• 한국보건간호학회지
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• 제12권2호
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• pp.201-220
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• 1998

Given the gloval impact of the AIDS pandemic. it is necessary to take every measure to prevent an epidemic this disease in Korea. Health care givers. especially nurses, have the primary responsibility of AIDS prevention and providing comfort care of those patient with HIV/AIDS. In spite of this responsibility, many nurses are afraid of AIDS patients and refuse to care the patient with HIV/AIDS because they have a little information of AIDS and a fear of HIV infection from AIDS patient at worksite. The purpose of this descriptive study was (1) to examine nursing students' knowledge and attitude to AIDS patient. (2) to identify demographic variables influencing knowledge and attitude to AIDS patient. and (3) to examine correlation between knowledge and attitude. The subject of this study was 162 nursing students. The findings of this study can be summarized as follows. 1) The mean overall knowledge score was estimated to be 61.33 of 101. especially the mean score of transmission route according to sexual behavior was estimated to be 3.03 of 7. 2) The mean attitude score was estimated to be 32.37 of 45. 3) The total knowledge score of AIDS was influenced by these two factors; the experience of AIDS education class and religion. In the end, the study concludes that it is necessary to develop comprehensive AIDS education programs to improve knowledge about the disease as well as to allay the fears and anxiety of the nurses.

• 한국직업건강간호학회지
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• 제17권2호
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• pp.166-179
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• 2008

Purpose: This study was conducted to understand the situation of general hospital worker's health management and health promotion. Methods: To investigate the current situation of health management in the hospital, structured questionnaires were sent to 122 occupational health providers by post. About 79% hospitals returned questionnaires. The data were analyzed using descriptive analysis, ${\chi}^2$-test by SPSS 12.0 program. Results: A quarter hospitals responded set up separated health care office for workers, 87.5% provided health educations, and 56.5% operated health promotion projects. In the contents of health promotion program embraced both health behavior practice and disease prevention, musculoskeletal disease control, infection control, smoking cessation, and exercise program were most commonly provided to the workers in order. Occupational health care provider chose the item such as budget limitation, manager's apathy, lack of employee's participation, cooperation provider, and so on as the reason of difficulty to run health promotion program in the hospital setting. Conclusion: Hospital managers need to construct infra to manage and promote worker's health. For example, establishing Industrial safety and health committee in hospital and arranging nurses who being fully responsible to worker's health. And occupational health care provider should advertise health promotion projects both managers and workers actively.

• 응용통계연구
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• 제34권3호
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• pp.477-489
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• 2021

코로나19 바이러스는 2020년에 전세계적으로 심각하게 확산되었고, 우리의 일상생활 전체에 상당한 영향을 미치고 있다. 현재 전세계는 이 유행병 사태 아래에 여전히 있고 한국 또한 이 상황에 대해 예외가 아니다. 이 유행병 기간동안 한국에서는 이 바이러스 확산을 방지하기 위한 또는 가속화시킨 몇 가지 사건들이 있었다. 감염병에 대한 방역 정책을 세우기 위해 이러한 사건들의 감염병 확산에 대한 개입 효과를 조사하는 것은 매우 중요하다. SIR 모형은 미분방정식을 통해 감염병 확산의 동적 행태를 파악하기 위해 자주 사용되는 방법이다. 그러나, SIR 모형은 관찰된 데이터의 불확실성을 고려하지 않는 결정적인 모형이다. 따라서 SIR 모형에서 데이터의 불확실성을 고려하기 위해 베이지안 접근법이 사용될 수 있고, 이러한 접근법은 SIR 모형에서 감염률에 대한 시간변이함수에 근거한 개입효과분석을 가능하게 한다. 본 연구에서는 베이지안 접근법에 근거한 확률적 SIR 모형을 이용하여 한국에서의 코로나19 바이러스의 확산 추세를 설명하고 그러한 사건들에 대한 개입효과를 조사한다.

