• 대한영양사협회학술지
• /
• 제10권2호
• /
• pp.197-204
• /
• 2004

The purposes of this study was to analyze the operational difference of foodservice center for homebound elderly by the presence of the dietitian. The questionnaire was developed to measure all variables for menu management and distributed to 103 meal service centers in charge of congregate meal service program and 57 centers for home-delivered meal service program. The data of 160 centers in charge of congregate meal service and home-delivered service centers were usable for analysis. Statistical data analysis was completed using the SAS 8.1 package program for descriptive analysis and chi-square test. Only 21.9% meal service centers had dietitians, what is more, they were not professionals who did menu management but foodservice managers, volunteers, cook or social workers. The current foodservice programs for the homebound elderly were operated without professional. In the part of menu managemet, dietitians were more actively involved in menu planning in the elderly foodservice center in the presence of the dietitians. The performance level of healthcare service was not significantly different, but the nutrition education in the elderly foodservice center with the dietitians was more frequently performed than that without the dietitians(p<0.05). In the food purchasing and food production management, the significant differences were shown that in the elderly foodservice centers in the presence of the dietitians, the proportion of the contract purchasing was significantly higher than that of direct purchasing(p<0.01). In food sanitary management, the significant differences were not shown in the part of management of keeping meal for identifying the cause of food-borne illness and left-over, but the sanitation education for the foodservice employees was performed more frequently by the presence of the dietitians(p<0.01). In conclusion, the foodservice management was more systematically conducted in the elderly foodservice centers in the presence of the dietitians than that without dietitians. The elderly foodservice program has offered the health-related support for homebound elderly. Although there were several problems in elderly foodservice management, the program delivered well-targeted, effective, and efficient nutrition services and wide range of supportive service to the at-risk older population. It needs to be managed by professional for the improvement in the elderly foodservice.

• 가정과삶의질연구
• /
• 제32권5호
• /
• pp.15-30
• /
• 2014

This study aims to analyze what factors are associated with child care accreditation in Chungbuk province. This study examined three questions about which factors influence the accreditation of childcare centers: 1) if they passed the accreditation criteria, 2) the total score on the accreditation criteria, and 3) the domain scores for the six domains of environment, management, process, interaction and teaching, health and nutrition, and safety. The characteristics of 1,212 childcare centers, the independent variables, were commit management, type, specialized service, maximum capacity of children, registration ratio, target age groups of children, duration, and city size. The formal expert committee evaluated objective scores for 952 childcare centers. I derived the data for this study from the i-sarang Childcare Information Portal site (http://info.childcare. go.kr/). Frequency, descriptive statistics, binary logit model, and OLS model analysis were used to examine the accreditation and scores by factors of childcare centers. The findings of the present study are as follows. First, about 80% of the 1,212 childcare centers in Chungbuk province were accredited. Second, the accreditation of the child care center was affected by the specialized service, registration ratio, and duration. Finally, the total score of accredited childcare centers was associated with the maximum capacity of children, registration ratio, and duration. The factors of childcare centers influencing sub-area scores were different by environment, interaction and teaching, health and nutrition, and safety. The present study is important because it offers preliminary data identifying accreditation characteristics that can judge problems related to the quality of service of childcare centers and suggest childcare policy implications.

• 기본간호학회지
• /
• 제13권2호
• /
• pp.257-268
• /
• 2006

Purpose: This study was done to develop and evaluate the Integrated Stress Management Program (ISMP) for elders in rural communities. Method: ISMP consists of 6 educational programs to improve self-management behavior and therapeutic recreational activities and was developed by analyzing the published reports and through multidisciplinary cooperation. Effectiveness of the ISMP was evaluated by implementing the program with 53 rural elders living at home, one session a week of, 2 hours per session over, 6 weeks from March 14 to April. 22, 2005. Results: After participating in the program, participants' perceived levels of stress decreased(t=2.940, p<.05), and mood state (t=4.229, p<.001), life satisfaction(t=-4.911, p<.001), and perceived social support (t=-2.891, p<.05) increased significantly. Conclusion: The results of this study demonstrated that the ISMP is an effective program for relieving stress level, and increasing positive mood, life satisfaction, and social support for elders in a rural community.

