• 제목/요약/키워드: Women's health services

검색결과 331건 처리시간 0.027초

Factors Affecting Preferences of Iranian Women for Breast Cancer Screening Based on Marketing Mix Components

  • Pourfarzi, Farhad;Fouladi, Nasrin;Amani, Firouz;Ahari, Saeid Sadegieh;Roshani, Zohre;Alimohammadi, Sara
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3939-3943
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    • 2016
  • Background: According to recent statistics, the breast cancer rate is growing fast in developing countries. In North West of Iran, the incidence of breast cancer after esophageal and gastric cancers has the highest rate. Previous studies have also indicated that women in this region show reluctance to do breast cancer screening. There is a great need for change to promote breast cancer screening among women. Social marketing is a discipline that uses the systematic application of commercial marketing techniques to promote the adoption of behavior by the target audience. Materials and Methods: In the present qualitative study, thirty-two women with breast cancer were interviewed about their experiences of breast cancer screening. A semi-structured interview guide was designed to elicit information specific to the 4 P's in social marketing. Results: Three main categories emerged from the analysis: price, service and promotion. Subcategories related to these main categories included factors effective in increasing and decreasing cost of screening, current and desirable features of screening services, and weakness of promotion. Conclusions: Screening programs should be designed to be of low cost, to meet patients' needs and should be provided in suitable places. Furthermore, it is essential that the cultural beliefs of society be improved through education. It seems necessary to design an executive protocol for breast cancer screening at different levels of primary health care to increase the women's willingness to undergo screening.

Correlation between Appearance Management Behaviors and Mental Health Level of Female University Students for U-mental Healthcare

  • Choi, Hye-Jung;Woo, Hee-Sun
    • 한국컴퓨터정보학회논문지
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    • 제24권3호
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    • pp.167-174
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    • 2019
  • It is a descriptive study for the relationship between appearance management behaviors and mental health of some female college students. We analyzes 433 self-administered questionnaires from March to June 2017 for female students who enrolled in three-year colleges in Seoul and Gyeonggi province, South Korea. The conclusion is as follows. We used IBM SPSS Statistics 22.0(SPSS Inc., Chicago, IL, USA) for the analysis by person's characteristics, t-test and one way ANOVA, multiple regression analyses. The second-year grade shows higher points than the first-year grade in appearance management behaviors and mental health level(p<0.001, p<0.05). In addition, when students has the higher level of the household as the humanities students, they have higher level of mental health level(p<0.001). The most influential factors affecting the mental health level of female college students are domestic economic level and cosmetic management behavioral factors. The level of mental health was higher in the middle and upper group of the domestic economic level. When they do more cosmetic management behavior, they have lower the mental health level. In conclusion, it is deemed necessary for students to attend intensive and sufficient counseling with an academic advisor. The continuous attention through school counseling management services depending on grade, domestic economy level, and cosmetic management behavior is necessary in order to enhance the level of mental health for female students. In addition to that, the college needs to develop individual customized psychology counseling and educational programs through U-mental healthcare service in order to lessen the great pressure of sensitive information and provide mental consultation. The college needs to consider students' characteristics and needs from the results of this study. It is considered that a smart mental healthcare program will be needed to identify mental health of the individual through the systematic approach.

Factors Associated with Attending the National Cancer Screening Program for Liver Cancer in Korea

  • Noh, Dai-Keun;Choi, Kui-Son;Jun, Jae-Kwan;Lee, Hoo-Yeon;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.731-736
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    • 2012
  • Background and Aims: The National Cancer Screening Program (NCSP) for liver cancer was initiated in 2003 in Korea. The objective of this study was to evaluate the participation rate of the program and to provide preliminary information on its results based on data collected by the NCSP in 2009. Methods: The target population of the NCSP for liver cancer in 2009 was comprised of 373,590 adults aged ${\geq}40$ years at high risk for liver cancer. Participation rates and positivity rates were assessed in this population. Multivariate logistic regression analysis was performed to determine the factors associated with participation in the NCSP for liver cancer. Results: The overall participation rate was 37.9% and 1,126 participants were positive at screening. The highest participation rates were observed in women, those in their 60s, National Health Insurance beneficiaries, and individuals positive for hepatitis B surface antigen. Positivity rates for men, those in their 70s, Medical Aid Program recipients and individuals with liver cirrhosis were the highest in the respective categories of gender, age, health insurance type, and risk factor for liver cancer. Conclusions: The participation rates of the NCSP for liver cancer are still low, despite the fact that the program targets a high-risk group much smaller than the general population. Efforts to facilitate participation and to reduce disparities in liver cancer screening among Korean men and women are needed. These results provide essential data for evidence-based strategies for liver cancer control in Korea.

