• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• 디지털융복합연구
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• 제16권7호
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• pp.479-491
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• 2018

본 연구는 저소득층 여성의 건강에 영향을 미치는 요인을 다각적으로 살펴보고, 그 중 사회적 지지 자원이 저소득층 여성들이 가지고 있는 다양한 특성과 건강 관계에서 상호작용을 하는지 파악하였다. 본 연구를 위하여 소득에 따라 저소득층 기준에 부합하고 2인 이상의 가족 구성원으로 이루어진 가구 내 성인 여성 239명을 대상으로 설문조사를 실시하였고 기술통계, 상관분석 및 회귀분석 등을 이용하여 연구 결과를 도출하였다. 연구 결과 저소득층 여성들이 평가하는 본인의 건강 수준은 중간 수준이었고, 그들의 건강에 미치는 요인으로는 교육수준, 자기효능감, 사회적 지지 자원 등이 파악되었다. 특히 사회적 지지 자원은 교육수준과 주관적 건강 관계에서 조절변인으로서의 기능을 하는 것으로 나타났다. 본 결과를 통해 저소득층 여성의 건강 증진을 위해서는 직접적인 건강 관련 측면뿐 아니라 자기 관리 역량강화와 같은 심리적 지원, 사회적 지지 자원 확대를 위한 안전망과 같은 제도 구축 등까지 포괄적 관점에서 접근할 필요가 있다는 시사점을 도출하였다. 그리고 후속적으로 저소득층 여성의 건강과 관련된 변인들의 시간속성을 검증하거나 대상을 세분화하는 연구가 이루어질 필요가 있다.

• 문화기술의 융합
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• 제7권1호
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• pp.336-342
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• 2021

일본제국주의는 1937년 중일전쟁을 일으키고 1938년 국가총동원법을 공포하면서 전시총동원체제를 구축해 나갔다. 전시총동원체제기에 접어들면서 일제는 여성들의 노동력에 주목하여 국내뿐만 아니라 국외로도 여성들을 동원하였다. 식민지 조선은 물론 국외의 여성들까지 근로보국대, 여자근로정신대 등으로 강제로 동원되었다. 여성들은 가내 노동은 물론 이미 동원된 남성들의 노동을 대신해야 했으며, 동시에 강제로 전쟁을 위해 동원되는 열악한 상황에 처했다. 여자근로정신대의 동원은 관청의 알선, 모집, 자발적인 지원, 학교나 단체를 통한 선전, 취업 사기, 강제나 협박 등 다양한 형태로 이루어졌다. 일제강점기 강제적 여성 동원의 대표적 희생자였던 여자근로정신대 문제는 개별적으로 소송이 진행되며 여전히 해결되지 않은 문제로 남아 있다. 전시총동원체제기 여성의 강제동원에 대한 실체를 밝히기 위해서는 관련 기구를 통해 지속적인 연구와 사회적 교육이 필요하다.

• 여성건강간호학회지
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• 제15권1호
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• pp.13-23
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• 2009

Purpose: There is increasing necessity of using cord blood cell worldwide. In order to improve the effectiveness of cord blood's usage in Korea, the study of knowledge and attitude regarding cord blood is needed. Method: As descriptive correlation study, data was collected from 212 early postpartum women who stored or donated cord blood from 2007 April to July. Data was analyzed using $X^2$-test, t-test, ANOVA, and logistic regression. Result: Total score of knowledge and attitude of early postpartum women who donated cord blood was higher than who stored. According to the source of education and the source of influence toward decision of using cord blood, early postpartum women who educated or influenced by mass media showed difference in attitude. Job status and income, and attitude of cord blood were the predictor of cord blood donation. Conclusion: Attitude regard to cord blood affect to usage of cord blood, and the attitude and knowledge of cord blood in early postpartum women who donated it higher than who stored.

