counterpart during the period of disasters. METHODS AND RESULTS: This study examines the impact of disasters on the local livelihood especially agriculture and income generating activities of women in three districts of Nepal. The study uses the primary data collected following an exploratory approach, based on an intensive field study. The general findings of the study revealed that women had to experience hard time as compared to their male counterpart both during and after the disaster happen. Women are responsible for caring their children, collecting firewood, fetching water, collecting grass for livestock and performing household chores. Whereas, men are mainly involved in out-migration and remained out-side home most of the time. After the disaster occurred, most of the women had to struggle to support their lives as well as had to work longer hours than men during reconstruction period. Nepal follows patriarchal system and men can afford more leisure time as compared to women. During the disaster period, some of the households lost their agricultural lands, livestock and other properties. These losses created some additional workload to women respondent, however at the same time; they learn to build confidence, self-respect, self-esteem, and self-dependency.Although Nepal is predominantly agriculture, majority of the farmers are at subsistence level. In addition, men and women have different roles which differ with the variation in agro-production systems. Moreover women are extensively involved in agricultural activities though their importances were not recognized. Denial of land ownership and denial of access to resources as well as migration of male counterparts are some of the major reasons for affecting the agricultural environments for women in Nepal. CONCLUSION: The shelter reconstruction program has definitely brought positive change in women's access to decision making. The gradual increase in number of women respondent in access to decision making in different areas is a positive change and this has also provided them with a unique opportunity to change their gendered status in society.Furthermore, the exodus out-flow of male counterparts accelerated the additional burden and workload on women.

1990년 이후 방송사업자 인허가정책에 대한 평가 (An Evaluation of Broadcaster Licensing Policy in Korea since 1990)

  • 정인숙
    • 한국언론정보학보
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    • 제18권
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    • pp.199-229
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    • 2002
  • 방송사업자 인허가정책은 향후 추진할 방송산업의 구도와 성패를 좌우하는 중요한 정책결정으로서 방송정책에서 차지하는 비중과 의미가 매우 큰 분야이다. 뿐만 아니라 사업자 선정과정에서 빈번히 제기되는 투명성과 공정성 시비의 구조적 원인을 밝히는 차원에서도 이에 대한 체계적 연구는 시급하다. 이 논문은 1990 년 이후 선정한 방송사업자 인허가정책들을 대상으로 10여년간의 추세와 거기서 나타난 문제점들을 평가하고 대안을 제시하였다. 민영방송사업자(1990.10), 케이블 TV PP사업자(1993.8), 케이블 TV SO 사업자(1994.1), 지역민방사업자(1994.8), 위성방송사업자(2000.12), 신규홈쇼핑방송채널사용사업자(2001.3) 등 6 개 방송사업자 선정에 대해 심사기준과 심사과정을 중심으로 분석한 결과 지난 10여년간 방송사업자 인허가정책은 심사과정의 전문성과 다원성 그리고 심사기준의 세분화 등이 이루어져 인허가 심사의 투명성이 확보됨으로서 과거의 '밀실형 허가'가 '햇빛형 허가'로 발전되었다고 평가할 수 있다. 그러나 심사기준의 세분화에 따른 배점의 계랑화는 상대적으로 미흡하여 심사의 공정성 확보 측면에서는 아직도 개선되어야 할 점이 많은 것으로 나타났다.

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어머니의 이유식 준비 태도가 유아의 식습관 및 성장 발달에 미치는 영향 (Effect of Mothers' Weaning Attitudes on Their Children's Food Habits and Development)

  • 이주희;김창임
    • 대한지역사회영양학회지
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    • 제11권5호
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    • pp.551-561
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    • 2006
  • This study was carried out to evaluate the effect of mothers' attitudes on preparing baby foods for their children's food habits and development. The subjects were allocated to 419 preschool children, aged 3 - 5 years. This study surveyed by questionnaire, which was answered by the children's mothers. Subjects were classified by two groups, active and passive, based on their mothers' weaning attitudes. In the active group, mothers tried to make a variety of foods for preparing the baby foods, whereas mothers in the passive group didn't try to make it too much. Family income was higher in the active group and the subject' mothers had more jobs than those in the passive group, whereas their parent's education levels showed no differences. According to Rohrer index, 2.6% of subjects were obese in the active group, whereas 7.7% in the passive group. These data were shown significantly different between the groups. There were no differences in mother's food habits and breast-feeding versus formula feeding between the two groups. However, children's food habits were shown statistically different between the two groups. Higher regularity of meals, higher frequencies of snacks at home, higher frequencies of fruit, com, sweet potato as a snacks and less instant foods were revealed in the active group more than in the passive group. The major problem of children's food habits was an unbalanced diet (52.7%) and the major reasons for unbalanced diet were the taste (58.7%) and the texture (23.2%). The active uoup used more fruits and vegetables than the passive group. Also there were significant differences to solve problems of children's unbalanced diets. In the positive group, 14.4% of mothers tried to develop new cooking methods for solving the problem of an unbalanced diet, but 8.2% did in the passive group. furthermore, 2.3% of mothers in the positive group removed unpleasant items of the food, whereas 6.9% did in the passive. The average nutritional knowledge scores on a 10 scale were 7.2 and 6.9 in active and passive groups, respectively, and they were statistically different. Mothers among the active group explained the knowledge for food and nutrition to their children more than those in the passive group. These results suggest that mothers' attitudes for baby food are an important factor for forming their children's food habits. Therefore, it is necessary to develop a nutritional education program, materials and new recipes for a variety of baby foods to mothers.

