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공공보건사업의 지역담당제 실시에 관한 보건기관 근무 공무원의 인식과 태도 (Recognition and Attitude to Implement at ion of Service Area Assigned System of Public Health Programs among the Health Officer)

  • 김미순;이무식;김남송
    • 농촌의학ㆍ지역보건
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    • 제26권2호
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    • pp.15-41
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    • 2001
  • 연구는 전라북도지역의 보건기관 공무원을 대상으로 지역담당제 실시에 관한 인식과 태도에 대한 기초자료를 얻기 위한 목적으로 시도하였다. 보건기관 근무 공무원들은 지역담당제에 대한 이해도가 매우 높았으며, 지역담당제 실시에 있어 그 실시의 필요성을 높게 인식하고 있으나, 그 실시시기는 단계적 실시의 주장이 높았으며, 제공서비스로는 방문간호와 만성질환관리에 높은 의견을 보였다. 건강증진사업에 국한할 시 건강교실이, 노인보건사업에 국한할 시 방문간호와 거동불편자, 독거노인 등이 높게 나타났으며, 지역담당제 구축을 위한 선결과제로는 재원확보, 인력 및 조직이 재정비가 가장 시급한 것으로 인식하고 있다. 제도개선사항으로는 근무여건 개선이 우선이었고, 지역담당제 구축을 위한 정보체계 확립이 부족하다고 인식하고 있으며, 팀별 지역담당제를 통한 보건사업 전달체계 확립을 위해 적정 전문인력의 배치를 가장 높게 들었다. 지역담당제 실시에 관한 이점으로 대상자에 대한 관리가 잘될 수 있고, 전문성 향상으로 환자에 대한 간호의 질이 향상될 것으로 인식하고 있다. 지역보건사업에서의 지역사회 주민의 요구증대 및 다양화에 따른 대응이 부족하며, 보건소의 사업의 내용개발에 있어서 충분히 개발되고 있지 못하다고 인식하고 있다. 그리고 새로운 보건사업의 확장에 있어서 가장 큰 문제로서 획일적(형식적)사업을 들고 있다. 이러한 연구결과 등을 토대로 하여 지역담당제 정착을 위한 검토방안과 추진전략에 대하여 아래와 같이 제언하고자 한다. 첫째, 지역담당제 실시는 단계적으로 담당지역을 선정하여 실시하고, 지역적 특성을 고려한 사업의 추진이 있어야하며, 현행의 보건사업 업무중에서 이들 사업이 지역담당중심으로 수행하는 것이 좋을 것인지 사업중심으로 수행하는 것이 효율적인 것인지를 사업대상 및 범위, 지리적 여건, 현재의 보건소 업무 수행체계를 근거로 검토되는 등 다양한 측면이 재고려되어야 한다. 둘째, 지역사회의 현실적인 요구의 수준과 보건소의 현재 위상을 중심으로 자원과 예산 소요를 추정하고 타당성과 현실성을 검토할 필요가 있으며, 이와 더불어 지역주민의 요구와 수요에 부응할 수 있도록 단계적으로 보건소 방문간호사 인력의 확충방안을 강구하고, 방문간호사 교육 훈련비 및 방문차량 구입비 등을 재원확보 및 지원을 하여야 하며, 보건소 사업에서 지역담당제에 관한 연구개발 및 시범운영이 있어야 할 것으로 판단된다. 셋째, 대상자 관리의 내실화와 지역사회 주민의 서비스 욕구에 대한 만족도를 제고시키기 위하여 사업내용을 충분히 개발해야 하며, 지역담당자의 근무여건을 개선하는 등 전문인력의 배치가 요구된다. 마지막으로 과거와는 달리 환경과 보건에 대한 일반인의 관심이 급격하게 확산되고 있는 상황 속에서 소수 전문가들의 실험적 시범사업으로는 대중적인 지지기반을 확대할 수 없기 때문에 지역담당제가 일반주민의 생활속에서 대중화된 사업으로 정착시킬 수 있어야 하며, 그동안 지역담당제에 대한 논의나 연구가 소수의 연구자 및 한정된 시범지역에 의해서만 연구된 점을 지양하고 폭 넓은 연구가 지속되어야 함을 제언한다.

