• 제목/요약/키워드: Self care knowledge

검색결과 657건 처리시간 0.026초

보건진료원 직무교육 교과과정 개선을 위한 일 연구 (A Study on Curriculum Development For Community Health Practitioners)

  • 조원정;이경자
    • 대한간호학회지
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    • 제22권2호
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    • pp.207-226
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    • 1992
  • This study was designed to develop a conceptual framework for the curriculum and develop the details of the learning content for the education of Community Health Practitioners (CHPs). Since education programs for CHPs started 10 years ago, concepts related to CHP services have changed because of changes in society. The objectives of the study were as follows : 1) to analyse the usefulness of the present education program for CHPs, 2) to analyse the Job performance and self -confidence of the CHPs, 3) to identify the health needs of the clients served by the CHPs and the community problems related to health. 4) to develop a conceptual framework for the curriculum, for the education of CHPs, 5) to develops details for the learning content of the education program for CHPs. Phase I of the study was conducted by questionnaires to 150 CHPs who have worked in remote rural areas for more than 2 years. Among them, 147 responded. Data was collected from August 16, to August 25, 1990. In order to identify the health needs of the community people, research within the last five years was reviewed and analyzed. The data on 1, 842 communities gathered by the WHO Nursing Collaborations Center of the College of Nursing, Yonsei University was utilized to identify community problems related to health and the self - confidence in job performance of the CHPs. Psase II of the study consisted of a workshop with 13 professionals including Community Health Practitioners to evaluate the existing education program and a conceptual framework of the curriculum for the job education of CHPs. The results of the study are Summariged below : 1. The only 26 among 45 content items of the education program related to job skills was used by 80% of the responding CHPs. The knowledge of $\ulcorner$Networking community organization$\lrcorner$ was used by only 53.7% of the respondents. Educational content about $\ulcorner$Mental disease$\lrcorner$ was used by less than 50% of CHPs because of a knowledge deficit. 2. The CHPs reported that their activities concentrated on clinical services during the last six months. The survey showed that they seemed to neglect the activities for health promotion and disease prevention. Thus, $\ulcorner$Education for community loaders$\lrcorner$(15.9%), $\ulcorner$Activity for eavironmental health$\lrcorner$(16.3%) and $\ulcorner$Social work for needey people$\lrcorner$(23.3%) were done by less than 30% of CHPs. 3. More than 90% of CHPs reported being self - confident for the activities of $\ulcorner$Health education and counselling$\lrcorner$, $\ulcorner$Medicine prescription$\lrcorner$ and $\ulcorner$Immunization$\lrcorner$. But 50% of CHPs reported that they were not have self - confident in $\ulcorner$Management of water and environmental health$\lrcorner$ and only 25.6% of CHPs could insert an IUD independently. 4. It was identified that respiratory diseases and the gastrointestinal diseases were most common problems for the community people, followed by musculoskeletal and skin problems. 5. The community problems were classified into eight categories : physical environmental problems, environmental hygiene, health problems, health behavior, social problem, lack of resources, financial problem and the problems of the cultural and value system. 6. The conceptual framework consisted of the target population and their health status, nursing process working site and primary health care services such as health promotion, disease prevention, treatment and rehabilitation. 7. The contents of curriculum of education program for CHPs were formulated from the results of this study.

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SERVQUAL 모델을 이용한 간호 서비스 질 측정 (Measurement of Nursing Service Quality using SERVQUAL Model)

  • 임지영;김소인
    • 간호행정학회지
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    • 제6권2호
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    • pp.259-279
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    • 2000
  • This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

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마리화나 남용환자의 역동적인 발달요인과 문제해결 (Dynamic Developmental Factors and their Problem Solving of Patients that Abuse Marihuana)

