• Child Health Nursing Research
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• 제24권2호
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• pp.241-251
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• 2018

Purpose: The purpose of this study was to identify trends in health-related interventions on children attending Community Child Care (CCC) centers, which are part of a health policy to provide after-school care for vulnerable children in South Korea. Methods: From 2007, 109 papers were analyzed using the scoping study method. Results: The number of studies increased steadily between 2007 and 2016. Most studies were based on the social sciences, and the participants were mainly elementary school students. Psychological and social interventions were the most common types of interventions with socio-psychological indicators as measurements. In addition, only a few studies had a clearly defined conceptual framework. The majority of studies did not explicitly indicate that they followed ethical considerations. Conclusion: It is necessary to develop health-related interventions for children attending CCC centers using diverse subjects, types, and evaluation methods, along with improvements in the quality of research methodology. Furthermore, it is essential to clearly articulate and implement ethical considerations in research targeting vulnerable children.

• Child Health Nursing Research
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• 제16권1호
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• pp.1-9
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• 2010

Purpose: In this study the effects of a self-growth program on self-esteem, inferiority and peer-relationships in children using a community child center were examined. Methods: A quasi-experimental design was used. Data were collected from August 26 to October 9, 2008. To test the effects of the self-growth program, the children were divided into two groups, an experimental group (28) and a control group (25). The self-growth program was used with the children in the experimental group. Results: The self-growth program effectively increased the self-esteem scores, and the peer-relationships scores of the children, and decreased the inferiority scores. Conclusion: The results suggest that the self-growth program is a useful nursing intervention for improving self-esteem, decreasing inferiority, and positively affecting peer-relationships in these children.

• 한국산업보건학회지
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• 제32권4호
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• pp.414-424
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• 2022

Objectives: This study was established to ascertain the requirements and implementation of core competencies for employees of the a workers' health center. Methods: The study consisted of a four-step process: a literature review, focus group interviews, expert opinions, and a questionnaire. The survey was conducted online among 119 employees of the National Workers' Health Center. Results: As a result of the research, eleven core competencies and 37 sub-competencies were derived in three areas: Competence as a social worker, competence to perform duties, and competence for maintaining expertise. The key demands for core competencies were "health consultation" and "understanding of small businesses.". They responded that they needed to "maintain an ethical attitude" and "consult on workers' health.". The largest score difference between core competency requirements and competency implementation was "collaboration with the community.". Conclusions: It is necessary to increase competencies not only for competencies with high core requirements, but also for relatively low competencies. In addition, efforts should be made to improve the core competencies of the employees of the Workers' Health Center to effectively respond to changes in the industrial structure and crises such as COVID-19.

• 근관절건강학회지
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• 제30권2호
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• pp.138-146
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• 2023

Purpose: The purpose of this study was to examine knowledge, health beliefs and health promoting behavior about osteoporosis in working women in their 20s and 30s. Methods: A survey was conducted among working women in their 20s and 30s who visited the health promotion center of B Medical Center in B Metropolitan City. The data were collected from December 2021 to March 2022 using structured self-reported questionnaires. SPSS/WIN 25.0 program was used to analyze the data. Results: Factors influencing health promoting behavior about osteoporosis in women in their 20s and 30s were in the order of "good" subjective health status (β=.47, p<.001), "moderate" subjective health status (β=.36, p<.001) and knowledge (β=.18, p=.015). These factors explained 12.4% of health promoting behaviors about osteoporosis. Conclusion: The results indicate the need to develop and implement healthcare programs that can improve the health status and provide knowledge to improve health promoting behavior about osteoporosis in women in their 20s and 30s.

• 여성건강간호학회지
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• 제6권1호
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• pp.67-81
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• 2000

The purpose of this study was to analyze women's health problems using Green & Kreuter's(1991) PRECEDE model and to develop health education program for women's health. The subjects were recruited women from Wonju city 18 years or older. 1. The results showed that about 50% of the women were satisfied with their lives as women, 23% of the sample felt there was a need for a women's health care center. The mean number of health problems was 3.1 and the prevalence rate, 44.4%. 2. We developed on educational program according to group differences related to health problems, diagnosis of disease, variables influencing health promotion behavior, and programs which each group wanted. Also we stressed self-efficacy and self-help group for the management of individual health to all groups. 3. The diagnoses of diseases that were experienced premarital over the past year were gastritis, bronchitis, spinal disk, and fracture, for the childbearing/rearing group, gastritis, vaginitis and cervicitis, cervical cancer and cystitis and nephritis and arthritis and for the middle-aged/elderly group arthritis, gastritis, vaginitis and cervicitis, and spinal disk. Of the sample 30.5% did not have a health exam in the past year, and only 10% of the premarital group, 12.5% of the childbearing/child-rearing group, and 18.3% of the middle aged-elderly group were concerned about their health and did something for their health. 4. The average score on the HPLP was 2.41. the HPLP was scores according to group were found to have significant differences. self-efficacy, family functions, health attention and were considered important variables in the premarital group, in the childbearing/child-rearing group self-efficacy, family functions, internal locus of control, health attention, and health perception and power others locus of control and then for the middle aged-elderly group self-efficacy, health attention, internal locus of control, family functions and health perception. 5. There are a few educational programs in the city provided by the Wonju Health Center and by community health nurse practitioners. The premarital group requested the educational programs on diet, health exercise, family health and stress management. Also the childbearing/child-rearing group wanted programs on diet, family health, stress management, and health exercise, and the middle-aged/elderly group wanted that of family health, diet, climacteric changes stress management and health exercise. The program suggested that this program should be applied to women in the community to insure adequate management of women's health. Follow-up research with PROCEED is needed to analyze health outcomes, also, a women's health nursing specialist system is required to develop health promotion, and improve the quality of life for women.

