• 제목/요약/키워드: Self care management

검색결과 1,082건 처리시간 0.031초

뇌혈관 질환자의 기능 회복과 체성감각 유발전위의 변화 (Changes of Somatosensory Evoked Potential and Functional Recovery in Patients of Cerebrovascular disease)

  • 김윤환;김찬규;박종항;이승엽;최원제
    • 대한물리치료과학회지
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    • 제15권1호
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    • pp.11-20
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    • 2008
  • This study was designed to test the effects of comprehensive rehabilitation management on functional recovery after attack of cerebrovascular disease. 16 cerebrovascular disease patients applied comprehensive rehabilitation management of physical therapy at department of physical Therapy, C medical center in Gwang-ju. The collection of the data had been executed for 4months(April 15, 2007${\sim}$July 15, 2007). For evaluating, Functional Independence measure(FIM) and Somatosensory Evoked Potential(SSEP) were used to assess functional recovery. The results of this study were as follows: 1. In the comparison of latency of median nerve SSEP before and after treatment, the lat. N20 and P25 increased, the ampl. P25/N20 was decreased. In the comparison difference data of median nerve SSEP, however there was no significant difference in the group(p>0.05). 2. In the comparison of latency of Post Tibial nerve SSEP before and after treatment, the lat. P40, P50, P60 increased, the ampl. P40 was decreased. In the comparison difference data of post tibial nerve SSEP, however there was no significant difference in the group(p>0.05). 3. In the comparison of FIM scores of Self-care, Sphincter Control, Mobility: Transfer, Locomotion before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was significant difference(p<0.05). 4. In the comparison of FIM scores of Communication, Social Cognition before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was no significant difference in the group(p>0.05). Based on these results, it is concluded that the comprehensive rehabilitation management for cerebrovascular disease case was not significant difference in the SSEP, was significant difference in the motor part of FIM. Further study should be done to analyze the effect of intervention duration of treatment, optimal time to apply the treatment in more long period.

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교직원 건건문제(健建問題) 및 양호실(養護室) 이용실태(利用實態)에 관(關)한 연구(硏究) (A Study on the Teachers' Health Problems and Their Visiting Frequencies of School Clinics)

  • 최재선
    • 한국학교보건학회지
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    • 제1권1호
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    • pp.160-177
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    • 1988
  • This study is an analysis of the teachers' health problems that focuses on the frequencies and types of their visiting to school clinics and the management of health-related problems. The participants for this study are consisted of 1,650 teachers employed at 30 public schools in the Seoul area. Data for the study came from diagnostic records for 1986, the results of a questionaire-type survey conducted between June 20th and of the same year an from other documents recorded by school nurses. The main results of this study are as follows: 1. The teachers' health problems. a) According to health diagnosis records, 6.1 % of all teachers had a health problem. Liver-related ailments topped the list, followed by circulatory and diabetic problems. b) The survey data had 71.9 % of the respondents indicating that trey suffered from some health problem. The most frequent response concerned respiratory problems, followed by gastro-intestinal and nervous system problems. c) A check of clinic utilization records revealed that the main reasons for visiting are concerned with fatigue (30.5 %), gastro-intestinal(18.7 %) and respiratory(18.2 %) ailments. These three categories accounted for 67.4 % of total use. 2. Frequencies of their visiting to school clinics 40.5 % of the teachers indicated that they have visited the school clinic. And 62.0 % visited it with a self-diagnosed ailment and 15.3 % utilized the facility after a problem had been detected in a health examination. Clinics were visited a total of 1,458 times which breaks down to 0.9 times per month per teacher. For a patient, the figures are 2.2 times on the average with a range from 1 to 19. 3. Health management problems a) Of those respondents. 53.4 % stated that they didn't have enough time to consult about their health problems and diagnose their disease b) Also, 47.3 % of the respondents indicated that school nurses should give health counsels and health education. c) When questioned about improvements in the current system, the teachers placed importance on the prevention and management of chronic diseases (35.2 %) and pre- and posteducation concerning periodic health examinations In conclusion, the following points must be considered: First, school administrators need to pay more attention to the health problems of the teachers. Second, school nurses should be more active in managing a health program for teachers. Finally, education and training for nurses should be continually upgraded so that they can dispense proper and timely care for teachers.

