• 제목/요약/키워드: In-Home Care Services

검색결과 657건 처리시간 0.032초

농촌여성(農村女性)의 건강실태(健康實態)에 관한 연구(硏究) (The Health Status of Rural Farming Women)

  • 박정은
    • 농촌의학ㆍ지역보건
    • /
    • 제15권2호
    • /
    • pp.97-106
    • /
    • 1990
  • 1. Background Women's health and their involvement in health care are essential to health for everyone. If they are ignorant, malnourished or over-worked, the health &-their families as well as their own health will suffer. Women's health depends on broad considerations beyond medicine. Among other things, it depends upon their work in farming. their subordination to their families, their accepted roles, and poor hygiene with poorly equipped housing and environmental sanitation. 2. Objectives and Contents a. The health status of rural women : physical and mental complaints, experience of pesticides intoxication, Farmer's syndrome, experiences of reproductive health problems. b. participation in and attitudes towards housework and farming c. accessibility of medical care d. status of maternal health : fertility, family planning practice. induced abortion, and maternal care 3. Research method A nationwide field survey, based on stratified random sampling, was conducted during July, 1986. Revised Cornell Medical index(68 out of 195 items). Kawagai's Farmers Syndrome Scale, and self-developed structured questionnaires were used to rural farming wives(n=2.028). aged between 26-55. 4. Characteristics of the respondents mean age : 40.2 marital status : 90.8% married mean no. of household : 4.9 average years of education : 4.7 yrs. average income of household : \235,000 average years of residence in rural area : 36.4 yrs average Working hours(household and farming) : 11 hrs. 23 min 5. Health Status of rural women a. The average number of physical and mental symptoms were 12.4, 4.7, and the rate of complaints were 22.1%, 38.8% each. revealing complaints of mental symptomes higher than physical ones. b. 65.4% of rural women complained of more than 4 symptoms out of 9, indicating farmer's syndrome. 11.9 % experienced pesticide overdue syndrome c. 57.6% of respondents experienced women-specific health problems. d. Age and education of respondents were the variables which affect on the level of their health 6. Utilization of medical services a. The number of symptoms and complaints of respondents were dependent on the distance to where the health-care service is given b. Drug store was the most commonly utilized due to low price and the distance to reach. while nurse practitioners were well utilized when there were nurse practitioner's office in their villages. c. Rural women were internalized their subordination to husbands and children, revealing they are positive(93%) in health-care demand for-them but negative(30%) for themselves d. 33.0% of respondents were habitual drug users, 4.5% were smokers and 32.3% were alcohol drinkers. and 86.3% experienced induced-abortion. But most of them(77.6%) knew that those had negative effects on health. 7. Maternal Health Care a. Practice rate of contraception was 48.1% : female users were 90.9% in permanent and 89.6% in temporary contraception b. Induced abortions were taken mostly at hospital(86.3%), while health centers(4.7%), midwiferies(4.3%). and others(4.5%) including drug stores were listed a few. The repeated numbers of induced abortion seemed affected on the increasing numbers of symptoms and complaints. c. The first pre-natal check-up during first trimester was 41.8%, safe delivery rate was 15.6%, post-natal check-up during two months after delivery. Rural women had no enough rest after delivery revealing average days of rest from home work and farming 8.3 and 17.2. d. 86.6% practised breast feeding, showing younger and more educated mothers depending on artificial milk 8. Recommendations a. To lessen the multiple role over burden housing and sanitary conditions should be improved, and are needed farming machiner es for women and training on the use of them b. Health education should begin at primary school including health behavior and living environment. c. Women should be encouraged to become policy-makers as well as administrators in the field of women specific health affairs. d. Women's health indicators should be developed and women's health surveillance system too.

