• 가정과삶의질연구
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• 제19권1호
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• pp.1-16
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• 2001

This study examined the level of experienced problem and related variables of farming women as a part of study on problem diagnosis and status enhancement of rural women. The subjects were 980 married farming women living in rural area. Data were analyzed by frequencies, percentages, mean, standard deviation, factor analysis, t-test, ANOVA, Duncan-test, and multiple regression. The major findings were as follows : 1) Rural women experienced five categorized problems(farming work & health problem, institution & facilities problem, personality differences & communication problem with husband, child & in-law relatives problem, and husbands violence & sexual problem. 2) The significant variables that influenced on experienced problems were conflict coping behaviors, husbands housework participation, farming work time, age, the level of health, and income etc. Additionally socio-demographic factors, their vocational consciousness, housework sharing, and couples difference of sex-role attitude as related variables of the level of experienced problem of farming women were exmained and discussed the implication.

• 지역사회간호학회지
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• 제18권4호
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• pp.523-534
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• 2007

Purpose: The purpose of this study is to identity the effects of a tailored health promotion program on rural residents' self efficacy, health problems and quality of life. Method: Data were collected from May 13th, 2006 to July 29th, 2006. The subjects were selected at Gajo-myeon, Geochang-gun, Gyeonsangbuk-do, Korea. Forty three residents were included in the experimental group and 39 in the control group. The 12-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, $\chi^2$-test, t-test and ANCOVA test with the SPSS/win 12.0 program. Result: The experimental group showed higher scores of self efficacy and quality of life than the control group, and a tower score of health problem than the control group. Conclusion: From the above results, it can be concluded that the tailored health promotion program for rural residents is an effective intervention for improving their self efficacy and quality of life and reducing their health problems. Therefore, it is necessary to spread the tailored health promotion program for residents in other rural areas in Korea.

• 지역사회간호학회지
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• 제14권2호
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• pp.274-286
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• 2003

Purpose: The purpose of this study is to provide a basic data that may help develop health promotion programs by identifying health problems and perceived health status of the rural elderly. Method: The subjects of the study were 366 elders recruited from 24 villages located in Mari Myun, Geochang Gun, Korea. The sample was selected using a quota sampling method. The instruments used in the study included 117 items for health problems and 4 items for perceived health status. The data were analyzed with descriptive statistics, Pearson correlation coefficient, t-test, ANOVA and scheffe test using SPSS program. Results: 1) The most prevalent health problem was ailments in 'musculoskeletal system', followed by 'fatigue', 'eyes and ears', 'genitourinary system', 'mood & temper patterns', 'cardiovascular system', 'digestive system', 'nervous system', 'respiratory system' and 'skin'. 2) Womens health problems were more prevalent than men's health problems. 3) The mean score of perceived health status was 7.68. 4) Health problems of the rural elderly were significantly correlated with demographic variables such as education (F=9.532, p=0.000), gender (t=-4.246, p=0.000), marital status (t=-3.531, p=0.000), family type (F=5.742, p=0.00l), and occupation (t=3.356, p=0.001). 5) Perceived health status of the rural elderly was significantly correlated with demographic variables such as education (F=6.408, p=0.002), gender (t=2.949, p=0.003), marital status (t=0.802, p=0.034), family type (F=4.844, p=0.003), and occupation (t=-2.485, p=0.011). 6) Health problems of the rural elderly were significantly correlated with life style pattern variables such as drinking (F=5.223, p=0.006), smoking (F=4.087, p=0.007), salty food intake (F=3.424, p=0.034), greenish yellow vegetables intake (F=6.343, p=0.002) and fat food intake (F=5.327, p=0.005). 7) Perceived health status of the rural elderly was significantly correlated with life style pattern variables such as sleeping hours (F=3.966, p=0.020) and drinking (F=7.231. p=0.001). Conclusion: The findings of this study indicate that nurses need to understand health problems and perceived health status of the rural elderly and to develop health promotion programs for them in the future in the consideration of regional and environmental elements.