• 한국학교보건학회지
• /
• 제11권1호
• /
• pp.27-50
• /
• 1998

Adolescent health is considered to contribute to health promotion in the home and community in the near future as well as individual health. However, adolescent health has been neglected from education field because of competitive school education focused on the university entrance examination That's why I suggest in this study that we should pay much more attention to adolescent health condition and try to make It better, in terms of man-power development and life-health promotion for nation development The purposes of this study are as follows First, to look into a variety of adolescent health problems Second, to find out the situation and problems of current adolescent health promotion and school health education Third, to make an effort to find, based on the current situation, various developments of adolescent health promotion and school health education in terms of practical, political and environmental change There are used study methods as adolescent-related, school heath-related literature review and anlysis of statistical data The results and suggestions are as follows Teenagers have a great variey of health problems including most Important physical, mental and social developments Recently, chronic diseases, emotional problems, health-risk behaviors linked With adolescents are on increase The complicated disorders of physical, mental, social health rather than paricular aspects of health or health-behavior problems influence adolescent health problems adolescence is regarded as the period when most health-related behaviors are formed. Therefore, adolescent health promotion would he assured by developing the ability of controlling multi-dimensional health determinants in the early stage. Health promotion is a positive concept that each individual, family and community makes real efforts to improve their health To achive this, we need health educational, organizational, political and environmental supports. Adolescent health promotion in Korea has been systematically treated in the category of school health Current school health services have had lots of systemic, constitutional, administrative and educational flaws Accordingly, I'm concerned that we can afford to accept a variety of adolescent health needs However, I would say that if were not to make those flaws better, it's certain that Korean national competitive power and the quality of the lives of most Koreans Will he threatened someday We have to develop Comprehensive School Health Crriculum(CSHC) and set up its standards to Improve adolescent health. CSHC is an organizational and costant process. CSHC means an Important part of overall curriculums. In addition, I could say that it's an Important school health education acivity including current school health services-health care service and school health environment. In conclusion, in order to develop CSHC, we require school nurse's role changes, establishment and management of intergrated subject of health education, striking revision of school health law(or legislation of school health promotion law), reorganization of administration system, big changes in curriculum for school health educators.

• 가족자원경영과 정책
• /
• 제13권3호
• /
• pp.281-305
• /
• 2009

The purpose of this study was to investigate the effect of use motivation type for mobile phones and the degree of loss perception related to mobile phone consumption consciousness in adolescents. The subjects of this study were 503 students in middle and high school in Daegu. A questionnaire was used for the survey. Factor analysis, cluster analysis, and MANOVA were employed for the data analysis and the $Scheff\acute{e}$ test was used for post-hoc analysis. The results are as follows: First, there are significant differences in mobile phone consumption consciousness in all sub-dimension areas according to use motivation type for mobile phone. Second, adolescents with high economic loss perception for mobile phones show high consumption consciousness in sub-dimension area, and adolescents with high academic loss perception show high relation-oriented consumption consciousness. Adolescents with high physical loss perception show high health-oriented, relation-oriented, and function-oriented consumption consciousness. Adolescents with high psychological loss perception, on the other hand, show high relation-oriented consumption consciousness. Third, there are significant differences in mobile phone consumption consciousness according to use motivation type for mobile phones and the degree of overall loss perception. However, there are no significant differences in the mobile phone consumption consciousness according to use motivation type for mobile phones and the degree of overall loss perception.

