• 제목/요약/키워드: Objective 1.2지역

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복지국가와 장애인 복지정책의 발전 - 노인장기요양보험제도를 통한 방문재활서비스 도입방안 - (Welfare State and Development of the Welfare Policy for the Disabled - Inclusion of Home-based Rehabilitation Services in the Long Term Care Insurance -)

  • 윤태형;김태훈
    • 대한지역사회작업치료학회지
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    • 제1권2호
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    • pp.45-59
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    • 2011
  • 목적 : 본 연구는 복지국가의 개념과 사회복지영역을 살펴보고, 우리나라 장애인복지정책의 발전을 비교 분석해 보기 위함이다. 연구방법 : 문헌고찰을 통하여 복지국가의 개념과 사회복지의 영역을 기술하였고, 우리나라의 사회복지정책과 장애인정책을 각 정부별로 비교 분석하였으며 마지막으로 노무현 정부의 장애인정책을 분석하였다. 결과 : 경제성장과 더불어 복지정책과 장애인복지정책은 '선택적 복지'에서 '보편적 복지'의 형태로 발전하였다. 사회복지정책의 영역에 있어서도 과거 이승만 정부시절의 '최소한의 보장'에서 노무현 정부의 '참여복지'에 이르기까지 영역의 확대가 이루어지고 있으며 이러한 현상은 장애인 복지정책에서도 나타나는 현상이다. 결론 : 지역사회 작업치료사는 오늘날 '보편적 사회복지'의 큰 틀에서 등록 장애인 뿐 만 아니라 지역사회의 드러나지 않는 장애를 지닌 일반인과 노인을 위한 방문재활서비스와 같은 미 충족 작업치료서비스를 발견하고 제공해야 할 것이다.

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멸종위기 고산지역 침엽수종 보전가치 평가 (Preservation Value of Endangered Alpine Coniferous Species)

  • 이상현;이동형;변준기
    • 한국산림과학회지
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    • 제112권3호
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    • pp.322-330
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    • 2023
  • 최근 기후변화의 심화가 지속되는 가운데 아고산 침엽수종의 쇠퇴 현상이 뚜렷하게 나타나고 있다. 이에 산림청에서는 고산지역 침엽수 7종에 대해 보전 대책을 수립하고 쇠퇴원인을 파악하고 보전전략 수립방안에 대한 연구가 진행되고 있다. 본 연구는 멸종위기 고산지역 침엽수종 보전전략 수립방안 중 멸종위기 고산지역 침엽수종에 대한 인식과 보전가치 평가를 통해 멸종위기 침엽수종에 대한 보전의 필요성과 가치를 알리기 위한 객관적인 자료를 제시하고자 경제적 가치평가방법인 조건부가치법(CVM, contingent valuation method)을 적용하였다. 멸종위기 침엽수종에 대한 인식과 보전가치 평가를 하기 위해 성별, 연령, 거주지에 대한 인구비례 할당을 통해 2,151명에 대한 설문조사의 결과를 분석하였다. 그 결과, 멸종위기 고산지역 침엽수종 1가구당 보전가치는 49,181원으로 추정되었다.

일 광역시 당뇨병 환자의 주관적 기억력 장애 관련 요인 (Factors Associated with Subjective Memory Impairment in Patients with Diabetes Mellitus in a Metropolitan City)

  • 박모니카;류소연;최성우;박종
    • 농촌의학ㆍ지역보건
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    • 제48권1호
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    • pp.1-12
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    • 2023
  • Objective: The purpose of this study was to identify factors associated with subjective memory impairment in patients with diabetes mellitus in a metropolitan city. Methods: The subjects of this study were 351 patients with diabetes mellitus aged 50 and over from five districts of Gwangju who participated in the 2018 Community Health Survey. We analyzed general characteristics, health-related behaviors and health related conditions and subjective experience of memory impairment. To find factors associated with subjective memory impairment, the chi-square test and multiple logistic regression analysis were used. Results: Of all subjects, 31.3% was reported subjective experience of memory impairment. The odds ratios (ORs; 95% confidence interval (CI)) for subjective memory impairment according to age were statistically significant at 1.9 (0.9-4.3) in patients in 60s and 2.2 (1.1-4.7) in patients in beyond 70s compared to those in 50s. The OR (95% CI) of ex-smoker compared to the non-smoker was 0.3 (0.8-0.9). The OR (95% CI) of depressive symptom compared to no depressive symptoms was 4.9 (95% CI: 1.8-13.7). Conclusion: In this study, subjective memory impairment in patients with diabets mellitus was associated with age, smoking, and depressive symptoms. Based on the results of this study, subjective memory impairment should be detected early through periodic cognitive function evaluation for elderly patients with diabetes mellitus, and a program for healthy cognitive function should be included in diabetes management program.