• 중환자간호학회지
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• 제14권3호
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• pp.26-36
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• 2021

Purpose : This study aimed to present the incidence of pressure ulcers and identify different associated factors according to the time of occurrence of pressure ulcers in intensive care unit (ICU) patients. Methods : The participants were 313 patients who reported pressure ulcers among 2,908 patients in ICUs at a large tertiary hospital in Gyeonggi-do. Among them, 220 patients (70.3%) had a pressure ulcer before admission, and 93 patients (29.7%) reported newly developed pressure ulcers after admission to the ICU. Data were collected between August 2018 and April 2019. Along with the time of occurrence and characteristics of pressure ulcers, diverse associated factors were gathered through electronic medical records. Data were analyzed using descriptive statistics, independent t-tests, and 𝑥²-tests. Results : Different risk factors associated with pressure ulcers in ICU patients according to the time of occurrence were main diagnosis, score of acute physiology and chronic health evaluation, score of Richmond agitation sedation scale, level of consciousness, administered sedatives, use of a ventilator, insertion of a feeding tube, and the duration of fasting period. Conclusion : Based on the results of this study, healthcare providers, especially ICU nurses, should try to detect early signs and symptoms of pressure ulcers, taking into account the derived factors associated with pressure ulcers in ICU patients. Practical intervention programs and strategies considering the factors associated with pressure ulcers must be developed to prevent and alleviate such ulcers in ICU patients in the future.

• Journal of Hospice and Palliative Care
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• 제22권1호
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• pp.39-47
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• 2019

목적: 본 연구는 소아완화의료 대상 환자와 가족을 돌보는 전문기관 종사자의 환자진료 및 시스템 연계에 대한 인식을 알아보기 위해 수행된 서술적 조사 연구이다. 방법: 자료 수집은 호스피스 완화의료 전문기관(이하 전문기관)에 근로하는 전문가를 대상으로 2017년 9월부터 10월까지 진행되어 총 61건의 자료를 수거하였다. 결과: 소아완화의료를 입원형, 자문형, 가정형 중 한가지 형태로라도 제공하고 있는 기관은 11기관(18.0%)이었으며, 지역별 분포는 서울, 경기, 인천, 경상 지역에 집중되어 있어 기타 지역에서는 활용 가능한 자원이 전무한 상황이다. 개입 시 장애요인은 '훈련된 전문인력을 확보하는 것의 어려움'이며, 비암성 소아청소년 환자의 경우 '예후 및 경과 예측의 어려움 47.5% (n=28)' 으로 확인되었다. 소아완화의료 구성형태는 '성인과 다른 소아청소년의 특성, 소아청소년 전문인력 필요, 관리 및 제도보완 필요'를 이유로 응답자 중 73.8% (n=45)이 별도의 소아완화의료팀 구성이 필요하다는 의사를 밝혔다. 개입시점은 '완치가능성이 적은 소아암 진단 시'부터 진행해야 하는 것이 33.7% (n=33)로 가장 높았으나 의뢰시점은 '사망시점을 예상하기 어려우나 지속적 악화상태인 경우'가 38.2% (n=39)로 가장 높아, 전문기관으로 의뢰 전 기존 치료 병원에서 개입을 진행되는 것을 선호하였다. 응답기관 중 14.8% (n=9)만이 추후 소아완화의료 제공에 참여할 의사가 있다고 밝혔다. 결론: 2018년 두 곳으로 시작한 소아청소년 완화의료 시범사업기관에 더해 지역별로 배치되어 있는 전문기관에서 소아완화의료를 제공할 수 있도록 하여 자원의 접근성을 높일 필요가 있다. 별도 소아완화의료 구성의 필요성을 인정함에도 소아완화의료를 제공하는 것에 대한 부담감으로 실제적 서비스를 제공하는 데 어려움이 있기에 우선적으로 소아완화의료 전문가를 양성하고 교육 개발 및 의뢰 시점에 대한 논의 등을 통하여 소아완화의료 확산에 대한 현실적 논의를 진행해야 할 것이다.

