• 한국보건간호학회지
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• 제10권2호
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• pp.146-161
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• 1996

This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

• 한국학교보건학회지
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• 제11권1호
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• pp.63-74
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• 1998

The purposes of this study are to show in interpersonal relations what factors male students are stressed from, how they experience stress, how they cope With it in each situation, and what this results in It attempt to gam basic materials to promote male student health and positive coping methods, The subject of this study was 15 male students of C University located in Seoul and Kyeonggui-Do They were composed of 5 sophomores, 5 Juniors and 5 seniors The period for collecting materials was October 1997 to January 1998, and the interview time ranged from 50 minutes to two hours The interview frequency was one to three times as occasion demanded, The materials were analyzed by the methods and theory suggested by Strauss & Corbin (1990) The results were 130 categories grouped into 33 divisions by similarity Finally, they were united into 9 higher categories In interpersonal relations the core category of male student stress is "affliction", and it follows the course of generation-coping-resolution The types showed in the course of material analysis are as follows, (1) When the subject student is on good terms with the other and the stress is repeated- "affliction" is strong and continuous-and his ability sense is strong, he copes with "affliction" With his own will and solves It affirmatively, (2) When the subject student is on good terms with the other and the stress is repeated-so "affliction" is strong and continuous-and his ability sense is weak, he copes with "affliction" with an emotional bias and solves it negatively (3) When the subject student is on good terms with the other and the stress is temporary-"affliction" is strong and temporary-and his ability sense is strong, he copes with "affliction" with his own will and solves it affirmatively (4) When the subject student becomes estranged from the other and the stress is temporary-"affliction" is weak and temporary-and his ability sense is weak, he copes with "affliction" with an emotional bias and solves it negatively, (5) When the subject student becomes estranged from the other and the stress is repeated-"affliction" is strong-and continuous and his ability sense is strong, he copes with "affliction" with his own will and solves it affirmatively (6) When the subject student becomes estranged from the other and the stress is repeated-"affliction" is strong and continuous-and his ability sense is weak, he copes with "affliction" with an emotional bias and solves it negatively. According to the above results, the conditions of cause and effect for male students to generate "affliction" should be understood in order to help cope with stress caused by interpersonal relations A program for education and counseling should be developed for male students to strengthen their 'ability sense' in choosing coping strategies In addition, the individual estimation for ability sense should be performed when education and counseling them.

• 한국엔터테인먼트산업학회논문지
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• 제15권4호
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• pp.229-242
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• 2021

본 연구의 목적은 비계설정을 활용한 이야기치료를 통해 내담자의 변화를 이끌어내는데 주목한 실증사례연구이다. 이를 통해 내담자가 살아온 이야기들 가운데 미래의 선호하는 가치와 희망을 찾고자 하는 데 목적을 두었다. 연구방법으로는 심층적 연구방법론(qualitative research)의 구조화되지 않은 질문(unstructured interview)과 느슨한 구조를 통해 진행하였다. 이러한 전제하에 상담자는 '탈중심적이지만 영향력 있는' 자세와 문제에 대해 진단이나 설명을 하지 않았다. 그리고 대화에 순서가 있지 않았으며, 내담자가 어떤 표현을 하기 전에 미리 그에 대한 반응을 결정하지 않았다. 본 연구는 실천적, 학문적 차원에서 다음과 같은 의의를 갖는다고 할 수 있다. 우선 비계를 통한 상담은 내담자의 호기심과 기질, 소망 등을 더욱 풍요롭게 하는 작용을 한다. 둘째, 비계설정은 이야기치료에서 상담자와 내담자간의 관계맺음을 위한 구체적인 모습을 제공해준다. 셋째, 치료적 대화에서 이루어진 비계설정은 '학습과업'을 제시해준다. 넷째, 비계설정을 통한 상담은 내담자의 고등정신기능을 발달시켜줄 수 있다는 적극적인 의미를 담고 있다. 마지막으로, 실증사례에 대한 분석을 통한 비고츠키 이론의 이야기치료에의 적용점을 제시하였다. 이러한 내용을 토대로 본 연구는 이야기치료에서 내담자를 단순히 연구대상으로 위치시키고자 하지 않았다. 이들 스스로 이야기치료의 주체가 되는데 필요한 요인과 그 과정에서 상담자의 역할을 규명했다는 점에서 연구의 의의를 갖는다. 아울러 그간 국내 연구에서 크게 주목하지 않은 개념을 활용했다는 점에서 이야기치료의 연구범위의 확장과 내실화에 기여했다는 점에서도 함의를 갖는다.

