• 제목/요약/키워드: home health management

검색결과 999건 처리시간 0.028초

보건진료원의 정규직화 전과 후의 보건진료원 활동 및 보건진료소 관리운영체계의 비교 분석 (Comparative Analysis of Community Health Practitioner's Activities and Primary Health Post Management Before and After Officialization of Community Health practitioner)

  • 윤석옥;정문숙
    • 농촌의학ㆍ지역보건
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    • 제19권2호
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    • pp.141-158
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    • 1994
  • 정부는 보건진료원으로 하여금 지역주민들에게 보다 더 의욕적으로 양질의 보건의료서비스를 제공하도록 하기 위하여 1992년 4월 1일부터 보건진료원을 별정직 공무원으로 정규직화 하였다. 본 연구는 보건진료원의 정규직화가 보건진료원의 업무활동과 보건진료소의 관리운영체계에 미친 영향을 분석하기 위해 경상남도와 경상북도의 보건진료소 중 집락추출법과 단순확률추출법으로 50개소를 뽑아 보건진료원을 대상으로 직접 면담조사하고 제반기록 및 보고서에서 필요한 자료를 발췌하였다. 조사기간은 1992년 1월 1일에서 3월 31일까지(정규직화 이전)와 1993년 1월 1일에서 3월 31일까지(정규직화 이후)였다. 보건진료원들의 96%가 정규직화를 원했는데 그 이유는 신분보장과 보수가 좋아지리라는 것이었다. 정규직화 후 보건진료원직을 자랑스럽게 생각한다는 사람이 24%에서 46%로 증가하였다. 신분보장에 대해서는 항상 불안하다는 사람이 30%에서 10%로 감소하였다. 정규직화 후 월평균 급여액은 802,600원에서 1,076,000원으로 34% 증가했으며 90%가 만족한다고 했다. 업무 내용별 자율성 인지정도는 업무계획, 업무수행, 진료소관리(재정)운영, 업무평가 영역에 대한 자율성 인지도가 정규직화 후에 증가되었다. 보건진료원의 활동내용 중 지역사회 자원파악, 지도작성상태, 지역사회조직 활용정도, 인구구조 파악정도와 가정건강기록부 작성은 정규직화 후에 특별한 변화는 없었다. 또한 집단보건교육, 개인보건교육, 학교보건교육의 실시도 정규직화 후에 변화가 없었다. 그러나 가정방문 실시현황은 1인당 월평균 13.6%회에서 정규직화 후에는 27.5%회로 늘었다. 모성보건 및 가족계획 사업 그리고 예방접종도 정규직화 후에 타기관에 의뢰하는 것이 더 늘었다. 통상질병관리 가운데 성인병관리는 3개월 동안 1개 진료소당 평균 고혈압환자는 12.7%명에서 11.6명으로, 암환자는 1.5명에서 1.2명으로, 당뇨병환자가 4.3명에서 3.4명으로 줄었다. 각종 기록부 비치상황은 장비대장, 약품관리 대장, 환자진료기록부는 100% 비치되었으나 기타 기록부는 그렇지 않았고 정규직화 후에도 변화는 없었다. 보건진료소가 보건소로부터 지원을 받는 내용은 약품 14.0%에서 30%로, 소모품 22.0%에서 52.0%로, 건물유지 및 보수가 54.0%에서 68% 로, 보건교육 자료가 34.0%에서 44.0%로 증가하였고, 장비는 58.0%에서 54.0%로 감소했다. 보건진료소의 월평균 수입은 진료수입이 약 22,000원 증가했고, 국비 또는 지방비 보조금이 4,800원에서 38,508%원으로 증가했으나 회비 및 기부금은 줄어 총수입은 약 50,000원 증가했다. 지출총액은 큰 변동이 없었다. 보건소로부터 3개월 동안 받은 지도감독 중 지시공문을 받은 진료소가 20%에서 38%로 늘었고, 방문지도는 79%에서 62%, 회의소집은 88%에서 74%로 감소하였다. 전화지도는 보건진료소당 평균 1.8회에서 2.1회로 늘었다(p<0.01). 면보건요원과의 협력관계가 있다고 한 보건진료원은 42%에서 36%로 감소하였다. 보건소장과의 관계가 좋다는 보건진료원이 46%에서 24%로 감소하였고, 보건행정계장과 관계가 좋다는 사림이 56%에서 36%로 감소하였다(p<0.05). 보건진료소 운영협의회 회장과의 관계가 좋다는 사람은 62%에서 38%로 감소되었고 보건진료소 운영협의회가 보건진료소에 별로 도움이 안된다와 전혀 도움이 되지 않는다는 사람이 정규직화 전과 후에 각각 92.0%, 82.0%였다. 운영협의회가 필요 없다는 사람은 정규직화 전에 4%에서 16%로 증가되었다(p<0.05). 보건진료원제도 발전을 위해 제안된 사항은 보건교육중심의 활동, 보건진료소운영의 자율성 보장 보건소에 경험이 풍부한 보건진료원을 두어 지도감독하게 할 것과 사용하는 약품의 종류를 늘려 줄 것 등이었다. 이상의 결과로 보하 정규직화 후 보건진료원의 역할, 기능 등의 업무활동의 변화는 거의 없었으나 신분보장과 봉급에 대한 만족도는 향상이 되었고 또한 자율성도 증가하였다. 보건소의 지원은 약간 늘었으며, 지도감독체제에서 지시 공문의 증가로 사무보고 업무가 많아지고, 근무 확인을 위한 전화감독은 늘었으나 업무치진을 위한 행정직 지도 또한 기술적 지도는 거의 없었다.

