• 대한간호학회지
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• 제22권2호
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• pp.207-226
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• 1992

This study was designed to develop a conceptual framework for the curriculum and develop the details of the learning content for the education of Community Health Practitioners (CHPs). Since education programs for CHPs started 10 years ago, concepts related to CHP services have changed because of changes in society. The objectives of the study were as follows : 1) to analyse the usefulness of the present education program for CHPs, 2) to analyse the Job performance and self -confidence of the CHPs, 3) to identify the health needs of the clients served by the CHPs and the community problems related to health. 4) to develop a conceptual framework for the curriculum, for the education of CHPs, 5) to develops details for the learning content of the education program for CHPs. Phase I of the study was conducted by questionnaires to 150 CHPs who have worked in remote rural areas for more than 2 years. Among them, 147 responded. Data was collected from August 16, to August 25, 1990. In order to identify the health needs of the community people, research within the last five years was reviewed and analyzed. The data on 1, 842 communities gathered by the WHO Nursing Collaborations Center of the College of Nursing, Yonsei University was utilized to identify community problems related to health and the self - confidence in job performance of the CHPs. Psase II of the study consisted of a workshop with 13 professionals including Community Health Practitioners to evaluate the existing education program and a conceptual framework of the curriculum for the job education of CHPs. The results of the study are Summariged below : 1. The only 26 among 45 content items of the education program related to job skills was used by 80% of the responding CHPs. The knowledge of $\ulcorner$Networking community organization$\lrcorner$ was used by only 53.7% of the respondents. Educational content about $\ulcorner$Mental disease$\lrcorner$ was used by less than 50% of CHPs because of a knowledge deficit. 2. The CHPs reported that their activities concentrated on clinical services during the last six months. The survey showed that they seemed to neglect the activities for health promotion and disease prevention. Thus, $\ulcorner$Education for community loaders$\lrcorner$(15.9%), $\ulcorner$Activity for eavironmental health$\lrcorner$(16.3%) and $\ulcorner$Social work for needey people$\lrcorner$(23.3%) were done by less than 30% of CHPs. 3. More than 90% of CHPs reported being self - confident for the activities of $\ulcorner$Health education and counselling$\lrcorner$, $\ulcorner$Medicine prescription$\lrcorner$ and $\ulcorner$Immunization$\lrcorner$. But 50% of CHPs reported that they were not have self - confident in $\ulcorner$Management of water and environmental health$\lrcorner$ and only 25.6% of CHPs could insert an IUD independently. 4. It was identified that respiratory diseases and the gastrointestinal diseases were most common problems for the community people, followed by musculoskeletal and skin problems. 5. The community problems were classified into eight categories : physical environmental problems, environmental hygiene, health problems, health behavior, social problem, lack of resources, financial problem and the problems of the cultural and value system. 6. The conceptual framework consisted of the target population and their health status, nursing process working site and primary health care services such as health promotion, disease prevention, treatment and rehabilitation. 7. The contents of curriculum of education program for CHPs were formulated from the results of this study.

• 디지털융복합연구
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• 제10권2호
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• pp.255-267
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• 2012

국내에 정착된 높은 수준의 인터넷 문화는 건강에 대한 대중적 관심과 맞물려 건강정보와 의료상담이라는 새로운 형태로 보건의료체계를 변화시켰으며, 건강정보와 의료상담 시장이 지난 잠재적 가치는 매우 크다고 할 수 있다. 본 연구는 2011년 건강정보의 검색 실태와 온라인 의료상담에 대한 인식도를 알아보기 위해 서울시에 거주하는 20대를 대상으로 임의 추출방법을 통하여 sampling된 499명을 대상으로 설문 조사하였다. 응답자 중 75.2%가 건강정보검색 경험이 있다고 응답했으나, 온라인 의료상담 서비스 이용경험은 7.2%에 불과했다. 의료상담 서비스의 이용목적은 증상치료법(36.9%), 자기관리법(21.4%), 병명 검색(18.8%), 예방법(6%), 병원비(5.4%)순이었다. 건강정보 검색시 이용한 사이트는 포털사이트 지식검색(46.5%), 블로그(26.0%), 인터넷커뮤니티(14.6%), 병원홈페이지(9.9%), 국가운영홈페이지(2.9%) 순으로 집계되었으나, 향후 이용하고 싶은 사이트는 국가운영 홈페이지 (53.0%)와 병원홈페이지(32.8%)로 현재 이용하고 있는 검색 사이트와는 차이점을 보였다. 또한, 사이트 선택기준은 상담자의 신뢰성 (24.1%), 홈페이지 운영기관의 신뢰성(23.7%), 신속한 답변(21.2%), 상담의 비공개 여부(11.2%), 가입시 기재해야할 개인정보의 정도(8.3%), 회원가입절차 없이도 상담 가능 여부(6.8%), 홈페이지 상담란의 접근성(2.7%)등의 순으로 나타났다. 결론적으로, 20대들에게 건강정보 검색 및 의료상담의 이용이 아직은 미흡한 상태이므로, 인식도를 높이고 사이트의 선택기준, 개인정보공개 정도 및 선호도 등에 맞는 사이트 구축 및 활성에 대한 노력이 필요하다.

