• 제목/요약/키워드: Age integration community

검색결과 36건 처리시간 0.021초

가족계획과 보건사업의 통합시도 및 평가결과 (Review of Family Planning / Health Integration Efforts and Evaluation Results in Korea)

  • Bang, Sook
    • 한국인구학
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    • 제10권2호
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    • pp.58-81
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    • 1987
  • 본 연구의 목적은 미국에 거주하는 65세 이상의 한국 영주권자 노인들의 주거형태에 영향을 끼치는 요인들을 조사하는 것이다. 이를 위해 1990년 미국 센서스 데이터인 Public Use Microdata(Samples PUMS)의 8% sub-sample을 이용하였다. 주거형태에 영향을 주는 주요변인들로 동화과정(이민 온 연령과 영어구사능력), 경제적 요인 (지난 일년간의 개인수입과 보조적 보장소득 수혜여부), 건강상태(외출활동과 일상생활 활동능력), 그리고 민족 지역공동체 등이 포함되었으며, 나이, 성별, 교육, 결혼상태 등의 변인들을 함께 통제하여 분석하였다. 연구결과 동화과정과 경제적 여유는 재미 한국 영주권자 노인의 단독주거에 긍정적인 역할을 하고 있는 반면, 건강과 한국 지역공동체는 주거형태에 통계적으로 일관된 영향력을 보이지 않았다. 동화과정의 측정변수로서 이민연령의 효과는 배우자 유무에 상관없이 통계적으로 유의미하게 한국 노인들의 단독거주에 긍정적인 것으로 나타난 반면, 영어구사 능력의 경우, 무배우자 노인들 중 영어구사능력이 높을수록 가족과 함께 살고 있었고, 유배우자 노인들에게는 영어를 구사할 수 있는 능력이 가족과 떨어져 사는 데 긍정적인 역할을 하였다. 특히 무배우자 노인들의 경우, 이민연령의 효과 역시 순수한 의미의 동화과정이라기보다는 사회보장 프로그램을 수혜하기 위한 자격조건과 한인지역 네트워트 파악을 위한 적응기간이라는 설명이 더 설득력이 있다. 배우자의 유무와는 무관하게 보조적 보장소득의 혜택을 받고 있는 한국 노인들이 그렇지 않은 노인들보다 두 세배 이상 단독주거를 하고 있었다. 일단 보조적 보장소득을 수혜하고 있는 노인들에게는 메디케이드, 푸드스탬프, 정부지원 월세보조금, 공공요금 할인 등 다양한 사회보장 프로그램을 받을 수 있는 자격이 주어지므로 대부분의 보조적 보장소득 수혜 노인들은 단순히 금전적인 수입의 측면뿐 아니라 그 외의 사회보장 프로그램에 의존하고 있다. 이러한 면에서 보조적 보장소득의 수혜는 한국 영주권자 노인들의 독립적인 삶에 큰 역할을 하고 있다. 이러한 사회복지 프로그램을 영주권자들에게는 전면 금지하는 새로운 사회복지법은 재미 한국 영주권자 노인들뿐 아니라 그들의 가족들에게도 막대한 경제적 부담을 줄 것이다. 본 논문은 영주권자 노인들을 대상으로 분석한 것이지만, 주거형태를 비롯한 일반적인 특성을 비교해 보면 영주권자, 귀화 시민권자, 그리고 미국태생 노인들은 다른 성격의 집단들임을 보여주고 있다. 종래의 소수민족 노인들에 관한 연구들이 이민자 노인들을 영주권자와 귀화 시민권자의 구분없이 하나의 집단으로 간주하고 분석해 왔던 것을 볼 때, 앞으로의 연구는 이론적으로나 방법론적으로 시민권의 유무가 주거형태에 끼치는 영향도 함께 고려해야 할 것이다.