  • 원정숙
    • 대한간호학회지
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    • 제4권3호
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    • pp.105-116
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    • 1974
  • This study was made on patients who were Hospitalized due to sickness caused by the abuse of marihuana at the Psychiatric Section of a hospital during the period from Feb. to Oct., 1974. The following conclusion was obtained by reviewing the literature with respect to the nursing, and problem solving of those patients. 1. It appears that marihuana is a comparatively mild intoxicant in ordinary preparation without causing physical dependence or tolerance. 2. According to the status of men who are marihuana smokers, approximately 20% of them were college students, those preparing to retake college entrance examinations, non-employed and pharmacists. The men belong mostly to the middle foreigner′s mistress of higher, income bracket, and in the case of women, most of the smokers were US. servicemen entertainers. 3. Dynamic developmental factors: Case 1. : The patient had a characteristic, hysterical and emotionally unitable character, and was of low intelligence, In addition, to this already existing problem, the added uses of marihuana caused a mental illness to develope. Case 2 : The character, was reserved and introspective, her creative power and sentiment was fading and his ability of self-control was weakened. She used the smoking of marihuana to get rid of her own feeling of inferiority complex and tensions coming from interpersonal relationships. Case 3 : The patient was unconditionally resistive to the authoritativeness of superiors and irresponsible in his relationship with women, in his attitude concerning sex in general. He smoked marihuana because he felt become peace-loving and get enchanted experience through smoking it. 4. The points of issue appearing from the above case; (1) Movement of anti-social feelings against the "established system" by the youngsters. (2) Family problem. (3) Shamelessness, loss of motivation, disorderly attitude toward the sex, (4) Worries concerning the future. (5) Lack of knowledge concerning smoking of cigarette and marihuana. Chronic use of marihuana made, those youngman who had originally been ambitions to achieve something in life, lazy, inefficient, unable to make long-term plans, are such weak mined persons that they did not try to overcome problems when encountered. This will pose a great and important question in the mental health of the society, 5. Treatment and Problem sieving According to the literature, we will have to place importance upon hospitalized treatment The phases of treatment were divided into five parts. (1) Prehospital phase (2) Withdrawal Phase (3) Rehabilitation phase (4) Transitional phase (5) After-care phase The experiments have proved that there was much progress in the recovery of patients through environment therapy, supportive therapy and group psychotherapy. This was the above mentioned 5 phases of treating process in accordance with the weekly schedule of the hospital. It was thought that the patients would require prolonged after care management even after they were released from the hospital and that they will also require periodic visit, to the hospital and doctor′s interview with their family. In conclusion, the question of the young generation and marihuana smoking is becoming a great social problem in which their resistances to the "established system" and society is growing in the from of antiestablishment movements. In our country, the smoking of marihuana is gradually developing, therefore, I think, that it would be a very fortunate thing for us, if this report could be helpful for the motivation of further study on the questions of the young generation and its problems.

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심장수술환아의 ICU에서의 스트레스원과 심리적 손상반응에 관한 탐색적 연구 (Stressors of Post Cardiac Surgery Children in the ICU and Their Impaired Psychological Responses)

  • 신희선;김동옥;홍경자
    • 모자간호학회지
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    • 제2권1호
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    • pp.45-54
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    • 1992
  • The purpose of this study was to explore the stressors in pediatric intensive care unit and impaired psychological responses of children after open heart surgery. Sixteen children aged 6 to 11, who were admitted to the hospital for open heart surgery during the period from July, 1991 to February, 1992 were the subjects of the study. Observations, drawings, and interviews were used to collect data for study. Behavioral responses about intensive care unit phenomena were analyzed according to the 4 categories identified to assess children's perceived stressors in ICU. Impaired psychological responses were examined using observational and interview data. Drawings were analyzed by content and color by this researcher and validated by the psychologist. The findings were as follows : 1. The most frequently perceived stressors by children in ICU were the physical stressors causing pain and discomfort(68.5%). It was followed by social stressors which denote disruption of relationship with family and friends(13.0% ), environmental stressors which denote unfamiliar surroundings, noise, staff, and other patients (11.2%), and psychological stressors which denote factors affecting self-esteem such as inability to communicate and inadquate knowledge of the situation (7.3%). 2. 81.3% of the children showed of least one of the impaired psychological responses. Three children (18.8%) experienced time disorientation. An equal number of subject experienced perceptual illusion. Two children(12.5%) experienced hallucination. Vivid dream about ICU phenomena was reported by 2 children. Seven children(43.8%) were identified as having exaggerated fear. They feared about oxygen mask and ICU environment in general. Seven children(43.8%) experienced impairment of memory about treatments, procedures, and environment of ICU. 3. The analysis of children's drawing revealed that 56.3% of children experienced fear in the ICU. 75% of children included nurses in the drawings and 62.5% of children drew other children. 81.3% of children drew and identified himself in the drawing. The colors used most by children were green, purple, and brown. From this result, it is recommended to prepare children before open heart surgery to reduce their stressors and impaired psychological responses in ICU.

