• 제목/요약/키워드: Public Control Measure

검색결과 206건 처리시간 0.027초

코로나19 감염병 대응모델의 국제표준화 요건 (Requirements for Reusable Infection Prevention and Control Measures for COVID-19 Response)

  • 안선주
    • 보건행정학회지
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    • 제31권3호
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    • pp.244-254
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    • 2021
  • The management of emerging infectious diseases cannot help but completely depend on non-pharmaceutical interventions in the early stages of the outbreak. Consequently, South Korea has developed and implemented the 3T (test-trace-treat) models, non-pharmaceutical infection prevention and control (IPC) measures, in response to the coronavirus disease 2019 (COVID-19) pandemic. The IPC measures have gained global attention, rendering them to be essential in the development of a shareable, reusable, and applicable protocol for future pandemics. This study was conducted to identify the requirements necessary for standardizing the IPC measures. Three new work items of the 18 3T models were proposed to ISO/TC 304 (International Organization for Standardization/Technical Committee 304; healthcare organization management). Requirements for each IPC measure, identified by participating members (P-members) countries during the ISO ballots, were analyzed in this study. The three new work items were approved by the P-members countries after a 3-month ballot. There was a consensus that the three IPC measure models should be International Standards (IS). Other comments include (1) the models should include not only COVID-19 but also any respiratory pandemic; and (2) keep donning of level D protection at screening sites as an optional protocol, in consideration for the lack of personal protective equipment. Standardization is a systematic process of developing internationally agreed-upon wisdom and knowledge that consider and respect the diversity and universality of each country. It is expected that such standardized applicable IPC measure models contribute to global efforts to rapidly respond to a public health emergency of international concern during its early stages.

신종 인플루엔자 예방을 위한 손 씻기 수행 빈도에 영향을 미치는 요인분석 연구 (Handwashing and Preventive Measures for New Types of Influenza)

  • 김주현;변도화;김미자;심선숙;추현심;채공주;곽찬영;임경춘
    • Journal of Korean Biological Nursing Science
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    • 제13권1호
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    • pp.16-22
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    • 2011
  • Purpose: Hand washing has received renewed emphasis in recent years as Swine flu epidemic threaten health of public. This study aimed to describe measures used to prevent new types of influenza (NTI); describe hand washing frequency; and analyze the relationship of hand washing to locus of control, uncertainty, and state anxiety. Methods: One hundred thirty three adults participate in the questionnaire survey in which participants indicated measures they used to prevent NTI, frequency of handwashing for the prevention of NTI. They also responded to questions related to locus of control, uncertainty and state anxiety. Data were analyzed using descriptive statistics, Pearson correlation and multiple regression. Results: A majority (66.9%) of the participants indicated that handwashing was an important measure to prevent NTI. Importance of hand-washing was related the highest among the measures they used and it was significantly related to participants who had high score in internal locus of control. Other significant factor to the hand-washing behavior was state anxiety, which explained 6.9% of the frequency. Conclusion: According to the results of this study, majority of participants indicated that handwashing was one of the most important measures to prevent NTI. Nurses need to continue educating public the importance of handwashing and pay attention to personal characteristics such as internal locus of control and anxiety to promote hand-washing.

퇴원시 간호정보제공이 개심수술 환자의 지식과 일상활동에 미치는 효과 (The Effects of Nursing Information at Discharge on Level of Knowledge and Daily Activities of Open Heart Surgery Patient)

  • 김금순;하양숙;유경희
    • 한국보건간호학회지
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    • 제4권1호
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    • pp.25-35
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    • 1990
  • This study examined the evaluation of the information effects of the teaching on knowledge and daily activities of open heart surgery patients between 2 and 6 weeks after discharge. The subject was 29 patients being taught with teaching materials at discharge as experimental group, 20 patients who received no education as control group among the patients who had undergone open heart surgery in S.N.U.H. And research method was non-equivalent control group non-synchronized quasi-experimental design. As the tool of this study, 30 items of knowledge measurement scale which was extracted among the content of teaching materials to evaluate the effect of education and 28 items of which were designed to measure the daily activities of patients with myocardial infarction for the estimation of the degree of observance in daily activities were used. For data analysis, frequency, t-test, Pearson's correlation coefficient and Cronbach's $\alpha$ were used. The result were as follows; 1. Informations given through teaching materials were effective for increasing the knowledge of the patient with open heart surgery. The knowledge of patients increased to the top level (p<0.05) in 2 weeks after discharge. In control group, the knowledge level of patients did not increase after discharge. 2. The knowledge level daily activity of the experimental group was somewat higher than that of the control group, but there was no significant difference. The score .of the experimental group was 69.66 in 6 weeks after discharge much less than the top level score 112. 3. The correlation between knowledge and daily activities was not significant, suggesting the fact that the increase of knowledge did not influence the daily activities significantly. Recommendation was suggested that; 1) Further studies might be .needed with the increasing numbers of the subjects. 2) Daily activities of the patients with open heart surgery should be investigated for long term period until they recovered normal activities.

