• 제목/요약/키워드: Korean medicine education

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헤어SUKI 대체요법 활성화를 위한 연구 (A Study on Activation of Hair SUKI Alternative Therapy)

  • 이윤정;홍성균
    • 보건의료생명과학 논문지
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    • 제9권2호
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    • pp.373-381
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    • 2021
  • 본 연구는 SUKI 대체요법의 유효성과 두피마사지의 상관관계를 살펴보고, 헤어SUKI 대체요법 적용 및 활성화에 기여하는 것을 목적으로 문헌연구를 실시하였다. 연구 방법은 첫째, SUKI 대체요법의 개념, SUKI 대체요법 특징, SUKI 대체요법 시술시 주의할 점 등을 통해 SUKI 대체요법의 이해를 살펴보았고, 둘째, SUKI 대체요법 적용 실태 및 두피마사지요법에 관한 선행연구 등을 고찰하여, SUKI 대체요법과 두피마사지의 효과를 알아보았다. 그 결과 SUKI 대체요법은 스트레스나 우울증, 고혈압, 근육통증, 피부주름과 탄력 등 유의한 효과가 있었고, 두피마사지는 현대인들의 스트레스와 불면증과 같은 심리적, 정신적인 증상과 더불어 탈모와 두통 등의 신체적인 치료에 영향을 미치는 것으로 나타났다. 이에 헤어SUKI 대체요법에 대한 효과연구와 프로그램 활성화 통해 현대인들의 건강과 삶의 질을 향상시키는데 긍정적으로 활용될 수 있을 것으로 기대된다.

양호교사(養護敎師)의 투약(投藥) 및 의약품관리(醫藥品管理) 실태(實態) (A Study on Prescription and Management of Medicines by School-Nurses)

  • 김정희;박재용;차병준
    • 한국학교보건학회지
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    • 제11권2호
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    • pp.297-307
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    • 1998
  • The purpose of this paper is to understand the prescription and management of medicines by school-nurses. A survey was mailed to 199 school-nurses in elementary and secondary schools in Pusan from February 10 to March 31, 1997. It was shown that 97.0% of the schools have visiting school-doctors and only 29.6% have visiting school-pharmacists. 36.7% of the respondents don't know the amount of this annual health-related budget. Concerning the annual budget of purchasing medicines, 50.4% of the elementary schools spend 210,000 won to 400,000 won and 45.0% of the secondary schools spend more than 610,000 won. 56.3% of the respondents said the budget was enough, but 5% said it was not. 70.9% of the schools purchase medicines twice a year. The average number of students visiting the nurse in a year are 1,892 in elementary schools, 1.6 times per student and 2,471 in secondary schools, 1.7 times per student, respectively. The annual average number of students who were prescribed medicine a year are 1,804 in elementary schools, 1.5 times per student, 2,372 in secondary schools, 1.7 times per student. The percentage of students who are prescribed internal medicines was 45.5% in elementary, schools and 61.3% in secondary schools, respectively. To the preralence sicknesses, the wound was the most common, accounting for 42.7% in elementary and 22.6% in secondary schools. Next was abdominal pain, indigestion, and headaches in elementary schools; and colds, indigestion, and abdominal pain in secondary schools, respectively. To the dirersity of medicines prescribed: internal medicines 29 for abdominal pain, 25 for indigestion, 8 for physiological pain, 13 for headaches, 30 for colds, and 10 for eye disease; external medicines 2 for skin disease, 10 for toothaches and 31 for other sicknesses. 42.7% of the respondents said the schools have enough medicines, but 7.6% said that schools need more. 50.8% of the respondents said they get information on medicines from TV advertisements or medicine-related books, 16.6% get information from visiting pharmacists. More experienced nurse-teachers are likely to get information from visiting pharmacists, but 37.5% of the respondents who have less then four year experience in school get information through other nurse-teachers before deciding to buy medicines. To the choice of medicines: 83.9% of the respondents said that they choose safe medicines with less side-effects. 40.7% responded that they write down the prescription history daily, but 6.1% said they do this only once in two or three months. To the confidence in prescriptions, 37.7% of the respondents said they are sure of the effectiveness of the medicines they prescribe. To what extent the nurse-teachers prescribe, 50.3% said they prescribe to the level of anagelics, and 21.1% prescribe to anti-histamines and antibiotics. 80.4% said that the details of illnesses and medicines to be prescribed in school should be regulated by a school health-care law. To the problems in prescription, 79.9% of the respondents worry about abuse by students who want prescriptions but have no serious illnesses, 57.8% worrg about the lack of information on medicines and dosage. And 55.8% said they can't tell the difference between medicines whose brands are different, but bare the same ingredients. The conclusion of this study is that a health education program is necessary to prevent the misuse or abuse by students and a continuing education program for school-nurses is needed to solve the problems related to the purchasing and prescription of medicines. The criteria of the prescription of medicines also should be regulated by a school health-care law or management acts.