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유치원 혼합연령학급 운영 실태 및 개선 방안에 관한 연구 (A study on the operation status and effective management of mixed-age classes in kindergartens)

  • 이진화;엄지원
    • 한국산학기술학회논문지
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    • 제17권12호
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    • pp.253-261
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    • 2016
  • 본 연구는 혼합연령학급의 현황과 학급 운영 실태를 파악하여, 혼합연령학급의 교사가 효과적으로 학급을 운영할 수 있도록 정책적 지원 방안을 모색하는데 목적이 있다. 이를 위해 먼저 전국 유치원의 혼합연령학급 운영현황 및 학급편성 기준을 분석하여 그 현황을 살펴보고, 다음으로 혼합연령학급 교사를 대상으로 설문조사를 통해 구체적인 어려움과 요구사항을 분석하였다. 설문조사는 유치원의 교육과정시간에 혼합연령학급을 운영하고 있는 담임교사 300명을 대상으로 웹조사로 실시하였으며, 빈도, 백분율, 교차분석을 실시하였다. 그 결과는 다음과 같다. 첫째 유치원의 혼합연령학급 편성이유는 취원 대상 유아의 수가 부족하다는 것이 가장 큰 이유였다. 둘째, 혼합연령학급 운영에서 지원인력의 부족, 교육(연수)제공 및 활용 기회 부족 등이 어려운 점으로 나타났다. 셋째, 혼합연령학급 운영에서 가장 필요한 운영지원으로는 수업인력 지원, 행정인력 지원 순으로 나타났다. 현재 이루어지고 있는 혼합연령학급 인력지원은 수업도우미, 행정도우미 순이었고, 유치원과 관련이 있는 유관 기관으로 지원 유무는 약 23.0%로 나타났고, 지원의 종류로는 교사연수, 인력예산, 컨설팅장학, 교재교구 등 수업자료 지원 순으로 나타났다. 이를 바탕으로 혼합연령학급 편성 시, 연령별 비율구성제시, 단계적 단일연령학급 편성유도, 혼합연령학급 교사 연수 기회제공 확대 등의 정책 지원방안을 제시하였다.

문제중심학습 연계 시뮬레이션 기반 교육이 간호대학생의 학습동기, 학습전략 및 학업성취도에 미치는 효과 (The Effect of Education based on Simulation with Problem-based Learning on Nursing Students' Learning Motivation, Learning Strategy, and Academic Achievement)

  • 조옥희;황경혜
    • 한국콘텐츠학회논문지
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    • 제16권7호
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    • pp.640-650
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    • 2016
  • 본 연구는 문제중심학습 연계 시뮬레이션 기반 교육을 개발하고 적용하여 간호학생의 학습동기, 학습전략과 학업성취도에 미치는 효과를 검증하고자 시도하였다. 연구대상자는 간호학과 4학년 학생 69명으로 2015년 9월부터 10월까지 문제중심학습 연계 시뮬레이션 기반 교육을 개발, 적용하고 학습동기, 학습전략, 학업성취도를 설문조사하였다. 연구결과, 문제중심학습 연계 시뮬레이션 기반 교육 후 통제 동기(외재 동기)는 감소하고, 자율성 동기(확인된 동기, 내재 동기)는 증가하였으며, 자원관리전략 활용 정도가 향상되었다. 학업성취도(학업성과, 교육만족도) 모두 확인된 동기와 학습전략(인지전략, 메타인지전략, 자원관리전략)과 정상관관계가 있었다. 결론적으로 문제중심학습 연계 시뮬레이션 기반 교육은 간호대학생의 자율성 동기를 증진하고 자원관리전략의 활용 정도를 향상시키는데 효과적인 교육전략으로 볼 수 있다. 문제중심학습 연계 시뮬레이션 기반 교육을 다양한 간호 상황에서 적용하여 학습 관련 변인에 영향을 미치는 요인과 매개변수를 파악하는 연구가 필요하다.

