• 대한지역사회작업치료학회지
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• 제10권3호
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• pp.37-52
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• 2020

목적 : 본 연구는 보건소에 근무하는 작업치료사를 대상으로 지역사회 작업치료사의 업무 특성 및 실태를 파악하여, 2020년 현재 지역사회 작업치료사에 관한 기초자료로서 활용하고자 시행하였다. 연구방법 : 전국 보건소에 근무하는 작업치료사를 대상으로 이메일을 통해 설문지를 배포하여 응답을 수렴하였다. 수집된 응답지 77부를 기술통계 및 상관관계 분석을 적용하였다. 결과 : 설문응답자는 여자(77.9%), 20-30대(96.1%)가 많았고, 주로 치매 관련 팀(72.7%)에서 근무하였으며 방문, 건강, 재활 관련 다양한 팀에 소속되어 있었다. 보건소 경력은 1-2년(67.5%), 계약형태는 시간선택제 공무원(61%)이 가장 많았고, 업무 강도는 보통-매우 높음(94.8%)이, 만족도는 보통-매우 만족(85.7%)이라는 응답이 가장 많았다. 업무 고충은 예산 행정 업무(26.7%), 업무 외 고충은 계약에 따른 불평등(27.2%)이 가장 높았다. 주로 참여하는 업무는 치매 쉼터, 방문 작업치료, 그룹 작업치료이었으며, 난이도는 예산 행정, 치매 쉼터, 방문 작업치료가 높았다. 주요 치료 목표는 인지능력 향상, 가족 지지가 많았고, 빈도는 인지능력 향상, 가족 지지, 평가가 높았다. 보건소 작업치료 대상은 치매, 일반 노인, 성인 뇌병변 순이었으며, 일반인, 정신과 질환, 아동 관련 대상도 포함되어있었다. 주로 평가를 진행하는 직군은 간호사(35.7%), 작업치료사(33.7%)였으며, MMSE-DS, SGDS, SMCQ를 많이 사용하는 것으로 조사되었다. 결론 : 본 연구를 통해 지역사회 작업치료사의 업무 특성 및 실태를 확인하였다. 치매 관련 사업 등 일부분에 집중되어 있는 작업치료 업무를 넘어선 전문적인 분야 개발 및 참여가 필요하며, 추후 커뮤니티 케어로 확장되고 있는 지역사회 재활의 흐름에 발맞춘 지역사회 작업치료사의 전문적인 역할 정립을 위한 자료로 활용되기를 바란다.

• 농촌의학ㆍ지역보건
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• 제46권4호
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• pp.253-265
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• 2021

이 연구는 중소규모 사업장 남성 흡연근로자의 6개월 금연 성공에 영향을 미치는 요인을 파악하기 위하여 실시하였다. 연구대상자는 2018년 1월부터 2020년 12월까지 G금연지원센터 찾아가는 금연지원 서비스를 이용한 경남지역의 중소규모 사업장 흡연 남성 근로자 767명을 대상으로 하였다. 연구 결과는 중소규모 사업장 흡연 남성 근로자의 6개월 금연 성공률은 20.2%였다. 6개월 금연 성공과 관련된 요인의 다중로지스틱 회귀분석의 결과를 보면 6개월 금연 성공에 영향을 주는 요인으로 연령은 29세 이하, 40~49세는 50세 이상에 비해 성공률이 더 낮았다(OR 0.10, 95% CI 0.03-0.29), (OR 0.43, 95% CI 0.24-0.76). 하루 평균 흡연량이 11~20개비, 21개비 이상이 1~10개비에 비해 성공률이 더 낮았다(OR 0.52, 95% CI 0.34-0.80), (OR 0.46, 95% CI 0.24-0.90). 가족 금연지지자는 배우자와 기타 가족 군이 가족 금연지지자가 없는 군에 비해 성공률이 더 높았다(OR 1.99, 95% CI 1.18-3.34). 본 연구 결과를 보면 가족 금연지지자가 배우자와 기타 가족이 함께 금연지지를 할 때 6개월 금연 성공에 영향을 미친다. 이를 바탕으로 첫째, 중소규모 사업장 흡연 남성 근로자의 금연 상담을 위한 금연프로그램 개발 시 금연지지자와 함께 할 수 있는 상담 내용을 개발하고, 상담에 함께 참여하여야 한다. 둘째, 금연지지 프로그램을 개발하고, 금연지지자들에게 제공하여 금연을 하는 대상자에게 적용한다면 금연 성공에 더 효과적일 것이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.162-167
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• 2016

