• Title/Summary/Keyword: 정신적 건강상태

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건강한정신, 자살없는 사회

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.25 no.4 s.269
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    • pp.6-13
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    • 2001
  • 자살은 인류 역사의 시작과 함께 시작되어 시대의 변화나 문화의 차이에도 불구하고, 인류와 함께 있어 왔다. 우리나라는 최근 급속한 자살 사망률의 증가로 인해 자살이 심각한 보건학적, 사회적 문제가 되고 있다. 특히 IMF 경제위기를 겪으면서 실업, 빈곤화, 가족해체 등은 IMF경제위기 이전보다 자살사망률이 급증하는 결과를 초래하였다. 또한 기존의 가족이나 사회문제, 교육문제 등으로 인해 취약한 정신건강상태로 인해 자살욕구에 대한 전염력이 강한 청소년과 젊은 청년층에게 ‘자살 사이트’라는 인터넷 매체로의 접근은 자살이라는 전염병의 새로운 감염경로가 되고 있다. 이것은 국민들의 정신건강 상태가 위험수위에 이르고 있음을 나타낸다. 온전한 정신 건강은 육체적 건강을 위한 필수조건일 뿐만 아니라 활기찬 생활의 바탕이 된다.

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A Study on Health Status' Factors Affecting HRQOL in the Elderly Stroke Patients With or Without Sequela (노인 뇌졸중 환자의 후유증 유무에 따른 HRQOL 요인별 중요도 분석)

  • Kim, Souk-Boum;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.1
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    • pp.37-47
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    • 2017
  • Objective : The main purpose of this study was to analyze factors affecting a health related quality of life(HRQOL) in the elderly stroke patients with(Group 1) or without(Group 2) sequela. Methods : This survey performed secondary analysis with 'the fifth korea national health and nutrition examination survey', and investigated 91 elderly stroke patients over 65 years. Results : The results were as followed: HRQOL and self rated health had a significantly lower in Group 1(p<.05). In all groups, HRQOL was affected by self rated health(${\beta}=0.39$), mental health, and medical health significantly(p<.05). In group 1, HRQOL was affected by mental health(${\beta}=0.45$), self rated health significantly(p<.05). In group 2, HRQOL was affected by medical health(${\beta}=0.45$), functional health, mental health significantly(p<.05). Conclusion : In order to improve the HRQOL of stroke patients during rehabilitative therapy, it is important that early detection and early intervention of depression and suicide, which affect mental health status, are important in the case of severe aftereffects. If the patient continues to support his/her current status regardless of aftereffects, he/she can improve the HRQOL with functional recovery of the stroke patient, and finally have a positive effect on the independence of the stroke patients.

Health Promotion: A Key to a Healthy Nation (국민 건강증진은 국가 건강의 열쇠이다.)

  • Kim, Mi-Ja
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2001.09a
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    • pp.11-20
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    • 2001
  • "건강이란 질병이나 허약함이 없는 상태를 말함이 아니라, 신체적 정신적 사회적인 복지(Wellbeing)를 뜻하는 것"이라고 WHO(1948)는 정의하였다. 건강은 환경과 생활풍습(Life Style), 유전 그리고 의학적 치료 등에 의하여 결정되며 최근 WHO는 건강제도가 국민건강에 지배적인 역할을 한다고 주장한다. 이런 관점에서 건강제도가 국민 건강에 미친 총괄적인 성취도를 비교해 보면 한국이 전 세계에서 35위, 일본이 1위, 미국은 15위를 차지하고 있다는 통계가 나왔다. 개인의 건강은 지역사회의 건강과 밀접한 관계를 가지고 있으며, 각 지역사회의 건강상태는 국가의 건강상태를 결정짓는다. 그러므로 건강증진 교육과 사업, 연구는 건강상태에 영향력을 미치는 생활풍습과 행동의 변화와 환경조성에 초점을 두고 활성화되어야 한다. 아울러 국민 건강증진 사업을 성공시키기 위해서는 건강정책을 수립하는데 모든 국민의 적극적인 참여가 절대적으로 필요하다.대적으로 필요하다.