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중년기 남성의 개인내적 변인, 가족 변인 및 직무만족이 심리적 안녕감에 미치는 영향 (The Effects of Personal Psychological Variables, Family Variables, and Job Satisfaction on the Psychological Well-being of Middle-aged Men)

  • 우선혜;김정민;조한솔
    • 가정과삶의질연구
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    • 제34권6호
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    • pp.15-26
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    • 2016
  • The purpose of this study is to examine the effect of personal psychological variables(cognitive flexibility, emotion dysregulation, subjective health condition), family variables(marital satisfaction, father-adolescent communication) and job satisfaction on the psychological well-being of middle-aged men. For this research, questionnaires were administered to 550 middle-aged men residing in Seoul, Gyeonggi and Incheon. Among 352 questionnaires collected, 327 were selected and statistically analyzed by average, standard deviation, frequency analysis, t-test, one-way ANOVA, and hierarchical regression analysis using SPSS Win 21.0. The main results of the study are as follows: First, according to middle-aged men's social-demographic variables, the level of their psychological well-being differed significantly. Second, cognitive flexibility was the most significant predictor of their psychological well-being. In addition, emotion dysregulation, job satisfaction, father-adolescent communication, and subjective health condition were significant predictors. These results suggest that cognitive reconstruction training or problem-solving intervention could be useful for the psychological well-being of middle-aged men.

1인 가구원의 자살생각에 영향을 미치는 관련 변인 연구: 광주지역 1개구를 대상으로 (A Study on the Variables Influencing Suicidal Ideation in Single Person Households: Targeting One Gu in Gwangju)

  • 김화진;김경신
    • 가정과삶의질연구
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    • 제33권6호
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    • pp.115-128
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    • 2015
  • This study aims to examine the general tendency of suicidal ideation in single person households and to analyse the differences and effects of related variables(sociodemographic variables, characteristics of single person households, happiness and depression) on suicidal ideation. For achieving these purposes, a survey was conducted using questionnaires, based on quota sampling that considers the distribution of population in each dong of one Gu in Gwangju. Finally, data of 686 single person households were used for analysis. The study findings were as follows. The average score of suicidal ideation in single person households was 6.47 points, it was somewhat higher as compared to prior research that was targeting general households. And the average score of happiness index was 4.17 points, depression was 33.11 points. The level of suicidal ideation in single person households was significantly different according to age, occupation, economic status, health status, period of single life, life satisfaction, and contact with family. In addition, the level of depression(${\beta}=.24$, p<.01) had the biggest effect on suicidal ideation in single person households and it was followed by happiness index(${\beta}=-.19$, p<.05) and family visit(${\beta}=-.15$, p<.05). The total explanatory power was 37%. These findings imply that it is important to find a high mental health risk group and treat it early, because there is a high possibility that single person households might have mental health problems by being isolated or alienated from society. In addition, diverse program and services designed to maintain familial bonds despite family members living separately are needed.

