• 제목/요약/키워드: Community Health Assessment

검색결과 666건 처리시간 0.023초

아동친화적인 지역사회에 대한 부모와 아동관계자의 인식 비교 - A기초자치단체를 중심으로- (A Comparison of Assessment of Child Friendly Cities by Parents and Child Service Providers in Selected Local Government)

  • 김진숙
    • 디지털융복합연구
    • /
    • 제15권11호
    • /
    • pp.49-60
    • /
    • 2017
  • 본 연구의 목적은 한 지역사회를 중심으로 부모와 아동관계자의 아동권리보장실태에 대한 인식을 살펴보고 아동친화도시를 구성하기 위한 방안을 모색하고자 하는 것이다. 이를 위해 서울시의 한 기초자치단체에서 실시된 조사데이터를 활용하여 놀이, 지역사회 참여, 보건 및 사회서비스, 안전, 교육환경, 주거 부분에서의 인식차이를 확인하였다. 분석 결과, 6개 영역중 교육환경과 주거환경이 상대적으로 잘 보장되고, 지역사회참여는 덜 보장되고 있는 것으로 나타났으며, 아동관계자들은 아동친화적 지역사회를 구성하기 위한 물리적 환경에 있어 더 부정적이었고, 부모는 참여권과 같은 제도적/문화적 환경에 더 부정적인 것으로 나타났다. 이를 바탕으로 본 연구는 다음과 같이 제안했다: 첫째, 아동친화도시를 구성하기 위한 기준 중 물리적 환경은 아동관계자의 기준을 참조하고, 제도문화적 환경은 부모의 기준을 참조해야 한다. 둘째, 지역사회 의사결정구조에 아동, 부모, 아동관계자의 참여를 확대해야 한다.

Influence of Co-Habitation on a Family Line Resemblance in Nutrient and Food-Group Intake among Three Generations of Japanese Women

  • Sasaki, Satoshi;Tsuji, Tomiko
    • Journal of Community Nutrition
    • /
    • 제5권2호
    • /
    • pp.93-104
    • /
    • 2003
  • Although a generation-related difference in nutrient and food-group intake has been broadly recognized in the Japanese population, few studies have examined the difference and correlation of intakes with consideration of a family line and co-habitation status. We conducted a dietary survey using female college students in dietetic course in Aichi, Japan, and their mothers and grandmothers. A validated self-administered diet history questionnaire was used for assessment of intakes. Data from 110 families were included in the analysis. The means of 13 nutrients and 10 food groups (of the 15 and 14, respectively) showed significant differences among the three generations. A significant difference was observed in the carbohydrate, protein, saturated fatty acid, cholesterol, and fish intakes between the students living with their mothers and those apart. In the correlation analyses between generations, moderate correlation was observed for most nutrients and food groups between the students and their mothers living together (correlation range = 0.30-0.61 for nutrients, and = 0.21 -0.56 for food groups). A wide variation with no consistency was observed for the correlation between the students and their grandmothers (-0.18 -0.59 and -0.33 -0.65, respectively), No meaningful correlation was observed between any two generations living apart. Among the food groups examined, pulses, fish, and vegetables showed relatively large differences for the correlation between two groups with different living conditions. When living together, the correlation coefficients for nutrients and food groups between the students and their mothers decreased according to the increase in frequency of eating out by the students. These results suggest that living together and eating together were an important factor for the resemblance in dietary habits between generations in the population with a marked generation-related difference in intakes. (J Community Nutrition 5(2) : 93-104, 2003)

청주지역 노인의 영양실태조사 - I. 생활습관, 식행동 및 영양소 섭취실태 - (Nutritional Status of the Elderly Living in Cheongju - I. Health-Related Habits, Dietary Behaviors and Nutrient Intakes -)