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지역사회 말기질환자 가족 부담감에 관한 연구 (A Study of Family Caregiver's Burden for the Terminally III Patients)

  • 한성숙;노유자;양수;유양숙;김석일;황희경
    • 가정∙방문간호학회지
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    • 제10권1호
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    • pp.58-72
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    • 2003
  • The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

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연변 조선족사회의 최근 변화: 사회인구학적 접근 (Recent Changes of the Ethnic Korean Population in Yanbian Autonomous Prefecture: A Socio-demographic Approach)

  • 김두섭
    • 한국인구학
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    • 제26권2호
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    • pp.111-145
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    • 2003
  • 이 연구는 개혁개방정책 이후 중국 내 조선족이 보인 사회인구학적 행태의 변화를 설명하기 위한 것이다. 시장경제체제의 도입과 한중 국교수립 이후 조선족사회는 출산력수준의 급격한 저하와 인구구조의 고령화로 매우 급격한 변화를 겪고 있다. 조선족의 인구행태와 인구구조의 이러한 변화는 한족에 비해 두드러지게 나타난다. 중국 내 조선족인구가 가장 밀집되어 거주하고 있는 연변지역의 조선족사회는 최근 절대인구규모의 감소추세를 보이고 있다. 아울러 시장경제의 도입 이후 이동성향이 높아지고 통혼권과 거주지역이 확산되며. 조선족학교를 통한 민족교육이 급격히 위축되는 추세를 보인다. 그리고 이에 따라 조선족사회의 사회적 통합과 문화정체성이 약화되고 중국 내 소수민족사회로서의 위상도 점차 약화되는 과정에 있다. 연변 조선족사회의 사회인구학적 변화와 위기상황에 대한 설명을 위해 이 연구는 연변조선족자치주의 1990년과 2000년 인구센서스 자료와 각종 통계자료를 활용하였다. 또한, 이 연구에서는 인구센서스를 통하여 드러난 조선족인구의 연령구조가 매우 불규칙적이라는 점을 감안하여 1990년과 2000년 인구센서스 자료의 신뢰성과 정확도를 재검토하는 작업도 이루어졌다.

보건지소(保健支所) 진료활동(診療活動)에 관(關)한 연구(硏究) (Study of Medical Carein Health Subcenter)

  • 김문식;김한중;김영기;김일순
    • Journal of Preventive Medicine and Public Health
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    • 제9권1호
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    • pp.109-116
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    • 1976
  • Reorganization of myun health care service is one of the main issues in health care delivery in rural Korea. The fundamenta, concept of the role and function of the myun health subcenter is that it is the basic unit of rural health care service and is to provide comprehensive health care service through the integration of curative and preventive services. The aim of this study is to analyze the patterns of curative activities in the myun health subcenter in terms of the most prevalent types of diseases, necessary diagnostic methods and required equipment, types of treatment, necessary drugs and materials, and finally the cost of curative services. The population on which this study was done was the 1596 patients who visited the two myun health subcenters (Sunwon Myun and Naega Myun) in Kang Wha County, the area of the Yonsei University Community Health Teaching Project, during period from May 1, 1975 to June 10, 1976. For the patient's record in the clinic, problem oriented medical records were used. Decisions regarding the disease classification, the diagnostic methods used and selection of the most appropriate and adequate medical treatment were made by a group of three experienced physicians after reviewing the medical records which had been written by public physicians who were treating patients in the study area. The records were reviewed by resident staff members of the Department of Preventive Medicine, of Yonsei University College of Medicine. A brief summary of results of the study is as follow: 1. 29.9% of the patients who visited the clinics were ages between 0-4. No sex difference was observed among patients less than 20 years of age. However, among patients over 20 years old, females predominated. Thus it is evident that the majority of patients were either children or mothers and grandmothers. 2. The distance from the individual villages to the myun health subcenter was one of important factors in determining the ratio of clinic visits. However, other factors such as the activities of the health workers also affected the rates substantially. 3. The most common 25 diseases comprised 90.2% of all the diseases recorded. Acute respiratory infection (25.5%), Skin (12.7%) , diarrheal diseases (6.8%), neuralgia and back pain (4.9%) and. all other injuries (3.9%) were the five most common diseases. 4. Of all the diseases diagnosed and treated, 9.2% required simple laboratory tests for diagnosis, 6.5% required X-ray examination, and altogether 13.6% required either laboratory test or X-ray examination. 5. Treatment and management of 42.0% of the cases could be accomplished with simple, inexpensive drugs, 12.8% required the use of more expensive drugs (mostly antibiotics) and injections were required in 19.7% of the cases. Minor surgery and referral were necessary in 5% of the cases. 6. The cost for diagnosis and treatment was estimated with a standard which was set by general concensus. The average cost of diagnosis was 144 per case and the cost of treatment was 726 per case, The Total average cost per visit was 870.

