• 디지털융복합연구
• /
• 제13권6호
• /
• pp.287-296
• /
• 2015

본 연구는 경기도 일부 지역의 여중생 273명을 대상으로 식행동, 생활습관과 주관적 신체건강상태와의 관계를 조사하여 다음과 같은 결과를 얻었다. 학생의 주관적 신체건강상태에 따라 적당한 식사량섭취(F=6.378, p=.002), 편식정도(F=3.542, p=.030), 영양소 섭취(F=6.780, p=.001), 생활습관(F=4.291, p=.015)은 집단 간 차이가 있는 것으로 나타났다. 연구대상자의 주관적 신체건강상태, 식행동, 생활습관의 상관분석결과 적당한 식사량을 섭취하고 영양소를 충분히 섭취할수록 주관적 신체건강상태가 좋았으며, 편식을 할수록 주관적 신체건강상태가 좋지 않은 것으로 나타났다(p<0.05) 이상의 연구결과에서 급속한 성장기에 해당되는 청소년시기에 올바른 식행동과 생활습관 형성을 위한, 식품과 건강분야의 융복합 컨텐츠 개발을 통한 융복합 교육이 체계적이고 지속적으로 이루어져야 할 것으로 생각된다.

• 대한간호학회지
• /
• 제24권2호
• /
• pp.190-205
• /
• 1994

Respect for human life and respect for human dignity are two basic values to which organized nursing has urged its members to adhere in their service to mankind. Thus it is the nurses’ duty to provide health care in support of sustenance of life and to pay respect for the patient’s right to dignity. In practice, however, nurses may experience dilemmas between these duties much due to the de velopment of modern advanced techniques. These dilemmas have become more complex and difficult to resolve. Nurses are often faced with situations in which the terminally ill refuse professional care, posing serious conflicts between respect for human life and respect for human rights to self-determination. In such cases, resolution of the problem is not a simple matter, thus requires intensive study into the ethical questions related to the situation. The purpose of this study was to identify ethical problems that nurses experience in caring for terminally ill patients and explore the ways to the resolution of problems within the context of the situations. The methodology used for the study was a case study method which ‘New Casuistry’ proposed by Jonsen & Toulmin(1988) and the ‘Specified Principlism’ proposed by Degrazia(1992) as an alternative to old deductive and intuitive method. Cases were developed through semistructured indepth interviews according to the casutistry method. A total of seven nurses were interviewd who were caring for therminally ill patients. Four cases out of a total 14 cases were related to the topic. Through the case analysis it became evident that nurses appreciated other values more often than respect for the patient’s right to self-determination. These other values were convenience and efficiency in nursing practice in case 1, preservation of life above all other values in case 2, provision of nursing care to fulfill the nurse’s professional obligation at most in case 3, and respect for the family’s demand against the patient’s wish in case 4. This study showed that the most important ethical problems were conflict between respect for the patient’s right to self-determination and sustenance of life for the fulfillment of professional obligation. For this problem, benefit /burden analysis from the perspective of the patient and family for the promotion of patient’s wellbeing may be a way to resolve the conflict. Further, through these analysis it was shown that physicians’ and families’ opinions dominated in the decision - making and the opinions of nurses’ and patients’ tended not to be reflected. Thus the patient's right to his or her care was not readily respected. To solve this problem. nurses should make efforts to communicate reciprocally with their patients, family members and physicians in an effort to respect for their patient’s rights to life and diginity from the point of view and values of the patient. It is also important that nurses provide good basic nursing care up to the time of death regardless of decisions about providing or not aggressive treat-ment for chronically and terminally ill patients.

• 대한치과의사협회지
• /
• 제9권10호
• /
• pp.617-622
• /
• 1971

In order to establish a more concrete dental health education and control program with the investigation of the knowledge levels concerning the dental health and the control of the dental health, twelve questionaires concerning the dental health were given to 263 inhabitants in the farm villages, 105 primary school teachers and 78 school health nurses. The results obtained from the information were as follows: 1. The knowledge levels of the primary school teachers and school health nurses as well as the inhabitants in the farm villages concerning the dental health were very low. 2. Most Korean population have not control ed their oral health in the right method using the toothbrushes and the dentifrices. 3. Most primary school teachers and school health nurses have not the ability to educate the primary school childen for the good dental health. 4. In Korea, the policies of the education and the control concerning the dental health must be reestablished. 5. Many Korean population complained the economic limitation and the over duties in their social life for the good dental health control. 6. It seems the complete medical and dental insurance system to be established for the good dental health control of most Korean population.

