• 제목/요약/키워드: home health management

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수원지역 초등학교 고학년 아동의 급식 위생지식과 수행수준의 평가 (Evaluation of Food Hygiene Knowledge and Health Practice for Elementary School Students in Suwon)

  • 최미화;송승민;이유현
    • 한국지역사회생활과학회지
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    • 제21권3호
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    • pp.311-322
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    • 2010
  • The purpose of this study was to examine food hygiene knowledge and health practice levels of elementary school students at foodservice in the Suwon area. Of the 500 upper graders from three elementary schools, 486 students (97.2%) participated in the study. The questionnaire was composed of general characteristics including experience of serving food at school, food hygiene knowledge (25 questions), and health practice (18 questions). The results were as follows: The education experiences of food hygiene were below 40% though most students (88.1%) participated in providing food at foodservice. The percentage of correct answers in food hygiene knowledge was over 70% in most questions, but relatively lower in food preservation temperature (44.7%) and food poisoning bacteria (43.2%). When we examined food hygiene behavior of elementary school students in 5scales, the level of personal hygiene management was 4.04, sanitary management in food product was 3.62, environmental hygiene was 3.92, and foodborn disease and food microorganism was 3.81. Each level in each subarea was significantly related in the frequency of hygiene education experiences. Finally, the food hygiene knowledge was positively correlated with its behavior level in elementary school foodservice. These results suggested that the knowledge of food hygiene may affect its behavior, and therefore, regular education of food hygiene at home and school would be needed to improve food safety in foodservice.

건강가정지원센터 표준화 모델 개발을 위한 기초연구 (The Basic Study of Development on Standard Model in Family Support Center)

  • 박정윤;강기정
    • 가정과삶의질연구
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    • 제29권4호
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    • pp.147-160
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    • 2011
  • This purpose of research is to offer basic materials for analyzing organizational structure in an effort to develop a standardized model that considers regional characteristics with the ultimate goal being the establishment of a National Health and Family Support Center. Research methods include aliterature survey data. The research target is 94 centers run by the National Health Family Support Center training. These are assessed in terms of their regional characteristics. The objectives of this paper are as follows: 1. To look at the present National Healthy Family Support Center's yearly conditions investigate the regional characteristics. 2. To analyze the National Healthy Family Support Center's annual organizational managements and operations characteristics. 3. To analyze the National Healthy Family Support Center's regional characteristics (Urban-only-, Urban-Rural Integration, Rural-only-) in terms of its organizational management and operations. First, at the national, county, and ward levels, Health and Family Support Center can have family intervention purpose. Regional Center should be operated to keep pace with custom of different regions. Standardization can also be beneficial, including considerations such as agricultural needs and a type center. Effective center operations should also ensured. Second, standardized development model I had to insert this here because you mention one in the following paragraph. Original did not make sense. I hope this is what you meant.

일본의 인정치과위생사 제도 고찰 (Review of the certified dental hygienist system in Japan)

  • 심선주;이선미;김형미;원영순;신유정;김창희
    • 한국치위생학회지
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    • 제21권5호
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    • pp.491-498
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    • 2021
  • Objectives: This study aimed to review the definition, qualification conditions, accreditation field, and system of Japanese recognized dental hygienists. It is expected that it will be used as basic data for the system introduction of the Korean advanced dental hygienists. Methods: From May to November 2020, a literature review was conducted on Japanese dental hygienists and Japanese certified dental hygienists. Results: The lifelong education system training courses to become Japanese certified dental hygienists consisted of basic training, special training, and specific training. Each training session lasted for 15 h, and the number of training hours required to complete the course was 30 h. The training items for the field of recognition A were prevention of lifestyle disease, home care, oral function management, rehabilitation for dysphagia, prevention of diabetes, and oral management by medical and dental partnership. The training items for the field of recognition B were dentistry for the disabled, dentistry for the aged, community oral health, and oral health care. Conclusions: The Japanese recognized that dental hygienist system is valuable as a demonstration model in introducing the Korean advanced dental hygienist system.

