• 제목/요약/키워드: health Counselling

검색결과 230건 처리시간 0.024초

아내학대 피해자의 경험에 관한 연구 (Victims' Experiences of Wife-Abuse)

  • 이은주
    • 여성건강간호학회지
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    • 제3권2호
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    • pp.250-267
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    • 1997
  • The wife-abuse is a seriously threatening factor with victim's wellbeing and health. This study was performed to analyze the victims' experiences of wife-abuse to prepare the basis of nursing intervention for them. The participants of study were 96 women who counseled with W counselling center for wife-abuse from January 1996 to August 1997 in Cheju. Data were gathered through the unstructured interviews(telephone, face-to-face and letter) by trained 3 members of the center. The collected data were analyzed to reveal the characteristics of wives and husbands, the modes of wife-abuse, the influences of abuse to wives and the coping styles of wives. The modes of wife-abuse were analyzed and classified using the power and control wheel model of Pence et al. The results of study unveiled that the wife-abuse behaviors were used to control the wife physically, sexually, economically, and psychologically and to maintain the abuse situation. We have to understand the dominant regime of our society, ie the patriarchy that controls the women's labor power, production power and personality, to approach the victims' of wife-abuse and to provide the proper nursing interventions for them.

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칭찬활동 프로그램이 청소년의 희망과 자아존중감에 미치는 효과 (The Effect of Praising Activity Program on Hope and Self-esteem of Adolescents)

  • 김혜숙;민순;박종;김경미;하윤주;김은아;정선주
    • 한국학교보건학회지
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    • 제22권2호
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    • pp.61-71
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    • 2009
  • Purpose: The purpose of this research is to investigate the effect of the praising activity program on hope and self-esteem of adolescents. Methods: From Jan 26th to 29th 2009, 193 of subjects were participated in investigation in G city. After 4 days of data collecting in praising activity program, research is the pre and post similarity test to investigate hope and self-esteem of adolescents. Results: The average hope score of adolescents significantly increase from 3.39 before the program to 3.60 after the program. The average self-esteem score of adolescents significantly increased(p<.001) from 3.01 before the program to 3.15 after the program. From the results, the program showed that it has significant effect on hope and self-esteem of adolescents. Conclusion: The praising activity program as an affirmative mass psychological program is confirmed that it affects on hope and self-esteem. Therefore, it is expected to be utilized as promotion of health program for adolescents.

청소년의 흡연경험, 흡연예방교육 실태 및 요구도 조사 (A Study on Adolescents' Smoking Behavior and the Status and Need of Smoking Prevention Education for Adolescents)

  • 안옥희;권영미;전미순
    • 지역사회간호학회지
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    • 제16권4호
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    • pp.467-477
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    • 2005
  • Purpose: This study was to identify adolescents' smoking behavior and the status and need of smoking prevention education for adolescents. Method: The subjects were 375 students selected through convenient sampling from three middle schools and three high schools in Jeonbuk. Data were collected through a questionnaire survey and analyzed using SPSS 10.1. Result: The smoking rate was 20.8% and 83.7% the students experienced smoking prevention education. Students were educated by a special instructor (39.8%) or a health teacher (26.8%). Among the teaching methods, lecture was 69.4%, but some students (30.7%) wanted anti-smoking school. Among the students, 85.0% answered they want smoking prevention education and 46.7% said that it should be covered in regular curriculum. Conclusion: High interest and continuity are emphasized for the success of smoking prevention education. In addition, various teaching methods need to be developed including anti-smoking school, lectures, counselling and long term education program. Moreover, smoking prevention education programs need to be covered in regular curriculum.

