• 재활치료과학
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• 제12권4호
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• pp.53-65
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• 2023

목적 : 본 연구는 정신건강 분야에서 근무하는 작업치료사가 정신질환자에게 신체기능 향상 중재를 제공한 업무 경험 및 실태를 파악하고자 시도된 연구이다. 연구방법 : 2022년 11월 7일에서 11월 14일까지 정신건강 분야에서 근무하는 작업치료사를 대상으로 자료를 수집하였다. 이메일을 통해 설문지를 배포하여 응답을 수렴하였으며, 수집된 응답지 46부에 대해 기술통계 및 상관관계를 분석하였다. 결과 : 설문응답자는 여자(58.7%), 20~30대(84.8%)가 가장 많았고, 주로 정신건강복지센터(41.3%)에서 근무하였으며, 정신건강작업치료사 수련과정(91.3%)을 수료하였다. 정신건강분야 경력은 1년 이상 3년 미만(65.2%), 담당 업무는 프로그램(71.1%), 사례관리(62.2%), 행정업무(57.8%)가 가장 높았으며, 신체기능 향상을 위한 중재(73.9%)를 제공한 경험이 있었다. 자료 분석 결과 신체기능 중심 그룹 중재의 빈도는 주 1~2회(41.2%)가 많았고, 스트레칭, 유산소운동, 산책 순이었으며, 개별 중재의 빈도는 주 1~2회(38.1%)가 많았고, 산책, 스트레칭, 유산소운동 순으로 도출되었다. 결론 : 작업치료사는 정신건강 전문가로서 정신질환자의 다양한 작업과 일상생활활동에 균형 잡힌 참여를 가능하게 한다. 현재 다수의 작업치료사들이 정신건강 분야에서 정신질환자의 신체기능 향상을 위한 다양한 작업치료적 중재를 제공하고 있으나 이에 대한 연구는 아직 부족한 실정이다. 본 연구를 통해 정신건강작업치료의 중요성과 신체기능 향상 중재의 근거 기반 서비스 제공의 필요성을 확인하였다. 이를 통해 정신질환자들에게 더욱 효과적인 치료를 제공할 수 있는 기반이 마련될 것으로 기대한다.

• 한국노년학
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• 제40권4호
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• pp.577-598
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• 2020

돌봄의 사회화가 급속히 진행되는 가운데 사회적 고립과 우울 등이 심한 노인을 위한 지역사회 차원의 정신건강 개입의필요성이 증가하고 있다. 2020년 「노인맞춤돌봄서비스」 개편에 맞추어, 2014~19년 시범사업으로 진행하였던 '독거노인 사회관계 활성화사업'이 「노인맞춤돌봄서비스」 내 별도의 특화 사업으로 확대 개편되었다. 고위험 노인 대상 정신건강 지원 및 사례관리 서비스를제공하는 것을 기본 골격으로 하는 「특화서비스」는 노인돌봄과 정신건강 서비스가 만난 고위험 노인돌봄의 새로운 실천모델이라고할 수 있다. 본 논문의 목적은 「특화서비스」에 대한 이해를 높이고 이것의 개념적 틀을 명확히 하는 것이다. 국내·외 관련 문헌, 그리고 「특화서비스」의 전신인 '독거노인 사회관계 활성화 시범사업'에 대한 분석을 포함한 「특화서비스」 제도화 과정 고찰을 통해 「특화서비스」의 특성 및 개입의 구조와 내용을 살펴보았다. 마지막으로 제도 초반 현장에서 발생하는 몇 가지 상황을 중심으로 향후 「특화서비스」가 의도한 대로 잘 진행되기 위해 고려할 것에 대해 논의하였다.

