• 제목/요약/키워드: self support service program

검색결과 107건 처리시간 0.029초

외래 및 퇴원환아 부모의 전화상담과 간호중재의 내용분석 (Content Analysis of the Nursing Interventions and Telephone Calls to the Pediatric Nursing Unit)

  • 한경자;최명애;강화자;박승현;김영미;권원경;안혜영
    • 대한간호학회지
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    • 제26권3호
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    • pp.515-530
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    • 1996
  • A descriptive study was conducted to describe the content of nursing interventions and incoming telephone calls from the parents whose child was discharged to home or who has planned immunization during the period from March 15, 1995 to November 30, 1995. Detailed notes on 145 telephone calls and 243 nursing interventions were recorded by head nurses on pediatiric nursing units were entered to data collection and content analysis. The results of the study are as follows : 1. Six analysis categories for the records on incoming telephone calls were identified judgement-dependence, dependent -coping, self-initiated coping, support, adjustment and intermediation need. 2. Five analytic categories for the records on telephone interventions were identified : guidance, mediation, facilitating self -care abilities, support, instrumental use. 3. Problems related to physical signs and symptoms, medication, immunization, and vital signs were most often cited as concerns by parents and caregivers. 4. Instruction, suggestion, provision knowledge and information, reassurance related to physical problems, medication, immunization and clinic visits were most often used as an nursing interventions by head nurses on pediatric nursing units. In spite of the fact that the telephone calls were initiated by the parents, dependency of parents during the telephone calls was remarkable. The dependency of parents on judgement and decision making of the pediatric nurses should be understood in terms of the psychosocial content as well as cultural characteristics. Therefore, it is suppested that telephone interventions focus on facilitating the self-care ability of the parents whose children have chronic conditions. The results of this study will be useful as an essential reference in providing effective for children and their families after discharged from the hospital. The results can also be used as reliable data for extended pediatric nursing service in the health care delivery system as well as for the development of telephone intervention service program in responding to the current health care environment.

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공공임대주택 주민의 주거비 부담 경감 방안 모색을 위한 관리자 의식조사 (Perception of management staff on methods of reducing the housing cost burden of residents in public rental housing)

  • 김영주;이진영
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2009년 춘계학술발표대회 논문집
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    • pp.350-354
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    • 2009
  • The housing policy of Korea has been focused on the expansion of housing construction so far. However, actual support for low-income households is still insufficient, especially in public rental housing. The purpose of this study was to identify various methods of reducing the housing cost burden of residents in public rental housing, focused on empowerment. For this, 198 management staff of public rental housing under Korea Housing Management were surveyed using questionnaire distributed by email during February 18 to 27. Several ways to reduce housing cost burden and to enhance the self-support will of residents in public rental housing were suggested as follows: development of education and service program inspiring the residents' empowerment, enacting a provision of Tenants Representative obligation in Rental Housing Act, and so on.

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구강건강행태 및 치과의료서비스 이용과 치주질환과의 관련성 (A study of the relationship between oral health behaviors, use of dental clinics and periodontitis)

  • 최혜정;이명선
    • 한국학교ㆍ지역보건교육학회지
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    • 제14권3호
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    • pp.89-99
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    • 2013
  • Objectives: This study was designed to examine the effects of oral health behaviors and use of dental clinics on periodontal diseases in women, the purpose of this study is to provide basic information to develop program for dental health promotion in young women. Methods: We conducted a survey targeting 486 women that agreed with the survey and were going to dental clinic from October 1, 2013 to October 18, 2013. We surveyed them by self-administered questionnaire and analyzed it by SPSS Win 19.0 program. Results: 1. For differences in periodontitis according to general characteristics, if th age is high, ratio of periodontitis is high. Married woman is higher than single one in ratio of periodontitis. Also the more number of birth, the higher ratio of periodontitis is.(p<.05) 2. For differences of periodontitis by dental care behavior, ratio of periodontitis of non-smokers is significantly low. For one that brush one's teeth broadside, the ratio of periodontitis is high.(p<.05) 3. For differences of periodontitis by use of dental clinic service, ratio of periodontitis of one that have more times visit to a dental clinic, more annual average cost for dental care, and regular dental check-ups is relatively low.(p<.05). 4. For determinant factors influencing on periodontitis, ratio of periodontitis of one that is old, have more stress, have a low level of education, and have preventive dental care is high. Ratio of periodontitis of one that have less toothbrushing and brush one's teeth after having lunch or a snack and before sleeping is significantly low. Conclusions: From this study, dental health behavior as the factor influencing on periodontitis of young women is statistically meaningful. Because this dental health behavior has a lot of potential to be improved by government and local community efforts such as education and social support, we think that systematic and various educational program development is needed to strengthen self dental care ability effectively with policy support.

