• 제목/요약/키워드: community psychology

검색결과 170건 처리시간 0.037초

가족사례관리사업 운영 현황 및 효율성 제고 방안에 관한 연구 : 서울지역 건강가정·다문화가족지원센터를 중심으로 (A study of current management status and ways to improve the efficiency of Family-centered case management services: Focused on the Healthy family support centers and Multi-cultural family support centers in Seoul)

  • 박정윤;박연숙;전미경
    • 가족자원경영과 정책
    • /
    • 제23권1호
    • /
    • pp.35-60
    • /
    • 2019
  • The main purpose of this study are to investigate the current situation of family-centered case management practices by case managers working in the healthy family support centers and multi-cultural family support centers, in order to propose a practical direction for improving the efficiency of family-centered case management services. Research participants included 24 case manager working in the healthy family support centers and multi-cultural family support centers in Seoul, who have performed case management services for families for one to 7 years. The Date was collected through focus group interview(FGI) and demographic characteristics research. The results of this study are as follows: first, in the area of cognition about family-centered case management conceptualization, confused and ambiguous. Seconds, in the area of practicing as a case manager, there were limitations and biases in community resources contact and multiple intervention and limited sharing information between organizations. Third, family-centered case manager's have periodically been requested to provide diverse training and education for performance of challenging case managers roles. The Standardized manual and burnout precautions should also be prepared.

언어와 감정-셸리의 『프랑켄슈타인』과 루소의『언어의 기원론』 (Shelley's Frankenstein and Rousseau's Essay on the Origin of Languages)

  • 김상욱
    • 영어영문학
    • /
    • 제54권4호
    • /
    • pp.483-509
    • /
    • 2008
  • For the last decades, criticism on Frankenstein has tried to make a link between Victor's Creature and Rousseaurean "man in a state of nature." Like the Rousseaurean savage in a state of animal, the monster has only basic instincts least needed for his survival, i.e. self-preservation, but turns into a civilized man after learning language. Most critics argue that, despite the monster's acquisition of language, his failure in entry into a cultural and linguistic community is the outcome of a lack of sympathy for him by others, which displays the stark existence of epistemological barriers between them. That is to say, the monster imagines his being the same as others in the pre-linguistic stage but, in the linguistic stage, he realizes that he is different from others. Interpreting the Rousseaurean idea of language, which appears in his writings, as much more focused on emotion than many critics think, I read the dispute between Victor and his Creature as a variation of parent-offspring conflict. Shelley criticizes Rousseau's parental negligence in putting his children into a foundling hospital and leaving them dying there. The monster's revenge on uncaring Victor parallels the likely retaliation Rousseau's displaced children would perform against Rousseau, which Shelley imaginatively reproduces in her novel. The conflict between the monster and Victor is due to a disrupted attachment between parent and child in terms of Darwinian developmental psychology. Affective asynchrony between parent and child, which refers to a state of lack of mutual favorable feelings, accounts for numerous dysfunctional families. This paper shifts a focus from a semiotics-oriented perspective on the monster's social isolation to a Darwinian perspective, drawing attention to emotional problems transpiring in familial interactions. In doing so, it finds that language is a means of communicating one's internal emotions to others along with other means such as facial expressions and body movements. It also demonstrates that how to promote emotional well-being in either familial or social relationships entirely depends on the way in which one employs language that can entail either pleasure or anger on hearers' part.