성인기 발달장애인의 소득보장과 재산관리를 위한 「신탁」 운영방안에 대한 탐색적 연구 (An Exploratory Study on the "Trust" Operational Scheme for Income Security and Asset Management for People with Developmental Disabilities in Adulthood)

  • 김성천;강지현
    • 재활복지
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    • 제21권2호
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    • pp.29-62
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    • 2017
  • 본 연구는 성인기 발달장애인의 소득보장과 재산의 보호 및 관리 수단으로서 신탁을 사회복지의 측면에서 연계, 활용하기 위한 "재정계획"과 발달장애인 "신탁"의 주요 운영방안을 모색하고자 하였다. 연구결과 "재정계획"의 운영내용과 관련하여 (1)필요성은 "미래계획을 수립하는데 있어 필요한 재원을 충족시키는 방안 수립", "부모가 살아있는 동안 사후 장애자녀에게 남길 재산에 대한 안전한 관리 방안 수립"이었다. (2)구성내용은 "자립 시 재산 유지 및 사용 방안", "미래에 대한 계획과 꿈", "부모 사후 시 발달 장애인을 위한 유언 및 유산처리 방안" 등 이었으며 (3)장애요인은 "장애인의 재정계획에 대한 국가의 인식부족", 지원의 내용은 "개인의 소득보장과 재산을 관리해줄 수 있는 공신력 있는 기관" 등으로 나타났다. 발달장애인을 위한 "신탁" 운영내용과 관련하여 (1)운영 원칙은 "보편성, 공공성, 안정성, 자기결정, 개별성 보장"이었고, (2)"운영체계는 공공과 민간의 혼합방식", (3)대상자 유형은 "부모가 없거나 돌볼 가족이 없는 장애인으로 당사자의 소득이 있거나 재산을 가진 경우", (4)필요한 지원은 수탁기관에 대한 "재산의 안전한 관리를 위한 관리 감독 시스템", "발달장애인을 위한 의사결정지원 시스템", "일정한도의 신탁재산이 있어도 공적 부조(기초생활수급자, 의료보호 등)의 정부수급 자격의 유지" 등으로 나타났다.

A Survey on the Perception of Companion Plants for Eco-Friendly Urban Agriculture among Urban Residents

  • Hong, In-Kyoung;Yun, Hyung Kwon;Jung, Young-Bin;Lee, Sang-Mi
    • 인간식물환경학회지
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    • 제24권1호
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    • pp.17-27
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    • 2021
  • Background and objective: This study was conducted as part of research to promote garden diversity and seek sustainable garden management plans, as well as to determine the trends in understanding and use of companion plants as an eco-friendly farming method and provide the results as the basic data for sustainable urban agriculture. Methods: To determine the trends in garden activities, eco-friendly pest control, and use of companion plants, a survey was conducted on 230 urban residents participating in the Urban Agriculture Expert course. 223 copies of the questionnaire were collected excluding missing values, and IBM SPSS statistics Ver. 25 Program was used for frequency analysis, descriptive statistics, and regression analysis. Results: Most of the respondents were female (71.3%), homemakers (26.5%), were in their 50s (29.1%), and had 2 members in the family (27.8%). 164 respondents (73.5%) had experience in gardening, most of them once a week (31.7%) and for self-consumption (55.5%). Both men and women raised crops for safe food production (32.3%), and they most preferred the city garden type (39.9%). For the preparation of nourishment for eco-friendly garden management, most respondents (60.1%) purchased fertilizers from the market. For the reason why eco-friendly pest control is necessary, all respondents except 4 of them (98.2%) responded that it is necessary 'because it affects my health as I eat it (73.5%)', indicating that they still had a high level of interest in health. Only 43.9% of the respondents said that they had heard of companion plants, 89.2% responded that companion plants were effective in eco-friendly management, and 87.4% showed the will to participate in gardening using companion plants in the future. Finally, the regression analysis confirmed that the awareness of companion plants and satisfaction with gardening activities are key variables that increase the intention to participate in gardening activities in the future. Conclusion: Since plants require special care depending on the period and various diseases and insect pests occur, there must be continuous research on companion plants as an eco-friendly farming method. Moreover, by actively using companion plants in urban gardens with the utility value in not only eco-friendly pest control but also in helping plant growth, urban agriculture is expected to be continuously activated and promoted by increasing satisfaction in gardening activities with aesthetic landscaping and pest control.

