• Title/Summary/Keyword: 간호문제

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Change of Life of the Older due to Social Admission in Long-Term Care Hospital (노인의 사회적 입원으로 인한 요양병원에서의 삶의 변화)

  • Kang, Gun Saeng;Kim, Jeong Sun
    • 한국노년학
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    • v.37 no.1
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    • pp.103-123
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    • 2017
  • The purpose of this study is to explore the phenomenon in-depth with its context that what are changes of life in the older patients with social admission by applying the phenomenological research method, and to understand the essential meanings and structure of change experiences of life in elderly patients with social admission. The participants were 15 patients with chronic disease over 65 ages who were selected by convenience sampling. Data were collected through individual in-depth interviews from April to July 2016, and were analyzed using Colaizzi (1978)'s phenomenological analysis method. The essential meanings and structure of change experiences of life in the older patients with social admission were derived into six clusters of themes as follows: 'A lot of concerns are solved', 'New relationship', 'Life as a ordinary person that it looks nothing like a patient', 'The body and mind are comfortable', 'Fear of discharge','Social isolation'. The results of this study contributed to promoting a deeper understanding of change of life in older patients with social admission, and provided for the basic data of strategic approach in solving the social admission problem in long-term hospital.

Influencing Factors of Social Anxiety in Late School-aged Children (학령후기 아동의 사회불안에 미치는 영향요인)

  • Moon, So-Hyun;Kim, Hyung-ran;Kim, Jeong-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.63-73
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    • 2019
  • The purpose of this study was to investigate the prevalence of social anxiety among late School-aged Children and identify factors influencing the tendency to social anxiety. A self-report survey was conducted with primary school children who were in the 6th grades. Two hundred and seventy eight children were included in the study. The instruments utilized in this study were SASCA-K (Korean Social Anxiety Scale for children and adolescents), SES(Self-esteem Scale), CAPS(Child and Adolescent Perfectionism Scale), DSRS-C(Depression Self-Rating Scale for Children), and IPPA-R(Inventory of Parent and Peer Attachment-Revised version). Data were analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson correlation and multiple regression with SPSS WIN 23.0 program. Social anxiety for the schoolchildren was positively correlated with perfectionism and depression, whereas self-esteem and attachment security was negatively correlated with social anxiety. Stepwise multiple regression analysis showed that 38.0% of the variance for social anxiety was significantly accounted for by self-esteem, self-oriented perfectionism, depression, attachment security (Father-communication). The most significant factor influencing social anxiety was self-esteem. Findings suggest that expanding health education, counseling and school-based health education programs is necessary to prevent and intervention mental problems of late School-aged Children through integrated intervention by schools, families and communities.

Development of community-based intensive health care program for the community dwelling elderly (재가노인을 위한 지역사회 중심의 집중건강관리프로그램의 개발과 적용)

  • Song, Mi-Sook;Song, Hyun Jong
    • 한국노년학
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    • v.29 no.1
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    • pp.37-50
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    • 2009
  • The purpose of the present study was to develop a community-based intensive health care program for the community dwelling elderly to strength their functional status and to verify the effect on their geriatric syndrome. A one-group pretest-posttest design was used for the study. A total of 69 frail elderly, who lived in the area within 20 minutes by car, were committed themselves to the day care center(Sangikjae), and had the ability of verbal communication were selected from G city in Kyunggi province. The participants completed a set of questionnaires to measure the sub-score of frailty, fall, urinary incontinence, malnutrition, and mild cognitive disorder domain, using the Otasha-Kensin through the physical examinations and interviews. After 4 weeks of intervention, the outcome was measured to evaluate the effects of the program, and the data obtained were analyzed using descriptive statistics, paired t-test and McNemar test. The results showed that the sub-score of frailty, fall, urinary incontinence, and malnutrition domain were statistically significantly decreased after intervention except those of urinary incontinence and mild cognitive disorder domain, implying that the risk of frailty, fall, and malnutrition was decreased. These findings indicated that community-based the intensive health care program is effective for relieving geriatric syndrome of the community dwelling elderly.

