• 대한간호학회지
• /
• 제25권3호
• /
• pp.472-484
• /
• 1995

The purpose of this study was to develop a home health care model in the public health system and to test the effectiveness of the model. Seven com-munity health practitioners in Yon- Cheon county. Kyunggi province, carried out home health care service for this research. The subjects of the home health care were a total of 111 community residents with chronic health problems and risk-prone infants and children; 29 persons with hypertension, 18 persons with diabetes, 12 persons with neurologic problems, 12 elderly, and 40 infants and children. During the period of study, from December, 1993 to March, 1995, a demonstrative home health care model was developed in the Yon-Cheon County community health centers with the cooperation of the Yon-Cheon Medical Center and Yon-Cheon Public Health Center for the first six months. A home care practice manual and recording system for home visits were also co-developed by the researchers and community health practitioners. Four workshops and monthly conferences were held for this purpose. Actual home care practice took place for two months, and on-going evaluation and replanning accompanied this process. The result of the evaluation of home care service were as follows. 1) For persons with hypertension, diabetes, neurologic problems, there was significant improvement in knowledge of disease and care, but no significant difference was seen in health behavior or symptoms after home care service. 2) No significant difference was seen in level of self esteem or depression after reminiscence therapy among 12 elderly subjects. 3) There were significant differences in satis-faction toward child rearing and parental sup-port, but no significant difference In education needs for parental role after home care service among parents of infants and children. 4) There was significant improvement in the quality of life among the subjects after the home care service. 5) Subjects responded that they were highly satisfied with the home care service given by the community health practitioners. Although, the actual implementation period was very short, and not all of the evaluation outcomes showed significant improvement, the home health care model of community health practitioners was, in general, positively evaluated. Through this re-search, the possibility of community health practitioners working as active home care personnel in the public health care system is supported. Further research with an expanded area and subjects for a longer period is recommended. Cost effectiveness research is also needed.

• 대한간호학회지
• /
• 제30권5호
• /
• pp.1195-1206
• /
• 2000

The purpose of this study was to analyze womens' health problems using Green & Kreuter's 1991 PRECEDE model and to develop a model for a womens' health care center located in the community. The subjects were recruited from Wonju City. 1. The results showed that 23% of the sample population felt there was a need for a womens' health care center. The mean number of health problems was 3.1. The prevalence rate, was 44.4%, and the rate for an artificial abortion, was 36.4%. Also 30.5% did not have a health examination in the past year. Women using the hospital for medical care accounted for 45% of the sample, while 40% used the drugstore. The average score on the HPLP was 2.41, and this was influenced by self-efficacy, family support, sexual role, and health locus of control. There are a few educational programs in the city provided by the Wonju Health Center and by community health nurse practitioners. 2. The nursing center, as defined in North America, is a nurse-anchored system of primary health care delivery or neighborhood health center. Centers offer various services ranging from primary care to the more traditional such as education, health promotion, wellness screening, and coordination of services by advanced practice nurses. For examples in Sweden MCH centers provide total services for childbearing women and their families, sexual counseling and education for adolescents, and screening by midwives for cervical cancer. 3. The developed model combines purpose, target population, organization, and services, and is related to health resources. The purpose is primary health care and promotion of the quality of life. The target population can be grouped according to the life cycle, (premarriaged age group, the childbearing/child rearing age group, and middle aged and elderly women) and focuses on self-help. The organization of the center includes an advisory committee to plan and evaluate, and a health services team that will be multidisciplinary to provide health care, counseling education, and research. The model development suggested that a variety of women's health care centers are needed to insure adequate management of women's health. Follow-up research using PROCEED is needed to analyze health outcomes. Also a health nursing specialist system is required to develop health promotion, and improve the quality of life of women.

