• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.51-64
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• 2002

전라남도의 무작위 추출된 10개 시 군과 광주광역시 5개 구의 방문보건사업 담당직원 200명 중 우편설문조사에 응답한 144명을 연구대상으로 하여 방문보건 사업과 관련된 교육훈련경험 여부와 만족도, 응답자의 주관적 판단에 의한 방문보건서비스 관리 지식 정도 그리고 향후 방문보건사업에 필요한 교육훈련에 대한 요구도에 대해 조사하여 향후 방문보건요원의 교육훈련의 기초자료를 제공하고자 하였다. 본 연구의 주요 결과는 다음과 같다. 1. 조사대상자 중 3년 동안 한가지 이상의 중앙교육 훈련 경험자는 43명(29.9%), 광역자치단체의 교육훈련 경험자는 57명(39.6%), 그리고 지방자치단체의 교육훈련 경험자는 53명(36.8%) 등으로 나타났다. 교육과정에 대한 만족도를 점수화 한 결과 중앙 교육($2.38{\pm}0.57$)이 광역자치단체 교육($2.18{\pm}0.57$)과 기초자치단체 교육($2.13{\pm}0.54$)보다 높았다. 2. 조사대상자의 방문보건서비스 관리 지식 정도는 환자 및 질병관리 영역 중 투약 및 검사, 상처 및 욕창 관리, 환자 개인위생, 고혈압환자 관리, 당뇨환자 관리, 관절염환자 관리 그리고 전염성질환자 관리, 고위험 가족 및 가정환경 관리 영역 중 환경위생 관리, 안전 및 사고 관리 그리고 감염관리, 건강증진관리 영역이 5점 만점에 평균 3점 이상이었으며, 재활 및 요양 영역은 전반적으로 평균 3점 이하의 점수를 보였다. 3. 조사대상자의 방문보건서비스 관리 지식 정도는 간호사 자격증을 소지하고 있는 경우 높았으며, 중앙 교육 중 노인보건, 재활 등 실무영역과 정신보건전문간호사, 광역자치단체 교육 중 보건진료원보수교육, 정신 보건교육, 그리고 기초자치단체 교육의 건강증진영역, 노인보건, 재활 등 실무영역, 정신보건영역과 급성질환 관리영역에 대한 교육훈련 경험이 있는 경우 높았다. 4. 조사대상자의 교육내용에 대한 요구도는 노인건강 관리과정이 가장 높았고, 최근 업무가 새롭게 추진되고 있는 노인보건, 호스피스, 치매노인관리, 재활, 건강증진 등이 높은 것으로 조사되었으며, 방문보건사업 업무별로는 방문보건사업전반이 가장 높았고 방문보건사업에서 실제 서비스를 제공하는 분야가 교육의 요구도가 높은 것으로 나타났다. 또한 교육방법으로는 공무원 집단교육(47.0%)을, 교육전담 주체는 광역자치단체 (30.4%)를, 교육방식은 실습(57.7%)을, 교육횟수는 년 2-3회(44.5%)를, 교육기간은 3-5일(41.0%)을 선호하는 것으로 나타났다. 향후 지역사회 주민에게 효과적인 방문보건서비스를 제공하기 위해서는 방문보건사업에 대한 지식 정도를 높일 수 있는 교육훈련의 기회를 확대하고 방문보건요원의 교육요구도에 근거하여 교육훈련을 개선해야 할 것이다.

• Korean Circulation Journal
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• 제53권11호
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• pp.727-743
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• 2023

Although cardiac rehabilitation (CR) has been shown to improve exercise tolerance and prognosis in patients with cardiovascular diseases, there remains low participation in outpatient CR. This may be attributed to the patients' busy schedules and difficulty in visiting the hospital due to distance, cost, avoidance of exercise, and severity of coronary disease. To overcome these challenges, many countries are exploring the possibility of remote CR. Specifically, there is increasing attention on the development of remote CR devices, which allow transmission of vital information to the hospital via a remote CR application linked to a wearable device for telemonitoring by dedicated hospital staff. In addition, remote CR programs can support return to work after hospitalization. Previous studies have demonstrated the effects of remote CR on exercise tolerance. However, the preventive effects of remote CR on cardiac events and mortality remain controversial. Thus, safe and effective remote CR requires exercise risk stratification for each patient, telenursing by skilled staff, and multidisciplinary interventions. Therefore, quality assurance of telenursing and multi-disciplinary interventions will be essential for remote CR. Remote CR may become an important part of cardiac management in the future. However, issues such as cost-effectiveness and insurance coverage still persist.