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아동의 운동기능평가에 대한 Interactive Metronome® LFA의 타당도 연구 (Validity of Long Form Assessment in Interactive Metronome® as a Measure of Children's Praxis)

  • 김경미;허서윤;김미수;이수민
    • 대한감각통합치료학회지
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    • 제13권1호
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    • pp.13-22
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    • 2015
  • 목적 : 본 연구의 목적은 상호작용식 메트로놈(Interactive $Metronome^{(R)}$: IM)의 평가인 Long Form Assessment(LFA)의 구별타당도와 동시타당도를 알아보고자 하였다. 연구방법 : 연구대상은 경남과 부산지역에 거주하는 만 6세~만11세의 Attention Deficit Hyperactivity Disorder(ADHD) 아동 25명과 일반 아동 25명을 대상으로 하였다. IM의 LFA에 대한 구별타당도를 알아보기 위하여 ADHD 아동과 일반 아동의 LFA 수행의 차이를 비교하였고, 동시타당도를 알아보기 위해 ADHD 아동을 대상으로 LFA와 Bruininks-Oseretsky Test of Motor Proficiency, second edition(BOT-2)와의 상관관계를 알아보았다. 결과 : 일반아동과 ADHD아동에서 IM의 LFA 과제수행을 비교한 결과 총점에서 유의한 차이가 있었다(p<.05). 둘째, ADHD 아동에서 IM의 LFA와 BOT-2의 상관관계를 분석한 결과 LFA의 총점과 BOT-2의 총점에서 비교적 높은 음의 상관관계를 보였다(p<.05). 또한 LFA의 총점과 BOT-2의 손의조절(rs=-.525) 영역에서 높은 상관관계를 보였으며, 미세운동 정확성(rs=-.447), 손의 기민성(rs=-.532)과 균형(rs=-.623) 하위항목에서 높은 음의 상관관계를 보였다(p<.05). 결론 : 연구결과를 통하여 IM의 LFA는 아동의 운동기능을 판별할 수 있는 도구로서 타당도를 확인하였다. IM의 LFA는 총점으로 운동 실행기능을 평가하는 것이 적절하며, 아동의 운동기능 평가를 위해 임상적으로 사용할 수 있으리라 생각된다.

간호개념에 대한 기초조사 (The Empirical Exploration of the Conception on Nursing)