• 디지털융복합연구
• /
• 제11권11호
• /
• pp.725-731
• /
• 2013

현재까지 유대인들은 전 세계적으로 정치, 경제, 문화 등 여러 분야에서 가장 영향력있는 민족으로 언급되어져 왔다. 이와 같은 이유 때문에 유대인들에 관한 연구들은 경제 생활, 자녀 양육, 가정 생활, 신앙 생활 등 다양한 분야로 확대되어가고 있다. 본 논문은 유대인들에 관한 다양한 연구 분야들 중에서 유대인의 놀이에 관한 것을 다룬다. 놀이는 특정 시대의 의식 구조와 생활 양식을 알아볼 수 있는 좋은 수단이 되기 때문이다. 이를 위해 본 논문에서는 유대인의 놀이들을 연구 문헌과 인터넷을 사용하여 조사한다. 그리고, 조사된 놀이들의 역할을 기술하고 이를 기능성 게임으로 제작하기 위한 방안을 논한다. 연구 결과, 유대인들에게 있어서 놀이는 1) 역사와 지혜의 전승 도구, 2) 교육적인 메시지를 전달하는 매개체, 3) 공동체 감정 형성의 도구 4) 약속을 학습하는 도구 로서의 역할을 담당한다. 이러한 유대인 놀이들을 기능성 게임을 제작하여 생산하는 경우 사회적으로 긍정적인 학습 효과를 일으킬 수 있다.

• 한국산학기술학회논문지
• /
• 제20권5호
• /
• pp.417-426
• /
• 2019

본 연구는 예비유아교사를 대상으로 따돌림에 대한 인식을 확인해봄으로써, 유아교육현장에서 발생하는 따돌림에 대한 예방 및 대처를 위한 실천적 함의를 제공하고자 한다. 이를 위해 예비유아교사 313명에 대한 설문조사 자료를 토대로 SPSS Win 프로그램을 이용하여 빈도분석, 분산분석을 실시하였다. 주요 결과는 다음과 같다. 첫째, 따돌림 인식은 학년과 보육실습유무, 현장관찰수업유무, '학교폭력 예방 및 학생의 이해' 교과목 수강유무에 따라 통계적으로 유의미한 차이가 있었다. 둘째, 따돌림 행동에 대한 인식으로 '때리거나 발로 차는 등 폭력을 가하는 일이 빈번함', '공동으로 쓰는 물건을 사용하지 못하게 하는 경우가 많음', '다른 친구 앞에서 창피를 주거나 모함을 하는 일이 잦음'을 높게 인식하였다. 셋째, 따돌림 가해자의 특성에 대한 인식으로 '공격적인 행동과 말을 많이 함'이 가장 높았고 따돌림 피해자의 특성에 대한 인식으로 '수줍음이 많고 말이 별로 없음'이 가장 높았다. 넷째, 가해 이유에 대한 인식으로 '특별한 이유없이 그냥 재미로'가 가장 높았고 따돌림 현상 원인에 대한 인식으로 '부모의 양육태도나 가정환경의 문제'가 가장 높았다. 마지막으로, 따돌림 예방 및 대처의 주요 수행기관은 교사, 부모와 가정, 지역사회 및 국가, 유아교육기관, 교육청 순이었다. 교사의 역할로는 '학급에서 고립되는 유아들을 지속적으로 관찰하기'가 가장 높았고, 부모의 역할로는 '자녀에게 관심을 갖고 대화를 많이 하기'가 가장 높았으며, 유아교육기관의 역할로는 '교육과정 중에서 따돌림 방지교육 시간을 마련하여 운영하기'를 가장 높게 인식하였다. 이에 본 연구는 예비유아교사들의 따돌림에 대한 인식을 높이기 위한 다양한 노력들이 필요함을 시사한다.

