• 제목/요약/키워드: counselling

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효과적 건강상담을 위한 제 보건행동이론의 활용방안에 대한 연구 (The Use of Health Behavior Theory for Effective Health Counselling)

  • 김혜경
    • 보건교육건강증진학회지
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    • 제19권1호
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    • pp.149-170
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    • 2002
  • The use of health behavior theory in health counseling may improve its effectiveness. This article provides an overview of health behavior theory and guidelines on how to incorporate various theories into effective health counseling. Models that focus on behavior change at the individual level are described, including the health belief model, which focuses on individual health beliefs; social learning theory, which emphasizes interactions between individual, behavior and its environment; theory of reasoned action and theory of planned behavior, which examines factors influencing behavioral intention;. the stages of change model, which focuses on one's stage of readiness for change. Research review provides explanatory and predictive utility of four health behavior theories. Suggestions for effective health counselling are as follows: 1. Unified theoretical framework incorporating key concepts from different health behavior theories is needed. 2. Need assessment should be included in counselling process. 3. Behavior-change counselling should target changes in one or more key variables previously identified. 4. Focusing on promotional efforts into a high profile behavior(gateway behavior) can be an an adjunctive way of initiating other health promotion behaviors. 5. Counselling should be staged based, and different strategies and processes of changes should be applied at different stages.

진로탐색 집단상담 프로그램이 여대생의 진로결정 자기효능감과 진로성숙도에 미치는 영향 (Effect of Career Exploration Group Counselling Program on Career Decision-making Self-efficacy and Career Maturity of Female Colleges)

  • 허정철
    • 한국콘텐츠학회논문지
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    • 제12권10호
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    • pp.227-236
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    • 2012
  • 본 연구의 목적은 진로탐색 집단상담 프로그램이 여대생의 진로결정 자기효능감과 진로성숙도에 어떠한 영향을 미치는 가를 검증하고자 하였다. 본 연구결과 진로탐색 집단상담 프로그램은 여대생의 진로결정 자기효능감 하위 영역 가운데 목표선택, 직업정보, 미래계획에서 통계적으로 유의미한 효과가 있었으나, 문제해결 영역에서는 유의미한 효과가 나타나지 않았다. 또한 진로탐색 집단상담 프로그램이 여대생의 진로성숙도 영역가운데 결정성, 독립성, 관여성에서 통계적으로 유의미한 영향을 미쳤으나, 타협성 영역에서는 유의미한 영향이 나타나지 않았다. 이와 같은 연구결과는 진로탐색 집단상담 프로그램이 여대생의 진로결정 자기효능감 및 진로성숙도 향상에 유의미한 영향을 미치는 것을 증명한 것이다. 따라서 진로탐색 집단상담 프로그램을 대학 1학년때 부터 실시함으로, 학생들이 자신의 적성과 소질에 맞는 진로를 스스로 선택할 수 있도록 도와야 한다. 더 나아가 대학에서 진로탐색 집단상담 프로그램과 같은 교과목을 개설하여 대학생들의 진로문제에 많은 도움을 제공해야 할 것이다.

현재와 미래 약국서비스에 대한 약사의 인식 (Pharmacists' Perception for the Current and Future Pharmaceutical Services)

  • 강민구;방준석
    • 한국임상약학회지
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    • 제27권4호
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    • pp.228-237
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    • 2017
  • Objective: We conducted a survey to understand the current state of pharmacy services and pharmacists' thoughts in the future of the community pharmacy setting. Methods: A questionnaire was distributed to 229 pharmacists and gathered from 95 respondents. Results: We asked to pharmacists about what the ideal pharmacy duty should be in the next 10 years at the community pharmacy setting in Korea. For this question, the respondents said drug counselling (19.4%), dispensing (13.8%), long-term care of chronic disease and healthcare education (12.8%), and OTC counselling (11.5%). When asked about how much time they were spending doing certain tasks in the pharmacy, the main tasks were dispensing (23.5%), counselling (17.1%), prescription review (10.1%), and OTC counselling (5.5%). When asked about what the most important duty of a pharmacist was, medication counselling (45.4%) was the most important task that they identified and the reasons for not being able to fulfill this role properly was time shortage (78.9%) followed by the lack of counselling spaces, up-to-date knowledges, and focus on financial gains over patient counselling. Conclusion: Korean pharmacists are mainly focusing on dispensing in their daily work. Their basic responsibilities can be easily mechanized over the next few years, but the social expectations of disease-prevention and public health promotion both in current and future can not be replaced by such mechanical measures. Therefore, pharmaceutical services in Korea should be developed in more diverse and professional ways.

