• 한국학교보건학회지
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• 제17권2호
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• pp.127-150
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• 2004

Objectives: The purpose of this study is to provide a basic structure for the establishment of the direction of school health programs, an overview of the historical changes of school health programs and their results, and a conceptual framework on school health programs. Methods: The data analysis has been done using a statistical almanac, relevant laws and regulations, operation handbook of the program, theses, reports, records of public hearings, and other reports as a technical research primarily based on evidence. The methodology of this research classifies the development and growth transition of school health programs during a historical period through the investigation of regulations, organization, manpower, and its program via its development process and to provide a basic tool to design a solid school health policy. Results: A The growth and development of school health programs The development of school health programs was classified into three different periods including the forthcoming period (1945~1967), the completion period (1967~1993), and the actualization period based on the establishment of legislation for School Health Law, other relevant legislation, and the contents of school health programs (1993~present). B. Policy direction of school health programs School health programs have reestablished their goals and range based on basic direction, and developed the W1it model of information structure for school health program management and its basic structure. Finally, the stepwise support system through the building of the school health support center is recommended. (1) The basic direction of school health programs has proposed 7 basic goals to reestablish the policy direction of health improvement based on total health. (2) The W1it model of information system and the school health information system for school health program management has been developed to utilize positive management. (3) School health policy through the study of the health laws and systems has been developed. The necessity of school health support center for the policy support, functional support and operation support has also been proposed. Conclusions: It is necessary to build a school health support center that consists of health professionals in charge of policy support, functional support, and program support of school health programs in order to realize and develop new policy.

• 여성건강간호학회지
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• 제2권1호
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• pp.106-124
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• 1996

This paper reviews battering, sexual violence and divorce experienced among women. There three problems have negative influence on health status in women and are further developed to social problems such as family dissolution. The victims of the problems may manifest physical injury, emotional difficulties and social withdrawl, while their children may show problems caused by lack of parental caring and by resembling abusive behaviors of their parents. Hence, nurses need to pay attention to batting, sexual violence, and divorce and to develop relevant nursing interventions for them. Some strategies of dealing with those problems are presented in the following. First, we have to eliminate sexism prevailing in out society. Our society is assigning inequal and asymmetrical gender role. Mass media should inspire equality between genders and show a healthy model of family and community. Second, social system and laws should be changed through collective efforts. Those living conditions of women cannot be changed by the effort of women themselves only. We all need to work for establishing and changing the law, so that those women in suffering can obtain immediate and adequate protection. Third, social support system of consulting and referring women's problems should be established. Such support system as hot line, shelter and counseling clinics would help women in crisis. Fourth, job training and arrangement should be available to women who are divorced. Fifth, there should be self-help group for those women in suffering. Self-help group would help those women in sharing their problems and feelings and in establishing coping strategies. Nurses, as the largest group among health professionals, are sensitive and respond to health needs of clients and have an effect on managing women's health. However, we nurses have not been ready for dealing with problems of women, although most of us are women. we not need to change our perspective of women's health problems from a traditional medical perspective to feministic one. Accordingly, nurses need to develop realistic way of caring those women in suffering and to assist them in making decisions for their lives by themselves.

• 정보관리학회지
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• 제33권4호
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• pp.7-26
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• 2016

본 연구는 모바일 개인건강기록(Personal health record: PHR) 어플리케이션의 장단점을 분석하고 그 어플리케이션의 사용이 소비자 건강정보행태에 미치는 영향을 파악하고자 하였다. 본 연구를 위해 총 27명의 대학생들이 3개월 동안 PHR 어플리케이션을 사용하였으며, 그 경험을 바탕으로 서면인터뷰를 실시하였다. 내용분석 결과, 시각적 인터페이스를 통한 예방 차원의 건강관리 및 건강 향상을 위한 동기부여와 구체적 가이드라인의 제공, 가족과의 데이터 공유 및 간병인(caregiver)의 환자 건강관리지원, 무엇보다도 환자와 의료전문가와의 상호작용 강화 등이 PHR의 혜택으로 부각되었다. 반면 근력운동과 같은 콘텐츠의 미비 내지는 타 기기와의 호환성 미흡 등이 문제점으로 지적되었다. PHR의 도움으로 건강을 향상시키고자 하는 소비자들은 감정적 지원을 받는가 하면, 수면장애극복, 금주, 금연, 그리고 체중감량 및 식습관의 변화 등 건강행태를 변화시키고자 하는 동기부여가 생겼으며, 실제로 건강행태의 변화를 성취함으로써 자기효능이 증가하기도 하였다. 본 연구는 국내 연구에서는 도입단계인 PHR에 대한 연구를 시도했다는 것에 학문적 의의가 있으며, 헬스케어분야의 패러다임 변화에 대응하기 위한 건강 및 의료정보서비스를 모색하는데 통찰력 있는 시사점을 제공한다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.873-876
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• 2016