• 치위생과학회지
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• 제5권2호
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• pp.77-82
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• 2005

본 연구는 전라북도에 소재하고 있는 구강진료기관에 내원한 18세 이상의 성인환자 350명을 대상으로 구강보건교육에 대한 태도 및 행동실태를 파악하여 진료실에서의 구강보건교육의 중요성을 재인식 시키고자 시행하였으며, 2004년 3월 22일부터 4일 10일까지 자기기입식에 의한 설문조사를 한 결과 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따른 구강보건교육의 경험에서는 여자가 남자보다, 학력에서는 대학교 졸업 이상이, 직업별로는 주부에서 구강보건교육 경험율이 높은 것으로 나타났다. 2. 일반적 특성에 따른 구강보건교육 후 실천에서는 여자가 남자보다 실천도가 높았으며, 연령에서는 30대가 가장 높았고, 학력에서는 학력이 높을수록, 직업에서는 공무원이 실천도가 가장 높은 것으로 나타났다. 또한 구강보건교육을 받은 후 실천할 수 없었던 이유로는 62.9%가 관심이 없어서라고 응답하였다. 3. 구강보건교육 내용으로 가장 많은 응답자 35.2%가 치석 제거를 받아 보았다고 응답하였으며, 잇솔질 외 보조구강 위생용품에서는 치실이 42.2%로 가장 높게 나타났다. 4. 구강보건교육을 받은 후 행동의 변화에 대해 46.9%가 잇솔질 횟수가 증가 했다고 가장 많은 응답을 하였으며, 식이조절이 10.4%로 사용이 가장 저조한 것으로 나타났다. 5. 구강보건교육 유무에 따른 구강위생 관리 실태는 잇솔질 방법에는 유의한 차이가 없었으며 치석제거 주기는 1년 이상~2년이 25.7%로 가장 높게 나타났고, 치실 및 치간 칫솔의 사용여부는 구강보건교육 경험이 있는 환자에서는 30.6%가 사용을 하고 있었으며, 경험이 없는 환자에서는 5.9%가 사용하고 있는 것으로 나타났다.

• 대한예방한의학회지
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• 제3권2호
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• pp.129-150
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• 1999

This study was carried out to analyse a perception on acne for the Junior college students to provide basic data for the suitable treatment of acne to the students and the specialists. For this study, self-administering questionnaires were distributed to 480 students from 13 departments at a suburban women's junior college from May 1 to May 3, 1996. Of the students, 399 were responded and included in the analysis. The questionnaire includes the general question of objects, the question of knowledge and attitude of acne, and its treatment. The results were as follows: 1. Age distribution for the group less than 20 years was 63.7% and over 20 years was 36.3%, the group with acne was 66.2% and the group without acne was 33.8%. Proportions of acquiring the knowledge on acne was 49.6% from newspaper or magazine, 47.15 from friends, and 26.85 from TV or radio. 2. With regard to the knowledge on the presence of acne, a proportion of correctly answered for the question on the cause of acne was $3.41{\pm}1.02$ for the group with acne compared with $3.16{\pm}0.89$ for those without acne. This difference was statistically significant (p<0.05). 3. With regard to the knowledge levels on the treatment of acne, a proportion answered' skin-care center' for the question on where to select for the profer treatment was $13.21{\pm}1.88$ compared with $12.09{\pm}1.88$ for the other group. This difference was statistically significant (p〈0.05). A proportion of answered 'squeezing out acne by themselves' for the question of how to treat was $12.26{\pm}1.91$ compared with $10.83{\pm}1.25$ for the other group. 4. In the treatment according to the attitude of the group with acne, the positive group replied 'YES' in the intention of treatment by themselves was 55.9%. In conclusion, the differences in the knowledge and attitude on the presence of acne are not significant and it was found that the knowledge and attitude for the group with acne did not significantly influenced the treatment behavior. Accordingly, it is important to understand the cause of acne, provoking factors, remedy etc. For this, it is necessary to a provide an accurate information to professionals to enhance the knowledge of acne and to treat it properly.

