• 보건교육건강증진학회지
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• 제6권1호
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• pp.22-33
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• 1989

Rapid socio-cultural and economic changes in the country has brought with it changes in the society's value system. For a traditional society that is increasingly being exposed to modernization but where sex norms are still very restrictive, the adolescent sexual mores takes on added significance. Adolescents are caught between two opposing forces, the changing environment that allows for freer and liberal mores and the traditional society that cannot keep pace with the changing environment and therefore demands resistance to changes. This paper focuses on problems of adolescent sexuality in this country and considers the countermeasures for the existing problems. Amongst the problems are: (a) increasingly younger age of the adolescents who start sexual intercourse (b) non-use of contraception, (c) unwanted pregnancies, (d) increase in the number of induced abortion and (e) increase in the number of unwanted children and unmarried mothers. The Korean adolescent's sexual behavior seems to follow that of the developed countries. In other words, many western modes of life and sexual values seem to bave been copied in Korea and yet Korean adolescents lack in their knowledge of sex related matters such as reproductive physiology and contraception. Among middle and high school students, female students are reported to have less knowledge on sex than male students according to a 1988 survey by KIPH. Even among the unmarried famale factory workers, only 42.5 percent replied they know of the condom, and 25.1 percent and 23.1 percent said they had knowledge of spermicide and menstrual regulation respectively. However, 14.9 percent and 13.9 percent reported that they had a knowledge of the loop and female sterilization respectively according to the 1984 study by KIPH. Among the middle school students 0.8 percent said they had experience in sexual intercourse, while 7.3 percent of the high school students reported having had sexual intercourse. The sexual intercourse experience rate among the unmarried female factory workers is 37.8 percent. Among those female factory workers with sexual experience, 46.7 percent had more than one sex partners. Only 39.1 percent of male students and 18.9 percent of female students among those with sexual intercourse experience have used contraceptives. mostly condoms and oral pills 45.1 percent of female factory workers with sexual intercourse experience used contraceptives such as pills, condoms and rhythm methods. The pregnancy experience rate among the female factory workers who had experience in sexual intercourse is 29.5 percent, which is 11.1 percent among the total respondents. Out of the 102 pregnant female workers, 98 workers(96.1 percent) terminated their pregnancy by induced abortion and 2 workders(2 percent) in natural abortion, while 1 worker(1 percent) was in pregnancy and another 1 worker had normal birth that was subsequently sent to orphanage. In order to cope with the problem of adolescent sexuality, a drastic and strong policy measures should be taken by the government. The most effective countermeasure to the adolescent sexual problems appears to the education. The sex and population education in the school is very much in need. In addition, sex education program through mass media and at the job sit-should be promoted for a healthy development of adolescents' sexual behavior. Also, the existing national family planning program, which has focused on the married couples, should be extended to the unmarried people in its scope and contents of the program.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.99-113
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• 2002