  • 백혜자
    • 대한간호학회지
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    • 제11권1호
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    • pp.65-87
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    • 1981
  • The study is aimed at exploring concept held by clinical nurses of nursing. The data were collected from 225 nurses conviniently selected from the population of nurses working in Kang Won province. Findings include. 1) Nurse's Qualification. The respondents view that specialized knowledge is more important qualification of the nurse. Than warm personality. Specifically, 92.9% of the respondents indicated specialized knowledge as the most important qualification while only 43.1% indicated warm personality. 2) On Nursing Profession. The respondents view that nursing profession as health service oriented rather than independent profession specifically. This suggests that nursing profession is not consistentic present health care delivery system nor support nurses working independently. 3) On Clients of Nursing Care The respondents include patients, family and the community residents in the category of nursing care. Specifically, 92.0% of the respondents view that patient is the client, while only 67.1% of nursing student and 74.7% of herself. This indicates the lack of the nurse's recognition toward their clients. 4) On the Priority of Nursing care. Most of the respondents view the clients physical psychological respects as important component of nursing care but not the spiritual ones. Specially, 96.0% of the respondents indicated the physical respects, 93% psychological ones, while 64.1% indicated the spiritual ones. This means the lack of comprehensive conception on nursing aimension. 5) On Nursing Care. 91.6% of the respondents indicated that nursing care is the activity decreasing pain or helping to recover illness, while only 66.2% indicated earring out the physicians medical orders. 6) On Purpose of Nursing Care. 89.8% of the respondents indicated preventing illness and than 76.6% of them decreasing 1;ai of clients. On the other hand, maintaining health has the lowest selection at the degree of 13.8%. This means the lack of nurses' recognition for maintaining health as the most important point. 7) On Knowledge Needed in Nursing Care. Most of the respondents view that the knowledge faced with the spot of nursing care is needed. Specially, 81.3% of the respondents indicated simple curing method and 75.1%, 73.3%, 71.6% each indicated child nursing, maternal nursing and controlling for the communicable disease. On the other hand, knowledge w hick has been neglected in the specialized courses of nursing education, that is, thinking line among com-w unity members, overcoming style against between stress and personal relation in each home, and administration, management have a low selection at the depree of 48.9%,41.875 and 41.3%. 8) On Nursing Idea. The highest degree of selection is that they know themselves rightly, (The mean score measuring distribution was 4.205/5) In the lowest degree,3.016/5 is that devotion is the essential element of nursing, 2.860/5 the religious problems that human beings can not settle, such as a fatal ones, 2,810/5 the nursing profession is worth trying in one's life. This means that the peculiarly essential ideas on the professional sense of value. 9) On Nursing Services. The mean score measuring distribution for the nursing services showed that the inserting of machine air way is 2.132/5, the technique and knowledge for surviving heart-lung resuscitating is 2.892/s, and the preventing air pollution 3.021/5. Specially, 41.1% of the respondents indicated the lack of the replied ratio. 10) On Nurses' Qualifications. The respondents were selected five items as the most important qualifications. Specially, 17.4% of the respondents indicated specialized knowledge, 15.3% the nurses' health, 10.6% satisfaction for nursing profession, 9.8% the experience need, 9.2% comprehension and cooperation, while warm personality as nursing qualifications have a tendency of being lighted. 11) On the Priority of Nursing Care The respondents were selected three items as the most important component. Most of the respondents view the client's physical, spiritual: economic points as important components of nursing care. They showed each 36.8%, 27.6%, 13.8% while educational ones showed 1.8%. 12) On Purpose of Nursing Care. The respondents were selected four items as the most important purpose. Specially,29.3% of the respondents indicated curing illness for clients, 21.3% preventing illness for client 17.4% decreasing pain, 15.3% surviving. 13) On the Analysis of Important Nursing Care Ranging from 5 point to 25 point, the nurses' qualification are concentrated at the degree of 95.1%. Ranging from 3 point to 25, the priorities of nursing care are concentrated at the degree of 96.4%. Ranging from 4 point to 16, the purpose of nursing care is concentrated at the degree of 84.0%. 14) The Analysis, of General Characteristics and Facts of Nursing Concept. The correlation between the educational high level and nursing care showed significance. (P < 0.0262). The correction between the educational low level and purpose of nursing care showed significance. (P < 0.002) The correlation between nurses' working yeras and the degree of importance for the purpose of nursing care showed significance (P < 0.0155) Specially, the most affirmative answers were showed from two years to four ones. 15) On Nunes' qualification and its Degree of Importance The correlation between nurses' qualification and its degree of importance showed significance. (r = 0.2172, p< 0.001) 0.005) B. General characteristics of the subjects The mean age of the subject was 39 ; with 38.6% with in the age range of 20-29 ; 52.6% were male; 57.9% were Schizophrenia; 35.1% were graduated from high school or high school dropouts; 56.l% were not have any religion; 52.6% were unmarried; 47.4% were first admission; 91.2% were involuntary admission patients. C. Measurement of anxiety variables. 1. Measurement tools of affective anxiety in this study demonstrated high reliability (.854). 2. Measurement tools of somatic anxiety in this study demonstrated high reliability (.920). D. Relationship between the anxiety variables and the general characteristics. 1. Relationship between affective anxiety and general characteristics. 1) The level of female patients were higher than that of the male patient (t = 5.41, p < 0.05). 2) Frequencies of admission were related to affective anxiety, so in the first admission the anxiety level was the highest. (F = 5.50, p < 0.005). 2, Relationship between somatic anxiety and general characteristics. 1) The age range of 30-39 was found to have the highest level of the somatic anxiety. (F = 3.95, p < 0.005). 2) Frequencies of admission were related to the somatic anxiety, so .in first admission the anxiety level was the highest. (F = 9.12, p < 0.005) 0. Analysis of significant anxiety symptoms for nursing intervention. 1. Seven items such as dizziness, mental integration, sweating, restlessness, anxiousness, urinary frequency and insomnia, init. accounted for 96% of the variation within the first 24 hours after admission. 2. Seven items such as fear, paresthesias, restlessness, sweating insomnia, init., tremors and body aches and pains accounted for 84% of the variation on the 10th day after admission.

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