• 농촌의학ㆍ지역보건
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• 제25권1호
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• pp.1-9
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• 2000

본 연구는 최근 급속히 산업화가 진행되고 있는 일개 농촌지역주민의 보건생활환경에 대한 관심도, 요구도, 참여의지 등을 조사하여, 근로자와 지역주민의 건강보호를 위한 대책 마련에 있어 기초자료를 제공하고자 시도되었다. 지역사회주민 200명을 대상으로 지역 환경에 관한 인식도에 관한 설문조사를 수행한 결과 다음과 같은 결과를 얻었다. 1. 응답자의 평균 거주기간은 21.87년이었으며, 가족 중 공장 근로자가 있는 경우가 19.4%, 집 근처에 공장이 위치한 경우가 85가구로 절반 이상이었다. 2. 일부 응답자(30.1%)들은 집근처에 공장이 들어서는 것에 대해 좋지 않다는 인식을 가지고 있었고, 일부(14.4%)는 반상회에서 공장 공해에 대하여 의논한 적이 있었다. 3. 응답자들은 수질오염이 가장 심각하다고 느끼고 있었으며, 다음으로 대기오염, 먼지, 악취, 소음의 순이었다. 주민건강문제보다는 근로자의 건강악화문제가 더 심각하여 근로자 보건관리 대책이 더 시급하다고 인지하고 있었으며 공장으로 인한 환경보건문제에 대한 책임은 사업주에게 있다는 응답이 가장 많았다. 4. 응답자의 절반 정도가 근로자 보건관리사업의 주체는 공공보건기관이 되어야 한다고 하였으며, 지역주민이 이 사업에 참여해야 할 필요성이 있다고 생각하고 있었다. 5. 근로자들에게 제공되어야 할 사업장 보건사업 중 가장 중요하다고 생각하는 것은 근로 환경의 개선이었으며, 건강진단, 근로자 건강교육, 응급환자 후송체계 마련의 순이었다. 이상의 지역사회 보건생활환경에 관한 인식 및 요구도 조사 분석결과가 공공보건기관 연계망을 이용한 지역사회 환경 및 산업보건관리체계 수립을 위한 기초자료로 활용되기를 바라는 바이다.

• Journal of Preventive Medicine and Public Health
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• 제33권3호
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• pp.299-305
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• 2000

인천지역에 위치한 한 개 특수건강진단기관에서 1995년 1월부터 1997년 12월까지 3년간 1회 이상 건강진단을 받은 근로자 61,569명의 건강진단 수진결과 전산자료를 받아 같은 지역에 위치한 4개 직장의료보험조합에 이들 근로자의 사업장 이름을 전달하고 이들 피보험근로자의 폐암으로 인한 병 의원이용 전산자료를 취득하였다. 4개 조합에 속하여 의료보험 청구자료를 구할 수 있었던 근로자는 44,958명이었는데 관찰기간을 동일하게 하기 위하여 연구기간 3년 동안 의료보험 취득기간이 2년 미만인 근로자와 자료이상으로 판단되는 근로자 14,4202명과 비제조업 종사 근로자 1,054명을 제외한 28,884명을 분석 대상으로 하였다. 2개의 출처가 다른 자료를 주민등록번호를 이용하여 연결하여 새로운 데이터베이스를 구성하고 이를 이용하여 주물업 종사 근로자와 비주물업 종사 근로자의 폐암이 주상병명인 경우에 차이가 있는가를 분석하였다. 연구결과 3년 동안 병 의원을 이용한 전산자료 중 주상병명이 폐암인 근로자는 주물업 종사 근로자 1,591명 중 7명, 비주물업 종사 근로자 27,293명 중 12명으로 두 집단간에 유의한 차이가 있었다(비차비 10.04, 95% 신뢰구간 3.95-25.55, p<.001). 본 연구가 부정확한 상병명으로 대표되고 있는 의료보험 전산자료를 이용한 관계로 이 결과에 근거하여 주물업 종사 근로자들이 비주물업 종사 근로자들에 비하여 폐암발생률이 높다라고 단정적으로 결론을 내릴 수는 없지만 주물업 종사 근로자들에서 폐암 발생이 증가할 가능성을 뒷받침하는 근거 중 하나가 될 수 있다고 판단된다. 따라서 향후 제대로 설계된 코호트연구를 통하여 주물업 종사 근로자들의 폐암발생 위험도를 구하고 위험요인을 분석하는 연구가 필요하다고 판단된다.