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고등학생의 건강 및 삶의 질에 대한 진단적 연구 - PRECEDE 모형을 근간으로 - (A Diagnostic Study on High School Students' Health and Quality of Life - Based on the PRECEDE model -)

  • 유재순;홍여신
    • 한국간호교육학회지
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    • 제3권
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    • pp.78-98
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    • 1997
  • Health education, as the most fundamental concept for national health promotion, alms for developing the self-care ability of the general public. High school days are regarded as the period when most important physical, mental and social developments occur, and most health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw in that health-related subjects are divided and taught under various subjects areas at school. In order to achieve the goal of school health education, it is essential to make a systematic assessment of the learner's concerns connected with his health and life, and the factors affecting them. So far, most of the research projects that had been carried out for improving high school health education were limited in their concerns to a particular aspect of health. Even though some had been done in view of comprehensive school health education, they failed to Include a health assessment of the learner. Therefore, in this study the high school students' concerns related to health and life were investigated in the first place on the basis of the PRECEDE model, developed by Green and others for the purpose of a comprehensive diagnostic research on high school health education. This study was done in two steps : one was the basic study for developing research instrument and the other was the main one. The former was conducted at five high schools in Seoul and Cheongju for 2 months-beginning in March, 1996. The students were asked to respond to questions related to their health and lives in unstructured open-ended question forms. On the basis of analysis of the basic study, the diagnostic instruments for the quality of life, health problems, health behavior and educational factors were constructed to be used for the collection of data for main study. An expert panel and the pilot study were used to improve content validity and reliability of the instruments. The reliability of the instruments was measured at between .7697 and .9611 by the Cronbach $\alpha$. The data for this study were collected from the sample consisted of the junior and senior classes of twenty general and vocational high schools in Seoul and Cheongju for two months period beginning in July, 1996. In analyzing the data, both t-test and $X^2$-test were done by using SAS-$PC^+$ Program to compare data between the sexes of the high school students and the types of high school. A canonical correlation analysis was carried out to determine the relationships among the diagnostic variables, and a multivariate multiple regression analysis was conducted by using LISREL 8.03 to ascertain the influences of variables on the high school students' health and quality of life. The results were as follows : 1) The findings of the hypothesis tests (1) The canonical correlation between the educational diagnosis variables and behavioral, epidemiological, social diagnosis variables was .7221, which was significant at the level of p<.001. (2) The canonical correlation between the educational diagnosis variables and the behavior variables was .6851, which also was significant (p<.001). (3) The canonical correlation between the behavioral diagnosis variables and the epidemiological variables was 4295, which was significant (p<.001). (4) The canonical correlation between the epidemiological diagnosis variables and the social variables was .6005, which was also significant (p<.001). Therefore, the relationship between each diagnosis variable suggested by the PRECEDE model had been experimentally proven to be valid, supporting the conceptual framework of the study as appropriate for assessing the multi-dimensional factors affecting high school students' health and quality of life. Health behavior self-efficacy, the level of parents' interest and knowledge of health, and the level of the perception of school health education, all of which are the educational diagnostic variables, are the most influential variables in students' health and quality of life. In particular, health behavior self-efficacy, a causative factor, was one of the main influential variables in their health and quality of life. Other diagnostic variables suggested in the steps of the PRECEDE model were found to have reciprocal relations rather than a unidirectional causative relationship. The significance of this research is that it has diagnosed the needs of high school health education by the learner-centered assessment of variety of factors related to the health and the life of the students. This research findings suggest an integrated system of school health education to be contrived to enhance the effectiveness of the education by strengthening the influential factors such as self-efficacy to improve the health and quality of the lives of high school students.