• 여성건강간호학회지
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• 제21권3호
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• pp.171-183
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• 2015

Purpose: The purpose of this study was to explore the perception of infertile women on the use of the national support program that provides medical expense aid to infertile couples. Methods: Thirty Korean infertile women participated in five focus groups. Data were collected from January to August 2014. After obtaining permission from the participants, each session of the focus group was audio-taped and transcribed. The responses were analyzed using qualitative content analysis. Results: The main themes identified from the sessions with the participants were "feeling thankful for the reliable support program," "feeling happy or unhappy," "enduring inconveniences," and "hoping for a more comprehensive support service." Although most of the participants perceived the benefits of the national support service positively, they stated that the service was not comprehensive because it did not cover all the medical expenses for tests and other medical treatments. Conclusion: The benefits given to infertile couples by the program should be increased by covering all the medical expenses, expanding its criteria to include more eligible candidates, and by including special leave benefits for working women. Furthermore, it is essential to take measures for infertility prevention at the individual and national policy levels.

• 한국농촌생활과학회지
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• 제10권2호
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• pp.37-51
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• 1999

The objectives of this study were to understand the working stress of rural women and their coping strategies, and to provide basic data related with rural welfare policy. The data were obtained through 318 samples of rural women under sixty years old who work full-time at their farms with their husbands. The questionnaire employed Likert-type scale with four-point, and then the data were analyzed by statistical methods of frequency, percentage, mean score, analysis of variance, t-test and Duncan test through SAS program. The significance level was p ＜ .05. The results of this study are as follows ; 1) The average stress level of rural women was over 2.9 points out of 4. 2) The stress level showed meaningful correlation with such variables as age, education, perception on economic status, and recognition by their husbands and other family members. The rural women who are over forty years old, below high school, disregarded from their family members were marked high stress level. 3) The level of rural women's stress coping strategies was quite as low as 1.95 out of 4. 4) The level of coping strategies showed meaningful correlation with such socio-demographic variables as age, perception on economic status and job satisfaction level. Those who aged over 40, perceives low economic staus, lives together with husbands'parents, and shows “average” job satisfaction scored significantly lower coping strategy levels. 5) The level of stress didn't indicate significant relation with the type of coping strategy.

• 여성건강간호학회지
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• 제17권4호
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• pp.369-377
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• 2011

Purpose: Childbirth self-efficacy plays an important role in women's ability to cope with labor and delivery. Coaching has been gaining popularity as a way to promote cognitive, emotional and behavioral change. This study aimed to test the effects of a Coaching-based childbirth program on anxiety and childbirth self-efficacy among primigravida women. Methods: The study design was a quasi-experimental pre-post design. A coaching-based childbirth program was developed synthesizing concepts and techniques from the literature on coaching and was verified by an expert panel. It consisted of four weekly 2-hour small group sessions. Pregnant women were recruited from H hospital in Seoul. Childbirth self-efficacy and state anxiety were measured before and after the program. Results: Although there was a no significant reduction in anxiety, there were statistically significant increase for childbirth self-efficacy in the experimental group when compared to the control group. Conclusion: The program appears to increase childbirth self-efficacy for pregnant women. Future studies may benefit from using mixed coaching modalities and consider measuring health behaviors and obstetric outcomes to gain insights on its long-term impact.

• Nutrition Research and Practice
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• 제14권6호
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• pp.621-636
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• 2020

