• 대한물리치료과학회지
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• 제9권1호
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• pp.25-36
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• 2002

Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

• 근관절건강학회지
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• 제6권1호
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• pp.100-135
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• 1999

Typical symptoms of rheumatic disease affect overall daily living and cause severe stress. Individuals afflicted with rheumatic disease have many illness-related stresses. Pain was the predominantly perceived stress followed by limitation in mobility, difficulties in carrying out activities of daily living. helplessness, dependency on others, threat to self-esteem, interference in social activity, interference in family relationships. difficulties performing at work, and discomfort of the treatment. Patients with chronic arthritis are subjected to long periods of continuous stress, which may require the management by the health care provider. In these cases, the purpose of the nursing is helping to promote health through supporting patient's coping. Therefore, for the nursing intervention to be effective, it is critical to build a theoretical framework that describes stress-coping for chronic arthritis. Thus, the purpose of this dissertation is to present a theoretical framework which describes the stress-coping processes and to empirically test pathos of this framework for the people with chronic arthritis. The foundation upon which this framework is built in the Erickson, Tomlin, and Swain(1983) theory of Modeling and role-Modeling. The subjects were 275 patients with rheumatoid arthritis or osteoarthritis who visited the outpatient clinic. A hypothetical model of stress-coping was tested by covariance structure analysis with PC-LISREL 8.12 program. As a result, the overall fit was good(Chi-square=94.49, P=0.00, RMR=0.067, GFI=0.95, AGFI=0.91, NNFI=0.93, NFI=0.91) for the hypothetical model. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on coping resources. However, independent variables(basic need satisfaction, internal health locus of control, illness-related experience, emotional stress and coping resource) did not have significantly influence on coping. And then, the hypothetical model was modified by considering both the theoretical implication and statistical significance of the parameter estimates. The revised model had a better fit to the data(Chi-square=83.11(P=0.00), RMR=0.061, GFI=0.96, AGFI=0.92, NNFI=0.95, NFI=0.92). Hypothesis emerged from the revised model was tested. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on illness-related experience and coping resources. Internal health locus of control, illness-related experience, emotional stress and coping resources had a significantly influence on coping. According to the results of this dissertation, basic need satisfaction and internal health locus of control play a central role in appraisal of illness-related experience and coping resources. And illness related-experience, emotional stress, and coping resources affect on coping activities. In summary, nursing interventions to enhance basic need satisfaction and internal health locus of control will decrease illness related experience and emotional stress and increase coping resources. Increased coping resources will prompt coping activities.

• 한국사회복지학
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• 제60권2호
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• pp.77-98
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• 2008

본 연구는 여성정신장애인의 양육능력에 사회적 지지와 모성역할을 격려하는 사회적 맥락이 주요 영향요인이라는 전제하에 자녀를 직접 양육하고 있는 정신분열병과 기분장애를 가진 여성정신장애인 145명을 대상으로 정신장애 특성(유병기간, 진단, 증상정도, 입원횟수)과 인구사회학적 특성(나이, 자녀수, 주관적 경제수준)을 통제한 상태에서 부부관계와 사회적 지지가 양육능력의 세 차원(애정표현, 자율성 격려, 합리적 통제)에 미치는 영향력을 분석하였다. 그 결과 애정표현능력에는 부부관계, 사회적 지지, 경제적 수준이, 자율성 격려 능력에는 부부관계가 주요 예측요인으로 나타났다. 그러나 다른 차원과 달리 합리적 통제능력은 진단, 증상정도, 유병기간과 같은 장애특성과 경제적 수준이 주요 예측요인으로 나타났고 부부관계와 사회적 지지는 의미 있는 예측력을 가지지 못했다. 이러한 결과를 바탕으로 연구자는 여성정신장애인의 양육능력 향상을 위해 가족중심의 서비스와 임상적 서비스를 포함한 포괄적인 심리사회적 개입을 제안하였다.

• 한국지역사회생활과학회지
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• 제15권3호
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• pp.137-148
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• 2004