• 대한지역사회작업치료학회지
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• 제2권1호
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• pp.1-11
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• 2012

목적 : 부산 울산 경남 지역의 장애인복지관과 병원에서 근무하는 작업치료사를 대상으로 지역사회중심재활에 대한 인식도와 필요성을 조사하여 향후 지역사회중심재활에서 작업치료사의 역할을 구축하고, 지역사회중심재활 참여에 대한 활성화 방안을 모색하고자 한다. 연구방법 : 2010년 12월 1일부터 2011년 5월 4일까지 한국장애인복지관협회에 등록된 부산 울산 경남 지역에 소재한 장애인복지관에 근무하는 작업치료사 23명과 부산 지역에 소재한 병원에서 근무하는 작업치료사 49명을 대상으로 설문을 실시하였다. 통계분석은 SPSS12.0 통계 패키지 프로그램을 이용하였다. 결과 : 지역사회중심재활에 대한 작업치료사의 인식도와 필요도는 두 집단 모두 높은 것으로 나타났고 두 집단 간 유의한 차이는 없었다(p>.05). 또한 지역사회중심재활 중 작업치료사가 필요하다고 생각되는 영역에 대해 재활상담 및 정보제공, 가정방문재활치료, 직업재활, 재활기구대여, 장애예방교육으로 조사되었으며, 지역사회중심재활에서 작업치료사의 활성화를 위해서는 인력 수급과 국가적 차원의 법적/제도적 장치 마련과 관련 전문가와의 팀웍 조성 등이 필요한 것으로 나타났다. 결론 : 본 연구는 지역사회중심재활에 대한 작업치료사들의 인식도와 작업치료사들의 필요성은 높은 것으로 나타났으나, 현재 시행되는 기관은 부족한 것으로 나타났다. 따라서 지역사회중심재활에 있어 작업치료의 활성화를 위한 법적/제도적 장치 마련이 시급하다.

• 척추신경추나의학회지
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• 제11권1호
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• pp.11-23
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• 2016

Objectives : The purpose of this study was to investigate the characteristics and visiting patterns of traffic accident outpatients Methods : In this study, we reviewed the medical charts of 2,048 traffic accident patients who visited Jaseng Hospital of Korean Medicine from January 1st, 2012 to December 31st, 2012. Results : In the distribution of gender and of age patients, the male percentage was 52.3% and the majority of patients were in their thirties(47.2%). In the distribution of the patient's initial visit, most patients visited our clinic from Monday to Wednesday. By monthly distribution, the more patients visited the clinic at the latter half of the year. In the duration of treatment, 1,389 patients(67.8%) finished treatment within four weeks. The most frequently cited sites of pain were neck(82.0%), followed closely by low back(74.0%). In the access route, 746 patients(36.4%) visited our traffic accident clinic as a first choice for primary treatment. We referred patients for radiologic examination in 159 patients(7.9%), of which the exams were mainly lumbar spine MRIs(3.6%) and cervical spine MRIs(2.8%). The most frequent diagnosis were herniated nucleus pulposus. Conclusions : This study shows that most of the patients who visited the traffic accident clinic of a Korean Medical Hospital presented neck and low back pain, and the majority showed improvement without surgical treatment. Following the increasing minor injury rate caused by traffic accidents, we expect the role of Korean Medicine Hospital to become more prominent.

• 대한장애인치과학회지
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• 제9권1호
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• pp.18-24
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• 2013

Objectives: The goal of this study is to establish data baseline to ameliorate oral health policies for patient. The research was conducted in dental clinic at Seoul Metropolitan Children's Hospital - the major municipal hospital for the disabled. The outpatients' visiting patterns to the dental clinic were analyzed, compared to other medical departments. For further research related to TMD, the questionnaires were given to the subjects. Material and methods: Data for visiting patterns/frequencies was collected from patient records of 1419 outpatients who visited the dental clinic at Seoul Municipal Children's Hospital in 2011. Then TMD-related questionnaires were given to 127 outpatients who were over 13 years old. Results: 1. 219 out of 1419 patients (15.4%) who visited the dental clinic at Seoul Municipal Children's Hospital in 2011 were the disabled. 2. Compared to normal patients, disabled patients visited the dental clinic and rehabilitation medicine department more frequently.(p<0.05) However, there was no apparent difference in visiting frequencies between the disabled and the normal patients in the psychiatric department.(p=0.3237) 3. 44% of the TMD-related questionnaire subjects responded that they often consumed relatively hard or tough food, 53% answered they had unilateral chewing habit, 3% had bruxism, and 12% had clenching habit. Conclusion: In the dental clinic at Seoul Municipal Children's Hospital, 19% of outpatients over 13 years old had TMD such as clicking and pain. Also, the disabled patients' visits to the dental clinic were considerably more frequent, compared to the normal patients and to other medical departments. Accordingly, the result may suggest that the proper systematic supports from the government are essential to the dental clinic at municipal hospital for the disabled.