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The study on factors affecting self-perception of psycho-social aging for older adults: focused on perceived health status, mental health, health literacy, and mental health literacy (노인의 심리사회적 노화인식에 영향을 미치는 요인 : 주관적 건강상태 및 정신건강변수와 건강정보이해력 및 정신건강정보이해력을 중심으로)

  • Chung, Soondool;Lim, Jeungsuk;Lee, Miwoo;Chung, Semi
    • Korean Journal of Social Welfare Studies
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    • v.47 no.1
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    • pp.123-149
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    • 2016
  • Purpose of this study is to find the way to improve older people's life satisfaction from identifying factors, which were derived from exploring several variables (perceived health, mental health, health literacy, and mental health literacy), affecting perception on ageing positively and negatively. This study used data (400 people age 65 and over) from survey on ageism and age integration conducted by 'supporting project of enhancing humanities and social capacity' of National Research Foundation of Korea. The results are as followed; 1) older people negatively perceived psycho-social ageing; 2) older people had high level of depression; 3) showing slightly low level of health literacy and mental health literacy; 4) depression, perceived health and mental health literacy were significant factors influence on perceived psycho-social aging. With these results, the ways were suggested to improve positive psycho-social ageing and quality of life.

Comparison of Physical, Mental Health Status and Work-related Injuries According to the Working Environment of Nurses (일부 간호사의 근무환경에 따른 직업적 손상 및 신체적·정신적 건강상태 비교)

  • Kim, Hye-Sim;Kim, Yoon-Shin;Hong, Min-Hee;Kim, Jin-Uk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.527-535
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    • 2015
  • This study was conducted to compare and analyse work-related injuries, physical and mental health status of nurses according to working environment. The subjects were 192 nurses working at a university hospital in Seoul. After analyzing each categories of health status by working environment and work-related injuries, meaningful differences were found physical and mental health status. And shift work was significantly related to work-related injuries compared to non-shift work. In addition, it was confirmed that nurses have negative influences from night work in physical and mental health compared to other work pattern. Thus, it would be necessary to improve working system with considering their health problems caused by working environment and work-related injuries. And we will have to be a study for effective night work and additional support for night workers.

건강한 삶을 위하여 의료현실 짚어보기

  • 이한센
    • 가정의 벗
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    • v.37 no.6 s.430
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    • pp.10-11
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    • 2004
  • 건강한 삶을 산다는 것은 어떤 의미일까? 건강은 단순히 육체적으로 병이 없는 상태를 의미하는 것이 아니라 정신적, 사회적으로 얼마나 안녕한가에 있다. 즉, 건강한 사회가 되어 그안의 구성원이 되어야 한다는 것이다. 우리나라의 의료현실을 살펴보고 다시 한번 건강한 삶에 대해서 생각해보자.

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Oral Health and Self-Rated Health among the Elderly in Busan (부산지역 65세 이상 노인의 구강건강과 자가건강평가수준(SRH))

  • Yoon, Hyun-Seo;Chun, Jin-Ho;Lee, Jung-Hwa
    • Journal of dental hygiene science
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    • v.12 no.3
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    • pp.197-207
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    • 2012
  • The purpose of this study was to examine the impact of the oral health status and health care of elderly people on their self-rated health(SRH). The subjects on this study were 479 senior citizens who were at the age of 65 and up and resided in the city of Busan. They got a dental checkup, and a survey was conducted by having an one-on-one interview. After the collected data were analyzed, the following findings were given: The senior citizens were diagnosed with a mean of 1.43 systemic diseases, and hypertension(51.8%) was the most prevalent disease among them, followed by diabetes(25.1%), arthritis(41.8%), oral diseases(75.6%), stroke(9.0%) and heart diseases(15.9%). Their self-rated health was better when they were male, when they were aged between 65 and 69, when there was someone with whom they lived, when they were better educated and when they owned their own houses. But their self-rated health was poorer when they felt more oral symptoms, when they had more missing teeth and when they needed both of maxillary and mandibular dentures. Their self-rated health was more positively affected when they were better educated($\beta$=0.894), when they owned their own houses($\beta$=4.220), when they got a dental checkup on a regular basis($\beta$=2.997) and when the rate of their functional tooth was larger($\beta$=0.081). And that was more negatively influenced when they had a denture($\beta$=-1.110), when they had more oral symptoms($\beta$=-1.590) and when they had more systemic diseases($\beta$=3.363). There is a close relationship between the oral health and self-rated health of elderly people. Therefore how to promote their oral health should carefully be considered.

