• 대한간호학회지
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• 제35권7호
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• pp.1268-1276
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• 2005

Purpose: This study was amied to identify the effects of a 12 week Korean traditional dance movement program on balance, depression, medical cost, medical institution's utilization and fall among elderly women. Methods: Using a quasi-experimental design, the experimental group was composed of 130 subjects and the control group was composed of 123 subjects. The experimental group participated in a 12 week Korean traditional dance movement program 3 times a week from December 2002 to February 2003. Data was analyzed with descriptive statistics, the chi-square test, paired t-test and t-test. Results: There was siginificant improvement in balance(right leg p=.000, left leg p=.004), depression(p=.000), and the medical institution's utilization(p=.001) and fall(p=.002) in the experimental group compared to the control group. Conclusion: A Korean traditional dance movement program improved balance, depression, and decreased fall and medical cost in elderly women. Therefore, we recommend this program be utilized as a health promoting program and falls preventing program for the elderly in the community.

• 한국농촌간호학회지
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• 제2권1호
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• pp.43-50
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• 2007

Purpose: The purpose of this study was to analyze the trends of research on Community Nurse Practitioners in Korea in order to suggest future directions for research on Community Nurse Practitioners. Method: A total of 109 studies published from 1980 to 2006 were analyzed according to the year of publication, research design, journal type, subject type, and major study concepts. Results: 1) The number of studies related to Community Nurse Practitioners increased by 28.4% from 1985 to 1989, and also by 28.4% from 2000 to 2004. 2) The most frequently used research design in the studies was a descriptive study design (90.8%). 3) There were 43 master's theses on Community Nurse Practitioners, and 16 studies in the Journal of Korean Community Nursing. 4) The most frequent participants were Community Nurse Practitioners (68.9%). 5) The most frequent major study concept was job analysis of Community Nurse Practitioner programs (27.5%). Conclusion: It is suggested that there should be more studies on Community Nurse Practitioner programs in the future and, particularly, experimental studies to exam the effects of interventions on health promotion by Community Nurse Practitioners are considered necessary.

• 한국농촌간호학회지
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• 제18권2호
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• pp.92-98
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• 2023

Purpose: This study describes a case report of wound care performed by a community health practitioner for a rural older adult with diabetic ulcers. Methods: Data were collected from a rural older adult who had a diabetic lower extremity ulcer, and wound dressing was applied over 20 weeks after the skin graft operation. Results: The patient visited a primary healthcare post for regular ulcer care, and a community health practitioner applied appropriate wound dressings and managed the patient's diabetic condition. Conclusion: In rural areas, where healthcare resources are scarce compared with urban areas, rural nurses, such as community health practitioners, are primarily required to manage rural residents' health problems. Advanced nursing practices such as complicated wound care should also be appropriately provided to patients by enhancing rural nurses' competencies in the changing health care environment.

• 대한간호
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• 제20권2호통권110호
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• pp.37-39
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• 1981

• 대한간호
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• 제20권1호통권109호
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• pp.14-17
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• 1981

• 대한간호
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• 제20권1호통권109호
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• pp.22-23
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• 1981

• 한국보건간호학회지
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• 제17권1호
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• pp.26-34
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• 2003

The purpose of this study was to analyze the activities of Community Health Nurse Practitionses using the Community Health Post Information System(CHPIS). The information system that have been introduced in 1994 and used by 400 Community Health Posts(CHPs) since 1997, which is about $20\%$ of the total CHPs nationwide. Twenty-five CHPs from two provinces participated in the analysis. Seventy-two percent of the CHPs among the participating CHPs started using the system since 1996. The degree of utilization of the information system was classified into three groups (i. e., high. medium, and low). The results revealed that only $48\%$ utilized the system with high level. The areas of analysis of the information system included characteristics of community residents, environmental attributes, and job analysis of Community Health Nurse Practitioners(CHNPs). The study results indicated that primary health care and drug demand and supply system showed the highest level of satisfaction in utilizing the information system by CHNPs.

• 대한간호학회지
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• 제32권4호
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• pp.435-446
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• 2002

Purpose : The purpose of the study were to describe outcomes of CHP activities, and to evaluate the economic validity of CHP through a cost-benefit analysis. Method : The sample size was 272. Data were collected using a researcher developed questionnaire from November 1999 to March, 2000. Result : The mean age of CHPs was 39.6 (SD-36). In regard to marital status, 90.8% of the respondents were married. 72% of the CHPs had associate degree. Among CHP activities, providing medical services was 50%, followed by home care visits 20% and health promotion services 20%, preventive services 10%. Total costs per month incurred to CHP activities was \3,053,437($2,442.7). Total benefits per month was \6,711,525($5,369.2). Hence, net benefit was calculated as \3,658,089($2,926). Conclusion : Cost-benefit ratio was 2.20, which provides the evidence of the economic viability of CHP program. The result of cost-benefit analysis, however, would more strongly support the economic value of CHP if intangible benefits of CHP activities such as decreases in pain and suffering and increased quality of life, could be counted.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.155-169
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• 2003

