• 제목/요약/키워드: health Counselling

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한방건강증진분야에 대한 사회의식 및 실천형태조사연구 (A study on the health attitude and practice of Oriental Health Promotion)

  • 김광중;박용억
    • 대한한의학회지
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    • 제19권2호
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    • pp.468-484
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    • 1998
  • The purpose of this study was to explore the development of oriental health promotion project in korea. The study was performed from June 10, 1998 though June 30, 1998 by using questionnaires and the subjects were 208 in Taegu and Kyung-san city. The analysis methods were frequency, percentage, $x^2-test$ and ANOVA. The SAS/pc Program was used for the statistic analysis. The major findings are as followings; 1. The self-confidence of health was higher among male(2.59) than female(2.94). On the whole, the subjects studied have good health. Activity of daily life was medium. 2. As the subjects grow old, satisfaction level on health counselling with oriental doctors was high. Hospital and clinic covered 60-80% of the health assessment institutes and oriental hospital & clinic covered 10-18% of them. 3. As the subjects grow old was high the level of health promotion practice. On the whole, the level of health promotion practice was low. The physical exercise was highest covering 40% in the types of health promotion. 4. On the whole, the demand of oriental health promotion program was considerably high (male 2.06, female 2.49). The reason why the health promotion programs were necessary was necessary was the effectiveness of health promotion and the difficulty of self-practice. In the effectiveness of health promotion programs, the subjects were higher in oriental medicine than medicine. 5. In the validity level of physical constitution in the oriental medicine. the subject were high(3.48-3.80). But the necessity of the physical constitution change was medium.

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비만 여고생의 건강통제위 성격과 섭식행동 (Health Locus of Control and Eating Behavior of Obese High School Girls)

  • 문선영;김신정;김숙영
    • 대한간호학회지
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    • 제31권1호
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    • pp.43-54
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    • 2001
  • The purpose of this study was to investigate the relationship between health locus of control (HLOC) and the eating behaviors in obese high school girls. The sample consisted of 262 obese high school girls in Seoul and Kangwon-Do. The results of this study were as follows: 1. The average scores of HLOC were HLOC- Internal; 4.06, HLOC-External; 2.47, and HLOC-Chance; 2.15. 2. The average scores of eating behavior factors were Disinhibition ; 2.91, Hunger ; 2.73, Dietary Restraint ; 2.55. 3. The HLOC-Internal and eating behavior (dietary restraint, disinhibition and hunger) were correlated positively. The HLOC- Chance and hunger was correlated positively. But HLOC-Chance and other eating behavior factors (dietary restraint & disinhibition) were not correlated in the level of statistical significances. The HLOC-External and eating behavior (dietary restraint, disinhibition and hunger) were correlated positively. 4. There was not a significant difference in HLOC depending on the existence of an obese sibling. There were significant differences in HLOC-Internal and HLOC- External depending on the evaluation of one's body figure. 5. There were significant differences in disinhibition and hunger depending on the existence of obese sibling. Also, there were significant difference in dietary restraint according to self perception of who is obese or not (t=3.342, p=.001). This study has shown a correlation between HLOC and eating behavior. As a result of these findings, clinical and school nurses should be involved in management and counselling obese girls concerning individual health locus of control and eating behavior.

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중학생의 분노, 우울과 자살생각에 관한 예측모형 (Construction of a Structural Model about Middle School Students' Anger, Depression, and Suicidal Ideation)

  • 이종은;최동원;임정혜
    • 한국학교보건학회지
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    • 제26권2호
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    • pp.72-80
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    • 2013
  • Purpose: This study was done to construct and test a structural model to explain factors associated with middle school students' suicidal ideation focusing on mediating effects of anger and depression Methods: Data was collected by questionnaires from 349 students selected randomly in 11 middle schools in D city. The data were analyzed using PASW 18.0(win) and AMOS 18.0(win) program. Results: Model fit indices for the hypothetical model were in good agreement with the recommended levels (CFI=.957, GFI=.945). Based on the constructed model, depression was significantly affected by anger directly, and suicidal ideation was directly influenced by depression, indirectly by anger. It was confirmed that depression turned out to be a important mediating variable on suicidal ideation and anger in middle school students. Conclusion: The results suggest that intervention strategies for dealing with anger or depression is important to reduce the suicidal ideation in middle school students. In addition, specific nursing intervention plans, including fostering of humanistic and achievement-focused educational environment, peer support programs, and individual counselling, need to be developed and implemented to control a feeling of anger and depression.