• 농촌의학ㆍ지역보건
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• 제29권1호
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• pp.147-161
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• 2004

본 연구 지역에서의 연구대상자 중 AUDIT 12세 이상, CAGE 2점 이상을 기준으로 한 문제음주자의 비율이 각각 28.3%, 30.0%로 다른 전국 단위 조사결과에 비해 높았다. 본 연구에서 사용한 문제 음주의 선별도구로써의 CAGE, AUDIT는 그 점수가 높은 사람이 술을 자주 마시고, 1회 음주량도 많으며 주간 알코올 섭취량도 많은 유의한 상관관계를 나타내었고, CAGE, AUDIT를 기준으로 문제음주를 분류하였을 때 문제음주가 아닌 집단과 음주 현황 및 음주 인식도와 음주로 인한 폐해에 있어서 전반적으로 유의한 차이를 보였다. 그러므로 CAGE와 AUDIT가 농촌지역사회의 문제음주에 대한 선별과 음주관련 현황 조사도구로써 유용하다 하겠다. 본 연구는 농촌지역사회 인구를 대상으로 한 CAGE, AUDIT의 타당도 검증을 목적으로 한 연구는 아니었지만, 지금까지 한글로 번역된 문제성 음주의 선별도구들의 타당도 조사가 병원에 방문한 환자를 중심으로 이루어졌다는 점을 감안하면, 이후 연구에서 지역사회에서의 CAGE, AUDIT의 타당도 조사가 이루어질 필요가 있겠다. 음주에 대한 인식에 있어 문제음주 집단이 문제음주가 아닌 집단보다 대체로 적정 음주량이나 음주문화에 관대한 편으로 나타나 농촌지역의 문제음주자의 상당수는 문제음주를 인식하지 못하고 습관적으로 음주를 하고 있음을 알 수 있었다. 여가 활동에 있어서 문제 음주자와 문제음주가 아닌 집단 간에 유의한 차이는 없었으나, 농촌사회 여가활동의 대부분이 혼자 TV보거나 아니면 마을회관 등에서 이웃과 모여서 놀면서 습관적 음주가 일어나는 단순한 형태로 이루어지고 있어 적절한 여가활용을 통한 절주프로그램 개발이 필요하다고 여겨진다. 본 연구는 농촌지역의 지역사회 내 음주현황과 문제음주를 일으키는 음주행태와 음주문화, 여가 활용 등의 여러 관련요인에 대한 이해를 할 수 있게 할 것이다. 농촌지역에서 건강한 음주문화를 정착시키고 문제음주율을 낮추기 위해서는, 문제음주와 습관성 음주에 대한 올바른 인식을 확대시키고, 음주를 대체할 수 있는 건강한 여가시간 활용을 위해 지역사회 기반시설과 프로그램 마련 등의 노력을 계획해 볼 수 있을 것이다. 이렇게 함으로써 농촌 지역에서의 절주 프로그램이 실효를 거둘 것으로 생각되며 이를 통해 농촌인구의 건강증진에 기여할 수 있을 것으로 기대된다.

• 한국농촌간호학회지
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• 제4권1호
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• pp.31-40
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• 2009

Purpose: This research was done do identify and analyze the beginnings of the community health practitioner system in the Republic of Korea (ROK) around 1980. Method: Primary sources were collected and analyzed, mainly newspapers around 1980, the act for health service for rural areas, and other relative publications. Results: The government of the ROK was trying to solve the problem of doctorless villages and regarded the introduction of primary health care (PHC) services using registered nurses (RNs) to be an economic solution to this problem. The Korean Nurses' Association presented 'a plan for community health service' to the government party and medical association in 1976. In this plan, RNs would provide primary care at the sub-county (myun) level, and hospital would provide secondary care. The Korean Public Health Development Research Center was awarded the project 'RNs and nurse aids as CHP for primary care service and their training'. In 1977, 25 RNs began to work as PHC in 3 areas, and interim findings showed that RNs were very capable of doing PHC. The Ministry of Health and Welfare announced long term plans for health and welfare administration including a tertiary health care delivery system. RNs after training were posted to rural areas with no medical services to do medical treatment for mild cases. The Act for health services for rural areas was enacted on December 31, 1980. Enforcement Ordinance and Enforcement Regulations were enacted in 1981. In 1981, 257 CHP were selected, trained, and deployed. In 1983, the president of the ROK announced continuation of the CHP system for residents of medically vulnerable areas. The number of CHP increased from 257 in 1981 to 2038 in 1989.