Purpose: To determine the socio-economic impact of gluten free diet (GFD) on Saudi children and their families Methods: A cross-sectional study was conducted in which an online questionnaire was sent to all families registered in the Saudi celiac patients support group. We included only children (age 18 years of age and younger) with biopsy-confirmed celiac disease (CD). Results: A total of 113 children were included in the final analysis, the median age was 9.9 years; 62.8% were females. One hundred (88.5%) of the participating families reported that GFD food was not easily available in their areas, 17% of them reported that it was not available at all in their area. One hundred and six (93.8%) reported that the price of GFD food was very expensive and 70 (61.9%) families that the diet was heavily affecting their family budget. Significant social difficulties were reported among the participating families and their children including interference with the child's interaction with other children (49.6%), the families' ability to attend social gatherings (60.2%), the families' ability to eat in restaurants (73.5%), and the families' ability to travel (58.4%). Conclusion: There is significant negative socio-economic impact of GFD on children with CD & their families. Health care providers should be aware of these psycho-social difficulties and be well trained to provide a proper education and psychological support for these patients and their families.

• 농촌지도와개발
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• 제9권1호
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• pp.1-10
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• 2002

The objectives of this study were to explore to upbringing system for the future farmers of the 4-H Clubs, future farmers organization and the Center for 4-H in the USA to suggest some implications to 4-H programs in Korea. To train future leaders in agricultural and agri-business areas leaders in the United States felt the need to create various organizations such as 4-H Club, Future Farmers of America (FFA), Young Farmer Association (YFA), and cooperate each other. The members in future farmer's groups benefit from opportunities and involvement of farming and agri-related activities and contribute to improve their communities. One of them, the 4-H Club remains strong in the country covering young people as members and adult as volunteer leaders. Youth in 4-H learn by doing, and members find opportunities for leadership. 4-H members contribute to their family, community, and country in meaningful ways to make a difference. The Center for 4-H has provided a range of challenging opportunities around the arts, sciences, environment, technology, business, animals, foods, and health while always stressing leadership and citizenship for 4-H members. The Center has been supporting research, teaching, and outreach in community based non-formal youth development education. The Center is particularly interested in youth development opportunities including foster resiliency, promote safe and healthy behaviors, and support youth in communities in various ways.

• 성인간호학회지
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• 제16권4호
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• pp.531-544
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• 2004

The purpose of this study was to identify the barrier factors of health behaviors of urban and rural elderly and to compare the health behaviors and level of barriers between two groups, and finally to get the basic informations about the adequate nursing strategies to promote the health state of urban and rural elderly. The subjects of this study were 177 over the age of 65, 81 elderly lived in Seoul and 96 elderly lived in rural areas. The instruments for this study were the health behavior scale(14 items) and the barrier scale (118 items) developed by Gu et al(2003). For the data analysis, SPSS PC program was utilized for descriptive statistics, ${\chi}^2$- test, t-test, Pearson correlation. The results of this study were ; 1. The mean score of health behaviors (range 1-4) was 2.69 in urban elderly and 2.33 in rural elderly ; there was significant difference(t=5.03, P=.00). 2. There were significant differences in levels of barriers(range 1-3) between the two groups, such as calcium intake(t=-3.16, P=.00), regular exercise(t=-3.80, P=.00), exercise time(t=-5.54, P=.00), use of stress reduction method(t=-3.45, P=.00), regular check up(t=-3.89, P=.00), vaccination(t=-3.83, P=.00). Higher levels of barriers were found in rural elderly than in urban elderly. 3. Lack of habituation, lack of will power and lack of knowledge in calcium intake; lack of time, lack of habituatuion, lack of family support, lack of will power and lack of environment in exercise; lack of perceived benefit, lack of time, lack of will power and lack of knowledge in use of stress reduction method; lack of time, lack of interest, lack of habituation and lack of will power in disease prevention were significantly higher in rural elderly than in urban elderly. In the conclusion, nursing interventions should be planned based on the social environment of elderly. To promote the health state of elderly, interventions to decrease the barrier levels and to reduce the barrier factors to health behaviors should be implemented.

