• 제목/요약/키워드: home health management

검색결과 999건 처리시간 0.024초

일부 초등학생에서 아토피 피부염 증상 관련요인 (The Related Factors of Atopic Dermatitis Severity in Elementary School Students)

  • 최경미;김건엽;이무식;홍지영;배석환;황혜정
    • 한국산학기술학회논문지
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    • 제12권2호
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    • pp.759-764
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    • 2011
  • 본 연구는 아토피의 증상정도에 영향을 미치는 요인을 분석하여 초등학생들의 건강관리에 도움을 주는 기초자료를 제시하고자 시도된 연구이다. 연구의 대상자로는 아토피 피부염의 있는 학생의 어머니 273명을 대상으로 하였고 2006년 11월 한 달 간 조사하였다. 연구결과는 연령이 증가할수록 아토피 피부염의 중증도가 높았다(p<0.05). 유병기간이 길수록(p<0.01), 전신에 아토피 증상을 보일수록 중증도가 심했고(p<0.01), 식생활 습관에 있어서는 육식을 많이 할수록 피부염의 증상이 심했으며(p<0.05), 패스트푸드를 자주 섭취할수록 증상이 심해졌다(p<0.05). 아토피성 피부염의 증상정도를 종속변수로 다중 로지스틱 회귀분석을 실시한 결과, 유병기간이 길수록, 패스트푸드 섭취가 잦을수록 아토피 피부염의 증상이 심하였다. 아토피 피부염의 증상이 심할수록 치료를 위한 어머니의 노력정도나 아토피 피부염으로 인해 자녀가 긁기 증상을 보일 때의 애정도, 월평균 관리비용, 부모정서 및 학생의 신체건강 정서 교우관계에 미치는 영향이 큰 것으로 나타났다. 결과적으로 아토피 피부염의 증상악화를 예방하기 위해서는 육식 위주의 식생활 습관의 교정과 패스트푸드 섭취 제한 등 올바른 식생활 습관을 형성하기 위한 교육을 실시하고 또한 아토피 피부염은 가족 전체의 문제로 인식하여 어머니를 포함한 가족 모두를 대상으로 건강관리가 이루어져야 한다.

부산지역 중등학교 양호교사 및 양호겸직교사의 학교보건업무 활동 양상 (A Study of School Nursing Activity Performed by School Nurses and Teachers Holding Additional School Health)

  • 박정자;정문숙
    • 한국보건간호학회지
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    • 제9권1호
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    • pp.17-32
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    • 1995
  • The purpose of this study was to improve upon school health by understanding the present status of school health and escpecially to investigate the performance rate of regular health instruction. 261 schools, including middle and high schools enrolled in the Busan Educational Association, were sent Questionnaires. Data was collected from the 25th of January to the 10th of April, 1994. 229 subjects who responded to the Questionnaires were finally analyzed as samples. Among them, 127 were school nurses and 102 were teachers acting in a school health capacity. The results of this study are summerized as follows: Of the teachers holding additional school health responsibilities, $85.6\%$ worked in private schools. Many of them $(74.5\%)$ were formally dissatisfied with their ability to provide care because $85.3\%$ of them had never studied any school health. Some of them$(30.4\%)$ didn't know about the annual school nursing budget and $23.5\%$ of them hadn't taught any health education to students. In spite of this fact, they were placed in charge of a school health activity against their own will. There were statistically significant differences in the performance of school health affairs between nurses and teachers holding additional school health (p<0.001) as follows: annual school nursing budget, Health Program Planning and Evaluation, annual purchase price for medicines, average students cared for per day, average students who held at least one consultation per month and extra. Surely, the self-confidence of school nurses was higher than that of teachers with school health as an assigned responsibility. This was demonstrated by a significant statistical difference (p<0.01) in the responses by the two groups. $88.2\%$ of the school nurses and $73.5\%$ of teachers for school health thought that regular health instruction was necessary. But regular health education had been performed only by $32.8\%$ of respondents. Among them, 84% were school nurses and $16\%$ were teachers holding additional school health. Of the persons who performed regular health education, $69.3\%$ used less than $60\%$ of the health content of the athletic textbook. And $64\%$ of them said teaching materials were insufficient. Most of them $(69.4\%)$used home made lesson plans. which they compiled from various sources. There was a significant difference in the formality of the health lesson according to the concern of the school principal (p<0.01) and there was a significant difference in performing health education between school nurses and teachers holding additional school health (p<0.001) It appears that there are a lot of problems with providing school health care using people who are untrained. In a word, school health nurses with professional training are needed in order to perform the qualitative management for the health of the students. These days, regular health education is an indispensable part in making students improve their self-care abilities. Therefore a more effective and better defined program should be prepared for regular systematic health education. To resolve these problems, present laws and regulations related to school health should be revised considering the specialist's request for the improvement of school health. In addition, the concern and financial support of the government are essential.

