• 제목/요약/키워드: Health promotion Education

검색결과 2,839건 처리시간 0.032초

의료행위 기준에 따른 치과위생사 직무 타당도 평가 (Evaluation of Dental Hygienist Job Validity according to Judgment Standard of Medical Practice in Medical Law)

  • 배수명;신선정;이효진;신보미
    • 치위생과학회지
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    • 제18권6호
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    • pp.357-366
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    • 2018
  • 본 연구는 치과위생사 직무를 다양한 각도에서 분석하고 검토하여 향후 치과 팀 내 치과진료업무를 효율적으로 분담하고 직무에 따른 교육 과정을 개발하는 데 기초 자료로 활용하기 위하여, 의료법에서 의료행위를 판단하는 기준에 따라 치과위생사 직무의 타당도를 평가하고자 하였다. 본 연구는 2017년 11월 10일부터 20일까지 강릉원주대학교 치과대학의 12명 교수를 대상으로 치과위생사 직무의 타당성을 평가하기 위해 자기기입 설문조사를 실시하였다. 치과위생사 직무가 질병예방과 치료, 환자요양지도, 보건 위생상 위해 발생 여부의 의료행위 판단기준에 해당하는지에 대한 전문가 일치율을 산출하였고, 각 행위를 의료행위 타당성 평가기준에 따라 점수화하여 level 1~4로 최종 분류하였다. 본 연구 결과에 따르면, 응답자의 50% 이상이 치위생 관리에 포함하는 치은출혈, 치주낭, 임상적 부착수준 측정 및 기록과 전문가 치면세균막 관리, 스케일링, 칫솔질 및 구강 관리용품 처방, 교육을 포함한 대상자별 구강보건교육과 치료 후 주의사항에 대한 상담이 세 가지의 의료행위 판단기준에 모두 해당된다고 응답하였다. 치과위생사가 치과임상에서 수행하는 행위는 의료행위 판단 기준에 따라 크게 4가지 범주로 분류하였고, 범주의 수준이 높을수록 수행난이도가 높고, 전문지식과 기술이 요구되는 직무로 판단할 수 있다. 치은출혈, 임상적 부착수준, 치주낭 측정 및 기록과 치면 연마, 전문가 치면세균막 관리, 스케일링, 치근활택술, 국소적 항균제 적용의 항목은 최종 점수 4.3으로 수행난이도와 전문성이 요구되는 Level 4 그룹으로 분류되었다. 우리나라 치과진료현장에서 환자의 안전과 건강권을 보장하면서 효율적으로 진료를 분담하기 위해서는 수행 행위에 따라 필요한 지식의 수준과 적절한 교육, 자격 기준 등에 대한 표준화된 지침이 개발되어 활용될 필요가 있다.

현존자연치아수와 만성폐쇄성폐질환과의 연관성 (Association between the Number of Existing Permanent Teeth and Chronic Obstructive Pulmonary Disease)

  • 신혜선;안용순;임도선
    • 치위생과학회지
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    • 제16권3호
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    • pp.217-224
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    • 2016
  • 본 연구는 2009년 국민건강영양조사 자료를 이용하여 우리나라 성인에서 다양한 혼란변수를 보정한 후 현존자연치아수와 COPD와의 연관성을 알아보고자 하였다. 40세 이상 성인 3,107명을 대상으로 구강검진과 폐기능검사를 시행하여 다음과 같은 결론을 얻었다. 첫째, 폐기능검사에 의한 COPD 유병률은 11%였다. 현존자연치아수를 0~19개군, 20~27개군, 28개군으로 나누었을 때, COPD의 분포는 현존자연치아수가 0~19개인 군에서 21.0%로 가장 높았다. 둘째, COPD는 65세 이상군, 남자, 교육수준이 낮을수록, 정상적인 BMI를 갖는 군, 고혈압군에서 높았다(p<0.001). 셋째, 인구사회학적 특성, 사회경제적 위치, 건강관련행태, 구강건강 및 행태, 전신건강상태를 보정한 다중로지스틱 회귀분석에서는 현존자연치아수 20~27개군(OR, 1.90)과 0~19개군(OR, 3.93)에서 COPD와 연관성을 보여, 현존자연치아수가 적을수록 COPD의 위험이 증가함을 확인하였다. 특히 치주질환과 COPD의 중요한 위험요인인 흡연상태에 따른 층화분석결과, 현재흡연군에서만 모든 치아를 가지고 있는 군에 비해 0~19개 치아를 가진 군에서 OR이 8.90배 높은 결과를 보여 강한 연관성을 보여주었다(OR, 8.90; 95% CI, 2.53~31.33). 본 연구 결과를 통해 현존자연치아수는 COPD와 연관성이 있음을 확인하였다.

