• 농촌의학ㆍ지역보건
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• 제17권1호
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• pp.5-16
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• 1992

The maternal and child health is a basis of national health, and indicates the level of social welfare and health of the country, because it is related with community welfare status, general cultural conditions, and medical and health sciences. This is a study carried out to identify the present practices of maternal and child health care programs implemented by the private clinics located in Guns(counties ; rural area) in Kyungsangnam Province and to propose alternatives to improve their current programs through a self-administrative questionnaire. The subjects were 90 private physicians who operated their own clinics since 1990 and were general practitioners, Obstertrician/Gynecologists or pediatricians: This survey was conducted by mail from 15 January to 25 February 1992. The response rate was 94.4 percent. 1) The major manpower for MCH programs of the studied clinics was physicians and nurseaids. 70.3% of physicians were general practitioners, 81.1% of nursing manpower were nurseaids. 31.1% of the studied clinics employed lab-technicians. 89.2% of them had MCH room whatever the size and the setting, and 84.4% of Ob/Gyn clinics installed laboratory equipments. 2) 55.4% and 63.5% of the studied clinics provided 151 or above consulting services and curative services of MCH per physician a month respectively and 33.8% and 25.7% of them provided 10 or less consulting services and curative services per physician a month. 91.9% of lab-technicians had 10 or less laboratory tests per technician a month. 3) There was a difference between Ob/Gyn and pediatric clinics in terms of services delivered : for example, 80% of Ob/Gyn clinics provided pre- and post- natal care services, while 84.6% of pediatric clinics provided vaccinations for children. It was also found that only a few of general practitioners involved pre-and post- natal care services. 4) There were no clinics which had opened regular health education session but 24.3% of them had opened the sessions irregularly. Ob/Gyn clinics put emphasis on maternity and pediatric clinics did on child health, but general practitioners touched with both maternal and child health. 21.6% of the studied clinics had some kind of educational materials for MCH programs. Most of the materials were pamphlets or small booklets. 5) Proteinuria/glucosuria, blood pressure and blood type were tested in 48.6~69% of the studied clinics ; tests for blood sugar and hepatitis B were provided in 39.2~41.9% of them, most of them were done in Ob/Gyn clinics. 6) 41.9% of physicians, 29.7% of nurses and 45.9% of nurses-aids wanted to receive on-job-training for MCH programs.

• Journal of Preventive Medicine and Public Health
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• 제39권3호
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• pp.190-194
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• 2006

Epidemiology is the key element of public health and preventive medicine. Reversely, public health and social equity are the basic ground for epidemiologists. Current progress in the various fields of epidemiologic study in Korea calls for the increased participation of the trained epidemiologists. Expanding epidemiologic concepts to the wide spectrum of health and medical programs, active participation to the diversified health service fields and strengthening the role of epidemiology in the social and political decision making should be included in the perspectives of epidemiology in Korea. The future of epidemiology is certainly depend on the efforts of present epidemologists.

• 기본간호학회지
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• 제25권2호
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• pp.120-133
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• 2018

Purpose: A meta-analysis was conducted to evaluate effectiveness of education programs using video recording and feedback in the improvement of competency in clinical skills for health care majors. Methods: Six databases were searched and inclusion criteria were randomized controlled trials (RCTs) or non-randomized controlled trials (NRTs) reporting level of skill competency using numerical measurements. Data analysis and synthesis were performed using Comprehensive Meta-Analysis software and Revman program. Results: Of 1,568 records, 11 studies met inclusion criteria. Statistically significant effectiveness of education programs using video recording and feedback was identified. A low risk of bias was detected among both RCTs and NRTs. Meta-analysis showed that the intervention groups had more effective improvements in skill competency (standardized mean difference [SMD]: 0.74; 95% CI: 0.33~1.16). Results of subgroup analysis showed higher effects when interventions dealt with one skill, used self-reflection with expert feedback, and included instruction from instructor in the education programs. Conclusion: Findings suggest that schools for health care majors should actively adopt video and feedback based skill training allowing educators to design effective programs. Potential is higher for students to achieve higher competency when they train with one skill at a time, use of instruction and receive feedback from experts.