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Moderated Mediation Effect of Mindfulness on the Relationship Between Muscular Skeletal Disease, Job Stress, and Turnover Among Korean Firefighters

  • Lee, Jong-Hyun;Lee, Jaeeun;Lee, Kyung-Sun
    • Safety and Health at Work
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    • 제11권2호
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    • pp.222-227
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    • 2020
  • Background: This study investigated the effect of increased job stress, caused by musculoskeletal disease (MSD) among firefighters, on a firefighter's intention to leave the profession, henceforth referred to as "turnover intention," and verified the moderating effect of mindfulness on such a relationship. Methods: A survey involving a total of 549 Korean male firefighters as participants was conducted herein, and the following results were obtained: the mediation effect of the MSD to turnover intention through job stress was confirmed, and the indirect effect of job stress was verified. Results: We verified the moderated mediation effect of mindfulness on the relation:MSD, job stress, and turnover intention. The conditional indirect effect for middle and high levels of mindfulness is significant. Conclusion: The result of this study is supported by proofs of the relationship between a firefighter's MSD, job stress, and turnover intention, and these case studies reveal the moderated mediation effect of dispositional mindfulness.

성격 5요인과 지각된 스트레스가 대학생의 심리적 안녕감에 미치는 영향 (The Effects of 5 Personality Factors and Perceived Stress on College Students' Psychological Well-being)

  • 김민정
    • 한국학교ㆍ지역보건교육학회지
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    • 제24권3호
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    • pp.1-11
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    • 2023
  • Objectives: The purpose of this study is to examine the effects of five personality factors and perceived stress on psychological well-being of college students. This study also examines the mediating role of perceived stress in the relationship between the five personality factors and psychological well-being of college students. Methods: The subjects of the study were 210 college students (94 males and 116 females), and a self-report questionnaire was conducted. The data were analyzed using SPSS 22.0. Results: Three personality factors(openness, neuroticism, and agreeableness) and perceived stress were found to have a significant effect on college students' psychological well-being. Perceived stress partially mediated the relationship between personality factor 2(neuroticism and agreeableness) and psychological well-being. Conclusions: This study should be supported by health education or related efforts that can improve individual personality characteristics and cognitive flexibility by exploring intrapersonal factors that can affect psychological well-being of college students.

일개 시지역 공무원 건강진단 유소견자의 의료이용양상과 결정요인 (Health Care Utilization and Its Determinants of Public Officials with Detected Diseases through Periodic Health Examination Program In Health Insurance)

  • 문상연;박재용;감신;한창현
    • 보건행정학회지
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    • 제10권3호
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    • pp.1-18
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    • 2000
  • This study was conducted to find medical care utilization pattern and to examine the affecting factors on medical facilities utilization using Andersen's medical care service behavioral model. Three hundreds and five public officials with detected disease through the health examination in 1998 were surveyed using self-administered questionnaire. And 230 data were available and analyzed. The results of this study were summarized as follows: Among variables of predisposing factors, knowledge for disease, confidence about periodic health examination program in health insurance, and the attitude toward medical utilization in the usual showed significant relations with the medical utilization. Other variables were not related with the medical utilization. Variables of enabling factors did not show significant relations with the medical utilization. Recognition of family members for detected disease had significant relations with the medical utilization. Among variables of need factors, absence caused by detected disease was significantly related with the medical utilization. The number of non-occupational diseases detected, but untreated people were 75(32.6%) of total subjects, mainly because detected diseases seemed insignificant to them. With multiple logistic regression analysis, the significant variables having an effect on the medical facilities utilization were 'knowledge for disease', 'attitude toward medical utilization in the usual', 'recognition of family members for detected disease' and 'experience of absence caused by detected disease'. On considerations of above findings, counselling for detected disease and its treatment, health education for individuals and program for family support promotion are needed for health management of public officials with diseases detected in health examination.

