• 제목/요약/키워드: Self-Care Agency

검색결과 124건 처리시간 0.036초

독거노인 자가생활지원을 위한 ICT기반의 생활밀착형 서비스 모델 개발 (ICT-based Living in the Contact Type Service Model for Self-life Support of the Elderly Living Alone)

  • 김미연;서동조;변종봉;강종관
    • 디지털융복합연구
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    • 제13권4호
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    • pp.25-38
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    • 2015
  • 최근 우리나라의 경우 빠른 고령화로 독거노인의 추세 또한 사회적, 경제적, 국가적인 다양한 문제를 야기시키고 있다. 특히 나 홀로 사는 노인계층의 건강수명관리, 독거노인의 안전, 길어진 노령시기의 쾌적하고 행복한 삶유지 등이 사회적 이슈로 부각되고 있으며, 범정부차원에서 다양한 서비스 제공을 위한 실천과제를 모색하고 있으나, 실질적으로 노인의 일상생활지원 및 서비스 정보접근 향상을 위한 구체적 대안은 매우 부족한 실정이다. 본 연구는 ICT 기술기반의 독거노인복지서비스 제공을 목적으로, 개방된 공개정보를 적극 활용하고 노인계층의 정보 접근을 향상 및 독거노인의 여러 상황조건에 부합하는 "ELA 서비스 모델"을 제시한다. 이는 독거노인의 기본 욕구에 따른 단계별 자가생활지원 서비스 모델로 현재 제공되거나 계획 중인 서비스의 편중 또는 과부족을 해결하고, 독거노인의 요구수준에 맞는 실질적 서비스 제공을 목표로 일상생활지원에 균형 잡힌 서비스 정책 수립에 기여할 것으로 기대한다.

대사증후군 노인의 운동지속 영향요인 (Factors affecting on maintenance of exercise among elderly with metabolic syndrome)

  • 이은주
    • 문화기술의 융합
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    • 제4권2호
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    • pp.139-147
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    • 2018
  • 본 연구의 목적은 대사증후군 노인의 운동유지 여부에 따라 운동유지에 대한 영향요인을 확인하기 위해 시행된 횡단적 조사연구이다. 본 연구의 대상자는 총 136명이며, 자료의 수집은 대사증후군 노인의 운동유지 영향요인을 알아보기 위해 운동유지, 운동기대감, 운동 관련 환경, 운동 사회적지지, 운동자기효능감에 대한 도구로 수집되었다. 수집된 자료는 SPSS Win 20.0 program을 사용하여 requency, X2, t-test, Logistic regression으로 분석하였다. 연구 결과 연령, 운동기대감, 운동자기효능감이 이들의 운동유지 영향요인임이 밝혀졌다. 이러한 결과는 대사증후군 노인의 운동유지를 위해서는 내적 동기에 해당하는 자기효능감을 함양시키고 운동기대감을 증진시키는 것이 중요하다고 할 수 있다. 또한 대사증후군 노인을 위한 건강증진프로그램을 계획할 때 운동에 대한 결과를 알려주고 이에 대한 이점을 부각시켜 스스로 운동을 잘 해낼 수 있도록 계획해야 하는 데에 본 연구결과가 기초자료로 활용할 수 있음이 기대된다.

A Study on Self-medication for Health Promotion of the Silver Generation

  • Oh, Soonhwan;Ryu, Gihwan
    • International Journal of Advanced Culture Technology
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    • 제8권4호
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    • pp.82-88
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    • 2020
  • With the development of medical care in the 21st century and the rapid development of the 4th industry, electronic devices and household goods taking into account the physical and mental aging of the silver generation have been developed, and apps related to health and health are generally developed and operated. The apps currently used by the silver generation are a form that provides information on diseases by focusing on prevention rather than treatment, such as safety management apps for the elderly living alone and methods for preventing diseases. There are not many apps that provide information on foods that have a direct effect and nutrients in that food, and research on apps that can obtain information about individual foods is insufficient. In this paper, we propose an app that analyzes food factors and provides self-medication for health promotion of the silver generation. This app allows the silver generation to conveniently and easily obtain information such as nutrients, calories, and efficacy of food they need. In addition, this app collects/categorizes healthy food information through a textom solution-based crawling agent, and stores highly relevant words in a data resource. In addition, wide deep learning was applied to enable self-medication recommendations for food. When this technique is applied, the most appropriate healthy food is suggested to people with similar eating patterns and tastes in the same age group, and users can receive recommendations on customized healthy foods that they need before eating. This made it possible to obtain convenient healthy food information through a customized interface for the elderly through a smartphone.