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청소년 생활시간의 내용과 유형에 따른 인터넷 이용 (Internet Use of Adolescents according to their Life Content and Type)

  • 나영주;황진숙;이은희;고선주;박숙희
    • 대한가정학회지
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    • 제43권12호
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    • pp.15-28
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    • 2005
  • This study groups the life content of adolescents according to their time spent during the week and compares their internet use. The data were collected from 2210 middle and high school students, including their life content and hours, and various internet factors such as self-evaluated internet addiction, internet support, internet experience, chatting subjects and the type of internet service. Adolescents were divided into five groups: TV-oriented group, computer-oriented group, peer-oriented group, self-study group and extracurricular institution group. The purpose of internet use, internet experience, chatting subjects, negative aspects of internet and internet addiction were different by adolescents' group type. The peer-oriented group had the highest real self image as opposed to the cyber self image and trusted other's words on the internet. The TV-oriented group had the lowest trust in the internet. The computer-oriented group received the highest internet support and internet experiences, but didn't use the internet for the purpose of information search. The self-study and extra-curricular institution groups used the internet the least, used it to solve stress and were interested in school circles on the internet.

학교 건강증진 사업을 위한 사회생태학적 모형의 이론적 접근 (A Theoretical Approach of Social Ecological Model for School Health Promotion Program)

  • 정상혁;윤희상
    • 한국학교ㆍ지역보건교육학회지
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    • 제7권
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    • pp.87-99
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    • 2006
  • Objectives: This study is to draw the design of the program which is improve school health promotion participation by applying the Social Ecological Model based on the literature review on the health promotion. Methods: Literature review was carried out based on 5 factors of social ecological model using computer search engines of Google, ProQuest, and Riss4U. Results; Social Ecological Model is consist of individual, interpersonal, institutional/organizational, community, and policy. Individual sphere is drawn from Health Belief Model, interpersonal sphere is Social Support Theory, institutional/ organizational sphere is institutional resources theory, community sphere is community model, and policy sphere is Social Marketing Theory. The literature review show that the important variables affecting health promotion exist in each sphere. Individual sphere has social economic status, age, sex, sensitivity and specificity of illness, self-efficacy. Interpersonal sphere has support and use of family, friend and neighbor. Institutional/Organizational sphere has environment service reliability and utility. Conclusions: Community sphere has distance, neighborhood safety, interrelationship among institutions. Policy sphere has cost, legislation advertisement, lobby and concern and leadership of Institution.

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한의약건강증진사업 현황 및 인식도 조사 : 보건소 건강증진사업담당자를 대상으로 (A National-wide Survey of Public Health Promotion Programs in Traditional Korean Medicine Targeted on Public Officials)

  • 박정수;장수빈;이주아;고호연;박선주
    • 대한예방한의학회지
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    • 제21권2호
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    • pp.61-68
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    • 2017
  • Objectives : This study aimed to examine the status of public health promotion programs in Traditional Korean Medicine (PHPP-TKM) from program managing public officials. Methods : The survey was a self-administered questionnaires based on internet service, survey monkey. The survey included the conducting status, obstacles, and improvement points of PHPP-TKM. Results : A total number of 179 officials participated the survey (response rate 71.0%), comprising 92.8% female. The survey demonstrated that 70.3% of participants conducted PHPP-TKM. The most frequent PHPP-TKM were stroke and bone/joint program. The reasons for not conducting PHPP-TKM were lack of financial support and program contents. The obstacles during conducting PHPP-TKM were insufficient contents and assessment index in PHPP-TKM. To develop necessary program for local residents and to secure financial support were required for managing future PHPP-TKM. Conclusions : The results suggests that various contents, validated assessment index, stable funds are to promote PHPP-TKM.

