• 한국보건간호학회지
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• 제22권2호
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• pp.246-254
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• 2008

Purpose: In order to assess the effects of smoking cessation counseling provided by a public health center in terms of smoking temptation, smoking cessation self-efficacy, and satisfaction with smoking cessation counseling, and also to provide baseline data for the improvement of smoking cessation counseling programs. Methods: A total of 52 current and former smokers who utilized smoking cessation counseling provided by the health center at least once participated in this study. Using a self-report survey method, data were collected in November 2005. Results: The mean age and duration of smoking of the participants were 49 and 28 years, respectively. Seventy-one percent had experienced smoking cessation trials prior to using the counseling services, and most of the participants had utilized smoking cessation counseling less than 5 times. Mean scores of temptation, self-efficacy, and satisfaction with counseling were $3.39{\pm}0.75,\;3.80{\pm}0.66$, and $4.38{\pm}0.55$ (range,1-5), respectively. The participants were largely vulnerable to smoking temptations under conditions of anxiety or stress. The duration of counseling was associated negatively with smoking temptation, but was associated positively with self-efficacy. Conclusion: To help adopt and maintain smoking cessation, smoking cessation counseling should emphasize methods for coping with smoking temptations and to increase smoking cessation self-efficacy in various tempting situations.

• Asian Pacific Journal of Cancer Prevention
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• 제15권3호
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• pp.1093-1098
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• 2014

Background: Cancer is a major public health problem both in our country and worldwide due to its disease burden, fatality and tendency for increased incidence. In Turkey, breast cancer ranks first with an incidence of 41.6% and cervical cancer is the tenth most common cancer with an incidence of 4.4%. Objectives and Design: This descriptive, cross-sectional study was conducted with 240 women aged from 15 to 65 years admitted to a gynecology-obstetrics outpatient clinic of a private hospital in Gaziantep. Study data were collected by the investigators through a 36-item questionnaire form which was generated using information gathered from similar surveys in the literature. Results: It was determined that 34.6% of women were high-school graduates, and 64.2% had a medium income level. The majority (79.2%) stated that they never performed BSE and 49.5% of them said that they did not know how to do it. Some 79.2% did not know what a Pap smear was and 73.3% had not experienced a smear test ever. Conclusions: In this study, we found that most of the women had insufficient knowledge of breast and cervical cancer, while knowledge and practices increased with the education level. Based on these findings, we suggest that there is a need for planning, implementation and assessment of health policies and healthcare services at the national and regional level and we believe that nurses working in the field of protective health services should develop educational programmes for women with a primary focus on cancer in order to increase awareness among the female population in Turkey.

• 지역사회간호학회지
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• 제19권4호
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• pp.649-659
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• 2008

Purpose: The purpose of this study is to investigate working time of nurses in urban public health center branch, especially for nurses for visiting health service and chronic disease management. Method: Daily note. which was developed by this research team. was distributed to nurses at 7 urban public health center branches to be filled out them for 2 weeks during 2 month from June 2007 to August 2007. We analyzed 121 daily notes recorded by visiting nurses and 65 daily notes written by chronic disease management nurses were analyzed. Result: The total working time for visiting nurses at urban public health center branches was 589.85 minutes per day on the average. They spent 147.13 min in actual visiting nursing services, 149.36 min in documenting, 66.94 in preparing, 77.69 min in transferring, and 11.84 min in referring. The total working time for chronic disease management nurses at urban public health center branches was 582.92 minutes per day on the average. They spent 148.77 min in actual chronic disease management services, 120.62 min in documenting, 42.46 min in group education, 37.38 in preparing, and 10.38 min in referring. Conclusion: Based on the results of this study, it is recommended to improve documenting systems and to increase community resources linkage were recommended through the results of this study. The results of this study are expected to be used to plan staffing at urban public health center branches in the future.