A Trusted Sharing Model for Patient Records based on Permissioned Blockchain

  • Kim, Kyoung-jin;Hong, Seng-phil
    • 인터넷정보학회논문지
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    • 제18권6호
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    • pp.75-84
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    • 2017
  • As there has been growing interests in PHR-based personalized health management project, various institutions recently explore safe methods of recording personal medical and health information. In particular, innovative medical solution can be realized when medical researchers and medical service institutes can generally get access to patient data. As EMR data is extremely sensitive, there has been no progress in clinical information exchange. Moreover, patients cannot get access to their own health data and exchange it with researchers or service institutions. It can be operated in terms of technology, yet policy environment are affected by state laws as well as Privacy and Security Policy. Blockchain technology-independent, in transaction, and under test-is introduced in the medical industry in order to settle these problems. In other words, medical organizations can grant preliminary approval on patient information exchange by using the safely encrypted and distributed Blockchain ledger and can be managed independently and completely by individuals. More apparently, medical researchers can gain access to information, thereby contributing to the scientific advance in rare diseases or minor groups in the world. In this paper, we focused on how to manage personal medical information and its protective use and proposes medical treatment exchange system for patients based on a permissioned Blockchain network for the safe PHR operation. Trusted Model for Sharing Medical Data (TMSMD), that is proposed model, is based on exchanging information as patients rely on hospitals as well as among hospitals. And introduce medical treatment exchange system for patients based on a permissioned Blockchain network. This system is a model that encrypts and records patients' medical information by using this permissioned Blockchain and further enhances the security due to its restricted counterfeit. This provides service to share medical information uploaded on the permissioned Blockchain to approved users through role-based access control. In addition, this paper presents methods with smart contracts if medical institutions request patient information complying with domestic laws by using the distributed Blockchain ledger and eventually granting preliminary approval for sharing information. This service will provide an independent information transaction and the Blockchain technology under test will be adopted in the medical industry.

간호대학생의 방문이동목욕 봉사경험 연구 (A Study on Nursing Students' Volunteer Experience in Visiting Ambulatory Bathing Service)

  • 황승숙
    • 지역사회간호학회지
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    • 제15권2호
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    • pp.308-322
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    • 2004
  • Purpose: 'The purpose of the present study was to understand students' experiences from their standpoint, to identify relevant variables and to examine into their relations by analyzing and describing what phenomenon 'nursing students' visiting ambulatory bathing service' is, what are the reasons for the phenomenon, and what interactions are in the phenomenon. Method: The subjects were thirteen students. Data were collected through in-depth interviews and analyzed by Strauss and Corbin's analysis method. Result: With regard to ambulatory bathing service, participants responded 'lack of education', 'inexperienced personal relations' and 'disappointment with recipients families'. They recognized 'burden' and 'compassion'. The intensity of generated 'burden' and 'compassion' was determined by volunteering persons, the degree of health care service, recipients' response and interaction of climate. When 'burden' and 'compassion' were generated, participants selected their own coping strategies. Strategies in the situation of 'burden' and 'compassion' were significantly influenced by 'burden' and 'compassion' and structural situation - 'mutual relation structure,' 'volunteers' capability,' 'the degree of volunteering guidance,' 'community participation,' 'recipients' environment,' 'information sharing,' 'special vehicle equipment' and 'economical burden.' Strategies include' service training,' 'receiving volunteering training,' 'preliminary service preparation,' 'volunteering.' 'connection to local medical center,' 'intention,' 'information sharing,' 'passive response to recipients' appreciation' and 'the understanding of publicity'. The results of selected 'burden' and 'compassion' are described with 'worthiness' and 'cohesion' as follows. Conclusion: This study is significantly meaningful in that it examined bathing service welfare in its initial stage. There are not much outcome from previous studies. However. it is meaningful that this study intended to develop theories on the nature of experiences and the relations among concepts derived from the visiting ambulatory bathing service process of nursing students. Professors who taught social volunteering in universities understood the experience of nursing students who did the visiting ambulatory bathing service. Consequently, professors will provide an effective instruction to enable these students to carry out visiting ambulatory bathing services efficiently in order to meet demands when they conduct the services. For the volunteering service activity in major-related fields among college students' social volunteering activities, they recognized the necessity of systematic education and preparation.