소득층 자산형성지원 사업 효과성에 영향을 미치는 요인에 관한 연구: 희망키움통장I사업을 중심으로 (The Study on the Factors Affecting the Effectiveness of Low-Income Asset Program: Focusing on the Hope Kiwoom Account Program)

  • 서광국
    • 한국사회정책
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    • 제25권1호
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    • pp.259-286
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    • 2018
  • 본 연구의 목적은 저소득층을 대상으로 하는 자산형지원사업인 희망키움통장I사업 참여자의 사업참여 유인 요인 및 탈수급 요인을 살펴보는 것이다. 이를 위해, 본 연구는 중앙자활센터에서 수집된 DB 중 희망 키움통장I사업 자료와 희망리본서비스 자료를 결합하여 사용하였다. 분석결과, 희망리본서비스 프로그램 참여자 중 희망키움통장I에서 탈수급 성공요인으로 주소득원 여부, 질병유무, 자격증소지여부, 학력, 배우자유무, 취 창업여부, 현물지원여부, 사례관리서비스 전문성여부, 사회서비스여부가 유의한 요인으로 나타났다. 특히 프로그램 요인 중에서 사회서비스 및 사례관리서비스를 제대로 받는 참여자는 그렇지 않은 참여자보다 탈수급 할 가능성이 높은 것으로 나타났다. 이는 2010년부터 도입된 희망키움통장I사업의 성과에 대한 분석의 범주를 확대하기 위하여 동시에 진행되었던 1:1 사례관리 측면의 희망리본프로그램의 서비스 내용과 연계한 탈수급의 성공요인을 확인했다는 면에서 의의가 있겠다. 또한 본 연구는 두 사업의 지속성에 대한 필요와 저소득층 자산형성이 가져오는 근로요인 제공 및 탈수급 촉진을 위한 제도개선의 방향성에도 시사점을 제공하고자 한다. 특히 2015년 7월에 실시된 맞춤형 급여체계 개편 시행과 차상위층에 대한 새로운 자산형성지원사업인 희망키움통장II의 도입과 확대, 이에 따른 성과확인과 제시를 위한 현장의 사례관리 진행에 관련하여 중요하게 보아야 할 쟁점을 제시하는데 기여하길 바란다.

현장의 시각으로부터 구조화된 자활 개념 탐색 연구 : 자활사업 실무자의 이해를 중심으로 (An exploratory study on practice-oriented reconceptualization of self-sufficiency : Service providers' reflections on their own experiences from the field)

  • 최상미;홍송이
    • 사회복지연구
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    • 제49권3호
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    • pp.5-33
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    • 2018
  • 자활은 지난 이십년간 우리나라의 대표적 근로연계복지제도로 존재해 왔음에도 불구하고, 그 개념에 대한 합의 없이 정책, 학계, 현장에서 제각기 이해되고 사용되어 왔다. 이는 최근 자활사업의 다양한 환경변화에 적절하게 대응하지 못하면서 자활의 정체성 위기를 초래하는 근본적인 원인이 되고 있다. 이에 본 연구는 자활을 이해하는데 있어서 현장 실무자들의 자활에 대한 심층적인 이해를 반영하여 자활 개념 정립을 시도한다. 총 35명의 자활사업 실무자들에 대한 6번의 집단심층인터뷰를 통해 자활 개념에 대한 심층적인 질적 자료를 수집하였다. 연구 결과 자활사업 실무자들은 '취창업을 통한 노동 시장에의 편입', '소득창출을 통한 수급 탈피'와 같은 정책 목적과 성과에 부응하기 위해 '경제적 측면의 성과'에 초점을 두고 정책지향적으로 자활을 이해하는 동시에 실천가의 관점을 반영하여 '이용자의 역량강화와 삶의 변화'에 초점을 두고 자활을 이해하는 것으로 분석되었다. 구체적으로 본 연구는 자활실무자들이 근로기회 제공과 경제적 자립을 위한 과정으로서 경제적 측면에서 이해하고 있는 동시에 정서적 역량강화와 동기부여, 근로장벽 극복과 같은 정서적 측면, 사회적 관계 형성과 회복을 통한 사회통합과 같은 사회적 측면, 그리고 삶의 회복과 주체적 삶을 위한 통합적 지원으로 이해하고 있음을 발견하였다. 이러한 자활에 대한 상반된 이해는 실천가들이 사회복지라는 직업적 미션과 성과지향적인 조직의 운영 사이에서 이용자의 역량강화 과정에 초점을 둘지, 아니면 단기적으로 성과평가를 위하여 취창업률과 탈수급률이라는 가시적 실적에 중점을 두어야 하는지 등 현장의 혼란과 왜곡된 자활 운영을 부추기고 있는 것으로 보여진다. 이러한 연구 결과로부터 본 연구는 결과이자 과정이며, 경제적, 정서적, 사회적, 일상생활 측면을 포함하는 다차원적 개념으로 자활을 이해할 필요성과 함께 이러한 자활의 특성을 반영한 실천 현장의 재설계의 필요성과 함의를 제안한다.