• 한국융합학회논문지
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• 제13권5호
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• pp.463-471
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• 2022

COVID-19 사회적 거리두기 실천의도에 영향을 미치는 요인을 확인하였다. 본 연구는 2021년 3월 초 대한민국에 거주하는 19세 이상 성인 379명을 대상으로 COVID-19 감염예방을 위한 손실과 이득 메시지 프레이밍 광고중 1개를 무작위 할당하여 본 후 조사된 자료의 2차 분석연구이다. COVID-19 사회적 거리두기 실천의도에 광고태도(𝛽=.03, p<.001), COVID-19에 대한 관여(𝛽=.14, p=.006) 및 감정적 낙인(𝛽=-0.17, p<.001)이 영향을 미쳤으며 이들 변수의 설명력은 19%였다(Adjusted R²=.19). 따라서 보건의료전문가는 현장에서 대중과 소통하고 정책을 보급할 때 제공된 정보에 대한 관여를 높여 긍정적 광고태도를 유도하며 정확한 정보에 의해 낙인의 감정을 갖지 않도록 효과적인 메시지를 제시함으로써 건강관리 리더로서 역할을 충실히 해야 할 것이다.

• 한국산학기술학회논문지
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• 제19권9호
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• pp.174-185
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• 2018

본 연구는 2015년 국내 메르스(중동호흡기증후군) 유행시 상급종합병원에 임상실습을 경험하는 학생의 메르스에 대한 지식, 태도 및 예방행위 수행 정도를 파악하고 메르스 예방행위 수행 예측요인을 확인하기 위해서 시도되었다. 본 연구 대상자는 3, 4학년 간호학과와 의과대학 학생 480명이었으며, 자료수집은 2015년 6월 9일부터 6월 30일까지 구조화된 설문지를 이용하였다. 자료분석은 SPSS/WIN 24.0을 이용하여 분석하였고, 메르스 예방행위 수행에 영향을 미치는 예측요인들은 위계적 회귀분석(hierachial regression)을 이용하였다. 임상실습 학생의 메르스에 대한 지식 수준은 9.56점(13점 기준)으로 보통 이상으로 높았으며, 메르스의 심각성 인지와 예방가능성에 대한 신념인 메르스에 대한 태도는 4.15점(5점 기준)으로 긍정적이었다. 메르스 예방행위 수행정도는 3.02점(5점 기준)으로 보통 수준이었다. 메르스 예방행위는 여학생인 경우, 메르스에 관한 교육 경험이 있는 경우, 지난 해 인플루엔자 접종을 한 경우, 올해 인플루엔자 접종 의도가 있는 경우, 메르스 감염에 대한 두려움이 높은 경우, 메르스에 대한 지식 수준이 높고, 태도가 긍정적일수록 수행 정도가 높게 나타났다. 이에 감염환자들을 치료하고 돌보게 될 간호학과와 의과대학 임상실습 학생의 메르스 예방행위 수행률을 높이기 위해서는 메르스 예방행위 수행에 영향을 미칠 수 있는 임상실습 학생의 특성을 고려해야 한다. 더 나아가 임상실습 학생들이 메르스를 예방하기 위하여 필수적으로 습득해야 하는 내용이 포함된 효과적인 감염예방 교육프로그램을 개발하고 실시하여 미래 보건의료인들의 메르스 관련 지식 수준을 높이고, 질환 전파를 막으려는 태도를 강화함으로써 전염성 감염질환 예방에 기여해야 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6521-6526
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• 2015