The purpose of this study is to prevent and review counter-action for the sexual harassment in campus by revealing current state of sexual harassment in campus relatively weak in sexual discrimination with regard to sexual harassment emerged as social problem serious in our nation. The targets of study were students and assistants in three schools located at $Kwangju\cdot{Chonnam}$ area, a questionnaire made by pre-researcher was applied to student vs. assistant with regard to sexual consciousness and recognition, and current state of sexual harassment, with analysis of material processed through statistical analysis using SPSSWIN 10.0 for verification of $$\chi$^2$ for identification of difference vs. family and student vs. assistant. The result of this research with regard to sexual harassment is under following: Firstly, the recognition of concept of sexual harassment was proved to be aware of be more than half a responders above average, lack of recognition showed significant number requiring establishment of concept of sexual harassment, the responders stated that they could do it alone should be treated in the counseling room in school. Secondly, 28.7% of students and assistants answered that they have suffered from sexual harassment now and. before, even a great number of males have experienced such sexual harassment. In case of female assistants, more than half of them suffered from sexual harassment suggesting us significant level of sexual harassment to female assistants. A depth of sexual harassment to assistants should be investigated in a further way by preparing for and establishing concrete preventive actions and researches, mostly suffered by males; In this respect, a preventive training of sexual harassment should be deemed to be provided to males. Thirdly, as a result of investigation of sex education and preventive action against sexual harassment in college, most of elementary, junior, junior high school hardly provide no or inefficient sexual harassment, and they responded that the campus needs its education. As a way to educate campus with sexual harassment efficiently, a special lecture or regular class might be designed for systematic education or sexual harassment through schools counseling room might be effective emphasizing upon role of the room according to opinions of responders. The college is required to install such offices or centers as can exclusively manage and take charge of sex education program operation, legal system of anti-sexual harassment, or personnel arrangement for such activities in school by reflecting such result into school for appropriate and efficient education of or counseling to sex.

• 의료법학
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• 제9권1호
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• pp.385-411
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• 2008

The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.

• 여성건강간호학회지
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• 제7권4호
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• pp.518-535
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• 2001

Nursing practices should be based on the understanding of human beings. In order to understand human beings, it is important to study the lifestyles and thoughts of people in their natural environment. In this sense, the cultural aspects of a society need to be studied for a culture-bound nursing service. Child care, which is an important element of nursing, is also strongly influenced by the culture of a society. Therefore, a cultural study is necessary to understand the child-rearing practices of any society. The major purpose of this dissertation is to provide basic foundations for developing a culture-based theory for nursing intervention through studying traditional cultural elements of child care in Korean society. The study examined child-rearing practices in a small village on Koje Island in the southern part of Korea. It utilized ethnographic methodologies including participatory observations and in-depth interviews. The study participants were 9 Korean mothers living on Koje Island. The average age was 52. The data were collected between July in 1998 and December in 1999. The average number of interviews per person was 7-8, and the duration of each interview was approximately 2 hours. The data were analyzed using the Spradley Analytical Method. The following 9 major child-rearing aspects of mothers on Koje Island were discovered as a result of the study: 1. Firstly, mothers on Koje Island were mostly concerned about the "Old Birth Goddess' Curse", especially during their child's early years. This concern was evidenced by their careful behavior when their child was very young and by their praying to the Old Birth Goddess not to be jealous of their babies. 2. Secondly, they wished their children to live a different and better life than themselves. It was represented by their strong motivation toward their children's education as well as their expectation for their children's success. In traditional Korean culture, Korean people think that the rise and fall of the household depend on their offsprings. Therefore, Korean mothers wish their children attain to a higher level of social status through education. 3. Third, mothers are concerned about their children's righteousness. Mothers on Koje island expect their children to live with discretion, justice, strength, respect, harmony, and to do their best in life. 4. Next was an 'anticipation of their children's happy marriage'. The attributes of this category were an 'anxiety about their children's married life', and 'an expectation of a good spouse for their children'. Because Korean people believe that only a son can continue the bloodline of a family, especially Korean mothers have a great concern of the possibility of their daughters not having a son after marriage. Also they have different expectations toward their daughter-in-laws than son-in-laws. 5. Korean mothers also derived their satisfaction from their son. It was characterized by 'excessive affection toward their son', 'dependency on their son', and 'being afraid of their married daughter having a girl like themselves'. Korean society has been a patriarchy. Therefore, a son is beloved as someone who will take care of his old parents, be in charge of ancestral rites, and provide a daughter-in-law who can conceive a son. 6. The sixth category concerned 'the differences in their expectations for their children'. The attributes in this category were 'different expectations depending on their children's gender', 'different expectations depending on their children's ability', and a 'great sympathy toward children with low abilities'. Korean mothers expect their son to become better than their daughter. 7. The seventh category was related to their 'roles in child-caring practices'. Traditionally a child was raised in an extended family system in Korea So it was not the sole duty of a mother to bring up the child. Korean mothers used to receive much help rasing children from their in-laws, and family members. On the other hand, many children grew up by themselves, because their mothers were very busy taking care of housework. Furthermore, many children also grew up in poverty. 8. Mothers also had issues related to 'conflicts in child rearing'. They were characterized by 'lack of understanding', 'rudeness of children', and 'giving vent to one's anger'. 9. Finally, mothers regretted not doing their best in child-rearing practices. It was characterized by a 'bitter feeling of repentance', 'feeling irritated', and 'feeling of unsatisfaction'.