• 한국융합학회논문지
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• 제8권3호
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• pp.79-89
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• 2017

본 연구는 농촌 지역 노인 당뇨병 환자의 자기관리 지식, 사회적 지지, 교육요구도의 융합적인 요인을 파악하여 노인 당뇨병 자기관리를 위한 중재방안을 모색하기 위한 서술적 조사연구이다. 연구대상은 U시 소재 군, 읍면, 보건소 및 보건지소에 당뇨병 관리 대상자로 등록되어 약물 치료 기간 6개월을 경과한 만 65세 이상 노인 115명을 대상으로 조사기간은 2016년 8월 24일부터 10월 31일까지였다. 연구결과 당뇨병 자기관리 지식은 성별, 교육수준, 당뇨병 유병기간, 당뇨교육 경험, 가족의 당뇨교육 참여 경험, 지각된 건강상태에 유의한 차이가 있었고(p<.05), 사회적 지지는 결혼 상태, 당뇨교육 경험, 당뇨 교육요구도는 성별, 당뇨병 유병기간, 당뇨병 자기관리 어려움의 인식정도에서 유의한 차이가 있는 것으로 나타났다(p<.05). 당뇨병 자기관리 지식과 사회적 지지, 사회적 지지와 교육요구도는 유의한 정(+)의 상관관계(p<.05)가 있는 것으로 나타났다. 본 연구결과를 바탕으로 노인 당뇨병 환자의 요구가 반영된 융합적인 자기관리 프로그램이 개발되기를 기대해 본다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.209-215
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• 2013

Objectives: Terminal cancer patients and their caregivers often experience traumatic stress and need many types of assistance. In the present study we interviewed terminally ill cancer patients and caregivers to determine how much burden they experienced and to find out what factors are most important for satisfaction. Design: We constructed a questionnaire including overall care burden and needs experienced, and administered it to 659 terminal cancer patients and 659 important caregivers at 11 university hospitals and 1 national cancer center in Korea. Results: Finally, 481 terminal cancer patients and 381 caregivers completed the questionnaire. Care burden was not insubstantial in both and the caregiver group felt more burden than the patient group (P<0.001). While the patient group needed financial support most (39.0%), the caregiver group placed greatest emphasis on discussion about further treatment plans (44.8%). Stepwise multiple logistic regression analyses showed that in the patient group, patient's health status (OR, 2.03; 95%CI, 1.16-3.56) and burden (OR, 2.82; 95%CI, 1.76-4.50) influenced satisfaction about overall care, while in the caregiver group, high education level (OR, 1.84; 95%CI, 1.76-4.50), burden (OR, 2.94; 95%CI, 1.75-4.93) and good family function (OR, 1.94; 95%CI, 1.24-3.04) were important. Conclusions: Our study showed that burden was great in both terminal cancer patients and their caregivers and was perceived to be more severe by caregivers. Our study also showed that burden was the factor most predicting satisfaction about overall care in both groups.

• Asian Pacific Journal of Cancer Prevention
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• 제17권9호
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• pp.4427-4432
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• 2016

Background: Fear and fatalism have been proposed as factors affecting breast cancer screening, but the evidence is not strong. This study aimed to determine relationships of fear and fatalism with breast cancer screening behavior among Tabriz women in Iran. Materials and Methods: In a cross- sectional study, 370 women referred to 12 health centers in Tabriz were selected with two-stage cluster sampling and data regarding breast cancer screening, fatalism and fear of breast cancer were collected respectively with a checklist for screening performance, Champions Fear and Pow Fatalism Questionnaires. Data were analyzed by logistic regression with SPSS software version 16. Results: Only 43% and 23% of participants had undergone breast self- examination and clinical breast examination. Among women older than 40 years, 38.2% had mammography history and only 2.7% of them had done it annually. Although fatalism and fear had a stimulating effects on breast cancer screening performance th relationships were not significant (P>0.05). There was a negative significant correlation between fear and fatalism (r= -0.24, p=0.000). On logistic regression analysis, age (OR=1.037, p<0.01) and income status (OR= 0.411, p<0.05) significantly explained BSE and age (OR=1.051, p<0.01) and body mass index (OR= 0.879, p<0.01) explained CBE. Also BMI (OR= 0.074, p<0.05) and income status (OR=0.155, p<0.01) was significantly effective for mammography following. Conclusions: Breast cancer screening behavior is inappropriate and affected by family livelihood status and lifestyle leads to weight gain, so that for promoting of screening behaviors, economic support to families, lifestyle modification and public education are suggested.

