• 제목/요약/키워드: Self care behavior

검색결과 639건 처리시간 0.025초

청소년의 집단따돌림 피해경험과 관련된 요인에 대한 메타분석 (A Meta-analysis of The Factors Related to Bullying Damage Experience of Adolescent)

  • 문동규
    • 한국산학기술학회논문지
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    • 제21권1호
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    • pp.685-697
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    • 2020
  • 본 연구는 청소년의 집단따돌림 피해경험과 관련하여 지난 20여년 간 국내에서 연구된 석 박사 학위논문과 학술지 논문을 중심으로 관련요인들의 효과크기를 메타분석을 통해 검증하였다. 검증결과는 다음과 같다. 첫째, 유발요인의 전체효과크기는 중간효과크기를 보인 것으로 나타났으며, 유발요인군의 개인심리요인군과 학교생활요인군 역시 중간효과크기를 보인 것으로 나타났다. 둘째, 유발요인군 중 개인심리요인군의 하부요인인 공격성, 불안, 스트레스, 우울, 자살생각은 중간효과크기를 보이는 것으로 나타났으며, 학교생활요인군인 학업스트레스 역시 중간효과크기를 보인 것으로 나타났다. 셋째, 억제요인 전체효과크기와 억제요인군의 가정환경요인군, 개인심리요인군, 학교생활 요인군은 중간효과크기를 보인 것으로 나타났다. 넷째, 억제요인군인 중 가정환경요인군의 하부요인인 긍정적부모양육태도와 부모지지는 중간효과크기를 보인 것으로 나타났으며, 개인심리요인군의 하부요인인 자아존중감과 자아탄력성, 학교생활요인군의 하부요인인 친구지지와 학교생활적응은 역시 중간효과크기를 보인 것으로 나타났다. 결론적으로 본 연구는 지난 20년간의 선행된 연구들을 통합적으로 정리하여 객관적 결과를 살피기 위한 수량적 통합을 시도했다는데 의의가 있으며, 청소년의 집단따돌림 피해를 예방하고 낮추기 위한 프로그램 개발과 정책수립에 기초적 자료를 제공하였다는데 의의가 있다.

임신부의 정보추구 경험 - 정보추구의 구조와 과정 - (Pregnant Women's Information Seeking Experience : Structure and Process of Information Seeking)

  • 김갑선
    • 한국문헌정보학회지
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    • 제40권1호
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    • pp.13-37
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    • 2006
  • 본 연구는 근거이론을 적용하여 임신부들의 정보추구경험과 관련된 제 개념 및 이들 개념들 간의 관계 규명을 통하여 임신부의 정보추구에 관한 구조와 과정을 밝힌 연구이다. 이론적 표집에 의해 16명의 임신부들을 대상으로 심층적인 면담을 수행하였고. 면담데이타는 근거이론의 지속적인 비교분석에 의해 분석되었다. 본 연구에서 임신부의 정보추구의 발생원인은 임신의 수용으로 나타났다. 임신부들은 지각된 불안과 궁금증의 맥락에서 임신의 정상상태 유지현상을 해결하기 위해 산전 진단데이타 추구하기. 표준지식 추구하기, 경험담 추구하기와 정서적 지지 추구하기의 작용/상호작용적 정보추구 전략을 취하였으며, 비교하기, 맥락화 하기, 확인하기의 정보추구의 과정들을 거쳐 갔다. 이때, 정보 획득방법 인지, 임신 출산의 선행지식, 자아조절, 정보접근환경이 중재조건으로 작용하였다. 그 결과 충족과 불충족을 경험하였다. 또한 임신부들은 임신의 과정동안 정보요구의 변화 발전에 따라, 수용국면, 적응국면, 구체국면, 전환국면을 통과하였다. 후속연구에서는 본 연구에서 밝혀진 정보추구의 구조와 과정을 통합하여 임신부의 정보추구행위를 총체적으로 설명하는 실체이론을 개발해야 할 것이다.