  • PDF

일부 농촌지역 재가 와병노인의 질환 및 개호의 특성 (Characteristics of Disease and Assistance Required for Bed-Ridden Elderly Patients at Home in Rural Areas)

  • 김진호;정용준;조영채
    • 농촌의학ㆍ지역보건
    • /
    • 제28권2호
    • /
    • pp.49-59
    • /
    • 2003
  • 본 연구는 와병노인의 보건의료서비스구축을 위해 필요한 기초자료를 제공할 목적으로 농촌지역 재가 와병노인의 와병원인, 와병기간, 진료 및 개호의 실태를 파악하고, 성별 및 연령별로 그 특성을 밝혀보고자 하였다. 조사대상은 충청남도 공주시 11개 면(面)에 거주하고 있는 65세 이상 노인 중 2002년 9월 현재 집에서 와병 중인 노인 207명 전원을 대상으로 하였으며, 조사는 2002년 9월에 와병노인의 각 가정을 방문하여 미리 작성한 설문내용에 대해 면접조사를 실시하였다. 주요결과는 다음과 같다. 첫째, 재가 와병노인의 남녀별 분포는 남자가 37.7%, 여자가 62.3%이었다. 연령별 분포는 65-79세 군까지는 남자가 여자보다 많았고, 80대 이상 군에서는 여자가 남자보다 많았으나 유의한 차이는 없었다. 한편, 조사 대상지역의 65세 이상 인구 중 와병노인의 출현율은 1.61%이었으며, 성별로는 남자가 1.46%, 여자가 1.71%의 출현율을 보였고, 연령별로는 남녀모두 연령이 증가함에 따라 출현율이 높아지는 경향을 보였다. 둘째, 와병의 원인질환으로서는 고혈압 동맥경화증이 남자에서 43.6%, 요통 신경통 척추질환이 여자에서 40.3%로 가장 높은 비율이었고, 연령별로는 뇌혈관 질환, 고혈압 동맥경화증, 루머치스 관절염, 당뇨병 등은 60대의 저 연령층에서 높았으나, 호흡기질환, 요통 신경통, 노쇠 등은 80대의 고 연령층에서 높았다. 또한 와병 원인질환의 비율은 75세 이하 저 연령층은 남자가 많은 반면, 75세 이상 고 연령층은 여자가 많은 경향을 보였다. 셋째, 와병기간은 남자가 평균 4.81${\pm}$2.89년, 여자가 4.98${\pm}$2.89년으로 여자에서 더 길었으나 유의한 차이는 없었다. 연령별로는 남녀모두 연령이 높은 군일수록 와병기간이 길어지는 경향을 보였다. 넷째, 최근 1년간의 진료실태는 왕진이 남자 29.5%, 여자 27.9%로 남자가 여자보다 많았고, 외래진료는 여자가 60.5%, 남자가 50.0%로 여자가 남자보다 많았으며, 연령별로는 특히 80세 이상 군에서 남녀 모두 왕진이 50.0% 이상으로 많아진 반면, 외래진료는 저 연령층보다 감소하는 경향이었다. 다섯째, 와병노인에게 필요한 개호 종목은"목욕하기"가 가장 높은 비율이었고, 다음은 "화장실 이용" "옷갈아입기" "식사하기" 등의 순위였으며, 환자 1인당 개호 종목 수는 남자가 3.4종목, 여자가 3.5종목이었으며, 남녀 모두 연령이 높을수록 종목수가 많은 경향이었다. 이상의 결과를 종합하여 볼 때 고령화가 계속 진행 됨에 따라 와병환자도 증가하지만 만성질환의 이환율이 감소되는데는 한계가 있으므로 와병환자의 증가에 따른 보건의료서비스 수요의 증가에 대처할 적절한 대책이 요망된다.

  • PDF

청소년기의 건강증진과 학교보건교육의 발전방향 (Adolescent Health Promotion and Development of School Health Education)