Using 3-Dimensional Simulation for Environmently Friendly Road (친환경적도로에 대한 3차원시뮬레이션 적용)

  • Oh Il-Oh;Choi Hyun;Kang In-Joon
    • Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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    • 2006.04a
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    • pp.425-429
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    • 2006
  • 본 연구는 VGIS(Virtual Geographic Information System)을 이용, 환경친화적인 도로건설을 위해 실제 좌표를 사용하므로 3차원 도로의 선형과 구조물을 설계하였다. 그리고 시공 중에 발생 할 수 있는 민원문제 및 설계변경 시 효율적인 의사결정 할 수 있도록 하였다. 대상지역은 전라남도 장흥군의 최대 역점사업인 관광을 테마로 한 정남진 가는 길을 컨셉으로 한 '가고 싶은 길', '보고싶은 다리', 기억하고픈 터널'을 주제로 설계하였으며 명실공히 남도의 새로운 관광명소가 될 자연관광도로가 될 것으로 기대된다. 기존의 3차원 설계에서는 평면적인 선형과 구조물의 형상을 이해하는데 상당한 시간이 소요되었지만, 구조물을 3차원으로 설계함으로써, 비전문가라도 구조물을 쉽게 파악 할 수 있었다. 그리고 3차원 설계는 기존 구조물과 신설될 구조물 사이에 공사 중 발생할 수 있는 환경 및 민원문제를 사전에 파악할 수 있었다. 또한, 실제와 같이 구현된 도로와 구조물의 시뮬레이션을 통하여 기존의 각종 의사 결정에 있어 보다 시각적 효과를 증진시켜 효율적인 의사결정을 가능하게 하였다. 본 연구에서는 실제 평면 설계에 쓰이는 좌표값을 3차원설계에 적용하였다. 도로 노선 및 경관분석에 많은 도움이 될 것으로 보이며 VGIS를 이용하므로 도시계획, 식물, 토양. 수로 또는 도로형태, 홍수계획 등 많은 일들이 평가에 사용된다. 여기서는 구조물 3차원 설계에 관한 기초적인 연구를 시행하였으며, 3차원설계를 통해 의사결정시 효율적인 판단을 할 수 있었고, 환경 친화적 시공 및 설계에 대한 연구가 이루어져야 될 것으로 판단된다.안전관리를 위해 채석장에 안전표지판을 설치하여야 하며, 실내가공 작업장의 자동이동시스템을 작업별로 채색하여 식별을 용이하게 하여야 하겠다. 또한 이 연구 결과를 영세사업장의 산업간호프로그램인 'Clean 3D'사업에서 적용하여 우리나라 채석사업장 근로자 건강관리를 발전시켜야 하겠다. 확장기 혈압에서 RZS와 DAD의 일치도와 평균을 중심으로 더 넓게 퍼져있어 낮은 일치도를 보였으며 또 DAD와 RMS의 혈압치는 숫자 선호도를 볼 수 있는데 특히 RMS는 더 뚜렷하게 나타났는데 확장기 혈압의 최빈치(30.6)는 100mmHg이었다. 혈압치들이 가장 가까이 "0"점으로 치우쳐져 있었다. RZS의 Central tendency는 DAD와 RMS보다 뚜렷하였다. 결론적으로 RZS는 이 연구목적으로 가장 적절함을 보여준다.청소년들의 학교급식에 대한 만족도를 높이기 위해서 다음과 같은 제언을 하고자 한다. 먼저, 학교급식에 대한 식단 작성 시 학생들이 학교에서 제공되기 원하는 식단에 대한 의견을 받고 그 의견에 대한 결과를 게시하여 학생들이 제공되기 원하는 식단을 급식 시 제공하여 학생들이 식단선택에 동참할 수 있는 기회를 주는 것이 바람직하겠다. 또한 영양사는 학급의 반대표와의 정기적인 모임을 가짐으로서 학생들의 불만사항 및 개선 요구사항에대해 서로 의견을 교환하여 설문지조사가 아닌 직접적인 대화를 하여 문제점을 파악하고자 하는 적극적인 자세가 필요하겠다. 특히 아침식사의 결식 빈도가 높았고 이는 급식성과에 부정적인 영향을 줄 뿐 아니라 학교에서 제공하는 음식의 섭취정도에도 영향을 주고 있으므로 학생들에게 학부모와 전담교사 및 학교영양사는 학생들

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A Study on the Definition and Method of Information-giving as a Counseling Skill in Counseling Textbooks (상담교재에 나타난 '정보제공'기법의 정의와 방법에 대한 고찰)

