• 근관절건강학회지
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• 제8권1호
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• pp.109-121
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• 2001

The purpose of this study was to find out the long-term effects of the self-help program through the follow-up with peer group meetings of arthritis patients. In order to fulfil the purposes, the follow-up program with peer group meetings was developed by researchers with consisting of monthly health contract, group discussion, group counseling, recreation, and exercise. This program was carried out 2-3 hours once in a month for 5 months (1999-2000) and evaluated in a nonequivalent control group pretest-posttest quasi-experimental design. The subjects were 34 patients of experimental group and 24 of control group. The measurement tools of this study are pain rating scale(Lee & Song), KHAQ(Bae), rating scale of fatigue, and goniometer. The results of this study revealed no significant differences on number of pain site, fatigue, physical functioning, flexibility of the shoulder joints, and level of the extension of the knee joints between experimental group and control group. Whileas pain reaction of the control group was significantly high. However, the peers expressed very much their satisfaction and appreciations with the follow-up program with Peer group meetings. Actually, they wanted to have this peer group meeting continuously. This results suggested that the follow-up program with peer group meeting could be recommended as good nursing intervention to help the arthritis patients after having the Self Help Program in the community setting.

• 산업융합연구
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• 제21권1호
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• pp.77-86
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• 2023

본 연구는 정신장애인 동료지원활동의 보다 발전적인 고용 활성화 방안을 모색하고자 하는데 그 목적이 있다. 그리하여 정신장애인 동료지원활동 리더양성 일자리 지원사업을 담당하고 있는 직업재활실무자들을 대상으로 초점집단인터뷰(FGI)를 실시하였다. 연구결과, 연구참여자들은 본 사업을 통해 역량강화에 대한 기대를 갖고 있었고, 동료지원활동가의 역할에 대해 동료들에 대한 정서적 지원, 프로그램 계획 및 진행, 자조모임 운영, 사업 및 시설홍보, 직원 보조지원의 역할 등으로 인식하고 있었다. 또한 금전적인 보상과 의미있는 역할 수행이 된다면 보다 동기부여 될 수 있다고 보았으며, 사업참여를 통해 힘들지만 보람을 느끼며, 전문성 향상을 위해 스스로 노력하는 모습을 보였다. 본 연구결과를 토대로 정신장애인 동료지원 활동 고용 활성화를 위한 논의 및 실제적인 제언을 하였다.

• 한국가족복지학
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• 제61호
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• pp.93-136
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• 2018

본 연구의 목적은 지역사회복지관에 기반한 한부모 자조집단의 발전적 변화를 도모하고 그 과정을 통하여 사회복지사의 자조집단 지원 실천방안을 모색하는 것이다. 이를 위하여 참여실행연구를 진행하였는데, 자조집단이 저소득 한부모 가족의 자립과 역량강화에 유용한 실천방법이지만 구체적 실천방안은 부재하다는 문제인식을 공유한 사회복지사와 교수자 9명이 연구에 참여하였다. 10회기의 연구모임에서 논문 숙독, 개별 자조집단 분석, 관련 사례 연구, 퍼실리테이션 학습 등 다양한 활동이 이루어졌으며, 더불어 매 회기마다 각 집단별 진행사항을 공유하고이후 적용점과 계획 등을 논의하는 동료 수퍼비전을 병행하였다. 이를 통하여 학습하고 논의한 바를 집단에 적용하고 그 과정과 결과를 성찰하면서 다시 논의하고 적용하는 과정을 반복하였다. 그 결과, 각 집단별로 집단의 목표나 비전이 명료해지고, 담당자에 대한 의존이 감소하면서 회원 주도성이 증진되었으며, 회원 간 친밀감, 상부상조, 집단에 대한 애착이 강화되는등 긍정적 변화가 나타났다. 또한 논의된 내용을 질적으로 분석한 결과, 주도성 및 역량강화, 응집력, 리더십, 탈정형화 등 네 주제에서 17가지 실천방안이 도출되었다. 이러한 결과를 토대로 저소득 한부모 자조집단을 위한 보다 현실적인 실천방안에 대해 논의하였다.