  • 유재순
    • 한국학교보건학회지
    • /
    • 제11권1호
    • /
    • pp.27-50
    • /
    • 1998
  • Adolescent health is considered to contribute to health promotion in the home and community in the near future as well as individual health. However, adolescent health has been neglected from education field because of competitive school education focused on the university entrance examination That's why I suggest in this study that we should pay much more attention to adolescent health condition and try to make It better, in terms of man-power development and life-health promotion for nation development The purposes of this study are as follows First, to look into a variety of adolescent health problems Second, to find out the situation and problems of current adolescent health promotion and school health education Third, to make an effort to find, based on the current situation, various developments of adolescent health promotion and school health education in terms of practical, political and environmental change There are used study methods as adolescent-related, school heath-related literature review and anlysis of statistical data The results and suggestions are as follows Teenagers have a great variey of health problems including most Important physical, mental and social developments Recently, chronic diseases, emotional problems, health-risk behaviors linked With adolescents are on increase The complicated disorders of physical, mental, social health rather than paricular aspects of health or health-behavior problems influence adolescent health problems adolescence is regarded as the period when most health-related behaviors are formed. Therefore, adolescent health promotion would he assured by developing the ability of controlling multi-dimensional health determinants in the early stage. Health promotion is a positive concept that each individual, family and community makes real efforts to improve their health To achive this, we need health educational, organizational, political and environmental supports. Adolescent health promotion in Korea has been systematically treated in the category of school health Current school health services have had lots of systemic, constitutional, administrative and educational flaws Accordingly, I'm concerned that we can afford to accept a variety of adolescent health needs However, I would say that if were not to make those flaws better, it's certain that Korean national competitive power and the quality of the lives of most Koreans Will he threatened someday We have to develop Comprehensive School Health Crriculum(CSHC) and set up its standards to Improve adolescent health. CSHC is an organizational and costant process. CSHC means an Important part of overall curriculums. In addition, I could say that it's an Important school health education acivity including current school health services-health care service and school health environment. In conclusion, in order to develop CSHC, we require school nurse's role changes, establishment and management of intergrated subject of health education, striking revision of school health law(or legislation of school health promotion law), reorganization of administration system, big changes in curriculum for school health educators.

  • PDF

한국과 미국의 상사중재제도에 관한 비교연구 (A Study on Comparison of Commercial Arbitration System in Korea and U.S.A.)

  • 이강빈
    • 한국중재학회지:중재연구
    • /
    • 제12권1호
    • /
    • pp.271-321
    • /
    • 2002
  • Every year, many million of business transactions take place. Ocassionally, disagreements develop over these business transactions. Many of these disputes are resolved by mediation, arbitration and out-of-court settlement options. The American Arbitration Association(AAA) helps resolve a wide range of disputes through mediation, arbitration, elections and other out-of-court settlement procedures. The AAA offers a broad range of dispute resolution services to business executives, attorneys, individuals, trade associations, unions, management, consumers, families, communities, and all level of governments. The 198,491 cases composed of the 194,303 arbitration cases and the 4,188 mediation cases, were filed with the AAA in 2000. These case filings represent a full range of matters, including commercial finance, construction, labor and employment, environmental, health care, insurance, real state, securities, and technology disputes. The Korean Commercial Arbitration Board (KCAB) does more than render arbitration services. It helps facilitate settlements and guarantee implementation thereof between trading partners at home and abroad involving disputes related to such areas as the sale of commodities, construction, joint venture agreements, technical assistance, agency agreements, and maritime transport. The 643 cases composed of the the 197 arbitration cases and the 446 mediation cases, were filed with the KCAB in 2001. There are some differences between the AAA and the KCAB regarding the number and the area of mediation and arbitration case filings, the breath of service offerings, the scope of alternative dispute resolution, and the education and training. In order to apply to the proceedings of the commercial mediation and arbitration, the AAA has the Commercial Mediation Rules, the Commercial Arbitration Rules, the Expedited Procedures, the Optional Procedures for Large, Complex Commerical Dispute, and the Optional Rules for Emergency Measures of Protection as amended and effective on September 1, 2000. In order to apply to the proceedings of commercial arbitration, the KCAB has the Arbitration Rules as amended by the Supreme Court on April 27, 2000, which have been changed to incorporate the revisions of the Arbitration Act that went into effect on December 31, 1999. There are some differences between the AAA's commercial Arbitration Rules and the KCAB's Arbitration Rules regarding the clauses of jurisdiction and administrative conference, number of arbitrators, communication with arbitrator, vacancies, preliminary hearing, exchange of information, oaths, evidence by affidavit and posthearing filing of documents or others, interim measures, serving of notice, form of award, scope of award, delivery of award to parties, modification of award, release of liability, administrative fees, neutral arbitrator's compensation, and expedited procedures. In conclusion, for the vitalization of KCAB and its ADR system, the following measures should be taken : the effective case management, the development of on0-line ADR, the establishment of ADR system of electronic commerce disputes, and the variety of dispute resolution rules in each expert field.