• 지역사회간호학회지
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• 제23권1호
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• pp.71-81
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• 2012

Purpose: The aim of this study was to evaluate the process and outcome of a mobile computerized system for individual home visiting healthcare. Methods: A nonequivalent control group non-synchronized design was employed for this study. The newly constructed system was administered to 80 healthcare providers in the experimental group for 8 weeks. Data were analyzed using descriptive analysis, t-test, and ANCOVA with the SPSS 18.0 program. Results: In the process stage, the difference in the frequency of computerized information usage between the experimental and control groups was significant as $8.88{\pm}3.20$ and $7.08{\pm}2.92$, respectively (t=3.90, p<.001). In the outcome evaluation stage, all kinds of healthy lifestyle such as alcohol use, nutrition, weight management and mental health were not improved. Conclusion: The findings of this study showed that the revised mobile computerized system was an effective device for individual visiting healthcare providers. Further advanced strategies for using this system should be developed and applied in a broad range of community healthcare.

• 한국사회복지학
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• 제62권3호
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• pp.163-191
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• 2010

본 연구의 목적은 농촌 결혼이주여성들의 복지욕구의 영향요인을 탐색적으로 확인하고자 하는 것이다. 확률표집을 한 300명의 농촌거주 결혼이주여성의 복지욕구조사결과, 남편의 문제행동 상담에 대한 복지욕구는 정신건강이 나쁠수록, 신체건강이 좋을수록, 연령이 낮을수록, 자국민모임참여가 없는 경우에 높았다. 자녀양육 및 교육관련 욕구는 연령이 낮을수록 베트남 출신 이주여성이 욕구가 상대적으로 높았다. 취업교육욕구는 필리핀, 중국(한족) 출신이주여성이 낮았고, 가족이해정도가 낮을수록 욕구가 높았다. 취업알선욕구는 연령이 높을수록, 지역주민으로서의 소속감이 낮을수록 높았으며, 필리핀 출신 이주여성들이 낮았다. 이러한 결과 등을 고려하여, 이주여성의 연령과 학력, 국적, 지역사회자원 등에 따라 복지서비스를 차별화하여 제공해야 함과 동시에 이주여성의 정신건강에 대해 좀 더 관심과 지원을 기울여야 할 필요성이 제기되었다.

• 한국융합학회논문지
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• 제9권12호
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• pp.459-466
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• 2018

본 연구는 사업장과 지역사회에서 이루어진 PAR, CBPR을 중심으로 국내 외 문헌을 체계적 고찰을 하였다. 검토된 10개 논문의 연구 참여자는 보건전문가, 지역사회 네트워크, 근로자, 대학 연구자가 포함된 연구가 80%였고, 적용된 실행연구 기반 건강증진 프로그램은 안전 건강관리인식, 금연, 당뇨관리, 신체활동, 자기효능감 증진, 심혈관 질환, 근골격계 질환, 정신 건강 등 다양했다. 건강증진을 위해서는 지역사회 공동 작업을 통해 연구에 주도적으로 참여하는 것이 필수적이며, 이런 과정을 통하여 지역사회 차원의 문제를 해결할 수 있다. 또한 협력하며 건강증진프로그램을 개발하고 적용했을 때 지속가능한 효과를 확인할 수 있었다. PAR, CBPR은 개인과 조직, 지역사회, 제도적 차원의 범위를 조정하여 지속적인 변화를 추구할 것으로 사료되므로 다양한 사업장에서 근로자를 대상으로 활발히 수행되길 기대한다.

• 한국콘텐츠학회논문지
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• 제10권8호
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• pp.308-316
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• 2010