농촌 결혼이주여성들의 한국생활 경험에 대한 인식 (Awareness to the Experience of Rural Married Migrant Women's Life in Korea)

  • 이현심
    • 농촌지도와개발
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    • 제20권1호
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    • pp.71-103
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    • 2013
  • 본 연구는 농촌지역에 거주하는 결혼이주여성의 한국생활 경험에 대한 인식을 알아보기 위한 것이다. 경기도와 인천에 거주하는 이주여성을 대상으로 자기기입 방식으로 설문조사를 하였다. 수집한 자료는 SAS(Statistical Analysis System) 활용하여 빈도분석, 백분율, 평균, 표준편차 등의 기술통계방법을 사용하였다. 연구결과에서 이주여성들의 절반이상은 자신들의 생활에 만족하고 있으며, 남편과의 만족도 높은 수준으로 나타났다. 자녀교육에 대한 인식에서 가장 어려운 점은 학습지도이며, 자녀에게 가장 필요한 지원은 기초 교과지도, 자녀교육의 문제해결 방법으로 방과 후 학교교육 활성화와 언어소통으로 나타났다. 한국생활에서 힘든 점은 언어문제이며, 차별받은 장소는 공공장소로 나타났다. 한국사회에 적응하는데 가장 필요한 도움은 언어소통, 자녀교육, 지역사회 적응의 문제가 같은 수준으로 나타났다. 자주 참여하는 모임이나 활동은 종교단체, 모국친구 모임이며, 어려울 때 의논하는 사람은 한국인, 모국인 순서로 나타났다. 이와 같은 결과에 따라 농촌지역 결혼이주 여성들이 지역사회와 한국사회에 잘 적응하여 자녀들을 잘 양육할 수 있는 기틀을 지역사회와 한국사회는 제도적으로 잘 마련하며 또한 기초 프로그램을 더욱 활성화 시켜야 할 것이다.

병원 전 심폐소생술에 의한 자발순환 회복 8례: 일 지역 하트세이버 수여자를 기준으로 (A Case Report of ROSC for Out-of Hospital Cardiopulmonary Resuscitation: Based on one Area Heart Saver)

  • 방성환;김지희;김경용;노상균
    • 한국화재소방학회논문지
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    • 제27권4호
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    • pp.61-67
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    • 2013
  • 이 연구는 병원 전 심정지 환자에게 심폐소생술과 후 72시간 이상 자발순환이 회복된 환자 8례를 대상으로 하였다. 분석 결과 심정지 원인으로는 심장질환이 3례, 응급상황으로 인해 병력을 구하지 못한 경우가 5례를 보였다. 심정지 환자의 6례가 가정에서 발생하였고, 가족이나 동료에 의해 심정지가 목격된 경우가 8례였으며, 가족이나 동료 등 목격자의 의해 시행된 심폐소생술은 5례였다. 구급대원 도착 후 임종 호흡을 보인 환자가 3례로 확인되었다. 심정지 환자의 최초 초기리듬은 심실세동 7례, 무맥성전기활동 1례를 보였다. 출동에서 현장 도착까지 소요시간은 6.1분(${\pm}2.7$), 출동에서 병원 도착까지 소요시간은 23.0분(${\pm}8.8$), 자발순환이 회복되기까지 심폐소생술 지속 시간은 8.7분(${\pm}3.4$)이 소요되었다. 출동한 구급대원의 자격은 1급응급구조사 6례, 2급응급구조사 2례였으며, 3명 출동이 7례를 보였다. 병원 전 심정지 환자의 소생률 향상을 위해서는 무엇보다도 목격자에 의한 심폐소생술이 필요하며, 이를 위해서는 일반인 심폐소생술 교육을 지속적으로 진행하여야 한다.