  • Kang, Hye-Young
    • 대한공업교육학회지
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    • v.39 no.2
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    • pp.144-164
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    • 2014
  • Information-giving is very important skill in career education and career counseling. The purpose of this study was to analyse the definition and method of information-giving as a important counseling skills in the counseling textbooks. Research questions were as follows: First, what is the definition of information-giving? Second, what are the ways to give the information in counseling? 17 textbooks of counseling were reviewed. The following are the main findings. First, the definition of information-giving was summarized in two ways: (1) the meaning of information (2) the description of information-giving. The results revealed the reason why the definition of information-giving is vague and it is difficult to distinguish from other skills (ex: giving advice, providing interpretation). Second, the main methods of information-giving can be summarized as follows: (1) motivation and timing of information-giving (2) selection criteria of information-giving (3) procedure of information-giving (4) considerations of information-giving. Out of these methods, the textbooks do not provide much reference on 'selection criteria of information-giving and procedure of information-giving. These findings revealed the necessity of empirical study on the information-giving skills.

A STUDY ON THE STRESS IN MOTHER OF AUTISTIC CHILDREN (자폐아동 어머니의 스트레스에 대한 연구)

  • Yoon, Soo-Young;Han, Kyung-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.4 no.1
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    • pp.54-67
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    • 1993
  • This study is to investigate the stress and stress degree in mothers of autistic children. In order to obtain data for planning nursing strategies for mothers of autistic children The assessment tool for the stress was constructed through reviewing literatures on the stress and gathering the stress items by nonstructed face to face interviewing 14 mothers of autistic children The stress tool consists of 74 items each with five point rating scale A data collection was made front 160 mothers of autistic children from 11 institutions for autistic children in Seoul and Kyung-Ki province. The reliability coefficients by Cronbach's a test was 0.94 for the stress scale. The results are as follows : 1) The mean of stress is 3.19, in the area of the etiology, prognosis and the treatment-education, with cause of the treatment the edeucatlon and the prognosis of child's handicap. The mean of stress is 2.85 In the area of the negative of mother's self image, 2.45 in the area of the mother's ordinary life. The mean of stress was 2.05, lowest in the family and social relationship 2) The mean score for the total was 2.62 points. The items with highest stress score were 'All autistic child has not been understood by the society', 'If we die, 1'm afraid that this child will not be cared by someone', 'There is no institution that the child get the schoolibg', etc The stress item with the lowest mean score were 'Keep away the child from husband', 'Being divorced by husband', etc. 3) An analysis of relationship of stress degree to general characteristic shows a statisically significants difference in the number of children in the family and the cognition of the seventy of the child problem

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A Study of Stress, Stress Coping Style and Health Symptoms in 6th Grade Elementary School Children (초등학교 아동의 스트레스 생활사건과 대처방식, 건강문제에 관한 연구)

  • Cho Nam Jin;Park In Sook
    • Child Health Nursing Research
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    • v.4 no.2
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    • pp.193-206
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    • 1998
  • The purpose of this study was to examine the stressors and stress coping styles of 6th grade el ementary school children and to explore the relationship between stressful life events and health symptoms and the effects of coping style which is theoretically considered to mediate the relationship between stress and health symptoms. The study subjects consisted of 329 in 6th grade elementary school children in Cheong-Ju city. Of the 329 subjects, 171 were boys and 158 were girls. For this study, three kinds of questionnaires were adopted as follows ; 1) Feel Bad Scale (FBS) by Lewis et al., 2) lazarus-Folkman's Way of coping questionnaire 3) Hee Sun Shin's Health Symptom questionnaire (HSQ) The researcher visited the school and collected data in the class using the questionnaire method after an explanation of the purpose and procedures was given to the children. Data collection was done for 10 days (from 5th to 15th of July 1997) . The data were analyzed by descriptive statistics, correlation analysis, multiple regression analysis using the SAS statistical program. The results of this study were as follows : 1. The mean score for the FBS was 211.37(range : 77-427), The most severe stressors perceived by children were parental divorce and other's smash or steal of my things. The most frequently experienced stressful life events were conflict with siblings and being scolded for other's fault. 2. The most frequently used stress coping style was the active coping (M=17.85), followed by passive (M=13.64) and magical one (M=13.42). 3. The mean score for the HSQ was 23.30(range : 0-72) The most frequently complained health symptoms were headache and having much worry about everything. 4. There was a significant relationship between stressful life events and health symptoms (r=.60, p<.001). Also, stressful life events were positively related with passive coping(r=.27, p<.001) and magical coping (r=.38, p<.001). Health symptoms were positively correlated with passive coping(r=.33, p<.001) and magical coping (r=.41, p<.001). 5. Stepwise multiple regression analysis revealed that the most powerful predictor was the variable of stressful life events. Health concerns, magical coping style, passive coping style and active coping style accounted for 49.15% of the variance in health symptoms. This study revealed that stressful life events correlated with health symptoms in 6th grade elementary school children and passive coping and magical coping had mediating effects on this relationship. The implication for nursing is that there is a need to develop supportive interventions for high risk population to decrease health problems due to stress.