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일부 가철성 의치장착 노인의 의치만족도 영향 요인 (Influencing factors of removable denture satisfaction in the elderly)

  • 윤혜정;임선아;정은주
    • 한국치위생학회지
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    • 제15권3호
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    • pp.435-442
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    • 2015
  • Objectives: The purpose of this study was to investigate the influencing factors of removable dentures satisfaction in the elderly. Methods: A self-reported questionnaire was filled out by 256 elderly in Jeollanam-do from September 1, 2013 to June 30, 2014. The questionnaire consisted of general characteristics of the subjects, denture related characteristics systemic health characteristics and dental health behavior. Removable dentures satisfaction was adapted from Ban. The questionnaire for Removable dentures satisfaction included general treatment satisfaction, masticatory function satisfaction, denture retention satisfaction, aesthetic satisfaction measured by Likert 5 scale. Cronbach's alpha was 0.850 in the study. Data were analyzed for a t-test, one-way ANOVA and multiple regression analysis by using SPSS(SPSS 18.0, USA) program. Results: According to subjective and systemic health condition and oral health condition, there was a statistically significant increase in general satisfaction of treatment, masticatory satisfaction of function, denture satisfaction of retention, aesthetic satisfaction. The overall satisfaction for removable denture showed a significant improvement. In the multiple regression analysis, variation of removable denture satisfaction was positively associated with oral health status{good(b=0.736, p=0.000)}, denture treatment services{dental hospital clinic(b=0.327, p=0.023)}, and systemic health status{good(b=0.241, p=0.047)}. Conclusions: Satisfaction of removable dentures may have a positive impact on oral health condition, hospital type, and associated systemic disease. It is necessary to develop incremental care programs for oral health and systemic health and to make public opinion to encourage the program.

연세지역(延世地域)에 대(對)한 보건기초조사(保健基礎調査) (A Basie Health Survey of the Yonsei Community Health Service Area, Seoul)