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여성독거노인의 우울과 삶의 질과의 관계: 사회적 지지, 사회적 활동의 조절효과 및 매개효과 (Relationship Between Depression and Quality of Life in Elderly Women Living Alone: The Moderating and Mediating Effects of Social Support and Social Activity)

  • 림금란;김희경;안정선
    • 한국노년학
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    • 제31권1호
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    • pp.33-47
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    • 2011
  • 본 연구의 목적은 여성독거노인의 우울과 삶의 질과의 관계에서 사회적 지지와 사회적 활동의 역할 즉 조절 효과와 매개효과를 검정하여 그들의 우울을 줄이고 삶의 질을 높이기 위한 기초자료를 제공하는데 있다. 서술적 조사연구로써 K시의 여성독거노인 129명을 대상으로 2010년 6월부터 7월 까지 설문지를 이용하여 자료수집하고, SPSS Win 18.0 program으로 통계처리 하였다. 연구결과 여성독거노인의 평균 연령은 77.5세, 평균 독거기간은 14년이었다. 여성독거노인의 우울은 2.65점(±.42)으로 보통이상의 우울을 경험하고, 삶의 질은 2.80점(±.57), 사회적 지지는 3.34점(±.57)으로 보통정도의 삶을 영위하며 중간정도의 사회적 지지를 받는다고 생각하였다. 사회적 활동 중 여가활동은 3.75점(±1.08), 봉사활동은 3.80점(±.00)으로, 여가활동 시 보통이상의 만족도를 가지며, 경제활동은 2.84점(±1.00)으로 경제활동 시 보통정도의 만족도를 가지는 것으로 나타났다. 여성독거 노인의 우울과 삶의 질은 역 상관관계(r=-.745, p=.004)이며, 사회적 지지(r=.544, p=.000), 여가활동(r=.480, p=.024)과 경제활동(r=.711, p=.001)은 순 상관관계를 나타내었다. 또한 사회적 지지와 사회적 활동의 조절효과는 없었고 사회적 활동의 매개효과도 없었다. 그러나 사회적 지지의 매개효과는 있는 것으로 나타났다. 즉 사회적 지지와 사회적 활동의 조절효과가 없어서 사회적 지지와 사회적 활동이 여성독거노인의 우울과 상호작용하여 삶의 질을 높일 수 있다고 할 수 없다. 사회적 지지의 매개효과는 존재하는 것으로 나타나, 여성독거노인의 우울은 사회적 지지를 통하여 그 정도가 완화되며 사회적 지지가 높을수록 삶의 질이 높아지는 것으로 나타났다. 추후 사회적 지지 프로그램을 개발하여 여성독거노인의 우울과 삶의 질에 영향을 미치도록 유도하며, 사회적 활동에 대한 조절효과와 매개효과에 대한 반복연구가 필요하다.

아이덴티티를 표현하는 노인가정의 소유물 배치패턴 사례연구 (A Case Study of Possession Display Pattern as a Mean of Self-identity Expression in Older People's Households)

  • 최정신
    • 한국주거학회논문집
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    • 제18권5호
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    • pp.65-72
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    • 2007
  • What is the meaning of home to older people? How much is home significant for older people? How do they express self-identity through decorating their own homes? These are the new subjects that scholars in the West are involved in lately in terms of micro-perspective (George, 1998; Kellett, Gilroy & Jason, 2005; Gilroy & Kellett, 2006). It is evident that home has more significant meaning to older people than other age groups, since the older are more likely to spend greater time within the home through lower income, lessening mobility or loss of companions (Gilroy, 2005). Also the older tend to cling to their homes and attach to possessions than the younger. Older people's possessions are the things that memories of their lives were absorbed. Therefore, possession display can role as a mean of showing their past lives and memories. Gilroy and her colleagues (2005, 2006) found that there was a certain pattern of possession display in English older people's households, and that older people would like to express self-identity through decorating their own homes with their precious possessions. Then, isn't it interesting to find out if there is any pattern of possession display or decoration items in Korean older people's households as well? Thus, the aim of this study is to describe pattern of possession display as a mean of expressing self-identity in Korean older people's households. Interview with older people was used to find out the way and reason of display possessions. Observation method including taking photos and hand-drawings was also added in order to demonstrate detail condition of display items in the house. Possessions display and furniture arrangement in the living room and bedroom were investigated to find out a certain pattern of display and meaning. Research objects were healthy older people aged over 60, who are living independently from their adult children, and who can manage housekeeping by themselves. 32 households were investigated in the area of Seoul, Kyunggi, Chungchungnam, and Kangwon provinces. The findings demonstrate that most precious possession for Korean older people is photo of themselves; especially one taken in their younger age. The reason of it is because the photo reminds them of their heydays when they were vital. Photo of the most beloved one is displayed more frequently in the bedroom than in the living room indicating consistence with English case. As symmetrical display pattern was dominant in case of English older people's households, no dominant display pattern is found in Korean case. Korean older people also cling to their homes and possessions and want to keep their dwelling space as large as what they use now. It is notable that even after they become older and frail, they want sufficient space to display possessions as a mean of self-identity expression. Attachment to possessions and decoration can give older people significant meaning of identity, and it is the reason why architects or interior designers have to meet older people's needs. It needs consideration that residents are allowed to bring their old furniture and precious possessions when they move in elderly housing unit in order to minimize environmental shock, as well as feeling at home. This subject could suggest a clue to designers or architects who have to meet residents' needs in space design of elderly housing or facilities in the future. Psychological well-being of older people can be met by making them feel at home wherever they live. They need space where they can express their own identity and personality even in case when they have to live in a limited small space like elderly housing unit or nursing home.