보건소 인력이 노인의 건강을 유지, 증진시키기 위한 노인건강관리 프로그램을 개발하는데 필요한 기초자료로 활용하기 위해 경로당 이용 노인의 건강상태와 보건소에서 제공하고 있는 노인건강관리 서비스 이용실태를 파악한 조사연구로 S시의 C구에 거주하는 65세 남 녀 노인중 경로당을 이용하고 있는 남자노인 66명과 여자노인 139명 총 205명을 대상으로 하였다. 경로당 이용 노인의 일반적 특성, 신체적 건강상태, 사회적 건강상태, 노인건강관리 서비스 이용실태는 연구자가 제작한 질문지를 이용하였고, 수단적 일상생활 기능은 Lawton이 개발한 도구를 우리 나라 실정에 적합하게 수정보완하여 6개 문항으로 된 도구로 측정하였다. 정신적 건강상태는 Folstein(1975)이 개발한 것을 우리나라 실정에 맞게 수정한 Mini Mental State Examlnation-Korea(MMSE-K) 도구를 사용하였으며, 정서적 건강상태는 Radloff가 개발한 Center for Epidemiologic Studies-Depression Scale(CES-D)도구를 이용하여 측정하였다. 자료는 SPSS/WIN을 이용하여 남 녀 노인의 일반적 특성, 건강상태, 노인건강 관리서비스 이용실태에 대한 실수와 백분율을 구하고, 각 변수간의 차이에 대한 유의성 검정은 t-test, 카이자승법 및 ANOVA로, 노인겅강관리 서비스 이용관련요인은 카이자승검정 방법을 분석하였으며 연구결과는 다음과 같다. 1. 경로당 이용 노인중 남자노인 40.9%와 여자노인 17.3%만이 자신의 건강상태에 대해 건강하다고 생각하고 있는 것으로 나타났다. 흡연비율은 남자노인 46.9%, 여자노인 18.5%였으며, 음주는 남자노인의 57.6%가, 여자노인 16.5%만이 음주하는 것으로 나타났다. 남자노인 13.3%, 여자노인 14.4%가 수면이 불충분하다고 응답하였고, 운동을 규칙적으로 하는 노인은 남자가 47%, 여자 25.9%으로 나타났다. 남자노인 42.4%, 여자노인 43.9%가 지난 1년동안 건강검진을 받지 않았으며, 아침이닦기와 저녁 이닦기 등 구강보건은 94.6%, 83.4%의 노인이 생활속에서 실천하고 있었다. 2. 경로당 이용 노인의 일상생활기능(IADL)은 0-18점에서 평균 7.4점이였으며, 남자노인은 일상생활용품이나 약사러가기, 버스와 전철 혼자타기와 관련된 일상생활기능이 여자노인보다 유의하게 높았다. 정신적인 면에서 우울한 편에 속하는 남자노인은 7.6%, 여자노인은 21.6%로 나타났으며, 인지적인 측면에서는 남자노인의 48.5%, 여자노인의 28.8%가 치매의심군에 속하는 것으로 나타났다. 사회적인 측면에서는 남자노인의 57.6%, 여자노인의 62.6%에서 친밀한 사람이 없었으며, 친밀한 관계를 유지하고 있는 노인의 경우, 남자노인은 가장 친밀한 사람을 친구로 응답한 경우가 52.5%였고 여자노인은 자식이 53.8%로 나타났다. 3. 건강상태에 관련된 요인들 중 연령이 높아질수록 치매율이 유의하게 높았고(p=0.000), 치과방문회수가 유의하게 높았다(p=0.000). 4. 앞으로 더 강화해야 할 노인건강관리서비스 요구도와 관련된 요인들 중 교육 정도가 낮은 노인, 사별한 노인일수록 무료순회진료 및 진료서비스 요구도가 유의하게 높았고,운동을 안하는 노인, 수면만족도가 높은 노인, 구강보건수행 정도가 높은 노인, 사회적 친밀도가 높은 노인일수록 건강검진 서비스 요구도 및 노인건강증진운동 서비스 요구도가 유의하게 높았다. 또한 주관적 건강인식이 건강하지 않다고 응답한 노인은 건강하다고 응답한 노인에 비해, 흡연을 안하는 노인, 음주를 안하는 노인일수록 노인건강증진운동 서비스애 대한 요구도가 유의하게 높았다. 결론적으로 경로당 이용노인을 대상으로 한 건강관리서비스 제공은 노인의 주관적 건강인식, 배우자 유무, 가족동거유형, 용돈과 같은 사회 심리 경제적인 요인과 흡연, 음주 등의 신체적 건강상태를 고려할 필요가 있으며, 노인들의 건강행동을 실천하게 하는 프로그램을 시행함과 동시에 사회 심리 경제적인 문제해결이 병행되어야 할 것이다. 보건소의 노인건강관리서비스는 이러한 특징과 차이를 기초로 수행되어야 하나 향후 반복적인 연구를 통하여 노인에 대한 건강관리 서비스가 개발되어져야 할 것이다.

• 종양간호연구
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• 제5권1호
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• pp.52-62
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• 2005

