• 제목/요약/키워드: State intervention

검색결과 667건 처리시간 0.025초

지역사회 건강증진 간호활동의 프로그램 개발 (The Program Development of Nursing Activities for Community Health Promotion)

  • 박정희
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.291-306
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    • 1999
  • Health promotion has come to the fore through new concept approach in consequence of the increase of chronic diseases. increase of medical cost and social trend of putting more emphasis on the individual responsibility for health. Studies of health promotion can be classified into two types: one is micro intervention method which is mainly focused on modifying individual life style and the other. macro intervention method in which they put another emphasis on the environment the individual is surrounded. in addition to modifying individual life style. This study belongs to the later. This study aims to develop nursing activities and program it for the purpose of community health promotion. The process of the study can be briefed as follows: to draw out nursing contents to intervene for community health promotion: to promote community health to develop nursing action indicators; to develop nursing action indicators for the development of main nursing activities. And those developed nursing activities are programmed systematically. The community health promotion program is composed of a hierarchical structure with nursing process that the nurses are supposed to apply to perform professional nursing. the level of nursing perform. the main items of nursing process. health promotion nursing indicators. health promotion nursing activities. The conclusion of this study according to objectives are as follows. First. community health promotion contents at individual and community level are remained revised and complemented and those at organizational level are developed. The developed main contents of community health promotion nursing are as follows. 1) Revised individual level nursing contents: 35 items. 2) Developed organizational level nursing contents: 24 items. 3) Revised community level nursing contents: 36 items. Second. for the development of the health promotion nursing action indicators. principles were set up and applied as follows. 1. Developed indicators should be provided with such qualities as comprehensiveness. diversity. developability, availability. practicability. 2. Developed indicators should be provided with functional abilities to measure the conditions and changes in any phenomena or state. inspect the development of the states. control the implementing program. evaluate the result of program and grasp what nurses should do. 3. Developed indicators should be provided with relevance and sequence. 4. Developed indicators should be undergo inspections from the expert. The developed community health promotion action indicators developed in this study. observing above mentioned principles. are total 330 indicators of 95 items. Third. when the main nursing activities were developed for each nursing action indicator. five priciples were set up in accordance with each nursing action indicators to decide main nursing activities. Main nursing activities developed observing those principles. are total 1273. Forth. for the programming of the developed nursing activities. three principles were set up. 1. The nursing activities are systematized in line with (nursing process) (nursing client) (key items of nursing process) (nursing action indicators for health promotion) (nursing activities). 2. The program is constructed in downward and hierarchical order. 3. The program is constructed not in relation to same level activities but in relation to high and low level activities. The process step of programming of developed main health promotion nursing activities are; Step 1. The Developed nursing action indicators are classified into nursing process. Step 2. The main nursing activities are allocated per each nursing action indicators. Step 3. The statement of main nursing activities are inspected. Step 4. The items of main nursing activities allocated by a certain nursing action indicators are sequenced. taking into consideration the elaborateness of activity. the sequency of activity. familiarity of activity. the difficulty of activity. the interest of activity. the frequency of activity. Step 5. The whole developed program should undergo comprehensive and critical inspections.

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장티브스에 관한 임상적 관찰 (Clinical review of Typhoid Fever Patients)