본 연구는 해외이주 여성의 문화적응 스트레스와 정신건강수준을 파악하고 인구사회학적 요인, 사회적 관계 및 사회적 지지 요인에 따른 차이를 파악하고자 영국에 거주하는 152명의 여성을 대상으로 이루어졌다. 주요 연구변인의 현황을 파악하기 위하여 빈도분석, 상관관계분석, 분산분석을 실시하였다. 여성의 문화적응 스트레스는 5점 척도 기준에서 2.50으로서 중간 정도수준이었으며, 우울은 4점 척도에서 1.66으로서 중간보다 약간 낮은 수준이었다. 문화적응 스트레스와 우울은 정적 상관관계를 나타냈으며, 영국거주기간, 결혼상태, 경제적 상황에 따라 문화적응 스트레스에 차이가 있었으며, 직업유무, 경제상태에 따라 우울 수준에 차이가 있었다. 또한 현지인과의 관계빈도가 높고 사회적 지지 수준이 높은 집단이 문화적응 스트레스가 낮았으며, 사회적 지지가 높은 집단은 우울수준도 낮았다. 이러한 연구결과를 바탕으로 해외 이주 여성의 적응과 정신건강에 대한 관심과 개입의 필요성, 이들의 문화적응과 정신건강문제에 있어서 다양한 요인을 고려할 필요성과 함께, 새롭게 이주하여 문화적 전환으로 인해 심각한 스트레스를 경험하고 있는 여성들에게 정착이나 스트레스 관리와 관련된 지역사회서비스가 필요하다는 것을 제시하였다.

• 지역사회간호학회지
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• 제11권1호
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• pp.245-261
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• 2000

Based on the literature, status and role the music therapist in America was reviewed for this study. The process of developing a music therapy program in America suggests to us many things: In America, music therapists have sustained a mutually beneficial status with their clients for, over fifty years. Excellence in academic education and clinical training enable music therapists to continue to provide quality music therapy. The magnitude of change in to music therapy in the United States, however creates the challenge of providing real access to music therapy continues in the future. Music therapy is the use of music in the accomplishment of therapeutic aims: the restoration, maintenance, and improvement of mental and physical health. Music therapists work with individuals of all ages who require special services due to behavioral. social. learning, or physical disabilities. Employment may be in hospitals, clinics, day care facilities, schools, community mental health centers, substance abuse facilities, nursing homes, hospices, rehabilitation centers, correctional facilities, or private practices. The American Music Therapy Association (AMTA) was founded in 1998 as a result of a union between the American Association for Music Therapy (founded in 1971) and the National Association for Music Therapy(founded in 1950). Music therapists are highly qualified professionals who have completed approved degree programs and had clinical training in order to receive Board Certification(MT-BC), with the designation of Registered, Certified, or Advanced Certified Music Therapist(RMT. CMT - or ACMT). AMTA provides several mechanism for monitoring the quality of music therapy programs: Standards of Practice. a Code of Ethics, a system for Peer Review, a Judical Review Board, and an Ethics Board. According to the results of this study, the suggestions were as follows: 1. It is concluded that music therapy as a nursing intervention can be effective for the clients. 2. It is a great challenge to develope a music therapy program for nursing intervention however, it is also task and responsibility to further the development of nursing.

• 지역사회간호학회지
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• 제7권2호
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• pp.203-215
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• 1996

Social security is concerned with ensuring all citizens maintain basic needs, community health nursing maintains and promotes health for all community members. Lately, This new area of community health nursing, concern social welfare has increased. The objectives of this study are, first, to analysis the activities of nurses at community social welfare institutes, second, to estimate nursing demand for social welfare areas. The study methods used were as literature review, an analysis of statistical data and case study etc. The analytical framework also included a demand analysis of nursing manpower in community social welfare areas. The major results are as follows; 1. Employees which work at social welfare institutes number 55,464, nursing manpower (including nurse aids) number 1,458 and this is 3% of the total employees. Within nursing manpower, nurses number 780, nurse aids number 670. 2. The rates of nurses among total employees were high in institutes for mental disorders and institutes for the age. 3. The salary level of nurses was lower than average and the rates of retirement showed a roughly middle level in welfare institutes. 4. The satisfaction level of nursing services was high, and it is the trend that nurses substitute for nurse aids which retire at social welfare institutes. 5. Nurse demand that follows legal criteria is 2,221, but only 35% are working. It is therefore insufficient from the minimum of 733 to a maximum 1433. 6. The sufficiency rates by institution were high at institutes for vagrants, aged and the handicapped. In conclusion, the conditions are of nurses which are working in with the social welfare institutes are poor. Also the number of nurses compared rates of demand were in surplus. But, the basic direction of welfare policy is universal-preventive and provision of the family and of community centered service, and nursing service demand in the social welfare institute will increase continuously, we predict. Therefore, we will need a positive plan such as the development of an inservice education program and the construction of an information collection system etc.