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어린이 치면세균막에서 치주질환원인균과 항생제 내성유전자의 출현율 (PERIODONTOPATHIC BACTERIA AND ANTIBIOTIC RESISTANCE GENES OF ORAL BIOFILMS IN CHILDREN)

  • 김선미;최남기;조성훈;이석우;임회정;임회순;강미선;오종석
    • 대한소아치과학회지
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    • 제38권2호
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    • pp.170-178
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    • 2011
  • 항생제 사용에 따라 구강내 세균들이 가지게 되는 내성의 발현이 문제가 될 수 있다. 어린이 치면세균막에서 치주질환의 원인균들과 흔히 사용하고 있는 항생제들에 대한 내성유전자의 출현율을 알아보고자 중합효소연쇄반응을 이용하여 조사하였다. 1. 치주질환 원인균의 출현율은 F. nucleatum 95.4%, T. forsythia 55.2% 이었으며, P. gingivalis 40.2%, A. actinomycetemcomitans 5.7%, T. denticola는 3.4% 순이었다. 2. 항생제 내성유전자의 출현율 조사에서 cephalosporin 분해효소인 cfxA는 100%에서 발견되었으며 ${\beta}$-lactam 분해효소인 $bla_{TEM}$과 tetracycline 내성유전자인 tet(M)도 100%의 출현율을 보였다. tet(Q)는 88.5%, ${\beta}$-lactam 분해효소인 $bla_{SHV}$는 29.9%, macrolide계 내성 ermF유전자는 87.4%, vancomycin 내성 vanA는 48.5%의 출현율을 보였다. Aminoglycoside에 대한 복합 내성을 보이는 aacA-aphD와 meticillin 내성유전자 mecA는 9.2%로 가장 낮은 출현율을 보였다. 3. 치주질환 원인균과 항생제 내성유전자와의 관련성 조사에서 T. forsythia와 $bla_{SHV}$간에 그리고 P. gingivalis와 vanA간 에 유의한 상관성이 있었다. 항생제 내성유전자 tet(Q)와 ermF (0.514)간에 중등도의 상관성을 나타내었으며, mecA와 vanA (0.25)간에 유의한 상관성을 나타내었다. 건강한 어린이들의 치면세균막에 다양한 치주질환 원인균들과 항생제 내성유전자들이 존재하며, 상호 관련성을 가지고 존재함을 보여주었다.

대학생의 성격요인과 식습관 및 건강관련행태 (Food habits, health behaviors related to the personality in Korean college students)