심혈관대사질환이 있는 지역사회 거주 환자의 질환경험 및 완화의료 요구 (Illness Experiences and Palliative Care Needs in Community Dwelling Persons with Cardiometabolic Diseases)

  • 차은석;이재환;이강욱;황유진
    • Journal of Hospice and Palliative Care
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    • 제22권1호
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    • pp.8-18
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    • 2019
  • 목적: 본 질적 연구는 비암성 만성 질환이자 중 심혈관대사 질병(심장병, 신장병, 말기 당뇨병)을 가지고 있는 환자들의 "질환 경험"을 이해하고 이들의 완화의료에 대한 요구를 파악하기 위해 수행되었다. 방법: 서술적 질적 연구방법을 통해 환자들의 질환경험 및 자가간호행태, 질병 진행에 대한 준비 등을 알아보았다. 질적 연구 훈련을 받은 연구자가 반구조화된 면담 지침을 통해 연구참여자가 원하는 장소, 시간에 상담을 진행하였다. 면담내용은 필사되었으며, 필사된 내용은 내용분석을 통해 분석되었다. 결과: 연구 참여자는 40대에서 80대의 11명의 만성 질환이자(남성 9명, 여성 2명)였고, 세 개의 범주(같은 질병- 다른 질환경험; 나의 질병, 내 몸의 주체는 나; 질병진행에 대한 준비)가 도출되었다. 연구 참여자들은 자신의 진단명은 알고 있었지만, 의료진으로부터 질병단계 및 진행에 대한 준비, 자가간호 방법, 생애후기계획(돌봄계획) 수립과 관련한 교육을 받은 적이 없었다. 의료진은 질병진행에 따라 처방을 바꿔주는 사람, 약물은 질병치료를 하는 것, 자가간호는 단순 보조적 요법으로 인식되고 있었다. 약복용을 지시대로 규칙적으로 하고 있음에도 불구하고 질병이 진행된다고 느낄 때, 자가간호에 보다 적극적이 되었다. 모든 연구 참여자들이 질병이 진행되고 있다는 것을 느끼고 있었으나, 생애 말기 대비에는 수동적이고 소극적이었다. 많은 환자들이 돌봄계획 수립이나 성년후견인 지정의 필요성에 공감하였으나, 행동으로 옮기지는 못하고 있었다. 결론: 의료진은 비암성 만성질환자의 질환경험을 듣고 질병 관리를 도울 수 있는 치료적 파트너가 되어야 할 것이며, 환자의 건강정보이해능력을 고려한 교육이 제공 되어야 할 것으로 사료된다. 또한 비암성 만성질환자의 웰리빙에 대한 요구와 삶의 질 향상을 지지하는 측면에서 이들을 위한 완화의료 프로그램을 개발, 제공해야 할 것으로 사료된다.