  • 최정신
    • 대한간호학회지
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    • 제6권1호
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    • pp.60-71
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    • 1976
  • The author reviewed the medical records of 96 typhoid fever patients who were diagnosed, admitted, and treated at Sea grave Memorial Hospital from January 1 , 1973 through August 31, 1975. Diagnosis was determined by clinical observation, aerology and bacteriology, eighty patients were treated medically, the remaining 16 patients required surgical intervention. The following results were obtained: 1) The age distribution of the patients revealed that 33.3% wert between 10 and 19 years old 21.9% were between 20 and 29, and 19.8% were between 30 and 39. The majority of patients were from these more active age groups. Male to female sex ratio was 1.3 : 1 2) Seasonal distribution was observed. Most illness occurred in the summer and autumn month 5. 3) 84. 3%of the patients came from farm families. 4) Duration between onset and admission averaged 16.0 days. The group without compilations was admitted after an average of 15. 1 days; The group with complications was ad-matted after an average of 19.4 days. 5) Methods of treatment before admission were as follows: 10.4% at medical clinics, 61, 5% at pharmacies (antibiotics 47.9%, other. drugs 13.5%), 7.3% by herb medications, 20.8% had no treatment. 6) Main clinical symptoms were as follows: fever 93.8%, headache 47.9%, abdominal pain 47.9%, chills 38.5%, cough 36.5%, general weakness 26.0%, nausea e vomiting 24.0% and generalized pain 21.9%. 7) Temperature of patients on admission: 22.9% were 39f or more, 67.6% were between 37℃ and 38℃, and 9.4% were 37℃ or less. 8) Occurrence of intensional bleeding after onset of disease averaged 9.3 days; perforation occurred at an average of 19. 1 days. 9) Interval between onset of major complication and surgical intervention averaged 2.8 days. 10) Among the 68 patients who underwent the bacteriological test the positive rate was 44.1% (30). The positive ,ales to, each separate culture method were as follows: 20.4% in the blood culture, 40.4% in the stool culture and 6.7% in the urine culture. Among these bacteriological positive patients 15 patients had a negative results or less than 160 titer of vidal reaction. 11) The initial vidal test of the total group showed a counts of 160 titer or more in 60.4% and less than 160 titer in 39.6%, 12) W. B. C. Counts in the uncomplicated group indicated that 32.5% were 6,000/㎣ or less, 47.5% were between 6,000 and 10,000, arid 20.0% were 10,000/㎣ or more. In the complicated group, 37.6% were 6,000/㎣ or less, 25,0% were 6,000-10,000/㎣ and 37.6% were 10,000/㎣ or more. 13) Duration of hospital stay of the patients averaged 6.4 days in the uncomplicated group and 12.7 days in the complicated group. 14) Subdiaphragmatic free air simple X-ray was found in 91.7% of the perforated cases. 15) Duration of antibiotic therapy until an febrile state was attained averaged 4.8 days in the uncomplicated group and 6.5 days in the complicated group. 16) Operative procedures were as follows: one layer simple closure of their perforation with or without debasement in 56.3%, drainage only in 6.3%, small bowel resection with primary anastomosis in 18.8% , externalization in 6.3%, cholecystectomy in 6.3%, The clinical findings of this study suggest the following recommendations. According to Top's report; 1% of typhoid fever patients treated with chlorarnphenicol and 2% of patients treated with other drugs become chronic carriers. Therefore, importance should be given to the strict control of these carriers. Immunization, improvement of sanitation and living standards are all needed for the prevention and treatment of disease, but a more serious problem is a lack of knowledge on the part of patients and their families. Thus it is most urgent to enlighten the citizens about the transmission and hygiene related to contagious disease. Legal restriction of sale of antibiotics at drug stores without a physician's prescription is an urgent matter for public health administrators. An even more important nursing responsibility is the reemphasis on health education both in the clinical setting and in the home.

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도시공간의 변화에 내재한 정치${\cdot}$경제적 논리의 규명-서울시 도심재개발을 대상으로- (The Political-Economic of Capitalism and its Effects on Spatial Dynamics)

  • 박선미
    • 대한지리학회지
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    • 제28권3호
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    • pp.213-226
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    • 1993
  • 본 연구는 서울시 도심재개발을 대상으로 도시공간의 재편과정에 내재하는 정치.경제적 논리를 규명함으로써 도시의 형성과 변화가 사회구조의 산물임을 밝히고자 하였다. 서울시의 도심재개발 사업은 1970년대 전반부터 생산과정의 분화가 이루어짐에 따라 대기업 본사가 도심으로 집중하는 상황에서 시작되었다. 또한 도심재개발은 1980년대 불황국면에 접어들면서 더욱 활발해졌는데, 이는 불황시기의 유휴자본의 문제를 도시공간을 재개발하는데 투자하여 극복하려는 논리에 근거한 것이었다. 그리고 도심재개발은 이를 전체적인 수준에서 주관하고 토지소유권의 통합, 토지수용권의 인정, 제 3개발자 인정, 재정. 세제상의 혜택, 건축규제의 완화 등 법적. 행정적 지원기관인 서울시의 정책과 맞물려 있었다. 그 결과 생활터전으로써의 도심은 업무공간으로 단순화되고, 도심인구의 空洞化現象은 더욱 심화되었다.

