• 제목/요약/키워드: counseling centers

검색결과 196건 처리시간 0.027초

Evaluation of Provider Skills in Performing Visual Inspection with Acetic Acid in the Cervical Cancer Screening Program in the Meknes-Tafilalet Region of Morocco

  • Selmouni, Farida;Sauvaget, Catherine;Zidouh, Ahmed;Plaza, Consuelo Alvarez;Muwonge, Richard;Rhazi, Karima El;Basu, Partha;Sankaranarayanan, Rengaswamy
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권9호
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    • pp.4313-4318
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    • 2016
  • Background: This study documented the performance of providers of visual inspection with acetic acid (VIA) at primary health centers, assessing their compliance with the VIA skills checklist and determinants of non-compliance, and exploring their perceptions of VIA training sessions. Materials and Methods: A cross-sectional study was conducted among VIA providers in the $Mekn\grave{e}s$-Tafilalet region of Morocco. Structured observation of their performance was conducted through supervisory visits and multiple focus group discussions (FGDs). Results: Performance of all the recommended steps for effective communication was observed in a low proportion of procedures (36.4%). Midwives/nurses had higher compliance than general practitioners (GPs) (p<0.001). All recommended steps for VIA examination were performed for a high proportion of procedures (82.5%). Compliance was higher among midwives/nurses than among GPs (p<0.001) and among providers in rural areas than those in urban areas (p<0.001). For pre-VIA counselling, all recommended steps were performed for only 36.8% of procedures. For post-VIA counseling, all recommended steps were performed in a high proportion (85.5% for VIA-negative and 85.1% for VIA-positive women). Midwives/nurses had higher compliance than GPs when advising VIA-positive women (p=0.009). All infection prevention practices were followed for only 14.2% of procedures, and compliance was higher among providers in rural areas than those in urban areas (p<0.001). Most FGD participants were satisfied with the content of VIA training sessions. However, they suggested periodic refresher training and supportive supervision. Conclusions: Quality assurance of a cervical cancer screening program is a key element to ensure that the providers perform VIA correctly and confidently.

아내구타 예방 및 대처 교육프로그램 개발 (Development of Prevention and Educational Programs for Battered Women)

  • 이경혜;이광옥;김수지;최정숙
    • 여성건강간호학회지
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    • 제7권4호
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    • pp.560-578
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    • 2001
  • The purpose of this study was to develop prevention and educational programs for battered women. The first stage was to assess battered women's health status and health needs. The second stage was to develop prevention and educational programs to improve battered women's health. A survey research design was used to gather data from June-November 1999 by the counselor. Research sample was recruited from shelter and women's counseling centers in Seoul, Inchon, Chooncheon, Taejeon, and Jeoju. Trained counselors contacted 218 women, who agreed verbally to participate in the study. The researcher did a literature review and developed the tool used. We did ten pretests and three counselors checked the tool for content validity. The reliability and validity of the instrument were acceptable. The second stage of the research consisted of lay-professional groups discussing the abuse problems and possible solutions. Each group had five professionals (counsellor, nurse, minister, psychiatrist, social worker) and five women who have experienced battering from her husband in community. Result of the survey and two(lay persons and professionals) group discussions showed that victims need more assessment of physical, mental and spiritual needs. Victims were beaten more often during their pregnancies than at other times. Various kind of strategy were frequently utilized, but still the number of women abused and suicides committed increased. Both studies showed that the women experienced severe beating, that they felt powerless, that they need to understand that society abuser characteristics, that they lack a protection support system and that society lacks would an understanding of battered women. Based on the result of both studies, we developed model for prevention and education of battered women. This educational program will increase women s power to solve the abuse problems. The ultimate goal of the program is to develop a one-stop center to give wholistic approach care to women in abuse situations.

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보육교사의 사회인구학적 변인에 따른 직무환경의 인식 차이 (The Difference of Child-Care Teachers' Perception on the Working Environment by Social and Demographic Characteristics)

  • 형근혜;박옥임;강희순
    • 한국지역사회생활과학회지
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    • 제21권3호
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    • pp.285-298
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    • 2010
  • This study aims to analyze teachers job satisfaction according to the working environment of teachers working in child-care centers and to investigate which variables of the working environment relate to job satisfaction of child-care teachers. The main results of this study were as follows. First, married teachers are more satisfied with the job itself, supervision, and colleague relations compared to teachers who are not married. Teachers with certificates are more satisfied with the job itself compared to teachers without certificates. Second, teachers's job satisfaction is significantly correlated with their salary, welfare, and colleague relations. Also teachers' job satisfaction is correlated with responsibility in the case that teachers have a good relation with their principal and child-care parents. Third, the results of this study show that teachers consider substitute teachers, vacation systems, day care systems, compliant with the ratio of teacher and children, job security, order of legal status as important. With regard to external compensation, teachers want salary increase, payment on overtime labor, flexible work-time, use of both full-time and part-time teachers, expansion of educational materials, increase on purchasing cost for textbooks and materials. To improve the quality of child-care teachers' working environment as well as their satisfaction, practical policies need to be implemented.

