• 한국콘텐츠학회논문지
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• 제20권4호
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• pp.358-372
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• 2020

최근 치매환자의 돌봄 치료 및 농촌지역 혁신의 일환으로 케어팜(care farm) 활용에 대한 사회적 관심이 커지고 있다. 건강복지관점의 치료와 농촌혁신관점의 농사가 결합된 케어팜은 다른 배경을 가진 다양한 이해관계자들의 상호 협의를 위한 거버넌스(governance) 구축이 중요하다. 하지만 아직 이에 대한 연구가 부족하다. 따라서 본 연구는 케어팜 거버넌스 프레임워크를 설계하여 주요 케어팜 성공 사례인 네덜란드 파라다이스 케어팜과 벨기에 푸른 농장의 거버넌스를 비교분석했다. 분석결과, 네덜란드와 벨기에 케어팜 거버넌스 체계는 제도적, 재정적 지원, 지역특성, 구조, 운영방식과 전략에서 다른 특징을 보였다. 네덜란드 케어팜 거버넌스는 치료중심 정부주도형으로써 사회 지원법 하에 보건복지부 중심으로 환자들을 위한 치료에 집중되어있다. 반면, 벨기에 케어팜 거버넌스는 지자체주도의 농업중심 참여촉진형으로써 지역 내 농업 협동조합, 의료기관들의 자발적 참여를 촉진하는 특징을 보였다. 이러한 케어팜 거버넌스 체계 및 유형 규명은 케어팜 연구에 대한 이론적 토대를 제공하고, 한국처럼 케어팜 활성화에 관심 있는 정부 및 지자체에 케어팜 거버넌스 설계방향의 가이드라인을 제공할 것이다.

• 문화기술의 융합
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• 제8권6호
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• pp.141-147
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• 2022

최근 북유럽을 중심으로 치유농업은 사회적 농업, 녹색 치유 등으로 소개되고 있으며 최근 20년 동한 급속도로 발전하고 있다. 국내에서도 차츰 소개되고 있지만, 아직 시작하는 수준에 불과하며, 체계적인 농장주들의 치유농장의 모델과 운영에 있어서 가이드를 제시하지 않고 있다. 치유농업에 있어 선진국은 체계적인 국가 차원의 가이드를 제시함으로써 보다 공통된 치유농장을 운영하는 것을 가능하게 하고 있다. 이런 선진국의 가이드라인의 문헌 고찰을 통해서 그 내용을 정리함으로써 국내 치유농업 가이드라인을 구성하는데 도움을 주고자 한다. 캐나다, 아일랜드, 네덜란드, 노르웨이와 핀란드의 국가별 치유농업 가이드라인의 내용은 크게 일반적 사항, 치유농장주를 위한 치유농장 사업의 시작방법, 대상자의 이해, 농장 조직체계, 농장경영, 농장생활로 구분할 수 있다. 우리나라에도 치유농장의 수요가 증가함에 따라 농장주를 위한 가이드라인이 보급되어 치유농장으로의 접근을 쉽게 하는 것이 필요할 것이다. 의료분야와 접목하여 가이드를 만드는 것도 좋은 방법으로 생각되며, 농장주가 어느 정도 의료분야에 대해서 이해하는 것도 필요할 것으로 보여진다.

• 문화기술의 융합
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• 제8권6호
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• pp.135-140
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• 2022

우리는 본 연구에서 현재 우리나라 치유농장에서 시범적으로 운영되고 있는 치유농업 프로그램을 시행하고 이를 경험한 치매 대상자의 환자보호자로서의 경험과 느낌을 인터뷰하고 치유농업 프로그램의 장점 및 단점을 확인 하였다. 이에 우리는 치유농장 프로그램 및 운영에 있어서 개선점과 프로그램의 특징 등에 대해서 알아 보았다. 특히, 치매 초기 단계의 치유농장 이용, 거주지에서 치유농장으로 이동하는 접근성문제, 다양한 프로그램과 프로그램의 연속성, 그리고 계절에 맞는 콘텐츠 개발에 의견을 모으고 있다. 앞으로의 치유농장에서 치유농업을 활용하여 치매환자에게 치유농업 관련 프로그램을 개발하기 위해 초기 치매 환자의 이용문제, 접근성, 다양성, 연속성, 계절성 등의 요소를 고려해야 할 것으로 보여진다.