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만성질환자 배우자의 돌봄 경험에 대한 이론 구축 (A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness)

  • 최경숙;은영
    • 대한간호학회지
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    • 제30권1호
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    • pp.122-136
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    • 2000
  • Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands′ care for their wives through a qualitative research into husbands′ experience. Method 1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won. Method 2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied. Result: 1. Husbands′ burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband′s burden correlated with the age of the patients, numbers in the family, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and the husband′s understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands′ burden is explained in 22.5% by husband′s recognition of level of severity and husbands′ age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and husband′s understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients′ experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands′ identification of housework and husbands′ concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients′ to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands′ companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

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신생아 중환자실에 입원한 환아 어머니의 스트레스 (A Study on the Perceived Stress Level of Mothers in the Neonatal Intensive Care Unit Patients)

  • 김태임
    • Child Health Nursing Research
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    • 제6권2호
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    • pp.224-239
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    • 2000
  • This descriptive study was conducted to understand the contents and degree of parental stress level in the NICU patients, and to give a baseline data in developing nursing intervention program. Subjects were the 62 mother of hospitalized newborn in NICU of 1 University Hospital in Taejon City from May 1st, 1999 to November 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales : NICU(PSS:NICU) developed by Miles et al. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior(19 items), parental role alteration and relationship with their baby(10 items), communication with health team(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from (1) to (5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's α coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers was slightly high(3.6±.7). The highest scored dimension was 'appearance and behavior of the baby'(3.9±1.5), and next were 'relationship with their baby and parental role change'(3.5±1.4), 'communication with health team'(3.4±.9), 'sight and sounds of NICU'(3.2±.8). 2. Two variables were statistically significant with PSS:NICU total scale ; mother's perceived severity of the baby's condition (r=.482, P=.002) and mother's religious attendance(t=2.83, P=.01). The more the mother perceive their baby's condition severe, the higher the total stress score. There were high stress score noted in the mother of no religious attendance. 3. Four variables were statistically significant with NICU environment subscale ; mother's educational background(F=3.45, P=.04), religious attendance(t=2.28, P=.04), sex of the baby(t=2.83, P=.01) and NICU patients' hospital day(r=.359, P=.004). That is mother with high educational background and girl baby were high NICU environment subscale score. 4. Four variables were statistically significant with appearance and behavior of the baby subscale ; when first saw baby(F=3.52, P=.04), incubator care(t=2.83, P=.01), mother's perceived severity of the baby's condition(r=.303, P=.017), number of NICU visit(r=.441, P=.002). That is, seeing the baby first in the NICU and recieved incubator care was very stressful. Also, the more the mother perceive their baby's condition severe and more NICU visit, the higher the appearance and behavior of the baby subscale stress score. 5. Four variables were statistically significant with relationship with their baby and parental role change subscale ; when first saw baby(F=3.37, P=.04), sex of the baby(t=2.36, P=.03), incubator care(t=5.60, P=.00), mother's perceived severity of the baby's condition(r=.401, P=.001). That is, seeing the baby first in the NICU and girl baby was very stressful. Also, the more the mother perceive their baby's condition severe, the higher the relationship with their baby and parental role change subscale stress score. 6. Three variables were statistically significant with communication with health team subscale ; mother's educational background (F=3.63, P=.04), incubator care(t=4.24, P=.00), gestational age(r=-.394, P=.047), and birth weight(r=-.460, P=.004). That is, mother with high educational background and receiving incubator care were high communication with health team subscale score. Also, the shorter the gestational age and smaller the baby's birth weight, the higher the communication with health team subscale score. In conclusion, information about physical environment of NICU, the mother's perceived severity of baby's illness state, maternal role change related variables and the knowledge of characteristics of NICU patients must be included in nursing intervention program of mother's of NICU patients in reducing the maternal stress and anxiety level.