• 한국산학기술학회논문지
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• 제18권5호
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• pp.47-58
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• 2017

본 연구는 J시 보건소의 노인 허약 예방프로그램이 지역사회 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질 에 미치는 효과를 검증하기 위한 비동등성 대조군 전 후 시차 설계를 이용한 유사실험연구이다. 프로그램에 참여한 대상자는 경로당을 이용하는 노인으로 총 43명으로 이 중 실험군 22명, 대조군 21명 이었으며, 연구기간은 2015년 9월 1일부터 10월 16일까지 8주간, 주 2회 허약노인 예방프로그램을 운영하였다. 자료 분석은 SPSS/WIN 21.0 프로그램을 이용하여 $x^2-test$와 t-test 등으로 분석하였다. 허약노인 예방프로그램 적용 후 주관적 건강상태(t=-0.35, p=.024), 우울(t=2.76, p=.035), 체력 중 오른손의 압력(t=-3.10, p=.004)과 허리 유연성(t=-2.13, p=.039) 그리고 삶의 질(t=4.36, p<.001)이 차이가 있는 것으로 나타났으며, 두 군 간에 통계적으로 유의한 차이가 있는 것으로 나타났다. 따라서 지역사회 경로당을 이용하는 노인들을 위한 허약 예방프로그램이 노인들의 주관적 건강상태, 우울, 체력 및 삶의 질을 향상시킬 수 있는 유용한 간호중재 프로그램임을 확인 할 수 있었다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.3809-3816
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• 2016

Background: Increasing knowledge and awareness of cancer screening significantly influence health promotion behavior which could markedly reduce incidence rates. In many countries, health care providers are the principal source of information concerning cancer screening. This study was carried out to assess the level of knowledge concerning cancer screening among medical students, house officers and residents and to explore their attitude towards cancer screening practices. Materials and Methods: This cross-sectional study was conducted in Kasr Al Ainy Medical School at Cairo University in Egypt, with 300 undergraduate medical students and 150 postgraduates (interns and residents) enrolled. A pre-tested self-administered questionnaire was used to collect data from the study participants regarding personal and education-related information, knowledge about cancer screening and its sources, and attitude towards cancer screening. Results: More than 64% of participants had knowledge scores of ${\leq}10$ points (out of 24). The total knowledge score (out of 6 points) for breast cancer screening increased from $1.9{\pm}1.0$ to $2.3{\pm}1.2$ and $2.4{\pm}1.1$ for $4^{th}$, $5^{th}$ and $6^{th}$ year respectively, interns showed the highest score of $2.6{\pm}1.1$, P= 0.001. Year of enrollment at medical school was a significant positive predictor of acquiring knowledge about cancer screening (post graduate vs. undergraduate students) (OR= 1.30, C.I =1.01-1.63), lack of or none receiving of orientation/training about cancer screening was the sole negative significant predictor for proper knowledge about cancer screening (OR=0.50, C.I=0.31-0.82). Over 92% of students agreed that they had insufficient knowledge about cancer screening, 88.2% appraised the need to have enough knowledge in order to direct/advice patients, relatives and friends, and 93.7% required that the faculty should emphasize the importance of cancer screening in the delivered curricula at medical school. Conclusions: A relatively low to moderate level of knowledge about cancer screening was detected among the selected medical students regardless of their year of enrollment at medical school or their graduation status, which may implicate a negative impact on early cancer detection especially in a low resource country like Egypt.

• 대한간호학회지
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• 제30권1호
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• pp.7-17
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• 2000

The purpose of this study is to affect health improvement of adolescent, to understand behavioral causes follow adolescent's drug abuse, to understand recovery and rehabilitaton process of adolescent drug abuser. The data are collected through open questionnaire and interview of 25 adolescents from the experienced drug abuse 16 students(male 8, female 8) in two vocational high schools and admissing adolescents 9 person in Alcohol-Drug Addiction Care Centre in Seoul from June 28th to August 31st, 1994. The collected data are arranged and explained through categorizing method stated contents about motives, causes, experiences and effected behaviors for using the drugs of drug abuser adolescents. DRUG USING MOTIVATION They are almost first son and daughter in their family. In their conversation person, male converses to their mother well, but female does not converse to their parents include family. Both groups respond positively to companionship and attitude to other, but negatively to self-confidence and actualizing attitude. They hope always peace of family and want to do their best for their life. In school group, hard and difficult things are school life and family problems, also using the drugs for resolving the them. About drug using behaviors, male responds to bad habbit and shamfull, but female is unconcerned with drug using attitude. The first background of drug using, male gets to use because of curiosity and to be induced from friends or seniors, but female gets to use for feminine beauty(thin body) and escape from reality. Used the drugs, male uses frequently Bond, Butane-Gas among inhalation materials and also marijuana, but female uses various diuretics. The times of drug using, both groups repond to use during the chaging of emotion or filling with stress. The place of drug using, both groups take drugs in vacant houses or in the mountain. The frequency of drug using, they use almost once in a day and they use mostly alone or drug user in friends. Experienced mental changing after drug using, which is fantasy, ecstasy, anxiety and suicidal feeling, and experienced physical changing after drug using, which is elevating sense, headach, abdominal pain, dyspnea and chaging of skin colour and reddish. They coincide with inconvenience feeling due to drug using. RECOVERY AND REHABILITATION PROCESS OF DRUG USING ADOLESCENTS The reason for reforming drug using behavior and attitude, both groups respond to reforming for oneself and social life. The difficult things during the stop to using drugs, all of them responed to family problems, friends problems and temptation and impulse. As for stop to using drug, they need good advise, understandable attitude and family love. But they do not need to be stigmatized, scolding, over protect and ridicule of friends. Also they entreat continuous understanding, advise, concern and the method for resolving stress. For the friends to want to use the drug, they will talk about the stories of their personal experiences and for the friends to stop to using the drug, they will consider for them how to stop. From the theses results, drug users understand personal problems due to drug using, and consider about why to stop and how to stop. Also drug users need to resolve the family problems, personal problems, stress and temptations or impulses. Accordingly this paper suggests that drug users in adolescents need understandable and acceptable atitudes, loving and tenderness, continuous advice and concern, and hopes for life.