Background: This study aimed toanalyze the risk behavior for cervical cancer (CC) and the human papillomavirus (HPV) prevalence and resolution among women who received care through the private healthcare network of a municipality in southern Brazil. Materials and Methods: This descriptive and retrospective study was conducted with 25 women aged 20 to 59 years who received care through the private healthcare network and were treated at a specialty clinic in the period from January to December 2012 in a municipality in Northwest Parana, Southern Brazil. Data from medical records with cytological and HPV results were used. Following treatment, these women were followed-up and reassessed after 6 months. Data were statistically analyzed using the t-test and chi-squared test at a 5% significance level. Results: The mean age of the studied women was $27.8{\pm}7.75$ years old, and the majority were married, with paid employment and were non-smokers. The mean age at menarche was $13.0{\pm}0.50$ years old, and the mean age at first intercourse was $17.5{\pm}1.78$ years, with only 8.0% (2) initiating sexual activity at an age ${\leq}15$ years old. The majority had 1 to 2 children (60.0%), while 88.0% reported having had one sexual partner in their lifetime, and all the women were sexually active. A total of 68.0% used a hormonal contraceptive method. All the women had leukorrhea and pain and were infected by a single HPV type. Regarding the lesion grade, 80.0% showed high risk and 20.0% low risk. The most prevalent high-risk HPV strain was 16. Conclusions: These findings provide relevant information on HPV risk factors and infection, as well as the treatment and 6-month follow-up results, in economically and socially advantaged women with no traditional risk factors, corroborating previous reports that different risk factors may be described in different populations. Thus, this study reinforces the fact that even women without the traditional risk factors should undergo HPVmonitoring and assessment to determine the persistence of infection, promoting early diagnosis of the lesions presented and appropriate treatment to thus prevent the occurrence of CC.

• 대한소아치과학회지
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• 제32권2호
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• pp.306-311
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• 2005

Lesch-Nyhan 증후군은 purine의 대사장애를 보이는 질환이다. 신생아에서 대략 1:100,000 정도의 이환율을 보이는 X염색체 열성 유전 질환으로 남자에서 흔하며, purine의 대사에 관여하는 효소인 hypoxanthine guanine phosphoribosyl transferase(HGPRT)의 결손 또는 활성 감소 결과, 과도한 요산 형성 및 과요산혈증(hyperuricemia)이 일어난다. 이 질환은 임상적으로 정신지체, 무도증(choreoathetosis), 경련성 뇌성 마비, 심각한 자해 행위가 특징이다. 이 중 자해행위는 입술과 혀, 손가락을 깨무는 경우가 흔하고, 혀와 손가락이 완전히 절단될 수도 있다. 이 경우 자해로 인한 통증 뿐 아니라, 상처 부위로의 2차 감염 및 연조직 결손으로 인한 심미성이 문제가 된다. 본 증례는, 상하악 유전치의 입술 깨물기 습관에 의해 하순이 심하게 손상된 Lesch-Nyhan 증후군 환아로서, mouth guard를 이용한 보존적인 방법과 소아정신과와의 협진을 통한 신경학적 약물치료로 자해에 의한 손상을 방지하여, 단기간에 비교적 만족할 만한 결과를 얻었기에 이를 보고하는 바이다.

• 의료법학
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• 제23권1호
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• pp.149-176
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• 2022

우리나라 법제는 비의료인에 의한 의료행위를 엄격히 금지하고 있는데, 문신시술의 경우 의료행위로 분류되어 비의료인이 문신시술시 무면허의료행위로 처벌받게 된다. 그런데, 현실적으로 문신시술을 의료인에게 받는 경우가 매우 드물고, 문신시술을 업으로 하고 있는 비의료인들은 직업선택의 자유 침해 등을 주장하며 비의료인에 의한 문신시술의 의료행위성을 부정하고 비범죄화할 것을 요구하고 있다. 그런데 문신시술은 바늘 등을 사용하여 이루어지기 때문에 신체에 대한 침습이 있어 의료인이 행하지 않으면 보건위생상 위해가 발생할 수 있는 행위로 볼 수 있고 감염 예방 등을 위해 엄격한 관리가 필요하다. 그러나 이러한 현실적인 부분과 법제와의 괴리를 고려할 때, 보건의료적 관점에서 안전성을 고려하면서도, 사실상 의료인에 의해 행해지는 문신시술이 많지 않은 현실을 고려하여 비의료인에 의한 문신시술을 제도화하는 방안 등에 대해 전향적으로 생각을 해 볼 필요가 있다. 본고는 이러한 관점에서 문신시술이 의료행위에 해당하는지 법제를 검토하고, 보건의료적 관점에서 문제가 된다면 이를 해결하기 위한 방안을 모색하여 현실을 반영하면서도 안전성을 도모할 수 있는 대안으로 3단계로 나누어 단계화된 접근을 제시하였다.