• 보건행정학회지
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• 제22권1호
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• pp.145-162
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• 2012

The purpose of this study is to understand magnitude and its related factors of user's cost-sharing for non-covered services in long-term care facilities. We corrected data for 1,016 subjects, based on the long-term care benefits cost specification. Eighteen subjects were excluded from the data analysis due to missing data on family care-givers characteristics. Finally, 998 subjects were included in the study. The average cost of non-covered services per month was 209,093 won and distributed from 0 to 1,011,490 won. There was a significant difference by the characteristics of family care-givers and long-term care facilities. The monthly average cost for meal materials per person was 199,181 won(0~558,000), average cost of additional charge caused by using private bed was 232,992 won (50,000~600,000), and costs for haircut and cosmetics were 8,599 won. For the rest, there were various programs costs(93,328 won), diaper and its disposal cost(109,628 won), purchase cost for daily necessaries(24,435 won) and etc. The related factors for the magnitude of non-covered services expenditures were education level of family care-givers, occupancy rate and location of LTC facilities, and the costs of using private bed, haircut and cosmetics, and various programs among non-covered services. These findings suggest that present level range of LTC facilities users' cost-sharing is wide and it is urgent to prepare the standard guideline for cost and level in non-covered services.

• 한국실내디자인학회논문집
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• 제19권3호
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• pp.145-153
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• 2010

The purpose of this study is to find out apartment residents' consciousness and needs of their community facility by age group as to provide basic data for future community facility planning. For this study, 12 national rental apartment complexes in the Seoul Metropolitan area were selected, and the residents of diverse age groups were surveyed including children, adolescents, adults, and elders regarding their attitude, satisfaction, and necessity of using the community space, and their requests for programs and locations of the community space. As for the analysis method, statistical software, SPSS for Windows 14.0, was used, and total of 891 questionnaires were analyzed for the survey. The findings of this study are as follows. 1) As to major activities in national rental apartment community facilities, older residents tended to show more interest in health, while younger residents tended to show more interest in leisure. 2) The residents' satisfaction about community facilities was the highest among children, and was the lowest among adults in general. Particularly, the facilities that were designed for specific age groups of users showed high satisfaction among users. Therefore, community facilities need to be planned in consideration of each age group of users. 3) Residents' requests for community facilities, in general, were found more among adults and elders than among children and adolescents. Elders made requests for the green environment, and adults made requests for facilities for family uses. 4) As to the results of surveying the requests about community facility programs, children, adolescents, and adults all made requests for programs regarding leisure activities. However, elders made requests for programs related to health or communication with neighbors. Therefore, the purposes and requests of using community facilities need to be identified precisely and then plan them accordingly and effectively.

• 한국학교ㆍ지역보건교육학회지
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• 제25권1호
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• pp.29-41
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• 2024

목적: 본 논문에서는 대한민국 성인의 라이프스타일 위험요인과 복합만성질환간의 연관성 규칙을 탐색하여 보건교육프로그램에 필요한 방향성과 기초정보를 제공하는데 목적을 둔다. 방법: 제8기 국민건강영양조사 중 2019년부터 2020년까지 만 19세 이상 성인 7,609명을 대상으로 하였으며, 6개의 라이프스타일 위험요인과 11가지 이환질환에 대하여 R과 R 스튜디오를 이용하여 연관규칙마이닝을 수행하였다. 결과: 본 연구 결과를 통하여 연관규칙마이닝과 같은 데이터마이닝 기법을 통해 생활 습관 위험 요인의 중요성과 여러 만성 질환의 역할을 보여줬다는 점에서 의미가 있다. 결론: 상기 결과를 통하여 신체 활동 부족을 해결하기 위한 운동 프로그램, 부적절한 체중을 해결하기 위한 식이 중재, 부적절한 수면을 해결하기 위한 정신건강 교육프로그램과 같은 선택적이고 집중적인 건강교육 프로그램에 대한 개발의 필요성이 요구된다.