고혈압이 있는 중년의 주관적 건강상태에 대한 영향요인 (Factors Affecting Subjective Health Status in Middle-aged Adults with Hypertension)

  • 김기봉
    • 산업융합연구
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    • 제18권2호
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    • pp.1-7
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    • 2020
  • 본 논문은 고혈압이 있는 중년의 주관적 건강에 영향을 주는 요인을 파악하기 위해 시도되었다. 대표적 만성질환인 고혈압은 중년부터 유병률이 증가하는 질환이다. 중년부터 고혈압을 효과적으로 관리하기 위해서는 주관적 건강에 대한 인식을 바탕으로 생활양식을 수정해 나가야 한다. 본 연구대상은 2014-17년도 국민건강영양조사 대상자 중 30-64세의 고혈압이 있는 중년 2,254명이며 연구 변수는 일반적, 신체적, 심리적 요인으로 구성되었다. 자료 분석은 SPSS 25.0프로그램을 이용하여 복합표본을 만든 뒤 복합통계를 이용하였다. 본 연구결과 대상자의 주관적 건강에 유의하게 영향을 준 요인은 성별, 나이, 경제수준, 가구원 수, 주택소유여부, 스트레스, 삶의 질로 나타났으며 이들의 설명력은 20.4%이었다(F=12.58, p<.001). 본 연구결과는 고혈압이 있는 중년의 주관적 건강을 향상시키기 위한 중재 시 기초자료로 활용될 수 있을 것이다. 올바른 주관적 건강의 인식을 바탕으로 고혈압을 효과적으로 관리하기 위한 적절한 생활양식 수정 프로그램이 요구된다.

지역사회중심 재활서비스를 위한 재가 장애인의 요구 사정에 관한 연구 (An Assessment of the Needs of Crippled Persons Staying at Home)

  • 양숙자;김희정
    • 지역사회간호학회지
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    • 제9권2호
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    • pp.280-290
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    • 1998
  • This study was carried out to idenify the health problems and needs of crippled persons in order to develop a community based rehabilitation service program through public health center. Information on health problems and needs were obtained from 120 crippled persons staying at home by questionaire and a measuring ADL. The results were summarized as follows 1. Among 120 subjects, male crippled (70.3%) outnumbered female crippled (29.7%). Many crippled persons belonged to the 40-49 age group (33.6%) while others were over 60 years (17.4%). There were 36.8% crippled persons with an elementary education, 26.5% had completed high school, 14.5% had completed middle school. 31% of the crippled persons were employed but most of them had unskilled jobs. 80% of the respondents replied that their monthly income was under 800,000 won. 2. The major causes of their handicap were due to acquired factors(92%) such as accidents, in fectious & communicable diseases and chronic diseases rather than congenital factors(8%). Crippled persons who belong to the first grade of disabilities were 14.8%, the second grade 35.7%, the third grade 21.7%, the forth grade 12.2%, the fifth grade 12.2% and the sixth grade 3.5%. 3. This study measured the degree of the ADL of crippled persons by a modified Barthel Index including 11 items. 73.5% of them were fully independent, 8.5% required minimal help, 2.7% required moderate help, 6.0% required substantial help and 9.4% were unable to perform task. In response to the 11 items of ADL, crippled persons required more help in stair climbing, ambulation and bathing than in other items. 4. In responding to concerning health problems, 10.3% of the subjects replied with incontinence, 8.5% malnutrition, 7.6% fecal incontinence and bedsores 2.6%. Chronic diseases which needs treatment were chronic pain(61.0 %), hypertension(16.5%) and diabetes(16.5%) 5. To the question of what type of rehabilitation services subjects required, chronic diseases management(52.1%) and physical therapy (41.2%) were the highest. The most important social welfare services subjects required were economics support (51.3%) and introductions to job opportunities(42%).

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보건소 작업치료사의 지역사회 재활 및 보건서비스 제공에 대한 업무 경험에 관한 현상학적 연구 (The Lived Experience of Occupational Therapists in Public Health Centers Regarding Community Rehabilitation and Health Services: Phenomenological Study)