계획된 간호 정보가 수면량에 미치는 영향에 관한 연구 -개심술 환자를 중심으로- (The Effect of Structured Information on the Sleep Amount of Patients Undergoing Open Heart Surgery)

  • 이소우
    • 대한간호학회지
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    • 제12권2호
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    • pp.1-26
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    • 1982
  • The main purpose of this study was to test the effect of the structured information on the sleep amount of the patients undergoing open heart surgery. This study has specifically addressed to the Following two basic research questions: (1) Would the structed in formation influence in the reduction of sleep disturbance related to anxiety and Physical stress before and after the operation? and (2) that would be the effects of the structured information on the level of preoperative state anxiety, the hormonal change, and the degree of behavioral change in the patients undergoing an open heart surgery? A Quasi-experimental research was designed to answer these questions with one experimental group and one control group. Subjects in both groups were matched as closely as possible to avoid the effect of the differences inherent to the group characteristics, Baseline data were also. collected on both groups for 7 days prior to the experiment and found that subjects in both groups had comparable sleep patterns, trait anxiety, hormonal levels and behavioral level. A structured information as an experimental input was given to the subjects in the experimental group only. Data were collected and compared between the experimental group and the control group on the sleep amount of the consecutive pre and post operative days, on preoperative state anxiety level, and on hormonal and behavioral changes. To test the effectiveness of the structured information, two main hypotheses and three sub-hypotheses were formulated as follows; Main hypothesis 1: Experimental group which received structured information will have more sleep amount than control group without structured information in the night before the open heart surgery. Main hypothesis 2: Experimental group with structured information will have more sleep, amount than control group without structured information during the week following the open heart surgery Sub-hypothesis 1: Experimental group with structured information will be lower in the level of State anxiety than control group without structured information in the night before the open heart surgery. Sub-hypothesis 2 : Experimental group with structured information will have lower hormonal level than control group without stuctured information on the 5th day after the open heart surgery Sub-hypothesis 3: Experimental group with structured information will be lower in the behavioral change level than control group without structured information during the week after the open heart surgery. The research was conducted in a national university hospital in Seoul, Korea. The 53 Subjects who participated in the study were systematically divided into experimental group and control group which was decided by random sampling method. Among 53 subjects, 26 were placed in the experimental group and 27 in the control group. Instruments; (1) Structed information: Structured information as an independent variable was constructed by the researcher on the basis of Roy's adaptation model consisting of physiologic needs, self-concept, role function and interdependence needs as related to the sleep and of operational procedures. (2) Sleep amount measure: Sleep amount as main dependent variable was measured by trained nurses through observation on the basis of the established criteria, such as closed or open eyes, regular or irregular respiration, body movement, posture, responses to the light and question, facial expressions and self report after sleep. (3) State anxiety measure: State Anxiety as a sub-dependent variable was measured by Spi-elberger's STAI Anxiety scale, (4) Hormornal change measure: Hormone as a sub-dependent variable was measured by the cortisol level in plasma. (5) Behavior change measure: Behavior as a sub-dependent variable was measured by the Behavior and Mood Rating Scale by Wyatt. The data were collected over a period of four months, from June to October 1981, after the pretest period of two months. For the analysis of the data and test for the hypotheses, the t-test with mean differences and analysis of covariance was used. The result of the test for instruments show as follows: (1) STAI measurement for trait and state anxiety as analyzed by Cronbachs alpha coefficient analysis for item analysis and reliability showed the reliability level at r= .90 r= .91 respectively. (2) Behavior and Mood Rating Scale measurement was analyzed by means of Principal Component Analysis technique. Seven factors retained were anger, anxiety, hyperactivity, depression, bizarre behavior, suspicious behavior and emotional withdrawal. Cumulative percentage of each factor was 71.3%. The result of the test for hypotheses show as follows; (1) Main hypothesis, was not supported. The experimental group has 282 minutes of sleep as compared to the 255 minutes of sleep by the control group. Thus the sleep amount was higher in experimental group than in control group, however, the difference was not statistically significant at .05 level. (2) Main hypothesis 2 was not supported. The mean sleep amount of the experimental group and control group were 297 minutes and 278 minutes respectively Therefore, the experimental group had more sleep amount as compared to the control group, however, the difference was not statistically significant at .05 level. Thus, the main hypothesis 2 was not supported. (3) Sub-hypothesis 1 was not supported. The mean state anxiety of the experimental group and control group were 42.3, 43.9 in scores. Thus, the experimental group had slightly lower state anxiety level than control group, howe-ver, the difference was not statistically significant at .05 level. (4) Sub-hypothesis 2 was not supported. . The mean hormonal level of the experimental group and control group were 338 ㎍ and 440 ㎍ respectively. Thus, the experimental group showed decreased hormonal level than the control group, however, the difference was not statistically significant at .05 level. (5) Sub-hypothesis 3 was supported. The mean behavioral level of the experimental group and control group were 29.60 and 32.00 respectively in score. Thus, the experimental group showed lower behavioral change level than the control group. The difference was statistically significant at .05 level. In summary, the structured information did not influence the sleep amount, state anxiety or hormonal level of the subjects undergoing an open heart surgery at a statistically significant level, however, it showed a definite trends in their relationships, not least to mention its significant effect shown on behavioral change level. It can further be speculated that a great degree of individual differences in the variables such as sleep amount, state anxiety and fluctuation in hormonal level may partly be responsible for the statistical insensitivity to the experimentation.