• 지역사회간호학회지
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• 제26권4호
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• pp.372-379
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• 2015

Purpose: This research was conducted to examine the successful aging and identify factors influencing successful aging in the Korean elderly. Methods: The subjects were 4,507 elders and data were collected from the 4th Korean Longitudinal Study of Ageing in 2012. The data were analyzed using frequencies, weighted percentage, ${\chi}^2$ test, and logistic regression. Results: The results of this study showed that 19.6% of the participants were categorized to successful aging. The domains of the absence of disease and disability and maintaining physical and mental functioning showed a high rate of achievement, while the domain of active engagement with life showed a low rate of achievement compared to others. Successful aging was influenced by gender, age, subjective economic status, subjective health status, and family support, particularly spouse's support. Conclusion: Intervention programs to increase the prevalence of successful aging are required. Especially programs for strengthening spouse's support and enhancing subjective health status are required.

• Child Health Nursing Research
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• 제23권4호
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• pp.449-458
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• 2017

Purpose: The purpose of this study was to identify factors related to level of satisfaction among mothers of preschoolers. Methods: Participants were 359 mothers of firstborn healthy preschoolers. The questionnaires were collected from August 1 to November 21, 2012. Data were analyzed using SPSS 20.0. Results: The mean score for degree of mothers' parenting satisfaction was 5.94 out of 7. There were significant differences in the level of parenting satisfaction according to mother's job (t=2.48, p=.014), planned pregnancy (t=3.07, p=.002), number of children (t=2.22, p=.027), and parenting education (F=4.33, p=.005). The environmental variables of age of spouse (F=3.06, p=.048) and monthly income of the household (F=2.87, p=.036) also seemed to have an influence. Analysis of predictors such as the mother's job, planned pregnancy, parenting education, overall health problems, parenting stress, perception of emotional status and behaviors in children, age of spouse, and spouse's support explained 31.5% of the variance in mother's parenting satisfaction. Conclusion: The results suggest a need to develop nursing intervention programs for parenting stress reduction, and health programs for fathers to support mothers' child rearing.

• 지역사회간호학회지
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• 제33권2호
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• pp.196-206
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• 2022

Purpose: The purpose of this study is to identify health belief, subjective norms, social stigma, and sense of community affecting COVID-19 preventive behaviors among college students, and provide basic data for the development of preventive programs to improve COVID-19 preventive behaviors. Methods: This study used a cross-sectional study design. The study recruited a total of 170 college students, through an online survey from three online communities which are mostly used by college students. Data were collected from July 24 to August 9, 2021. The SPSS 21.0 program was used to analyze the data using simple multiple regression. Results: In simple multiple regression, the perceived susceptibility, perceived benefits and subjective norms were found to have a significant association with COVID-19 preventive behaviors of college students. These variables explained the 55.1% variance in COVID-19 preventive behaviors of college students (p<.001). Conclusion: The results of this study showed that the perceived susceptibility, perceived benefits, and subjective norms were significant factors affecting COVID-19 preventive behaviors of college students. Based on the results of this study, it is expected to develop COVID-19 preventive programs and strategies that increase perceived susceptibility, perceived benefits, and subjective norms to improve the COVID-19 preventive behaviors of college students.

• Child Health Nursing Research
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• 제23권2호
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• pp.179-189
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• 2017

Purpose: The purpose of this study was to investigate NICU nurses' nursing interventions for pain and factors affecting nursing interventions for pain. Methods: Participants were 120 NICU nurses from 5 university hospitals located in Daejeon Metropolitan City and Chungcheong Province. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Duncan test, Pearson correlation coefficients and multiple regression analysis with SPSS Windows 23.0 IBM program. Results: The factors affecting nursing interventions for pain included knowledge about non-pharmacological nursing interventions for pain and self-efficacy about nursing interventions for pain. These variables explained 28.3% of nursing interventions for pain. Conclusion: The results of this study suggest that it is necessary to develop education programs in which effective nursing interventions for neonatal pain are considered. The programs should be made available to NICU nurses.