A Study on the Network Text Analysis about Oral Health in Aging-Well

  • Seol-Hee Kim
    • 치위생과학회지
    • /
    • 제23권4호
    • /
    • pp.302-311
    • /
    • 2023
  • Background: Oral health is an important element of well aging. And oral health also affects overall health, mental health, and quality of life. In this study, we sought to identify oral health influencing factors and research trends for well-aging through text analysis of research on well-aging and oral health over the past 12 years. Methods: The research data was analyzed based on English literature published in PubMed from 2012 to 2023. Aging well and oral health were used as search terms, and 115 final papers were selected. Network text analysis included keyword frequency analysis, centrality analysis, and cohesion structure analysis using the Net-Miner 4.0 program. Results: Excluding general characteristics, the most frequent keywords in 115 articles, 520 keywords (Mesh terms) were psychology, dental prosthesis and Alzheimer's disease, Dental caries, cognition, cognitive dysfunction, and bacteria. Research keywords with high degree centrality were Dental caries (0.864), Quality of life (0.833), Tooth loss (0.818), Health status (0.727), and Life expectancy (0.712). As a result of community analysis, it consisted of 4 groups. Group 1 consisted of chewing and nutrition, Group 2 consisted oral diseases, systemic diseases and management, Group 3 consisted oral health and mental health, Group 4 consisted oral frailty symptoms and quality of life. Conclusion: In an aging society, oral dysfunction affects mental health and quality of life. Preventing oral diseases for well-aging can have a positive impact on mental health and quality of life. Therefore, efforts are needed to prevent oral frailty in a super-aging society by developing and educating systematic oral care programs for each life cycle.

과채즙 식이를 포함한 혈중지질개선 프로그램의 참여도에 따른 효과 (Effects of a Juice Diet Including a Lipid Improvement Program and Program Attendance on the Korean Serum Lipid Profile)

  • 유경이;윤미은;이경순;김신섭;임종은;천성수
    • 한국지역사회생활과학회지
    • /
    • 제26권2호
    • /
    • pp.261-274
    • /
    • 2015
  • Although fasting programs have recently attracted close attention because of benefits of detoxification, few studies have examined these programs. This study investigates the effects of a modified juice-based fasting program on lipid metabolism. A total of 33 volunteers fasted for 10 days and participated in program lectures, exercise programs, water bath regimens, and enemas. Pre- and post-program blood samples were obtained to evaluate lipoprotein levels. A paired t-test was conducted using SPSS 18.0. Changes in the lipid profile were observed during the juice-based fasting program and attending 3 degrees. All lipid profiles decreased significantly, including total cholesterol (TC) (p<0.001), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) (p<0.05). Program participation was documented by assessing attendance levels as high, moderate, and low. TC decreased significantly in all programs and levels (p<0.05), TG decreased proportionally only in enemas according to the attending degree: high (48 %), moderate (20 %), and low (10 %). HDL-C decreased at all low levels, but moderate exercise ($53.8{\pm}12.5mg/dL$ to $55.6{\pm}10.2mg/dL$) and a high enema ($54.9{\pm}14.1mg/dL$ to $55.0{\pm}9.4mg/dL$) showed small increases. The antioxidant property of the juice-based fasting program in terms of the blood vessel, enemas, and exercise played an important role in preventing cardiovascular disease from increased levels of HDL-C. These results suggest that juice-based fasting and combined lifestyle programs may help improve lipid metabolism and protect against dyslipidemia.

방문건강관리사업 대상 재가노인의 허약정도와 예측요인 (Predictors and Frailty Level in the Frail Elderly Receiving Home Visiting Health Care Services)

  • 박정숙;오윤정
    • 농촌의학ㆍ지역보건
    • /
    • 제41권3호
    • /
    • pp.129-139
    • /
    • 2016
  • 본 연구는 재가 허약노인의 허약정도에 영향을 미치는 예측요인을 파악하기 위해 대상자의 허약정도를 확인하고 일반적인 특성, 건강증진행위, 역량강화, 사회참여, 주관적 건강상태 간의 관계를 분석한 후 다중회귀분석을 실시하였다. 연구결과로는 재가노인의 허약정도 점수는 31점 만점에 10.05점으로 고위험 허약노인군에 포함되었고, 건강증진행위는 4점 만점에 2.56점, 역량강화는 5점 만점에 2.74점, 사회참여는 5점 만점에 2.58점, 주관적 건강상태는 14점 만점에 7.17점으로 중간 정도였다. 재가노인의 허약정도는 연령이 높을수록, 생활만족도가 불만족일수록 심했으며, 허약정도와 건강증진행위, 역량강화, 사회참여, 주관적 건강 상태와는 부적인 상관관계를 나타내었다. 대상자의 허약정도를 설명하는 예측요인으로는 주관적 건강상태, 건강증진행위, 연령으로 나타났고, 이 세 변수가 허약정도의 37.4%를 설명하였으며, 이중 주관적 건강상태가 가장 주요한 예측인자로 나타났다. 따라서 재가노인의 허약을 예방하고 관리하기 위해서는 허약에 영향을 미치는 주요 예측 요인들을 반영한 중재전략을 개발, 적용해야 할 것으로 사료된다. 본 연구의 결과를 토대로 다음과 같은 제언을 하고자 한다. 첫째, 재가노인의 허약정도를 사정할 수 있는 표준화된 도구의 마련이 필요하다. 둘째, 재가노인의 허약정도를 가장 잘 예측할 수 있는 변수로는 주관적 건강상태로 나타났으므로 재가노인의 허약을 예방, 관리하는 프로그램에는 주관적 건강상태를 강화하는 내용을 포함할 것을 제언한다.