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고정성 교정장치 장착환자의 치주질환관련 지식 및 구강건강관련 행태 (Periodontal disease-related recognition and oral health-related behavior in orthodontic patients with fixed appliance)

  • 최경선;문상은;김윤정;김선영;조혜은;강현주
    • 한국치위생학회지
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    • 제17권5호
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    • pp.747-755
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    • 2017
  • Objectives: The purpose of study is to investigate periodontal disease-related recognition and oral health-related behavior in orthodontic patients with fixed appliance. Methods: A self-reported questionnaire was completed by 286 orthodontic patients with fixed appliance in Gwangju, Jeonnam from September 1 to September 27, 2016. The questionnaire consisted of general characteristics (3 items), orthodontic related characteristics (3 items), knowledge of periodontal disease (3 items), and oral health-related behavior (4 items). The data were analyzed by frequency analysis, percentage and chi-square analysis using SPSS 21.0 program. Results: 62.8% had experiences of dental treatment and 67.5% had intention of involvement on incremental care program in orthodontic treatment periods. Accuracy rate of cause about periodontal disease was high in female and case of acquiring information experiences on periodontal disease (p<0.05). 67.2% performed correct toothbrushing for the management of periodontal disease in the experiences of acquiring information on periodontal disease in orthodontic treatment periods (p<0.05). The proportions of using interdental toothbrush and mouth rinsing solutions were high among those over 20 years old and students in the subjects (p<0.05). Conclusions:The accuracy rate were high in the answers about cause and management of periodontal disease in case of acquiring information experiences on periodontal disease in orthodontic treatment periods. Therefore, there is a need to further development and implementation of dental hygiene intervention program for periodontal disease care with fixed orthodontic appliances in that regard.

입원환자 가족의 호스피스 인지 및 요구도 (The Knowledge and Needs of Hospice for Inpatients' Family)

  • 고성희;김현경
    • Journal of Hospice and Palliative Care
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    • 제8권2호
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    • pp.131-142
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    • 2005
  • 목적: 본 연구는 일개 종합병원에 입원한 환자의 가족을 대상으로 호스피스에 대한인지 및 요구도를 사정하기 위해 시도되었다. 방법: 2003년 3월부터 5월까지 J 종합병원에 입원한 환자가족 277명을 대상으로 자기보고식 설문지를 통해 자료를 수집하였고, SPSSWIN 10.0으로 분석하였다. 결과: 대상자 중 호스피스에 대해 들어 본 적이 있는 경우가 232명(83.8%)이었고, 매스컴을 통해 들은 경우가 107명(38.6%)으로 가장 많았으며, 213명(76.9%)이 호스피스란 환자의 남은 생을 끝까지 충만하게 살고 편안한 죽음을 맞도록 돕는 일이라고 제대로 알고 있었다. 233명(84.1%)이 호스피스가 필요하다고 인식하였고, 220명(79.4%)이 본인이나 가족이 호스피스 간호가 필요하다면 받겠다고 응답한 반면 가족이나 주변사람이 호스피스 간호를 받아본 경험이 있는 경우는 25명(9.0%)에 불과하였다. 만약 불치병(말기암)이라면 미리 죽음을 준비해야 한다고 생각한 응답자는 212명(76.5%)이었고, 243명(87.7%)이 그 상태에 관하여 진실을 알고 싶어하였다. 불치병에 걸린 사람에게 이루어져야 할 조치로는 최소한의 통증과 평화로운 죽음을 위한 신체적, 정신적, 영적 간호가 필요하다고 올바르게 지적한 자가 173명(62.5%)으로 가장 많았다. 임종시 가족과 함께 있고 싶다고 응답한 경우가 177명(63.9%)으로 가장 많았고, 73명(26.4%)은 가장 도움이 되는 호스피스요원으로 간호사를 꼽았다. 임종환자들만을 위한 호스피스 병동 운영에 대하여 226명(81.6%)이 찬성하였고, 대상자들이 선호한 호스피스시설의 운영형태는 병동형 66명(23.8%), 시설형 57명(20.6%), 공공의료형 56명(20.2%), 산재형 47명(17.0%), 가정형 34명(12.3%)의 순으로 나타났다. 결론: 본 연구의 결과 입원환자 가족의 호스피스에 대한 인지 및 요구도는 전반적으로 높았으며 일반적 특성에 따라 호스피스 인지 및 요구도에 차이를 보였다. 따라서 대상자의 일반적 특성을 고려한 개별적이고 다양한 접근을 시도할 수 있는 호스피스 교육 및 중재 프로그램을 개발하여 수행해야 할 것이다.