  • PDF

자원봉사자가 경험한 저소득층 복지시설 거주노인의 문제행동 (Elderly Residents' Behavior Problems as Experienced by Volunteers Working in Low-Income Welfare Facilities)

  • 이인수
    • 가정과삶의질연구
    • /
    • 제25권1호
    • /
    • pp.127-144
    • /
    • 2007
  • This study was conducted for the purpose of analyzing volunteer workers' perceptions of and attitudes toward the behavior problems of the elderly residents after caring for the residents voluntarily at low-income nursing homes. Eleven male and female volunteers ranging from age 19 to 52 were asked how they felt about the elderly residents' behavior problems and what kind of behavioral problems they had experienced after doing volunteer works in the three chosen facilities. In particular, they were expected to explain what emotional changes they experienced during their volunteer service. In this study, it was observed that most of the elderly subjects experienced three categories of behavior problems: habitual, repetitious and unreasonable activities caused by the elderly residents' life span backgrounds, unexpected and/or abrupt behaviors resulting from gradual cognitive impairments, and physiological, awkward activities caused from gradual senility. The volunteers tend to believe that the elderly residents are naturally expected to act positively, since they have been provided with well- planned, regular care services such as bathing, counseling, activity programs, and religious guidances. On the other hand, some respondents stated that their experiences at the nursing homes caused them to form negative images of the elderly; they feel that the elderly are not helpful for giving advices on critical decisions, guiding and encouraging their daily lives, and offering any positive influences toward their own lives. Rather, they find themselves getting too much stressed as a result of their intimate contacts with demented or senile residents. Overall, in this study, it is proposed that education for confronting sudden abrupt behavior problems should be intensified more for female volunteers, since they tend to be more susceptible to emotional harassment resulting from the problem behaviors. It is also proposed that young volunteers who have not been systematically trained for confronting aggressive behaviors need to be separately assigned their roles in order to minimize the potential of confronting unseemly situations resulting from male residents whose mental health has deteriorated. Furthermore, it is also suggested that the combination of leisure-related activities for healthy residents and stressful intimate services for the frail residents be systematically planned and implanted for the volunteer program so that the volunteers can lessen the chances of suddenly finding themselves confronted with extremely abrupt agitations.

고등학생의 '성공적인 노후생활 준비교육'을 위한 실천적 문제 중심 가정과 수업의 교수 설계와 개발 (Development of Practical Problem-focused teaching plans for Teenagers' 'Preparation for Successful aging' in the 'Family life in old age' unit)

  • 이종희;조병은
    • 한국가정과교육학회지
    • /
    • 제23권3호
    • /
    • pp.161-183
    • /
    • 2011
  • 본 연구는 변화하는 고령화사회에 대응하고 노인문제에 대비하기 위하여 교육적 차원에서 고등학생들이 자신의 노후를 준비할 수 있도록 '성공적인 노후생활 준비교육'을 위한 가정과 수업을 설계하고 개발하는데 그 목적이 있다. 이를 위해 실천적 문제 중심 교수 학습 과정안을 개발하였다. 2007년 개정 교육과정과 해설서를 분석하여 실천적 문제를 설정하고, 2007년 개정 교육과정과 제 7차 교육과정의 기술 가정, 가정과학, 인간발달 교과서, 청소년 대상 노인교육에 관한 선행연구의 내용 요소를 분석하여 5개의 공통 주제를 선정하였으며, 이를 바탕으로 수업의 최종목표를 설정하였다. 실천적 문제는 '노후에 성공적이고 자립적인 생활을 하기 위해 우리는 무엇을 해야 하는가?이고, 주제는 고령화사회와 인구변화, 노인의 특성, 노후준비, 노인돌보기, 노인복지서비스이며, 선정된 5개의 주제는 다시 고령화사회와 노인에 대한 이해, 노후에 대한 개인 가족 사회의 준비 영역으로 나누어 재구성하였다. 수업의 최종 목표는 '고령화사회와 노인의 특성을 이해하고 자신의 행복한 노년의 삶을 준비하기 위해 현재 노인 문제가 발생한 배경을 비판적으로 추론하여 원인을 규명하고, 성공적이고 자립적인 노후를 준비할 수 있는 대안을 합리적으로 모색하며, 대안의 파급효과를 추론하여 가장 최선의 방법을 선택할 수 있는 문제해결능력을 기를 수 있다'로 설정하였다. 실천적 문제 중심 교수 학습 과정안은 총 5차시의 실천적 추론 수업으로 개발되었다. 이에 따라 실천적 문제 중심 '노후생활 준비교육'의 후속 연구로서, 고등학생의 노후준비교육을 일반화 할 수 있도록 보다 많은 학교 현장에서 정규 교과목 수업에 적용하여 그 효과를 검증하는 연구가 실시되기를 바라며, 실천적 추론 수업과 강의식 수업과의 비교 연구가 이루어져 실천적 추론 수업의 효과를 검증할 수 있는 후속연구가 필요함을 제언하였다.