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행복 인식에 따른 호스피스 준비의 관심에 관한 연구 (A Study on the Interest in Hospice According to the Perception of Happiness)

  • 장경희;이서희;김광환
    • 한국산학기술학회논문지
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    • 제19권5호
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    • pp.489-498
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    • 2018
  • 본 연구는 일반인들 가운데에서 죽음을 어떻게 인식하고 있느냐에 따라 삶의 태도나 방식이 달라지기 때문에 행복에 따른 죽음인식에 차이가 있는지 알아보고, 행복지수가 높은 그룹과 행복지수가 낮은 그룹간의 호스피스 관심이 차이가 있는지 연구하고자 한다. 2017년 4월 22일 D 광역시에서 열린 걷기대회 행사에 참가한 20세 이상 성인 남녀 200명을 대상으로 설문조사를 실시하였다. 설문구성은 일반적 특성이 성별, 연령, 학력, 직업, 결혼상태, 가족 동거여부, 종교, 건강상태 8항목이었다. 행복에 관한문항은 총 29항목, 죽음 인식은 9항목으로 구성하였다. 통계 검정법으로는 설문지의 항목에 대하여 행복지수를 기준으로 카이제곱 검정, 독립표본 t-검정, 상관분석, 정준상관분석을 실시하였다. 연구결과, 임종하기 적합한 장소에 관한 문항에서 행복지수가 낮은 그룹은 "의료기관"이 46.3%로 가장 높았으며, 행복지수가 높은 그룹에서는 "살던 집"이 59.4%로 가장 높게 나타나 유의한 차이를 보였다. 병원에서 임종하는 경우가 훨씬 많은 우리나라의 현실에서 환자들이 원하는 편안하고 익숙한 장소인 집에서 임종을 맞이할 수 있는 방법인 가정형 호스피스의 이용률을 높일 수 있도록 전문 인력의 확보 및 교육 등 관리체계를 보완해야 할 것이라고 보여 진다. 그리고 대상자의 일반적 특성을 고려한 개별적이고 다양한 접근을 통하여 죽음인식을 높이고 호스피스를 효과적으로 이용할 수 있도록 하여야 할 것으로 사료된다.

ICNP의 후향적 개발방법에 의한 한국가족현상 (Development of Family Nursing Phenomena in Korea by Retrospective Method of ICNP)

  • 윤순녕;김현숙;권영숙;박경민;김화중;이지현;고영애;소애영;양순옥;전경자;이인숙;김염임;김은희
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.275-290
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    • 1999
  • The Objectives of this study were to identify family nursing phenomena at the community in Korea and to contribute to build up family domain of International Classification for Nursing Practice. The method of this study was used retrospective one among three methods to develop ICNP during the period from April 1997 to June 1999. The procedure was to choose nursing phenomena using preliminary terms(stepl) from the reports on family nursing care of the nursing students of 5 junior colleges of nursing and 5 colleges of nursing. The study group members identified 3 common family nursing phenomena with 5 characteristics related to each phenomenon. In order to consensus the appropriate characteristics of a phenomenon(step2), 17 study group members had regrouped nursing phenomena and scored its characteristics 5 times. The essential characteristics of each family phenomenon were selected above 3.5 mean score from related characteristics(step 3). Finally, 17 phenomena were named preferred terms such as following, that was selected after investigated preliminary terms(step4). Family nursing phenomena in Korea are named as Lack of family interaction in community. Social isolation. Lack of social support system in community. Disturbance in parent role, Disturbance in marital role, Dissatisfaction of sexual life, Disturbance in family communication, Inappropriate family coping, Lack of family intimacy, Inappropriate family power structure, Family violence. Unhealthy life style. Deficit of financial management skill and support. Inadequate care a sick member. Insecure safety and hygiene in neighborhood, Inadequate home-sanitation. Inadequate home-making. Family nursing phenomena in Korea were partially confirmed family architecture of ICNP, Beta version. by this study. Further study on Family nursing phenomena in Korea will be required to support evidence through literature review of nursing classifications or field studies.

