• 제목/요약/키워드: chronic mental illness

검색결과 59건 처리시간 0.033초

일차보건의료조직에서의 방문간호사업 실태조사연구 (A Study on Visiting Nursing Service in Primary Health Care Units)

  • 임영옥;소애영
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.480-493
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    • 1999
  • The visiting nursing service is an essential part of public health. The purpose of this study was to analyze the visiting nursing service in primary health service centers. The data were collected from visiting nurse records in Wonju City Health Center, Myun Health Center and Community Health Subcenters. The period of data collection was from April 6 to July 15, 1998. The major findings were as follows: 1. Characteristics of 36 service providers. 1) Age : Over 40 years old - 66.7% 2) Educational level: The proportion of registered nurses was 47.2% and nurse aids 52.8% 3) Career: The proportion of providers who worked over 11 years in Public Health Service was 7.8% 2. Characteristics of Subjects 1) The major health problems were cerebro vascular attack, hypertension, D. M., arthritis, gastrointestinal problems and psychiatric problems. The prevalence of chronic health problems increased with age, except for mental illness. 2) The prevalence of cancer was 4.3/1000. 3. Contents of Home Visiting Nursing Services. 1) The major service was education and counseling. 2) The other services were Direct Care(ROM exercise, wound care, physical therapy, basic nursing care etc,) as 56.5%, of the work involved Indirect Care(teaching, counseling, emotional support, etc,) 30.3%, medication - 11.7%, and referral to hospitals - 1.5%.

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다차원척도법을 이용한 귀비탕변증설문지(歸脾湯辨證設問紙)와 관련 설문지와의 비교 연구 (Comparison between Guibi-tang Questionnaire and Related Questionnaires using Multidimensional Scaling)

  • 이병희;박영재;오환섭;이상철;김민용;박영배
    • 대한한의진단학회지
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    • 제15권2호
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    • pp.169-174
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    • 2011
  • Objectives: Seven Emotions consist of Joy(喜), Anger(怒), Anxiety(憂), Thought(思), Sorrow(悲), Fear(恐), Fright(驚). If Seven Emotions are excessive, their extreme mental stimulations cause physical illness. The aim of the research is to make a proposal on the concept of Seven Emotions by a statistical comparison between guibi-tang questionnaire and health related questionnaires. Methods: We studied the similarities among three factors of guibi-tang questionnaire and three health related questionnaires(subjective symptoms of fatigue test, beck depression inventory, state-trait anxiety inventory, etc.) using multidimensional scaling. Results and Conclusions: 1. Physical-Emotion Dimension and Chronic-Acute Dimension were labelled in two-dimensional solution. 2. Seven Emotions and Fatigue have a high correlation. 3. Seven Emotions and Trait-Anxiety have a high correlation.

COPD 대상자의 가정간호를 위한 Critical pathway (Critical Pathway of Home Healthcare for COPD clients)

  • 조원정;한미경
    • 지역사회간호학회지
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    • 제12권2호
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    • pp.329-337
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    • 2001
  • Purpose: This study was to develop a critical pathway for COPD clients in home health care. Method: Review of literature. Analysis of 10 cases of home health records of COPD clients without other major chronic illness, and Contents validity test Results 1. Vertical axis(l4 activities) physical and mental assessment, family assessment. environment assessment, rights and duties of client, oxygen use and safety, education of disease process and symptom, medication, nutrition and elimination, tests, activities, respiratory exercise, sleeping pattern. consultations and discharge planning. 2. Horizontal axis was set by the number of visits(average number of visits is 6.4) and vertical axis was set with 14 activities and the contents which should have occurred, according to the time frames of the horizontal axis. 3. According to the contents validity test, among the total of 234 items, 176 items showed over 83% agreement and 58 items showed less than 83% agreement. Those items with less than 83% agreements were either deleted or revised. Conclusion this critical pathway is applicable to the home health care of COPD clients to provide quality home nursing care services at lower cost.

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외국인 이주자 건강관련 연구 동향: 최근 10년간(2000-2009년) 연구에 대한 고찰 (Trends in Health-related Research on Foreign Migrants Living in Korea: Review of Published Studies during the Past 10 Years (2000-2009))

  • 최지원;이현경;채덕희
    • 보건교육건강증진학회지
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    • 제28권3호
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    • pp.113-128
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    • 2011
  • Objectives: The purpose of this study was to investigate the current state and trends of health-related research on foreign migrants living in Korea. Methods: Among 85 articles identified via PubMed and RISS and additional 7 articles by ancestry search, 28 were selected for the review. Two authors independently reviewed the articles using a literature review matrix and examined together the three aspects of the studies: research methods, research topics, and research results. Results: Most of the articles were published between 2005-2009, and only 3 studies used an interdisciplinary approach. Most were exploratory and there were 4 intervention studies: three of them examined the effect of an art therapy on acculturative stress and mental health among marriage migrant women. The lack of information on informed consent, approval of institutional review board, and the validity/reliability of the translated instruments were noted. Conclusions: Research is needed to examine migrants' health behaviors, the prevalence of chronic illness among migrants, and the influence of acculturation on the use of health resources, health behaviors, and health status. Researchers should be aware of ethnic issues when they work with foreign migrants.