대학생의 성적 자율성 측정도구 개발 (Development of Sexual Autonomy Measurement for College Students)

  • 장순복
    • 여성건강간호학회지
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    • 제8권1호
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    • pp.106-115
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    • 2002
  • Little is known about sexual autonomy in the light of human sexual health or sexual behavior. The purpose of this study was to increase understanding of sexual autonomy by developing a scale to measure sexual autonomy in college students. The measure was based on the perspective of human beings as having autonomy. A methodological developmental design was used. The study was done in three steps and included concept development through content analysis of relevant literature individual interviews using open-ended questions with 19 college students, item analysis of data from self report questionnaires for item to total correlation, content validity index by professionals and college students, and factor analysis with principal component analysis. Three groups participated in testing the measurement scale; Group A in 1998, a nationwide convenience sample of college students (n=1,163), Group B, college students in 1999 (n=233), and Group C, college students in 2000 who responded to the measurement scale before and after a sex education program (n=216). A series of exploratory and confirmatory factor analyses were conducted to test validity. For analysis of the questionnaires, statistical methods including reliability (test-retest), item to total analysis, content validity, factor analysis for construct validity and t-test for mean difference according to gender, sexual coitus, previous sex education, and pre-post experiment sex education were used with SPSS 10.0. Results: 1. Two stable factors were extracted and these contributed 48.05% of the variance in the total score. All 13 items loaded above .40 on each factor. 2. Factor I with 10 items was named 'control' and factor II with 3 items and was named 'coping'. 3. Differences in sexual autonomy scores for college students according to their experience showed that there were significantly higher scores for sexual autonomy in the post sex education group(t=-10.841, p=.000), but there were no differences according to whether or not they had previous sex education. Female college students had higher sexual autonomy scores than male college students in A or B group (t=-5.933, p=.000/ t=-1.992, p=.048). 4. Cronbach's $\alpha$ was .8603 for the total 13 items with 1,632 college students, .8739 with 232 students, .8333$\sim$.7647 with pre-post sex education with 216 students. This measurement was found to have a high validity and reliability for measuring sexual autonomy in college students. Therefore, the author recommends that it be used to measure the effects of sex education. It is suggested that further study is needed to analyze the relationship between sexual autonomy and sexual behavior.

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일부 치위생과 학생의 구강건강행위와 구강병 발생요인 간의 관계 (Analysis of Occupational Disease Caused by Oral Health Behavior of Some Dental Hygiene Students)

  • 임순환;황지민
    • 한국콘텐츠학회논문지
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    • 제18권3호
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    • pp.256-264
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    • 2018
  • 본 연구는 구강건강행위와 구강병 발생요인검사결과와의 관련성을 확인하고자 경기도와 충청남도에 소재한 대학의 치위생과 학생을 대상으로 진행되었다. 자기기입식 설문지 작성과 구강병 발생요인검사로 진행되었으며 다음과 같은 결론을 얻었다. 칫솔질 횟수는 1일 3회가 60.2%, 1일 간식 횟수는 1회 이하가 49.7%, 간식의 종류는 점착성이 없는 가당 간식이 66.5%, 음료수의 종류는 유가당 음료수가 49.7%로 가장 높게 나타났다. 자극성 타액 분비율은 평균 9.41ml, 타액 완충능력은 평균 9.52점, 포도당 잔류시간은 평균 12.02분으로 조사되었다. Streptococcus mutans colony count 검사에서 저위험군인 <$10^5$은 80.1%, Lactobacillus는 저위험군인 <$10^5$은 82.6%로 조사되었다. 자극성 타액 분비율과 비자극성 타액 및 타액 완충능은 양의 상관관계를 보였으며, 불소도포 경험이 있는 경우 포도당 잔류시간이 10.66분, 불소도포 경험이 없는 경우 13.33분으로 나타나 통계적으로 유의한 차이를 보였다(p=.008). 전신건강과 직결되어 있는 구강건강을 위해서는 대중들이 쉽게 접할 수 있는 구강보건교육의 기회를 마련하고, 평생구강건강관리 프로그램을 지속적으로 개발 및 제공해야 할 것으로 사료된다.

초.중학생을 위한 보건교육의 영역 및 주요개념 선정을 위한 일 연구 (A Study on the Selection of Health topic areas and major concepts for Health Education in Primary and Junior High Schools)