Purpose: This study was to analyze the research trend centering on the theses to cancer nursing research in digestive system released in Korea. Method: The researcher collected the academic degrees and theses published on the book of the academic soceity from January 1993 to August, 2004, and examined 38 domestic papers of cancer nursing research in digestive system. Results: 1) As for the subject, the results were : patients with stomach cancer 25(66%), colon cancer 4(11%), rectal cancer 3(8%), and others(taxi drivers 2, family of cancer patents. 2) As for the research designs the result were : quantitative studies were 33(87%), and qualitative studies were 9(23%). 3) As for key concepts of survey, the results were : life patterns of patients with rectal cancer, oral intake of stomach cancer patients, fatigue of stomach cancer patients undergoing chemotherapy, nursing needs when discharging from hospital after operation with gastrectomy, and so on. 4) As for the comparative studies, the results were : risk factors between colorectal patients and general population, early symptom and risk factors between stomach cancer patients and general population, and risk factors between stomach cancer and patients with gastritis. 5) As for main concepts of correlational studies, the results were : quality of life, health belief, fatigue, health promotion behavior, social support, straitanxiety. 6) The treatment of experimental research, the results were : information services, arc reflex massage, acupressure, educational program for discharge, 7)As for the qualitative studies, in terms of subjects, stomach cancer patients were 2, spouse of patients with stomach cancer was 1, rectal cancer patients were 2. In the theme of the qualitative studies, the results were: experience of family of patients with stomach cancer, experience of long term survival of patients with rectal cancer, experience of disease process of rectal cancer patiens. 8) As for the used instrument in studies, the results were : Strait-anxiety Scale by Spielberger, Nausea and Vomiting Scale by Rhodes, Social support by Tae and Lee, Health belief by Champion, Becker, and Moon. QOL by NCCN, Roh, Pdilla, Kwon, Revised Fatigue Scale by Piper, Health Locus of Control by Wallston and Wallston, Uncertainty Scale by Mishel. Conclusions: More research needs to be encouraged in various subject of cancer patients in digestive system. More nonexperimental and experimental researches should be conducted for the establishment of the basis of practical and theoretical framework and the providing good quality of care for cancer patients.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1220-1228
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• 2012

본 연구는 치과위생사가 경험하는 직무 스트레스 정도와 직무만족도 및 상관관계를 파악 하여 치과위생사 직무만족도를 높여 양질의 의료서비스를 제공하고, 치과위생사 개인의 발전과 건강 증진에 필요한 기초자료를 마련하고자 본 연구를 시행하였다. 2011년 8월 1일부터 12일까지 전국(서울, 경기, 대구, 포항)의 종합병원, 치과병원, 치과의원의 치과위생사 210명을 대상으로 자기기입식 설문지 조사를 시행한 후 205명에 대해서 분석 하였다. 수집된 자료는 SPSS WIN 15.0 프로그램을 이용하여 분석하였다. 그 결과 직무스트레스 중에는 평균이 '직무요구'가 2.71로 가장 높게 나타났다. 치과위생사의 빌딩관련 건강자각도와 직무스트레스의 영역별 관계에 대해 살펴본 결과는 중추신경계 증상은 물리환경(r=.281, p<.001)과 직무요구(r=.281, p<.001), 관계갈등(r=.163, p<.05), 조직체계(r=.166, p<.05), 보상 부적절(r=.267, p<.001), 그리고 직무스트레스(r=.311, p<.001)와 통계적으로 유의미한 정적 상관관계를 보였다. 전체적으로 빌딩관련 건강자각도는 물리환경(r=.259, p<.001)과 직무요구(r=.311, p<.001), 관계갈등(r=.172, p<.05), 조직체계(r=.158, p<.05), 보상 부적절(r=.197, p<.01), 그리고 직무스트레스(r=.275, p<.001)와 통계적으로 유의한 상관관계를 보였다. 치과위생사에 대한 근무환경 중 실내공기오염저감 및 스트레스를 예방할 수 있는 근무환경 개선의 기초자료로 활용함으로써 치과위생사의 정신건강 및 삶의 질 향상으로 양질의 의료서비스 제공에 기여할 수 있을 것으로 판단된다.

• 대한치과의료관리학회지
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• 제8권1호
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• pp.15-23
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• 2020

The aim of this study is to identify future-oriented tasks for Korean dental hygienists based on a literature review. A literature search is performed using 14 keywords related to tasks carried out by dental hygienists, and included articles published from 2000 to 2019 in the databases KISS, RISS, DBpia, NDSL, Papersearch, Pubmed, and Google Scholar. Six reviewers assessed the titles and abstracts of articles, and an article was selected if the study was considered to cover future-oriented tasks for Korean dental hygienists. Based on the results six local studies and two foreign studies were used for literature review and data extraction. In total, 38 tasks were classified as future-oriented tasks of dental hygienists according to the following criteria: 1) tasks that were specifically referred to as future-oriented tasks, and 2) tasks that could be classified as future-oriented tasks although no specific reference was made. Of these, the most frequently mentioned tasks were measuring periodontal pocket depth, dental hygiene assessment, providing dietary advice, infiltration anesthesia, and root planing. These were extracted from five of the eight studies, including both local and foreign studies. Dental hygiene planning, emergency, emergency management, and smoking cessation were the next most common tasks based on four studies. Even though some of these future-oriented tasks for Korean dental hygienists are included in the dentistry curriculum, and are currently performed as clinical practice for dental hygienists. Nonetheless, the reference to the legal scope is unclear. It is necessary to reconsider the scope of tasks of dental hygienists to reflect changes in domestic and foreign dental care delivery, thereby contributing to the oral health promotion of the public, where safety is guaranteed under legal protection.