융복합 교육시대에 간호대학생의 장기이식 인식에 관한 모색 (A Study on the recognition of organ donation of Nursing students in convergence and integration time)

  • 이자옥;오은영
    • 디지털융복합연구
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    • 제16권5호
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    • pp.289-297
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    • 2018
  • 본 연구는 간호대학생의 장기이식 인식에 관해 모색해보고자 생명의료윤리의식과 장기기증태도와의 관계를 확인하였다. 202명의 간호대학생을 대상으로 2017년 4월부터 7월까지 자료를 수집하였다. 연구결과 대상자의 생명의료윤리의식은 2.98점, 장기기증태도는 2.67점이었고 뇌사는 2.67점으로 가장 낮았다. 두 변수간의 관계는 양의 상관관계이었고(r=.18, p<.01) 생명의료윤리의식의 영향요인은 장기기증태도, 성별, 생명윤리의식에 관한 교육 수혜경험이었으며 설명력은 9.1%이었다. 본 연구 결과를 바탕으로 장기이식의 인식고취를 위해 뇌사 및 장기기증 태도 함양에 초점을 둔 간호윤리교육이 필요함을 제안한다.

청소년건강행태온라인조사 자료를 활용한 청소년의 잇솔질 횟수 분석 (Frequency of daily tooth brushing among Korean adolescents, 2008-2010: The Korea Youth Risk Behavior Web-based Survey)

  • 진혜정
    • 한국산학기술학회논문지
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    • 제14권5호
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    • pp.2244-2250
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    • 2013
  • 우리나라 청소년을 위한 구강보건교육 프로그램을 기획하는데 있어 기초자료를 제공하고자 2008년, 2009년, 2010년의 청소년건강행태온라인조사 원시자료를 이용하여 중학생 및 고등학생의 일일 잇솔질 평균 횟수를 분석하였다. 자료 분석은 조사에 참여한 표본이 우리나라 청소년의 대표성을 갖도록 지정된 가중치를 적용하였으며 자료는 SPSS 통계 프로그램을 이용하여 빈도분석, t-test 및 교차분석을 실시하였다. 우리나라 청소년의 잇솔질 평균 횟수는 2008년도에 3.92회, 2009년도에 3.96회 2010년도에 3.99회로 조금씩 증가하는 경향을 보였다. 우리나라 청소년이 학교에서 점심식사 후 잇솔질을 하는 대상자는 2008년 34.5%, 2009년 38.0%, 2010년 40.8%로 나타났으며 점심식사 후 잇솔질을 하지 않은 이유는 '칫솔, 치약 등을 가지고 다니기 귀찮아서'라는 응답이 가장 높게 나타났다. 따라서 우리나라 청소년의 체계적인 구강 건강 증진 프로그램을 기획하는데 있어 매 식후와 취침 전에 하도록 지도하여 잇솔질 횟수에 관한 지침을 마련해야 할 것이다.

A Study for the Development of the Aerobic Exercise Equipment through Cooperation between Design and Engineering Fields - Focusing on the Development of Elliptical Cross Trainer

  • Chung Kyung-Ryul;Yoon Se-Kyun;Song Bok-Hee;Park Il-Woo
    • 디자인학연구
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    • 제19권3호
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    • pp.183-194
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    • 2006
  • It is expected that the typical lifestyle of the future will be transformed into an opulent and comfortable existence as the quality of life improves due to the increase in household income and reduction in working hours. In the meantime, as the standard of living becomes increasingly more comfortable and plentiful, the toll on physical health becomes magnified as a result of obesity and insufficient exercise caused by super nutrition and change in labor conditions. This has instigated a deep awareness in fitness on the part of many people, forcing them to recognize the significance of daily exercise and physical activity. The Elliptical Cross Trainer(ECT), which has drawn wide attention recently, is a non-impact athletic apparatus that not only promotes exercise of the upper body parts in such sports as skiing but also the exercise of lower parts of the body on a treadmill. It is a type of cross training athletic gear that has been developed for aerobic exercise throughout the entire body. It has already formed a market as big as that of the treadmill in Europe, America, etc. Recently, its demand is growing sharply in the Korean markets as well as those in Northeast Asian countries. Despite such demand increase and expansion, since most of the expensive ECTs are exclusively supplied by suppliers in only a few advanced countries, localization of the ECT is urgently required in order to enhance competitiveness of Korean manufacturers and to expand the market. The ECT development project has been in full swing for approximately two year since 2004 in order to secure independent design, as well as engineering and manufacturing processes in efforts to develop a commercially viable ECT.