토픽모델링과 연결망 분석을 활용한 국내 조경 분야 연구 동향 분석 - 한국조경학회지를 대상으로 - (The Research Trends in Journal of the Korean Institute of Landscape Architecture using Topic Modeling and Network Analysis)

  • 박재민;김용환;성종상;이상석
    • 한국조경학회지
    • /
    • 제49권2호
    • /
    • pp.17-26
    • /
    • 2021
  • 지난 반세기 동안 한국조경학회지는 국내 조경학 연구를 주도하며, 조경 전 분야의 다양한 영역의 주제를 포용적으로 수용하며 발전해 왔다. 이에 본 연구에서는 게재된 1,802편의 논문 초록을 수집하여 분석하였다. 연구방법은 토픽모델링을 이용하여 연구 주제 유형을 구분하고, 시계열적 연구 경향을 살펴보았으며, 연결망 분석을 이용한 키워드 사이의 관계성과 군집 특성을 해석하였다. 연구 결과, 총 27개 유형의 주제를 확인하였다. 전반적으로 주제의 시계열적 변동성은 적었지만, 근대성, 커뮤니티, 도시재생 등은 새롭게 성장하는 핫토픽이었고 생태조경 관련 주제들은 감소하는 콜드토픽으로 나타났다. 주제별 차이는 있었지만 2000년대 이후 연구 주제의 변동성이 크게 나타났다. 학회지의 상징적 키워드는 '공원'으로 나타났으며, '경관' 또한 학회지가 선도하는 주요한 영역임을 확인하였다. 연결망과 출현빈도를 토대로 보면, 학회지는 '공원'과 '경관', '공간'을 대상으로 '활용', '이용' '조성' 관련 연구를 하고 있음을 알 수 있었다. 본 연구는 텍스트마이닝의 토픽모델링과 연결망 분석을 이용하여, 학회지의 총체적 연구 경향성을 파악하였다는데 의의가 있다.

1인가구의 생애주기별 생활실태 및 생활만족도 : 김포시 1인가구를 중심으로 (Living Conditions and Life Satisfaction of Single-person Households by Life Cycle : An Analysis of Single-person Households in Kimpo, South Korea)

  • 김정은;박정윤;서지원;송혜림
    • 가족자원경영과 정책
    • /
    • 제27권3호
    • /
    • pp.21-37
    • /
    • 2023
  • 이 연구는 가족의 다양성 차원에서 1인가구의 보편화 현상에 주목하여, 김포시 1인가구 사례를 중심으로 1인가구의 생애주기별 생활실태 그리고 생활만족도를 살펴보았다. 조사는 김포시 거주 1인가구를 대상으로 2022년도 8-10월에 걸쳐 대면설문조사로 실시되었다. 생애주기별로 청년/중장년/노년기 1인가구로 집단을 구분하였고, 1인가구의 인구사회학적 배경, 개인생활 영역, 가족관계, 생활만족도 등의 문항을 통계분석에 활용하였다. 조사대상자 특성을 파악하기 위한 기술통계, 생애주기별 생활실태의 차이를 검증하기 위한 교차분석과 일원분산분석, 그리고 생활만족도에 영향 미치는 변수를 파악하기 위한 중다회귀분석을 적용하였다. 주요 연구결과로, 먼저 1인가구의 식생활관리, 의류관리, 주거관리, 가정관리, 자기돌봄, 경제생활, 여가생활 등에서 생애주기별로 유의한 차이가 나타났다. 1인가구의 생활만족도에 영향 미치는 변수로는 생애주기 즉 중노년기 보다 청년기일 경우 높은 수준으로 나타났고, 또 돌보아야 하는 가족원의 존재, 1인가구 형성의 자발성, 차별경험, 지역사회 인지수준, 유대 등이 유의한 영향을 미쳤다. 이러한 결과를 볼 때, 1인가구가 생애주기별로 다른 욕구 그리고 문제를 가질 수 있음을 확인할 수 있다. 이는 의식주생활, 가정관리, 자기돌봄, 경제생활, 여가 등 생활의 여러 영역에서 생애주기별 1인가구의 경험과 어려움의 차이를 반영하여 맞춤형의 정책과 프로그램을 제공할 필요가 있음을 시사한다.