얄롬의 실존주의 심리치료에 의거한 노인요양시설 디자인 방향에 대한 연구 (A Study on Elderly Nursing Home Design Direction Based on Yalom's Existential Psychotherapy)

  • 정미렴
    • 한국실내디자인학회논문집
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    • 제24권3호
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    • pp.186-196
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    • 2015
  • This research comprehended the fundamental cause of elderly nursing home residents' negative feelings of loneliness, depression, fear, and loss of self-usefulness as existential issue, since they already went through loss, death of loved ones, geriatric disease and disability. The purpose of this research is to explore how existentialism and existential psychotherapy theory of Irvin D. Yalom can be applied to nursing home environment design, and to suggest design directions. Based on his framework of human's ultimate interest, death, freedom followed by responsibility, isolation, and meaninglessness, interior design suggestions and applicable spaces were presented. Four cases from Australia, Denmark, Japan and Korea were analyzed according to design suggestions to grasp the current situation and to draw further proposition. The conclusions are as follows. (1)Environment should support nursing home residents to resolve existential issues. (2)Death is the least supported issue on all of the cases. Environmental elements that can induce residents to think and discuss on death, hospice program and space for memorial service is necessary. (3)Regarding to freedom, the environment should support resident's disability to maintain independence as much as possible and residents autonomy and decision should be respected. Single/double rooms, motorized bed, free and safe usage of kitchen and garden are necessary. (4)For isolation, Space and time for meditation should be provided. (5)To find meaning of life, environment should support residents in both physical and cognitive aspect so that they can contribute to others. Space for hobby is necessary for continued creativity and self-realization.

말초동맥질환자의 불확실성, 사회적 지지, 환자역할행위 이행이 건강 관련 삶의 질에 미치는 영향 (Effects of Uncertainty, Social Support, and Sick Role Behavior on Health-Related Quality of Life in Patients with Peripheral Arterial Disease)

  • 이혜주;김윤경
    • 임상간호연구
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    • 제26권3호
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    • pp.314-326
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    • 2020
  • Purpose: This study was conducted to examine the effects of uncertainty, social support, and sick role behavior on health-related quality of life in patients with peripheral arterial disease. Methods: This study is a descriptive research using self-reporting questionnaire. Data were collected from 167 patients with peripheral arterial disease. Measurement tools were Multidimensional Scale of Perceived Social Support(MSPSS), Mishel's Uncertainty in Illness Scale (MUIS), Sick role behavior measurement tools and SF-36 Version I. The data were analyzed using descriptive statistics, correlation, and regression analysis by using SPSS/WIN 24.0. Results: Factors that significantly influenced physical health-related quality of life were age (β=-.19, p=.010), monthly income (β=.17, p=.027), uncertainty (β=-.29, p<.001), and exercise and rest (β=.28, p<.001) that all together accounted for 32.6% of the variance. Factors that significantly influenced mental health-related quality of life were monthly income (β=.20, p=.015), drinking (β=.17, p=.040), uncertainty (β=-.24, p=.001), and exercise and rest in sick role behavior (β=.26, p=.003) that all together accounted for 18.2% of the variance. Social support was an insignificant factor on physical and mental health-related quality of life. Conclusion: To improve the health-related quality of life of people with peripheral arterial disease, it is necessary to develop a systematic nursing intervention program including a strong support system, education, strategies for alcohol abstinence, and exercise and rest therapy.