• 한국산학기술학회논문지
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• 제10권8호
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• pp.2141-2149
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• 2009

본 연구는 2007년 대한간호협회 간호정책연구소에서 발간한 간호통계연보를 토대로 하여, 우리나라 보건의료 전문 인력의 수급실태와 그에 따른 문제점을 분석해보고 이를 해결하기 위한 방안의 하나로 외국인 전문 인력의 이민정책의 방향을 제시해보고자 하였다. 연구결과 연도별 보건의료인력 면허등록 현황 중, 간호사 등록현황을 보면 2004년을 제외하고 매년 1,000명 이상씩 더 등록된 것으로 나타났으며, 의사는 2002년에 4,000명 대로 등록된 반면 2004년도는 750명으로 그 편차가 매우 크게 나타났다. 보건의료는 국민의 건강 및 생명 유지를 통하여 노동력을 담보할 수 있는 기간재이기 때문에 국가는 기본적으로 모든 국민들이 보건의료 서비스를 공급받는데 지장이 없도록 해야 한다는 당위성을 갖는다. 때문에 의료서비스에 대한 접근성이 현저하게 떨어지는 낙후 지역을 중심으로 선진국의 사례를 모범으로 삼아 외국인 보건의료 전문 인력을 유치하여 활용하는 것은 낙후지역 주민들의 삶의 질의 향상시키고 지역적 통합에도 기여할 수 있을 것으로 사료된다.

• 디지털융복합연구
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• 제19권2호
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• pp.299-305
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• 2021

본 연구는 입원환자의 만족도과 병원추천의향에 미치는 영향 요인을 연구하기 위해 '2018년 의료서비스경험조사' 원시자료중 입원의 경험이 있는 593명의 자료를 분석에 활용하였다. 분석결과, 환자의 입원 경험은 의사 요인, 간호사 요인, 시설 및 행정, 보건의료제도의 4개 요인으로 분류되었다. 의사 요인, 간호사 요인, 시설 및 행정 요인, 보건의료제도 요인은 성별, 연령, 교육수준 등의 인구사회학적 요인과 건강관련 요인을 통제한 다중회귀분석에서, 입원환자의 만족도와 병원추천의향에 각각 영향을 미치는 것으로 나타났다. 따라서 입원환자의 만족도를 제고하기 위해 의사, 간호사 등 의료진과 병원의 시설 및 행정지원 서비스가 총체적으로 환자중심적인 태도와 방향으로 개선하는 노력 외에도 보건의료제도에 대한 신뢰와 만족을 제고하기 위한 다각적인 방안이 강구되어야 할 것이다.

• 간호행정학회지
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• 제11권4호
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• pp.449-467
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• 2005

Purpose: This study aims to offer the fundamental data in order to cost the nursing service on the basis of the NIC and a close examination of the interventions that are contained in the health insurance cost list under the system of the current health insurance. Methods: The data is handled with the SPSS 10.0 program. The participants' general peculiarity is calculated in terms of the real number and the percentage, and the performing frequency of the nursing interventions is calculated in terms of the mean and the standard deviation. the correlation between the participants' general peculiarity and the performing frequency of the nursing interventions is analysed with t-test or one way ANOVA of SPSS. Results: In the performing frequency of the nursing interventions, the domain of "the physiological: basic" was the highest as 2.69${\pm}$1.21, the domain of "the behavioral" was the lowest as 2.11${\pm}$1.12. There were 50 core interventions in the medical unit, 48 in the surgical unit, 24 in the MICU and 33 in the SICU. The health insurance cost items contained commonly in the core interventions of each unit were 12, and the health insurance cost items except 12 items contained commonly in the core interventions of each unit were appeared 14 items in the medical unit, 6 in the surgical unit, 7 in the MICU and 2 in the SICU. The core interventions contained commonly in four units of the medical unit, the surgical unit, the MICU & the SICU are 18. And among these, the core interventions contained in the health insurance cost items are 10; pain management, hyperglycemia management, analgegic administration, medication administration: intravenous, oxygen therapy, pressure ulcer prevention, fluid management, fluide monitoring, intravenous(IV) insertion, intravenous(IV) therapy. As the result of the comparison & analysis between the core interventions of the NIC and the health insurance cost items, the core interventions contained in the health insurance cost list are 21(29 as the health insurance cost items). Conclusion: In the performing frequency of the nursing interventions, the domain of "the physiological: basic" is being performed most frequently, and in the performing frequency of the core interventions, the interventions of the domain of "the physiological: complex" is being performed most frequently. On the basis of these results, the writer hopes that the attempts to interlink the nursing interventions into the nursing cost by using of standard terms and the efforts to cost the nursing services would also be made in the future constantly.