• 융합정보논문지
• /
• 제9권10호
• /
• pp.227-233
• /
• 2019

본 연구는 치위생(학)과와 보건계열 학생들을 대상으로 2018년 6월에서 7월까지 생명윤리의식을 파악하여 생명윤리 교육과정 개발에 필요한 기초자료를 제공하고자 설문조사하였다. 생명권과 인공수정 인식도의 관한 상관관계는 성별(r=0.241), 종교(r=-0.176), 학과(r=-0.160)에서 유의하였고, 장기기증 및 장기이식에 관한 인식도에 관한 상관관계는 학년(r=0.129), 종교(r=-0.098), 생명윤리 교육여부(r=0.235)에서 유의하였다. 안락사의 인식도에 관한 상관관계는 종교(r=0.139), 생명윤리교육 여부(r=-0.157)에서 유의하였다. 결과적으로 보건계열 대학생들에게 바람직한 윤리관을 확립하기 위해서는 교육과정을 개발하고 생명의료 윤리의식에 영향을 미치는 요인을 다각적으로 분석하여 체계적으로 교육 프로그램을 운영해야 할 것이다.

• 가정∙방문간호학회지
• /
• 제26권1호
• /
• pp.102-110
• /
• 2019

Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

• 대한한의학원전학회지
• /
• 제3권
• /
• pp.1-150
• /
• 1989

Oriental medicine thinks life and death as the following. 1. The universe seems to be a kind of organism which is divided into 3 branches, as Heaven, Earth and Man. Man is not created from nihil by the Creator. Heaven and Earth by their interaction operate to produce man. This is similiar that zygote is not created from nihil, and that sperm and ovum are transformed into zygote by their interaction. The symbolic meaning of sperm is Heaven, and that of ovum is Earth. Mind and body, as well as spirit and body, are not the real, but artificial words for the purpose of observing and expressing one man. So there is not spiritual substance as distinct from body. The expected life span of man is subjected to change, and is always becoming through life. Fate, the Creator and the world to come cannot be said to be. 2. After one's death, man is transformend into Heaven and Earth. Dying is this process of transformation. Although man comes into existence and closes one's life, the total life of the universe does not change. The criteria of determination of death is not in cell death, but in somatic death. Somatic death divided into 2 branches, one is heart-lung death, the other is brain death. For the standard of health changes ceaselessly as time goes by, aging and dying is not the process of losing health. Because of mind cannot be seperated from body, we'll feel at ease bodily and mentally in healthy dying. The completion of lifetimes is the value of healthy dying. 3. From the viewpoint of these, we must think to let a person die healthily is the right medical ethics. The way to let a person die healthily is divided into 3 branches, one is treatment, another is prevention and the other is promotion of health. We should treat and prevent death of sickness, but take care of healthy dying.

• 한국환경보건학회지
• /
• 제32권2호
• /
• pp.118-125
• /
• 2006

The road traffic noise has been increasing broader effects on urban areas as well as rural areas because of rapidly increasing traffic volume and newly-constructed roads. 10 sites in building development areas were selected and the noise levels were measured by the apartment floors and by the various block plans of apartment complex. The results showed that the highest traffic noise level was obtained at the 5 and 7 floors on the apartment floors. On the basis of 7 floor with the highest level, the correction coefficient obtained from noise reduction by each floor and measurement point was -5.54 dB(A)(1st floors), -0.96 dB(A)(3rd floors), -0.38 dB(A)(5th floors), 0.00 dB(A)(7th floors), -1.98 dB(A)(l0th floors), -3.10 dB(A)(13th floors), -3.45 dB(A)(15th floors). The level of road traffic noise in the arrangement construction of right angle was about 3.0 dB(A) at N-4 point and 2.1 dB(A) at N-6 point lower than that of a plan figure, respectively. The results suggested that application of correction coefficient obtained by the apartment floor and by the arrangement construction can be improved in road traffic noise.