  • 김기남;이정원;박영숙;현태선
    • 대한지역사회영양학회지
    • /
    • 제2권4호
    • /
    • pp.556-567
    • /
    • 1997
  • The health-related habits dietary behaviors and nutrient intakes of the elderly living in Cheongju were investigated by interviews with a questionnaire from August to September in 1996. The responses of 169 free-living elderly aged over 65(male 91, female 78) were analyzed. Thirty-six percent of the subjects smoked currently, 33$\%$, drank alcoholic beverages, and 52$\%$ exercise regularly. Exercise was mostly in the from of walking for $\frac{1}{2}$-1 hour. Significantly higher proportions of males smoked, drank, and exercised as compared to females. Food groups eaten at every meal were examined on a 5-point scale, and the consumption scores were compared with groups according to sex, age, smoking, drinking, and exercise habits. The elderly who exercised regularly got significantly higher scores in their calcium intakes and the variety of the 6 food groups than the elderly who did not exercise. The dietary assessment data showed that the energy intakes of males and females were 81.9$\%$and 72.8$\%$ of the RDAs, respectively. The proportions of the elderly consuming less than 75$\%$ of RDAs of vitamin A and calcium were 96.5$\%$ and 91.1$\%$ of the total subjects, respectively. Higher educational status, more pocket money and regular exercise had positive effects on nutrient intakes, while smoking and drinking among females, but not males, had negative effects. Therefore, to improve nutritional status of the elderly, intake of vitamin A-and calcium-rich food such as milk with regular exercise should be emphasized on the education program. (Korean J Community Nutrition 2(4) : 556-567, 1997)

  • PDF

식사요법을 실천중인 당뇨병 자조모임 환자의 식사관련 삶의 질에 관한 연구 (Study on Diet-related Quality of Life in Online Self-help Diabetes Mellitus Patients Who Practice Dietary Regimen)

  • 이한슬;주진희;조여원
    • 대한지역사회영양학회지
    • /
    • 제16권1호
    • /
    • pp.136-144
    • /
    • 2011
  • Assessment of quality of life (QOL) is a new method to investigate the effectiveness of dietary regimen. Particularly, diet-related QOL is the most appropriate method to estimate social and psychological problems originated from dietary regimen practice. The purpose of this study was to evaluate the diet-related QOL and the correlation between diet-related QOL and health-related QOL, and dietary regimen practice in online diabetes self-help patients who practice the dietary regimen. Sixty one subjects who intended to practice dietary regimen were recruited from online diabetes self-help community, and instructed to fill-up the self report questionnaires. Contents of questionnaire were comprised of general characteristics, clinical characteristics, dietary compliance, and dietary regimen practice. As a result, the mean score of the 'Dietary impact' among the diet-related QOL sub-scales was the lowest suggesting most of the subjects suffer from burden of dietary regimen practice. The "Dietary impact" was correlated with "Taste", "Convenience" and "Cost" (p < 0.05). "Self-care" and "Satisfaction" were positively associated with well-controlled blood glucose and dietary regimen compliance, but negatively associated with "Dietary impact". Diet-related QOL was significantly correlated with the Health-related QOL, particularly the mental and social component (p < 0.05). Diet-related QOL was negatively associated with BMI, and self monitoring blood glucose was negatively correlated with "Self-care" (p < 0.05). In conclusion, Diet-related QOL might be appropriate to evaluate the effects of dietary regimen or nutrition education. The need for dietary education of cognitive-behavioral strategies and problem-solving ability is required.

지역사회 보건 융합에 활용 가능한 노인 운전자용 자가-보고식평가(SAFE-DR)의 타당도 연구 (Validity of the Self-report Assessment Forecasting Elderly Driving Risk (SAFE-DR) Applicable to Community Health Convergence)

  • 최성열
    • 융합정보논문지
    • /
    • 제9권6호
    • /
    • pp.175-182
    • /
    • 2019
  • 본 연구는 노인운전자용 자가 보고식 평가 SAFE-DR 개발 프로젝트의 일환으로 운전위험성 선별을 위한 기준점수를 확인하고 평가의 타당성을 검증하기 위해 수행되었다. Driver 65 Plus평가를 통해 노인운전자 132명을 58명의 위험성 운전자와 74명의 안전성 운전자로 구분하고, 이를 기준으로 SAFE-DR 평가의 위험성 예측 기준을 분석하였다. 또한 SAFE-DR 평가의 구성 타당도, 내용 타당도, 예측 타당도를 검증하였다. SAFE-DR 평가의 운전위험성 예측을 위한 기준점수는 74.5점으로 분석되었으며, 이 기준의 양성 예측도는 88.6%, 음성 예측도는 86.3%로 판별력은 훌륭한(excellent) 수준으로 확인되었다. 또한 집중타당성, 법칙타당성, 내용타당성이 적절한 것으로 판정되었다. 따라서 본 연구를 통해 SAFE-DR은 위험한 노인운전자를 선별하는 용도로 활용할 수 있는 적절한 평가임을 확인하였다.