• 지역사회간호학회지
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• 제11권2호
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• pp.389-398
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• 2000

The work of visiting nursing personnel consists mostly of direct nursing and it is absolutely necessary that training of the nursing personnel for infection control be emphasized because most of patients are composed of elderly people with chronic diseases and malnutrition who are highly susceptible to infection. Accordingly. this study was designed to provide basic data for the development of an infection control program in public health centers as well as the promotion of perception and performance of infection control by analysing the perception of importance and performance in the infection control of visiting nursing personnel who carry out visiting nursing services. The subjects of this study consisted of a number of visiting nursing personnel working for 15 public health centers. 15 health-center branches. and 16 health clinics. The collection of data was grounded on a questionnaire method. The questionnaire breaks down to 8 questions about general characteristics and 108 questions in connection with the perception and performance of infection control. The results of this study are as follows: 1. 82 subjects (78.1%) responded that it is necessary to control infection. 79 subjects(75.3%) responded that education is necessary for infection control. 50 respondents (47.6%) answered in the affirmative in regard to the role of infection carriers. 2. The mean score for the perception of importance in infection control was 4.55 and that performance accounts for 4.03. this turns out to be very high. 3. In terms of the perception of importance per each field of infection control. medication. the management of contamination and sterilization, the control of environments and instruments. washing hands and individual hygiene as well as the prevention of cross-infection and the supervision of infection stand at 4.72. 4.64. 4.60. 4.58. 4.52 and 4.21 respectively. In terms of performance. the supervision of infection. the control of environments and instruments, individual hygiene and the prevention of cross infection. medication. washing hands, and the management of contamination and sterilization was 4.21. 4.12. 4.10. 4.03. 3.91 and 3.81 respectively. 4. In terms of the correlation between the perception of importance and the performance of infection control. the score stands high in all fields: this means the high perception of importance leads to high performance statistically (P< .05). 5. In terms of the perception of importance in general characteristics. there is no significant difference while the form of working places. working career and the career as visiting nursing personnel show a significant difference in terms of performance(P< .05). From the results. it is suggested that the visiting nursing personnel should be constantly educated with the aid of the development of infection control programs and that instructions and instruments for the management of infection should be worked out so as to enhance the performance of infection control on the part of nurses in applicable communities.

• 디지털융복합연구
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• 제16권12호
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• pp.541-553
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• 2018

본 연구는 간호 간병통합서비스 병동과 일반병동 간호사를 대상으로 기본간호술의 수행 빈도 및 중요성 인식에 대한 차이점을 분석하여 간호 간병통합서비스 병동을 효율적으로 운영하는데 기초자료로 활용하기 위한 비교 조사연구이다. 연구대상자는 간호 간병통합서비스 병동 99명, 일반병동 90명 총 189명이며, 자료수집은 2018년 2.1-2.28일까지 였다. 자료분석은 t-test, One-way ANOVA, Pearson's correlation coefficient, Scheffe를 사용하였다. 연구결과 기본간호술 수행 빈도는 일반병동이 2.43회로 더 높았고, 개인위생, 영양 및 배설, 활동과 운동, 입 퇴원 및 이동에서 유의한 차이가 나타났다. 기본간호술에 대한 중요성 인식은 두 집단 모두 높게 나타났으나 간호 간병통합서비스 병동이 4.24점으로 조금 더 높았고, 개인위생, 활동과 운동, 입 퇴원 및 이동에서 유의한 차이가 있었다. 그러나 기본간호술의 중요성 인식에 비해 수행 빈도는 낮게 나타나고 있어 수행 빈도를 증가시킬 수 있는 방안이 필요하다고 사료된다. 이상의 연구결과를 근거로 간호 간병통합서비스 병동의 올바른 정착을 위해 간호사들이 전인간호 서비스를 제공할 수 있도록 적정한 간호인력 배치와 간호업무 수가개발에 대한 연구를 반복적으로 수행해 볼 필요가 있겠다.

