• 제목/요약/키워드: Family demand

검색결과 435건 처리시간 0.033초

퇴원환자의 가정간호 이용의사와 관련 요인 (A Study on the Expressed Desire at Discharge of Patients to Use Home Nursing and Affecting Factors of the Desire)

  • 이지현;이영은;이명화;손수경
    • 재활간호학회지
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    • 제2권2호
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    • pp.257-270
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    • 1999
  • The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

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첨단산업단지가 주변지역 주택가격에 미치는 영향요인 분석 (An Analysis on the Impacts of High-Tech Complex on Neighborhood Housing Price)

  • 박동웅;이주형
    • 한국산학기술학회논문지
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    • 제13권10호
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    • pp.4543-4550
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    • 2012
  • 본 연구는 지역의 첨단산업단지가 주변지역과 상호보완적 발전을 이루도록 개선방안을 제시하기 위해 성공사례로 꼽히는 서울디지털산업단지를 대상으로 주변지역 주택가격에 미치는 종합적 영향요인에 대한 실증분석을 진행하였다. 본 연구에서는 '첨단산업시설'요인 뿐 아니라 기존의 연구에서 주택가격 요인으로 충분히 고려되지 못했던 주변 입지특성으로 '교통시설', '편의시설', '안전시설', '문화체육시설' 등 다양한 주변 도시계획시설을 종합적으로 고려하였다. 이렇게 구축된 자료를 SPSS 18.0 Version을 이용하여 다중회귀분석 한 결과 첫째, 단지특성부문에서는 '노후도', '아파트 브랜드', '난방방식' 등이 주요 영향요인으로 도출되었다. 둘째, 입지특성의 중분류 부문으로 '교육시설', '교통시설', '안전시설', '복지시설', '문화체육시설', '편의시설' 등에서 세부 영향요인들이 도출되었다. 셋째, '첨단산업 내 우수기업' 역시 본 연구결과를 통하여 주택가격에 영향을 주는 영향요인으로 실증분석 되었다. 향후 첨단산업단지 주변지역의 상생발전을 위한 배후 주거지 개발계획이 수립 시 종합적 입지적 특성, 단지특성 등 주택가격 형성요인을 고려하고 첨단산업단지의 종사자와 부양가족에 실수요에 맞는 적합한 주택정책이 이루어져야 할 것으로 판단된다.

충남지역 초등학교의 구강보건관리 실태 (Current Oral Health Care of Elementary School in Chungnam Province, Korea)

  • 배진순;장성실
    • 한국학교보건학회지
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    • 제13권2호
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    • pp.331-340
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    • 2000
  • Primary school is regarded as an important period when many health-related behaviors and life-styles begin to be formed. Acquiring them through school heath education has a strong influence on the health promotion of not only the family but also the community. The objectives of this study were to evaluate current oral health care of elementary schools in Chungnam province and to provide information for further development in elementary school oral health. We performed a questionnaire survey to 280 health teachers and among them, 155 teachers answered. The result of this study were as follows: 1. Sixty five percent of the health teachers had little interest in oral health. Major information sources for teaching oral health were books in 58.1% of the 155 teachers and 83.2% of teachers spent 30 minutes to 1hour per day in oral health care practice for the students. 2. Contents of the oral health education were composed of regular and special curriculums, and an average of education time during a semester was 2.6 hours in 3rd grade, and 1.3 hours in first and second grade. 60.6% of the teachers made the children practice the proper method of tooth brushing during the education time. 3. Major problems in oral health education were insufficient time, lack of equipment and difficulty in teaching method. The educational media were tooth models among 91.0% and OHP among 85.2% of the teachers. The tooth model was usually used in first to fourth grades and OHP in fifth to sixth grades. But 63.9% health teachers need to develop stronger educational methods using multimedia. 4. Meanwhile the most important strategy of oral health in urban schools was health education, that of rural schools was fluoride mouth-rinsing programme. Fluoride mouth-rinsing programmes were performed by 60.0% of the elementary school. Periodic dental examination was performed in all elementary schools. 98.2% of the schools sent the results home through school notification letters, but post-examination management was performed in only 67.1% of them 64.5% of the health teachers do follow-ups on the oral disease of the children after the examination. Only 0.7% of the schools have oral health education plans for the students' parents. Considering these major strategies for elementary school oral health care were health education, practicing proper methods of tooth brushing, periodic dental examinations, and fluoride mouth-rinsing programmes. But health teachers need more time for oral health education, practicing and management, and developing education materials. With regard to the high demand for oral health education and poor follow-up after periodic examination, the oral health education in elementary school should be considered as a formal educational course for more proper management of oral health, including application of major strategies to the children in earlier grades and efforts for increasing recognition and participation of the parents.