한국 성인의 관계적 자기 구성요인 탐색 및 척도개발 (Exploration of the Structure of Relational Self and Development of the Relational Self Scale among Korean Adults)

  • 방희정;윤진영;김아영;조혜자;조숙자;김현정
    • 한국심리학회지 : 문화 및 사회문제
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    • 제13권3호
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    • pp.23-63
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    • 2007
  • 본 연구는 한국인의 관계적 자기를 측정할 수 있는 척도를 개발하고 그 타당도를 검증하고자 실시되었다. 관계적 자기가 다면적이고 구성적인 특성을 가진다고 보는 다중 자기 이론에 근거하여, 문헌 연구를 통해 관계적 자기의 다면적 특성을 측정하는 10 요인 102 문항을 선정하였다. 성인 남녀를 대상으로 102 문항에 대한 내용 타당도 검증, 상관 분석, 탐색적 요인 분석을 실시하여 최종적으로 7요인의 총 31문항을 추출하였다. 7요인은 관계 회피, 타인 의식, 주도성, 도구적 관계, 공감-배려, 지지 받기, 관계 의존 등이다. 서울 및 수도권의 20대에서 60대까지 남녀 649명을 대상으로 요인 구조 및 문항들의 타당도를 구조방정식 모형으로 검증한 결과, 본 연구에서 개발한 관계적 자기 척도가 남녀에게 공통으로 사용할 수 있는 신뢰롭고 타당한 도구임이 확인되었다. 또한, 남녀에 따라 관계적 자기 척도의 하위 요인별 잠재평균 분석을 한 결과, 관계적 자기가 남녀에 따른 유의미한 차이가 없는 것으로 나타났다. 마지막으로, 상관 분석 결과, 관계적 자기의 구성 요인들이 상호의존적 자기해석양식, 자존감, 부모 및 친밀한 사람과의 애착 안정성 등과도 유의미한 관련성을 갖는 것으로 나타났다. 본 연구에서 개발한 관계적 자기 척도는 관계적 자기를 단일한 요인이 아닌 다양한 구성 개념으로 정의하여, 한국인의 독특한 관계적 자기를 다면적으로 평가할 수 있다는데 그 의의가 있다.

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전국 의료기관 가정간호사 근무 실태 (Working Conditions in Home Health Care Nursing: A Survey of Home Care Nurses in Hospitals in Korea)

  • 유호신;조혜숙;김윤옥;윤영미;송종례;임지영;김순용;김인아
    • 대한간호학회지
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    • 제35권7호
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    • pp.1229-1237
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    • 2005
  • Purpose: The purpose of this research was to address the working conditions of home health nurses through a nationwide home health agency survey conducted at hospitals. Method: The mail surveys were sent to 303 home health nurses nation wide and returned with a response rate of $71.8\%$. Result: (a) Seventy-five percent of home health agencies were established within the past5 years and half of home health nurses are over 40 years old. (b) Working conditions were considered as follows: Seventy-one percent of respondents were full-time employees, sixty-sixpercent of home health nurses had unscheduled visits on a regular day of duty and forty-eight percent were on vacation. Fifty-one percent of home health nurses have experienced traffic accidents and paid. penalties ($65.9\%$). Self-reported monthly income level per year was an average of 28,364,000 won. (c) Rates were significantly higher for shoulder pain ($61.5\%$), lower back pain ($54.1\%$), knee pain ($39.4\%$), and gastrointestinal problems ($33.0\%$). Conclusion: These baseline results show the importance of improving home health nursing working conditions, a comprehensive prevention system and safeguards from physical discomfort.