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건강증진프로그램이 재가뇌졸중환자의 기능상태에 미치는 효과 (The Effects of the Health Promotion Program on Functional Status of the In-house Stroke Patients)

  • 박혜경
    • 재활간호학회지
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    • 제6권2호
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    • pp.213-225
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    • 2003
  • The purpose of this study is to develop and evaluate the health promotion program to increase the functional status of the in-house stroke patients. The subjects for the experiment are 38 in-house stroke patients in a health center and welfare centers suffering from hemiplegia. The experimental group consists of 19 stroke patients and the control group consists of another 19 stroke patients. The program was applied to the experimental group for 8 weeks. The subjects were given health education at the first week. At the second and the fifth week they were given counselling on health by home visit. At the third, the fourth, the sixth and the seventh week they were interviewed by phone about health, and at the last week they shared their experiences through group meeting. The results of the study are as follows: 1. The degree of ADL in the experimental group increased significantly, compared with that of the control group. 2. In the experimental group the degree of Range of Motion in shoulder abduction, elbow flexion, hip flexion and ankle dorsiflexion increased significantly, compared with that of the control group. 3. In the experimental group the degree of muscle strength in elbow flexion, knee extension, and ankle dorsiflexion increased significantly, compared with that of the control group. 4. Systolic pressure, diastolic pressure in the experimental group decreased significantly, compared with that the control group. 5. HWR in the experimental group didn't decreased significantly, compared with that the control group. 6. The degree of depression in the experimental group decreased significantly, compared with that the control group. 7. The degree of social adaptation in the experimental group increased significantly, compared with that the control group. The results above show that the health promotion program for this study was effective in promoting the performance of lifestyle for health improvement of the in-house stroke patients. Therefore, it is considered that the program can be used as an efficient nursing intervention for the in-house stroke patients who need continuous health-improving behaviors.

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일 대학 병원의 가정간호시범사업 서비스 내용 및 만족도에 대한 조사연구 (A study on Hospital based Home Health Care Service and the Level of Client Satisfaction)

  • 김정남;권영숙;고효정;김명애;박청자;신영희;이병숙;이경희;서향숙
    • 한국보건간호학회지
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    • 제14권2호
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    • pp.246-259
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    • 2000
  • The purpose of this study was to assess the provided home health care services and to evaluate the patient's satisfaction level of received home health care services. Well trained two home health care nurses interviewed with 138 respondents who received home health care by Keimyung University Hospital from January 1st to August 31st 1999. The results were summarized as follows : 1) Among 138 respondents, $55.8\%$ were mail and $44.2\%$ were female and $70.3\%$ of them were over sixty years old. Respondents main family care givers were spouse$(53.6\%)$, daughters and sons$(36.2\%)$ and parents$(7.2\%)$. 2) $60.2\%$ of cancer patients received home health care services, $23.3\%$ of cerebral­cardiovascular patients, $7.5\%$ of endocrine disorder patients, $2.3\%$ of those who have indwelling foley catheter patients, $1.5\%$ of those who have respiratory problems and others$(5.2\%)$. 3) $88.1\%$ of respondents were satisfied with the number of home visits they received. $50.5\%$ of respondents' were received 1 to 3 times of home visits by home health care nurse per month. $48.6\%$ of respondents answered they were introduced by attending doctors or nurses to home health care services. $55.8\%$ of respondents answered registration to home health care services was simple and easy. $97.4\%$ of respondents answered home health care payment system was adequate. $64.9\%$ of respondents answered the cost of home health care per visit was adequate and comfortable. 4) Health education, counselling, physical assessment was provided to most of the patients. Those who suffered with cerebral-cardiovascular disease was needed hands on direct care most of all. The least home health care service provided was medication. 5) The satisfaction measurement tool was composed with 13 items and 3 score scale. The mean score of satisfaction on provided home health care services was 2.67 out of 3. Among 13 items. 'home health care service was kind enough' was highest(2.84). 'nurse use precise word to understand and communicate'. 'nurse gave home visiting notice ahead of time and kept the home visiting promise on time' was 2.83. 'whenever I need home health care nurse I can give a call and meet the nurse' was lowest 2.41. Special Home Health care programs such as comprehensive hospice care programs for elders over sixty years old should be organized. Adequate and standardized home health care payment system should be developed as soon as possible. In korean family situation. when family members are getting sick and stay at home. family members were taking care of the patients. special program such as counselling family members are needed.