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유엔 안보리 대북제재 결의와 우리 해군의 대응 (UNSC Resolution against North Korea and ROKN's Reactions)

  • 박창권
    • Strategy21
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    • 통권39호
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    • pp.82-113
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    • 2016
  • This paper analyzes the contents and the effects of the UNSC 2270, and its implications to South Korea's defense strategy and navy. The UN Security Council passed strong sanctions against North Korea which punish North Korea's 4th nuclear test. The sanctions compared to the previous ones require international society to take practical actions such as comprehensive trade bans as well as diplomatic isolation which will put significant pains on North Korea. Especially, these measures would greatly hamper economic development policy of Kim Joung-un regime. Because Kim Jung-un regime has inherent legitimacy problems which stems from the third family succession of the power, economic difficulties may play an important cause on the regime instability in the long term. In fact, the United States sees this possibility as an option to coerce North Korea in which North Korea choose denuclearization for its regime survival. Nevertheless, the prospects of the UN sanctions are not so optimistic. Considering North Korea's willingness for nuclear development and its level of nuclear technology, North Korea will try to play a gambit with the US and South Korea by exploiting its strategic advantages. North Korea's response will have three following strategies. First, it would actively pursue political and economic survival strategy by using China's support for the regime, strengthening its power grip in the name of countering US hostile policy, and enhancing peace propaganda. Second, North Korea will accelerate efforts to position its status as a nuclear de facto state. For this purpose, it could create nuclear crisis on the peninsula. Third, it would exploit local provocations as an exit strategy to get over the current situation. In order to counter North Korea's actions and punish North Korea's behavior strongly, South Korea needs following strategies and efforts. It should first make all the efforts to implement the UN sanctions. Strong and practical nuclear deterrence strategy and capability with the U.S. should be developed. Effective strategy and capabilities for the prevention and deterrence of North Korea's provocation should be prepared. For this purpose, North Korea's provocation strategy should be thoroughly reviewed. Active international cooperation is needed to punish and coerce North Korea's behavior. Finally, South Korea should prepare for the possible occurrence of North Korea's contingency and make use of the situation as an opportunity to achieve unification. All these strategies and efforts demand the more active roles and missions of South Korea's navy and thus, nullify North Korea's intention militarily.

학교급식효과(學校給食效果)와 제도개선(制度改善)에 관(關)한 연구(硏究) (A Study on Improvement of School Lunch Programs and Its Health and Education Effect in Korea)

  • 박희용
    • 한국학교보건학회지
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    • 제1권2호
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    • pp.86-117
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    • 1988
  • The purpose of school lunch service programs (SLPs) is to provide school children with nutritious meals each day, to assist them in improving their mental and physical development, to make them understand the basic knowledge needed for healthy daily living throughout their lives with sound nutritional habits, and further, to enhance the national health status as well as the individual. The major purpose of this study is to describe the history and current status and promotional plans in Korea's SLSPs to improve the nation's health status. The major findings of this study are as follow: 1) The progression of the SLSPs can be devided into four major periods: Relief (1953-1972), Self-supportive (1973-1977), System-establishment (1973-1983), System-development(1984- ). 2) As result of the implementation of SLSPs in Korea, many positive effects have been found in school education, notably in the field of physical growth, social development and personality cultivation. 3) This study deals with a more detailed assessment with regard to the effects of the program on school education activities and the improvement of nutritional habits in the family. Although it is limited and not yet complete, the program implementation has contributed to the improvement in children's food-intake habits, understanding of food, and manners, and increased sanitary consciousness. It has also affected of parent's concerns and attitudes towards the improvement of daily meals as well as national eating patterns, and eventually provided motivation for increased farm production of nutritious food stuffs and reasonable food consumption. 4) The SLSPs does have its stare of problem such as an unsatisfactory budget, lack of understanding of the program by school personnel and parents. However, there is no doubt that the SLSPs should be carried out effectively for better health, and especially for the growth and development of the children. Finally, the problems and promotive Plans of the SLSPs can be approached by aspects of the administrative, financial and operational systems. These system have to coordinate with relevant authorities to expand participation in the program for the successful implementation of the SLSPs. The eventual objective this study is to propose ways and means for mobilizing every available element in the effort to attain the goals of educating and training healthy and competent personnel manpower, stabilizing the demand and supply of food and the ensuring adequate coordination of national food production and consumption.