대한지역사회영양학회지에 게재된 논문분석을 통한 영양연구의 동향 (Research Trend of Nutrition through Analysis of Articles Published in 'Korean Journal of Community Nutrition')

  • 조진숙;이경신;김기남
    • 대한지역사회영양학회지
    • /
    • 제16권2호
    • /
    • pp.278-293
    • /
    • 2011
  • The purpose of this study was to examine the research trend of nutrition for the recent 12 years from 1996 to 2007 by analyzing 734 articles published in the Korean Journal of Community Nutrition. The majority of the articles (61.4%) were classified as survey types in terms of data collection methods. Most of the subjects used in the articles were adults (28.8%), and the subject whose research has been increased at the highest rate was "patients". The most frequent keywords in the title of articles were "nutrient intake" (231times), "food service" (92times), "dietary habits" (69times), and "obesity" (69times). The keywords that have appeared more frequently with the years were "osteoporosis" (450.0%), "menopause" (350.0%) and "dietary attitudes" (208.3%). As for research interests, "nutrient intake" was dominant in the early stage of research while "disease", "dietary habits", "dietary attitudes" and "nutrition education" have increased in recent years. Some of the most common methods of nutrition assessment were "dietary intake" (41.2%), "anthropometric" (34.0%) and "biochemical test" (14.7%). The most common methods of dietary intake were "24-hours recall" (28.6%) and "dietary habits" (23.3%). The results of this study showed some biases in data collection methods, gender of the subjects, and study areas. Moreover, inconsistent terminologies, questionnaire contents, and measures were used for the researches on dietary behaviors, dietary habits, dietary attitudes, which made it difficult to compare their results for each research. Therefore, standardized research methods and terminologies need to be developed regarding dietary practices.

사회복귀시설 사례관리자의 사례관리 과정에 대한 인식과 수행에 관한 연구 -부산지역 사회복귀시설의 사례관리를 중심으로- (Case Manager's Perception and Practices of Case Management Process at Community Psychiatric Rehabilitation Centers -Focused on the community psychiatric rehabilitation centers in Busan-)

  • 김선주;김교정
    • 한국콘텐츠학회논문지
    • /
    • 제13권1호
    • /
    • pp.221-233
    • /
    • 2013
  • 본 연구는 부산지역의 사회복귀시설의 사례관리자를 대상으로 사례관리과정에 대한 인식과 사례관리과정이 실제 어떻게 수행되고 있는지를 탐색함에 있다. 사회복귀시설의 사례관리자 12명을 대상으로 포커스 그룹 인터뷰를 실시하여 얻은 자료를 심층분석하였다. 접수는 다양한 휴먼서비스 조직에서의 의뢰가 많고, 클라이언트 중심의 인테이크와 계약이 이루어지고, 사정은 정신장애인의 기능보다는 서비스 욕구중심으로, 기획은 자원발굴과 확보에 어려움을 느꼈다. 개입단계는 직접서비스 위주로 진행되고 여러 기관에서 접근 시에 사례관리에 대한 책임소지가 불분명했다. 점검단계는 주로 매달 시설 내에서 점검이 이루어지고 현실적인 슈퍼비전에 대한 욕구가 높았다. 종결에서는 성과평가 위주였고, 사례관리를 잘 나타낼 수 있는 개별화된 평가척도에 대한 기대를 나타내었다.