• 대한가정학회지
• /
• 제32권1호
• /
• pp.199-210
• /
• 1994

My purpose in the paper is to research on what is the most productive education method for the Students for Future Dietitian(SFD) to be applied during there field training & practice. Furthermore it is an attempt to elucidate what is the most necessary education program for the field training & practice for SFDs. Five questionnaires were given to SFDs dealing with nutrition purchase hygienic facilities and official management in order to check and evaluate the current situation and problems on the education of field training & practice for SFDs Also I chose 140 SFD's who had been working in the field for at least one week or one month in 1992 and statistical processing were utilized and analyzed by SAS package. One of the most notable problems SDFs faced with during meal planning it is the fact that they had been educated and requested for the cut of food expenditure rather than the supply of scientifically balanced-nutrition meals for working people, SFDs also faced with of information on the quantity and facilities management from the dietitian in the company. my research revealed that dietitian's teaching method for SFDs still remains in a very primitive way and accordingly the efficient way to solve these problems shall be established by a computerized education program through which dietitians can provide well-balanced meals for working people when they are assigned to the company. In this regard we must consider that we have to enact certain law to be applied to a dietitian. In another words we should emphasize actual experiences of SFDs' knowledge accumulated through the field training & practice before they work at the company. Consequently it is a time to reconsider the importance of well-balance dietitian program offering an opportunity for SFD which can contribute to improvement of health's condition for the working people.

• 가정과삶의질연구
• /
• 제34권6호
• /
• pp.69-85
• /
• 2016

This study examined bidirectional associations between intergenerational residential proximity and older parents' mental and physical health. The data were drawn from first three waves of the Korean Longitudinal Study of Ageing (KLoSA, 2006, 2008, 2010), a nationally representative sample of adults 45 years or older and their spouses. The analytic sample consisted of 2,391 parents aged 60 years or older with at least one child who were continuously married between 2006 and 2010. Intergenerational residential proximity was measured with travel time between parental residence and that of the oldest of the continuously married children. For statistical analysis, autoregressive cross-lagged models were estimated using AMOS. Findings suggest that intergenerational residential proximity may have bidirectional associations with functional health, and an unidirectional association with life satisfaction. Specifically, a closer distance to a married son or daughter reported in 2006 was associated with poorer functional health of the parent in 2008. An older parent's greater number of functional limitations in 2006 was also related to a closer residential proximity to the married child in 2008. A greater residential proximity to a son, but not a daughter, reported in 2006 was associated with a higher level of parental life satisfaction in 2008. Overall, results suggest that having nearby a married adult child, particularly a married son, may help maintain parental health.

• 보건교육건강증진학회지
• /
• 제31권5호
• /
• pp.109-120
• /
• 2014

Objectives: This study was to examine the associations between obesity level and major chronic diseases in older population in Korea, using different obesity indicators. Methods: Data was from the 2008 KloSA Biomarker pilot, a nationwide sample of 514 non-institutionalized subjects (age $63.6{\pm}9.8$ years; women 57.2%). Anthropometric information was collected by home visiting nurses. Portable bioimpedence devices(Omran HBF359) were used for measuring fat mass. Obesity cut-offs used the Asian criteria of $BMI{\geq}25$, $WC{\geq}90/85cm$, and $fat%{\geq}25/35$ for men and women. Chronic disease prevalence was defined by physician-diagnosed history of 8 specified diseases. Results: Prevalence of chronic diseases significantly increased with increment of obesity level by BMI, WC and fat %. Odds ratios of acquiring chronic diseases remained significant in the obese group (BMI OR 2.76, 95%CI 1.82-4.19; WC OR 2.73, 95%CI 1.81-4.11; Fat OR 1.87 95%CI 1.26-2.78), after adjusting for age, sex, marital status, education, work participation, household income, smoking, drinking, and exercise. Conclusions: Obesity measured by all three indicators, BMI, WC, and fat mass cannot be disregarded, accentuating the significant effect on increases in disease risks among older population. BMI and WC measure appeared better to assess the risks of chronic diseases.