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발효·소멸 기술을 이용한 음식물 쓰레기 무배출 시스템에 대한 공동주택 거주자의 태도에 관한 분석 (Exploring Residents' Attitudes in Multifamily Housing Toward Food Waste Zero-Emission System with Fermentation and Extinction Technology)

  • 오정익;이현정
    • 대한환경공학회지
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    • 제35권5호
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    • pp.321-333
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    • 2013
  • 주택 내에서 발생하는 음식물 쓰레기의 실태를 조사하고, 음식물 쓰레기의 자원화와 바이오처리를 이용한 음식물 쓰레기 무배출 시스템에 대한 거주자의 태도를 조사하는 본 연구에서는 전국 소재의 공동주택 단지 총 400세대를 대상으로 설문조사를 실시하였다. 가설검정을 위하여 SPSS window version 18.0 통계분석 프로그램을 사용하여 빈도 및 백분율, t-검정, ANOVA, 요인분석, 로지스틱 회귀분석을 실시하였다. 분석 결과, 주택에서 배출되는 음식물 쓰레기는 국 또는 찌개류, 나물반찬, 과일류 등 수분이 다량 함유되고 쉽게 부패되는 종류였고, 음식준비과정에서 많이 배출되고 있었으며, 쓰레기 배출시 악취와 벌레 등의 불쾌감과 쓰레기 배출시의 불편함이 지적되었다. 이로 인해 음식물 쓰레기의 에너지화와 부엌 싱크대에 음식물 쓰레기 무배출 시스템의 설치에 적극적이었으며, 그 시스템을 주택건설단계부터 구조적으로 설치되길 선호하였다. 회귀분석 결과, 주부 학력, 요리스타일과 식재료 구입계획의 식재료 구매단계 특성이 음식물 쓰레기의 자원화 경향에 통계적으로 유의한 요인들이었다. 즉, 주부 학력이 높을수록, 식재료 구매단계특성 중 식재료 구입계획이 허술할수록 음식물 쓰레기를 자원화하려는 경향이 높았다. 반면, 음식물 쓰레기 무배출 시스템 설치 희망에 미치는 요인은 통계적으로 유의하지 않았으나, 주부연령이 낮고 학력이 높을수록 가족생활주기가 자녀초등 청소년기일수록 음식물 쓰레기 무배출 시스템 설치를 적극적으로 희망하는 편이었다. 따라서, 쾌적한 주거환경 조성과 지속가능한 생활환경 창출을 위해 음식물 쓰레기의 자원화 및 무배출 시스템의 설치는 필요하며, 활발한 보급을 위해서는 사용자 친화적인 설계와 제도적 지원이 수반되어야 할 것이다.

암환자의 대체요법 시행경험 (The Experiences of Trial Alternative Therapies for Cancer Patients)