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Awareness of Cancer and Cancer Screening by Korean Community Residents

  • Jo, Heui-Sug;Kwon, Myung Soon;Jung, Su-Mi;Lee, Bo-Young
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권12호
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    • pp.4939-4944
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    • 2014
  • The purpose of this study was through a survey of awareness of cancer and cancer screening of Korean community residents to identify the stereotypes of cancer and bases for development of improved screening programs for early detection. Subjects were residing in South Korea Gangwon-Province and were over 30 years and under 69 years old. The total was 2,700 persons which underwent structured telephone survey questionnaires considered with specific rates of gender, region, and age. For statistical analysis, PASW Statistics 17.0 WIN was utilized. Frequency analysis, the Chi-square (${\chi}^2$) test for univariate analysis, and logistic regression analysis were performed. The awareness of cancer and cancer screening in subjects differed by gender, region and age. For the idea of cancer, women thought about death less than men (OR: 0.73, p<0.001). On the other hand, women had negative thoughts - fear/terror/suffering/pain/pain - more than their male counterparts (OR: 2.04, p<0.001). Next, for the idea of cancer screening, women recognized fear/terror more than men (OR: 1.38, p<0.01). The higher age, the more tension/anxiety/worry/burden/irritated/pressure (OR: 1.43, p<0.01, OR: 2.15, p<0.001, OR: 2.49, p<0.001)). People may be reminded of fear and death for cancer and of fear, terror, tension and anxiety for cancer screening. To change vague fear and negative attitudes of cancer could increase the rate of cancer screening as well as help to improve the quality of life for community cancer survivors and facilitate return to normal social life. Therefore, it is necessary to provide promotion and education to improve the awareness of cancer and cancer screening.

종합건강진단시 위장검사의 선택 실태에 관한 분석 (Analysis on Actual State of Selective Upper Gastrointestinal Study in Medical Examination)

  • 강성호;손순룡;주미화;김창복;김건중
    • 대한방사선기술학회지:방사선기술과학
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    • 제22권2호
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    • pp.61-68
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    • 1999
  • The purpose of this study is to present controversial point and reform measurements by analysing factors haying important effect on selection of upper gastrointestinal study in total health promotion. We examined 200 persons for this study, who visited for upper gastrointestinal study from January to February in 1999. We classified this group into Endoscopy, Upper gastrointestinal series, and sleeping endoscopy. We also investigated standard of satisfaction and factors having effect on selection of each study. As a results, in the motive of selection, Item of 'making accurate observation' and 'without pain' was 39.3% and 34.7%, respectively. In this study, sleeping endoscopy was 45.7%, but on the other side upper gastrointestinal series was low 22.6%(P<0.05). In the standard of preference of study, the man was 55.7% in the endoscopy, and the woman was 61.8% in the upper gastrointestinal series(P<0.05). The standard of preference of upper gastrointestinal series show that it was satisfied on the whole irrespective of sex, dwelling place, age, occupation, and level of education. In the selection of study, one's own will was showed the highest frequency, and family inducement was showed second(P<0.05). Persons over 60% were examined before the same study. Selection of upper gastrointestinal series was 47.9% of person with normal findings, and endoscopy and sleeping endoscopy was over 70% with gastritis, gastric and duodenal(P<0.01). For one's accurate selection of examination, it is important that objective and credible information should be given to a recipient for examination.