아동학대 인터넷상담 사례에 대한 내용분석 연구 (Contents Analysis of Child Abuse Counselling Cases on the Internet)

  • 이시연;박은미
    • 한국사회복지학
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    • 제56권4호
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    • pp.291-316
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    • 2004
  • 본 연구는 아동학대 인터넷상담 사례의 내용을 분석하여 아동학대의 이해를 위한 보완적 정보를 제공하고, 아동학대의 예방과 치료 체계에서의 인터넷 활용방안 모색을 위한 기초 자료를 제공하는데 목적을 두고 있다. 이를 위해 인터넷 아동학대상담센터(www.childabuse.or.kr)의 공개상담실에 게시된 상담 사례를 내용분석 연구방법을 사용하여 분석하였다. 연구 결과, 아동학대 인터넷상담 사례에서 특정 경향성을 발견하였고, 분석 결과는 다음과 같이 3가지 주제로 정리하였다. 첫째, 상담의뢰자 유형과 상담의뢰자가 학대 상황을 발견하게 된 경로, 상담의뢰 동기 목적을 중심으로 상담의뢰자 특성을 분석하였다. 둘째, 학대유형 및 특성으로 피학대자의 학대상황과 학대유형에 대한 분석이 이루어졌다. 셋째, 피학대자 특성으로 성별, 연령, 가정형태 및 문제, 피학대자의 정서적 특성, 아동학대의 영향 등을 분석하였다. 이러한 결과를 바탕으로 아동학대 예방 및 치료적 개입을 위한 실천적 방법들이 제시되었다.

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교정상담이 수형자의 적응과 수용생활에 미치는 영향 (Effects of counselling on the adaptation and behaviors of inmates)

  • 김석현 ;배준성 ;장훈 ;허태균
    • 한국심리학회지 : 문화 및 사회문제
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    • 제15권2호
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    • pp.273-290
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    • 2009
  • 본 연구는 교정상담이 교정시설 수형자의 수용생활에 미치는 영향을 알아보기 위해, 수형자들에게 인성상담, 종교상담, 개인상담을 진행하고 그들의 행동변화를 측정하였다. 구체적으로 상담의 효과를 알아보기 위해 상담 프로그램 실시 직전, 그리고 상담 직후와 2개월 후의 수형자의 범죄적 경향성, 수용생활 행형점수 및 징벌횟수를 측정하여, 그 변화값으로 상담 종류 간의 차이를 알아보았다. 연구결과에 따르면 인성상담 집단과 통제집단 사이에 유의미한 차이가 있었다. 즉 다른 상담집단에 비해 인성상담 집단이 아무런 상담을 받지 않은 집단과 대비할 때 유의미한 변화가 일어났음을 확인할 수 있었다. 특히 이러한 교정상담의 효과가 2개월 후까지 지속된 것이 발견되었다. 상담의 진행 시기가 집단들 간에 차이가 있는 점, 특정 종교를 가진 수형자를 대상으로 하는 상담 프로그램 구성으로 인해 완전무선할당이 불가능했다는 점 등의 한계점과 함께 교정상담의 실질적 효과에 대해 논의하였다.

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일개 대학교 5년간 인트라넷 건강상담 내용분석 (Content Analysis of the Health Counseling by the Intranet in University : 2000-2004)

  • 김형대;배석환;나백주;김건엽;김철웅;강문영;김대경;오경희;이무식
    • 농촌의학ㆍ지역보건
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    • 제32권2호
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    • pp.75-86
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    • 2007
  • Objectives: The research was aimed at analyzing the contents of university intranet for systematically execution of the healthy information provision and healthy consultation services from 2000 January to 2004 December. Methods: We have analyzed 300(28.3%) the instances of accomplished health consultation cases from the whole 1,059 instances which were the replied in a university intranet. Results: According to the contents of health consultation in ICPC code, a general symptom 91 cases(30.3%) was most, muscle-skeletal system 44 cases(14.7%), and digestive system 43 cases(14.3%) in order of cases of health counselling. The symptoms and complaint with 155 cases(51.7%) were most in the distribution of the health counselling contents by 17 charter of ICPC. The most common reason of counselling by 17 charter of ICPC were as follows; questions about the symptom and diagnosis(118 cases, 39.3%), the preventive and treatment methods(91 cases, 30.0%), and medical fee(20cases, 6.7%) in order. We mainly answer on the content of health counselling were as follows; make an offer of medical information and knowledge(48.3%), recommend visit clinic or hospital(23.7%), guide to treatment(12.7%), and so on. Conclusions: This research showed that the program of health counselling may not meet completely the high quality and adequate distribution of health counselling by the intranet in a university by content analysis. The finding suggests that health counselling by intranet in a university may be used to supplement of systemic improvement on the intranet Q/A format from current lack of essential health information and security for the quality of the health counselling.