  • 고덕순;정연강
    • 가정간호학회지
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    • 제8권2호
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    • pp.109-120
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    • 2001
  • This study has been done in order to help the people understand the cancer patients and provide the basic materials for the care of cancer patients by deeply understanding the living experience of the practice of alternative therapy for cancer patients. Data were collected with several in depth interviews and observations. Collected datas were analyzed by using phenomenological method of study by Giorgi (1970). The trial experience of alternative therapy for cancer patients has been classified into the one of having concerns, following, being infatuated, and coming out by pushing, and the experience of having concerns appeared as the meaning of the limit of modern medicine, despair, loneliness. hope, emotional support. dissolution of the feeling of uneasiness. the feeling of burden of the medical expense, self-treating, the subject of treatment. and indifference while the experience of following appeared as the meaning of blind following, temptation, going outside to look for something, wandering. following unconditionally, advise of the professionals, mistaken belief. self-abandonment, powerlessness. disconnection of dialogue with the medical staff. elevation of immunity, strengthening the physical power, absence of the source of examined information, clinging, self-responsibility. the experience of being infatuated appeared as the meaning of thorough trial. affirmative experience. devotion. diverse efforts, faithful trial. affirmative self-suggestion. change of the style of life. the feeling of burden of expense, being envious, bitter feeling toward the family, considering family, family discords, and difficulty of enforcement. The experience of coming out by pushing appeared as the meaning of waiting. self-reflection. maintaining the distance. cutting attachment, throwing the greed away, coming out by pushing. being thoughtful. accepting disease. individual difference of physical quality, and ambivalence. But they return to the experience of being concerned all over again in case of recurrence or metastasis of the disease even though they come out of such stage, and they always have ambivalence even in the condition with no recurrence and metastasis. In conclusion, the trial of alternative therapy for cancer patients could be explained as the adaptive behavior to the disease which is difficult to be cured. the cancer. The cancer patients are exposed to the side effects and harm without the examined information resources. Therefore the nurse should well aware of the alternative therapy and be able to do the appropriative management through the open communication with the patients who are under the trial of alternative therapy.

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방문요양 요양보호사의 근골격계 통증 유발요인에 관한 연구 (Study on Factors that Induce Musculoskeletal Symptoms in Care Workers Who Offer Visiting Home-Help Services)

  • 김덕주
    • 한국산업보건학회지
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    • 제27권4호
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    • pp.352-360
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    • 2017
  • Objectives: 본 연구의 목적은 방문요양 요양보호사들의 세부업무 영역별 특성이 근골격계통증에 미치는 영향을 알아보고, 요양보호사들의 근골격계통증을 경감시키는 방안을 마련하고자 하는 것이다. Methods: 본 연구는 P시에 위치한 C, K 재가센터 소속 요양보호사 192명을 대상으로 실시하였다. 대상자들에게 근골격계통증척도와 요양보호사의 세부업무에 대한 작업부담체크리스트를 작성하게 한 후, 수집된 자료를 SPSS 21.0 프로그램을 이용하여 분석하였다. Results: 요양보호사의 근골격계통증 자각증상 정도를 보면, 허리통증과 어깨통증의 수치가 가장 높았다. 세부업무 영역별 특성이 근골격계통증에 미치는 영향을 알아본 결과, 신체수발영역의 '식사수발하기, 이동지원하기, 목욕지원하기, 체위변경하기, 건강관리영역의 '물리치료보조하기, 욕창관리하기', 시설환경 관리영역의 '청소 및 세탁물관리'가 영향을 미치는 것으로 나타났다. Conclusion: 요양보호사들은 거동이 불편한 대상자들을 이동시키거나 체위를 변경하는 동작 등 신체적으로 무리가 가중되는 환자의 비율이 높아 신체 하중을 가장 많이 받는 허리와, 어깨의 통증을 일으킬 우려가 매우 높다. 이에, 요양보호사들에게 통증이 주로 발생할 수 있는 부위의 과부하를 줄여줄 수 있는 인체역학적 자세에 대한 교육이 필요하다. 그리고 위험한 업무에 대해서는 장비 및 인력의 지원이 제공 되어야 할 것이며, 지속적으로 다각적 차원의 사회적 지원이 필요할 것이다.

여가인식, 활동유형 및 여가제약의 세대간 비교 (Intergenerational Comparison of the Leisure Attitudes, Activities, and Leisure Constraints)

  • 윤소영;차경욱
    • 가정과삶의질연구
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    • 제22권2호
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    • pp.97-107
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    • 2004
  • The purposes of this study were compare the leisure attitudes, leisure activities, and leisure constraint among three different generations - teenagers, adults, and elderly adults. Data were obtained from a Questionnaire completed by both male and female lived metropolitan, and aged over 13. Using the factor analysis, this study classified the types of leisure attitudes. The leisure attitude was divided to 4 factors - reducing stress, self-realization, family activity, and surplus time. In order to compare the attitudes, activities, and constraints of leisure among three different generations, ANOVA was used The findings of this study are as follows: First, there were significant differences between teenager group and the others. The teenagers (n=107) recognized the leisure as a mechanism of reducing stress, or as just surplus time. They liked sports, computer games, travels, and reading books, but were not likely to like leisure activities shared with family members. Their leisure constraints were significantly larger than those of the other groups. Teenagers' constraints of time, money, and skills could be leisure barriers. Second, adults group (n=123) attached importance to the family leisure activities. They liked to spend time with their family members, but they seemed to be relatively passive in most types of leisure activities. They like to read newspapers and magazines, and to participate in religious activities. Third, elderly adults' (n=86) purpose of leisure activities was to improve the health condition, and to develop relationships with their friends. They liked sports such as swimming and aerobic dance, travels, religious activities and community service activities. Their good health condition and economic resources could decrease the leisure constraints.

