• 제목/요약/키워드: Community health management

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고혈압환자의 치료순응도에 영향을 미치는 요인 (Factors Affecting Patients' Compliance with Antihypertensive Medication in a Rural Area)

  • 배상수;이인숙;김순미;우선옥;이영조;김병익;한달성;이석구
    • 보건행정학회지
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    • 제4권1호
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    • pp.25-48
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    • 1994
  • Noncompliance with treatment is a serious problem in the management of hypertension. We explored self-reported medication taking compliance behavior of 194 high blood pressure patients using modified health belief model hypothesizing interaction between model components. Data were collected from patients resistered hwachon community hypertension control program during February, 1993. Bivariate analysis showed perceived severity of complication, present symptom experience(p<0.05), perceived severity of hypertension and education leve(p<0.01) were significantly related to treatment experience. Logit analysis revealed that perceived severity of hypertension, perceived benefits of treatment, perceived barriers to treatment and interaction term between perceived severity of hypertension and perceived benefits of treatment contributed treatment experience. Health education from mass media was siglificantly related to continuity of treatment. We also concluded that the inclusion of interaction effects between health belief model components and the use of patient group as analysis unit lead to better study results.

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의료기관 방사선종사자들의 방사선안전관리에 대한 행위 (Radiological Operating Technicians's Protective Behaviors on Radio-medical Measures in Hospitals)

  • 한은옥;문인옥
    • 한국학교ㆍ지역보건교육학회지
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    • 제8권1호
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    • pp.69-77
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    • 2007
  • Background & Objectives: International radiation protection committee recognized the importance of radiation protection from medical practices because the exposure to the radiation in medical practice is higher than any other exposure. The factors on knowledge, attitude and practice of radiation safety of the medical workers engaged in radiation were analyzed in order to improve radiation safety technology. Method: Questionnaires were used for 1200 radiation workers in medical institution from July 23 through September 4 and collected for analysis. Results: Different level of safety measures were practiced by age, marital status, career, and medical facility. The difference was statistically significant. Higher levels of safety measures were practiced in the age group of 50s and married persons. The workers who have more than 20 years experience have higher level of safety measures. The workers of health centers have higher level of safety measures to compare with other workers. The factors which give more concerns on safety practice were self efficacy, practice and knowledge in order. Conclusion: Safety conscious operators should get additional education program to maintain higher level of safety. The operators who do not have much safety concern should be intensive training program for self efficacy and safety.

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학교주변 어린이보호구역 안전실태 사례조사 연구 (A Case Study on the Safety of School Zones)

  • 김은주
    • 한국학교ㆍ지역보건교육학회지
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    • 제9권1호
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    • pp.115-126
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    • 2008
  • Backgrounds: The objective of school zones was to define protective areas and to keep children vulnerable to traffic accidents from the risk. The current "Rules on the Designation and Management of School Zones" included provisions on the installation of traffic safety facilities and road facilities, but they were not sufficient for children's traffic safety and there were many difficulties in applying standards to the fields. Purposes: With these problems to be solved, the present study surveyed the current state of safety facilities in school footpaths and school zones around elementary schools and suggested plans to improve them. This study studied various factors like the physical environment and the safety facilities in the school zone. Methods: The present researcher visited four elementary schools selected for this study, and surveyed safety facilities in the school zones around the elementary schools using a schedule prepared by the researcher. Results: According to the results of the case study, all of the four schools were designated as school zones, but the designation appeared nominal without sufficient safety facilities that can ensure children's safety. Based on the results of the survey, suggestions were made to improve traffic facilities in school zones and school footpaths as well as safety guidance.