• 대한지역사회영양학회지
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• 제27권1호
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• pp.12-26
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• 2022

Objectives: This paper aimed to provide an in-depth analysis of the factors influencing the dietary habits of male and female workers at a facility in Gwangju and their awareness of the same. Methods: A total of 32 workers were divided into eight groups based on work type, gender, and age, and focus group interviews (FGIs) were conducted. The FGIs included cognitive, behavioral, and environmental questionnaires based on dietary habits and the social cognitive theory. The interviews were analyzed by subject and sub-subject using audio recordings and transcriptions. Results: Male workers in the concerned company favored meat while female workers preferred vegetables, yet by and large, the preferences were irregular. Male workers living alone frequently ate ready meals and female workers often skipped meals. An analysis of the factors influencing the study subjects' dietary habits from the cognitive, behavioral, and environmental perspectives showed that the main factors negatively affecting their dietary habits were shiftwork, living alone, and drinking. Workers were unaware of these factors and their poor eating habits. Instead, male workers complained of poor cooking skills, while female workers complained of loneliness. Workers thus appeared to need the support of nutrition education and a counseling assistant to cope with this situation. Conclusions: The study identified the fact that the absence of nutrition education left the workers unaware of their poor eating habits. The workers would need counseling and support to help them build healthy dietary habits. It would also be necessary to focus on raising the workers' cognitive awareness of dietary habits and enhancing their behavioral ability to cope with bad eating habits through nutrition education that reflects the reality of their situation.

• 동의신경정신과학회지
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• 제32권2호
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• pp.129-140
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• 2021

Psychotherapy in Korean Medicine is characterized not only by management of mental issues, but also a holistic perspective of the mind and body, which includes physical treatment. In this case report, we describe the efficacy of Korean psychotherapy for couples with physical symptoms of heartache, emotional tension and marital relationships by addressing the challenges at the Mind and Body levels. For the physical treatment of the couple, the wife was treated with a Bunshimgi-Eum and the husband was administered a Cheonwangbosimdan, combined with a psychiatric interview based on Korean Medicine. It involves listening to the couple's story, YiJungBeongi therapy, understanding and learning about vases and defense mechanisms, self-understanding and understanding of the husband through self-understanding and expansion, and husband's understanding of the wife's position, self-interpretation and acceptance. Based on counseling, the couple's personal characteristics and expansion for self-growth, the progress and results of the couple's challenges and relationship improvement in a relatively short period of time are presented. In response, we hope that the evidence based on Korean Psychotherapy supporting the counseling for couples will continue to accumulate. We would like to report and share a few opinions.

• 한국콘텐츠학회논문지
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• 제18권8호
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• pp.197-209
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• 2018

본 연구의 목적은 질적 연구방법인 내러티브를 바탕으로 학교상담사의 삶 속에서 자녀양육 경험은 어떠하였으며 자녀양육 경험의 의미는 무엇이었는지 탐구하는 데 있다. 연구를 위해 8년 이상의 경력이 있고 학교상담사로 근무하며 자녀를 청소년 시기에 양육한 경험이 있는 두 명의 여성을 연구 참여자로 선정하였으며, 인터뷰를 거쳐 다음과 같이 연구 결과를 도출하였다. 3차원적 내러티브 탐구공간이라고 지칭되는 시간성 사회성 장소에 집중하여 학교상담사들의 자녀양육 경험을 구성하였는데 결과는 다음과 같다. 먼저 학교상담사들은 원가족에게 양육 받은 경험이 자녀에게 영향을 미치고 있음을 "통찰" 하였다. 상담공부 후 훈육과 강압적인 태도로 양육한 것에 대해 "반성과 사과"의 과정을 거쳐, 자녀를 이해하고 바람직한 부모-자녀관계를 형성하고자 노력하는 "충분히 좋은 양육자 되어가기"를 탐색할 수 있었다. 그리고 체험적 통찰을 통해 "진정한 상담사로 거듭나기"로 변모해 가고 있었으며, 이는 "온전히 기능하는 나"의 의미를 담고 있었다.