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소아 무기폐에서 굴곡성 기관지내시경 소견 및 치료적 유용성 (Flexible Bronchoscopic Findings and Therapeutic Effects in Atelectasis of Children)

  • 신미용;황종희;정은희;문정희;이주석;박용민;안강모;이상일
    • Clinical and Experimental Pediatrics
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    • 제45권9호
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    • pp.1090-1096
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    • 2002
  • 목 적: 저자들은 무기폐로 굴곡성 기관지내시경을 시행받은 소아 환자들의 임상 양상, 기관지내시경 소견과 기관지내시경의 치료적 유용성을 알아보고자 하였다. 방 법 : 단순 흉부 방사선 촬영에서 한달 이상 지속된 만성 무기폐, 급성 광범위 무기폐, 또는 우연히 발견되어 지속기간을 알 수 없는 무기폐를 보여 진단 및 치료 목적으로 굴곡성 기관지내시경을 시행 받은 66명의 소아를 후향적으로 분석하였다. 결 과 : 무기폐가 발생한 기저 질환으로는 폐렴 후에 발생한 경우가 32례(60.4%)로 가장 많았고 그 외에 결핵, 만성폐질환, 수술, 천식, 교통사고와 연관되어 나타났다. 무기폐는 우중엽(24.6%)과 우상엽(24.6%)에 가장 많이 발생하였다. 기관지내시경 소견은 정상 기도를 보인 경우가 26례(39.4%)로 많았고, 염증성 기도 변화를 보인 경우가 29례(경도의 염증성 기관지 협착 15례, 기도 점막의 부종과 과다 분비물을 보인 경우가 14례, 작은 육아종 3례, 점액마개가 3례)로 이상 소견의 대부분을 차지하였으며 그 외 선천성 기도 기형, 기관지내결핵, 기관지의 외인성 압박과 혈전 등이 관찰되었다. 폐렴과 연관되어 발생한 무기폐의 기관지내시경 소견도 정상 기도를 보인 경우가 32례 중 14례(43.7%)였으며 기도 점막의 부종과 과다 분비물, 기관지 협착 등의 염증성 변화가 역시 이상 소견의 대부분을 차지하였다. 치료적 목적으로 분비물의 흡입, 기관지 세척 및 N-acetylcystein($Mucomyst^{(R)}$) 주입을 시행받은 39례 중 18례(46.1%)에서 무기폐가 부분적으로 혹은 완전히 호전되었고, 폐렴과 동반되어 나타난 무기폐의 경우에는 치료적 처치를 시행 받은 23명 중 13명(56.5%)에서 무기폐가 호전을 보였다. 결 론: 굴곡성 기관지내시경술을 시행받은 소아들에서 무기폐는 대부분 폐렴과 만성폐질환, 천식 등의 염증성 호흡기질환과 동반되어 발생하였다. 기관지내시경 소견상 이상 소견으로는 경도의 기관지 협착과 다량의 염증성 분비물 등의 염증성 기도 변화가 대부분이었으나 약 40%에서는 정상소견을 보였다. 굴곡성 기관지내시경은 소아에서도 무기폐의 진단에 유용하였고, 만성 무기폐나 급성 광범위 무기폐의 치료에도 효과적임을 알 수 있었으며 특히 폐렴 후 발생한 지속적 무기폐의 치료에 기관지내시경이 유용할 것으로 판단된다.

자가 및 동종 조혈모세포이식환자의 이식단계에 따른 불안과 우울 (The Levels of Anxiety and Depression according tn the Stages of Autologous and Allogeneic Hemopoietic Stem Cell Transplantation)