건강 관련 식행동과 아시아의 건강음식에 대한 인식 연구 (Study on Healthy Food Behavior and Recognition of Healthy Asian Food)

  • 민계홍
    • 한국식품조리과학회지
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    • 제26권5호
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    • pp.521-529
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    • 2010
  • The purpose of this study was to research healthy food behavior and food recognition for each Asian country after subjects had visited Asian restaurants. The subjects of the study were university students from Griffith university and Queensland university, Australia. The survey was conducted from June 1 to 28, 2010. The summary of the analysis is as follows. Firstly, for dietary behavior related to healthy food, 'average' was the most common answer at 41.0% (102 respondents). Regarding the standard of selecting healthy food, 'if it is good for health' was the most common answer, regarding the reasons to like healthy food, 'because it is good for health', was the most common, and for information about healthy food, 'obtain from TV or media' was the most common. Regarding eating healthy food at home or dining out, most respondents answered 'once or twice a week', whereas regarding thinking of eating healthy food while dining out, 'average' was the most common answer. Secondly, the recognition of six Asian cuisines were ranked in the order of Chinese, Japanese, Korean, Thai, Indian, and Vietnamese. Representative well-being food by country, Bibimbap of Korea, Sushi of Japan, Shark's Fin of China, Tom Yum Kung of Thailand, Curry of India and Goi Cuon of Vietnam were selected. Thirdly, regarding recognition of well-being food, disease effect factor, health-oriented factor, nutrition factor and vegetarian diet factor were extracted. We found that disease effect factor and nutrition factor had positive (+) effects on visiting Asian restaurants due to recognition of well-being foods. Therefore, it is expected that more local people will eat at Asian restaurants if the public relations for Asian restaurants emphasizes harmony between well-being food and Asian food.

대학생의 자아존중감과 스트레스에 미치는 영향 요인 (Factors affecting the Self-esteem and Stress of University Students)

  • 정연옥;심규범;이명선;남철현
    • 한국학교ㆍ지역보건교육학회지
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    • 제16권3호
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    • pp.65-78
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    • 2015
  • Objectives: The purpose of this study was to investigate self esteem and stress of students at their universities for the development of a program related to school life and guidance. Methods: The survey were carried out in 5 universities located in Gyounggi Do, Gyungbuk Do, Busan city and Daegu city from 2014. October 1. to November 30. Out of a total of 500 Questionnaires answered by 500 students, 489 Questionnaires, were analyzed with SPSS version 12.0. Results: The total mean of the self esteem point of college student's school living was $3.41{\pm}0.44$ points. The total mean of the general stress point of college students was $2.67{\pm}0.52$ points. Affecting factors of the self-esteem of subjects(multiple regression analysis) were important things of school living(p<0.05), human and friendship(p<0.05), protector's job(p<0.001), home economic states(p<0.001), and friendship(p<0.001). Based on multiple regression analysis, affecting factors of the stress of subjects were important things of school living(p<0.05), human and friendship(p<0.05), religion(p<0.001), protector's job(p<0.001), friendship(p<0.001), and arbeit job(p<0.05). Conclusions: The results of this study help to provide a basis for development of a strategy to improve the self-esteem and solve problems of stress for university students. Also relevant programs should be developed and provided by related authorities and universities.

ICT 융합 서비스의 키워드 트렌드 분석 (Analysis of Keyword Trend for ICT Convergence Services)

  • 장희선
    • 융합보안논문지
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    • 제14권2호
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    • pp.35-41
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    • 2014
  • 유비쿼터스 컴퓨팅 네트워크와 함께 IT 및 ICT 융합 서비스 개발을 통하여 미래 신성장 동력을 발굴하기 위한 정부, 기업 및 학계에서의 관심이 높다. 본 논문에서는 2000년 중반 이후 ICT 융합 키워드에 대한 트렌드 분석을 통하여 일반인들의 이해와 관심도를 측정하고 효율적인 정책 추진 방안을 제시한다. 이를 위하여 융합의 개념과 발전 단계를 짚어보며, 한국정보통신기술협회에서 선정한 ICT융합 서비스들에 대한 검색어를 분석한다. 융합 서비스를 스마트 홈 워크 교통, Health ICT, RFID USN, M2M IoT, e-Navigation, 지능형 로봇으로 분류하여 키워드 트렌드를 분석한 결과, 시간의 흐름에 따라 관심도가 바뀐 서비스와 일정하게 유지되는 서비스들을 알 수 있으며 M2M IoT, 원격진료, 스마트워크, 지능형 로봇 등과 같이 최근에 검색 트렌드가 높은 서비스들과 가전 로봇, Health ICT, 스마트 교통 등과 같은 새로운 개념의 서비스들을 구분할 수 있다. 효율적인 ICT 융합 서비스를 제공하기 위해서는 최신 정보기술의 개발, 표준화 문제, 법 제도 규정의 정비 및 정책 지원과 함께 수요자들의 원하는 맞춤형 ICT 융합 서비스 발굴이 요구된다.