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다문화가정청소년과 일반가정청소년의 음주행태와 성경험과의 관련성 (Correlate of the Drinking Behavior and Sexual Experience between Multicultural Family Adolescents and General Family Adolescents)

  • 이순희;유재현;윤미은;천성수
    • 한국학교ㆍ지역보건교육학회지
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    • 제16권2호
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    • pp.45-57
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    • 2015
  • Objectives: This study identified a multicultural families and households youth targeting adolescents drinking behavior and sexual status, and alcohol problems and gender analyzes and the relevance of the cup and behavior. Methods: This study analysed drinking problem and sexual behavior among adolescents of multi-cultural and general families which is based on the primitive data from the Ninth Youth Risk Behavior Web-based Survey, 2013. All analysis were conducted using SPSS version 18. Results: Multicultural family adolescents showed significantly higher in lifetime's drinking experience, beginning age of drinking, binge drinking, CRAFFT and sex experience than general family adolescents. Conclusions: Therefore the result of this study suggests that families, schools and society should perceive and solve the problem concerning the drinking behavior and sex experience of the multicultural familiy adolescents.

노인의 성별 낙상관련 요인 (An analysis of risk factors for falls in the elderly by gender)

  • 김종민;이명선;송현종
    • 보건교육건강증진학회지
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    • 제25권2호
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    • pp.1-18
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    • 2008
  • Objectives: The objective of this study is to identify the gender differences of risk factors for falls among the elderly in community dwellings. Methods: We analyzed the data on 3,278(male 1,255, female 2,023) persons, including 497 persons who have experienced falls, drawn from the 2004 National Elderly Survey. We conducted a cross-tabulation analysis, $X^2$-test and hierarchical regression analysis of the impact of the socio-economical characteristics, environmental characteristics, the number of chronic diseases, usage of supplementary devices, activities of daily living, dementia, and the severity of problem behavior. Results: For the entire sample of the elderly, gender, age, the size of the cities of residence, the number of chronic diseases, and the severity of problem behavior were identified as risk factors for falls. The number of chronic diseases and the severity of problem behavior were found to be significant for the male subsample, while age, the size of cities of residence, dwelling types, and the number of chronic diseases were found to be significant for the female subsample. Conclusion: The number of chronic diseases was identified as a common risk factor for falls in the male and female elderly. Chronic diseases were also found to aggravate the risk for falls when they concur with other diseases.

코로나19 팬데믹 상황에서 성별에 따른 대학생의 우울감 경험에 영향을 미치는 요인: 2020 지역사회건강조사 자료 활용 (Factors Affecting the Depressive Mood Experience in University Students by Gender in COVID-19 Pandemic Situation: Using Community Health Survey Data for 2020)

  • 김경숙
    • 보건행정학회지
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    • 제31권3호
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    • pp.374-383
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    • 2021
  • Background: The purpose of this study is to identify the factors affecting the depressive mood experience in university students by gender. Methods: This study is a descriptive survey that conducted a secondary analysis using data from the 2020 Community Health Survey, which is conducted annually in Korea. The study targets 8,928 college students, 4,682 male students and 4,246 female students. Data analysis was conducted after creating a composite sample plan file that reflected layering variables, colony variables, and weights. Results: Factors affecting the depressive mood experience of both males and females were household income, smoking, subjective stress levels, changes in drinking and smoking, and the number of encounters caused by coronavirus disease 2019 (COVID-19). Factors influencing the depressive mood experience of females were the presence of breakfast, changes in physical activity due to COVID-19, and the presence of helpers in self-quarantine due to COVID-19 (p<0.05). Conclusion: Psychological counseling programs should be promoted to actively utilize mental health in those in their 20s and 30s. Universities also need to detect depressed students early through screening and perform timely and appropriate interventions.

외국인 유학생 감염병 관리방안: 부산시 소재 대학의 코로나19 대응을 중심으로 (Infectious Disease Control for International Students: Focusing on COVID-19 Response by University in Busan)

  • 조경원;이상대;김수정;김민경
    • 한국학교ㆍ지역보건교육학회지
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    • 제22권2호
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    • pp.41-52
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    • 2021
  • Background & Objectives: The purpose of this study is to present infectious diseases control and crisis response plans for International students by investigating the management of International students and prevention of infectious diseases targeting International students infectious disease control managers at universities in Busan in a situation where the risk of infectious diseases increases due to the spread of COVID-19. Methods: The data were collected from 14 International students infectious disease control managers at universities in Busan. Statistical analysis was done by using SPSS 22.0. Results: There were differences in the importance and performance of COVID-19 infectious disease control and support work by university. Conclusions: It is necessary to integrate management of support and roles of infectious diseases control for foreign students. Furthermore, strengthening the competence of experts and communication tools with international students are needed.