• 농촌의학ㆍ지역보건
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• 제1권1호
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• pp.10-21
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• 1976

The traditional application of night soil to vegetable gardens and rice paddies results in a most wide spread condition of parasitism, with a variety of helminths found in Korea. In addition to the above fact, the peculiar habit of the consumption of raw vegetables, fish, crustaceans and mammals provides a means of infestations of helminths. During the last sixty years numerous reports were found on the prevalence of helminths amongst the Korean population in different parts of the country, and it was generally recognized that ascariasis, hookworm disease, filariasis, clonorchiasis and paragonimiasis constitute the important helminthic disease in Korea. In practical measures of parasite control activities the main measures are summarized as mass-treatment, night-soil disposal and transmission control. Among the three, the mass-treatment has been commonly applied, however, no reduction of transmission has been obtained by treatment of a population. Therefore, the ultimate eradication of parasites will depend upon the application of comprehensive environmental sanitation measures. The basic environmental measures will be concerned with (a) the safe disposal of human excreta, (b) the provision of adequate and safe water supplies in such a way as to promote a higher standard of personal hygiene in the population, and (c) the prevention of food contamination by faecal material. Additional environmental measures will deal with the improvement of housing and housing hygiene and with general community development. Community development means social and cultural as well as economic development. The control measures on the parasitic endemic diseases, such as clonorchiasis and paragonimiasis are the good examples for community health development in Korea. The control of Clonorchis and Paragonimus infections are theoretically very simple, as the infection can only invade the human body by way of encysted metacercaria which are taken into the body when eating passive intermediate hosts(fishes, crabs and crayfishes). Although prophylactic measures in the case of the infections deal with above merely consist the fishes in cooking or submerging in hot water before eating them, it is exceedingly difficult to carry out such simple measures in face of century old traditions, to which the relatively primitive population clings with great tenacity. There is no one universally applicable method of control. The choice of methods must be dictated by the nature of the environment. the habit and custom of the people. the pattern of transmission and the resources of the country. There must exist a well organized public health infrastructure. Since a control programme is of necessity on a longterm basis and continuity in its implementation is essential. An investigation should be made on the prevalence of the diseases and its relationships to irrigation engineering, freshwater ecology, agricultural methods, hydro-electric schemes, and the development of communities in affected areas. In conclusion, however. the control of clonorchiasis and paragonimiasis in Korea is not an impossible task. A combination of efforts with major emphasis on health education and mass chemotherapy coupled with governmental aid in enforcing legislative public health measures could reduce the diseases. Health education in particular attempts following four things: (a) It supplies a person with enough general knowledge about a disease to make the preventive measures. (b) It makes a person feel sufficiently about the importance of his own health to make him alter his behavior and adopt these preventive measure. (c) It makes him concerned for the health others. (d) It tries to make him feel so strongly about the first three that be supports and even initiates preventive action by the community. Educational efforts should be directed primarily toward school children because it is during the early years that most persons become infected, and also because children are less entrenched in their food habits so that, the educational process should be involved at various levels in successive changes of knowledge, attitude, beha viour, habit and custom of their lives. The most parasitic endemic diseases are related to community diseases. In caring for a sick community. the first stage is to gather epidemiological data, the next is to make inferences from it-to make the community diagnosis. The third is to prescribe community treatment or community health action part of a community health action programme. The community health action is the sum of the steps decided upon to remedy the critical features revealed by the community diagnosis. Action takes various forms; health education is the most important.