• 가정과삶의질연구
• /
• 제31권5호
• /
• pp.125-141
• /
• 2013

This research aims to integrate study results through a meta-analysis of previous studies on the variables related with social support for female marriage immigrants. Based on the results, this study established the foundation of an integrated social support system for female marriage immigrants which considers both the functional perspective and structural perspective of social support, and suggested plans for an efficient support system. All social support was positively associated with female marriage immigrants marriage life, child-rearing behavior and attitude, reduction of stress and depression and psychological stability. In relation to the effect size of each variable related with all social support, the marriage variable had the biggest relationship with it, followed by the parenting variable, the psychological variable and the stress variable in that order. With reference to the relationship with related variables according to the sub-domain of social support, from the structural perspective, spousale support showed a high relationship with the marriage variable and the stress variable. It was also especially, very highly related with the marriage variable. In addition, a married woman's family support and expert support had an intermediate relationship with the marriage variable, and the husband's family support and friend support had a low relationship with it. From the functional perspective, material support had a very high relationship with the marriage variable, whereas it had a low relationship with the stress variable and the psychological variable. Emotional support was also highly related with marriage variable, but showed an intermediate or low relationship with the psychological variable and the stress variable. On the other hand, informational support displayed an intermediate relationship with the stress variable and the psychological variable, and a high relationship with the marriage variable. Lastly, evaluative support had a high relationship with the marriage variable and the psychological variable. Based on these results, this study proposed plans for an integrated social support system as follows. First, education ought to be provided for the spouses, and support for marital adjustment should be offered. Second, there plans should be made for continuous bonding with the family of origin, and support should be given to address changes in awareness of the relationship with the husband's parents. Third, it is required to revitalize the local community and self-help groups, and provide the female marriage immigrants with opportunities to participate in social activities.

• 한국엔터테인먼트산업학회논문지
• /
• 제14권7호
• /
• pp.529-538
• /
• 2020

본 연구는 국내 실정에 맞고 임상에 적용 가능한 한국형 일상생활활동훈련치료 콘텐츠를 개발하고자 하였다. 콘텐츠 개발을 위해 전문가 13명을 대상으로 델파이 연구를 시행하였다. 1차 델파이 조사에서는 선행연구를 기반으로 일상생활활동훈련 133개 항목을 도출한 후 전문가 집단에 의뢰해, 도출해 낸 항목이 실제 국내 임상적용에 적합한가에 대해 답하도록 하였다. 2차 델파이 조사에서는 1차 조사 결과를 토대로 내용타당도 지수가 낮은 항목은 제외하였고, 기타 의견 중 콘텐츠로 도출할 수 있는 항목을 추가하여 118개로 항목을 재구성하였다. 3차 델파이 조사에서는 2차 델파이 조사 항목을 그대로 제시하면서, 자신의 2차 응답과 다른 전문가 패널의 2차 평균 점수를 동시에 제시하여 자신의 의견을 수정할 수 있는 기회를 제공하였고, 추가로 적합도와 중요도를 함께 평가하도록 하였다. 본 연구에서 자료는 평균과 표준 편차, 사분위수 범위, 내용타당도 지수, 수렴도, 합의도를 구하는 것으로 분석하였다. 연구 결과 3차 델파이에서 CVR 0.54 이상이 105개 항목, 수렴도 0.50 이하가 111개 항목, 합의도 0.75 이상이 70개 항목으로 나타나 최종적으로 총 69개의 항목이 선정되고, 49개의 항목이 삭제되었다. 성적 활동, 타인 돌보기, 반려동물 돌보기, 아이양육은 사회문화적으로 적용하기 힘들고, 운전 및 지역사회 이동은 치료실 내에서 수행할 수 없으며, 집안관리 및 유지는 성별에 따라 역할이 다를 수 있고, 종교적·영적 활동과 표현은 개인적인 것이므로 등과 같은 이유로 중요도 혹은 적합도가 낮은 항목으로 나타났다. 본 연구에서 개발한 한국형 일상생활활동훈련의 콘텐츠는 앞으로 임상이나 지역사회에서 일상생활활 동훈련의 지표로 유용하게 활용이 가능할 것이다.