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청소년의 음주 실태 ; 청소년 건강행태 온라인 조사를 중심으로 (Drinking conditions of adolescents ; Korea Youth Risk Behavior Web-based Survey)

  • 최영실
    • 한국산학기술학회논문지
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    • 제18권9호
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    • pp.186-192
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    • 2017
  • 우리나라 청소년의 건강증진을 위한 보건교육 프로그램을 기획하는데 있어 기초자료를 제공하고자 2013년, 2014년, 2015년 최근 3개년간의 청소년건강행태온라인조사 원시자료를 이용하여 중학생 및 고등학생의 음주 행태를 분석하였다. 자료 분석은 조사에 참여한 표본이 우리나라 청소년의 대표성을 갖도록 지정된 가중치를 적용하였으며, 자료는 SPSS 18.0 프로그램을 이용하여 빈도분석, t-test 및 교차분석을 실시하였다. 우리나라 청소년의 음주 행태에 대해 3개년간의 추이를 확인한 결과 문제음주 항목에서는 다소 하강상태를 보였으나, 음주시작시기(중학교 2학년;21.5%), 음주일수(20-29일;3.8%),음주량(2병 이상;12.2%), 구매 방법 및 용이성(편의점 구매;32%, 굳이 구매하려하지 않음52%), 음주교육 유무(음주교육 받지 못함;72%)등의 항목에서 꾸준한 상승을 보이는 것으로 확인되었다. 이들 항목에 대한 일반적 특성을 비교한 결과 학교유형에서는 남녀 공학이, 학교 급에서는 고등학교가, 거주형태에서는 자취, 사회경제적 수준에서는 '중 상' 으로 응답한 학생에게서 유의한 차이를 보이는 것으로 확인되었다. 이와 같이 음주행태에 대한 3개년 간 결과를 비교해 볼 때 그 결과의 추이가 여전히 주의할 만한 수치여서 음주에 대한 보건 교육이 학교뿐 만아니라 가정 그리고 지역사회의 관심이 필요하며, 모두가 함께 청소년 음주에 대한 주의와 교육이 필요하다고 하겠다.

중동호흡기증후군(MERS) 발생관련 전국 약학대학의 실무실습교육 대응현황 (Middle East Respiratory Syndrome Outbreak and Responsiveness of the Pharmacy Programs on the Pharmacy Practice Education)

  • 최경희;최경숙;이영숙;김재연;정경혜;오정미;최경업;나현오;김은경
    • 한국임상약학회지
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    • 제27권1호
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    • pp.9-14
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    • 2017
  • Background: Pharmacy curriculum change was made from a 4-year program to a 2+4 year program in year 2009 in Korea. The change has resulted in more educational exposures on patient-centered practice environments for about 1,400 hours in the last year of the professional pharmacy program. When the Middle East Respiratory Syndrome (MERS) outbreak hit Seoul and suburban areas and propagated to other provinces in Korea, emergency response to avoid student infection in the pharmacy practice sites became an urgent issue. While other health professional programs such as medicine and nursing had activated emergency preparedness manuals, timely and clear guidelines were not disseminated to all pharmacy programs and protective measures largely relied on individual pharmacy program. Methods: A survey was developed by the Committee on Pharmacy Practice Experience Programs in the Korean College of Clinical Pharmacy to document the status of pharmacy programs during the Korea MERS outbreak in 2015. The 10-question survey was distributed to the pharmacy practice experience coordinators to 34 out of 35 pharmacy schools in Korea by emails. Results: Our findings showed that 82.4% of the program coordinators (28/34) responded to the survey, 96.4% of the programs did not have emergency preparedness manuals, administrative meetings were held in 89.3% of the pharmacy programs, the rotation schedules were modified or withheld in 53.6% of schools, and the changes were mostly observed from the programs classified as MERS outbreak regions. Conclusion: Further needs in establishing the emergency preparedness manual should be explored for pharmacy education stakeholders.