청소년 한부모의 입소시설 프로그램 및 한부모가족 정책사업 수혜경험과 정신건강과의 관련성 탐색 (Associations between Use of Single-Parent Facility Programs and Public Support Programs and the Mental Health for Adolescent Single-Parent)

  • 이윤정
    • 가정과삶의질연구
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    • 제35권2호
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    • pp.93-112
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    • 2017
  • The adolescent birth rate has doubled in the recent decade. As a result, the Korean government has implemented support for adolescent single-parent families by expanding the scope of coverage of the Single-parent Family Support Act in 2010. In order to understand whether experiences of facility entry programs and the Single-parent Family Support Act for adolescent single-parents were helpful or not, this study verified the relationship to mental health. This study utilized a part of the National Youth Policy Institute's 'Research on the Actual Condition of the Adolescent Pregnancy, Birth and Rearing Children.' Participants of the study were 218 adolescent single-parents at the age of 24 and younger. This study used the research methods of descriptive statistical analysis, ${\chi}^2$test, t-test, and one-way analysis of variance. The findings and discussion of this study are as below: Firstly, the depression level of adolescent single-parents who had been raised by grandparents was higher than other family types to a meaningful standard and adolescent single-parent's cognition of the original family's economic level was related to self-esteem and parenting efficacy. Secondly, the practical single-parent family support policy for adolescent single-parent's pregnancy, birth and rearing children has shown a higher reception rate, and medical service of facility entry programs has a higher satisfaction level. However, some of the facility entry programs and the Single-parent Family Support Act have a low reception rate and it should be considered whether to maintain them or not.Lastly, parts of facility entry programs and the Single-parent Family Support Act for adolescent single-parents have increased self-esteem and parenting efficacy and reduced parenting stress and depression's levels.

1인 가구를 위한 레시피 공유 서비스 디자인 연구 -백주부 요리 레시피를 중심으로- (A study on the Design of Recipe Sharing Service for Single-Person Households)

  • 김한준;김승인
    • 디지털융복합연구
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    • 제18권8호
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    • pp.419-425
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    • 2020
  • 본 연구는 요리 레시피 공유 애플리케이션 내 기능적 서비스를 제안하는 것이다. 많은 1인 가구는 혼자 식사하는 경우가 잦고 외식에 의존하며 평소 식습관은 영양이 잘 고려되지 않는 것으로 나타났다. 홀로 거주 시 다인 가구 대비 우울증 등 정신 질환으로부터 노출될 위험성이 커지며 영양이 불균형하면 질병에도 쉽게 노출될 수 있다. 본 연구에서는 이러한 문제점을 정의하여 1인 가구들이 신체적, 정신적으로 건강함을 유지하는 것이 매우 중요하다는 점을 강조하려하고 20-30대 1인 가구들이 많이 이용하는 백주부 요리 레시피를 중심으로 카노모델을 통해 사용자 경험과 기대를 탐색하였다. 보완된 기능적 서비스 제안으로 이용자들은 조리과정을 번거로움이 아닌 즐거움으로 느껴 외식 및 배달 음식을 줄이고 직접 조리를 통해 신체적 건강을 관리할 수 있게 되며 이웃과의 소통을 통해 정신적 건강까지도 스스로 관리할 수 있게 되는 데 의의가 있다.