  • 김나현;김진희;계승희
    • Journal of Nutrition and Health
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    • 제53권1호
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    • pp.13-26
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    • 2020
  • 본 연구의 목적은 성격 5요인 (외향성, 개방성, 친화성, 성실성, 신경증)에 따른 식습관, 건강관련행태의 관련성을 파악하기 위하여 경기도 성남지역 대학생 남녀 337명을 대상으로 NEO 성격검사 (NEO-II test)를 실시하고 식습관 및 건강관련행태를 조사하여 비교분석하였다. 조사대상자의 일반사항은 전체 337명중 남자 133명, 여자 204명이었으며, 연령은 남자의 경우 평균 21세, 여자의 경우 평균 20세이었다. 조사대상자의 성격요인별 점수를 분석한 결과 남자의 경우 여자에 비해서 외향성, 개방성, 친화성, 성실성 점수가 더 높았고, 여자는 신경증의 점수가 더 높게 나타났다. 조사대상자의 식습관에 영향을 미치는 성격요인을 분석한 결과 남자의 경우 외향성 점수가 높은 사람이 낮은 사람에 비해 인스턴트·패스트푸드 섭취는 0.20(95% CI, 0.06-0.66), 채소반찬은 3.02 (95% CI, 1.05-8.64)이었으며, 친화성 점수가 높은 사람이 낮은 사람에 비해서 과일 섭취는 0.29 (95% CI, 0.10-0.84)으로 나타났다. 남자의 경우 신경증 점수가 높은 사람이 낮은 사람에 비해 고콜레스테롤 음식 섭취는 3.03 (95% CI, 1.06-8.67)로 분석되었다. 여자의 경우 개방성 점수가 높은 사람이 낮은 사람에 비해 탄 생선·고기 섭취는 4.99 (95% CI, 1.57-15.81), 동물성 지방의 섭취는 0.30 (95% CI, 0.13-0.68)이었으며, 음식 섭취시 영양적 균형 고려는 3.16 (95% CI, 1.24-8.01)로 나타났다. 여자의 경우 성실성 점수가 높은 사람이 낮은 사람에 비해서 탄 생선·고기 섭취는 0.35 (95% CI, 0.13-0.89)이었으며, 음식 섭취시 영양적 균형성을 고려하는 정도는 2.72 (95% CI, 1.01-7.33)으로 분석되었다. 조사대상자의 건강관련행태에 영향을 미치는 각 성격요인을 분석한 결과, 남자의 경우 개방성 점수가 높은 사람이 낮은 사람에 비해 신체활동은 3.04 (95% CI, 1.36-6.79)이었으며, 신경증 점수가 높은 사람이 낮은 사람에 비해 흡연은 4.82 (95% CI, 1.90-12.22), 충분한 수면 정도는 0.33(95% CI, 0.13-0.85)으로 분석되었다. 여자의 경우 외향성 점수가 높은 사람이 낮은 사람에 비해서 흡연은 4.00 (95% CI, 1.25-12.83)이었으며, 친화성 점수가 높은 사람이 낮은 사람에 비해 신체활동은 3.04 (95% CI, 1.04-8.81)으로 나타났다. 본 연구결과 성별로 성격요인에 따라 식습관, 건강관련행태의 차이를 보였으며, 일부 성격요인별 식습관의 분석결과에서는 외국의 연구결과와 상이하게 나타났다. 따라서 개인 성격특성을 반영한 맞춤형 영양상담이 되기 위해서는 보다 많은 국내 표본을 대상으로 연구결과의 축적이 요구되는 바이다.

일부농촌지역에서의 사회적 지지와 건강증진 행동간 관계 (The Relationship of the Social Support and Health Promotion Behavior in Rural Communities)

  • 이희영;황승식;백지은;김양숙;가문희;신지연;김은옥;김시완;안혜윤;백재현;김효정;이승은;조병희;정문호
    • 농촌의학ㆍ지역보건
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    • 제27권2호
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    • pp.55-66
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    • 2002
  • 본 연구는 농촌사회의 사회적 지지에 영향을 미치는 사회경제적 요인을 밝히고, 이것이 개인의 건강증진행동과 어떠한 관련성을 갖는지를 분석하여 농촌사회 건강증진 정책에서의 사회적지지 향상 방법을 제안하고자 하였다. 2002년 7월 강원도 춘천시 2개리에 거주하는 주민 전수를 대상으로 하여 수행되었으며, 만성 중증질환이 없는 건강한 사람을 분석대상으로 선정하였다. 사회적 지지는 기능적 사회적지지 평가를 위한 변형한 한국어판 MOS-SSS(Medical Outcome Study-Social Support Survey)와 구조적 사회적지지 평가항목을 추가한 설문지를 이용하였고, 건강증진행동은 금연 금주 의도, 운동, 건강진단, 보건교육 참여, 폐경기 호르몬 치료 여부를 설문을 통해 측정하였다. 사회적 지지는 교육정도가 낮거나, 이혼이나 사별인 경우, 의료보호대상인 경우 낮았고, 사회계층이 높은 계층에서 높았으며 건강상태별로는 유의한 차이를 보이지 않았다. 건강증진행동과의 관련성 분석에서, 사회적 지지가 높은 사랑들이 건강검진율, 보건교육 참석률, 폐경기 호르몬치료율이 높음을 알 수 있었다. 음주량 흡연량을 보정한 금연 금주 의도는 사회적 지지가 높은 군에서 오히려 낮았다. 본 연구의 결과를 통해, 사회적 지지가 약한 의료보호대상, 이혼 사별가정, 저교육층에 대해 지역사회가 제공할 수 있는 기능적, 구조적 사회적 지지를 우선적으로 시행해야 하며, 농촌지역의 건강증진 보건프로그램에 사회적 지지서비스를 적극 반영해야 함을 제안하고자한다.