• 여성건강간호학회지
• /
• 제2권2호
• /
• pp.230-252
• /
• 1996

Over one million cases of the induced abortion have been conducted annually in Korea. Among those cases, most of all were illegally done, but this has not been addressed in the literature. While Korean Nurse Association Code of Ethics presents the respect for life as one of the basic ideology, it was not dealt enough in nursing education. The purposes of the study were to activate the debate on the issues related to an induced abortion ; to introduce the related ethical theories ; and to seek the solution of the ethical problems, which will eventually result in establishing the morality of nursing practice. The ethical theories of an induced abortion have traditionally addressed two extreme perspectives ; the conservatives who emphasize the sanctity of human life and the right of life that will never ethically allow the killing fetus ; and the liberalists who insist the right to choice for women to control their body. Since these extreme theories has not been helpful to solve the ethical problems, the recent trend is leading to the modified theories both from conservative and liberal perspectives. The examples of the theories are the potentiality of fetus(Singer, 1993), the obligation of women to serve their body to fetus(Held, 1987), the Replacement theory (Callahan, 1987), and the Principle of Caring (Gilligan, 1982). The study conducted the indepth interviews with 17 women who experienced the induced abortion and the 6 cases were selected to be analyzed. The cases were analyzed and interpreted by using an integrated case method which was combined of the New Casuisty(Jonsen & Toulmin, 1988 ; Jonsen, 1991) and the Specified Principlism (Richardson, 1990 ; Degrazia, 1992). The result of analysis revealed three types of ethical problems ; (1) the responsibility of taking care of the baby to be born (2) the fear for the condition of the fetus, and (3) the choice of induced abortion as the method of birth control. The findings also revealed the related ethical principles for various situations ; the principle of caring was used for choosing an induced abortion by the subjects ; the principles of the potentiality of fetus and the obligation of women to serve their body were for the consideration for the life of fetus ; and the principle of replacement was utilized for the right to choice for women. The ethical principles related to an induced abortion introduced in the study provided the way to solve the moral problems by applying to the clinical situations for nurses. The study also revealed the possibility of modifying the current ethical theories from the method of applying the principles to the various situation in the study. The modified theories would be more useful to guide the clinical practice with similar ethical problems.

• 여성건강간호학회지
• /
• 제7권3호
• /
• pp.393-406
• /
• 2001

The purpose of this study was to find out women's need and level of knowledge about episiotomy, pain and discomfort related to episiotomy on a cross-sectional survey design. The subjects were 102 postpartal women agreed on oral consent. 34 postpartal women admitted at obstetric ward of H university hospital, 34 postpartal women admitted at 2 Sanhujoriwons, and 34 women within one year afterbirth. They were selected in Seoul, Korea. Data were collected from July, 1 to September 30, 2000, by a structured questionnaire. The instrument used for this study was a questionaire consisted of 5 items of general characteristics, 12 items of obstetric characteristics, 10 items of level of knowledge (Chronbach $\alpha$ .8176), 8 items of need of education(Chronbach $\alpha$ .8836), 3 items of pain (Chronbach $\alpha$ .9252), and 3 items of discomfort (Chronbach $\alpha$ .8092). The data were analyzed by the SPSS/PC+ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows; 1. 63.2% of respondents had right answer on 6-8 items among 10 items. Only 4.4% of women got right answer on 10 items all. 2. The need of education was high(4.45%) on all items and the range of score was $4.25{\sim}4.64$. 3. The strength of pain was the highest within one week afterbirth(5.93/10) and became lower in 8-14 days afterbirth(2.55). And after 15days of postpartum, the pain level became to the lowest level(1.08). However, pain was delayed until more than one month afterbirth. 4. The level of discomfort was the highest one week afterbirth(6.88/10) and became lower in 8-14 days afterbirth(4.20). And after 15days of postpartum, the discomfort level became to the lowest level(2.47). Universally, the degree of discomfort was higher than pain. 5. There was a strong positive correlation between discomforts and pain ($r=.752^{**}$) and weak positive correlation between discomforts and the level of educational need($r=.308^*$). In conclusion, women have a right to choose whether she will have episiotomy or not according to her decision making based on the comprehensive knowledge of episiotomy before they get episiotomy with consent process and explanation in detail. Women health care providers like nurses have a responsibility to do conscious raising and empowerment for women so that they could lead themselves to choose given medical treatments for women's health and wellbeing and the quality of life in her life cycle.

• 근관절건강학회지
• /
• 제27권3호
• /
• pp.229-237
• /
• 2020

Purpose: This paper aims to clarify the concept of well-dying in the sociocultural context of Korea. Methods: Walker and Avant's method was chosen for the concept analysis. Through a literature review of 36 papers, the attributes and definition of well-dying were derived. Results: The literature revealed that in Korean society, well-dying is defined as the process of actively preparing for death throughout life. The attributes of the concept are a reflection on death, death acceptance, searching for meaning, transcendence, advance decision-making, and sharing values with family. The motivation for thinking about death, the hope of dying with dignity, and the Korean cultural view of death precede the concept, followed by dying with dignity, personal and family happiness, and improved quality of life and death. Conclusion: This study may lead to the unification of concept use based on mutual understanding, thus enabling effective communication in research, education, and clinical settings. This can be the rationale for the development of tools and educational programs as well as establishing policies related to well-dying in Korea.