Background: Studies of quality of life (QoL) of oncological patients is carried out using questionnaires approved in many international clinical studies. The European Organization for Research and Treatment of Cancer EORTC QLQ-C30 (Quality of Life Questionnary-Core 30) and its special brain cancer module EORTC QLQ-BN20 are widely used in the world neurooncologic practice. They are available in more than 80 official versions of 30 languages of the world. Previously we used the official versions in Russian, which often causes difficulty in understanding for native Kazakh language speakers, who comprise more than 60% of our respondents. This was the reason for creating a version of Kazakh language. Therefore, in 2014 for the first time the process of adaptation of questionnaires to the Kazakh language was initiated. Materials and Methods: The translation process of questionnaires to Kazakh language was held in accordance with the requirements of the European Organization for Research and Treatment of Cancer EORTC on QoL and consisted of the following stages: preparation - translation - pilot testing - approval. The official permission of authors and "Guideline on translation" was obtained which was developed by the working group of the EORTC on QoL. The pilot testing of EORTC QLQ-C30 and QLQ-BN20 questionnaires was conducted on the basis of the Department of Central Nervous System Pathology of the "National Centre for Neurosurgery" in patients with malignant tumors of the central nervous system. Results: The official versions of the EORTC QLQ-C30 and QLQ-BN20 questionnaires in Kazakh language were introduced and adapted in practical neurosurgical operations in Kazakhstan. Conclusions: The approved versions of the questionnaires in Kazakh language are now available for mainstream use on the official website EORTC.com. The versions of these questionnaires can be used in domestic cohort studies and clinical practice in the Republic of Kazakhstan. The use of these tools for assessing QoL will help professionals in the planning of individual treatment strategies and selection of the necessary therapy.

• 한국콘텐츠학회논문지
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• 제14권6호
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• pp.298-306
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• 2014

본 연구는 노인장기요양보험제도에서 가정방문물리치료 제도의 도입과 정착을 위해 수급자 측면의 환자와 공급자 측면의 물리치료사의 인식 및 필요성에 대한 의견을 알아보고자 하였다. 조사 참여자는 광주광역시 소재 의료기관에 근무하는 물리치료사(130명)와 환자(96명)를 대상으로 설문조사를 실시하였다. 연구결과 환자(60.4%)와 물리치료사(75.4%)는 장기요양보험제도에서 간호사 및 간호조무사에 의해 제공되는 신체활동 지원서비스는 전문성이 부족하며, 가정방문물리치료를 통해 질적인 치료가 가능할 것이라고 응답하였다(환자 47.9%, 물리치료사 59.2%).또한 장기요양보험제도 개선 시 가장 우선순위에 대한 질문에서 환자는 급여비 절감(35.4%)과 대상자 확대(32.3%), 치료사는 전문인력 확대(73.8%)와 다양한 재활서비스의 도입(20.2%)순으로 응답하였고, 재활팀의 도입이 필요하다고 응답하였다. 가정방문물리치료가 필요한 이유는 환자가 의료기관에 가기 힘듦(PT 30.0%)과 노인의 신체기능이 향상(pt47.1%)되기 때문이라고 응답하였다. 결론적으로 물리치료사뿐만 아니라 수요자인 환자 대부분에서 노인장기요양보험제도 내에 가정방문물리치료 도입에 관한 필요성 및 인식도가 현저히 높은 것으로 나타나 제도의 시행이 시급한 것으로 판단된다.

• 정보관리학회지
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• 제30권4호
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• pp.265-281
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• 2013

우리나라 초기 개신교 선교사에 대한 역사는 19세기 말 쇄국정치가 막을 내리고 서구문명에 대한 문이 열리면서 외국인 선교사들이 의사 혹은 교사 등의 전문가 신분으로 들어와 활동하면서 시작되었다. 이러한 선교사들의 기록물은 단순한 종교적인 가치를 넘어 우리나라 근대 역사, 정치, 경제, 사회를 새로운 시각으로 조명할 수 있는 중요한 사료로 평가되고 있다. 하지만 초기 선교사 자료의 역사적인 가치는 인정하면서도 이러한 자료를 수집하고 보존하며 접근을 용이하게 할 수 있는 정책이나 방안에 대한 체계적인 시도는 현재까지 매우 미비한 것으로 나타나고 있다. 보고서, 서적, 정기간행물, 일기, 편지, 사진 등의 다양한 형태를 띠고 있는 초기선교사 자료는 현재 이들을 파송한 선교회, 신학대학, 정부기관, 도서관, 박물관, 연구소, 선교사 가족 등에 산재되어 있는 실정이다. 이에 본 연구는 이러한 초기 외국인 선교사 자료에 대한 현황조사 및 전문가 심층면담을 통해 이들 자료의 아카이브 현황과 향후 체계화된 디지털 아카이브 시스템 구축에 필요한 기초 자료를 제공하는데 목적이 있다. 본 연구의 범위는 우리나라에 개신교 선교사가 처음 들어오기 시작한 1800년대부터 일본강점기 이전 1910년으로 제한하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.435-440
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• 2013