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이공계와 의약계 진로 희망 초등학생의 진로 선택 이유, 과학과목과 수학과목 선호도, 과학에 대한 흥미, 과학적 포부 비교 (Comparison of Four Factors: Reasons for Jobs, Science and Math Preferences, Interests in Science, and Science Aspirations for Children Hoping for Careers in Science, Engineering or Medicine)

  • 김은숙;안유민;정원영;계영희;김희백;노태희;유준희;이경우;최승언;김찬종
    • 한국과학교육학회지
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    • 제34권8호
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    • pp.779-786
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    • 2014
  • 이공계 또는 의약계 직업을 희망하는 초등학생의 진로선택이유, 과학/수학 과목 선호도, 과학에 대한 흥미, 과학적 포부를 조사하여. 과학 관련 진로지도에 시사점을 얻고자 하였다. 이공계 희망 여학생의 비율은 낮지만 학년 차이가 크지 않은 반면, 이공계 희망 남학생의 비율은 6학년이 3학년의 절반에 가까웠다. 의약계 희망 학생 비율은 남녀 학생 모두 6학년이 3학년보다 1.4배 많았다. 이러한 차이로 인해 3학년에서 이공계 희망 학생 비율은 의약계 학생의 두 배였지만 6학년에서는 두 계열이 거의 같았다. 진로 선택 이유에서 희망 직업이 이공계인 경우 하고 싶다는 이유가 가장 중요했고, 사회에 필요한 일이라는 점이 그 다음이었다. 의약계의 경우는 다른 사람을 도울 수 있다는 점과 하고 싶은 일이라는 점이 거의 비슷했고 부모의 권유나 소득보다 두세 배 중요해서 이전 연구와 다른 결과를 보였다. 돕기는 여학생들이 중요하게 생각한 진로 선택 이유이기도 하다. 이는 과학관련 진로 지도에서 그 직업을 통해 사람들을 도울 수 있다는 점이 비중 있게 고려되어야 함을 시사한다. 과학과목 선호도는 이공계가 가장 높고, 의약계, 기타 진로의 순서이다. 수학과목 선호도는 과학 과목 선호도 보다 낮으며, 이공계와 의약계가 비슷하고, 기타가 그 보다 낮다. 학년이 올라갈수록 수학의 비중이 커지는 점을 고려할 때 초등학생의 이공계와 의약계 진로 희망이 지속되려면 과학과목과 더불어 수학을 좋아하고 잘하도록 지도할 필요가 있다. 과학에 대한 흥미와 과학적 포부는 3학년이 6학년보다, 남학생이 여학생보다 높으며, 이공계가 가장 높고, 의약계, 기타의 순으로 값이 낮아지는 분포를 보이고 있다. 그런데 이공계 집단만 포부 값이 흥미값보다 높고 학년별, 성별, 진로별로 나누어진 다른 모든 집단에서 포부값이 흥미값보다 낮다. 이는 과학에 대한 흥미보다 과학적 포부가 이공계 진로 결정에서 보다 결정적인 요인이 될 수 있는 가능성을 보여준다.

아침대체 편의식 개발을 위한 전통음식의 조리방법과 문헌고찰 I(1400년대${\sim}$1945년대 고 조리서 속 미음과 미수, 고음류 분석) (Literary Investigation and Traditional Food Cooking Methods for the Development of a Breakfast Food Substitutefood I (Analysis of Mieum, Misu, and Goeum During $1400's{\sim}1945's$))