• 대한영양사협회학술지
• /
• 제5권1호
• /
• pp.74-84
• /
• 1999

The purpose of this study was to investigate a plan of middle/high school foodservice systems which could properly provide nutrition for juveniles' health. Questionnaires were developed and distributed to: 245 middle schools with 271 parents, 328 students, 180 teachers, and 345 administrators; 163 high-schools with 223 parents, 466 students, 179 teachers, and 163 administrators in Seoul and Kyunggi province. The results of this study were as followed. For the desirable feeding type as in-school meal plan, 62.2% responded to the current elementary school feeing type:10.3% responded to a lunch-box prepared at home; and 38.0% responded to free dining out type. For a feeding operation type, school administrators, teachers and parents favored the current school feeding systems in elementary schools with proportion of 68.2%, 47.7%, and 87.6% as respectively. Also, 20.3% of school administrators, 22.6% of teachers, and 6.9% of parents preferred contract management. A total of 27.6% of teachers, 9.2% of school administrators, and 3.7% of parents responded to a lunch-box prepared at home. There was a significant difference between the responses for establishing the main body of financial burden to solve the problem of financial burden which could be the most obstacle to bring middle/high school feeding system into operation. For the management of school feeding systems when brought into operation, 88.7% out of 470 responded schools and 89.9% out of 227 responded teachers reported that an expert should manage school feeding systems. For futuristic direction, an effective joint cooking type between schools which may be the way to solve the difficulties in securing the appropriate space and to decrease the financial burden, the problem of transportation for delivering feeding products, low quality of feeding, and sanitation can occur. Therefore, the distance between schools which operate a joint cooking system will affect as a major factor. Furthermore, concrete examination of plans for introduction of various types of school feeding and institutional devices for management system and supervision of operation should become a condition precedent.

• Journal of Yeungnam Medical Science
• /
• 제12권2호
• /
• pp.347-365
• /
• 1995

도시 보건소 직원의 보건소 업무에 대한 인식 및 태도를 파악하기 위하여 대구직할시 7개 보건소 직원 310명을 대상으로 1994년 8월 15일부터 9월 30일까지 설문조사를 실시하여 252명(회수율 81.3%)의 자료를 분석하여 다음과 같은 결과를 얻었다. 조사대상은 남자가 95명(37.3%), 여자가 157명(62.3%)이고, 60.3%가 대졸이상자였다. 현재 근무부서의 시설이 보건사업을 수행하는데 적합하다고 한 의견이 28.6%, 적합하지 않다가 51.1%였고, 보유 기자재가 사업수행에 적합하다가 19.4%, 적합하지 않다가 39.0%였으며, 보건소의 인력수가 적정하다가 28.6%, 적합하지 않다가 44.8%였다. 근무부서의 예산이 보건사업 수행에 적합하다고 한 의견이 13.1%, 적합하지 않다가 38.5%였다. 지방자치제 실시후 사업내용이 바뀌어야 한다고 한 의견이 51.9%, 지방자치제의 실시가 자신의 근무부서의 업무에 도움이 된다고 한 의견이 25.4%, 도움되지 않는다가 24.6%였다. 지방자치제 실시에 따라 보건소의 조직과 기능이 개선되어야 한다는 의견은 78.6%였다. 사업 목표량의 설정이 해당 부서나 지역의 실정에 비추어 맞게 책정되어 있다는 의견이 11.1%, '그렇지 않다'가 43.3%였다. 업무 수행을 위한 전문적인 지식이나 기술에 대한 교육을 더 받아야 한다고 한 의견이 57.5%, 더 받을 필요없다가 20.6%였고, 자신의 업무수행에 자율성이 있다고 생각하는 견해가 35.7%, 자율성이 없다가 25.8%였으며, 현재 하고 일에 만족한다가 39.3%, 만족하지 못한다가 16.3%였다. 보건소의 인사관리에 대해서는 11.5% 합리적이라고 하였고, 47.3%가 불합리적 이라고 하였으며, 보건소가 주민들로부터 신뢰를 받고 있다는 의견이 41.3%, '그렇지 않다'는 의견이 13.1%였다. 보건소에서 지역주민에게 제공하는 서비스 중에서 잘 시행되고 있는 사업은 결핵관리, 일반진료, 모자보건사업의 순이었으며, 부족한 사업은 보건교육, 치과진료, 위생, 통합보건사업의 순이었다. 향후 보건소에서 주민에게 제공해야 할 서비스로는 노인보건사업, 가정의료사업, 재활보건사업, 당뇨병관리, 고혈압관리, 학교보건사업, 정신보건사업의 순으로 지적하였다. 보건소 근무자들은 시설, 기자재, 인력, 예산, 인사관리, 사업목표량의 설정 및 평가, 인사관리 등에 대해서는 부정적인 의견이 많았으며, 업무수행을 위한 보수교육, 지방자치제 실시를 통한 업무의 변화, 업무의 자율성, 업무의 만족도 면에서는 대체로 긍정적인 의견을 가진 것으로 나타났다.