  • 이경자
    • 보건교육건강증진학회지
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    • 제7권1호
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    • pp.10-26
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    • 1990
  • In Korean education, the health contents are scattered in various course subjects throughtout the primary and junior high school curriculum. So it is very difficult to provide systematic health education. The purpose of this study was to provide a guide for health education using health topic areas and major concepts that represent the scope of material that should be covered in health instruction. The steps used in selecting these health topic areas and major concepts were as follows: 1. A review of the literature related to health and health education was done to develop the rationale underlying this study. 2. Health topic areas basic to the growth and development characteristics of children, to human needs and to societal needs for healthful living were indentified. 3. The major concepts for each health topic area based on health sciences and children's growth and development levels were selected. 4. The major concepts selected were organized in sequence to guide health education from grade one to grade nine. The results of this study were as follows: 1. The identification of eleven health topic areas essential for health education. These include: personal habits and health healthy growth and development nutrition and health prevention of disease and disorders drugs and health mental health family life and health sex education accident prevention consumer health community health 2. The identification of the major concepts(generalizations) for each health topic area: 33 major concepts were identified as a guide in determining the health content of health education programs. These are 1) body cleaniness, 2) health of the sensory organs, 3) dental health, 4) exercise and rest, 5) growth and development, 6) body structure and function, 7) developmental tasks, 8) balanced nutrition, 9) eating habits, 10) food preparation and food storage, 11) sources of disease and disorders, 12) disease preventive behavior, 13) care during illness, 14) drug use and misuse, 15) drug addiction, 16) emotional responses, 17) human relationship, 18) self concept, 19) social adjustment, 20) health habits of the family, 21) interdependence of family members, 22) origin of life, 23) characteristics of man and woman, 24) sexual instinct, 25) safety behavior, 26) emergency measures, 27) criteria for selection of health products, 28) proper use of health information, 29) utilization of health and medical services, 30) environmental conservation, 31) environmental pollution, 32) population control, 33) function of public health services. 3. The organization of the concepts(generalizations) in sequence and for continuity in health instruction at the primary and junior high school level.

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의원급 노인 외래 정률차등정책 효과분석 (The Effect of Changes in Medical Use by Changing Copayment of Elderly)

  • 나영균
    • 보건행정학회지
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    • 제30권2호
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    • pp.185-191
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    • 2020
  • Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

농촌지역 노인의 생활실태 조사연구 -의.식.주생활 및 심리적 적응을 중심으로- (Living Conditions of the Rural Elderly: Clothing, Nutrition, Housing, and Psychological Adjustment)

  • 윤복자
    • 대한가정학회지
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    • 제28권4호
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    • pp.65-86
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    • 1990
  • Living conditions of the rural elderly were assessed in terms of clothing behavior, health and nutritional status, housing and envioronmental condition, and psychological adjustment. The subjects were eighty individuals over sixty residing in the rural community of Iksan-kun, Chollabukdo. The interview method using questionnaires, direct measurement, and observation was used for this study. Data were compared with those obtained from a previous study of the elderly residing in an urban area. Clothing behavior showed that the elderly residing in the rural community were more concerned about plain and conservative design of clothes than their urban counterparts. Special protective clothes for cropdusting with agricultural chemicals had not been prepared. The following urgent needs were pointed out: development and supply of agricultural chemical protective clothing and development and education of appropriate washing and clothing care methods. The health status of the elderly was generally good, but poor eating habits were found more frequently in the rural elderly than among the urban dwellers. Several dietary nutrient intakes were insufficient. Contrasting the urban elderly with the rural group, it was found that the urban group lacked sufficient vitamin A and vitamin C and the urban women had insufficient calorie whereas the rural group was deficient in protein, vitamin A, calorie, and fat. A significant relationship was found between dietary nutrient intake and health index, food habit points, self recognized health status, meal satisfaction, and economic status. Urgent needs of the development of a nutrition education program for the elderly were pointed out. Most of elderly residing in the surveyed rural communities were living alone or with their spouse only, therefore only one room was used among the three or four available rooms. Most of the rural elderly were living either in a traditional Korean house built with differing floor levels or in a modified Korean style house. Minimal modernization had been made for kitchen facilities such as sink and gas range or for heating facilities with the briquette boiler. However, sanitary space such as lavatory and bathroom had not been remodeled. A housing welfare program for rural communities should be implemented at the national level. The comparison of psychological characteristics of the rural elderly with their city counterparts revealed that the rural elderly have a more stable psychological status and optimistic attitude than those living in a city. However, it was found that most of the elderly did not have any future plan. Community programs for the elderly including hobbies or leisure activities or education programs to generate close interpersonal relationships with their children should be developed and provided.

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Research on Oral Health Knowledge and Oral Health Behavior of Chinese Domestic Students