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보건소 중심의 방문보건.재가복지 통합시범사업 성과 (Outcome Assessment of a Demonstration Project on Integration of Home Visiting Health Care and Social Welfare Services)

  • 안양희;장세진;최균
    • 한국보건간호학회지
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    • 제20권1호
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    • pp.5-15
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    • 2006
  • Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

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Push - up plus 운동이 둥근 어깨를 가진 대상자의 견갑골 위치와 근활성도에 미치는 영향 (Effects of a Push-up Plus Exercise Program on Scapular Position and Muscle Activity in Individuals with Rounded Shoulder Posture)

  • 박승규;박재만;이준희
    • The Journal of Korean Physical Therapy
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    • 제22권5호
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    • pp.1-8
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    • 2010
  • Purpose: This study aimed to provide a scientific basis for effects of the push-up plus exercise program on scapular position and on muscle activity in individuals with rounded shoulder posture (RSP). Methods: The supine method was applied to 46 potential subjects, of which 30 with RSP were selected. Subjects with RSP were divided into two groups: a gender push-up plus group as the experimental group a pectoralis minor self.stretch group as the control group. RSP data after 4 weeks of each intervention were obtained and analyzed to measure the activities of the 3 muscles. Results: The two groups differed significantly with regard to EMG changes in the serratus anterior (p<0.05). The EMG results indicated a significant reduction in the activity of the upper trapezius in the experimental group (p<0.05). EMG results indicated a significant increase in the activity of the serratus anterior after the intervention (p<0.05). EMG results of the subjects in the control group indicated that the activity of the upper trapezius significantly decreased (p<0.05). The RSP values of the subjects in both groups were significantly decreased (p<0.00). Conclusion: An improvement in the strength of the serratus anterior, and in the stretch effectiveness of the pectoralis minor, as well as changes in the scapular position were observed after 4 weeks of push-up plus exercise by the subjects.

농촌지역 노인의 안전한 약물 사용을 위한 교육의 효과 (The Effects of an Education Program for Safe Drug Use in the Rural Elderly)

  • 이준화;박명화
    • 대한간호학회지
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    • 제37권3호
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    • pp.295-304
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    • 2007
  • Purpose: This study was conducted to develop an education program for safe drug use in the rural elderly and to measure the effect of the program. Method: This study utilized a nonequivalent control group pretest-posttest design. The subjects of this study consisted of 40 older persons who were more than 65 years old and lived in G and C moon, Y gun, Gyeongsang-bukdo and visited the public health subcenter. Twenty were assigned to the experimental group and 20 to the control group. The education was provided for one and a half hours, once a week for 3 weeks. Data was collected before, right after, and one month after the program. Result: The first hypothesis was supported(F=79.24, p=0.000) showing that the knowledge scores of the drug use of the experimental group were significantly higher than those of the control group at post education and one month after education. The second hypothesis was supported(F=23.84, p=0.000) showing that the drug misuse and abuse prevention behavior scores in the experimental group were significantly higher than those of the control group at post education and one month after the education. Conclusion: This study suggests that the education for safe drug use is effective in promoting knowledge and behavior for safe drug use of the rural elderly.

방문요양 행위 업무량의 상대적 가치 측정 (Measuring Workload of Home Visit Care Activities Using Relative Values)

  • 한성옥;박은철;강대룡;강임옥
    • Journal of Preventive Medicine and Public Health
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    • 제41권5호
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    • pp.331-338
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    • 2008
  • Objectives : The purpose of this study was to measure the workload of home visit care activities and their relative values. This study examined also factors that affect the workload of home visit care activities. Methods : The participants of this study were 126 home-helpers of 50 home visit care agencies at the 2nd Long-term Care Insurance Demonstration Project. The workload of home visit care activities was divided into total work and four dimensions ; physical efforts, mental efforts, stress and time. Home visit care activities consisted of four categories with 24 items. We used magnitude estimation method to measure their relative values of the four dimensions. The participants answered the relative values of each activities based on the reference service. We used the activity for supporting their elderly's evacuation as the reference service. Results : Most of the respondents were over 40 years old female. They consumed most their time supporting elderly's going out. They consumed their highest physical, mental efforts, and stress for activities of coping with emergency situation. The Pearson correlation coefficients showed significant relationships between workload and each dimensions. This study showed that all four dimensions are statistically significant predictors of workload of home visit care activities. Also, we found that the home-helper's career affects the workload of home visit care activities. Conclusions : The workload of home visit care activities could be explained by physical efforts, mental efforts, stress and time.