  • 박강현;전병진;정민예
    • 재활치료과학
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    • 제10권1호
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    • pp.63-75
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    • 2021
  • 목적 : 본 연구는 보건소에 근무하는 작업치료사들의 지역사회 재활 및 보건서비스 제공에 관한 업무 경험에 대한 이해를 통해 향후 건강한 지역사회를 만들기 위해 보건소 작업치료사들의 역할 및 업무들을 알아보고자 하였다. 연구방법 : Giorgi의 현상학적 연구방법론을 적용하여, 지역사회 내 근무하는 보건소 작업치료사 6명에게 심층 인터뷰를 진행하였다. 사전 동의를 통해 대화 내용은 녹음되었고, 녹음된 자료는 패턴화된 반응이나 주제를 분석하고자 Colaizzi의 주제 분석법(Thematic analysis) 7단계에 따라 분석하였다. 결과 : 분석 결과, 4개의 범주와 16개의 주제, 24개의 하위요인을 도출하였다. 보건소 내 작업치료사가 주로 행하는 업무 영역 및 역할은 대상자 평가, 방문재활치료, 치매관리사업, 지역사회 연계사업으로 나타났다. 그 외 작업치료사가 느끼는 건강한 지역사회를 만들기 위해 향후 보건소에서 필요한 중재는 사례관리 및 프로그램 매니지먼트, 다양한 보상적 접근방법 적용, 건강한 생활습관을 위한 중재로 나타났다. 보건소 근무 시 작업치료사들이 경험하는 어려움으로는 작업치료사의 인력 부족, 고용 불안정으로 인한 사기저하, 실적 위주의 행정 정책으로 인한 업무의 부담감, 전문인력 간 소통의 부족으로 나타나는 업무 효율성 저하가 나타났다. 반면에 보건소에서 근무하는 작업치료사들이 느끼는 보람으로는 치료의 자율성 보장을 가장 큰 장점으로 응답하였다. 보건소 작업치료사의 역량 강화를 위해 필요한 교육으로는 보건행정, 보건소 실습으로 나타났다. 결론 : 본 연구결과는 현재 보건소 및 치매 안심 센터의 필수인력으로 자리 잡은 작업치료사들의 향후 업무 범위 및 역할과 관련된 가이드라인과 지역사회 공공서비스 내 역량 있는 작업치료사를 양성하기 위한 교육의 기초자료로 활용될 수 있을 것이다.

보건소 중심 호스피스 운영모델 개발 - 부산지역 일개 보건소 시범사업을 중심으로 - (Development of Community Health Center-Based Hospice Management Model: Pilot Project at a Community Health Center in Busan)

  • 김숙남;최순옥;김영재;이소라
    • Journal of Hospice and Palliative Care
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    • 제13권2호
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    • pp.109-119
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    • 2010
  • 목적: 호스피스 서비스의 원칙, 일선 보건소의 특수성과 지역사회 가용자원을 고려한 보건소 중심 호스피스 운영모델을 개발하기 위하여 이루어졌다. 방법: 호스피스 관련 선행연구, 문헌고찰, 관할지역 내 호스피스 실태조사 및 시범운영 평가를 통해 보건소 중심 호스피스 운영모델을 개발하는 연구이다. 2008년 1월부터 12월까지 부산광역시 1개 보건소와 부산지역 말기암환자 의료기관 및 호스피스를 전공하는 간호대학이 연구팀을 구성하여 호스피스 시범사업 운영체계 확립, 호스피스 서비스 전달체계 구성 및 제공 그리고 시범운영 평가를 통한 보건소 중심 호스피스 운영모델 개발의 3단계 추진과정을 거쳐 이루어졌다. 결과: '보건소 중심 호스피스 운영모델'은 보건소의 특수성과 해당 지역사회가 가지고 있는 자원간의 연계를 통한 총체적 서비스 제공이다. 지역암센터는 관할지역 보건소에 재정적, 행정적인 부분을 지원해 주고, 보건소는 호스피스사업 수행을 지원할 수 있는 협력대학에 사업을 위탁하여 전체 사업운영에 대한 기획을 위임하였다. 또한 사업지원단과 사업자문단을 통하여 호스피스 운영과 관련된 제반문제를 지원받는 체계를 구성하였다. 방문간호 팀으로부터 재가 말기암환자를 의뢰받은 호스피스 담당간호사는 환자를 등록시키고 초기사정을 거친 후 호스피스 팀 회의를 거쳐 서비스 우선순위를 정한 다음, 필요한 서비스와 함께 자원봉사 파견을 통한 총체적 서비스를 제공하였다. 이러한 운영모델은 재가 암환자를 중심으로 한 보건소 중심 호스피스사업을 실시할 수 있는 가능성을 제시한다. 결론: 보건소가 가지고 있는 지역사회 가용자원을 최대한 활용하는 '보건소 중심 호스피스 운영모델'은 의료시각지대에 있는 재가 암환자와 가족의 삶의 질 증진을 통해 지역 보건복지 정책의 질적 향상을 유도하게 될 것이다.