인지행동적 집단상담이 집단따돌림 피해학생의 자아존중감과 대인기술에 미치는 효과 (Effects of Cognitive-behavioral Group Counselling on the Self-esteem and Interpersonal Skills of School Bullying Victims)

  • 권효진;강영심;김재은
    • 수산해양교육연구
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    • 제20권1호
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    • pp.46-57
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    • 2008
  • In an attempt to help improve school bullying victims' self-esteem and interpersonal skills, this study explored the effects of a cognitive-behavioral group counselling program on the victims. The subjects of this study were six middle school female students who were identified as bullying victims by their teachers. They had T-scores of 65 or more on one or more scales in the MMPI-A. The cognitive-behavioral group counselling program was developed to improve their self-esteem and interpersonal skills and was administered twice a week from November 28 to December 30, 2005, totalling ten occasions. Major findings of the study include the following: First, there was a significant difference in self-esteem between pre- and post-tests. All the scores on six tests given on a period-by-period basis showed significant changes at the significance level of 0.1%. Secondly, there was a significant difference in interpersonal skills between pre- and post-tests at the level of 5%. All the scores on six tests given on a period-by-period basis also showed significant changes at the significance level of 0.1%. These findings demonstrate that cognitive-behavioral group counselling is effective in improving school bullying victims' self-esteem and interpersonal skills.

학교생활문제로 전문가 상담을 필요로 하는 중학생의 규모와 가정 및 학교생활 특성 (The Prevalence of Counsel Need among the Middle School Students, and Characteristics of Their Family and School Life)

  • 신선미
    • 한국학교보건학회지
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    • 제25권2호
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    • pp.168-174
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    • 2012
  • Purpose: The purpose of this study was to identify the prevalence of counselling need for school life problem in middle school students and to investigate characteristics of their family and school life. Methods: Subjects were 7,136 middle school students in Seoul. Data were from 2010 Student Health Examination in Seoul. Cross-sectional study using secondary data was performed. Descriptive, t-test and multiple logistic regression were conducted. Results: 7.2% among subjects required counselling for their school life problem. By demographics, the odds ratios of counselling need were 2.2 times in female, and 1.59 and 1.41 times in 8th and 9th grade vs 7th grade. By region, those of Dongbukbu (Northeast), Seobu (West), and Jungbu (Central) vs Kangnam (South of River) district were 0.46, 0.25, and 0.57 times. With regard to family and school life characteristics, those of inflicted violence, the bullying, family apprehension, and consideration of away from home were 3.38, 3.75, 2.08, and 2.40 times, while that of students having person to discuss was only 0.62 times. Conclusion: It is necessary to activate the school counselling program, especially enforcing support system, not only to enforce resilience of student, but also to decrease the health problems in family and school life.

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'사상체질진단 및 상담' 부문의 요양급여 확대를 위한 제안 (Suggestion for Insurance Guarantee Reinforcement in Sasang Constitutional Examination and Counselling)

  • 이의주;이준희;고병희
    • 사상체질의학회지
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    • 제29권4호
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    • pp.299-310
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    • 2017
  • The Sasang Constitutional Examination, which is a medical treatment for Korean medicine, is a insurance non-coverage item. It is necessary to diagnose the constitution for medical treatment and to know the health regimen according to the constitution. We plan this project in order to expand the insurance guarantee reinforcement for Sasang Constitutional Examination and Counselling. This study was to investigate the status of insurance coverage and non-coverage items and to investigate objectivity and standardization of Sasang Constitutional Examination and Counselling. In addition, according to medical field, the items of Sasang Constitutional Examination and Counselling were divided. We reviewed the status of constitutional health care services and applied it to the financial budget for the medical care costs. Finally we propose Sasang Constitutional Examination and Counseling of Korean Medicine Act Classification (plan) and propose Insurance Coverage of Sasang Constitutional Examination and Counselling (plan).

노인 운동프로그램이 노인의 건강상태와 우울에 미치는 효과 (The Effect of Exercise Program on Health and Depression in the Elderly)

  • 박정모;한신희
    • 대한간호학회지
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    • 제33권2호
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    • pp.220-227
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    • 2003
  • Purpose: The purpose of this research was to determine the effect of an exercise program on the health status and depression in the elderly. Method: The research design was a nonequivalent control group pre-post test design. The exercise program (experimental group) consisted of 22 elderly over a period exercising for 12weeks, 3 days/week. The phone counselling about exercise and health(control group) was applied for 12 weeks for 10-15minutes/day/week. To identify the health status SF-36 was utilized and the GDS was used for depressionanalysis. The data was collected from May 2001 to July 2001. Result: The effect of the exercise appeared significant in the subarea of health status (physical function, physical role, mental health, general health) and depression. The effect of the phone counselling was appeared significant in subarea of health status - bodily pain. The effect of the exercise and the phone counselling did not appear significant. Conclusion: The exercise designed for the elderly promotes health in the elderly and further evaluation about the effect on exercise and phone counselling is needed.