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보건진료소 업무전산 프로그램 사용실태 및 관련요인 분석 (Analysis of Factors related to the Utilization of a Community Health Posts Information System)

  • 이정렬;방숙명
    • 대한간호학회지
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    • 제27권1호
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    • pp.7-12
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    • 1997
  • A computerized Community Health Posts information system was developed in 1991 by Yonsei University, College of Nursing and disseminated to more than four hundred Community Health Posts. The content of was published in the journal, The Korean Nurses in 1995, volumne M, number 4. Successful adoption to the computer program is related to many factors, such as personal factors and environmental factors. For the computer program to succeed it must be significantly related to the users and therefore it is necessary to analyze these related factors. This study describes the status of the utilization of computer programs in Community Health Posts and analyzed the factors related to utilization of the computer program. Of the 801 community health practitioners, 656 responded and data were analyzed using SPSS computer programs. Responents were from six provinces and about 85% had been working as CHPs for more than five years and 84.1% had graduated from a community college. Of these 656, 42.1% had a computer and about 60% had funding aid from the community or government. The percentage using the community health post's computer program was 22.3%. Community health practitioners were most often using the following content of the computer program : treatment activities (65.5%). medication management(53.5%). counselling and education(46.4%). bookkeeping(39.5%). chronic disease management (28%), and insurance billing(15.9%), The factors which were significantly related to the computer utility were degree of support from province, years of working. and age. The Community health practitioners who had more support from the province. who had fewer working years. and were younger used the computer program more frequently.

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Prevalence of Cigarette Smoking and Associated Factors among Male Citizens in Tehran, Iran

  • Kassani, Aziz;Baghbanian, Abdolvahab;Menati, Rostam;Hassanzadeh, Jafar;Asadi-Lari, Mohsen;Menati, Walieh
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1473-1478
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    • 2016
  • Background: Cigarette smoking is as the leading cause of cancer mortality and other chronic diseases in males worldwide. The prevalence of cigarette smoking is different across and within countries by age, education level, occupation, and so on. This study aimed to determine the prevalence of cigarette smoking and its relationship with individuals' demographic factors and BMI in adolescent men living in Tehran, Iran. Materials and Methods: This study involved secondary analysis of the 'Urban Health Equity Assessment and Response Tool-2' survey conducted in Tehran, Iran, among men aged 20+, 2011-2012. Using a multistage sampling method, 45,990 men were included in the study. The cigarette smoking status, BMI and demographic factors measured through a self-administered questionnaire. Chi-square, t-test, and logistic regression model were used to examine the relationships between the independents variables and cigarette smoking behavior, using SPSS software version 21. Results: In the total of 45,990 men, the overall prevalence of cigarette smoking was 14.6% (CI 95%: 14.29-14.94). Age (OR=0.96; CI 95%:0.94-0.98), house ownership (OR=0.68; CI 95%: 0.64-0.72), job status (OR=0.60; CI 95%: 0.46-0.86), marital status (OR=0.42; CI 95%: 0.39-0.47) and educational levels (OR=0.50; CI95%: 0.45-0.54) were associated with the prevalence of cigarette smoking. However, associations with BMI, family size, residency years, and district were not statistically significant. Conclusions: Given the relatively high prevalence of cigarette smoking in the study population, policy interventions are required to address this major public health issue, with a focus on the population demographic influences.

쪽방지역 주거기간과 우울증상 경험과의 관련성 (Association between period of living alone in a shabby one-room and depression experience)