BACKGROUND/OBJECTIVES: The Seoul Metabolic Syndrome Management (SMESY) program is a 1-yr lifestyle modification program targeting metabolic syndrome (MetS) in Seoul residents. This study investigated the associations between adherence to dietary guidelines and MetS among the SMESY program participants. SUBJECTS/METHODS: Data of 54,385 participants aged 20-64 yrs who completed the SMESY program in 2015, had information on adherence to dietary guidelines, and were not medicated for diabetes, hypertension, or dyslipidemia were analyzed. Participants underwent MetS screening and completed a lifestyle questionnaire including adherence to 10 dietary guidelines before and after participation. Participants were classified according to the number of MetS risk factors at baseline (MetS group, ≥ 3; risk group, 1-2; healthy group, none). Adherence to dietary guidelines was determined from the number of "yes" responses regarding the fulfillment of each guideline on ≥ 5 days/week. Multiple logistic regression was used to evaluate associations between newly diagnosed MetS and changes in adherence to dietary guidelines. RESULTS: In the MetS group, MetS prevalence decreased after the SMESY program (men, -41.9%p; women, -48.7%p), and all risk factors were significantly improved (P < 0.0001). All groups exhibited improved adherence to all dietary guidelines after participation (P < 0.0001). In the MetS group with positively changed adherence scores, the MetS prevalence decreased by -44.1%p for men and -49.5%p for women, whereas the prevalence in those with negative changes decreased by -38.1%p for men and -48.6%p for women. In the risk group, those with positively changed adherence scores had significantly decreased odds ratios (ORs) for newly diagnosed MetS compared with those with negative changes (OR, 0.70; 95% confidence interval [CI], 0.61-0.80 for men; OR, 0.88; 95% CI, 0.79-0.99 for women). CONCLUSIONS: The SMESY program may effectively reduce the risk of MetS among adults with risk factors by improving adherence to dietary guidelines.

• 무역상무연구
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• 제60권
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• pp.195-209
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• 2013

South Korea, despite the financial turbulences has marked the trade volume of USD 1 trillion and marked $7^{th}$ largest exporter in 2013. Approximately 40% of the entire import of Korea was for export. In the South Korean trade structure, import and export are closely related, requiring proactive import financial assistance policies. Recognizing this, K-sure has made import insurance policy available on the market since July 2010. The K-sure insurance policy targets both financial institutions and importers. This is the reason why this research seeks to review the import insurance terms for importers and compare with foreign import insurance products to find out ways to improve. K-sure's import insurance for importers is to cover a loss of a policyholder when the policyholder or importer domestically addressed made a prepayment but cannot receive goods. The import insurance is applied to import transactions of goods or resources. K-sure's import insurance coverage needs to be expanded to intermediary trade and consignment processing trade, etc. In this sense, a more systematic educational program should be introduced about K-sure's import insurance.

• 한국학교ㆍ지역보건교육학회지
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• 제14권3호
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• pp.89-99
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• 2013

Objectives: This study was designed to examine the effects of oral health behaviors and use of dental clinics on periodontal diseases in women, the purpose of this study is to provide basic information to develop program for dental health promotion in young women. Methods: We conducted a survey targeting 486 women that agreed with the survey and were going to dental clinic from October 1, 2013 to October 18, 2013. We surveyed them by self-administered questionnaire and analyzed it by SPSS Win 19.0 program. Results: 1. For differences in periodontitis according to general characteristics, if th age is high, ratio of periodontitis is high. Married woman is higher than single one in ratio of periodontitis. Also the more number of birth, the higher ratio of periodontitis is.(p<.05) 2. For differences of periodontitis by dental care behavior, ratio of periodontitis of non-smokers is significantly low. For one that brush one's teeth broadside, the ratio of periodontitis is high.(p<.05) 3. For differences of periodontitis by use of dental clinic service, ratio of periodontitis of one that have more times visit to a dental clinic, more annual average cost for dental care, and regular dental check-ups is relatively low.(p<.05). 4. For determinant factors influencing on periodontitis, ratio of periodontitis of one that is old, have more stress, have a low level of education, and have preventive dental care is high. Ratio of periodontitis of one that have less toothbrushing and brush one's teeth after having lunch or a snack and before sleeping is significantly low. Conclusions: From this study, dental health behavior as the factor influencing on periodontitis of young women is statistically meaningful. Because this dental health behavior has a lot of potential to be improved by government and local community efforts such as education and social support, we think that systematic and various educational program development is needed to strengthen self dental care ability effectively with policy support.