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구강 및 전신 건강 기반 고령자용 식품 개발을 위한 요구도 조사 -서울 일부 지역 복지관 이용 노인을 대상으로- (Demand for Elderly Food Development: Relation to Oral and Overall Health -Focused on the Elderly Who Are Using Senior Welfare Centers in Seoul-)

  • 이금룡;한정아
    • 한국식품영양과학회지
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    • 제44권3호
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    • pp.370-378
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    • 2015
  • 본 연구는 노인식 개발에 앞서 노인들의 구강 및 전신 건강 상태에 기반을 둔 노인식 개발 요구도를 조사하고 그 상관관계를 통해 노인들에게 필요한 제품 개발을 위한 기본 자료를 제시하고자 수행하였다. 설문 분석 결과 본인의 전신건강에 관한 평가로는 보통이다(35.2%), 건강하다(30.7%), 건강하지 않다(19.9%), 매우 건강하지 않다(8.5%), 매우 건강하다(5.7%) 순으로 응답하였으며, 구강건강에 관해서는 보통이다(31%), 건강하지 않다(28.2%), 대체로 건강하다(17.8%), 매우 건강하지 않다(17.8%), 매우 건강하다(5.2%)의 순으로 대답하여 구강건강과 전신건강 간에 유의적 상관관계(P<0.01)를 보였다. 노인들이 좋아하는 맛은 담백한 맛(51.5%), 짭짤한 맛(25.7%), 달콤한 맛(12.0%), 새콤한 맛(6.6%)의 순으로 조사되었으며, 죽이나 국 종류 개발 시 원하는 국물 맛으로는 남성은 멸치 국물과 된장 국물, 여성은 멸치 국물, 된장 국물, 소고기 국물의 순으로 응답하였다. 반찬류로 남성은 생선류, 고기류, 나물류의 순으로, 여성은 나물류, 생선류, 김치류의 순으로 요구하였다. 남녀 고령자 모두가 개발을 원하는 간식 품목은 빵 떡류와 음료류였으며 대체로 자신의 저작능력을 고려하여 식품을 선택하는 것으로 조사되었다. 노인들은 본인들의 질병상태와 관련하여 증상 완화 및 회복을 위한 질병맞춤형 식이의 개발을 원하는 것으로 조사되었으며, 식품 구입 시 가장 중요하게 고려하는 요인은 영양균형이었고 고령자용 식품의 적정구입가는 3,000원 미만으로 생각하고 있었다. 본 연구 결과를 바탕으로 고령자용 식품을 개발할 때 고령자들의 저작능력을 고려하여 물성을 다양화한 생선류와 나물류의 개발이 필요하며, 또한 고혈압과 당뇨를 앓고 있는 고령자의 비율이 높은 것을 고려하여 물성이 조절된 저염 및 항당뇨식의 개발도 함께 이루어져야 할 것이다.

관리감독자 안전·보건교육프로그램에 있어서 위탁교육과 자체교육간의 차이에 대한 연구 (Study of Difference between Consignment Training and In-house Training in Supervisor Training Program of Safety and Health)

  • 박훈신;원상봉
    • 한국실천공학교육학회논문지
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    • 제2권1호
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    • pp.95-105
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    • 2010
  • 산업사회의 발전은 우리를 풍요롭게 변화시키고 삶의 질을 높인 반면에 각종 재해로 인하여 근로자 본인은 물론 가족들의 고통을 안겨다 주었다고 볼 수 있다. 이 연구의 목적은 산업재해 예방을 위한 산업안전보건교육프로그램 중 회사 자체교육과 전문교육기관 위탁 관리감독자교육프로그램에 대한 실시 현황 조사와 산업안전보건관리 감독자 교육프로그램의 위탁교육과 자체교육이 산업안전보건법에서 정한 관리감독자 직무를 수행하는 대상의 연령, 업종, 교육이수횟수, 상시근로자수별로 통계적으로 유의한 차이가 있는지를 조사 분석하였다. 그 대상은 안양권역에 근무 하는 관리감독자를 대상자로 하였다. 연구 결과, 기업에서 실시하는 자체교육보다 전문교육기관에서 실시하는 위탁 교육이 더 관리감독자직무에 도움이 되었다는 결과이며, 이는 산업안전보건법의 계속된 개정에 전문교육기관에서 실시하는 위탁교육 이 좀 더 유연하게 대처해왔고 수요자의 요구조사에 더욱 충실하여 틀에 얽매이지 않고 교육 과정을 끊임없이 개발하고 연구해왔다고 해석될 수 있다.

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한국 중년층의 노인장기요양보험제도에 대한 인식과 구강보건진료에 대한 요구의 융합 연구 (Convergence study of long-term care insurance system for elderly of awareness of middle-aged people and demand for dental services in the system)