• 가정과삶의질연구
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• 제14권3호
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• pp.181-196
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• 1996

This study examined the time allocation pattern of farm wives. In particular it addressed i)the differences in extent of time spent in farming housework child care and leisure between on-farm and off-farm seasons ii)differences in the extent of time spent in such activities among farm wives and urban wives and iii) the determinants of time spent in such activities. To achieve these goals a system of time allocation equations based on household production theory was employed. On hundred and eight farm wives wiere selected in 1993 by the methods of judgement sampling and cluster sampling. Two major questions in the survey elicited sociodemographic information and time-use of farm wives using the time-diary method, The results indicate that farm wives different decisions about how to allocate their time to farming housework child care leisure during on-farm and off-farm seasons. In addition it was that farm wives are more likely to have dual responsibilities than are urban wives. Finally in the off-farm season education number of younger children and region were significant variables in explaining the time allocation decisions of farm wives. However only age was a significant factor in their time allocation decisions during the on-farm season. This leads one to conclude that time allocation is not a choice for farm wives in the on-farm season.

• 농촌계획
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• 제27권1호
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• pp.71-83
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• 2021

This study conducted a survey and analysis of saliva cortisol and psychological questionnaire in order to find out the psychological and physiological changes according to the experience of the care farm targeting fire-fighters. In the program to experience care farms, the total cortisol concentration as a stress hormone decreased after participation, and there was a statistically significant difference (z = 2.858, p <.01). As a result of the risk distribution analysis of the level of post-traumatic stress symptoms of firefighting officials who participated in the program to experience care farms, the high-risk group was found to be as high as 31.2%. In addition, the relative explanatory power of the independent variables that influence the loyalty of the care farm experience activity was found to have an effect in the order of program satisfaction, age, and reliability, and among them, program satisfaction was found to be the most influential variable. Therefore, it is believed that the care farm experience activities as the application of the healing program will have a positive effect on the activation of care farms in each region and the relief of stress symptoms of fire-fighters.

• 여성건강간호학회지
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• 제9권4호
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• pp.467-478
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• 2003

Purpose: This study investigated elderly women's health care at doctorless farm villages based on information-about the perception and management of their health. Method: Grounded theory method as mapped out by Strauss and Corbin-was used to record and transcribe open-ended interviews. The data from these interviews were analyzed. Result: We found 18 categories and 28 sub-categories. In data analysis, the core phenomenon was named "movement in pain". Causal condition as essential prerequisites were aging symptoms, bad state of health, comfortable life to live alone, longevity, deficiency of health care resources, and sub-categories of the phenomena revealed acceptance of discomfort, enduring pain, continuity of movability. Elderly women's health-related activities included enduring as it is, movement consciously, applying resources, difficult in using health medical institutions. Family support, economic level, disease condition, support system of community were influenced to their health-related activities. Consequently, the results indicated that they wanted to accept given life, expected easy death. held out remaining life. Conclusion: This study revealed that the most important factor of elderly women's health care was "movement in pain". On the basis of this study, we needed to develop diverse nursing implementation plans for maintaining and improving' movability without pain'.

• 한국임상수의학회지
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• 제39권6호
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• pp.405-410
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• 2022

An 11-year-old thoroughbred post-partum broodmare presented with the symptoms of colic. The physical and clinical examinations indicated a large colon displacement or volvulus. Immediate surgical intervention was performed, and a strangulating large colon volvulus (LCV) was defined as a volvulus of >540° in the counterclockwise direction. After correcting and assessing the gut viability, approximately 80% of the entire large colon was resected and anastomosed using an end-to-end technique. With supportive care after surgery, the horse regained its appetite and vitality without significant clinical complications and was discharged on postoperative day 9. This report presents the first surgical correction using a large colon resection and anastomosis (LCRA) and the critical care for a strangulating LCV in a horse in Korea. This case enhances the current knowledge of clinical LCV and the related considerations for treatment.