  • 복혜자
    • 한국식품조리과학회지
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    • 제23권6호
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    • pp.987-1002
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    • 2007
  • 조선시대 고조리서와 고문헌고찰을 통한 전통음식인 미음, 미수, 고음류의 조리방법은 다음과 같다. 미음류는 쌀과 잡곡류를 섞어 조리한 미음류 7종류와 견과류에 잡곡류와 한약재료 등을 섞어 조리한 미음류는 3종류이었다. 약초 등 한약 재료에 육류, 조류, 어패류 등을 섞어 조리한 미음류는 7종류로 총 17종류의 미음과 미수, 고음류 등이 분류되었다. 세부적인 조리방법은 다음과 같다. (1) 곡류를 이용한 미음으로 쌀과 조 등은 오랫동안 끓여 즙을 내 체에 받혀 소금간을 하였고, 율무, 수수 등은 수비한 가루를 끓이거나 물에 타 먹었다. (2) 인삼 등 한약재료 등은 오래 동안 끓여 성분이 용출되면 체에 밭여 액즙을 사용하였고 고기, 뼈, 어패류 등도 함께 오랫동안 푹 끓여 체에 받혀 즙으로 만들어 수시로 음료 마시듯이 이용하였다. 갈분, 율무 등은 수비한 가루로 묽게 끓였다. (3) 고기와 어패류를 이용한 미음으로는 고기와 어패류를 함께 푹 끓여 체에 받힌 후 묵은 간장으로 간을 하였으며, 뼈, 양, 도가니 등은 함께 만화로 오랫동안 끓여 체에 밭여 즙으로 짜거나 찹쌀이나 멥쌀로 함께 끓여 섞기도 하였다. 현대인들의 바쁜 일상에 일하면서 공부하면서 바로 먹을 수 있는 식사대체음식이 요구되는바 이에 전통음식이었던 미음, 미수, 고음류의 문헌고찰과 조리방법을 1차적인 연구로 시도하였다. 또한 고 조리서 속 전통음식을 재현한 문헌을 제시하였고 조리방법도 비교하였으며 전통음식을 조리과학적으로 실험한 연구동향을 살펴보았다. 후속 연구로 전통음식을 조리과학적인 실험연구로 전체적인 성분과 조리후의 영양 손실과 잔존여부, 실온상태에서의 보존료가 첨가되지 않은 기간동안의 부패 여부 등과 조리후의 항산화성 등을 실험하고 조리후의 관능평가를 거친 후 상품으로서의 식사대체음식 개발을 위한 기초연구자료로 삼고자 한다.

청소년 흡연예방을 위한 멀티미디어 CAI 개발 (A Study on the Development of Multimedia CAI in Smoking Prevention for Adolescents)

  • 이숙자;박태진;정영일;조현
    • 보건교육건강증진학회지
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    • 제20권2호
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    • pp.35-61
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    • 2003
  • Background: The purpose of this study was to develop a structured and individualized smoking prevention program for adolescents by utilizing a multimedia computer-assisted instruction model and to empirically assess its effect. Method: For the purpose of this study, a guide book of smoking prevention program for middle and high school students was developed as the first step. The contents of this book were summarized and developed into an actual multimedia CAI smoking prevention program according to the Gane & Briggs instructional design and Keller's ARCS motivation design models as the second step. At the final step, the short-tenn effects of this program were examined by an experiment. This experiment were made for middle school and high school students and the quasi experimental design was the pretest - intervention - posttest. The measured data was attitude, belief, and knowledge about smoking, interest in the program, and learning motivation. Result: The results of this study were as follows: First, the guide book of a smoking prevention program was developed and the existing literature on adolescent smoking was analyzed to develop the content of the guide book. Then the curriculum was divided into three main domains on tobacco and smoking history, smoking and health, adolescent smoking and each main domain was divided into sub-domains. Second, the contents of the guide book were translated into a multimedia CAI program of smoking prevention througn Powerpoint software according to the instructional design theory. The characteristics of this program were interactive, learner controllable, and structured The program contents consisted of entrance(5.6%), history of tobacco(30%), smoking and health(38.9%), adolescent smoking(22.2%), video(4.7%), and exit(1.6%). Multimedia materials consisted of text(121), sound and music, image(still 84, dynamic 32), and videogram(6). The program took about 40 minutes to complete. Third, the results on analysis of the program effects were as follows: 1) There was significant knowledge increase between the pre-test and post-test with total mean difference 3.44, and the highest increase was in the 1st grade students of high school(p<0.001). 2) There was significant decrease in general belief on smoking between the pre-test and post-test with total mean difference 0.28. In subgroup analysis, the difference was significantly higher in the 1st grade of high school (p<0.001), low income class (p<0.001), and daily smokers (p<0.01). 3) There was no significant difference in attitudes on his personal smoking between the pre-test and post-test. 4) The interest in the program seemed to lower as students got older. The score of motivation toward this prevention program was the highest in the middle school 3rd grade. Among sub-domains of motivation, the confidence score was the highest. Conclusion: To be most effective, the smoking prevention program for adolescents should utilize the most up-to-date and accurate information on smoking, and then instructional material should be developed so that the learners can approach the program with enjoyment. Through this study, a guide book with the most up-to-date information was developed and the multimedia CAI smoking prevention program was also developed based on the guide book. The program showed positive effect on the students' knowledge and belief in smoking.