원주지역 어머니의 식생활 태도가 영유아 영양법 및 이유실태에 미치는 영향 (The Relationship Between Infant Feeding Methods and Weaning Practices and Dietary Attitudinal Characteristics of Mothers in Wonju Area)

  • 오혜숙;이명희;문수재
    • 한국식생활문화학회지
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    • 제12권1호
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    • pp.41-51
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    • 1997
  • This study examined the relationship between mothers' consciousness of diet and their infant feeding methods and weaning practices. Consciousness of diet analyzed from 17 questions concerning the attitudes and opinions of diet was classified into 6 categories using the factor analysis. These categories were the faithfulness of diet, the health-directed dietary practices, the application of health information, the application of information about food and nutrition, the sincerity to meal preparation, and dietary habits. The 400 mothers selected randomly from Wonju area were surveyed. The results obtained from the study were summarized as follows. Weaning was implemented earlier by the group with better education career and with the exact knowledge of weaning. Factors associated with infant feeding methods included some sociodemographic characteristics such as birth order, mothers' employment state and income level and mothers' effort toward faithfulness of diet. The use of health-foods and nutrient supplements were prefered by the groups used bottle-feeding method. The health condition of the infants was influenced by mother's will to carry out the health information rather than infant feeding methods and weaning foods used. Mothers who perceived the importance of diet for health and consumed more milk had healthier babies, and their dietary habits were more favorable. The subjects who self-recognized the meaning of weaning and who believed that earlier weaning was good for baby or delayed weaning was the cause of anemia and poor appetite, took advantage of the information about food and nutrition as well as prefered the health-directed dietary practices. Mothers who retried to feed the weaning food rejected by baby before, applied the dietary information to the real meal management more actively and had a more desirable dietary habits. In those cases the baby had improved health condition. Those who were interested in the meaning of weaning and the nutritious effect of weaning foods, revealed significantly higher tendency on the performance of cooking information and the more confidence to the health information from advertisement.

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보건소내 물리치료실 운영실태와 물리치료사의 배치방안 (A Study on the Operation and Use of Physiotherapy room at Public Health Service Center)

  • 송명수;김성일;송미화;박선아
    • 대한물리치료과학회지
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    • 제6권4호
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    • pp.263-274
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    • 1999
  • The public health service center and its branch are, as one of public institution, responsible for providing non-profitable medical service to local residents, which can't be addressed by private medical institutes. In addition, as a planning coordinator, they need to manage local medical resources effectively to make sure local residents can be offered good-quality health service fairly and impartially. The purpose of this study was to highlight the importance of physical therapy in public health service center's successful role performance, one of treatment to which local residents had a direct access. For attaining the purpose, an investigation was made into the actual facilities of public health service center and its branches in North Cholla province, the extent of use of physicaltherapy room, and the general characteristics of physical therapists. And literatures concerned were referred to. As a result, the dominant opinion was that the current physicaltherapy room shoulder be more reinforced(38.9%) or that it should he kept as it was(46.5%). Besides, the physical therapists investigated still were serving in a poor working condition. To elevate the quality and quantity of medical service, the current way to employ expert personnels temporarily or not to guarantee the position of physiotherapists should be removed immediately. Instead, physicaltherapists should be employed as regular public official. As, in home-visit project, physiotherapist are expected to play a bigger role in rehabilitation care or the management of patients with chronic disease, the physicaltherapy room should be increased and more physicaltherapists should be provided to health service institutions.

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시청각 구강 보건교육 프로그램(OHEP) 적용 전·후 보육시설 아동의 칫솔질행태와 부모의 구강 보건 인식 변화 (Changes in brushing behavior of children in childcare facilities and their parents' perception of oral health before and after the application of the audiovisual oral health education program)

  • 이수정;장종화
    • 한국치위생학회지
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    • 제21권3호
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    • pp.235-243
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    • 2021
  • Objectives: This study aimed to examine the effect of the Oral Health Education Program (OHEP) on the change in the children's brushing behavior and reduction in the dental plaque index (PI) and to identify changes in their parents' perception of oral health. Methods: The OHEP was applied 44 children recruited from two childcare centers. We conducted a self-reported survey of the parents at baseline and evaluated the oral conditions of the children at baseline and after 5 weeks. Their brushing behavior was assessed once a week during the OHEP intervention period and daily at home thereafter. We measured the PI after a 12-week follow-up and performed repeated measures analysis of varience. Results: The average PI score of children significantly decreased at week 5 as compared to the baseline (1.90±0.53, p<0.001), despite a substantial increase in week 12 (2.67±0.08, p<0.001). OHEP was effective in reducing the PI score and modifying their brushing behavior. Conclusions: OHEP effectively modified the brushing the behavior of the children. Therefore, it is necessary to develop and expand a systematic oral health education program to promote self-management of oral health in children.