  • Chung, Kyung-Yi
    • 한국컴퓨터정보학회논문지
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    • 제27권11호
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    • pp.173-179
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    • 2022
  • 본 연구는 중국인 국내 유학생의 구강보건지식과 구강보건행태에 대해 알아보고, 구강보건지식과 스켈링 경험에 영향을 미치는 요인을 파악하여 중국인 국내 유학생들을 대상으로 시행할 수 있는 구강보건교육 프로그램 개발에 기초자료를 제공하고자 시행되었다. 2022년 3월부터 5월까지 G지역에 위치한 대학교에 재학 중인 194명을 대상으로 자기기입식 설문조사를 실시하였다. 구강보건지식의 전체 평균은 24점 만점 중 13.83점이었으며, 치주질환과 스켈링 관련 지식 3.75점, 구강위생용품 사용 지식 1.38점으로 나타났다. 구강보건행태에 따른 구강보건지식을 분석한 결과, 최근 1년간 스켈링 경험이 있는 경우, 일회 칫솔질 시간이 3분 이상인 경우, 구강위생용품을 사용한 경우, 구강보건교육 경험이 있는 경우 구강보건지식이 유의하게 높게 나타났다. 구강보건지식에 가장 영향을 미치는 요인은 구강보건교육 경험(β=0.183)이었으며, 스켈링 경험에 가장 영향력을 미치는 요인은 구강보건지식(OR=1.132, p=0.028)으로 나타났다. 따라서 중국인 국내 유학생의 구강보건지식과 행태를 변화시키기 위해서는 유학생들이 이해하기 쉽게 제작된 중국어 구강교육자료 제작과 구강건강관리의 중요성에 대한 교육 확대가 요구되었고, 외국인 유학생을 위한 구강건강증진 프로그램 운영의 적극적인 도입이 필요할 것으로 사료된다.

서울지역 일부대학 치위생과 학생의 구강건강신념이 구강보건행태에 미치는 영향 (The Effect of Oral Health Behavior by Oral Health Belief of Student in Dental Hygiene Department of College Students in Seoul)

  • 박미숙
    • 치위생과학회지
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    • 제11권2호
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    • pp.107-119
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    • 2011
  • 본 연구는 구강보건 업무를 담당하는 치위생과 학생을 대상으로 구강건강신념이 구강보건행태에 미치는 영향을 파악함으로써 올바른 구강건강 관리를 유도하고 바람직한 구강건강신념을 갖도록 하며 구강보건 분야로 활용하고, 기초자료를 마련할 목적으로 연구를 하였으며 서울에 위치한 1개 대학의 치위생과 1학년과 2학년 재학생을 대상으로 총 163명을 조사연구를 시행하였다. 조사방법은 구조화된 자기기입식 설문조사를 실시하였으며, 연구모형은 독립변수인 구강건강신념과 종속변수인 구강보건행태로 구성하였다. 본 연구의 결과는 다음과 같다. 1. 연구의 조사대상자들의 일반적 특성을 살펴보면 성별로는 남성 1.2%, 여성 98.8%로 대다수가 여성으로 구성되었으며, 연령별로는 19세 이하가 31.9%, 학년은 1학년이 47.9%, 2학년이 52.1%, 종교는 기독교 26.4%, 기타 없음이 52.1%, 가정에서 의사소통이 원할하다가 87.7%, 경제수준은 하 13.5%, 세대주 학력은 대졸 이상50.3%, 세대주 직업은 자영업이 28.2%로 파악되었다. 2. 구강건강신념수준 및 구강보건행태수준을 파악하기 위한 연구결과, 감수성 2.18, 심각성 2.10, 유익성 .22, 중요성 3.93, 장애도 3.06으로 나타났다. 3. 구강건강신념이 구강보건행태 유무에 미치는 로지스틱 회귀분석결과, 구강건강신념이 치과의료이용 유무에 미치는 영향에서는 연령, 경제수준, 감수성, 중요성 등 4개 변인(P<0.05), 검진목적 치과의료이용 경험유무에 미치는 영향에서는 종교유무, 심각성 등 2개 변인(P<0.05), 예방목적으로 치과의료이용 유무에 영향을 미치는 변인으로는 연령, 경제수준, 직업, 심각성 등 4개변인(P<0.05), 구강병예방 행위로서 치과의료이용 유무에 영향을 미치는 변수로는 연령, 경제수준, 심각성등 3개 변인(P<0.05), 구강병예방 목적으로 치과의료이용 유무에 영향을 미치는 변수로는 연령, 직업, 심각성 등 3개변인(P<0.05), 치석제거 유무에 미치는 영향 변수로는 연령, 경제수준 등 2개 변인(P<0.05), 잇솔질 횟수 정도에 영향을 미치는 변수로는 학력, 종교, 직업 등 3개 변인으로 나타났다 (P<0.05). 4. 구강건강신념이 구강보건행태에 미치는 다중회귀분석결과, 구강건강신념 중 치과의료 이용 횟수의 설명력은 17.0%, 중요성, 감수성, 경제수준이 유의한 정의 영향을 미치는 것으로 나타났으며, 검진목적 치과의료 이용 횟수의 설명력은 13.3%, 종교, 경제수준, 가정소통이 유의한 정의 영향을 미치는 것으로 나타났으며, 예방목적 치과 의료 이용횟수의 설명력은 16.9%, 종교, 심각성, 경제수준이 유의한 정의 영향을 미치는 것으로 나타났다. 구강병예방행위로서 치과의료 이용횟수의 설명력은 17.8%, 심각성, 종교, 경제수준, 가정소통이 유의한 정의 영향을 미치는 것으로 나타났으며, 구강병예방 진료횟수의 설명력은 17.2%, 감수성, 종교, 경제수준, 직업이 유의한 영향이 나타났으며, 치석제거 횟수의 설명력은 6.1%, 종교, 경제수준이 유의한 영향을 나타냈다. 잇솔질 횟수의 설명력은 19.5%, 심각성, 학년, 직업이 유의한정의 영향을 미치는 것으로 나타났다. 이상과 같은 결과를 기초로 보다나은 구강보건증진을 위한 구강건강신념을 변화 시킬 수 있는 방안이 우선적으로 검토되어야 할 것이다.