Background: Breast cancer is the leading cause of cancer-related death among women in Malaysia. A diagnosis is very stressful for women, affecting all aspects of their being and quality of life. As such, there is little information on quality of life of women with breast cancer across the different ethnic groups in Malaysia. The purpose of this study was to examine the quality of life in Malay and Chinese women newly diagnosed with breast cancer in Kelantan. Materials and Methods: A descriptive study involved 58 Malays and 15 Chinese women newly diagnosed with breast cancer prior to treatment. Quality of life was measured using the Malay version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast-specific module (QLQ-BR23). Socio-demographic and clinical data were also collected. All the data were analyzed using SPSS version 20.0. Results: Most of the women were married with at least a secondary education and were in late stages of breast cancer. The Malay women had lower incomes (p=0.046) and more children (p=0.001) when compared to the Chinese women. Generally, both the Malay and Chinese women had good functioning quality-of-life scores [mean score range: 60.3-84.8 (Malays); 65.0-91.1 (Chinese)] and global quality of life [mean score 60.3, SD 22.2 (Malays); mean score 65.0, SD 26.6 (Chinese)]. The Malay women experienced more symptoms such as nausea and vomiting (p=0.002), dyspnoea (p=0.004), constipation (p<0.001) and breast-specific symptoms (p=0.041) when compared to the Chinese. Conclusions: Quality of life was satisfactory in both Malays and Chinese women newly diagnosed with breast cancer in Kelantan. However, Malay women had a lower quality of life due to high general as well as breast-specific symptoms. This study finding underlined the importance of measuring quality of life in the newly diagnosed breast cancer patient, as it will provide a broader picture on how a cancer diagnosis impacts multi-ethnic patients. Once health care professionals understand this, they might then be able to determine how to best support and improve the quality of life of these women during the difficult times of their disease and on-going cancer treatments.

• 대한영양사협회학술지
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• 제21권2호
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• pp.91-109
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• 2015

The present study was conducted to provide the basis for improvement of clinical nutrition services through development of job standards of clinical dietitian for the clinical nutrition therapy to cancer patients in hospitals. Developing A Curriculum (DACUM) method was used for job analysis and development of job standards for clinical dietitians for cancer care. Based on DACUM analysis, information about duties, tasks, and task elements of clinical dietitians for cancer care was collected. Developed job standards were applied to clinical nutrition care for cancer patients in hospitals for evaluation. Based on DACUM analysis, consultations from professionals, and field application tests, the final job standards were composed of four duties, 18 tasks, and 56 task elements. The duties consisted of nutritional assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring evaluation. For cancer nutrition care, 109 work activities were developed. They were composed of 75 basic and 34 recommended work activities. The application of developed job standards for clinical dietitians for cancer care at 10 hospitals showed a performance rate of 72.3%. In conclusion, job standards for clinical dietitians for cancer care developed in this study might be effectively used as guidelines for providing clinical nutrition services for cancer patients in hospitals.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권3호
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• pp.164-172
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• 2016

Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

• 한국치위생학회지
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• 제16권2호
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• pp.173-183
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• 2016

Objectives: The purpose of the study is to investigate and analyzed the current status of a dental hygiene curriculum according to the dental hygienist competency. Methods: The study subjects were 59 courses in the department of dental hygiene in G University from April 1 to May 30, 2015. Except for liberal arts, 51 courses were finally selected and analyzed for the relationship between the curriculum and competency. For each course, systematic reviews were made by subject name, core competency, achievement goals, lecture hours, weekly themes, and learning goals. Three experts in the dental hygiene evaluated and analyzed the association of competency and goals. Results: Each course was operated by the goal from one to twenty two competencies of dental hygiene. Achieving one item of competency in a course required 13 hours on the average from minimum 2 hours to maximum 30 hours. More than 20 courses were operated and more than 900 hours were necessary for achieving the competency. The competency included the contents of 'Be able to utilize basic medical and dental knowledge in dental hygiene care and patient care' among the dental hygiene competencies. Conclusions: Competency based dental hygiene education will provide theoretical background for defining the identity of dental hygienist as a health care worker and to encourage professionals who contribute to the recognition of healthy society. Further research should be continued for improving the competency-based dental hygiene curriculum and education methods for implementing the curriculum within the paradigm of health care services.