  • 최소은;이소영;박혜령;박호란
    • Journal of Hospice and Palliative Care
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    • 제8권2호
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    • pp.190-199
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    • 2005
  • 목적: 자가 및 동종 조혈모세포 이식종류에 따라, 이식단계별 불안과 우울 정도를 파악함으로써 이식종류와 이식단계에 따라 조혈모세포이식 환자의 정서적 지지에 적합한 간호중재 개발을 위한 기초 자료를 마련하고자 시도되었다. 방법: 서울 소재 C대학병원에 2002년 8월부터 2003년 8월까지 조혈모세포이식을 위해 입원한 환자 52명을 대상으로(자가 조혈모세포이식 환자 19명, 동종 조혈모세포이식 환자 33명)조혈모세포 이식단계별 즉 입원 시, 이식 전날, 퇴원 시 총 3회 대상자를 방문하여 상태불안과 우울 정도를 조사하였다. 조사된 자료는 SAS 프로그램을 이용하여 분석하였으며, 자가 조혈모세포이식과 동종 조혈모세포이식의 이식단계별 불안과 우울은 반복측정 분산분석으로 검정하였으며, Bonferroni 다중비교로 사후검정을 실시하였다. 이식단계별 불안과 우울에 영향을 미치는 주요변인은 Stepwise multiple regression으로 분석하였다. 결과: 자가 조혈모세포이식 환자의 불안은 입원 시 42.3점, 이식전날 45.0점, 퇴원 시 40.8점이었으며, 동종 조혈모세포이식 환자의 불안은 입원 시 48.4점, 이식전날 48.7점, 퇴원 시 47.1점으로 두 군간 유의한 차이가 있었다(F=4.15, P=0.047). 자가조혈모세포이식 환자의 이식 전날 우울이 39.0점으로 입원 시 33.0점보다 유의하게 높았으며(F=21.45, P=0.0004). 동종 조혈모세포이식 환자의 우울도 이식전날 40.3점으로 입원 시 34.9점보다 유의하게 높았다(F=20.99, P=0.0002). 자가 조혈모이식단계별 불안에 영향을 미치는 주요인은 우울이었으며, 특히 입원 시에는 입원 전 직업유무가 불안에 영향을 주는 요인이었다. 동종 조혈모세포이식 환자의 입원 시 불안에 영향을 미치는 주요 요인은 우울, 성별이었으며, 퇴원 시에는 재발경험과 성별이었다. 자가 조혈모세포이식과 동종 조혈모세포이식 모두에서 이식단계별 우울에 영향을 미치는 요인은 불안으로 분석되었다. 결론: 이식전반에 걸쳐 동종 조혈모세포이식 환자의 불안과 우울이 자가 조혈모세포이식 환자보다 높았으며, 이식단계별로는 이식전날 우울이 가장 높았다. 따라서 조혈모세포이식을 위해 입원한 환자에게는 이식전날 우울에 대한 정서적 지지가 필요하며 특히 동종조혈모세포 이식환자는 입원 시, 이식 전날, 퇴원 시 등 이식 단계별로 불안과 우울을 경감시킬 수 있는 간호중재 개발과 그 적용이 요구된다.

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인터넷 개인정보보호의 시장자체해결가능성에 대한 연구 (A Study on the Possibility of Self-Correction in the Market for Protecting Internet Privacy)

  • 정석균
    • 디지털융복합연구
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    • 제10권9호
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    • pp.27-37
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    • 2012
  • 인터넷이 경제사회활동의 플랫폼(platform)이 되면서 온라인상의 개인정보보호가 중요한 이슈가 되고 있다. 정보통신기술의 발달로 개인정보 수집 및 활용은 더욱 쉬워지고 있고, 개인정보가 타깃(target) 광고나 맞춤형 서비스 제공을 위한 수익모델의 기초가 되면서 중요한 경제재(economic goods)의 하나가 되고 있다. 이에 따라 개인정보에 대한 기존의 기술적 접근위주에서 더 나아가 개인정보를 시장에서 거래되는 재화(goods)로 보고 소비자와 기업이 자신에게 가장 유리한 결과를 얻기 위해 최선을 다하는 경제학적인 관점에서 새로운 접근이 절실히 요청되고 있다. 본 연구는 개인정보를 하나의 재화로 간주하고 이 재화를 중심으로 소비자와 기업이 어떻게 행동을 하며, 시장의 힘에 의해서 사회적으로 바람직한 결과가 자연스럽게 달성될 수 있는 지를 게임이론의 틀 속에서 분석하고자 한다. 그리고 개인정보보호를 둘러싼 기업과 소비자의 행동이 상황연동적(state dependent)으로 결정됨에 따라, 개인정보문제가 시장의 힘에 의해 자율적으로 해결(self-correction)되는 데는 한계가 있음을 보여준다. 이의 해결책으로 정부가 시장에 개입하여 기업이 개인정보보호원칙을 잘 준수하는 지 여부에 대한 평판도(reputation) 정보를 수집하여 제공하는 넛지정책(nudge policy)을 실시하고 개인정보보호원칙을 위반한 기업에 대해서는 페널티(penalty)를 강화하는 것이 필요함을 제기한다.