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임신부의 정보추구 경험 - 정보추구의 구조와 과정 - (Pregnant Women's Information Seeking Experience : Structure and Process of Information Seeking)

  • 김갑선
    • 한국문헌정보학회지
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    • 제40권1호
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    • pp.13-37
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    • 2006
  • 본 연구는 근거이론을 적용하여 임신부들의 정보추구경험과 관련된 제 개념 및 이들 개념들 간의 관계 규명을 통하여 임신부의 정보추구에 관한 구조와 과정을 밝힌 연구이다. 이론적 표집에 의해 16명의 임신부들을 대상으로 심층적인 면담을 수행하였고. 면담데이타는 근거이론의 지속적인 비교분석에 의해 분석되었다. 본 연구에서 임신부의 정보추구의 발생원인은 임신의 수용으로 나타났다. 임신부들은 지각된 불안과 궁금증의 맥락에서 임신의 정상상태 유지현상을 해결하기 위해 산전 진단데이타 추구하기. 표준지식 추구하기, 경험담 추구하기와 정서적 지지 추구하기의 작용/상호작용적 정보추구 전략을 취하였으며, 비교하기, 맥락화 하기, 확인하기의 정보추구의 과정들을 거쳐 갔다. 이때, 정보 획득방법 인지, 임신 출산의 선행지식, 자아조절, 정보접근환경이 중재조건으로 작용하였다. 그 결과 충족과 불충족을 경험하였다. 또한 임신부들은 임신의 과정동안 정보요구의 변화 발전에 따라, 수용국면, 적응국면, 구체국면, 전환국면을 통과하였다. 후속연구에서는 본 연구에서 밝혀진 정보추구의 구조와 과정을 통합하여 임신부의 정보추구행위를 총체적으로 설명하는 실체이론을 개발해야 할 것이다.

울산지역 초등학생들의 아토피 피부염과 천식 관련 생활습관과 보건교육 실태 (Child Health Behaviors and Health Education about Atopic Dermatitis in Ulsan Area)

  • 문기내;정종현;배향선;서보순;주동진
    • 한국학교ㆍ지역보건교육학회지
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    • 제11권1호
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    • pp.135-148
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    • 2010
  • Objectives: In this study, knowledge of environmental disease, experience of environmental health education and necessity of environmental health education of elementary school pupils were compared and analyzed. Methods: The population of this study was from grade 1 to 6 elementary school pupils in Ulsan city, Korea. Five elementary schools were randomly selected from Ulsan City. Seven hundred and twenty-eight responses from the five schools were analyzed (seventy-two were excluded). A self-administered questionnaire measuring sociodemographic variables, Knowledge of environment related disease(atopic dermatitis, asthma etc), as well as educational experience and necessity of environmental health education was analyzed. The survey results were analyzed using SPSS-PC Program 12.0 and the following results by implementing Frequency Analysis, Cross-tabulation Analysis and ANOVA are as follows. Result: Pupils of lower grades more informed than those of higher grades about atopic dermatitis. Among asthma sufferers, many responded that symptoms occurred or improved during the lower grades of elementary school. In terms of the lifestyles of patients with atopic dermatitis or asthma, female pupils, especially those in the lower grades, tended to make changes in their daily habits based on their disease. Also, parents tended to intervene/mediate more in the dietary habits and personal hygiene habits of lower-grade pupils compared to their higher-grade counterparts. Personal hygiene education is currently not provided in schools, and upper-grade pupils have more experience with personal hygiene education compared to lower grade pupils. 430 (59.0%) of pupils replied that education about personal hygiene is necessary in their curriculum. 490 (67.3%) of elementary pupils are aware of the close connection between education in hygiene and human health. When asked if education in hygiene should also be undertaken by teachers and parents, 406 (55.7%) students said that it should be done. Conclusions: Developing a concrete health education program and raising instructors' awareness of the necessity for education in hygiene. Placement of professionals in the personal hygiene education field, is important to provide good health education for elementary school pupils.