• 한국보건간호학회지
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• 제12권1호
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• pp.37-54
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• 1998

For the purpose of investigating the job implementation of industrial health nurses catch hold of satisfaction, relational character of influence. A questionnaire survey was carried out on 131 nurses who employed at the manufacture of electronic products$(27.1\%)$, distribution industry$(38\%)$, service station$(22\%)$, construction$(10\%)$, et cetra The tool of this study was modified as completed from kang's(l991) checklist of questions were composed of the performance of nurses' duty(13 items), the factor of main influential character of nurses' job(11 items), job satisfaction(26 items). The results were as follows. 1. Industrial health nurses worked to labor follow up study after physical examination$(100\%)$, medication$(97.1\%)$, workers regular physical examination(95.5%), dressing$(94.1\%)$. 2. The factor of influence of job performance were personal relation$(100\%)$, satisfaction of nurses job performance$(86.7\%)$, environment of workplace$(86.7\%)$. 3. A period of long work experienced nurses felt the highest satisfaction as 3.44 point.

• 한국보건간호학회지
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• 제14권2호
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• pp.372-381
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• 2000

This study was carried out to compare influential life-style factors between Korean and Japanese women. with a view to providing basic data needed in the community nursing activities for the health promotion of women, The questionnaire survey was conducted between Jan 1 and April 15. 2000 on 64 Korean and 63 Japanese women who committed the care of their child to a day-care center because they had to go to work. The obtained results are as follows. 1. On the whole. there was little difference in the score of life-style factors between Korea and Japan. The areas in which Japanese women got a higher score were personal relationship and nutrition, and Korean women got a higher score in the area of self-realization. 2. Both in Korea and Japan. the degree of satisfaction with family life proved to be the most influential factor on the life-styles for the health promotion of women. This implies that the level of their practicing life styles for the health promotion becomes higher in proportion to the degree of satisfaction with their family life. In conclusion. considering the fact that the proportion of women workers has been on the increase in Korea. heath promotion services for women need to be treated more importantly, with the focus on the interpersonal relationship not only in family but also in work sites.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9307-9312
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• 2014

Background: Hope is an important coping resource for cancer patients. Types and sources of hope and hope-inspiring strategies are not well investigated among Iranian cancer patients. The aims of present study were therefore to investigate the nature of hope and some demographic predictors of hope among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 200 cancer patients admitted to an educational center affiliated to Ardabil University of Medical Sciences, Iran. Participants were selected using a convenience sampling method. The Herth Hope Index and other validated questionnaires were used to investigate level of hope and types and sources of hope, as well as hope-inspiring strategies. Data were analyzed using SPSS statistical software. Results: The overall score for hope was 31 from total scores ranging between 12 and 48. Some 94% of patients mentioned 'return to normal life' and 'complete healing of disease by drugs and physicians' as their main hopes. The most important sources of hope reported by patients include spiritual resources, family members, healthcare workers, and medicines and treatments available for the disease. Relationship with God, praying/blessing, controlling the signs and symptoms of the disease, and family/health care workers' support were the main hope-inspiring strategies. Patients who had a history of metastasis, or who were older, illiterate, divorced/widowed and lived with their children reported lower levels of hope. On the other hand, employed patients and those with good support from their families had higher levels of hope. Conclusions: The study findings showed moderate to high levels of hope among Iranian cancer patients. Accordingly, the role of spiritual/religion, family members and health care workers should be considered in developing care plans for these patients.