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A Review of Person-centered Care in Nursing Homes (노인요양시설의 인간 중심 케어 (Person-centered care)에 대한 연구)

  • Yoon, Ju Young;Roberts, Tonya;Bowers, Barbara J.;Lee, Ji Yun
    • 한국노년학
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    • v.32 no.3
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    • pp.729-745
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    • 2012
  • The purpose of this study is to review person-centered care models and the scientific evidence for the impact of person-centered care in U.S. nursing homes, and to analyze the applicability of person-centered care for Korean long-term care system. The most commonly recognized person-centered care models were Eden Alternative, Green House, and Wellspring model. The core components of the three models were autonomy, close relationships, homelike environment, and staff empowerment. Thirty eight empirical studies including 10 model testing studies and 28 studies to examine the impact of person-centered care interventions indicated generally positive outcomes in terms of residents, family, and staff/organization level. The authors analyzed the current situation in the Korean long-term care system with respect to the specific core constructs of person-centered care, and proposed applicable models and practical suggestions in consideration of Korean context. Lastly, future considerations regarding policy and research were discussed.

Functional Health Status and Medical Service Utilization Pattern of General and Vulnerable Older People in Community (지역사회 일반 및 취약계층 노인의 건강기능상태와 의료서비스 이용 행태)

  • Oh, Doonam;Jeong, Hyoseon;Hwang, Jeonghae
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.404-414
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    • 2021
  • This study was to investigate the differences of functional health status and medical service experience and needs between general and vulnerable older people in community. This study is a cross-sectional descriptive research. The data obtained through direct visit surveys from November to December 2016. The target population of the study was older people over 65 years old, the final study subjects were 444 older people residing in one district of Seoul. The chi-square test was conducted to confirm the difference in their functional health areas and medical service experiences, and the necessity of medical service utilization in accordance to the social class. In the experience of abnormality in functional health, the vulnerable older people had higher experience in cognitive function, nutrition, hydration, pain, and falling than the general older people. The rate of experience of using medical service to solve the cognitive function problem for general older people was 31.9%, higher than that of the vulnerable older people. In contrast, the medical service utilization needs of the vulnerable older people in the pain management category was significantly higher than that of the general older people. In setting policy of public medical service programs for general and vulnerable older people in community may be differentially developed based on this study. In order to improve the medical accessibility of the vulnerable older people, public medical institutions should be actively supported to overcome obstacles to medical use due to economic barriers.

Self-Awareness and Coping Behavior of Smartphone Dependence among Undergraduate Students (대학생의 스마트폰 의존 자각과 대처 행동)

  • Park, Jeong-Hye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.336-344
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    • 2021
  • The purpose of this study was to identify the self-awareness of smartphone dependence among undergraduate students and their response to the same. The data was drawn from a survey on smartphone overdependence conducted by the Ministry of Science and information and communications technology (ICT) and the National Information Society Agency in 2017. The responses of 1,735 undergraduate students were analyzed by frequency, percentage, mean, standard deviation, minimum-maximum value, ��2-test, independent t-test, Pearson's correlation coefficient, and stepwise multiple regression analysis. The results indicated that 22.3% of participants were at risk of smartphone dependence, and 63.6% of them were unaware of their dependence on smartphones. The perception of smartphone dependence was significantly associated with a higher risk of smartphone dependence (��=.35, p=.000) and the increasing use of applications such as games (��=.19, p=.000), television/video (��=.11, p=.000), and learning (��=.11, p=.000). Of the participants with dependence awareness, only a few knew about the existence of centers to prevent smartphone and internet dependence. Moreover, they rarely utilized these centers. However, the participants felt the need for more counseling agencies (26.8%), programs for dealing with oneself (23.2%), information about smartphone dependence (14.9%), and help to overcome dependence (10.9%). These findings show the need to establish public services so that students can easily access correct information on smartphone dependence and address this problem.