SERVQUAL 모델을 이용한 간호 서비스 질 측정 (Measurement of Nursing Service Quality using SERVQUAL Model)

  • 임지영;김소인
    • 간호행정학회지
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    • 제6권2호
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    • pp.259-279
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    • 2000
  • This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

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경산시 일부 초등학교 학생들의 치아우식증 경험 및 비만도의 관련성 (Relationship between Dental Caries Experience and Obesity among Elementary School of Student's in Gyeongsan)

  • 최성숙;정홍섭;최미숙
    • 치위생과학회지
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    • 제12권4호
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    • pp.429-436
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    • 2012
  • 본 연구는 학교구강보건실을 운영하고 있는 초등학교 학생들의 치아우식증경험 및 비만도를 파악하고 이에 영향을 미치는 요인들을 조사하기 위하여 2011년 7월1일 부터 7월 30일까지 경산시 소재 1개 초등학교 4, 5, 6학년들을 대상으로 구조화된 폐쇄형 설문지를 자기기입식 설문조사를 시행한 후 응답이 불충분한 5부를 제외한 최종 235부와 구강검사결과 치아우식경험 유무에 대한 자료를 분석하여 다음과 같은 결과를 얻었다. 1. 연령이 증가할수록 치아우식경험도는 낮았다. 2. 어머니의 직업유무, 교육정도, 주관적 경제수준과 치아우식증 경험 및 비만도는 서로 연관성이 없었다. 3. 간식섭취량, 식습관 및 생활습관은 치아우식경험도와 상관성이 없었고, 비만체중(21.5%)이 정상체중(9.4%)보다 주간운동횟수에서 0번이 높게 나타났다. 4. 지난 1년간 치과방문 경험이 있는 학생이 치아우식 비경험이 높았으며(OR=0.498), 치아우식증경험 유무와 비만도는 서로 연관성이 없었다. 이상의 결과를 미루어 볼 때 사회인구학적 편차와 상관없이 가정에서 이루어 지지 못하는 학생들의 구강 및 건강관리가 학교보건 측면에서 어느 정도 관리가 되어지고 있음을 알 수 있었고, 치아우식경험도와 비만도의 연관성이 없음을 알았다. 추후 점차적으로 학교구강보건실 운영을 확대하여 체계적인 구강관리 및 건강관리가 국가 정책적으로 시행되어야 할 것으로 생각된다.

항암치료 단계 유방암 환자의 대처방식, 사회적지지 및 외상 후 스트레스 장애와의 관계 (The Relationship among the Coping Style, Social Support, and Post-Traumatic Stress Disorder in Breast Cancer Patients Treated with Chemotherapy)

  • 양승경;김은심
    • Journal of Hospice and Palliative Care
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    • 제18권1호
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    • pp.35-41
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    • 2015
  • 목적: 본 연구는 항암치료 단계 유방암 환자의 PTSD, 대처방식, 사회적 지지의 관계를 파악하여 암환자의 PTSD에 관한 효과적인 간호중재의 기초자료를 제시하기 위함이다. 방법: J시 소재 G지역암센터 외과 외래를 방문한 만 30세 이상이며, 항암치료단계인 유방암 환자134명을 대상으로 조사하였다. 수집된 자료는 SPSS WIN 18.0프로그램을 이용하여 서술통계, ANOVA, Pearson correlation coefficients 등을 실시하였다. 결과: 항암치료 단계 유방암 환자의 외상 후 스트레스 장애는 26.9%가 PTSD 고위험군, 17.9%가 PTSD 위험군에 속하는 것으로 나타났다. 대상자의 PTSD 그룹(고위험군, 위험군, 정상)의 대처방식(적극적 대처, 소극적 대처), 사회적 지지의 상관관계는 PTSD 고위험군인 경우 적극적 대처와 소극적 대처가 유의미한 정적 상관관계를 가지는 것으로 나타났으며, PTSD 고위험군에서 사회적 지지와 적극적 대처는 유의미한 정적 상관관계를 가지고 있는 것으로 나타났다. 결론: 항암치료 단계 유방암 환자 중 26.9%가 PTSD 증상을 보이는 것으로 나타났으며, PTSD 고위험군에서 사회적 지지가 증가할수록 적극적 대처가 증가하는 것으로 나타났다. 암은 평생 자기관리가 필요한 질병임을 고려할 때 높은 사회적 지지는 자신의 건강관리 능력을 증진시킬 수 있는 계기가 될 수 있을 것이며, 더 나아가 PTSD 고위험군에게 있어 높은 사회적 지지는 환자의 스트레스를 줄이고 삶의 질을 높이는데 효과적인 역할을 할 것이라 여겨진다.