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금연 및 절주를 위한 학교 공급자원 및 프로그램 (Study on school health promotion service and program for smoking cessation and acohol-reducing)

  • 장혜정;심재선
    • 한국학교보건학회지
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    • 제16권2호
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    • pp.57-69
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    • 2003
  • This study investigates the school resources and programs for health promotion services, especially in areas of smoking cessation and acohol-reducing. The health of students is very important because of students' long life-span remained and their impacts on the community. A three-stage survey model was established. Three stages include a current status of school health resources and programs, an attitude to get rid of health risks at school, and a behavioral intention to provide health promotion programs in the near future. Three hundred and thirty-six schools filled up and returned the questionnaire by mail. The results showed that the facility and personnel for health management are equipped sufficiently in general, except in rural area located, small sized, or middle schools. But provided programs are not good enough in both quantity and quality. Frequently, schools provide the programs such as advertisement, mass education by internal lecturers, and individual. counselling. The programs of special lectures, group activities or rather active use of suppresants are provided rarely, because of the lack of special knowledge or financial supports at school. However, behavioral intention to provide such programs was high. Therefore, the role of health department at school should be fortified. The health teachers need to be trained as a consultant, and the education materials need to be provided to them The school also need to be supported with external experts for special lectures or group activities. In conclusion, schools need to pay more attention to the health risk of students and develop the effective and efficient school health programs for students' health.

인천.경기지역 보건소 간호사의 보건사업 수행에 관한 조사 연구 (A Survey on Health Service Activities of Public Health Nurses in Inchon & Kyung Gi Area)

  • 김명순
    • 지역사회간호학회지
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    • 제1권1호
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    • pp.88-102
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    • 1989
  • This survey was conducted in order to find out the degree of health service activities of Public Health Nurses & variables relevant to their activities. The subjects of this survey were 232 PHN in Health Centers, Inchon & Kyung Gi area. Data were collected by mean of questionairs from 30th, September to 30th, October, 1986. For the analysis, ANOVA was used. The results were as follows; 1. General characteristics of PHN: o An approximately four fifth of the subjects (82.3%) was between 20-39 years. o The average career length of the subjects as PHN was 4 years. o Their educational level was almost Nursing School (22.4%) Junior College of Nursing (53.4%). o The marital status of the subjects was already married (75.4%). 3. The degree of health service activities of PHN; o The total mean of health service activities was 2.147 (S.D: 1.477, range 11-5). o Among the 11 Health Service Categories; Health service planning (2.828) is the highest mean scored category. The lowest mean scored category was the other health services. o Among the specific activity items about the 11 health service categories, the highest scored activities were 'personal counselling & education' in well-baby care (2.504), family planning (2.530), Tb control (2.134), disease control (2.371), 'health history taking & health examination', in prenatal care, 'clinic care', in administrative service, 'record & report', in the other categories. o Almost categories (10), 'Home visiting' was the lowest scored activity. 3. The relevance for the health service activities by several variables were as follows; o The relevance for the health service activities by general characteristics of PHN was not shown significance at age, educational level, marital status, relegion status. o And at work place, & work department was shown high significance.

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의료보험 건강진단사업의 개선방안 (Reform Measures of Health Examination Program in Health Insurance Scheme)

  • 박재용
    • 보건교육건강증진학회지
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    • 제16권2호
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    • pp.205-233
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    • 1999
  • This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

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정신건강예방관리 전문직 직무교육 프로그램 개발 (Development of the Expert Education Program for the Management of Mental Health Prevention)

  • 박성미;이효영;임혁;채은희;김혜숙
    • 보건의료산업학회지
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    • 제6권2호
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    • pp.219-234
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    • 2012
  • Mental health service facilities implement an effort to meet the increased mental health demands. However, no specific 'mental health expert education program' have been offered yet. This study aimed to develop of the expert education programs which are general programs(GP), and specific programs(SP) for the management of mental health prevention in 3 kinds of facilities, psychosocial rehabilitation centers, homeless facilities, and domestic violence counselling facilities. Data were gathered from the service providers by structured questionnaire, and experts related with mental health by delphi study. We surveyed the management status and present expert programs. Consequently, domains of the education programs were extracted. As results, we identified the type of provider's job & demands for education. Thus, we gained the informations for developing the expert education programs in mental health facilities. GP were composed by 3 domains and 9 programs, and SP were composed by 3 programs each facilities. This study should be helpful in expanding the government educational operations related with mental health prevention areas. Eventually, community mental health will be promoted and socio-economic burdens by mental health problems will be lessened. In addition, it will be a basic evidence for developing specialized programs in a mental health prevention system foundation.