  • PDF

재가 독신노인을 부양하는 주부가 인지하는 노인의 정신건강에 관한 연구 (A Study on Mental Health of Single Aged Persons in Home Perceived by Daughter-in-law)

  • 윤숙례
    • 한국보건간호학회지
    • /
    • 제7권1호
    • /
    • pp.31-48
    • /
    • 1993
  • Nowaday, there have a lot of changes in the demands of the aged persons. Their problems also came to the fore with diverse forms under the influences of industrialization, urbanization and nuclear family. To make the matter worse, the aged population is mounting rapidly. Also, such structure as nuclear family is widely disseminating uncomfortable to the aged. People is mainly being guided by self interest above everything else. Indeed, they had, all together, bad effects on our traditional value system regarding 'respect for the aged and devotion to patients'. It seems unfortunately obvious that the family responsibility is gradually weakening to support the old who is a dependent family. The result is that the aged must have suffered all sorts of hardships in lightenning psychological, physical and economical difficulties. First, to grasp the situations and conditions supporting for single aged persons from each view of psychological, emotional, family-relational, healthy, social and economical standpoints, and second, to analyze their own recognition levels thinking of their health conditions and the relationships between the supporting environments of old family dependants and their psychological healths and then finally, to propose suggestions being able to be helpful for living comfortably in an old age and thereby, building up good family relation. The statistical techniques used to analyze 115 respondents living in Puchun city are frequency, $x^2$ test, t-Jest, ANOVA, Pearson's Correlation Coefficiency and Regression analysis (SPSS package), pertnent to prove the hypothesis suggested in this paper. Of course, it is needless to say that more data are needed on this point. However, several main research findings can be summarized as follows: First, the better single aged persons may be in the habit of eating a meal and the higher they may think of their physical health conditions and movement, the more they want to participate in economic activities to be free from economical dependence upon their children and to overcome lonliness. Second, single aged women appear to have had higher ability to take care their health for themself than single aged men do. It is why signle aged women do not, in general, have big problems to manage their health. But, as shown in this paper, single aged person"s were more liable to the diseases of the aged and, thereby, requiring special medical treatment badly to be healthy. Third. single aged persons revealed potential desires to free themself from socio economic dependence upon their children even in simple labor Job which can draw a monthly salary of about W200, 000. Fourth, they are generally satisfied with their children's filial piety toward them. Nonethless, most of them appear to be reluctantly dependent upon their children and live lonly lives very much. Fifth, they seem to have some hesitation in expressing their candid opinions as that then are some others along with family environmental factors for psychological and emotiona stability. Accordingly, it is safe to conclude by saying that much attention should' be paid no only to socio-economic supports and better medical services for the aged but also to political supports of the society and towards their children for the aged's emotiona support, for improving the quality of their lives in old age and promoting efficiency in suporting for old family dependants.