마리화나 남용환자의 역동적인 발달요인과 문제해결 (Dynamic Developmental Factors and their Problem Solving of Patients that Abuse Marihuana)

  • 원정숙
    • 대한간호학회지
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    • 제4권3호
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    • pp.105-116
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    • 1974
  • This study was made on patients who were Hospitalized due to sickness caused by the abuse of marihuana at the Psychiatric Section of a hospital during the period from Feb. to Oct., 1974. The following conclusion was obtained by reviewing the literature with respect to the nursing, and problem solving of those patients. 1. It appears that marihuana is a comparatively mild intoxicant in ordinary preparation without causing physical dependence or tolerance. 2. According to the status of men who are marihuana smokers, approximately 20% of them were college students, those preparing to retake college entrance examinations, non-employed and pharmacists. The men belong mostly to the middle foreigner′s mistress of higher, income bracket, and in the case of women, most of the smokers were US. servicemen entertainers. 3. Dynamic developmental factors: Case 1. : The patient had a characteristic, hysterical and emotionally unitable character, and was of low intelligence, In addition, to this already existing problem, the added uses of marihuana caused a mental illness to develope. Case 2 : The character, was reserved and introspective, her creative power and sentiment was fading and his ability of self-control was weakened. She used the smoking of marihuana to get rid of her own feeling of inferiority complex and tensions coming from interpersonal relationships. Case 3 : The patient was unconditionally resistive to the authoritativeness of superiors and irresponsible in his relationship with women, in his attitude concerning sex in general. He smoked marihuana because he felt become peace-loving and get enchanted experience through smoking it. 4. The points of issue appearing from the above case; (1) Movement of anti-social feelings against the "established system" by the youngsters. (2) Family problem. (3) Shamelessness, loss of motivation, disorderly attitude toward the sex, (4) Worries concerning the future. (5) Lack of knowledge concerning smoking of cigarette and marihuana. Chronic use of marihuana made, those youngman who had originally been ambitions to achieve something in life, lazy, inefficient, unable to make long-term plans, are such weak mined persons that they did not try to overcome problems when encountered. This will pose a great and important question in the mental health of the society, 5. Treatment and Problem sieving According to the literature, we will have to place importance upon hospitalized treatment The phases of treatment were divided into five parts. (1) Prehospital phase (2) Withdrawal Phase (3) Rehabilitation phase (4) Transitional phase (5) After-care phase The experiments have proved that there was much progress in the recovery of patients through environment therapy, supportive therapy and group psychotherapy. This was the above mentioned 5 phases of treating process in accordance with the weekly schedule of the hospital. It was thought that the patients would require prolonged after care management even after they were released from the hospital and that they will also require periodic visit, to the hospital and doctor′s interview with their family. In conclusion, the question of the young generation and marihuana smoking is becoming a great social problem in which their resistances to the "established system" and society is growing in the from of antiestablishment movements. In our country, the smoking of marihuana is gradually developing, therefore, I think, that it would be a very fortunate thing for us, if this report could be helpful for the motivation of further study on the questions of the young generation and its problems.

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