• 농촌의학ㆍ지역보건
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• 제34권1호
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• pp.124-134
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• 2009

본 연구는 건강증진 시범사업을 수행하는 보건소와 자체 예산으로 건강증진 사업을 수행하는 보건소간 주민의 건강증진 생활 형태의 차이를 대표성있는 대상자를 선정하여 비교하고자 하였다. 대상은 지난 2004년 1년간 건강증진 시범사업 실시 지역 1개 군(H 군)과 비 실시 지역 1개 군(J 군)을 임의표집하고, 2개 군에 주소를 둔 20세 이상 주민 전체 중 연령별, 남녀별, 읍면별로 인구분포 수에 따라 층화비율 표집을 하여 총 1,300명을 추출하였다. 자료는 훈련받은 조사원이 젊은이는 자가보고식으로 노인은 면접법으로 수집하였고 도구는 한국판 BRFSS설문지를 수정보완하고, 보건복지부의 식생활자가점검표, 박순영이 개발한 스트레스 측정도구의 설문지를 이용하였으며, 두 지역 주민의 건강증진 생활행태를 차이를 x2-test와 Fisher's exact probability test로 비교하였다. 연구결과, 보건복지부 지원의 건강증진 시범사업지역 주민이 더 건강하다고 생각하고, 흡연율, 음주관련 생활행태가 모두 좋았으며 규칙적 운동율도 높았고, 스트레스도 유의하게 낮아 정부 지원건강증진 사업이 효과적이라고 나타났다. 이는 건강증진 5대 요소를 모두 포괄하는 사업계획을 하였으며, 타 보건소와의 경쟁을 통해 사업지역으로 선정되고, 사업 종료 후 내외부 평가 기준과 지침이 명확하며, 사업비 지원이 중요요인으로 작용하였다고 본다. 본 연구 결과를 토대로 다음과 같이 제언하고자한다. 1) 다년간 건강증진사업 시범지역과 비시범지역의 차이를 비교하는 반복연구가 필요하다. 2) 건강증진생활 행태를 중심으로 대도시, 도농복합도시 및 농촌의 건강증진 사업 효과를 비교할 필요가 있다.

• 한국실내디자인학회논문집
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• 제27권2호
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• pp.186-195
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• 2018

In Korea, there is a need for safe and convenient elderly housing so that older people can enjoy a good quality of life and perform various daily activities while they maintain their health and well-being. Thus, this study is to suggest community -based housing settings for the elderly. We analyzed living space characteristics of the Continuing Care Retirement Communty(CCRC) in the U.S. In particular, we focused on CCRCs in the Oregon area and examined two types of settings: 1) a tower setting and 2) a town setting. The CCRC living arrangements include independent living, assisted living, nursing care, and memory care. We visited six CCRCs in Oregon during January through May in 2015. The field observations and floor plan surveys were conducted for data collection. The data analysis revealed that there are two types of arrangements: the suburban type and the urban type. Element analysis of the living unit designs for each CCRC type demonstrated typical space configurations. It was found that home care services were provided from local communities. It is suggested that community-based housing for the elderly should include mixed housing types so that community facilities can be shared. Medical services in the community were offered through healthcare institutions, disease prevention centers, welfare centers, and sports facilities. In order to apply these community-based care systems to elderly Korean housing, it is important to develop a community based on independent homes that share services and welfare facilities.