• 대한간호학회지
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• 제48권4호
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• pp.475-484
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• 2018

Purpose: To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior. Methods: We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI). Results: Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, academic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05). Conclusion: Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

• 한국농촌생활과학회지
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• 제5권2호
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• pp.171-184
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• 1994

This study intends to provide basic informations on the rural elderly women's health status and health care practices which can be utilized for the welfare policies. Participants in this study are 133 elderly women over 60 who are lived in rural area. For the data analysis, Frequency, Correlation, Crosstabs, Oneway-Anova and LSD test are used. Physical health status is slightly lower than psychological health status and they are related to respondent's age, coresidence type, subjective economic status, subjective health status, participation in farming and health care type. Eighty-two percent of (he respondents perceived their health condition as poor and Neuralgia is the most frequent health problem. Women's health care practices are passive and somewhat restricted by age, educational status, coresidence type, necessary time to medical institution, and health status.

• The Journal of Korean Physical Therapy
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• 제21권4호
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• pp.81-88
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• 2009

Purpose: This study examined the health status and physical therapy in elderly women in rural areas to provide basic data on the promotion of health and physical therapy management of elderly women in rural areas. Methods: The subjects were 110 elderly women. The data was collected through individual interviews, and the tool developed for this study was a structured questionnaire based on the literature. The reliability coefficient was 0.57 ~ 0.79(Chronbach' $\alpha$). Results: Village 1 made the most of an oriental medicine clinic and a neighborhood clinic, whereas village 2 mainly used a public health center. Arthritis/ neuralgia and high blood pressure/low blood pressure were the most common complaints in the two villages; a medical institution was used once a month by more than 50% of subjects. Most rural elderly women used physical therapy, and the prevalence of arthritis/neuralgia was high. The most common problem in the two villages was poor health. The improvement in mobility was higher in the more healthy women, who also had less need for treatment at a medical institution. Conclusion: Most rural elderly women were concerned about poor health and used physical therapy. Therefore, rural medical institutions need to pay attention to the medical service and preventive activity to reduce the incidence and severity of neuromuscular syndrome in rural elderly women.

• 한국보건간호학회지
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• 제18권2호
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• pp.234-242
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• 2004

The purpose of this study was study to prevalence and related factors of Hwabyung for the aged woman in rural community. A self-administered questionnaire survey was carried out for 616 Aged Woman Living in Uiseong County from March 1 to April 20, 2004. Collected data was analyzed by the $x^2-test$. The result of this study was as follows: Prevalence rate of Hwabyung was $13.3\%$ in Aged Woman Living in Rural Community. The factors of agricultural village feminine Hwabyung were personality, husbands. Prevalence rate this Hwabyung was high if a husband had angry work wife's personality was blunt and a wife had angry her husband. The reason to have got angry at a husband was liquor, a whoring. personality problem. It is necessary that community supports the aged woman and she develops own personality for development of own personality and solution of husband's problem in oder to low prevalence rate of Hwabyung for the aged woman in rural community.

• 농촌의학ㆍ지역보건
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• 제2권1호
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• pp.30-35
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• 1977

Health care conditions in Korea are gradually improving along with the economic and social development. However, the volume of disease is still great, especially in rural areas. This study attempts, therefore, to initiate a comprehensive proposal of rural health care delivery system. The proposal is constructed three parts, problem of health care system, medical cost, medical education system. The proposal consist of the following components: I. The health care system 1. health sub-center is required to be locate in "Myun" the basis administrative unit of local government for delivering primary health care. But, in the viewpoint of medical economics, the primary health care is operated cautiously. 2. Health center is desirable to provide health services in coordinating the health sub-center and other private health institution. 3. The secondary health care is performed in regional combination hospitals, and the attitude that doctors accomodate this system is required. II. The medical cost, Insurance In the expenditure of medical care, the method of a third person's payment is required absolutely. III. The medical education system. 1. The medical education system (process) is changed from the medical education to regional doctor education. 2 In the nurse education system. nursing technical high school is resurrected.