노인의 삶의 질을 위한 지역사회 프로그램에 관한 체계적 고찰 (A Systemic Review of Community-Based Programs for the Quality of Life of the Elderly)

  • 주은솔;방요순
    • 대한통합의학회지
    • /
    • 제9권2호
    • /
    • pp.173-181
    • /
    • 2021
  • Purpose : The purpose of this study was to identify the clinical effect, assessment, method, and recent trend of the programs by systematically reviewed community-based programs for the elderly's quality of life conducted in the last ten years, and to present comprehensive basic data for occupational therapists who want to apply community-based programs improving quality of life. Methods : This study identified 811 studies from among those registered in the RISS, KISS, DBpia, NDSL, and KCI databases from January to September 2020, using "elderly," "community elderly," "65 aged," "quality of life," "occupational therapy," "occupational therapy program," "intervention," and "intervention program" as keywords. From these results, 11 documents were selected. Results : It was found that studies of occupational therapy programs for the quality of life of the elderly have been continuously conducted since 2010, and most of them were non-random control studies. The quality of life evaluation tool used most frequently was SF-36, and WHOQOL-BREF and SF-8 were also used. The selected programs were classified as were exercise programs and complex programs. For most of the exercise programs, interventions were carried out for 12 weeks, three times a week for 30~60 minutes. In the case of the complex programs, the duration of interventions was nine weeks, and the frequency and time per session varied. All of the exercise programs showed significant effects. Among the complex programs, two studies showed significant effects, but the remaining one study did not. Conclusion : Through this study, the types and effects of occupational therapy programs for the quality of life of the elderly were examined. Hereafter, studies of the development and to verify the effects of these programs should be actively carried out.

서울·경인지역사회 성인여성의 과민성 장 증후군 빈도와 스트레스, 정신 건강에 관한 연구 (Frequency of Irritable Bowel Syndrome, Perceived Stress, and Mental Health Among Women)

  • 박효정;임수진
    • 성인간호학회지
    • /
    • 제20권5호
    • /
    • pp.685-696
    • /
    • 2008
  • Purpose: This study was performed to examine the frequency of irritable bowel syndrome(IBS), perceived stress, and mental health among community-dwelling women. Methods: This study conducted a survey to collect data on 869 women in Seoul and Gyeonggi-do. The measurements included the Rome III criteria(to diagnose IBS), the Global Assessment Recent Stress(GARS scale to evaluate perceived stress), and symptom check list 90R(SCL-90R to evaluate psychological distress). Data were analyzed using SPSS 15.0 program by frequency, $x^2$-tests, t-test, and analysis of variance(ANOVA). Results: The frequency of IBS in women was 15.1%. Eighty-six women(65.6%) had mixed constipation and diarrhea subtype of IBS. Compared to the women without IBS, those with IBS reported significantly higher scores on GARS, all subscales of GARS, SCL-90R, all subscales of SCL-90R, and the global severity index(GSI). No significant differences were observed among stress, mental health, and the IBS subtypes. Conclusion: Nursing interventions targeting women with IBS should be developed in order to reduce the associated stress and psychological distress.

  • PDF

한국 가정간호 연구의 현황과 전망 (Current Situation and Perspectives for Home Care Nursing Research In Korea)

  • 김소야자;권보은
    • 가정∙방문간호학회지
    • /
    • 제7권1호
    • /
    • pp.39-57
    • /
    • 2000
  • This study was conducted to identify the current situation of home care nursing research and to propose future research in the area of home care nursing in Korea. The design was a retrospective descriptive study based on 171 studies. The studies were collected from nursing academic magazines, the national library web site and dissertations on home care. The data were classified according to the independent and dependent variables which were represented in the research title. The final category classification was defined by considering the research objectives and content as found in the 171 studies. Eight categories were created to describe the results of home care nursing research in Korea. They included: home care needs. home care services. home care costs. development of home care programs and equipment. management of home care services. effectiveness of home care services, development of an educational curriculum for home care, and recognition of home care services. Based on our research we have identified other future research areas that need to be developed such as community needs assessment, standards and guidelines for home care nursing, quality assurance and quality improvement for controlling home care quality, home care informatics. and a system of home care cost and ethics.

  • PDF