• Title/Summary/Keyword: 보건시설

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Elderly Convalescence Facility Workers' Knowledge About Oral Health and Subjective Oral Health Care is the Degree of the Elderly (노인요양시설 종사자들의 구강보건 지식정도와 노인구강건강관리에 대한 인지정도 연구)

  • Lee, Yeun-Kyoung;Park, Jeong-Ran;Kwon, Sun-Hwa
    • Journal of dental hygiene science
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    • v.10 no.6
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    • pp.425-430
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    • 2010
  • According to the result of examining the recognition on subjective oral health knowledge and elderly oral health management with a self-administered questionnaire survey conducted to 233 workers of elderly care facilities located in Gyeonggi-do, it was shown that their general oral health knowledge level was high while their elderly oral health knowledge was lower than general oral health knowledge. And it was found that respondents answering they had keen interest in the level of oral health knowledge according to the interest in elderly oral health showed a higher level of oral health knowledge than those answering they had no interest in it, which indicated statistically significant difference (p<.001). Regarding the study subjects' elderly oral health management and educational demand, quite a high percentage of 83,7% responded the education is needed. A response that it is appropriate for dental hygienists to give elderly oral health management and the education showed 57.9%, which was the most. Also, it was shown that in the level of oral health knowledge according to the recognition of elderly oral health managers and educators, subjects recognizing that it is needed to be dental hygienists indicated a high level of oral health knowledge, which showed statically significant difference (p<.05).

Present Conditions of Mental Health Care in Rural Areas: Community Mental Health Program of Public Health Center (농촌지역 정신보건관리실태: 보건소 지역사회정신보건사업)

  • Lee, Weon-Young;Kim, Dong-Moon
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.1-14
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    • 2003
  • Objectives: This paper introduces need and supply level of rural mental health care service and especially focuses on the evaluation for the community mental health programs of Public Health Centers(PHCs) in rural areas as the facilities for primary mental health care. Methods: We defined the need as prevalance rate and service utilization rate, for which reviewed the results of the epidemiological study of mental disorders using Korean Composite International Diagnostic Interview surveyed on a nationwide scale in 2001. Supply was appraised in terms of psychiatric beds and primary mental heath care facilities such as private psychiatric clinics, facilities for social rehabilitation, PHCs running community mental health programs. For this, we reveiwed a variety of annual reports related mental health published by Ministry of Health and Welfare. To evaluate the community mental health programs of PHCs in rural areas, we selected. randomly samples out of the 3rd community health plans including the contents of community mental health programs, which submitted by 89 rural counties and 44 cities mixed with rural areas, and used the program's guideline established by central government as a standard. Results: Prevalence rates of major psychiatric diseases such as schizophrenia, alcoholism, major depression, anxiety disorder were higher in rural area than in urban area and 8.9% of psychiatric patients in both areas stayed at homes contacted with mental health manpower more than one time during the last year. Psychiatric beds were sufficiently supplied, but urban area had less beds than rural area contrary to general health care service. Psychiatric clinics were supplied very insufficiently in rural areas and PHCs bridged the gap instead. However rural PHCs got less financial support for community mental health programs from higher positioned agencies than urban PHCs. Rural community health programs not supported hardly worked out. Conclusions: Central government should consider a special policy for rural primary mental health care, because private psychiatric clinics can't be introduced in rural areas due to demand-deficiency and the financial independence of rural counties was very vulnerable.

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Public Health Measures in Trematode Control in Asia (아세아(亞細亞)에 있어서 흡충류감염(吸蟲類感染) 방어(防禦)를 위한 공중보건학적(公衆保健學的) 조치(措置))

  • Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.13 no.1
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    • pp.82-87
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    • 1988
  • 사람의 흡충류감염(吸蟲類感染)은 대부분(大部分) 열대(熟帶) 및 동부아세아지역(東部亞細亞地域) 여러 국가(國家)에서 발생(發生)한다. 주혈흡충증(住血吸蟲症), 간흡충증(肝吸蟲症), 태국간흡충증(泰國肝吸蟲症), 간흡충증(肝吸蟲症), 요꼬가와흡충증(吸蟲症), 이형이형흡충증(異型異型吸蟲症) 및 폐대흡충증(肺大吸蟲症)등은 어떤 일부(一部) 아세아국가(亞細亞國家)에 있어서 공중보건상(公衆保健上) 중요(重要)한 문제(間題)가 되어 있다. 이와 같은 패류매개성기생충감염(貝類媒介性寄生蟲感染)은 풍토병(風土病)을 일으키고 있다. 사람들의 생활습관은 풍토병을 일으키게될 원인이 될 뿐만 아니라 때로는 그 질병(疾病)을 유행(流行) 전파(傳播)시키는 기본적 요소가 되기도 한다. 주혈흡충을 제외한 흡충류감염은 우리가 중간숙주(中間宿主)을 먹었을때 그곳에 있었던 피낭유충(被囊幼蟲)에 의하여 감염이 이루어 진다. 식물(植物)의 생식(生殖)(간질(肝蛭), 폐대흡충(肺大吸蟲)), 게 및 가재 생식(폐흡충), 민물고기 생식(간흡충, 요꼬가와흡충, 이형이형흡충), 또는 우렁이 생식(극구흡충(棘口吸蟲)), 기타(몇가지 우연적감염(偶然的感染))등은 사람의 흡충류감염의 주 원인이 되는 것이다. 한편 주혈흡충 감염은 요염수원(汚染水源)에 접촉한 피부을 뚫고 들어온 쎌카리아 유충(幼蟲)에 노출되기 때문에 일어난다. 흡충류감염에 대하여 예방과 방어에 관한 공중보건학적 조치는 많다. 이들의 조치중에는 화학요법에 의한 감염원을 감소시키는 것, 패류숙주의 박멸, 만족할만한 위생시설의 비치, 급수시설, 보건교육, 진단기술의 보급, 환경관리 및 개선 등이 포함된다. 그러나 감염자들에 대한 화학요법은 가장 빠르고 효과적인 억제방법인 것으로 나타나고 있다. 흡충류감염을 예방하는데 있어서 가장 중요한 변화는 프라지콴텔과 같은 신약의 개발이었다. 프라지콴텔은 모든 종류의 주혈흡충, 간흡충, 폐흡충 및 여러가지 장내기생 흡충류등 사람의 병원성흡충류에 대한 치료제로서 가장 좋은 특효약이다. 흡충류감염이 중요한 보건문제가 되어 있는 곳에서는 그 예방과 억제책에 있어서 장단기계획(長短期計劃)을 수립하는 것이 좋을 것 같다. 단기는 집단화학요법을 조기에 실시하여야 하고 자기는 "비특이성 기구"로써, 예를들면 위생시설 및 급수시설의 설치, 보건교육등으로 감염을 감소시켜 감염유지 수준이하로 보지(保持)시키는 것이다. 이와같은 억제조치를 착실히 수행하기 위하여 많은일이 있다. 예를 들면 집단참여, 역학적 조사, 약물의 공급, 환경관리, 보건교육, 지역사회관련, 일차보건 진료와의 협조 및 재정후원등에 대하여 검토하고 연구하여야 할 것이다.

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Mediating Effect of Positive Psychological Capital in the Relationship between Occupational Stress and Turnover Intention of Mental Health Facility Workers (정신보건시설 근무자의 직무스트레스가 이직의도에 미치는 영향: 긍정심리자본의 매개효과)

  • Jang, Mi-Young;Kim, Chang-Gon
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.370-382
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    • 2020
  • In a recent investigation of mental health professionals, since the reported rate about turnover intention was 54.5%, immediate management for related specialists is requested. This study attempted to validate the mediating effect of positive psychological capital in the process that job stress of mental health facility workers regulates turnover intention. A questionnaire survey on work stress, turnover intention, and positive psychological capital was conducted for 250 participants among mental healthcare staffs in Gwangju Metropolitan City and Jeollanam-do. Analyses were conducted to identify mediation effects and significance using with SPSS 21.0. As a result, job stress of workers in mental health facilities showed a significant positive (+) correlation with turnover intention. Second, we confirmed that positive psychological capital such as anticipation and optimism has a considerable mediating effect in the job stress and turnover intention of employees in mental health facilities, respectively. Based on statistic analysis, limitations on this study and suggestions for further studies were discussed.