  • 양재모;김명호
    • Journal of Preventive Medicine and Public Health
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    • 제1권1호
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    • pp.25-36
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    • 1968
  • Introduction In order to improve medical education through the introduction of a concept of comprehensive health care of a community, an area surrounding the University Campus was chosen for the Community Health Service Project. It has been on operation for last 4 years with its major emphasis on family planning services, and maternal and child health care. The major objectives of this survey at the area are to obtain: 1) The demographic data, 2) The health need and trend of medical care, 3) The attitude and practice in maternity care to be used for further improvement of the planning and the services of the project. Population and Survey Method Out of three Dongs of the Community Health Service Area, only two Dongs namely Changchun and Yonhee were selected for the survey. Total number of households and population in the area studied was 3,683 and 21,857 respectively. An interview was performed with questionnaire schedule which was recorded by interviewers. This includes the degree of utilization of health services provided by the Community Health Service Program such as family planning, prenatal care during their last pregnancy, delivery history and complications of the delivery as well as the incidence of illnesses in general. Prior to the interview, all interviewers were trained for interviewing technique for two days. The survey was carried out during the period from October December 1967. Results 1) Demographic Data : 41.3% of the population studied were children under age 15 and only 3.5% were over 60 years of age. Crude birth rate and crude death rate of this area studied during the period of November 1966-October 1967 were 20.5 and 7.7 respectively. Infant mortality rate during the same period was 35.9. 50.4% of the 2,832 households fell into the category of middle class, 39.8% to the lower class and 9.5% to the upper class in economic condition. 19.8% of 2,832 householders had no formal education, 22.7% primary school, and 57.5% middle or higher school education. 2) Health Status and Utilization of the Community Health Service: Those who suffered from many illnesses during the month of October, 1967 were 690(4.6% of 14,891 persons). Classification of these patients into the type of disease shown respiratory diseases 27.4%, gastrointestinal diseases 18.1%, tuberculosis 10.9%, skin and genitourethral diseases 4.5% and gynecologic patients 4.5%. Only 55.9% of the patients received medical care at hospital or doctor's clinic. But among TB and gynecologic patients, 70.7% and 72.4% were treated at medical facilities. 10.6% of 2,832 householders interviewed has ever utilized the Community Health Service Program provided by the Yonsei Medical School, Classifying these clients into the type of service, 35.9% utilized the wellbaby clinic, 31.0% the family planning clinic, 14.7% the home delivery care, and the rest utilized other services such as the premarital guidance cinlic and the sanitary inspection service. 3) Maternity Care: 23.6% of 2,151 deliveries were done at medical facilities such as hospital, private clinic, while 76.4% were done at home. Acceptance rate of prenatal care was 32.6% as whole, but 49.6 of 774 women who had the prenatal care service had their deliveries at medical facility. 45.1% of total deliveries were attended by medical and or paramedical personnel. 75.8% of the deliveries of those received prenatal care were attended by medical and or paramedical personnel while only 27.8% of the deliveries of those who did not have prenatal care attended by medical and or paramedical personnel. 49.8% of deliveries of the upper class, 29.8% of the middle class and 9.9% of the lower class were attended by medical and or paramedical personnel. 6.2, 3.3% and 24.8% of mothers reported about their xeperience of edema, coma and fever during the period of trimester of pregnancy and puerperium. 4) Family Planning: The rate of practice of family planning was 27.9%. 31.7% of them were by IUD, 2.9% by oral pill, 15.2% by sterilization and the rest by traditional methods. Those women who had 3 to 4 children had highest(30.2%). Practice rate among the various methods of family planning, oral pill was the most popular method to whom had 2 or less children. In relation between the practicing rate of family planning and living standard, the upper, middle and lower class practiced 37.5, 29.4 and 19.9% respectively.

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판별분석 기법을 이용한 농촌지역 산모의 분만장소 및 분만 개조자 선정에 관한 연구 (A Discriminant Analysis Study on Selection of Delivery Place and Delivery Attendants in Korean Rural Remote Area)

  • 한경애
    • 대한간호학회지
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    • 제16권2호
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    • pp.44-52
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    • 1986
  • Maternal and child health(MCH) status is considered as an important indicator of the level of health and civilization of a community and a country. MCH services for the rural population in the remote ar deserves priority by the government, since more than half(52.9%) of the delivery was occured at home and almost half (45.5%) of the delivery was assited by family members or neighbors. The purpose of the study was to analyse the health fare behavior related to pregnancy and delivery, which can be contributed maternal health care policy mating for the rural people. Specifically, it was intended to analyze the variables which affect the health care behavior in selecting birth places and birth attendants. This study utilized the data which had been already collected for an experimental study on primary health program model in Korean rural communities, funded by the USAID. 184 sample households with women who had delivered a baby during March 1982 to February 1983 were selected. Discriminant Analysis was employed for statistical analysis by utilizing SPSS computer package program. Birth places and birth attendants were considered as dependent variables. Among 12 independent variables in 5 groups considered, 7 independent variables were found statistically significant to affect the selection of birth place. Significant variables by the order of importance are mother's age, order of baby, number of prenatal care, accessibility of emergency medical care, coverage of medical insurance, mother's membership in community organization and husband's educational level. The degree of correct classification of the grouped cases by employing a discriminant . analysis was significantly improved to 78.2% in comparison to Cmax(56%) and Cpro(51%). Policy implications for each significant variable were discussed to improve the maternal and child health. in Korean ruralarea.