• 농촌의학ㆍ지역보건
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• 제20권1호
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• pp.51-60
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• 1995

This study was to examine the awareness of health and the utilization of primary health care in rural areas. The data were obtained from self-administered questionnaire conducted 450 parents of Mi Gum md Su Dong middle school students in Nam yang Ju city, Kyung Gi-Do, Korea, from December 15 to 20 in 1993. The results were as follows : 1) Among the causes of disease, 'insufficient health care' was the highest(39.1%), and 'bad environment'(28.9%), 'complexity of life style'(17.8%) in next order. 2) In the priority between 'daily farm work' and 'primary health care', only 45.6% of respondents answered that primary health care is more important than the daily farm work. The 29.8% of respondents answered 'daily farm work', and the 23.1% answered 'the equal of the both'. 3) The 63.6% of the respondents recognized correctly, the meaning of primary health care. And the rate of information source in primary health care were 'TV and Radio'(42.2%), 'medical facilities'(23.3%), and 'newspaper and magazine'(11.3%) in order. 4) In the choice rate of medical facilities for primary health care, 'drug store' was the highest(34.9%), and 'local private clinic'(34.7%), 'health (sub)center'(15.8%), 'hospital'(10.2%) in next order. 5) The 53.5% of the respondents had experienced to visit the health (sub)center more than once. And the disfavorite reasons of health (sub)center were 'insufficient equipment'(36.7%), 'inavailable time to visit'(26.9%), and 'poor treatment'(9.1%). 6) Among the preference of the physicians for primary health care, 'specialist' was the highest rate of the respondents(54.2%), and 'general practitioner'(32.4%), and 'family doctor'(9.8%) in next order. The major obstacles in utilizing the medical facilities for primary health care were 'daily farm work'(41.6%), 'distance'(21.1%) and 'medical cost'(10.4%) in order. 7) The weakened reasons in health (sub)center function were 'insufficient medical equipment'(44.4%), 'the lack of resident's understanding for health (sub)center'(21.8%), and 'short thought of duty in health (sub)center personnel'(16.9%) in order.

• 대한간호학회지
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• 제34권5호
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• pp.771-780
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• 2004

Purpose: The purpose of this study was to explore how older adults kept their health good at a doctorless farm village. Method: Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin's (1990) grounded theory methodology. Result: The Core Category of health care of older adults was identified as 'enduring physical changes by themselves'. The process of this could be divided into 4 stages: the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally. Conclusion: We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

• 농촌지도와개발
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• 제24권3호
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• pp.173-183
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• 2017

The purpose of this study was to identify differences by business motivation of agro-healing farm s in Korea. A survey was conducted for entrepreneurs in agro-healing farmers with self-administered questionnaires. Main results of this study were as follows: First, business motivation of agro-healing farm s in Korea can be classified to 1) education-oriented, 2) care-oriented, and 3) sale revenue-oriented motivation. Second, care-oriented farms provide healing services to people in need like the disabled. These farms may be required a long-term program such as residence-required format. And these farms need supports of health and medical service personnel or institutions. Third, sale revenue-oriented farms have sources of main income from agricultural products or processed goods made in these farms. Therefore, these farms may be required a business strategy such as product development, marketing rather than agro-healing programs. fourth, the estimation of a Multinominal logistic regression model determines the characteristics of agro-healing entrepreneurs who are most likely to opt for each type motivation of participating for agro-healing farm business. the most important determinants on business motivation of agro-healing farms were 'participants type in programs', 'program operating time', 'supporting health and medical service personnel or institutions' and 'program revenue ratio in farm operating revenue'.