  • PDF

농촌(農村)에 있어서 분만개조요원(分娩介助要員)의 봉사(奉仕)에 의(依)한 모자보건(母子保健)rhk 가족계획(家族計劃)에 관(關) 연구(硏究) (A Study on Maternity Aids Utilization in the Maternal and Child Health and Family Planning)

  • 예민해;이성관
    • Journal of Preventive Medicine and Public Health
    • /
    • 제5권1호
    • /
    • pp.57-95
    • /
    • 1972
  • This study was conducted to assess the effectiveness of service by maternity aids concerning maternal and child health in improving simultaneously infant mortality, contraception and vital registration among expectant mothers in rural Korea, where there is less apportunity for maternal and child health care. It is unrealistic to expect to solve this problem in rural Korea through professional persons considering the situation of medical facilities and the socioeconomic condition of residents. So, we intended to adopt a system of services by maternity aids who were educated formally among indigenous women. After the women were trained in maternal and child health, contraception, and registration for a short period, they were assigned as a maternity aids to each village to help with various activities concerning maternal and child health, for example, registration of pregnant women, home visiting to check for complications, supplying of delivery kits, attendance at delivery, persuasion of contraception, and invitation for registration and so on. Mean-while, four researchers called on the maternity aids to collect materials concerning vital events, maternal child health, contraception and registration, and to give further instruction and supervision as the program proceeded. A. Changes of women's attitude by services of maternity aid. Now, we examined to what extent' such a service system to expectant mothers affected a change in attitude of women residing in the study area as compared to women of the control area. 1) In the birth and death places, there were no changes between last and present infants, in study or control area. 2) In regard to attendants at delivery, there were no changes except for a small percentage of attendance (8%) by maternity aid in study area. But, I expect that more maternity sids could be used as attendants at delivery if they would be trained further and if there was more explanation to the residents about such a service. 3) Considering the rate of utilization of sterilized delivery kit, I am sure that more than 90 percent would be used if the delivery kit were supplied in the proper time. There were significant differences in rates between the study and the control areas. 4) Taking into consideration the utilization rate of the clinic for prenatal care and well baby care, if suck facilities were installed, it would probably be well utilized. 5) In the contraception, the rate of approval was as high as 89 percent in study area as compared to 82 percent in the control area. 6) Considering the rate of pre-and post-partum acceptance on contraception were as much as 70 percent or more, if motivation to use contraception was given to them adequately, the government could reach the goals for family planning as planned. 7) In the vital registration, the rate of birth registration in the study area was some what improved compared to that of the control area, while the rate of death registration was not changed at all. Taking into account the fact that the rate of confirmation of vital events by maternity aids was remarkably high, if the registration system changed to a 'notification' system instead of formal registration ststem, it would be improved significantly compared to present system. B. Effect of the project Thus, with changes in the residents' attitude, was there a reduction in the infant death rate? 1) It is very difficult problem to compare the mortality of infants between last and present infants, because many women don't want to answer accurately about their dead children especially the infants that died within a few days after birth. In this study the data of present death comes from the maternity aides who followed up every pregnancy they had recorded to see what had happened. They seem to have very reliable information on what happened in first few weeks with follow up visitits to check out later changes. From these calculaton, when we compared the rate of infant death between last and present infant, there was remarkable reduction of death rate for present infant compare to that of last children, namely, the former was 30, while the latter 42. The figure is the lowest rate that I have ever heard. As the quality of data we could assess by comparing the causes of death. In the current death rate by communicable disease was much lower compare to the last child especially, tetanus cases and pneumonia. 2) Next, how many respondents used contraception after birth because of frequent contact with the maternity aid. In the registered cases, the respondents showed a tendency to practice contraception at an earlier age and with a small number of children. In a comparison of the rate of contraception between the study and the control area, the rate in the former was significantly higher than that of the latter. What is more, the proportion favoring smaller numbers of children and younger women rose in the study area as compared to the control area. 3) Regarding vital registration, though the rate of registration was gradually improved by efforts of maternity aid, it would be better to change the registration system. 4) In the crude birth rate, the rate in the study area was 22.2 while in the control area was 26.5. Natural increase rate showed 15.4 in the study area, while control area was 19.1. 5) In assessment of the efficiency of the maternity aids judging by the cost-effect viewpoint, the workers in the Medium area seemed to be more efficiency than those of other areas.