• 한국학교보건학회지
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• 제9권2호
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• pp.185-195
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• 1996

This study attempts to discover ways to prevent and cope with stress m primary school students, Specific, ally, we wish to investigate the sources of stress and to identify the variance and frequency of coping methods which have been used by the subjects. After examining the school children's list of items about stress and coping strategies by on open structure method, subjects ranked the seventy of stressor's and frequency of a coping strategies by closed structure method. A survey was done of 720 students who were from the 4th to 6th grade in 4 primary schools in the Chonbuk area from April 1st to May 30th, 1995. The major results obtained from this study were the following. 1. The sources of stress bad were classified in 57 items Among the 57 items, 'were school records' 'illness of parents' 'death of family members' 'meetings with trouble makers' ranked high ranking in the stress ratings. 2. Severity of stress. the mean total stress scores were 186.4 with 285 as the highest score. 3. The kinds of coping with stress using were classified in 35 items, Among the 35 items, 'wandering and walking alone' 'mood getting out of the in any way' 'trying to forget the stressor' 'were among the highest scored. 4. Frequency of coping with stress: mean total stress coping scores were 67.9 with 140 as the highest score. 5. Difference m stress and coping strategies between sex, age, living district and religion groups were examined. 1) Significant variables influencing stress scoring were sex (t=-2,29, p<.001) and grade (F=6.33, p<.001). 2) Significant variables influencing stress coping practice were residence (t=1.94, p<.05), sex (t=-3.17, p<.002) and religion (F=5,95, p<.0001).

• 한국실내디자인학회논문집
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• 제25권6호
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• pp.3-14
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• 2016

According to Plato's ontology, we lead our lives by establishing a relationship with others in the society. However in rapidly changing era, our lives was gradually moving towards personal tendency. Even for the relationship with family, not with others. Thus, awareness about owning properties has changed due to the sociocultural factors and increase number of single-person households. So in this study, the considerations for single-person housing were perceived through preceding research, and the elements making spatial boundary of shared housing were drawn to make rational space sharing based on the boundary with others and of the living environment. With overall analysis based on the spatial boundary features of planned shared housing, the plan characteristics according to the spatial boundary of the current shared housing is to be drawn and analyzed. Third, The expressive and structural features of spatial boundary as above appear with mutual flexible connectivity, And the result shows that the modularity was the highest. Among them variable coupling modularity of shows how it is possible to combine efficiently and variously the private and public spaces with regularity of 'space of optimal unit'. This study drew plan characteristics from more detailed space border of shared housing. Therefore, The basic framework of the characteristics spin for the cases that newly emerge later on.

• 대한간호학회지
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• 제51권3호
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• pp.320-333
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• 2021

Purpose: The study was conducted to explore the experiences of job retention among working people with mental illness. Methods: The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method. Results: The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person. Conclusion: Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.

• 보건교육건강증진학회지
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• 제12권2호
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• pp.73-89
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• 1995

This study was planned to investigate indirectly the effects of study environments of high school students such as family characteristics, availability of sex education, and possibility of exposure to unhealthy sexual environments. For this purpose, the level of knowledge and attitude towards sex of general and industrial high school students were compared because these two groups of students were believed to be different in those study variables. For this study, 600 students (300 male and 300 female students) from a general high school students and 400 (200 male and 200 female) from an industrial high school in one industrial city in Korea were surveyed with a structured questionnaire. The study results were as follows: 1. There were significant differences in selected family condition variables between general and industrial high school students. Proportions of students with single parents, those who live in houses other than their own, and those father's occupations were farming and manufacturing were higher in industrial high school students than in general high school students. 2. Female students wanted to have more knowledge on sex whereas male students were interested in things related to sexual acts in both general and industrial high school students. The largest proportion of students wanted to discuss their sex problems with their friends not with their parents. 3. More students in general high school thought that the sexual intercourse is natural and pretty than those in industrial high school, whereas more industrial high school students insisted on the sexual purity before marriage than general high school students. 4. About 65% of students surveyed agreed to making friends with opposite sex and, in fact, more than half either had experiences or were having friends of opposite sex. More students in industrial high school wanted to choose their marital partners based on advices of their parents than students in general high school. 5. More female students than male and more industrial high school students than general high school students were embarrassed with first wet dream or menstruation and felt guilty about the masturbation. 6. Level of knowledge on reproductive physiology, sex transmitted disease and contraception was higher in general high school students than in industrial high school students. These study results suggest that simple knowledge on sex of the general high school students does not seem to affect positively the students attitude towards sex and the unfavorable living conditions of industrial high school students seem to influence the students to become more sincere and healthy in their attitude towards sex and life. Therefore, more thoughtful consideration in contents and methods should be given when the sex education is provided to the high school students.