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저소득가정의 사회적 배제, 가정자원 및 탄력성의 구조방정식 모형 (Social Exclusion, Family Resources, and Resilience of Low-Income Families: A Structural Equation Model)

  • 김미영;박미석
    • Human Ecology Research
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    • 제52권6호
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    • pp.587-600
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    • 2014
  • The purpose of this study was to examine the effects of family resources on social exclusion and the resilience of low-income families. To be more specific, this study categorized the level of social exclusion into five dimensions: work, housing, health, education, and social participation. Further, family resources were categorized into the two dimensions of "internal resources of the family" and "external resources of the family" in order to evaluate the effects of the two differentiated dimensions on social exclusion and the resilience of low-income families. The data of low-income families for the period of August 23 to September 28, 2012, were collected from community welfare centers that manage individual development accounts and local self-sufficiency centers; 302 cases were considered. The main results of this study were as follows: firstly, the model analysis proved that family resources as a parameter was significant, not only statistically but also theoretically and practically. Secondly, while a negative relationship was found between social exclusion and family resources, a positive relationship was found between family resources and resilience. This implied that the alleviation of a low-income family's social exclusion level could become an important intervention for the improvement of the family's functioning and strengths. Further, it implied that the qualitative improvement of the family's resources that affected the promotion of the resilience could be a basis for another practical intervention. These results suggested crucial implications for the development of comprehensive policies for addressing poverty issues.

Growth and Decay of Alpha Tracks in a Large Scale Cloud Chamber after Injection of Radon

  • Wada, Shinichi;Kobayashi, Tsuneo;Katayama, Yoshiro;Iwami, Toshiaki;Kato, Tsuguhisa;Cameron, John R.
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.275-278
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    • 2002
  • The recognition of the natural background radiation is important not only for radiological education but also for the promotion of people's scientific view about radiation. We made a "room" on the web showing natural background radiation as part of a VRM (Virtual Radiation Museum). The "room" shows the video images of the tracks of charged particles from natural background radiation, alpha and beta ray track from known sources using a Large Scale Diffusion Cloud Chamber. The purpose of this study is to make clear the origin of a kind of track (named A-track) which is thick and easy to recognize with the length less than several cm in the cloud chamber, and to make numerical explanation of its counting rate. The study was carried out using a Large Scale Diffusion Cloud Chamber (Phywe, Germany) installed in the Niigata Science Museum. The Model RNC (Pylon Electronics, Canada) was used as Rn-222 source. Ra-226 activity in RNC was 111.6 Bq calibrated with NIST protocol. Rn-222 gas was injected into the cloud chamber. Continuous video recording with use of Digital Handycam (SONY, Japan) was carried out for 360 min. after injection of Rn-222 gas. The number of alpha-ray track (alpha track) in the video images was analyzed. The growth and decay curve of the total activity of Rn-222 and its alpha emitting progeny were calculated and compared with the count of the alpha tracks. As a result the alpha tracks formed by Rn-222 injection resemble A-Tracks. The relationship between A-track in the cloud chamber and atmospheric Rn is discussed.

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Physical Activity and its Relation to Cancer Risk: Updating the Evidence

  • Kruk, Joanna;Czerniak, Urszula
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권7호
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    • pp.3993-4003
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    • 2013
  • Scientific evidence for the primary prevention of cancer caused by physical activity of regular moderate-intensity or greater is rapidly accumulating in this field. About 300 epidemiologic studies on the association between physical activity and cancer risk have been conducted worldwide. The objectives of this paper were three-fold: (i) to describe briefly the components of physical activity and its quantification; (ii) to summarize the most important conclusions available from comprehensive reports, and reviews of the epidemiologic individual and intervention studies on a role physical activity in cancer prevention; (iii) to present proposed biological mechanisms accounting for effects of activity on cancer risk. The evidence of causal linked physical activity and cancer risk is found to be strong for colon cancer - convincing; weaker for postmenopausal breast and endometrium cancers - probable; and limited suggestive for premenopausal breast, lung, prostate, ovary, gastric and pancreatic cancers. The average risk reductions were reported to be 20-30%. The protective effects of physical activity on cancer risk are hypothesized to be through multiple interrelated pathways: decrease in adiposity, decrease in sexual and metabolic hormones, changes in biomarkers and insulin resistance, improvement of immune function, and reduction of inflammation. As there are several gaps in the literature for associations between activity and cancer risk, additional studies are needed. Future research should include studies dealing with limitations in precise estimates of physical activity and of a lack of consensus on what defines sedentary behavior of individuals and those linked with the proposed biomarkers to cancer risk and controlled exercise intervention trials.