경북지역 소규모수도시설 이용자의 수질.비용에 대한 인식 (Cognition on Quality and Cost of Small Drinking Water Plants in Gyungbuk Region)

  • 강미아;양명석
    • 상하수도학회지
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    • 제24권6호
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    • pp.675-682
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    • 2010
  • Groundwater is an essential drinking water source in Gyungbuk, South Korea. The primary source of nitrate in groundwater is from nitrogen fertilizers. Efficient management of a small drinking water plant requires a good understanding of its status such as the objective and the cognition of users. The objective of this study is to understand user situation and produce useful user-friendly policy based on user cognition. Most people who participated in this study, should take their groundwater from a good quality source. Even though they would like to have a good facility for getting safe water, they were reluctant to do it due to the cost used. It means that people who drink groundwater have no idea that health safety is affected by groundwater quality. The volume used depended upon personal activities such as agriculture and stockbreeding. We can easily find groundwater with nitrate that exceeds drinking water standards. Therefore, we have to carry out groundwater management with two categories ; 1) drinking water only and 2) others according to objectives in small drinking water systems.

여대생의 피부상태에 따른 영양소 섭취와 항산화능 비교 (Comparison of Nutrient Intake and Antioxidant Status in Female College Students by Skin Types)

  • 배현숙;조윤희;김주영;안홍석
    • 대한지역사회영양학회지
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    • 제11권1호
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    • pp.63-71
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    • 2006
  • The objective of this study was to evaluate whether nutrient intakes and serum biochemical indices are associated with the skin condition of humans. Anthropometric data, skin surface hydration, ceramide content, dietary intake of nutrients and serum lipids (total cholesterol, HDL-, LDL-cholesterol, TG, MDA: malondialdehyde, TAS: total antioxidant status) were obtained from 36 healthy young women. Subjects were classified into 2 groups {LM: Low Moisture Group (n = 20) , HM: High Moisture Group (n = 16)} by forehead skin hydration. The results of this study were as follows: The average age, BMI, total body water, LBM, body fat$\%$, WHR, forehead hydration, ceramide content were 20.2 yrs, 20.7, 28.81, 39.2 kg, $28.0\%$, 0.8, $44.3\%$, and 1.05 $\mu$g/$\mu$g protein, repectively. The intakes of SF A (saturated fatty acid) , MUFA (monounsaturated fatty acid) in the HM group were significantly higher (p < 0.05) than in the LM group, but zinc intakes in the LM group were higher than in the HM group. Serum levels of TAS in the LM group (1.27 mmol/l) were significantly higher (p < 0.05) than that of in the HM group (1.20 mmol/l). Whereas other lipid levels were not significantly different, intakes of vitamin $B_{6}$ and folate showed significant positive correlation with the forehead hydration (r = 0.447, r = 0.377). Intakes of calcium and phosphorus showed significant negative correlation with forearm ceramide content (r = -0.496, r = -0.485). Several associations between nutrient intakes and skin conditions were observed, indicating that changes in baseline nutritional status may affect skin health.

청소년 자녀의 건강관련 삶의 질에 대한 부모와 자녀의 인식차이가 청소년 우울에 미치는 영향 (Correlates of Depression and Perception Gap of Adolescents' Health-Related Quality of Life between Parents and Children)

  • 김정현;천성수
    • 한국학교ㆍ지역보건교육학회지
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    • 제17권2호
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    • pp.1-16
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    • 2016
  • Objectives: The objective of this study is to evaluate the correlates of depression and perception gap of adolescents' Health-Related Quality of Life (HRQOL) between Parents and Children. Methods: Research targets are all students and their parents who are enrolled in from 1st~3rd grade of middle school to $1^{st}$ grade of high school which was selected intentionally. The survey was conducted from May $16^{th}$ to June $9^{th}$ in 2014 by research staffs equipped with structured questionnaire. $PedsQL^{TM}4.0$ Generic Core Scales and Korean form of the Kovacs' Children's Depression Inventory were the main tool for measuring the HRQOL and depression. Data of 985 respondents, both of parents and children, was used for analysis of this study. Results: In terms of gender difference of depression, 5.8% of adolescents, 3.2% of male and 8.5% of female (p<0.001), are shown depression symptom. Depression rate of the low level students of academic achievement was 11.0% which is the lowest rate to compare to 4.3% of middle level and 2.6% of high level students (p<0.001). The case that parents overestimated their children's overall HRQOL is 3.699 times more likely to have depression symptom than the case which is in concurrence between parents and children. Especially the overestimation in social, emotional, and academic area of HRQOL promote depression 3.918 times, 3.371 times, and 2.258 times more than the agreement occurred of each areas. In contrast underestimation in physical area of HRQOL reduce depression 0.266 times less than the agreement occurred of the area. Conclusion: The perception gap of adolescents' HRQOL between parents and children is the most influential factor to adolescents' depression among all variables which was evaluated in this study.