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"동의보감(東醫寶鑑)"과 "동의수세보원사상초본권(東醫壽世保元四象草本卷)"에 나타난 양생관(養生觀)에 대한 고찰 (A study of preservation of health in the ${\ulcorner}$Dongyi Bogam${\lrcorner}$ and ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$)

  • 이수경;이의주;고병희;송일병;정용재
    • 사상체질의학회지
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    • 제14권2호
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    • pp.25-34
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    • 2002
  • To understand characteristic of preservation of health in Sasang constitutional medicine, 1 first study preservation of health In ${\ulcorner}$Dongyi Bogam${\lrcorner}$, and then study preservation of health in the ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$ particularly Inherent vitality(命脈實數) and Regimen in ordinary life(生息充補之道) which shows early thought of Lee Je-ma. I acquire relation and difference between ${\ulcorner}$Dongyi Bogam${\lrcorner}$ and Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$, and conclude as follows. 1. In preservation of health ${\ulcorner}$Dongyi Bogam${\lrcorner}$ says Ups and downs of Qi according to degree, tells congenital health and acquired care of health, grades Jin-In, Ji-In, Seong-In, Hyeon-In according to degree of moral culture, and especially emphasizes managing mind which is based on Taoism. 2. In ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$ Dongmu divides human being to Sasangin(Taeyangin, Taeumin, Soyangin, Soeumin) according to Large & small of viscera, and regards as determine lift span and rendition of disease & health according to Inherent vitality which is degree of Small viscera. 3. Inherent vitality of Sasangin is supplemented by Regimen in ordinary life. Because Regimen in ordinary life decreases according to age, Dongmu emphasizes managing mind through an autonomic Knowledge Deed to maintain Regimen in ordinary life. 4. In the way of managing mind ${\ulcorner}$Dongyi Bogam${\lrcorner}$ says Taoist moral culture, but Dongmu emphasized control of knowledge and Deed by Confucian moral culture and the mind of control others through confucian self-control.

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위드 코로나 시대에서 유아교육 현장의 원격교육 제한사항과 이에 따른 유아 원격교육 솔루션 개발 제안 (Restrictions on Distance Education in Early Childhood Education in the Era of with Corona, and Proposal for Early Childhood Distance Education Solution Development)

  • 이흔연;홍필태
    • 실천공학교육논문지
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    • 제13권2호
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    • pp.251-259
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    • 2021
  • 유아교육은 지식의 전달보다는 지도자에 의하여 유아의 감각을 키우는 과정이라는 특징으로 인하여, 위드 코로나 시대에서도 유아 원격교육은 일대일 비대면 교육 보다는, 유아교육 꾸러미 등 배포된 자료나 TV등의 매체를 통하여 학부모가 직접 돌보는 방식으로 원격교육이 진행되었다. 연구자는 선행연구 고찰 및 학부모 집중 인터뷰를 통하여, 교육 콘텐츠의 확대 및 접근성 확대, 유아 원격교육의 기본지식 이해, 실시간 원격교육을 통한 유아의 사회성 증대 필요 등의 원격교육 요구사항을 파악하였고, 현재 제공중인 원격교육 관련 솔루션이 유아교육에는 적합하지 않다는 것을 파악하였다. 이에 따라, 연구자는 다양성, 용이성, 실시간 소통, 통합이라는 유아 원격교육 솔루션의 기본방향(VERI)을 제시하고, 유아, 학부모, 교사가 함께 콘텐츠를 공유하고, 실시간 및 비실시간 소통을 할 수 있는 Web/App 솔루션 개발을 제안하였다. 이러한 원격교육 솔루션은 단지 가이드라인과 자료만 제시하고 있는 현재 상황을 유아-학부모-교사가 함께 소통하고, 콘텐츠를 공유하게 되어, 위드 코로나 시대의 유아 원격교육을 효율적으로 지원할 것으로 기대한다.