• 한국학교보건학회지
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• 제11권1호
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• pp.27-50
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• 1998

Adolescent health is considered to contribute to health promotion in the home and community in the near future as well as individual health. However, adolescent health has been neglected from education field because of competitive school education focused on the university entrance examination That's why I suggest in this study that we should pay much more attention to adolescent health condition and try to make It better, in terms of man-power development and life-health promotion for nation development The purposes of this study are as follows First, to look into a variety of adolescent health problems Second, to find out the situation and problems of current adolescent health promotion and school health education Third, to make an effort to find, based on the current situation, various developments of adolescent health promotion and school health education in terms of practical, political and environmental change There are used study methods as adolescent-related, school heath-related literature review and anlysis of statistical data The results and suggestions are as follows Teenagers have a great variey of health problems including most Important physical, mental and social developments Recently, chronic diseases, emotional problems, health-risk behaviors linked With adolescents are on increase The complicated disorders of physical, mental, social health rather than paricular aspects of health or health-behavior problems influence adolescent health problems adolescence is regarded as the period when most health-related behaviors are formed. Therefore, adolescent health promotion would he assured by developing the ability of controlling multi-dimensional health determinants in the early stage. Health promotion is a positive concept that each individual, family and community makes real efforts to improve their health To achive this, we need health educational, organizational, political and environmental supports. Adolescent health promotion in Korea has been systematically treated in the category of school health Current school health services have had lots of systemic, constitutional, administrative and educational flaws Accordingly, I'm concerned that we can afford to accept a variety of adolescent health needs However, I would say that if were not to make those flaws better, it's certain that Korean national competitive power and the quality of the lives of most Koreans Will he threatened someday We have to develop Comprehensive School Health Crriculum(CSHC) and set up its standards to Improve adolescent health. CSHC is an organizational and costant process. CSHC means an Important part of overall curriculums. In addition, I could say that it's an Important school health education acivity including current school health services-health care service and school health environment. In conclusion, in order to develop CSHC, we require school nurse's role changes, establishment and management of intergrated subject of health education, striking revision of school health law(or legislation of school health promotion law), reorganization of administration system, big changes in curriculum for school health educators.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.5171-5176
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• 2012

We here performed a systematic review of PBIC literature using terms analysis in a hope of both identifying potential trends and patterns and exploring methods leveraging traditional literature reviews in this specific area. Articles meeting inclusion criteria were retrieved from PUBMED and translated into dichotomized article records representing presence or non-presence of MeSH terms and a metric consisting of numbers of times of co-occurrence between all pairs of terms identified using a self-designed program. The occurrence of and relations among the terms were calculated and visualized using Excel2007 and UCINET respectively. A total of 1,742 terms were identified from 997 articles retrieved. Put in a descending order, the lines representing the times of term occurrence formed a typical hyperbolic curve; when plotted along the x-axis of whole MESH terms, the lines clustered within four specific regions. Comparison of term occurrence between 2002 and 2011 revealed priority changes in population and subjects (from general groups to priority groups), intervention approaches (from medicine to exercise and psychotherapy), methodology and techniques (from cohort studies to randomized controlled trials) and outcomes (from health and mental health to quality of life, depression etc.). Networks of the terms featured a number of closely linked groups of topics including method and questionnaires, therapy and outcomes, survival management, psychological assessment and intervention, behavioral intervention (individual and community oriented). Terms analysis revealed interesting trends and patterns about PBIC publications and both the analysis methods and findings have implications for future research and literature reviews.