• 대한치위생과학회지
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• 제6권2호
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• pp.13-23
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• 2023

연구배경: 본 연구의 목적은 직업정보를 얻는 경로에 따라 치과위생사 이미지 형성에 어떠한 차이가 있는지를 파악하고, 치과위생사에 대한 올바른 인식과 직업 이미지 긍정화의 토대를 마련하고자 한다. 연구방법: 수도권 지역의 대입 준비생 305명을 대상으로 설문지를 배부하였다. 설문 내용은 일반적 특성(3문항), 경로 관련 문항(3문항), 치과위생사 이미지 관련 문항(21문항), 앱 관련 문항(2문항), 진학 관련 문항(5문항), 총 34문항으로 작성되었다. 일반적 특성, 인식 경로 및 진학 여부에 따른 치과위생사의 이미지는 Mann-Whitney의 U 검정, kruskal-wallis 검정으로 분석하였다. 연구결과: 연구 대상자 전체를 대상으로 치과위생사에 대한 전체 이미지는 3.75점으로 나타났고, 개인적 이미지 (4.18점)가 가장 높게 나타났으며, 사회적 이미지(3.20점)가 가장 낮았다. 치과위생사 인식경로에 따른 치과위생사 전체 이미지는 '온라인'(3.88점)이 높게 나타났고, 전체 이미지, 개인적, 업무적 이미지에서 집단 간 통계적으로 유의한 차이가 나타났다(p<0.05). 정보획득 경로에 따른 치과위생사 전체 이미지는 '오프라인'(3.87점)이 높게 나타났으며, 세부 영역 중 개인적 이미지에서만 집단 간 통계적인 유의한 차이를 보였다. 진학 여부에 따른 치과위생사 전체 이미지는 '진학(4.00점)'이 '비진학(3.64점)'보다 높았고, 사회적 이미지를 제외한 모든 영역에서 통계적으로 유의하였다(p<0.05). 결론: 온라인 경로를 효율적으로 활용하면 보다 많은 사람들에게 치과위생사의 중요성과 전문성을 알릴 수 있을 것으로 생각되며, 이를 통해 구강건강 증진에 기여하는 치과위생사의 역할을 올바르게 인식하고, 직업의 가치를 홍보하고 교육함으로써 이미지 향상에 도움이 될 것으로 생각된다.

• Parasites, Hosts and Diseases
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• 제55권4호
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• pp.445-449
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• 2017

The prevalence of Centrocestus formosanus metacercariae was investigated in ornamental fish purchased from a pet shop in Chiang Mai, Thailand, including Carassius auratus (goldfish), Cyprinus carpio (Koi), Poecilia latipinna (Sailfin Molly), Danio rerio (Zebrafish), and Puntigrus tetrazona (Tiger barb). The parasite species was identified by the morphology of worms as well as by a molecular approach using ITS2. The results showed that 50 (33.3%) of 150 fish examined were infected with the metacercariae. The highest prevalence was found in C. auratus (83.3%), and the highest intensity was noted in C. carpio (70.8 metacercariae/fish). The most important morphological character was the presence of 32-34 circumoral spines on the oral sucker. The phylogenetic studies using the rRNA ITS2 region revealed that all the specimens of C. formosanus in this study were grouped together with C. formosanus in GenBank database. This is the first report on ornamental fish, C. carpio, P. latipinna, D. rerio, and P. tetrazona, taking the role of second intermediate hosts of C. formosanus in Thailand. Prevention and control of metacercarial infection in ornamental fish is urgently needed.