A Repository for Publications on Basic Occupational Health Services and Similar Health Care Innovations

  • Frank J. van Dijk;Suvarna Moti
    • Safety and Health at Work
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    • 제14권1호
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    • pp.50-58
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    • 2023
  • Background: Occupational health services are not available for more than 80% of the global workforce. This pertains especially to informal workers, workers in agriculture and in small enterprises, and self-employed. Many are working in hazardous conditions. The World Health Organization, the International Labor Organization, the International Commission on Occupational Health, and the World Organization of Family Doctors promote as part of a solution, basic occupational health services (BOHS) integrated in primary or community health care. Quality information on this topic is difficult to find. The objective of this study is to develop an open access bibliography, a repository, referring to publications on BOHS and similar innovations, to support progress and research. Methods: The database design and sustaining literature searches (PubMed, Google Scholar, SciELO) are described. For each publication selected, basic bibliographic data, a brief content description considering copyright restrictions, and a hyperlink are included. Results: Searches resulted in a database containing 189 references to publications on BOHS such as articles in scientific journals, reports, policy documents, and abstracts of lectures. A global perspective is applied in 43 publications, a national or regional perspective is applied in 146 publications. Operational and evaluative research material is still scarce. Examples of references to publications are shown. Conclusion: The repository can inspire pioneers by showing practices in different countries and can be used for reviews and in-depth analyses. Missing publications such as from China, Russia, Japan, Republic of Korea, and Spanish/Portuguese speaking countries, can be added in the future, and translated. Search functions can be developed. International collaboration for the promotion of occupational health coverage for all workers must be intensified.

Assessing Neurobehavioral Alterations Among E-waste Recycling Workers in Hong Kong

  • Gengze Liao;Feng Wang;Shaoyou Lu;Yanny Hoi Kuen Yu;Victoria H. Arrandale;Alan Hoi-shou Chan;Lap Ah Tse
    • Safety and Health at Work
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    • 제15권1호
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    • pp.9-16
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    • 2024
  • Background: E-waste workers in Hong Kong are handling an unprecedented amount of e-waste, which contains various neurotoxic chemicals. However, no study has been conducted to evaluate the neurological health status of e-waste workers in Hong Kong. This study aimed to evaluate the prevalence of neurobehavioral alterations and to identify the vulnerable groups among Hong Kong e-waste workers. Methods: We recruited 109 Hong Kong e-waste workers from June 2021 to September 2022. Participants completed standard questionnaires and wore a GENEActiv accelerometer for seven days. Pittsburgh Sleep Quality Index and Questionnaire 16/18 (Q16/18) were used to assess subjective neurobehavioral alterations. The GENEActiv data generated objective sleep and circadian rhythm variables. Workers were grouped based on job designation and entity type according to the presumed hazardous level. Unconditional logistic regression models measured the associations of occupational characteristics with neurobehavioral alterations after adjusting for confounders. Results: While dismantlers/repairers and the workers in entities not funded by the government were more likely to suffer from neurotoxic symptoms in Q18 (adjusted odds ratio: 3.18 [1.18-9.39] and 2.77 [1.10-7.46], respectively), the workers from self-sustained recycling facilities also have poor performances in circadian rhythm. Results also showed that the dismantlers/repairers working in entities not funded by the government had the highest risk of neurotoxic symptoms compared to the lowest-risk group (i.e., workers in government-funded companies with other job designations). Conclusion: This timely and valuable study emphasizes the importance of improving the working conditions for high-risk e-waste workers, especially the dismantlers or repairers working in facilities not funded by the government.

일본의 노인건강관리체계 검토를 통한 한국 지역사회노인 예방 건강관리 방안모색 연구 (Development of a Community-based Preventive Health Care Model for the Elderly in Korea through the Evaluation of a Japanese Counterpart)

  • 이인숙
    • Perspectives in Nursing Science
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    • 제7권1호
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    • pp.10-22
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    • 2010
  • Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

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미용업종사자의 미용기기 사용에 대한 분쟁해결과 정책적 과제 (Conflict resolution and political tasks on the usage of beauty care devices by beauty artists)