농촌중년여성의 건강행위 유형 (A Study on Types of Health Behavior among Middle Aged Women in Rural Areas)

  • 양진향
    • 기본간호학회지
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    • 제9권3호
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    • pp.484-500
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    • 2002
  • Purpose: The purposes of this study were to better understand types of health behavior in middle aged women in the Korean agricultural society, understand their nursing needs, and eventually present guidelines to develop proper nursing interventions. Method: Participants for this study were 16 middle aged women from farming communities, who lived in C county and were independent and without chronic ailments. In collection and analysis of data Strauss & Cortin's (1997) research processes and methods were used. The period of data collection was between April 2001 and February 2002. Result: The results of the study showed that the core category was the family-oriented process of $yangsaeng^{1)}$, and four types of health behaviors were observed; $momboyang^{2)}$ maintenance of health through daily life, managing mental health, and managing illness. Each type was perceived to differ from the other in the terms of health behavior priority which was largely affected by the cultural surrounding, for example, degree of attention to children's education and tendency to a traditional role for women. Conclusion: In conclusion, nurses need to understand various types of health behavior in middle aged women. The findings from this study can be applied to the development of Korean nursing interventions that are based on health behavior among middle aged women in the Korean agricultural society. These interventions can then. be based upon understanding of Korean culture rather than drawn only from Western concepts of health behavior.

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미국 공군 사격장 지역주민의 환경, 재산 및 건강피해 (Overview of the Environmental Damage, Property Loss, and Health Impairment of Residents around a US Air Force Firing Range)

  • 임현술
    • 한국환경보건학회지
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    • 제37권3호
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    • pp.173-181
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    • 2011
  • Koo-ni Firing Range in Maehyang-ri consisted of a firing range around 'Nong-sum' and a land-based firing range in the nearby coastal area. From 1951, when the US Air Force began field firing, residents of Maehyang-ri suffered damage to health, environment, life and property due to 54 years of field firing and noise. The purpose of this article is to provide an overview of the environmental damage, property loss, and health impairment by reviewing literature and related lawsuits. Environmental damage, the destruction of coastal fisheries and wetlands, would be a result of heavy metal contamination of soil. Fishing restrictions and the confiscation of farmlands caused financial hardship. Errant bombings led to the loss of life and property, including buildings and livestock. As a result, residents repeatedly sued the Republic of Korea for damages. The court decided partially in favor of the plaintiffs. Finally, Koo-ni firing range was closed down in 2005. Through the literature review, it is presumed that the noise caused hearing problems, hypertension, and mental illness. Since earlier studies were confined to a small fragment of the damage, additional studies focused on chronic health hazards are needed.

Analysis of the Effects of Walking Environment Components on Pedestrian Satisfaction and Dissatisfaction

  • Lee, Meesung;Lee, Heejung;Kim, Taeeun;Hwang, Sungjoo
    • 국제학술발표논문집
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    • The 9th International Conference on Construction Engineering and Project Management
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    • pp.863-870
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    • 2022
  • Unsatisfactory urban walking environment stresses urban residents, and may cause mental illness and chronic diseases by reducing walking activities. Therefore, establishing a high-quality walking environment that can promote walking activities in urban residents has emerged as an important issue. The walking environment consists of various components, such as trees, stairs, streetlights, benches, signs, fences, and facilities, and it is essential to understand which components and their settings act as satisfiers or dissatisfiers for pedestrians, to create a better quality walking environment. Therefore, this study investigated pedestrian satisfaction and dissatisfaction as a function of various environmental components through a survey using walking environment images. The results revealed that most of the walking environment components except the braille block and treezone exhibited significant correlations with pedestrian satisfaction. Particularly, safety-related component (e.g., adjacent roads, parked cars, traffic cushions, and car separation), and landscape-related components (e.g., trees and green), as well as the material settings of landscape facilities (e.g., wooden fences, benches, stairs, and walkway surfaces) correlated with pedestrian satisfaction. The results of this study can contribute to the extraction of useful features to evaluate pedestrian satisfaction as a function of the walking environment. The research outcome is expected to assist in the effective arrangement of walking environment components and their settings, which will ultimately contribute to significantly satisfactory walking environment and encourage walking activities.