• 근관절건강학회지
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• 제9권2호
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• pp.154-165
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• 2002

Purpose: The purpose of this study was to find out long-term effects of the self-help program including the stretching exercise of patient with fibromyalgia, Our findings will have the way for the nursing intervention for reduction of fibromyalgia symptoms and physical disability. Method: The research design was pre-post test design of an experimental group. 41 subjects with fibromyalgia were subjected to our study. Participants of this program were participated with a group of 8 to 12 members with duration of two and half hours for two years(March. 1998 to January. 2000). The Self-efficacy was measured by the Self-efficacy scale. Symptom was converted to scores based on visual analog scale. Physical disability was measured with questionnaires prepared by researchers of this study. Data were collected by the structured interview using questionnaires after self-help program and after 8 months. Data were analyzed by frequency, $x^2$-test and repeated t-test using SPSS 11.0 for windows. Result: Daily activities were not changed but self-described symptom was changed after 8 months. After 8 months, exercise performance along with taking drugs showed significantly lowering trend with respect to self-help program. Relieved symptom of patient with fibromyalgia has continued until 8months after 6weeks program of self-help. Also Promoted self-efficacy of patient with fibromyalgia continued after 8months. After 8 months, in self-described physical disability has showed significantly worse off than after self-help program. Conclusion: In this study, the long-term effects after self-help program for fibromyalgia have showed all symptoms and self-efficacy except exercise performance and physical disability. Therefore, it will be desirable that application of the follow up program with peer group meeting.

• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.257-272
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• 2015

본 연구는 우리나라 베이비부머세대 근로자의 경제요인, 사회요인, 조절요인이 주관적 건강평가와 어떠한 영향을 미치는지 파악함을 목적으로 하고 있다. 2012년도 한국노동연구원에서 실시한 제4차 고령화연구패널(KLoSA) 자료를 이용하여 베이비부머세대 근로자 1,202명을 분석 대상으로 하였다. 척도로 경제요인, 사회요인을 선정하여 주관적 건강평가에 유의미한 차이가 있는지 분석하였다. 분석방법으로는 빈도분석, t-test, ANOVA, 상관관계분석, 그리고 경제요인, 사회요인이 주관적 건강평가와의 관계에 민간의료보험가입이 조절효과가 있는지 검증하기 위한 다중회귀분석(Multi Regression Analysis)을 실시하였다. 연구결과 베이비부머세대의 주관적 건강평가에 영향을 미치는 주요 요인으로는 연령, 학력, 주택소유, 친구만남, 전반적삶만족, 민간의료보험가입 등이었다. 그리고 경제요인, 사회요인이 주관적 건강평가와의 관계에서 민간의료보험가입이 조절효과가 있는 것으로 나타났다.

• Journal of Korean Neurosurgical Society
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• 제56권3호
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• pp.175-187
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• 2014

The purpose of this clinical practice guideline (CPG) is to provide current and comprehensive recommendations for the medical and surgical management of primary intracerebral hemorrhage (ICH). Since the release of the first Korean CPGs for stroke, evidence has been accumulated in the management of ICH, such as intracranial pressure control and minimally invasive surgery, and it needs to be reflected in the updated version. The Quality Control Committee at the Korean Society of cerebrovascular Surgeons and the Writing Group at the Clinical Research Center for Stroke (CRCS) systematically reviewed relevant literature and major published guidelines between June 2007 and June 2013. Based on the published evidence, recommendations were synthesized, and the level of evidence and the grade of the recommendation were determined using the methods adapted from CRCS. A draft guideline was scrutinized by expert peer reviewers and also discussed at an expert consensus meeting until final agreement was achieved. CPGs based on scientific evidence are presented for the medical and surgical management of patients presenting with primary ICH. This CPG describes the current pertinent recommendations and suggests Korean recommendations for the medical and surgical management of a patient with primary ICH.

• 농촌의학ㆍ지역보건
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• 제17권1호
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• pp.34-45
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• 1992

In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.