• 간호행정학회지
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• 제13권3호
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• pp.352-361
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• 2007

Purpose: The purpose of this study was to develop roles and organizational policy of advanced practice nurses (APNs) in an acute hospital setting. Method: The design of the study was to descriptive-exploratory. Sample consisted of 43 participants who included 13 nurses, 18 nurse managers and 12 physicians. Survey, interview and focus group interview were performed to obtain the data. Results: The expected roles of APNs were education and counseling, direct management patient care with advanced skills, research, and collaboration and coordination among several departments. The expected outcomes were patient satisfaction, improved access to care, decreased the rate of complications, and speedy provision of services. Based on research, a proposal of APNs roles and organizational policy in a hospital setting was developed, which included definition of APNs, qualification, roles and specific roles, specialty areas, accountability, recruitment and affiliation, privileges, and expected outcomes. Conclusion: This study gives a guideline on how to introduce and use APNs in acute care tertiary settings.

• 대한감각통합치료학회지
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• 제19권2호
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• pp.46-59
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• 2021

목적 : 아동작업치료사의 부모상담에 관한 경험을 현상학적으로 탐색하여 추후 부모상담 기술 향상을 위한 프로그램 마련의 근거로 활용하고자 하였다. 연구방법 : 연구 방법은 Colaizzi의 현상학적 연구 방법을 적용하였다. 임상경력 8년 이상으로 사설센터에서 근무하는 아동작업치료사 6명을 대상으로 전화 인터뷰를 실시하였다. 인터뷰 내용은 연구참여자의 동의하에 녹음하였으며, 추가적인 내용 확인은 이메일로 받았다. 녹음된 내용은 전사 뒤 분석하여, 아동작업치료사의 부모상담 경험의 의미와 본질을 기술하였다. 결과 : 면담 내용을 분석한 결과 2개의 범주화, 4개 주제모음, 21개의 주제가 도출되었다. 2개의 범주화에는 부모상담의 중요성과 부모상담에 영향을 미치는 요소가 있었고, 4개의 주제모음에는 부모상담의 의미, 부모-아동-치료사 간의 상호성, 치료사의 노력, 필요한 역량이 있었다. 결론 : 본 연구의 결과는 초임 아동작업치료사에 의미있는 자료로 활용될 수 있으며 앞으로 아동작업치료사의 부모상담 기술 향상을 위한 교육 프로그램이나 자료 개발의 기초자료로 활용될 수 있을 것이다.

• 여성건강간호학회지
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• 제21권3호
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• pp.184-196
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• 2015

Purpose: The purpose of this study was to examine the experiences of Sanhujori facility use among the first time mothers in Korea. Methods: A qualitative study was conducted, using focus group interview. Data were collected from the 24 first time mothers of 4 focus groups, who had given birth within 6 month and had used one of the Sanhujori facilities located in C province, Korea. After obtaining written informed consent from all participants, each session of the focus group was audio-taped and transcribed into verbatim. Data were analyzed using content analysis in order to identify significant themes. Results: Four major themes that emerged from the data were as follows. 1) Promoting postpartum physical recovery through a enough time with only focusing on herself, 2) Promoting postpartum psychological recovery through emotional and informational support with peer mothers, 3) Experiencing breast feeding difficulties and disappointing with unsatisfied help from health professionals, and 4) Lack of the professional education programs regarding parenting. Conclusion: Based on these results, it will be suggested that the various support programs by not only the peer mothers co-resided in Sanhujori facilities but also the health care professionals in the Sanhujori facilities should be developed for helping a "becoming a mother" of the first time mother in the Sanhujori facilities. In addition, qualified education and counseling program, especially for the successful breast feeding, should be provided by the health care professionals for improving mothering ability of the first time mother in the Sanhujori facilities.

• 문화기술의 융합
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• 제7권3호
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• pp.105-113
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• 2021

본 연구는 중년여성 근로자를 대상으로 모바일 앱을 활용한 심뇌혈관질환 예방관리 프로그램 참여 경험에 대한 의미를 파악하기 위해 일대일 심층면담 및 포커스 그룹 인터뷰(Focus Group Interview, FGI)를 실시한 질적 연구이다. 본 연구의 대상자는 일 백화점에서 모바일 앱을 활용하여 심뇌혈관질환 예방프로그램에 참여하고 있는 50세 이상의 여성 근로자 26명을 대상으로 하였다. 연구결과 도출된 참여경험은 '알아가는 것에 대한 즐거움', '상호 우호적 관계의 활성화', '건강에 대한 관심이 나를 관리하게 함', '익숙하지 않은 문화를 받아들임', '어디서나 상담을 받는 듯한 편리함'의 주제가 도출되었다. 이러한 결과를 통해 모바일 앱이 건강행위 실천의지를 향상시키는 것으로 나타났고, 모바일 앱을 설치 시 낯선 프로그램에 대한 불안을 감소하기 위해 안전한 프로그램임을 보증할 수 있는 인증기준이 필요함을 제언한다.