  • 김주리
    • 한국중재학회지:중재연구
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    • 제27권2호
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    • pp.83-105
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    • 2017
  • In contemporary society interest in and consumption of beauty treatment are increasing, raising interest in health and beauty. However, beauty-related laws are becoming factors of hindrance of beauty development. Currently the Public Health Control Act plays a basic role in the beauty art business in Korea, However the contents are in discord with international laws and its definition is not clear. Therefore it is causing conflicts of different occupations and job associations which are similar to art business. Especially, because neither definitions nor policies on beauty care devices exist in the Public Health Control Act, beauty care devices using in foreign countries cannot be used in Korea due to classification as medical devices. Under this circumstance, therefore, beauty care device uses by beauty artists violate the law. The government has tried to solve these irrational regulations. Recently, the Small and Medium Business Administration announced 'the improvement plan of small business and young founders site regulation for public economy recovery' in a ministerial meeting on December 28, 2016. Regulations on policy preparation for skincare devices were inclusive in this announcement. It is the question whether the regulations will be executed or not. Even though beauty industrial competitiveness was presented in the 18th Presidential Council on National Competitiveness in 2009, it was not practiced. The proposal bills for beauty law improvement have been put forth several times since 2000 including an improvement plan for regulating beauty care devices. However, so far there have been no improvements. The damage on the regulation classifying beauty devices as medical devices is not only restricted to skincare. This develops beauty devices and the beauty industry which imports and exports beauty devices. When beauty devices are exported, complicated procedures are unavoidable and when beauty devices are imported, irrational problems like reregistration procedures and costs occur. The reason why an improvement plan has not gone into practice is the resistance of the dermatologists' association. Dermatologists tend to stand positively against harming public health by saying that beauty devices used by beauty artists cause people to suffer side effects. In contrast, anyone who has a licence to use beauty devices is able to use them in foreign countries. It is not only infringement of one's right as a beauty artist but also people's right to receive beauty care services. With this reason, Korean's current law under which beauty devices are ruled as medical devices should be revised with accordance to domestic surroundings. Therefore in order to advance and globalize the beauty industry, the support and cooperation of the Korean government and relevant associations is needed to legislate and revise the beauty devices laws. The relevant associations abandon regional self-centeredness and cooperate to define ranges, size and management of beauty devices for safe use. If no collaboration exists, an arbitration agency should be established to solve the problem.

혈압 건강군과 비건강군 근로자의 건강실천 관련 요인 조사연구 (A Study on the Relationship between Health Behavior Factors and Blood Pressure of Workers)

  • 최현주;정문희;김윤신
    • 한국보건간호학회지
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    • 제18권2호
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    • pp.312-329
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    • 2004
  • This study was examined 718 workers who had consistent blood pressure results in 2001 and 2002 general health examinations that were held at a work places managed by a health care agency in Seoul. Significant results are found as follows by analysing SPSS 11.0 on the result of self-recorded questionnaires investigated from Mar 1, 2003 to April 30, 2003. 1. A sampled healthy group and a sampled unhealthy group had significant differences in four variables out of possible nineteens that are sex, age, marriage and occupation. The unhealthy group had more males than females, more aged (over 50 years old) than youngers (under 50 years old), more married than singles, more manufacturing workers than non-manufacturing workers. In the case of systolic blood pressure, as the healthy group had 16.52mmHg while that of the other group had 149. 58mmHg, 33.06mmHg of difference between those groups were detected. In the case of diastolic blood pressure, 74.93mmHg of the healthy group and 96.53mmHg of the unhealthy group yielded 21.60mmHg of difference between them. This result implies that a guidance of health care is required to be aware of 20-30mmHg volatility in blood pressure rate or to understand and treat properly own blood pressure. as it is difficult to detect hypertension in early stage due to no initial symptom. According to the result. an establishment of management system of workers, companies and health care agencies is required for consist health care. 2. In terms of risky habits to health, the unhealthy group had more proportion of past smokers, over-twice-a-week drinkers, people with higher obesity rate. However, in terms of excercise, the proportion of regularly exercising people is higher in the unhealthy group while that of non-exercising people is higher in the healthy group. On the other hand. the average grade of health practicing behaviour in two groups are not significantly different as the health group had 3.00 out of possible 6.00 while the other had 3.10. This result means that as workers are not interested in health practicing behaviour. health promoting programmes must be developed in such a way of various method of motivations and incentives. Particularly this implies that distortional objectives of exercises should be readjusted through health guidance. 3. Systolic blood pressure in the healthy group can be explained by sex and the obesity rate while that in the unhealthy group can be explained by subjective health awareness and the obesity. Diastolic blood pressure in the healthy group can be explained by sex and the obesity rate like the former. The obesity rate was significant variable affecting the blood pressure of both groups, and particularly the effect to the unhealthy group was remarkably higher than that to the healthy group. Therefore, this research identified that the health care on the blood pressure of workers is not only limited to hypertension patients, but also extended to all workers. In order for consistent care, an establishment of management system of workers, companies and health care agencies is required.

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