폐결핵 예방에 대한 BCG의 효과 분석 (An Assessment of the Protective Efficacy of BCG against Plmounary Tuberculosis)

  • 노성찬
    • Journal of Preventive Medicine and Public Health
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    • 제16권1호
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    • pp.5-11
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    • 1983
  • 1982년 5월 1일부터 9월 30일까지 5개월간 대구시내 중구 동구 서구 남구 북구 수성구 6개보건소에 등록되어 치료받고 있는 20세미만 폐결핵환자중 BCG접종 유무가 명확한 400명과 동 보건소에 참아온 일반환자 가운데 거주지역, 성 및 연령에 맞추어 뽑은 대조군 659명을 대상으로 BCG접종율을 기준삼아 BCG의 폐결핵 예방효과를 조사한 결과 그 성적을 요약하면 다음과 같다. BCG접종군이 비접종군보다 비교위험도가 2분의 1로 낮게 나타났으며, BCG접종으로 인한 예방효과는 51.5%였다. 따라서 BCG의 효과에 대한 많은 논란과 방해적으로 작용할요인, BCG접종으로 인한 합병증등 여러가지 문제들이 있으나 결핵유병율이 2.5%나되는 우리나라에서는 앞으로도 계속 BCG접종을 권장하여야 것 것으로 본다.

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지적확정측량의 문제점과 개선방안 (Problems and Improvement Methods of Cadastral Confirmation Surveying)

  • 문승주
    • 지적과 국토정보
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    • 제46권2호
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    • pp.313-323
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    • 2016
  • 최근 "지적확정측량규정"이 제정되어 지적확정측량업무의 효율적이고 체계적인 추진을 도모하고 있다. 지적확정측량을 실시하기 위해서는 기적기준점을 설치하고 이를 기준으로 경계점에 대한 평면 직각종횡선좌표를 결정함으로써 높은 정확도와 경계복원성을 갖게 된다. 본 연구는 이번에 제정된 규정에서 지적기준점측량에 처음 도입되는 다중기준국 실시간이동측량관련 규정의 문제점과 세부측량에 있어서 예상되는 제도적인 문제점을 도출하였다. 이에 대한 개선방안으로 규정의 개정 및 가구점의 관리를 제시하였다. 이는 지진 등으로 지적공부에 등록된 경계와 지상의 위치에 차이가 발생할 경우 등에 있어서도 신속히 대처할 수 있다. 따라서 본 연구에서 제시한 가구점 관리를 통해 지적확정측량이 실시되면 지적공부의 공신력이 높아지고 경계분쟁의 사전예방 효과 등으로 사회적 비용을 절감할 수 있으므로 지적제도의 운영에 기여하는데 그 의미가 있다.

청소년의 건강증진 행위 (Health promoting behavior of adolescents)

  • 소희영;김현리
    • 한국보건간호학회지
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    • 제12권2호
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    • pp.107-121
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    • 1998
  • The purpose of this study was to test the revised Health Promotion Model of Pender and to determine the factors to promote health behavior for adolescents' smoking behavior. The subjects of the study was 783 boys of 4 high school students. among 39. schools locating in Daejeon metropolitan city. The data was collected from July 1st to 15th. 1997 by school health nurse The research tool were HPLP of Walker. Pender. General self-efficacy scale of Sherer. control scale was measured by subconcept of hardiness scale of Pollock. and perceived barrier. perceived benefit. activity-related-affect tool were made by researcher via literature review The data were analyzed by SAS program using frequency. t-test. ANOVA. Schefee test. regression. The results were as follows 1. The mean of total health promoting behavior was $2.27\pm.35$. Among sub domain of health promoting behavior, the highest score was interpersonal support$(2.72\pm.60)$. and the lowest was health responsibility $(1.58\pm.44)$. 2. There were statistically significant difference in total health promoting behavior according to religion. parenting style. school performance. girl friend. father's smoking of individual characteristics. 3. The socioeconomic status. smoking, parent pattern. family structure of individual characteristics and experience domain associated with perceived benefit. perceived barrier. activity-related affect. interpersonal influence of behavior-specific cognition and affect domain. The perceived barrier. self-efficacy. girl friend and father's smoking of interpersonal influence. and control explained $25.8\%$ of variance of health promoting behavior. From above results school health nurse has to emphasize on health responsibility for health promotion of adolescent. But they couldn't intervene for parent pattern. socioeconomic status. family structure of individual characteristics and experience domain. it could be possible for school health nurse to promote health of adolescents through improving perceived barrier. also develop program to increase self-efficacy and through parent health class for fathers. Above results point to the importance of including parents in smoking prevention effort targeting adolescents. Because increasing control also promotes health of adolescents. it should be studied further about the specific measure. To verify the variables for increasing the fitness of health promoting model. it needs further replication of the research.

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