• Asian-Australasian Journal of Animal Sciences
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• 제30권10호
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• pp.1486-1494
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• 2017

Objective: This research analyzed behavioral characteristics of Hanwoo (Bos taurus coreanae) steers during each season and growth stage to enable measurement of the animals' welfare level for precision livestock farming. Methods: A hundred-eight beef steers were divided into three equal groups at a Hanwoo farm according to their growth stage: growing stage (GS), 8 months; early-fattening stage (EFS), 19 months; and late-fattening stage (LFS), 30 months. Twelve behavioral categories were continuously recorded for 13 day-time hours in each four seasons with three replications. Results: Time spent standing was found to be significantly longer in summer at all growth stages (p<0.05). Hanwoos at the GS spent significantly longer standing time in spring and summer than those at the EFS and LFS (p<0.05). Lying time in summer was the shortest for all growth stages (p<0.05). Steers at the LFS spent significantly longer lying time than that at the GS (p<0.05) in summer. For GS and EFS, time spent eating in spring and autumn were longer than in summer and winter (p<0.05). Eating time was the longest for the GS in spring, autumn, and winter, excluding for the LFS in winter (p<0.05). Regarding ruminating, steers at the LFS spent significantly shorter time than those at other stages in all seasons (p<0.05). GS and EFS steers showed the longest walking time in summer compared with other seasons (p<0.05). At GS and LFS, drinking time in summer was the longest of all seasons (p<0.05). Sleeping time was significantly shorter in summer compared with the other seasons (p<0.05). Self-grooming time was the longest in winter for all growth stages (p<0.05). Conclusion: Steers were found to have more variable behavioral patterns during summer and the GS and less active behaviors during the LFS, thus extra care seems necessary during the GS, LFS, and summer period.

• 대한간호학회지
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• 제38권6호
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• pp.822-830
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• 2008

Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.

• 한국건설관리학회논문집
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• 제19권1호
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• pp.21-31
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• 2018

고령자 가구의 급격한 증가는 전 세계적 추세이며 의료비 등 사회적 비용 또한 급격히 증가할 것으로 예상된다. 치매와 같은 노인성 기능 질환의 경우 고령자의 일상생활 활동 (ADL) 패턴을 상시적으로 모니터링하고 평소와 다르거나 비정상적인 패턴이 발생하는 경우 이를 치매 조기진단의 근거로 활용할 수 있다. 그러나 사생활 침해의 우려가 큰 기존의 직접적 센싱 방식과 달리 간접적 센싱 방식 (Non-intrusive approach)을 활용하여 재실자의 최소한의 정보 (Coarse-grained data)만을 수집하고, 이를 통해 활동 정보를 추출하는 연구는 거의 이루어지지 않았다. 또한 추출된 활동 및 활동패턴을 이해하기 위해 활동의 맥락적 정보를 시각화하는 방법 또한 추가적인 연구가 필요하다. 이를 위해 본 연구에서는 재실자의 정보 중 시 공간 데이터 로그만을 활용하여 재실자의 수행 활동을 추출하고 컨텍스트화 된 행동 정보를 공간-활동 지도 (Space-Activity Map)로 시각화한다. 본 연구는 재실자의 일상생활 활동 패턴을 추출하는 데 기반이 되는 연구로서, 향후 고령자를 위한 상시적인 건강 모니터링 기술의 도입에 기여할 수 있다.