심혈관대사질환이 있는 지역사회 거주 환자의 질환경험 및 완화의료 요구 (Illness Experiences and Palliative Care Needs in Community Dwelling Persons with Cardiometabolic Diseases)

  • 차은석;이재환;이강욱;황유진
    • Journal of Hospice and Palliative Care
    • /
    • 제22권1호
    • /
    • pp.8-18
    • /
    • 2019
  • 목적: 본 질적 연구는 비암성 만성 질환이자 중 심혈관대사 질병(심장병, 신장병, 말기 당뇨병)을 가지고 있는 환자들의 "질환 경험"을 이해하고 이들의 완화의료에 대한 요구를 파악하기 위해 수행되었다. 방법: 서술적 질적 연구방법을 통해 환자들의 질환경험 및 자가간호행태, 질병 진행에 대한 준비 등을 알아보았다. 질적 연구 훈련을 받은 연구자가 반구조화된 면담 지침을 통해 연구참여자가 원하는 장소, 시간에 상담을 진행하였다. 면담내용은 필사되었으며, 필사된 내용은 내용분석을 통해 분석되었다. 결과: 연구 참여자는 40대에서 80대의 11명의 만성 질환이자(남성 9명, 여성 2명)였고, 세 개의 범주(같은 질병- 다른 질환경험; 나의 질병, 내 몸의 주체는 나; 질병진행에 대한 준비)가 도출되었다. 연구 참여자들은 자신의 진단명은 알고 있었지만, 의료진으로부터 질병단계 및 진행에 대한 준비, 자가간호 방법, 생애후기계획(돌봄계획) 수립과 관련한 교육을 받은 적이 없었다. 의료진은 질병진행에 따라 처방을 바꿔주는 사람, 약물은 질병치료를 하는 것, 자가간호는 단순 보조적 요법으로 인식되고 있었다. 약복용을 지시대로 규칙적으로 하고 있음에도 불구하고 질병이 진행된다고 느낄 때, 자가간호에 보다 적극적이 되었다. 모든 연구 참여자들이 질병이 진행되고 있다는 것을 느끼고 있었으나, 생애 말기 대비에는 수동적이고 소극적이었다. 많은 환자들이 돌봄계획 수립이나 성년후견인 지정의 필요성에 공감하였으나, 행동으로 옮기지는 못하고 있었다. 결론: 의료진은 비암성 만성질환자의 질환경험을 듣고 질병 관리를 도울 수 있는 치료적 파트너가 되어야 할 것이며, 환자의 건강정보이해능력을 고려한 교육이 제공 되어야 할 것으로 사료된다. 또한 비암성 만성질환자의 웰리빙에 대한 요구와 삶의 질 향상을 지지하는 측면에서 이들을 위한 완화의료 프로그램을 개발, 제공해야 할 것으로 사료된다.