• Journal of Korean Biological Nursing Science
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• 제10권1호
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• pp.69-79
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• 2008

The purpose of this study was to evaluate the effect of cardiac rehabilitation education for CABG patients on anxiety & depression, self-esteem, general health status, health related quality of life, body mass index, serum lipid concentration (high density lipoprotein, low density lipoprotein, total cholesterol), heart rate and blood pressure. The subjects of the study consisted of 36 patients who underwent CABG at A hospital in Seoul, from January 1, 2006 to June 30, 2007. The experimental group (20 patients) received the individual education during the hospitalization. The control group (16 patients) received routine discharge education by ward nurses. Psychological variables, general health status and health related quality of life (QOL) after cardiac rehabilitation education were determined by self-reported questionnaire at 1st week, 3rd week and 6th week after the discharge. Physiological variables were measured in out patient visiting at 4th week after discharge. Score of anxiety & depression and health related QOL in the experimental group showed a significant decrease at 1st week, 3rd week and 6th week after the discharge compared with the control group. Score of self-esteem, general health status and physiological variables in the experimental group showed no significant difference from the control group.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.24-31
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• 2022

Objective: This study attempted to find out if it changes the child's ability to perform daily life activities when visiting the familiar environment and daily living space of children with cerebral palsy and conducting a home activity support program for children and parents. Design: Randomized Controlled Trial Methods: Among 22 children aged 3 to 12 years old, they were assigned to the intervention group and control group. Of these, 12 boys and 10 girls participated in the study. Gross motor function measure and upper extremity function evaluation were used to measure the physical function of children with cerebral palsy, and self-care skills, mobility and social functions were evaluated in the pediatric evaluation of disability inventory. In addition, a parenting sense of competence was used to find out the efficacy of parents in raising children. After the pre-evaluation, basic rehabilitation treatment and intervention programs were applied to the intervention group, and only basic rehabilitation treatment was performed to the control group, and post-evaluation was performed 8 weeks later. Results: As a result of the study, among the items that measured the gross motor function, upper limb function, and daily life performance ability of the intervention group in the difference between the intervention group and the control group, statistically improved in personal processing and movement (p<0.05). In addition, the parenting sense of competence children in the intervention group was statistically significant (p<0.05). Conclusions: The home activity support program will help strengthen the ability of cerebral palsy children to perform daily life as a way to set mutually agreed goals with their families or children and achieve them in a familiar environment.

• 대한한의학회지
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• 제40권3호
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• pp.188-197
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• 2019

Objectives: The objective of this study is to analyze and observe what kinds of changes in Patients who visited a Korean Medicine Hospital according to the Application of Chuna Therapy Health Insurance and Medical benefits. Methods: In this study we collected data of Patients who first visited the ${\bigcirc}{\bigcirc}{\bigcirc}{\bigcirc}$ Korean Medicine Hospital from March 8 to May 8. we collected data of 1074 Patients who first visited the Daejeon Jaseng Korean Medicine Hospital from March 8 to May 8. Based on the medical charts, Computer order, we analyze and observe statistical data of 1074 patients putting them into six groups. Outcuomes: 1.The increase in the rate of receiving chuna therapy was significant in Group A and Group B(${\rho}<0.05$). 2.The increase in the onset of the disease for more than one year was significant in Group C and Group D(${\rho}<0.05$). 3.The increase in the proportion with disease Corporal was significant in Group E and Group F(${\rho}<0.05$). Conclusions: According to according to the Application of Chuna Therapy Health Insurance and Medical benefits, the number of patients receiving Chuna Therapy increased, and people with old illnesses were more likely to receive Chuna Therapy.

• 지역사회간호학회지
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• 제26권2호
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• pp.69-78
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• 2015

Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

• 재활간호학회지
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• 제12권2호
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• pp.112-119
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• 2009

Purpose: The purpose of this study was to investigate leisure activities, leisure life satisfaction, perceived health status and depression in the elderly and to examine the relationships among those variables. Method: The subjects were 204 elderly visiting a senior welfare service center in G city. Data were collected from September 14 to 18 in 2009. All subjects agreed to participate and filled out the survey questionnaire after signing the consent form. Results: 1) The mean score of leisure activities was 2.81; the mean score of leisure life satisfaction was 4.14; the mean score of perceived health status was 8.92; the mean score of depression was 5.13 and 42.2% of the subjects belonged to the depression group. 2) The level of leisure activities was significantly different according to education level, religion, spouse and pocket money. The level of leisure life satisfaction was significantly different according to religion and pocket money. The level of perceived health status was significantly different according to sex, education level and pocket money. The level of depression was significantly different according to spouse and pocket money. 3) Leisure activities showed positive correlation with leisure life satisfaction and perceived health status, but showed negative correlation with depression. Conclusion: These findings showed the need for the health promotion program that increases leisure activities and leisure life satisfaction without economic burden.