한국인의 건강관행에 대한 민속과학적 접근 (Ethnosientific Approach of Health Practice in Korea)

  • 김귀분;최연희
    • 대한간호학회지
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    • 제21권3호
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    • pp.396-417
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    • 1991
  • In order that nursing care an essential quality of nursing practice be acceptable and satisfying, it is necessary that client's culture be respected and that nursing practice be appropriate to that culture. Since cultural elements are an important influence on health practices and life patterns related to medical treatment, recovery from and prevention of disease, nurses need to have an understanding and knowledge of social and cultural phenomena to aid in the planning of nursing interventions. To understand the health practices surrounding health and illness, the health beliefs and practices of both folk and professional healing systems should be ascertained. Cultural data are required to provide care of high quality to clients and to reduce possible conflict between the client and the nurse. It is nursing's goal to provide clients from various cultures with quality nursing care which is satisfying and valuable. The problem addressed by this study was to identify Korean health practices which would contribute to the planning of professional caring practice with the culture : ultimately this study was intended to make a contribution to the development of the science of nursing. The concrete objectives of this study were ; 1) to identify Korean health practices, 2) to interpret the identitial health practices through traditional cultural thought, and 3) to compare the Korean health practices with those of other cultures. The investigator used the ethnosceintific approach outlined by spradly in a qualitative study. To discover ancestral wisdom and knowledge related to traditional health practeces, the subjects of this study were selected from residents of a small rural mountain village in south west Korea, a place considered to be maintaining and transmitting the traditional culture in a relatively well -preserved state because of being isolated from the modern world. The number of subjects was 18, aged 71 to 89. Research data were collected from January 8 to March 31, 1990. Five categories of health practices were identified : “Manage one's own mind”, “Moderation in all thing”, “Live in accord with nature”, “Live in mutuality with others”, and “Live to the best of one's ability”. Values derived from these ways of thinking from Confucianism, Taoism and Buddhism help fashion a traditional way of life, examplified by the saying “Benifience to all”. Korean thought and philosophy is influenced primerily by Confucianism, Confucian principles of ethics, embedded deeply in the peoples' minds, form the idea that “heaven and human being are intimately united” based on concept that “heaven is, so to speak, reason”. Twoe Gae's theory of existential subjectivity develops the concept of self which is the basis of the spirit of reverence in modern Confucian philosophy. The human md is granted from heaven out of the idea of matter, and what control the mind is the spirit of reverence. Hence the idea of “The primacy of the mind" and provided that one should control one's own mind. The precepts of duty to parents, respect for elders and worship of ancestors, and moderation in all behavior put a restraint on life which directed that one live earnestly according to Nature's laws with their neighbors. Not only Confucianism, but also Buddism and Taoism have had an important effect upon these patterns of ideas. When compared with western culture, Korean health practices tend to be more inclusive, abstract and intuitive while westerner health practices found to be mere concrete, practical and personal. Values and beliefs based and pragmatism and existentialism infuence western civilization, Ethical values may be founded on utilitarianism, which considers what is good for the persons in their circumstances as the basis of conduct and takes a serious view of their practical lives including human aspirations rather than an absolute truth. These philosophical and ethical ideas are foundations for health practices related to active, practical and progressive attitudes. This study should be enable nursing not only to understand clients as reflections of the traditional culture when planning nursing practice, but to dovelop health education corresponding to cultural requiments for the purpose of protection against disease and improvement of health, and thus promote sound health practice. Eventually it is hoped that through these processes quality nursing care as the central idea of the science of nursing will be achieved.

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