본 연구는 농촌지역의 고혈압 관리실태를 파악하기 위하여 전국의 보건진료소 1,849개소를 모집단으로 하여 비례층화표출법에 의해 700개소의 보건진료소를 선정하여 자가보고식 설문지를 2003년 3월 13일부터 5월 13일까지 두 달간 실시하여 수집된 205개의 설문지를 분석하여 다음과 같은 결론을 얻었다. 첫째, 보건진료원의 평균 연령은 42세였고, 근무경력은 11년에서 20년 사이가 62%를 차지하였고 20년 이상의 근무경력자도 17.2%로 나타났다. 교육수준은 간호대 3년제 졸업이 61.3%이고 대학원이상이 7.0%였다. 둘째, 조사대상지역의 생업별 지리적 특성은 농촌인 곳이 77.3%, 어촌이 14.7%이고, 행정적 관할인구는 501-1,000명이 44.3%였고, 실제적 관할인구는 501-1,000명이 53.3%였다. 65세 이상인구의 비율은 평균 26.7%이고, 담당하고 있는 리는 평균 4개이고, 마을건강원의 수는 평균 6명인 것으로 응답하였다. 셋째, 기타 고혈압 사업과 관련된 특성으로는 월평균 혈압측정자 비율은 평균 25.4%, 월평균 방문가구 중 고혈압 관리를 위해 방문하는 가구 비율은 평균 42.4%, 월평균 내소자 중에서 혈압으로 인해 보건진료소를 내소하는 비율은 평균 15.6%였다. 고혈압 사업을 하는데 있어서 운영협의회의 역할이 있다고 응답한 곳은 15.7%였고, 사업을 수행하는데 마을건강원이 도움된다고 응답한 곳이 52.7%이고 보건진료원 자신이 고혈압 사업을 수행하는데 능력이 충분하다고 응답한 곳이 76.2%였다. 보건지소와의 협조는 잘 된다고 한 곳이 43.4%, 안 된다고 한 곳이 56.7%인 것으로 나타났다. 넷째, 일반주민을 대상으로 한 고혈압환자 예방사업 중에서 보건교육과 관련된 항목 중 보건교육내용선정과 교육시간선정은 보건진료원의 판단 하에 결정하는 경우가 50% 이상이었고, 1년 동안 4회 이상의 보건교육을 실시하는 곳이 56.7%이며, 교육방법은 강의와 시청각 매체를 이용하고 주로 사용하는 시청각 매체는 비디오라고 83.6%가 응답하였다. 교육자료는 보건소에서 배부 받아 사용하는 경우가 64.5%였고 교육 후에 평가를 실시하는 곳은 22.1%였다. 고혈압환자 조기발견은 96.1%가 보건진료소를 내소하는 경우에 혈압측정을 통해 발견하였고, 89.3%는 가정방문을 통해 환자를 발견, 49.1%는 지역사회 보건의료기관 및 일반자원으로부터 의뢰를 통해 환자를 발견하였다. 그 외에 집단 행사를 통해 환자를 발견하는 경우는 39.5%이고, 기존 자료를 통해 환자를 발견하는 경우는 35.7%였다. 다섯째, 고혈압환자를 대상으로 한 고혈압환자 등록 및 관리사업에서 고혈압 환자만을 위해 전용기록지를 사용하는 곳이 35.6%이고, 50% 이상이 타의료기관에서 관리받는 환자까지 보건진료소에 등록해서 관리하고 있었다. 고혈압관리수첩은 사용하지 않는 경우가 34.8%였고 고혈압환자 관리를 위해 전산프로그램을 사용하는 경우는 68.5%이고, 사용용도는 월보작성이나 환자치료 및 추구관리를 위해 사용한다고 60%이상이 응답하였고 10.6%는미치료자를색출하는데사용한다고응답하였다. 여섯째, 모든 의뢰환자에게 의뢰서를 발급하는 경우가 22%이고, 반드시 회신서를 확인해서 환자기록지에 보관하는 경우가 26.2%였다. 그외에 민간의료기관과의 공식적, 비공식적인 의뢰체계를 구축한 곳이 64.7%였다. 고혈압환자 치료 및 추구관리에서 투약관리와 혈압 상태관리는 95% 이상이 수행하고 있었으나 생활요법 중에서 스트레스나 비만관리, 식이관리는 약 7%정도가 전혀 확인을 안 하고 있다고 응답하였다. 또한 작년 한해 동안 고혈압환자 및 가족을 대상으로 교육을 실시한 경우가 약 30%였고, 고혈압 환자만을 대상으로 교육을 실시한 곳은 70.7%였다.

• 대한간호학회지
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• 제36권3호
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• pp.457-467
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• 2006

Purpose: Community health practitioners (CHP) in Korea have a responsibility for delivering primary health care to remote or isolated communities. The aim of this paper is to analyze CHPs' level of depression and impacts of their Ego state and interpersonal attitude in transactional analysis on depression. This paper gives fundamental data for developing a the program for mental health promotion of CHPs. Method: The subjects Of this Study consisted of 459 Korean CHP who were conveniently selected from the target population. The data was collected through interviews using self-administered questionnaires, including the Korean Ego gram and life position inventory and depression scale. Results: The CHP's Ego gram showed the N type with the top point of NP. The type of interpersonal attitude was I'M OK - YOU'RE OK (I+U++). The level of depression was 35.4, normal range. There was a significant difference in depression according to the duration of the career. There was a significant negative correlation among NP, A, FC ego states, interpersonal OK and depression, and a significant positive correlation between interpersonal Not-OK and depression. The NP, A, FC ego states and interpersonal Not-OK were significant predictors (47.1%) of depression. Conclusion: This study showed that a program for CHPs to should include increasing the function of ego states and positive interpersonal attitude.