경남과 전북지역 초등학교 고학년생의 인터넷 및 식생활정보 이용실태 (Utilization Status of Internet and Dietary Information of School Children in Gyeonenam and Jeonbuk Areas)

  • 허은실;이경혜
    • 대한지역사회영양학회지
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    • 제8권1호
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    • pp.15-25
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    • 2003
  • This study was carried out to investigate the utilization status of internet and dietary information by gender (boys : 442, girls : 461) in school children (total 903). The results were summarized as follows. The most of children used internet regularly (98.1%) and major purpose of using were mentioned as 'game (39.0%)' and 'social intercourse (49.5%)'. The duration of internet use was '< 2hours (80.9%)' They used internet mainly at 'home (88.8%)', and favorite search engines were 'Yahoo (54.2%)' and 'Daum (31.1%)'. The searching experience on dietary information was from only 35.6% of subjects mainly 'for homework (39.6%)' and 'for health (36.9%)'. The satisfaction degree of searched information was 'high (79.5%)'. Dissatisfactory reasons of internet site for dietary information were pointed out to be 'bring little interest (28.9)', 'difficult contents (19.2%)', and 'poor Information (18.2%)'. Only fifteen % of subjects had experience of nutrition counseling using internet, and purpose of counseling was mainly 'for homework (51.4%)' and 'for health problem (24.3%)'. The problems for nutritional counseling site were pointed out to be 'difficult answer content (31.7%)', 'insincere answer (28.6%)'and 'poor answer content (25.4%)'. They acquire information of nutrition and health management mainly through 'internet (43.7%)'. 'Growth and nutrition (28.3%)', 'improvement in studying ability (13.8%)', 'right weight control (13.3%)' and 'cooking (12.8%)'were most frequently asked information, They had a preference for 'game (40.5%)', 'animation (29.9%)' and 'quiz (18.1%)'as loaming method tools. The favorite site color was 'green (51.3%)'The results of this study showed that although the internet use was very high, they used internet to search dietary information very seldom. Therefore, the information donor should find out what is the optimal tool, what kind of dietary information was needed for school children.

거주형태에 따른 공주지역 여대생의 식생활양상 비교 (Dietary Patterns of University Female Students in Kongju City : Comparisons among Subgroups Devided by Residence Type)

  • 김선효
    • Journal of Nutrition and Health
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    • 제28권7호
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    • pp.653-674
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    • 1995
  • This study was aimed at comparing the dietary patterns of university female students according to their residence type. As for subjects, one hundred and twenty students of Kongju national university were chosen as a total. They were devided into three groups ; those who live in family home, or university dormitory, or self-boarding house. In this study, intakes of food and nutrient and dietary behaviors of each group were investigated through two-day food records and questionnaire. The result was that mean daily intakes of calcium and iron were lower than RDAs in all groups. According to residence type, subjects of family home and self-boarding seemed to have more serious problem in the nutrients mentioned above considering the proportions of less than 2/3 of RDAs. Especially, iron status was poorer than any other nutrients in the aspects of this proportion and food source. Iron was taken largely from vegetable foods which were recognized as a source of low bioavailability of iron. The average distribution ratios of breakfast, lunch, dinner and snack to total calorie intake was 22, 29, 30 and 19. Thus, it proved that breakfast tended to be more negligent than any other meals, and that snack was an important means to give nutrients for subjects. This meal pattern might be one of the factor for the decrease of the dietary quality. Processed foods were founded to be an important source for providing nutrients. Percentages of calorie, carbohydrate and fat consumed by processed foods to total nutrients. Percentages of calorie, carbohydrate and fat consumed by processed foods to total nutrients intake were 30.6, 29.5 and 46.2. However, other nutrient intakes from processed foods such as vitamin and mineral were small. And processed foods which give nutrients were mainly cereal products like ra myon, bread, and milk and milk products. Consequently, processed foods seemed to be selected as a combinient substitute food which supply calorie to fill their hunger. According to the living type, dormitory students had them more frequently than any other groups. Food habit score was within the category of poor or fair. Particularly, the score of self-boarding students was the lowest of groups(p<0.05). The major dietary problems were small or overating, missing meal and irregular eating. The degree of these problems was a little different among groups(P<0.01). Nineteen kinds of food were consumed per day, and family home and self-boarding students had foods less variously than dormitory students(P<0.05). Proportions of skipping breakfast, lunch and dinner were 20.8, 12.5 and 8.3%. Accordingly, breakfast was missed more often than any other meals. And self-boarding students missed breakfast more often than any other groups. As a conclusion, subjects should take more calcium and iron, and eat diverse foods to improve their nutritional status. And it is also necessary that breakfast should be regarded more importantly, and that processed foods should be taken considering nutritional balance. In view of residence type, subjects of family home or self-boarding had more dietary problems than dormitory subjects. Thus, these results suggest that university female students might have low ability of meal management, and dietary patterns were different by their residence type. Therefore, nutrition education for them should be carried out with respect to dewelling environment.

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