  • 김진성;차선화;김창수;박희정
    • 한국학교ㆍ지역보건교육학회지
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    • 제20권2호
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    • pp.37-51
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    • 2019
  • Purpose: This study aims to substantiate a correlation between the period of living alone in a shabby one-room and a depression experience. Methods: We conducted a cross-sectional study using data from the Korea Homeless Survey carried out by the Korea Institute for Health and Social Affairs in 2016. In the study, the data included 485 survey participants who resided in a single room. The period of single-room occupancy being divided into three groups: less than 1 year, 1 to 4 years, and more than 5 years was considered a primary independent variable. The outcome variable which represented a depression experience was measured by CESD-11(The Center for Epidemiological Studies-Depression Scale). We carried out a Chi-square test and multiple logistic regression to evaluate the association. Results: The rate of depression experienced in this population was 77.5%. Almost 83.9% of the participants were reported as being unable to receive the mental health counselling in the last 12 months. After controlling for covariates, subjects who were living in a single room occupancy for 1-5 years(OR=3.89; 95% CI=1.43-10.56) and more than 5 years(OR=2.71; 95% CI= 1.05-6.95) were found to be more likely to experience depression. Conclusions: The results showed that living alone in a shabby one-room had a high correlation with experiencing depression. We proposed that there is a need to develop a new strategy for mental health promotion program for the poor, vulnerable and deprived population.

장기요양기관(시설급여) 평가의 효과성 검증 (Verification of effectiveness of evaluation of long-term care institution)

  • 김윤정;김영재;이상진
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제9권5호
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    • pp.781-791
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    • 2019
  • 본 연구에서는 장기요양기관 관리자, 요양보호사, 입소노인을 대상으로 하여 2015년도 장기요양기관의 평가(평가등급, 평가등급의 변화, 평가지표의 적합성), 요양보호사의 서비스의 질, 입소노인의 서비스 질 만족도, 삶의 만족도, 시설 선택에 미치는 영향을 파악하고자 하였다. 이를 위해 IRB를 받은 뒤 2018년 1월과 2월에 장기요양기관 관리자 79명, 요양보호사 381명 및 입소 노인 381명을 대상으로 설문조사를 완료하였다. 설문조사는 2015년도 장기요양(시설급여) 평가결과를 반영한 할당표본을 실시하였다. 연구결과 장기요양기관 평가의 주된 목적이라 할 수 있는 입소노인의 삶의 질 향상에는 요양보호사의 서비스 질 보다 기관평가(평가등급, 평가등급의 변화, 자표의 적합성 인식)가 더 큰 영향을 미치는 것으로 나타났다. 그러나 퇴소 후 시설재선택의향은 요양보호사의 서비스의 질에 더 큰 영향을 받았다. 따라서 시설재선택의향을 제외하고 보면, 국민건강보험공단의 평가의 호과성이 부분적으로나마 검증되었다고 볼 수 있다.

중년과 노년의 자가 평가 건강수준 영향요인 비교 (Comparison of Influencing Factors for Self-rated Health between Middle Aged and Elderly)

  • 윤은자;권영미;이영미
    • 한국콘텐츠학회논문지
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    • 제16권2호
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    • pp.200-210
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    • 2016
  • 본 연구는 지역사회에 거주하는 중년과 노년을 대상으로 자가 평가 건강수준 정도를 파악하고 이에 영향을 미치는 요인을 규명하고자 시행한 서술적 상관관계 연구이다. 40-64세의 중년 142명과 65세 이상의 노년 201명을 대상으로 구조화된 설문지를 이용하여 2014년 3월부터 7월까지 자료를 수집하였다. 중년에서는 건강증진 생활양식, 기분상태, 사회적 지지, 자기효능감이 자가 평가 건강수준과 유의한 상관관계를 보였으며, 보유질환 여부, 건강증진 생활양식의 하위개념인 스트레스 관리와 건강책임, 기분상태의 하위개념인 피로, 화, 긴장과 사회적 지지가 자가 평가 건강수준의 영향요인으로 확인되었고 설명력은 43.6%였다. 노년에서는 건강증진 생활양식, 사회적 지지, 자기효능감이 자가 평가 건강수준과 유의한 상관관계를 보였으며, 건강증진 생활양식의 하위개념인 신체활동, 보유질환 여부, 기분상태의 하위개념인 혼동, 운동여부가 자가 평가 건강수준을 40.4% 설명하는 영향요인으로 확인되었다. 이러한 결과를 토대로 중년과 노년의 차별화된 특성을 반영하여 교육, 상담, 건강검진, 레크리에이션 활동 등의 방법을 통한 신체 정서 사회적 영역을 포함하는 포괄적 건강증진 프로그램의 개발과 적용이 요구된다.