유방절제술 환자의 불확실성, 불안 및 대처방식 (Uncertainty, Anxiety and Coping with Mastectomy for Breast Cancer)

  • 조옥희
    • 대한간호학회지
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    • 제30권4호
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    • pp.1006-1017
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    • 2000
  • The purpose of this study was to provide basic information for developing a nursing intervention that helps patients learn how to acquire coping to reduce post operation uncertainty and anxiety by investigating the level of uncertainty and anxiety experienced by mastectomy patients. The subjects were 134 patients selected from St. Mary's Kangnam and St. Mary's hospital, and the data collection period was from October to December of 1998. Uncertainty was measured by using Mishel Uncertainty in Illness Scale (MUIS), anxiety measured by using State-Trait Anxiety Inventory(STAI), and coping by using a questionnaire developed by Kim & Yoo (1996). Data were analyzed with SAS program by t-test, ANOVA, Duncan's multiple range test, Pearson correlation coefficients, and stepwise multiple regression. The results were as follows : 1. The mean uncertainty score was 57.6. The results of the correlation between the compliance of medical regimen and demographic characteristics were as follows ; Those who monthly income over 2,010,000 won had lower than above 1,000,000 won, and those with the experience of chemotherapy had higher than those without, and the patient who has 7∼12 months(1 yr.) post operation period had higher than the one below 6months, 25∼36 months(3 yrs.), 37∼60 months(5 yrs.), and over 61 months. 2. The mean anxiety score was 45.9. Anxiety tended to be increased slightly in subjects with low educational background, poor monthly income, experience of chemotherapy, and 7∼12 months(1 yr.) post operation period, but there was no significant difference by general characteristics 3. The mean value of the coping score was 100.7. The study revealed higher score in problem-focused coping than emotion-focused coping. In regard to coping by demographic characteristics were as follows ; those who had monthly income over 2,010,000 won had higher level of coping than those whose monthly income was between 1,010,000 and 2,000,000 won. In terms of problem- focused coping, those who had 25∼36 months of post operation period showed significantly lower level of coping than those below 6 months or 37∼60 months(5 yrs.) or over 61 months of post operation period. Regarding the emotion-focused coping, those with the christianity had significantly lower level of coping than those without it. Also, those whose monthly income over 2,010,000 won had significantly higher coping level than those with income of between 1,010,000 and 2,000,000 won. 4. A positive relationship was found between uncertainty and anxiety. Patients who experienced more uncertainty also showed more anxiety. Problem-focused coping was inversely related to uncertainty and anxiety. 5. The major variable that affected uncertainty was anxiety, explaining 63.3% of the uncertainty. In addition to this, it would explain 66.4% in total when experience of chemotherapy was added.

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인도네시아 아동들의 아침식사하기에 영향을 미치는 요인 분석 -건강신념모델을 이용하여- (Analysis of Factors Affecting Breakfast Eating Behavior of Children in Indonesia: An Application of the Health Belief Model)

  • 강란이;이수진;류호경
    • 대한지역사회영양학회지
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    • 제25권1호
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    • pp.1-12
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    • 2020
  • Objectives: This study investigates the current state of consuming breakfast among elementary school students residing in Malang, East Java, Indonesia, and to identify factors that influence breakfast behavior. Methods: The research model was set up as per the health belief model, and slightly modified by adding the subjective normative factors of the theory of planned behavior. The survey was conducted from July 17 to August 15, 2017 using a questionnaire, after receiving the permission PNU IRB (2017_60_HR). Results: The subjects were 77 boys (49.4%) and 79 girls (50.6%) suffering from malnutrition with anemia (21.2%) and stunting ratio of Height for Age Z Score (HAZ) (11.5%). Furthermore, moderate weakness (14.8%) and overweight and obesity (12.3%) by Body Mass Index for Age Z Score (BMIZ) were coexistent. According to the results obtained for breakfast, 21.8% did not eat breakfast before school, with 18.8% of the reasons for skipping breakfast being attributed to lack of food. Even for subjects partaking breakfast, only about 10% had a good balanced diet. The average score of behavioral intention on eating breakfast was 2.60 ± 0.58. The perceived sensitivity, perceived severity, perceived benefits, and self-efficacy of the health belief model correlated with breakfast behavior. Of these, self-efficacy (β=0.447, R2=0.200) and perceived sensitivity (β=0.373, R2=0.139) had the greatest effect on breakfast behavior. Mother was the largest impact person among children. Conclusions: In order to increase the level of breakfast behavior intention among children surveyed in Indonesia, we determined the effectiveness by focus on education which helps the children recognize to be more likely to get sick when they don't have breakfast, and increase their confidence in ability to have breakfast on their own. We believe there is a necessity to seek ways to provide indirect intervention through mothers, as well as impart direct nutrition education to children.