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거주지역에 따른 결혼이민자 여성의 자아분화 및 문화적응이 결혼만족도에 미치는 영향 (Influence of Self-Differentiation and Acculturation on Marriage Satisfaction Among Immigrant Women by Residential Area)

  • 이영분;이유경
    • 가정과삶의질연구
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    • 제28권1호
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    • pp.145-157
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    • 2010
  • This is a study that explores the influence of self-differentiation and acculturation among married immigrant women on their feelings of marriage satisfaction by residential area. The aim was to verify the level of self-differentiation and acculturation that married immigrant women secure from multicultural marriage. To achieve this objective, the study widely distributed a questionnaire that targeted women who were participating in education and other services at health and family support centers, multi-cultural family support centers, general social welfare centers, immigrant women shelters, and Korean language classrooms which are located in Seoul, Gyeonggi, Chungcheong, Jeolla, and Gyeongsang. Data analysis involved frequency analysis, descriptive statistics, one-way-Anova, and multiple regression analysis. Based on the results of descriptive statistics, two factors, namely, (1)interpersonal-relation differentiation, a sub-scale of self-differentiation, and (2)marginalization, a sub-scale of acculturation, had the lowest average. In verifying its various hypotheses, the study achieved the following results. Firstly, among demographic characteristics, there was difference of the mean in the marriage period, average monthly income, the frequency of meetings with the married woman´s parents-in-law and her own parents, and the average cost of supporting the woman's parents-in-law and her own parents. Secondly, among demographic characteristics, the variable of influencing marriage satisfaction showed negative influence in the case of women dwelling in farming and fishing villages. This shows that women residing in cities whether small, medium or large have higher marriage satisfaction. Also, as a result of verifying whether self-differentiation has influence on marriage satisfaction, the element of interpersonal-relations differentiation had a negative influence on marriage satisfaction. Thirdly, as for influence of acculturation upon marriage satisfaction, the study showed that just integration, which is a sub-scale of acculturation had positive effect on marriage satisfaction. In other words, the study showed that the interpersonal-relation differentiation among the sub-scales of self-differentiation among married immigrant women had a negative influence, and that integration among the sub-scales in acculturation had a positive influence on marriage satisfaction. Based on these results, in order to increase interpersonal-relation differentiation, as well as marriage satisfaction among immigrant women, the study suggests the integration of the women's families with the nuclear and extended families in the communities where the women reside.

만성 통증이 한국의 의료 이용 행태에 미치는 영향 (Influences of Chronic Pain on the Use of Medical Services in South Korea)

  • 정의균;곽연희;송재석
    • 한국콘텐츠학회논문지
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    • 제15권2호
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    • pp.363-369
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    • 2015
  • 만성 통증(Chronic pain)은 병원을 찾는 가장 흔한 원인이고, 환자 자신뿐만 아니라 가족, 사회에까지 경제적 비용 문제를 야기한다. 본 연구는 국민건강영양조사 자료를 이용하여 우리나라 일반인의 근골계질환으로 인한 만성통증의 규모를 분석하고, 이들의 의료이용에 영향을 미치는 요인을 분석하였다. 본 연구는 5기 국민건강영양조사 자료를 이용하였고, 이중에서 20세 이상인 사람을 대상으로 분석을 하였다. 평가도구로는 EuroQoL-5 Dimension Index(EQ-5D)를 이용하였다. 통계분석은 t-test와 카이제곱 검정, 다중 로지스틱 회귀분석을 이용하여 분석하였다. 의료 이용에 대해서는 만성 통증이 있는 경우는 대조군에 비하여 의료이용을 하는 경우가 5.858배 높았으며 만성 통증 여부를 통제한 상태에서도 여자는 남자에 비하여 의료 이용을 하는 경우가 1.156배 높았다. 그러나 연령이나 직업, 가구 수입 여부는 통계적 유의성이 없었다. 만성 통증이 있는 경우는 삶의 질 역시 낮았는데, 만성 통증의 관리는 삶의 질을 높이고 의료이용을 억제하기 위하여 매우 중요한 역할을 한다고 할 수 있다. 마취통증의학과 의사는 진통제나 진경제와 같은 약물에 관해서도 해박하고 또한 숙련된 신경블록 기술도 가지고 있어 통증에 대해 다양한 방법을 구사할 수 있는 입장에 있다. 따라서 만성통증의 관리에 있어서 마취통증의학과의 역할이 중요하고 주도적으로 이루어질 필요가 있다.