뇌졸중 환자의 지역사회중심재활서비스: 사례연구 (The Service of Community-Based Rehabilitation in Stroke Patient: A Case Study)

  • 김지현
    • 대한지역사회작업치료학회지
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    • 제1권2호
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    • pp.31-43
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    • 2011
  • 목적 : 지역사회에 거주하는 뇌졸중 환자를 대상으로 사례연구를 통해 지역사회중심재활서비스에 대한 소개와 중재 결과를 제시하고자 하였다. 연구방법 : 지난 2009년 7월 처음 내소한 63세 여성 뇌졸중 환자 1명을 대상으로 지역사회중심 재활서비스를 제공하였다. 대상자의 일상생활동작수준을 평가하기 위해 수정바델지수(Modified Barthel Index; MBI)를 이용하였고, 우울정도를 측정하기 위해 Beck 우울척도(Beck Depression Inventory; BDI)를 사용하였다. 중재 기간은 2011년 4월 27일부터 2011년 11월 30일까지로 세계보건기구에서 제안한 지역사회중심재활서비스와 일반적 작업치료를 제공하였다. 결과 : 환자의 MBI는 35점에서 55점으로 일상생활수행능력이 증가하였고, BDI는 26점에서 14점으로 우울증세가 큰 폭으로 감소한 것을 확인하였다. 초기 5~10분이던 서기 훈련이 30분 이상으로 늘어난 것으로 보아 근력 및 근지구력도 증가하였다. 치료시간에 환자의 기분변화가 심했던 이전과 달리 안정되고 웃는 모습을 자주 볼 수 있었다. 보호자 역시 환자가 심리적으로 안정된 상태를 체감할 수 있었다. 결론 : 지역사회로 복귀한 만성 뇌졸중 환자에게 지역사회중심재활서비스를 적용하여 기능수준 및 삶의 만족도가 향상된 것을 알 수 있었다.

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체계론에 의한 가계의 재무관리행동과 재정만족도에 관한 연구 : 부산 및 경남지역 주부를 대상으로 (A Study on the Financial management Behavior and Financial Satisfaction of Housewives in Pusan and Kyugnam Region Based on the Systems Approach)

  • 김효정
    • 가정과삶의질연구
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    • 제18권1호
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    • pp.53-66
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    • 2000
  • This study examined the relationships among resources demands financial management behavior and financial satisfaction of housewives based on the systems approach. The data were collected from 212 housewives living in Pusan and Kyungnam region by the self-administered questionnaire. The major findings of this study were as follows: (1) the communication frequency of husbands and wives was an important factor affecting financial satisfaction; (2) the perceived financial status such as comparison to reference groups and aspiration for financial status in the future had an influence on financial satisfaction as well as the objective variables such as monthly living costs and monthly savings; and (3)financial satisfaction was also affected by financial management behavior. These findings imply that the financial management program focusing on the ways to increase communication among family members and to implement financial behavior effectively should be developed.

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노부모-자녀 동거의 결정요인과 지역간 차이, 1985-2005 (Determinants and Regional Patterns of Parent-child Coresidence among Older Korean Parents, 1985-2005)

  • 김미영;이성우
    • 농촌계획
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    • 제15권4호
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    • pp.89-107
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    • 2009
  • The main objective of the present study is to find out which factors affect coresidence between older Korean parents and their adult children and to examine the regional patterns of the phenomenon. The 1980, 1995 and 2005 Korea census data are used to investigate the determinants of two types of parent-child coresidence. The two types are coresidence with married adult children and one with unmarried adult children. The study takes advantage of the multilevel mltinomial logit model, allowing the model to capture regional differences. Findings from the study are: (1) Korean parents' coresidence with their married adult children and one with their unmarried adult children are distinctive in their determinants; (2) variables related to wealth or economic status are positively related with possibilities of both types of coresidence; and (3) considerable regional differences in the possibility of coresidence do exist among regions in Korea.

지역사회 유해환경과 청소년의 음주흡연 경험과의 관계에서 학교적응의 보호 작용 (The Protective Role of School Adjustment Between Risky Neighborhood Environment and Adolescent Drinking and Smoking)

  • 김신아;한윤선
    • 아동학회지
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    • 제37권1호
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    • pp.37-48
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    • 2016
  • Objective: To prevent adolescent drinking and smoking, this study proposed a strategy based on the ecological perspective. Methods: The study applied multilevel moderated logistic regression analysis on nationally representative individual-level (2,046 9th grade adolescents) and neighborhood-level (92 geographic areas) data. Results: There was a positive association between risky neighborhood environments (e.g., rate of smoking, drinking, and presence of saloon/bars accommodation) and rates of adolescent drinking and smoking. Furthermore, the interplay between risky neighborhood environments and school adjustment pointed to a possible protective effect of a high level of school adjustment in predicting smoking and drinking among adolescents. Conclusion: Findings highlighted the importance of considering multiple neighborhood social contexts surrounding adolescents to understand their risky behavior. Furthermore, positive intervention strategies that focus on adolescents' positive development within the school domain may act to protect adolescents from harmful neighborhood environments.