간호학 교과과정 개선을 위한 조사 연구 (A Study on improvement of curriculum in Nursing)

  • 김애실
    • 대한간호학회지
    • /
    • 제4권2호
    • /
    • pp.1-16
    • /
    • 1974
  • This Study involved the development of a survey form and the collection of data in an effort-to provide information which can be used in the improvement of nursing curricula. The data examined were the kinds courses currently being taught in the curricula of nursing education institutions throughout Korea, credits required for course completion, and year in-which courses are taken. For the purposes of this study, curricula were classified into college, nursing school and vocational school categories. Courses were directed into the 3 major categories of general education courses, supporting science courses and professional education course, and further subdirector as. follows: 1) General education (following the classification of Philip H. phoenix): a) Symbolics, b) Empirics, c) Aesthetics. 4) Synthetics, e) Ethics, f) Synoptic. 2) Supporting science: a) physical science, b) biological science, c) social science, d) behavioral science, e) Health science, f) Educations 3) Professional Education; a) basic courses, b) courses in each of the respective fields of nursing. Ⅰ. General Education aimed at developing the individual as a person and as a member of society is relatively strong in college curricula compared with the other two. a) Courses included in the category of symbolics included Korean language, English, German. Chines. Mathematics. Statics: Economics and Computer most college curricula included 20 credits. of courses in this sub-category, while nursing schools required 12 credits and vocational school 10 units. English ordinarily receives particularly heavy emphasis. b) Research methodology, Domestic affair and women & courtney was included under the category of empirics in the college curricula, nursing and vocational school do not offer this at all. c) Courses classified under aesthetics were physical education, drill, music, recreation and fine arts. Most college curricula had 4 credits in these areas, nursing school provided for 2 credits, and most vocational schools offered 10 units. d) Synoptic included leadership, interpersonal relationship, and communications, Most schools did not offer courses of this nature. e) The category of ethics included citizenship. 2 credits are provided in college curricula, while vocational schools require 4 units. Nursing schools do not offer these courses. f) Courses included under synoptic were Korean history, cultural history, philosophy, Logics, and religion. Most college curricular 5 credits in these areas, nursing schools 4 credits. and vocational schools 2 units. g) Only physical education was given every Year in college curricula and only English was given in nursing schools and vocational schools in every of the curriculum. Most of the other courses were given during the first year of the curriculum. Ⅱ. Supporting science courses are fundamental to the practice and application of nursing theory. a) Physical science course include physics, chemistry and natural science. most colleges and nursing schools provided for 2 credits of physical science courses in their curricula, while most vocational schools did not offer t me. b) Courses included under biological science were anatomy, physiologic, biology and biochemistry. Most college curricula provided for 15 credits of biological science, nursing schools for the most part provided for 11 credits, and most vocational schools provided for 8 units. c) Courses included under social science were sociology and anthropology. Most colleges provided for 1 credit in courses of this category, which most nursing schools provided for 2 creates Most vocational school did not provide courses of this type. d) Courses included under behavioral science were general and clinical psychology, developmental psychology. mental hygiene and guidance. Most schools did not provide for these courses. e) Courses included under health science included pharmacy and pharmacology, microbiology, pathology, nutrition and dietetics, parasitology, and Chinese medicine. Most college curricula provided for 11 credits, while most nursing schools provide for 12 credits, most part provided 20 units of medical courses. f) Courses included under education included educational psychology, principles of education, philosophy of education, history of education, social education, educational evaluation, educational curricula, class management, guidance techniques and school & community. Host college softer 3 credits in courses in this category, while nursing schools provide 8 credits and vocational schools provide for 6 units, 50% of the colleges prepare these students to qualify as regular teachers of the second level, while 91% of the nursing schools and 60% of the vocational schools prepare their of the vocational schools prepare their students to qualify as school nurse. g) The majority of colleges start supporting science courses in the first year and complete them by the second year. Nursing schools and vocational schools usually complete them in the first year. Ⅲ. Professional Education courses are designed to develop professional nursing knowledge, attitudes and skills in the students. a) Basic courses include social nursing, nursing ethics, history of nursing professional control, nursing administration, social medicine, social welfare, introductory nursing, advanced nursing, medical regulations, efficient nursing, nursing english and basic nursing, College curricula devoted 13 credits to these subjects, nursing schools 14 credits, and vocational schools 26 units indicating a severe difference in the scope of education provided. b) There was noticeable tendency for the colleges to take a unified approach to the branches of nursing. 60% of the schools had courses in public health nursing, 80% in pediatric nursing, 60% in obstetric nursing, 90% in psychiatric nursing and 80% in medical-surgical nursing. The greatest number of schools provided 48 crudites in all of these fields combined. in most of the nursing schools, 52 credits were provided for courses divided according to disease. in the vocational schools, unified courses are provided in public health nursing, child nursing, maternal nursing, psychiatric nursing and adult nursing. In addition, one unit is provided for one hour a week of practice. The total number of units provided in the greatest number of vocational schools is thus Ⅲ units double the number provided in nursing schools and colleges. c) In th leges, the second year is devoted mainly to basic nursing courses, while the third and fourth years are used for advanced nursing courses. In nursing schools and vocational schools, the first year deals primarily with basic nursing and the second and third years are used to cover advanced nursing courses. The study yielded the following conclusions. 1. Instructional goals should be established for each courses in line with the idea of nursing, and curriculum improvements should be made accordingly. 2. Course that fall under the synthetics category should be strengthened and ways should be sought to develop the ability to cooperate with those who work for human welfare and health. 3. The ability to solve problems on the basis of scientific principles and knowledge and understanding of man society should be fostered through a strengthening of courses dealing with physical sciences, social sciences and behavioral sciences and redistribution of courses emphasizing biological and health sciences. 4. There should be more balanced curricula with less emphasis on courses in the major There is a need to establish courses necessary for the individual nurse by doing away with courses centered around specific diseases and combining them in unified courses. In addition it is possible to develop skill in dealing with people by using the social setting in comprehensive training. The most efficient ratio of the study experience should be studied to provide more effective, interesting education Elective course should be initiated to insure a man flexible, responsive educational program. 5. The curriculum stipulated in the education law should be examined.