• 한국산학기술학회논문지
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• 제14권5호
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• pp.2244-2250
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• 2013

우리나라 청소년을 위한 구강보건교육 프로그램을 기획하는데 있어 기초자료를 제공하고자 2008년, 2009년, 2010년의 청소년건강행태온라인조사 원시자료를 이용하여 중학생 및 고등학생의 일일 잇솔질 평균 횟수를 분석하였다. 자료 분석은 조사에 참여한 표본이 우리나라 청소년의 대표성을 갖도록 지정된 가중치를 적용하였으며 자료는 SPSS 통계 프로그램을 이용하여 빈도분석, t-test 및 교차분석을 실시하였다. 우리나라 청소년의 잇솔질 평균 횟수는 2008년도에 3.92회, 2009년도에 3.96회 2010년도에 3.99회로 조금씩 증가하는 경향을 보였다. 우리나라 청소년이 학교에서 점심식사 후 잇솔질을 하는 대상자는 2008년 34.5%, 2009년 38.0%, 2010년 40.8%로 나타났으며 점심식사 후 잇솔질을 하지 않은 이유는 '칫솔, 치약 등을 가지고 다니기 귀찮아서'라는 응답이 가장 높게 나타났다. 따라서 우리나라 청소년의 체계적인 구강 건강 증진 프로그램을 기획하는데 있어 매 식후와 취침 전에 하도록 지도하여 잇솔질 횟수에 관한 지침을 마련해야 할 것이다.

• 치위생과학회지
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• 제22권2호
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• pp.99-107
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• 2022

Background: Obesity weakens acquired immunity and causes infection. This study aimed to investigate the relationship between the inflammatory markers in the gingival crevicular fluid and serum and periodontal bacteria in saliva through obesity control for 4 weeks. Methods: Forty-six subjects with a body mass index (BMI) of ≥23 kg/m² stayed in the camp for 4 weeks, followed by exercise and a low salt-low fat diet. Body size measurements, oral examinations, blood, saliva, and gingival crevicular fluid were collected before and after the program. C-reactive protein (CRP) in serum, matrix metalloproteinase (MMP)-8, MMP-9, and interleukin (IL)-1β in the gingival sulcus fluid were measured. After extracting bacterial genomic DNA from saliva, the presence of periodontal bacteria were detected using Taq probe. The relationship of each index before and after the program was analyzed through paired t-test and partial correlation analysis. Results: Campylobacter rectus (Cr) increased after the program, and there was no significant change in other bacteria. Serum CRP and Fusobacterium nucleatum (Fn), Aggregatibacter actinomycetemcomitans, Cr, ratio of Fn, and ratio of Cr had a positive relationship at baseline; however, the relationship was not significant after the program. Ratio of Prevotella intermedia had a positive relationship with MMP-9, MMP-8, IL-1β at baseline. Moreover, the ratio of Treponema denticola and the ratio of Tannerella forsythia showed a positive relationship with MMP-8, MMP-9, and IL-1β. The relationship between the ratio of Porphyromonas gingivalis and IL-1β showed a constant positive relationship at baseline and after the program. Conclusion: Obesity control program in subjects with a BMI of ≥23 kg/m² accompanied by diet and exercise did not affect the changes in periodontal bacteria itself, but changes in the relationship between periodontal bacteria and serum CRP, the relationship between the inflammatory index in the gingival crevicular fluid and periodontal bacteria was observed.

• Archives of Plastic Surgery
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• 제51권3호
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• pp.275-283
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• 2024

Background Shortage of speech and language therapists results in lack of speech services. The aims of this study were to find the effectiveness of a combination speech therapy model at Level IV: General speech and language pathologist (GSLP) and Level V: Specific speech and language pathologist (SSLP) in reduction of the number of articulation errors and promotion the quality of life (QoL) for children with cleft palate with or without cleft lip (CP ± L). Methods Fifteen children with CP ± L, aged 4 years 1 month to 10 years 9 months (median = 76 months; minimum:maximum = 49:129 months) were enrolled in this study. Pre- and post-assessment included oral peripheral examination; articulation tests via Articulation Screening Test, Thai Universal Parameters of Speech Outcomes for People with Cleft Palate, Hearing Evaluation, The World Health Organization Quality of Life Brief_Thai (WHOQOL-BRIEF-THAI) version questionnaire for QoL were performed. Speech therapy included a 3-day intensive speech camp by SSLP, five 30-minute speech therapy sessions by a GSLP, and five 1-day follow-up speech camps by SSLP that provided four 45-minute speech therapy sessions for each child. Results Post-articulation revealed statistically significant reduction of the numbers of articulation errors at word, sentence, and screening levels (median difference [MD] = 3, 95% confidence interval [CI] = 2-5; MD = 6, 95% CI = 4.5-8; MD = 2.25, 95% CI = 1.5-3, respectively) and improvement of QoL. Conclusion A speech task force consisting of a combination of Level IV: GSLP and Level V: SSLP could significantly reduce the number of articulation errors and promote QoL.