혼인과 은퇴 고령 남성의 사망 간의 관계: 미국 은퇴자 종단 자료의 분석 결과

  • Lee, Seong-Yong
    • Korea journal of population studies
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    • v.28 no.1
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    • pp.23-45
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    • 2005
  • 혼인과 사망에 관한 연구 대부분은 혼인상태에 있는 사람이 혼인상태에 있지 않은 사람보다 더 건강하게 오래 산다는 사실을 보여준다. 그 이유는 선별효과와 보호 효과로 설명된다. 선별 효과에 의하면, 건강한 사람이 쇠약한 사람보다 혼인할 가능성이 높다. 그 결과, 독신자 집단은 유배우자 집단에 비해 병약한 사람들이 전체 집단에서 차지하는 비율이 높아 더 높은 사망률을 보인다. 보호효과는 혼인이라는 유대를 통해 배우자들이 건강할 때나 아플 때나 서로의 건강을 염려해 주고 또 경제적 그리고 정신적 문제로 인한 스트레스와 스트레스에 관련된 병을 감소시켜, 혼인상태에 있는 사람들의 사망률을 혼인 상태에 있지 않은 사람들의 사망률보다 낮춰 준다는 것이다. 이 연구에서, 우리는 혼인상태의 은퇴 고령 남성이 독신상태의 은퇴 고령 남성과 유의미한 사망률 차이를 보이지 않지만, 이혼하거나 별거하거나 혹은 배우자가 사망한 상태의 은퇴 고령남성보다는 낮은 사망률을 보인다는 사실을 발견했다. 비록 선별효과를 입증해 보여주지는 못했지만. 혼인을 통한 재정적 복지가 은퇴 고령 남성의 사망에 영향을 미치는 경험적 증거는 발견하였다. 중간 소득과 저소득 사이의 은퇴 고령 남성에서 나타나는 사망률 차이는 그들 건강상태의 차이로 나타난다. 중간소득의 은퇴고령 남성이 저소득의 은퇴 고령 남성보다 약간 더 많은 재정적 복지를 통해 보다 나은 건강상태를 유지하고 그 결과 약간 더 낮은 사망률을 보인다. 반면 고소득의 은퇴한 고령남성에게는 혼인의 재정적 복지뿐 아니라 그들의 소득도 그들의 건강증진 및 사망률 저하에 유의미한 영향을 미치는 것으로 나타났다. 동일한 건강상태일지라도, 고소득의 은퇴 고령남과은 타 집단의 고령 남성보다 사망할 가능성이 낮았다.

The Perception of Mental Health Status, Mental Health Literacy, Mental Health Welfare Center and Mental Health Business of among Local Students (일 지역사회 학생의 정신건강상태, 정신건강지식, 정신건강복지센터와 정신건강사업에 대한 인식조사)

  • Oh, Mi-Jung;Kim, Min-Ja;Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.427-437
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    • 2020
  • This study investigated perceptions of mental health literacy, mental health status, mental health welfare center, and mental health business of local students. Totally, 388 students visiting the mental health welfare center located in G city were enrolled for the study. Data were collected from October 1 to October 26, 2018 using structured questionnaires, and analyzed by applying the IBM SPSS 24.0 statistics program. The mental health status of subjects was found to be most severely stressed (31.4%). The mental health literacy score of the subjects was 40.99 points, and 45.9% of the respondents had never heard of mental health welfare center. Considering mental health business, 68.3% had never heard of mental health counseling, and the most common way to access information about mental health or mental illness was the internet (58.0%). In addition, 75.3% respondents answered that an increase in the government budget for management of mental health and illness was required. Taken together, our results indicate the necessity to strengthen continuous education, promotion for mental health improvement, and the development of a customized mental health promotion program suitable for the student's level, through involvement of the community mental health welfare center.

Prediction of Quality of Life among the Elderly at Care Facilities for the Elderly according to Health States, Physical and Cognitive Functions, and Social Supports-Focused on D Metropolitan City (노인요양시설 노인의 건강상태, 신체적, 정신적 기능, 사회적 지지에 따른 삶의 질 예측요인-D 광역시를 중심으로-)

  • Kim, Jong-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4656-4667
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    • 2015
  • The purpose of this study was to investigate relations among the quality of life, health states, physical functions, cognitive functions, and social supports of the elderly at care facilities. The subjects include the elderly that were living in care facilities in some urban areas and aged 65 or older. The data of total 260 old people were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The elderly at care facilities, who were considered as physically and cognitive vulnerable, scored higher means on quality of life when they were satisfied with the length of stay and sleeping state, had higher subjective health states, had no tooth inconvenience and forgetfulness, suffered from a lower level of depression, had better cognitive functions, and received higher social supports. Quality of life had correlations with the sleeping state(r=-.20, p<.001), subjective health state(r=-.24, p<.001)s, depression(r=-.30, p<.001), and social supports(r=.30, p<.001). Social supports(${\beta}=.30$, p<.001), depression(${\beta}=-.25$, p<.001), subjective health states(${\beta}=-.22$, p<.001), length of stay(${\beta}=-.22$, p<.001), and sleeping state(${\beta}=-.12$, p=.025) turned out to predict the quality of life of the elderly at care facilities and have close relations with it. In short, the quality of life of the elderly is related to many different factors at care facilities. The findings indicate that nursing interventions and managements for quality of life require a mental and social approach or a whole person approach with a focus on the understanding of individual senior citizens rather than on physical activities and diseases.