상선 승무원들의 근골격계 증상 경험률과 관련요인 (A Survey on the Prevalence of Musculoskeletal Symptoms and Related Factors among Korea Seamen)

  • 김재호;이종영
    • Journal of Preventive Medicine and Public Health
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    • 제31권1호
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    • pp.127-138
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    • 1998
  • The purpose of this study is provide a basic data for the prevention and management of musculoskeletal symptoms in Korea seamen. 569 seamen's questionnaire had been acquired at Korea Marine Training and Research Institute from February 24 to March 31 in 1997, The results of this study were as follows; Prevalence in musculoskeletal symptom within recent 12 months was 68.5% . It was 3% in seamen who had graduated from colleges or universities and 56.0% in seamen who had graduated from elementary school(p<0.01). The more working hours(p<0.01), servies on the vessel(p<0.01), and the less job satisfaction(p<0.05), the higher prevalence of musculoskeletal symptoms were. The distribution of musculoskeletal symptoms by the part of the body was turned out as Back ; 43.6%, knee : 23.9%, shoulder : 19.3%. The officers had more frequency of symptom around the neck than the ratings(p<0.01) and the seamen who work at the engine room were more frequent in elbow than those at deck department(p<0.05). In the duration of pain, 55.4% were less than one week, 20.6% less than 30 days, and 24.0% 30 days and more. the cause of symptom was turned out as 34.5% by excessive hard work and 30.1% was unknown. for the treatment of the musculoskeletal symptoms, 40.3% with symptomes did not have any medical treatment, 27.6% was self-treated and 22.7% was treated at hospital. This study shows that musculoskeletal disorders are seamen's important health problem and they can not properly take medical service due to the out of home for a long period as characteristics of occupation.

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중.고등학생들의 컴퓨터 사용실태와 VDT 자각증상 연구 (A Study on State of Computer Use and VDT Subjective Symptoms among the Middle and High School Students)

  • 정승희;박인순
    • 한국학교보건학회지
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    • 제16권1호
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    • pp.23-35
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    • 2003
  • This study is to provide basic data regarding prevention of VDT syndrome by surveying the computer usage and understanding the VDT subjective symptoms. Data collection was done using a structured questionnaire among 617 students in middle and high schools in J city, Chonbuk province from 1 April 2002 to 20 April 2002. Modified and adjusted study tools were used which were based on previous studies on the actual computer usage and the VDT subjective symptoms, and the self-assessment tool for VDT syndrome by Moon et al(1991). Collected data were analyzed by SPSS program. The results were as follows: It showed 97.2% of students in middle schools and 97.6% in high schools to hold personal computer, 92.2% of middle school students and 84.7% of high school students commonly used computer at home. Communication was the obvious reason to use computer in 55.8% of middle school students and 71.6% of high school students. The mean of the VDT subjective symptoms among students in high schools showed $1.09{\pm}.69$ which higher than that of $.80{\pm}.59$ among students in middle schools (t=5.666, p=.000). Musculoskeletal symptom was marked the highest in the scoring of VDT subjective symptoms among students in middle and high schools. The higher grade, The more pocket money, The less breaks or exercise taken during computer use, The more they feel harmful about using computer, The actual time of computer longer than 3 hours per use were contributed to the higher score of the VDT subjective symptoms among students. There are suggestions following this study: To establish a systematic preventative program and management regarding the current computer use among students especially in relation to the VDT subjective symptoms. To develop better educational programs for parents regarding time-limit and to create appropriate environment in computer use.