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노년기 건강에 있어 미병(未病) 관리의 의의: 한의학과 심리학의 연관성을 중심으로 (The Significance of Managing "Mibyeng" in Geriatric Health by Focusing on the Connection between Korean Medicine and Psychology: A Review)

  • 배수현;박미소;이시우;백영화;류호룡;김기연
    • 동의신경정신과학회지
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    • 제31권2호
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    • pp.109-119
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    • 2020
  • Objectives: The aim of this study is to review the significance of managing "Mibyeong" in geriatric health in Korean medicine and psychology. Methods: We performed a literature search using OASIS, Koreantk, RISS, DBpia, and PubMed databases. We retrieved research articles using the keywords related to mibyeong (未病), sub-health (亞健康), Korean-medicine, psychology and geriatric health. Results: Both Korean medicine and psychology emphasize biological, psychological, and social balance and well-being. In addition, both value individual personality and constitution. Mibyeong is a Korean medical concept suggesting sub-health. Elderly individuals who are in a state of Mibyeong are frail and vulnerable to disorders and illness. Since depression, chronic diseases, low physical and mental activity have fatal outcomes in frail and elderly subjects, positive psychological support and active management of Mibyeong are very important. Conclusions: Geriatric health conditions are associated with chronic disease and multiple risk factors, including physiological, psychological, social, and economic conditions. A preventive and integrative approach is essential for geriatric health as prevention is better than cure for most geriatric diseases and illnesses.

일부 성인의 주관적 구강건조증에 영향을 미치는 요인 (Adults'self-reported of dry mouth and it's associated impact factors)

  • 박희정;심연수
    • 한국치위생학회지
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    • 제12권5호
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    • pp.973-985
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    • 2012
  • Objectives : The aim of this study is to investigate the possible impact factors on adults' self-reports of dry mouth and to develop strategies to improve oral health education policy. Methods : This study was conducted on a total of 622 self-administered questionnaires adult above 20 and under 65 years of age living in Seoul and Gyeonggi provinces. The final participants consisted of 443 adults without chronic illness, taking medications and wearing dentures. The Hierarchical Multiple Regression model with three stages was used to assess the association for exposure of interest, such as socio-demographics, health-related behavior, mental health and self-reported of dry mouth. Results : The participants reported mean score of dry mouth($6.32{\pm}4.47$), of which 191 were male($6.81{\pm}4.56$) and 252 were female($5.94{\pm}4.37$). Hierarchical Multiple Regression revealed that the score of dry mouth was shown to be significantly higher for the following people: Males, who were employed, unemployed, negative self-perceived general health, perceived stress, and participants who had no experience awareness of distress in two weeks. The explanatory power was 21.9%. The most powerful impact factor regarding to employment was shown to be negatively associated to dry mouth, and self-perceived general health, experiencing awareness of distressful in two weeks was also important factors. Conclusions : Based on these results in order to develop oral health education policy strategies for the prevention and management of dry mouth, there need to be considered for the employee.

고령화 한국사회의 노인 고독사: 위험요인과 예방전략 (Lonely Deaths among Elderly People in the Aging Korean Society: Risk Factors and Prevention Strategies)

  • 김혜성
    • 한국콘텐츠학회논문지
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    • 제17권8호
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    • pp.454-462
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    • 2017
  • 본 연구는 노인 고독사 현상에 대한 이해를 목적으로 미디어 자료를 사용하여 고독사 사례를 살펴보고자 하였다. 질적 연구방법으로 사례분석 방법을 적용하였다. 고독사 사례는 2007년부터 2017년 초까지 보도된 미디어 자료를 사용하였다. 자료 수집은 인터넷 검색 엔진을 사용하여 수행하였으며, 총 47사례가 최종 분석에 사용되었다. 60대 21사례, 70대 17사례, 80대 이상 9사례를 분석에 사용하였다. 성별은 남성 22사례, 여성 17사례, 성별미상 사례 8사례로 나타났다. 분석 결과, 고독사 사례에서 나타난 주요 위험요인으로는 빈곤과 경제적 곤경, 만성질환, 정신건강 문제, 사회적 고립, 가족 및 이웃과의 관계 절연, 실업, 1인 가구, 독신 혹은 이혼, 그리고 대도시 거주 등으로 파악되었다. 연구 결과를 바탕으로 향후 예방 전략에 대한 논의를 제기하였다.