• Journal of Preventive Medicine and Public Health
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• 제35권2호
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• pp.160-168
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• 2002

Objectives : This study was intended to investigate the differences of job stressors between managers and low level employees among white-collar workers. Another objective of this study was to examine whether the effects of job stressors on mental health differ between the two groups. Methods : Data was obtained from 204 managers and 258 low level employees who were employed in white-collar jobs. Fourteen job stressors and seven job stress variables were measured. Results : Among the 14 job stressors, role overload, job insecurity, and work-family conflict were higher job stressors for the manager group whereas role conflict, work-aptitude incongruity, participation in decision making, and promotion problems were higher job stressors for the low level of employees. There were no differences in job stress scores between the two groups. However, differences in the effects of job stressors on job stress were found between the two groups. For the manager group, job insecurity, work-aptitude incongruity, and work-family conflict significantly affected in explanation of job stress whereas for the low level employees, role underload, peer satisfaction, and environmental problems significantly explaining the job stress variables. Conclusions : There were significant differences in job stressors between managers and low level employees among white-collar workers. Additionally there were differences in the effects of job stressors on job stress between the two groups.

• 대한간호학회지
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• 제24권4호
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• pp.568-583
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• 1994

In the changing social and economic conditions, reorientation of the health care system is a process of rearranging health care resources keeping in mind the appropriativeness, relevancy, and efficacy of health care programs. Also it has been recognized recently that the CHP program is in need of review for the same reasons, that is to say, the ease in which health care facilities are available, the high rate of coverage with insurance and the development of an effective transportation system. Therefore there is a social inclination to think that there are no remote areas and to question the roles of public health facilities, health centers, health sub centers and CHP posts. This paper was done to review problems and to propose new directions for the CHP system. The findings of this study are as follows ; 1) It is necessary that primary health care should be simplified into three parts, medical treatment, preventive care services and the organization of administration and logistics. Also each department should be supplemented with the appropriate professional personnel in order to develop a task oriented system. The reorientation of the CHP system should be managed in keeping with that of other public health care systems. Therefore it is necessary to look at the CHP system problems as one aspect of the reorientation process of public health care systems, and to work to find new ways to address these problems. 2) The location of the CHP post should be decided by the needs of the community in both the medical and preventive areas. If the people have a minimum need, the location of the CHP post should be altered and the existing roles of the CHP should be modified to allow for flexibility according to the community needs. 3) Use of the problem solving method in regular team meetings will prove to be as efficient as continuing education programs in improving job competancy. 4) The supervision of CHP's activities should be made by the same type professional personnel, that is, senior CHPs or charge nurses in the public health center at the county level. 5) The operational expensies of CHP post should be supported by the administrative department of the public health center and should create working conditions that will allow the CHP to concentrate on community health service programs. 6) The organizations for community participation, working committees, community health workers and a number of the local assembly, should be activated to provide for participation in finding solutions to health related problems in the com-munity.

• 한국보건간호학회지
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• 제2권2호
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• pp.45-61
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• 1988

Clonorchiasis should be realized as an important public health problems in Korea by their wide distribution, high prevalence rate and heavy infection intensity. This study was designed to obtain the infection rate, contributing factors as well as the behavior of infected persons among the factory workers in Pohang area where that parasite still remains as a problem. Study was undertaken from September '86 to October '87. Clonorchiasis skin test was performed for 3180 factory workers, and stools of skin test positive reactors were examined. Praziquantel was prescribed to stool examination positive persons for clonorchis sinensis ova. After one year. stool examination was repeated for them who received medicine. At the same time. a structured questionnaire was given and the results were analyzed and compared with control group. The results of this study are summarized as follows; 1. The infection rate of Clonorchis sinensis. 1) Clonorchiassis skin test positive rate was $26.2\%$ (834/3180). 2) Stool(Clonorchis sinensis ova) positive rate among skin test positive reactors was $21.6\%$ (129/598) All 129 infected persons were male. 2. Contributing factors of Clonorchis sinensis infection. 1) The chance of infection was higher in low-educated peple(p<0.01) 2) Stool(Clonorchis sinensis ova)positive rate was higher among the persons who reside near the riverside now(p<0.01), or among the persons who long history of riverside residence(p<0.01) 3) The infection rate was higher in thoes who like sliced raw fresh water fishes than in those who like cooked fishes(p<0.05). 4) Correct answering rate for questions about the cause and route of Clonorchis sinensis infection was low in infected persons. 5) The infection rate was lower among those who had experience of previous clonorchiasis test(p<0.01). 6) Family members of infected persons show higher rates of infection(p <0.01). 3. Treatment effect and compliance of infected person to treatment. 1) After one year, negative stool conversion rate was $85.4\%$. 2) $70.8\%$ of infected persons took the medicine; Only $3.1\%$ of them consulted to physician to know the medication effect; As many as $29.4\%$ of them continued to consume raw fresh water fishes. As a conclusion, City of Pohang area, Hyung San River in the center, is an endemic area of clonorchiasis. Current clonorchiasis control system seemed to be ineffective; many of the skin test positive group did not submitted their stool for examination; only $70.8\%$ of infected persons took the medicine even though the drugs were given free of charge; $29.4\%$ continued to consume raw fresh water fishes after taking medicine. Therefore. proper education program should be provided to improve the compliance to treatment. Follow-up for infected cases is mandatory to prevent waste of restricted budget.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.51-64
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• 2002

