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A study on current situation of self-help group program in community-based home visiting health service

보건소 방문건강관리사업의 자조집단 운영 현황

  • Received : 2014.06.08
  • Accepted : 2014.08.20
  • Published : 2014.08.28

Abstract

The purpose of this study was to examine and analysis self-help group program performed in community-based home visiting health service. The data was collected public servants from the Home Visiting Health Care Service of 253 public health centers all over the country and was analyzed by SPSS/Win 17.0 program. 43.1% of self-help program was performed and 56.9% was not from year 2007 to 2010. As the years passed, the number of self-help group program was getting increased. The action for activating self-help programs was voluntary participation of clients, enthusiasm of management practitioner, and encouragement about self-help group. Self-help group programs based on public health center are insufficient. Self-help programs should be activated for clients of home visiting health care service. A systematic operating model of self-help group is also needed to develop and apply in consideration of these findings.

본 연구는 방문건강관리사업에서 동일한 문제를 가진 대상자의 자기관리 증진을 위한 자조집단 현황을 파악하기 위한 조사연구이다. 전국 253개 보건소를 대상으로 설문조사하였으며, 2010년 9월 3일부터 9월 20일까지 회수된 109개소의 자료를 SPSS/WIN 18.0프로그램을 이용하여 분석하였다. 연구결과 보건소에서 방문간호사업을 담당하는 간호사는 평균 9.27명, 대상 보건소 중 자조집단 프로그램을 실시한 보건소는 48개(44.0%), 자조집단 중 암 관련 프로그램이 65건(28.8%)으로 가장 많았으며, 실행예산은 500만원 이상은 19.6%로 재정적 지원이 열악한 현실이었다. 반면에 전문인력, 자조집단 관련 정보 및 예산 부족 등의 이유로 자조집단을 운영하지 못하는 보건소들도 자조집단 프로그램의 필요성은 인식하고 있었다. 결론적으로 자조집단 형성과 운영을 위한 매뉴얼 개발 및 효과성 검증을 위한 객관적 척도 개발 연구에 기초자료를 제공할 수 있다고 본다.

Keywords

References

  1. Ministry of health and welfare, 2013 Integrated health promotion program guide: Field of visiting health care. Seoul: Ministry of health and welfare, 2013.
  2. Ministry of health and welfare, 2012 Customized Home Visiting Health Service Report. Seoul: Ministry of health and welfare, 2012.
  3. W. Cheong, J. Yim, D. K. Oh, J. S. Im, K. P. Ko, & Y. M. Kim, Effects of chronic disease management based on clinics for blood pressure or glycemic control in patients with hypertension or type 2 diabetes mellitus. J Agric Med Community Health, Vol 38, No 2, pp. 108-11, 2013. https://doi.org/10.5393/JAMCH.2013.38.2.108
  4. E. J. Kim, H. J. Kim, B. R. Oh, Participatory action research on changing of poor single mother self-help group. Korean Journal of Social Welfare, Vol 41, No 1, pp.5-37, 2010.
  5. Zastrow, C., Social work with groups: Using the class as a group leadership laboratory. Chicago: Nelson-Hall, 1990.
  6. Katz, A. H., Hedrick, H. L., Isenberg, D. H., Thompson, L. M., & Goodrich, T, Self-help Concepts and Applications, Philadelphia: The Charless Press, 1992.
  7. S. H. Tark, The effect of the level of participation in self-help group on the social support and psychosocial adjustment among female heads experiencing poverty. Soongsil University Graduate School Master's Thesis, 2006.
  8. Y. H. Lee, & S. Y. Hwang, Effect of parenting stress control and quality of family life improvement through participation in leisure self-help group program, The Journal of Special Children Education, Vol 15, No 1, pp. 293-314, 2013. https://doi.org/10.21075/kacsn.2013.15.1.293
  9. Mueller, T. G., Milian, M., & Lopez, M. I, Latina mothers' views of a parent-to-parent support group in the special education system. Research & Practice for persons with Severe Disabilities, Vol 34, No 3-4, pp. 113-122, 2009. https://doi.org/10.2511/rpsd.34.3-4.113
  10. M. L. Hong, Comparative study on community organization practice in the urban communities of the low-income class: With focus on legal advocacy strategy and self-help strategy. Ewha Women's University Graduate School Master's Thesis, 1999.
  11. Tesoriero, F, Strengthening communities through women's self groups in South India. Community Development Journal, Vol. 41, No 3, pp. 321-333, 2005.
  12. K. J. Lee, Analysis on the development process of self-help group disabled people and implication of independent living. The Korean Academy of Social Welfare, pp. 171-176, 2006.
  13. J. S. Kim, S. I. Lee, K. T. Kim, & N. H. Park, A study on the development of self-help program with care burden for families with demented elderly person. Journal of Korean Academy of Community Health Nursing, Vol 16, No 3, pp. 260-269, 2005.
  14. Kotani, K., & Sakane, N, Effects of a self-help group for diabetes care in long-term patients with type 2 diabetes mellitus: an experience in a Japanese rural community. Aust J Rural Health, Vol 12, pp. 251-252, 2004. https://doi.org/10.1111/j.1440-1854.2004.00626.x
  15. Goodwin, P, Support groups in advanced breast cancer. Cancer, Vol 1(104, 11 Suppl), pp. 2596-2601, 2005.
  16. Leadbeater, M, Evaluating use of a support group in secondary breast cancer care. Nurs Times, Vol 100, No 50, pp. 34-36, 2004.
  17. Management center for health promotion, Estimation of optimal workload for the visiting nurses of customizing health care through the job analysis, Suwon: Ajou University, 2010.
  18. Ministry of health and welfare, 2009 Customized Home Visiting Health Service Report, Seoul: Ministry of health and welfare, 2009.
  19. J. H. Lee, J. I. Park, J. H. Kang, J. H. Youm, D. H. Koh, & K. S. Kwon, Needs assessment for beneficiaries of home-based cancer patients management project. J Agric Med Community Health, Vol 36, No 4, pp. 238-20, 2011. https://doi.org/10.5393/JAMCH.2011.36.4.238
  20. H. Y. Yang, Nursing meeting as the mental support system for the single moms. KASPF, Vol 2, No 1, pp. 39-56, 2009.
  21. E. S. Kim, Self-help group for diabetic patient. The J of Korean Diabetes, Vol 10, No 4, pp. 255-259. 2009.
  22. Wituk, S., Shepherd, M., Warren, M., & Meissen, G, "Factors contributing to the survival of self-help group." American J of Psychology, Vol 30, No 3, pp. 349-366, 2002.
  23. J. S. Park, Study on the development of self-help operation model for visiting health care program in Dae-gu, Dae-gu: Hanbit company, 2010.

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