초등학교 아동의 개인위생에 대한 조사 (A Study on Personal hygiene of Primary School Students)

  • 김재삼;남철현;강희양
    • 한국학교보건학회지
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    • 제9권1호
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    • pp.109-123
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    • 1996
  • The study was designed to gain necessary basic data, in order to grasp the actual condition on personal hygiene of primary school students and to help school health education and child health education data development of parents of students, the survery was carried out through this reporter's interview for mothers who have primary school pupil in KyungBug area during the period of a month from 14 the April to 30 the April 1994. The results of this study can be summarized as follows. 1. As for general characteristics, the percent of answer mothers with 30~34 years 44.9%, and the percent of answer mothers with 35~39 years was 37.6%, 14.6% of answer mother was 40 years and over. The most house types was apartment house, that is 64.8% and independence house was 18.9%, 13.7% of answer mothers was multivalent house residents. As for level of school career, the percent of high school was 64.2% and the percent of university was 20.5%, 10.1% of answer mothers was finishment of middle school. As for religion a lack of religion was 38.4% and a Buddhist was 36.8%, a christian was 13.4%, 10.4% of answer mothers was a catholic. As for jobs, the percent of office was 33.9%, specialist and expert skiller was 17.3%, self-management was 16.0%, fishing and agrarian villiages was 11.6%, public service personnel and shool personnel was 9.1%. As for the number of sons and daughters, the percent of two was 70.5%, the percent of one was 16.0%, and the percent of male students was 54.1%. As for level of economic life middle level was 59.9%. 2. The percentage of washing hand after school hours was 66.8% and not washing hand after school hours was 33.2%. In washing hand after school hours family of independence house, mothers that have schoolcareer of university, female students, three and over of sons and daughters was high individually (p<0.05). 3. As for paring one's nails, once a ten days was 52.9% once a five days was 22.5% once a fifteen days was 19.0%, once a twenty and over was 5.6%. 4. 54.7% of primary school students of answer mother's take a bath once a few days and 31.6% take a bath once a week, 10.1% take a bath once a tendays. 5. The percentage of changing of underwear once a day was 60.9%, once a few days was 37.1%, once a week was 2.0%, as for changing of underwear, sons and daughters that has mothers with 29 years and downward, one number of sons and daughters, females students was high individually (p<0.01). 6. The percentage of haircut once a 20~30 days was 59.9%, once a 31~40 days was 17.9%, once a 40 days and over was 16.6%. As for the percentage of haircut once a 20~30 days apartment house residents, male students was high (p<0.01). 7. The percentage of experience in taking nutrition was 79.8% and the percentage of experience in taking restorative was 72.3%. As for taking nutrition, apartment house residents, one number of sons and daughters, male students was high individually (p<0.01). As for taking restorative apartment house residents, on number of sons and daughters, male students was high individually (p<0.05). 8. The percentage of habit of unbalanced diet was 44.0%, sons and daughters that have mother with 40 years and over apartment house residents, male students, one number of sons and daughters was high indivdually (p<0.05). 9. As for hygiene condition of sons and daughters, the percentage of good state of health was 65.2%, middle state of health was 3.5% bad state of health was 11.4%. In good state of health sons and daughters that have mothers with 29 years and downward, multivalent house residents, three numbers of sons and daughters, female students, high birth was high individually. 10. As for fattness of sons and daughters, existence was 18.2%. No existence was 81.8%. in existence sons and daughters who have mothers with 40 years and downward, independence house resident, special job and expert skill job, three and over number of sons and daughters, female students, low birth was high individually. 11. As for use aspect of medical facilities of sons and daughters, hospital doctors was 53.1%, drugstore was 42.3%, chinese medicine hospitals or health organization was 4.6%. In usage of drugstore, sons and daughters of mothers with 29 years, 40 years and over was 55.6%, 61.4% individully, inusage of hospital doctors 30~34 years, 34~39 tears was 64.5%, 49.1% individully (p<0.01), apartment house residents, one or two numbers of sons and daughters, male students was high individually. In the percentage of using drugstore, school career of middle school and downward, in occupation, three and over numbers of sons and daughters, low birth was high individually (p<0.05). According to the results mentioned above. An actual condition and a related matters on personal hygiene of primary school students must be used as the basis data of a health education program and a health data of a health education program and a health data related, a teaching materials development and must be helped to the health life education of parents of students and childs.

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호스피스 전달체계 모형

  • 최화숙
    • 호스피스학술지
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    • 제1권1호
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    • pp.46-69
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    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

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