  • 박정란;윤미선;최유리
    • 한국융합학회논문지
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    • 제9권7호
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    • pp.95-103
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    • 2018
  • 본 연구의 목적은 중년층의 노후 준비계획과, 노인장기요양보험제도, 노인장기요양보험제도 내에서 치과의료서비스 분야의 인식도를 확인하고자 하였다. 설문응답대상자들은 노후생활비를 미리 저축하는 비율이 56.1%였으며, 가족들에게 노후 부담을 주기 싫어하는 경향을 나타냈으며,(41.8%) 노후 보살핌은 시설서비스, 간병 제도 등을 이용하고자 하였다. 노인장기요양보험제도에 대해 "조금 알고 있다"는 응답이 36.7%로 나타났다. 또한 장기요양보험제도 내 치과의료서비스의 필요성이 높다고 생각하였다 (98.5%), 만약 서비스가 이루어진다면 참여하겠다고 하는 응답이 92.3%로 나타났으며, 장기요양보험 내 치과의료서비스에 대한 인식 하지 못한 비율이 85.2%로 나타났다. 따라서 노인장기요양보험 내 치과의료서비스부분의 인식 확대가 필요하다. 본 연구결과는 노인장기요양보험 내 치과의료서비스 부분의 추후 제도 개선 시 기초자료로 사용될 수 있을 것으로 사료된다.

이조시대의 주생활에 관한 소고 - 상류주택의 평면분석을 중심으로 - (A Study on Housing Problem of The Yi-Dynasty - With a Focus on The House - plan - Analysis of Upper - class -)

  • 이인희
    • 대한가정학회지
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    • 제11권1호
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    • pp.3-13
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    • 1973
  • This article has an aim to study what kind of housing system our ancestors lived with during the Yi-Dynasty by analyzing the house-plan of upper-class society of that period since the house of lower-class was very insignificant as it has always been while the house of upper-class represented the period. With this study we can clearly see how we ought to go in the right direction toward the development of our Korean genuine housing by renovating and renewing those unreasonable points in our traditional housing system. It is firmly believed that we should-keep our own unique traditional lovely housing system for being destroyed by the whirl-wind of modernization and the demand of rationalism and efficiency-centered idea of the western mind. From this view point we think it is very urgent to see this matter correctly and find out the real way how we should do in order to keep our own good things for ourselves and make them preserved. This essay is divided into three parts as follows : 1. Thoughts on selecting the good housing area. 2. The aspect of housing reflected upon composing the house-plan. 3. The characteristic sentiments reflected upon the interior construction and decoration. We can find several characteristic points in the housing system of the Yi-Dynasty as follows : 1. In Korea, the thought of natural geography (Poongsu-seul), apart fro scientific view, which seems rather superstitious to us, modern young people, has been highly recommended by the people of our country from old days connected with the prosperity of our life. They also neglected about the social circumstances such as, market, transportation, and education, which are now considered as very important. They only put their concern on this natural environment which they called Poongsu. 2. In construction of house-plan, the house was not built for living with reasonable convenience, but for showing prestige of the upper-class people reflecting its social organization under the feudalism of the period. Furthermore, the most of the housework was done actually by those servants and maids of the house, and not the family themselves. The only concern for the upper-class people was to show off their authority, and so this sense of authority was revealed in the housing as well. 3. Both the outside appearance of the house and the interior decoration or the furniture are all very artistic and lovely. They were so refined and beautiful with their delicate taste which truly seem against our modern rationalism and uniformity.

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대학박물관 사회교육프로그램 운영의 현황과 발전방향 (The Present Situation and Expansion of the University Museum Public Education Program)

  • 여중철
    • 고문화
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    • 68호
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    • pp.77-92
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    • 2006
  • 이 글은 대학박물관에서 행해지고 있는 사회교육의 역사를 일별하고 사회교육프로그램의 내용을 분석한 뒤, 사회교육의 발전방향을 논한 글이다. 대학박물관 중에서 사회교육을 시행하고 있는 곳은 서울대학교, 이화여자대학교, 충북대학교, 영남대학교 박물관을 비롯한 20개 기관인데, 영남대학교 박물관이 1990년에 시작한 것을 비롯하여 20년이 되지 않는 짧은 역사를 가지고 있다. 박물관대학, 박물관교실, 교양강좌, 문화강좌 등의 명칭으로 시작한 사회교육은 주제나 교육방식 등이 점차 다양해져가고 있다. 사회교육프로그램의 내용을 분석한 결과, 교육프로그램은 고고학, 미술사, 민속학, 불교사, 역사학, 인류학, 현대미술 등 분야에 대한 강의실 강의와 현장강의, 답사로 이루어졌음이 밝혀졌고 강사는 대학교수가 주종을 이루고 수강생은 4, 50대의 여성이 대부분이었다. 교육프로그램에 대한 자체평가나 수강생의 평가가 미흡한 것으로 나타났고 수요자중심의 프로그램개발이 필요하다고 생각되므로 가칭 교육프로그램 개설위원회의 설치가 필수적이라 할 수 있다. 사회교육의 발전방향으로 대학박물관협회에 사회교육분과를 설치하여 지속적인 연구가 절실하고 사회교육의 청년화와 자녀와 함께 하는 토요박물관에서의 강좌수강도 권유해볼만한 사항이라 여겨진다.

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