  • PDF

도시 중년 남성의 스트레스 정도와 식습관 및 웰빙 관련 태도에 관한 연구 (A Study of Stress, Food Habits and Well-Being Related Attitudes in Urban Middle-Aged Men)

  • 명춘옥;남혜원;박영심
    • 동아시아식생활학회지
    • /
    • 제19권2호
    • /
    • pp.157-168
    • /
    • 2009
  • The principal objective of this study was to provide basic data regarding health care services for middle-aged men, via an analysis of the relationships among stress level, food habits and well-being-related attitudes with social-demographic characteristics and health-related factors. The main findings of this study were as follows. The average age of the participants was $48.7{\pm}5.2$. With regard to health status, 18.8% of the participants were diagnosed with digestive diseases within the past year. Stress levels were higher in the participants with lower levels of educational attainment. Furthermore, participants who had become divorced or lived separately from their families, participants who did not have their own houses, and participants who reported low marital satisfaction also had high levels of stress. Our food habits scores revealed meaningful differences among the study subjects, and were shown to vary with marital satisfaction, occupation, and residence type. In terms of both the importance and practice level of well-being-associated food habits, the most frequent response in this study was 'Consume home-made food rather than processed or ready-to-eat food' ($4.30{\pm}0.86$, $3.68{\pm}1.04$). In terms of importance level, the factors most relevant to well-being in terms of food habits were education level, marital satisfaction, residence type, self-assessed health status, smoking, drinking, regular exercises and leisure activities. With regard to practice levels, the degree to which subjects engaged in food habits targeted toward well-being differed meaningfully depending on marital status, marital satisfaction, residence type, family type, self-assessed health status, smoking, drinking, nutritional supplement intake, regular exercises and leisure activities. After analyzing the correlation among stress level, food habit score and the attitude towards well-being-related dietary habits (importance and practice level), we observed a meaningful relationship between the four factors at the level of p<0.001. According to the above result, continuous attention to health, including the appropriate control of smoking and drinking, as well as, stress management, via regular exercises and appropriate food habits is expected to exert a positive influence on the prevention of disease, and is also expected to improve quality of life. For all well-being-associated items, the importance level was shown to be higher than the practice level. Thus, in order to foster health-oriented food habits, we recommend that a new plan be designed, targeted toward ease of active practice for middle-aged men.

  • PDF

저소득 우울 여성 독거노인 대상 긍정심리.해결중심 통합 집단 프로그램 개발 및 효과 (Developing, and Testing the Effects of a Group Program for the Low Income Depressed Elderly Women Living Alone, Which Integrated Positive Psychology and Solution-Focused Therapy)

  • 이현주;엄명용
    • 한국사회복지학
    • /
    • 제66권3호
    • /
    • pp.101-131
    • /
    • 2014
  • 본 연구는 저소득 우울 여성 독거노인을 대상으로 긍정심리와 해결중심의 기법을 통합한 집단 프로그램을 개발하고, 주관적 안녕감을 구성하는 삶의 만족도, 긍정 정서, 부정 정서, 그리고 우울의 측면에서, 개발된 프로그램의 효과와 효과의 지속성을 검증하는 것을 목적으로 하였다. 이를 위해 기존의 긍정심리 프로그램에 해결중심의 기법을 동화적 방식으로 통합하여 저소득 우울 여성 독거노인에게 적합하도록 개발하였다. 프로그램은 매 90분씩 주 1회로 10주간 10회기 진행되었으며, 효과 검증을 위하여 유사 실험설계의 비동일 비교집단 설계가 사용되었다. 실험집단은 긍정심리 해결중심 통합 집단 프로그램 참여집단이고, 비교집단1은 과거에 노인 우울 감소에 효과가 입증된 집단회상 프로그램 참여집단이며, 개입 없이 기존과 동일하게 재가복지서비스만 받는 집단은 비교집단2로 하였다. 연구 결과 긍정심리 해결중심 통합 집단 프로그램 참여자들의 삶의 만족도와 긍정 정서는 높아졌으며, 부정 정서는 낮아져 주관적 안녕감이 향상되었고 우울은 감소하였다. 또한, 집단회상 프로그램과의 효과 비교에서 프로그램 종료 5주 후와 11주 후에도 변화가 유지되는 것이 확인되어 프로그램의 효과와 효과의 지속성이 검증되었다.

  • PDF