  • PDF

섭취 문제가 있는 영유아 아동에 대한 부모설문조사 (Parental Survey for Children with Feeding Problems)

  • 김혜진;정경미;박미정;최연호
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제11권2호
    • /
    • pp.179-186
    • /
    • 2008
  • 목 적: 섭취문제는 정상발달 아동에게 흔한 문제이며, 아동의 신체, 행동 및 인지 발달에 영향을 미친다. 본 연구는 섭취문제와 관련된 요소들을 파악하고자 부모를 대상으로 섭취 관련 설문을 실시하였다. 방 법: 2006년 8월부터 2008년 4월까지 상계백병원, 삼성서울병원 소아과 외래를 방문한 아동의 부모 379명 및 서울 경기지역의 만 1~12세 지역사회 표집 아동의 부모 417명을 대상으로 저자들에 의하여 개발된 섭취관련 질문지 및 아동 섭취행동검사를 실시하였다. 섭취문제에 대한 부모의 주관적 보고에 따라 집단을 분류하고 이에 대한 신뢰성을 아동 섭취행동검사와 비교하여 확인하였으며, 아동이 보이는 섭취문제의 종류, 심각도, 식사 중 문제행동, 부모의 대처방안 및 치료적 필요성에 대하여 분석을 시행하였다. 결 과: 부모의 섭취문제에 대한 주관적 보고에 따른 문제집단과 그렇지 않은 집단 간에 아동섭취행동검사에서 유의미한 차이가 나타나(p<0.01) 부모의 보고에 따른 섭취문제 집단 선별이 신뢰할 만한 것이라는 것을 입증하였다. 나이가 어릴수록 섭취문제를 보고한 부모의 비율이 높았으며(p<0.01), 성별에 따른 차이는 없었다(p>0.05). 모든 연령대에서 가장 흔하고 심각하다고 평가된 섭취문제는 편식(81.7%) 및 지나치게 긴 식사시간이었으며(43.1%), 절반 이상의 아동은 식사 도중 문제행동을 나타냈다. 식사 중 부모는 역기능적인 방법을 주로 사용하는 것으로 나타났으며, 섭취문제로 부모의 40.0%가 스트레스를 경험하였고, 부모의 34.7%는 아동에게 이와 관련한 치료성을 느낀 것으로 조사되었다. 결 론: 영유아기 섭취문제는 우리나라에서도 매우 흔하며, 아동이 어릴수록 그 문제는 더욱 많은 것으로 나타났으며, 부모의 치료 요구도 높았다. 따라서 섭취문제에 대한 자세한 정보를 담은 부모를 위한 행동지침서 및 치료 매뉴얼의 개발이 필요하다.

  • PDF