• Journal of Hospice and Palliative Care
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• 제12권1호
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• pp.5-13
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• 2009

목적: 본 연구는 국가암정보센터의 전화상담을 통해 말기 암 환자가족의 정보요구와 만족도 조사를 통해 말기 암 환자 간호의 질을 향상하고자 시도되었다. 방법: 2007년 6월부터 2008년 3월까지 국가암정보센터를 통해 문의한 말기 암 환자 가족 중 만족도 조사에 동의하고 실제 통화된 113명을 대상하였다. 결과: 1. 정보를 요구한 말기 암 환자 가족은 113명으로 가족 중 자녀(82명)와 배우자(8명)가 주로 이용하였고, 연령은 40대(40명)와 30대(36명)의 이용이 많았다. 가장 많은 질문은 치료방법 117건, 말기 암 환자의 관리 46건, 말기 암 환자의 생활은 27건, 임종과 수명예측 18건, 입원기관에 관한 정보 16건, 경제적 지원은 15건 으로 나타났다. 전화상담 서비스에 대해 전반적으로 높은 만족을 보였다. 전화상담 서비스를 알게 된 경위는 인터넷이 69%로 가장 많았고 상담 후 개선사항을 묻는 질문에 홍보가 부족하다는 대답이 10.6%로 가장 많았다. 결론: 이 연구의 결과를 통해 말기 암 환자 가족은 치료방법에 매여 있어 남은 삶의 질을 높일 수 있는 호스피스에 대한 인식이 적은 만큼 국가적 차원에서 매스미디어를 활용한 호스피스 홍보방안을 모색해야 한다.

• Child Health Nursing Research
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• 제8권3호
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• pp.260-271
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• 2002

This study was performed to identify the level of stress recognized by the parents as a support system for their infant patients who were hospitalized in an emergency department, thus to provide the resulting data as the basic material of care intervention for the families of infant patients. This study subjected the parents with infant patients who were hospitalized in emergency department of C University Hospital in Daejeon, and the data was collected from questionnaires for them, dating from Mar. 20, to Jun. 24, 2001 This study used the tool(30 questions) which was originally developed by Ji, Dong-ok (1992) for measuring the stress of families of infant patients in emergency room, and then was modified and complemented by this researcher suitably for infant patients. Collected data was statistically analyzed with frequency, percentage, mean, standard deviation, t-test, ANOVA, by using SPSS WIN10.0 program, and the results were as follows: 1. The stress of parents with infant patients hospitalized in emergency department averaged 3.31 on the basis of 5-point measure, which means that they felt stress beyond means. 2. The factor with high average out of stress factors the parents of infant patients recognized included the followings: 'about the pain of infant patients due to examination(3.91±1.00)'; 'about rare opportunity to be in contact with physician(3.78±1.09)'; 'delay in emergent treatment required for infant patients(3.75±1.31)'; 'delay in the general treatment of infant patients(3.72±1.32)'. Factors of the stress level includes the followings: 'care and medical treatment'(3.46±.72); 'body and diseases'(3.41±.97)'; 'lack of information and supportable resources (3.25±.77)'; and so on. 3. For the stress level according to general characteristics, there were statistically significant differences in the result of the condition of infant patients, medical treatment(P<.01), religion, the procedure of treatment(P<.05). With little preceding studies for infant patients hospitalized in emergency department, this study looked through the level of stress recognized by the parents of infant patients. Based on the comprehension on the parents with infant patients and the knowledge on stress factors recognized by the parents, it is expected that we can seek the methods of care intervention such as explanation of care and treatment procedures, unit policies, continuous interest and emotional supports as well as the provision of information to understand the responses of parents and reduce accompanied stresses.

• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.203-211
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• 2020

본 연구는 정신건강지킴이 프로그램이 정신장애인의 권리인식, 임파워먼트, 회복력에 미치는 효과를 규명하기 위해 실시한 비동등성대조군 전후시차설계를 이용한 유사실험 연구이다. 연구의 대상자는 2019년 9월 2일부터 12월 9일까지 K시 소재한 정신과 병원의 재활센터와 정신사회복지시설의 정신재활센터에 등록한 회원을 대상으로 정신건강지킴이 프로그램을 진행하였다. 정신건강지킴이 프로그램에 참여한 정신장애인은 참여하지 않은 정신장애인에 비해 장애인의 권리인식과 회복력이 유의하게 증가하였다. 임파워먼트에 있어서는 두 군 간 유의한 차이는 없었다. 본 연구에서 정신건강지킴이 프로그램이 정신장애인의 권리인식과 회복력에 효과적인 이유는 일방향적 교육이 아닌 프로그램에 참가한 정신장애인 당사자가 잘못된 뉴스를 찾아보고 수정해서 다시 카드뉴스를 제작해 보는 당사자중심의 프로그램을 운영하였기 때문으로 보여진다. 본 연구결과 정신건강지킴이 프로그램이 정신장애인에 대한 귄리인식을 증진하고 회복력을 높이는 데 기여한 것으로 나타났다.