• Clinical and Experimental Reproductive Medicine
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• 제2권2호
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• pp.13-26
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• 1975

Seven aspects of attitude toward marriage in Korea are examined to better understand present and future marriage patterns. Also, various facets of current marriage practice are compared with attitudes. The study comprises three groups of roughly 600 women each, selected by random sampling from a rural, an urban, and a semi-urban area. A carefully designed and pretested questionnaire was checked for reliability by a reinterview in a 15% subsample. The great majority of Korean women support traditional attitudes that one must or should marry. The small group who recommend that one should not marry are mostly the very young or the never married, whose attitudes still may change. However, there are important and probably predictive shifts in favor of more individual decision, especially among the better educated, the young, and the more urban. Traditional reasons for marriage such as "custom" and procreation are ranked first by a majority, but there is a large shift to more contemporary or liberal desire for companionship and love, also primarily among the better educated, the urban, the young, and the never married. The traditional attitude that parents should have the sole or major role in mate selection is still held by a bare majority; the educated, urban, young, and never married are more liberal. Only 6% opt for each of the two extremes: That the parent alone or the respondent alone should decide. The remainder prefer one of the two middle-of-the-road positions where parent and child together decide. The proportions of respondents who classed specified criteria as moat important for selecting a husband, arranging the criteria in order from traditional to contemporary were: Lineage, etc., 23%; personal attributes, 40%; health and education, 27%; and love, 10%. The changing attitudes are suggested by the fact that love was ranked first by only 3% of the poorly educated rural poulation versus 23% of urban college level and 31% of the urban never married. There has been a substantial rise in the ideal age of marriage over the past twelve or more years, but there also is evidence that the ideal age is at or near a ceiling. Knowledge about legal age of marriage is minimal; the implications of this for proposed legislation are discussed. Three-fifthes to four-fifths of all respondents married husbands of the same religious, residential, and economic backgrounds as themselves. Almost all of them married men of the same or higher educational level. These evidences of traditional influences in mate selection are contrasted with the low priority given some of those items in earlier questions on reasons for marriage and criterion for selecting husband. Contrary to the expressed attitudes as to who should select the husband, we find that marriages of the study sample were stated to be arranged by parents alone in 62%; and in another 23%, the parents made the decision but asked the respondent's views. Such arrangements were most frequent among the rural, the less educated, and the older respondents and less common in the urban and more educated. The implications of these and related findings are discussed.

• 산업융합연구
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• 제19권4호
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• pp.95-102
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• 2021

본 연구는 어머니의 진로관련 행동이 다문화청소년의 학업중단 의도에 미치는 영향과 학업적응의 매개효과를 검증하고자 한다. 이를 위해 다문화청소년 패널조사 7차(2017) 자료에서 중학교 3학년 1,121명을 표본으로 선정하였고, Baron & Kenny의 매개효과 분석 3단계 방법으로 제시된 모형의 영향 관계와 학업적응의 매개효과 검증과 Sobel test를 실시하였다. 분석결과는 첫째, 어머니의 진로관련 행동의 하위요인인 어머니의 지지는 학업중단의도에 부(-)적인 영향, 어머니의 간섭은 정(+)적인 영향을 미치는 것으로 나타났다. 둘째, 학업적응은 학업중단의도에 부(-)적인 영향을 미치는 것으로 나타났다. 셋째, 어머니의 진로관련 행동의 하위요인인 어머니의 지지는 학업적응에 정(+)적인 영향, 어머니의 간섭은 부(-)적인 영향을 미치는 것으로 나타났다. 넷째, 학업적응은 진로관련 행동과 학업중단의도의 관계에서 매개하는 것으로 나타났다. 이상의 결과를 토대로 실천적 함의를 제시하였다.