전라남도의 무작위 추출된 10개 시 군과 광주광역시 5개 구의 방문보건사업 담당직원 200명 중 우편설문조사에 응답한 144명을 연구대상으로 하여 방문보건 사업과 관련된 교육훈련경험 여부와 만족도, 응답자의 주관적 판단에 의한 방문보건서비스 관리 지식 정도 그리고 향후 방문보건사업에 필요한 교육훈련에 대한 요구도에 대해 조사하여 향후 방문보건요원의 교육훈련의 기초자료를 제공하고자 하였다. 본 연구의 주요 결과는 다음과 같다. 1. 조사대상자 중 3년 동안 한가지 이상의 중앙교육 훈련 경험자는 43명(29.9%), 광역자치단체의 교육훈련 경험자는 57명(39.6%), 그리고 지방자치단체의 교육훈련 경험자는 53명(36.8%) 등으로 나타났다. 교육과정에 대한 만족도를 점수화 한 결과 중앙 교육($2.38{\pm}0.57$)이 광역자치단체 교육($2.18{\pm}0.57$)과 기초자치단체 교육($2.13{\pm}0.54$)보다 높았다. 2. 조사대상자의 방문보건서비스 관리 지식 정도는 환자 및 질병관리 영역 중 투약 및 검사, 상처 및 욕창 관리, 환자 개인위생, 고혈압환자 관리, 당뇨환자 관리, 관절염환자 관리 그리고 전염성질환자 관리, 고위험 가족 및 가정환경 관리 영역 중 환경위생 관리, 안전 및 사고 관리 그리고 감염관리, 건강증진관리 영역이 5점 만점에 평균 3점 이상이었으며, 재활 및 요양 영역은 전반적으로 평균 3점 이하의 점수를 보였다. 3. 조사대상자의 방문보건서비스 관리 지식 정도는 간호사 자격증을 소지하고 있는 경우 높았으며, 중앙 교육 중 노인보건, 재활 등 실무영역과 정신보건전문간호사, 광역자치단체 교육 중 보건진료원보수교육, 정신 보건교육, 그리고 기초자치단체 교육의 건강증진영역, 노인보건, 재활 등 실무영역, 정신보건영역과 급성질환 관리영역에 대한 교육훈련 경험이 있는 경우 높았다. 4. 조사대상자의 교육내용에 대한 요구도는 노인건강 관리과정이 가장 높았고, 최근 업무가 새롭게 추진되고 있는 노인보건, 호스피스, 치매노인관리, 재활, 건강증진 등이 높은 것으로 조사되었으며, 방문보건사업 업무별로는 방문보건사업전반이 가장 높았고 방문보건사업에서 실제 서비스를 제공하는 분야가 교육의 요구도가 높은 것으로 나타났다. 또한 교육방법으로는 공무원 집단교육(47.0%)을, 교육전담 주체는 광역자치단체 (30.4%)를, 교육방식은 실습(57.7%)을, 교육횟수는 년 2-3회(44.5%)를, 교육기간은 3-5일(41.0%)을 선호하는 것으로 나타났다. 향후 지역사회 주민에게 효과적인 방문보건서비스를 제공하기 위해서는 방문보건사업에 대한 지식 정도를 높일 수 있는 교육훈련의 기회를 확대하고 방문보건요원의 교육요구도에 근거하여 교육훈련을 개선해야 할 것이다.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.56-70
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• 2005

Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.