일부 농촌지역 주민들의 건강결정 관련요인 (Factors Affecting Health of the Rural Residents)

  • 손동국;이규식;박종구;고상백;진기남;남은우;이해종
    • 보건행정학회지
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    • 제19권4호
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    • pp.1-17
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    • 2009
  • The purpose of this study was to find factors affecting health of the rural residents. The data were collected from a sample of 2,587 people aged from 40 to 70 in the year 2005-2006, Wonju City and Pyeongchang County, Gangwon-do, Korea. The theoretical model adopted in this study was the Lalonde's health field(human biology, environment, lifestyle, and health care organization). SF-12 was used to measure subjective health status. In the category of human biology, men were healthier than women. Age and BMI showed negative relation to health status. Income, education and social support showed positive relation to health status in the environment category. In the category of life style, stress showed negative relation to health status. Medical expenses showed negative relation to health status in the category of health care organization. After converting SF-12 score to percentage score, the health determinants portions were 47% lifestyle, 26% environment, 18% human biology and 9% health care organization. These findings suggest that life style, environment and biology are main factors in determinants of health. Especially stress in the life style category is more focused for the community health promotion. We also may be able to improve income, education and social support in the environment category with self empowerment efforts, community supports and government helps. Finally greater attention must be payed to life style in the future health planning and budget allocation priority in the healthcare area.

대도시 보건소 동단위 방문간호 대상자의 군분류 및 표준 방문간호서비스 경로 개발을 위한 기초연구 (A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center)

  • 황라일;유호신;석민현;진달래
    • 지역사회간호학회지
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    • 제16권4호
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    • pp.381-391
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    • 2005
  • Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

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충북지역 교사들의 건강증진생활양식 (Determinant of the Health Promoting Lifestyle of the Teachers in Choong-Buk province)

  • 이규난;김순례
    • 지역사회간호학회지
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    • 제9권1호
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    • pp.30-39
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    • 1998
  • The purpose of this study was to identify the factors influencing health promoting lifestyle of teachers and to provide the data for efficient health management of teachers. The subjects of this study were eight hundred nine teachers, who were chosen in Choong-Buk province. Survey Questionaires for data analysis were collected through visiting or mailing from September 1 to 30, 1997. The instruments used in this study were HPLP(Health Promoting Lifestyle Profile) by Walker (1987), Internal Health Locus of Control by Walston et al. (1978), Self Esteem by Rogenberg(1965), Importance of Health by Muhlenkamp (1985), Self Efficacy by Sherer & Maddux(1982), and Family Function by Olson & Schellenberg (1985). Data were analyzed by descriptive statistics, unpaired t-test, ANOVA, Pearsons correlation coefficient and stepwise multiple regression using SPSS/PC(v. 4.01) program. The results were as follows; 1. The mean of health promoting lifestyle was total 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpers 52, stress management 2.33, exercise 1.91, and health responsibility 1.82 in order. The index of total health promoting lifestyle was significantly influenced by the factors including sex, age, religion, marital status, duration of work, teaching load, education level and number of family members. 2. The health promoting Lifestyle was significantly positive correlated with Self Efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Self Esteem. 3. Self Efficacy was the most influential determinant predicting health promoting lifestyle of teachers. Self efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Age explained 42% of the health promoting lifestyle. Based on the above findings, it is suggested to develop nursing intervention to improve Self Efficacy, Importance of Health, Family Function of teachers enhance health promoting lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence health promoting lifestyle of teachers.

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