지역사회 노인보호체계의 연계모형에 관한 연구: 노인장기요양보험을 중심으로 (A Study on the Linkage Model of Community Elderly Protection System: Focusing on Long-Term Care Insurance for the Elderly)

  • 최인규
    • 한국융합학회논문지
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    • 제7권6호
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    • pp.259-266
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    • 2016
  • 본 연구는 지역사회에서 노인들을 위한 노인보호체계 구축의 실현가능성을 탐색하고, 연계모형과 실천전략을 모색하고자 하는데 목적이 있다. 우리나라는 고령화가 진행되면서 노인들의 다양한 욕구(여가, 주거, 취업 등)가 증가됨으로 지역사회에서 노인들에게 알맞은 상담과 지원프로그램을 제공할 수 있도록 포괄적인 노인보호체계를 구축할 필요성이 있다. 이에 본 연구에서는 노인보호체계의 연계모형을 설정하고, 이를 실천하기 위한 2가지의 방안을 제시하였다. 첫째, 지역사회의 노인보호체계를 조직의 형성에 초점두고 그 실천과정을 조직화단계, 실천활동단계, 확대조직화단계의 3단계로 구분하여 시행하는 것이 바람직 한 것으로 제시하였다. 둘째, 노인보호체계의 지역사회조직화 모형을 적용과 노인장기요양보험의 안정적 운영을 위해서는 케어매니저, 요양보호사 등과 같은 중심적 역할을 수행할 수 있는 장기요양 전문인력의 활용이 필요하다는 것이다. 그 외에 지역사회복지협의체와 민간네트워크로 사회복지협의회가 구성, 관련법조항의 신설, 케어매니저의 교육 등의 정립이 마련되어야 한다. 따라서, 본 연구를 통해 기초적인 자료를 마련하고, 노인보호체계에 대한 다각적인 전략과 방안을 마련하고 단계적으로 발전전략을 구사하여 추진해 나가야 할 것이다.

만성통증과 사회적지지가 노인의 우울과 자살의도에 미치는 영향 (Effects of Chronic Pain and Social support on Depression and Suicide in the Elderly)

  • 이주연;문영숙
    • 디지털융복합연구
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    • 제13권10호
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    • pp.445-458
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    • 2015
  • 본 연구는 65세 이상의 노인을 대상으로 만성통증과 사회적지지가 노인의 우울과 자살의도에 미치는 영향을 파악하고자 연구되었다. 연구대상은 복지관을 이용하는 만성통증이 있는 노인을 대상으로 자료수집기간은 2014년 4월 20일부터 5월 20일까지 시행하였고, 최종 178부를 자료를 분석하였다. 수집된 자료는 SPSS를 이용하여 실수와 백분율, 평균과 표준편차, t-test, ANOA, 상관관계, 다중회귀분석을 하였다. 연구분석 결과 만성통증은 우울과 자살의도에 유의한 정적 상관관계가 나타났으며 사회적지지는 우울과 자살의도에 유의한 부적 상관관계가 나타났다. 또한, 만성통증은 자살의도에 영향을 미치며 사회적지지는 우울에 영향 미치는 가장 강력한 변수로 확인되었다. 노인의 우울과 자살의도에 있어서 만성통증이 높을수록 우울과 자살의도는 높아지고 사회적지지가 낮을수록 우울과 자살의도가 높아지는 결과를 나타냈다. 따라서 노인의 우울과 자살을 예방하기 위해 가족과 사회적 관심과 사회적지지 서비스 개발이 필요하며만성통증을 경감시켜 줄 수 있는 다양한 프로그램 개발과 중재가 필요하다.