청소년기 세타파 감소를 위한 전전두엽 뉴로피드백 훈련 효과 (Effect of Prefrontal lobe Neurofeedback Training for reducing Adolescent Theta wave)

  • 변윤언
    • 한국산학기술학회논문지
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    • 제18권12호
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    • pp.459-465
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    • 2017
  • 이 연구는 뉴로피드백 훈련이 청소년기 세타파를 감소하는 데 효과가 있는지를 알아볼 목적으로 이루어졌다. 경기도에 거주하는 초기청소년 35명을 대상으로 2016년 4월부터 10월까지 6개월간 청소년상담실에서 이루어졌다. 사전 뇌기능검사에 참여한 대상자 중 참여여건과 의사에 따라 무처지 비교군(A) 10명, 12주훈련집단 실험군(B) 15명, 24주훈련집단 실험군(C) 10명으로 분류하여 설계하였다. 뇌파측정 및 뉴로피드백 훈련은 (주)파낙토스의 전전두엽 2채널 뉴로하모니S와 두뇌최적화 소프트웨어로 수행하였으며 뇌파데이터 처리는 (재)한국정신과학연구소에서 개발한 Brain Analysis ver 1.3을 사용하였다. 이렇게 도출한 데이터는 통계처리가 가능하도록 SPSS 21.0으로 변환하였다. 청소년들의 세타파 감소 훈련을 위해 개별적으로 훈련 프로토콜을 정해주었으며 베타파 증가훈련을 통해 세타파를 감소하는 전략으로서 개인에게 알맞은 알파파, SMR, 저베타파 증가 훈련을 적용하였다. 그 결과 전전두엽 뉴로피드백 훈련을 통해 청소년들의 세타파 감소가 감소하는 것으로 확인되었고, 훈련을 받은 집단(B)(C)에서, 또 훈련의 기간이 좀더 긴 집단(C)에서 세타파 감소의 폭이 큰 것으로 확인되었다.

경구피임약을 복용하는 한국여성과 치주질환의 관련성 연구: 제5기 3차년도(2012) 국민건강영양조사 자료 분석 (Relationship between the oral contraceptive pill and periodontal disease in Korean women: The 5th Korean National Health and Nutrition Survey data analysis phase3(2012))

  • 이종화;유진영;정기옥;박지영
    • 한국치위생학회지
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    • 제14권6호
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    • pp.795-804
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    • 2014
  • Objectives: The purpose of the study was to investigate the relationship between the oral contraceptive pill and periodontal disease in Korean women aged from 19 to 50 years old. Methods: This study selected 1,579 women of childbearing age from 19 to 50 years old from the 5th National Health and Nutrition Survey data analysis(phase 3, 2012) taking the oral examination. The questionnaire consisted of socioeconomic demographic characteristics, health behavior, use of oral contraceptive pills, and periodontal disease. Socioeconomic demographic characteristics included age, marital status, education, monthly income, and vocation. The health behavior included obesity, stress, smoking, subjective oral health status, use of dental floss, tooth brushing, and diabetes mellitus by fasting blood sugar level. Use of oral contraceptive pills was recorded by monthly use and duration. The periodontal disease was documented by yes or no and selected as dependent variable by logistic regression analysis. Results: After revising the taking period of oral contraceptive pill for this study, there was the correlation between the prevalence of periodontal disease and odds ratio(95% CI) 1.288(1.027-1.617). Conclusions: This study will contribute to the direction of policy for an oral contraceptive pill and provide the basic data for counseling for the oral health and the side effects of oral contraceptive pills.

가정폭력 피해여성의 애착손상 및 상태-특성 불안이 부부 적응에 미치는 영향 (Influence of Attachment Injury and State-Trait Anxiety on the Marital Adjustment of Battered Women)

  • 심희정;서미아
    • 한국콘텐츠학회논문지
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    • 제15권3호
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    • pp.133-145
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    • 2015
  • 본 연구는 가정폭력 피해여성을 대상으로 한 부부 적응 프로그램 개발을 위하여 가정폭력 피해여성의 애착손상 및 상태-특성불안이 부부 적응에 미치는 영향을 파악하기 위하여 실시되었다. 연구대상자는 총220명의 가정폭력 피해여성이었으며 구조화된 자가 보고식 설문지를 이용하여 2014년 3월 20일부터 5월 6일까지 자료를 수집하였다. 자료 수집은 5개의 가정폭력 피해여성 거주 쉼터, 7개의 상담센터, 3개의 종교 관련 기관으로 총 15개의 기관에서 실시되었다. 자료 분석은 SPSS win 18.0 프로그램으로 기술적 통계, ANOVA test, Scheffe's test, Pearson's correlation coefficients, 다중회귀분석으로 실시하였다. 연구결과 애착손상, 상태불안, 특성불안은 부부 적응과 유의한 부적 상관관계를 보였다. 다중회귀 분석결과 결혼상태, 자녀수, 폭력기간, 애착손상, 상태불안, 특성불안이 부부 적응을 설명하는 유의한 변인으로 나타났으며 이들 변인들의 부부 적응에 대한 설명력은 60.0%였다. 이러한 결과는 가정폭력 피해여성의 애착손상 및 상태-특성 불안을 감소시키고 부부 적응을 증진시킬 수 있는 프로그램 개발의 기초자료로 활용될 것이다.

병원기반 금연중재가 뇌경색 환자의 퇴원 후 12개월 지속 금연율에 미치는 효과 (The effect of a hospital-based smoking cessation intervention on the continuous abstinence rate from smoking over 12 months in patients with cerebral infarction)

  • 이영훈;오경재;한미희;김규진;박현영;김희숙;이건세
    • 보건교육건강증진학회지
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    • 제33권3호
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    • pp.61-70
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    • 2016
  • Objectives: The aim of this study was to investigate the effectiveness of a hospital-based smoking cessation intervention for increasing continuous abstinence rate from smoking in patients with cerebral infarction. Methods: One-hundred and two smokers with cerebral infarction who decided to quit smoking were enrolled in the smoking cessation intervention from December 2012 to February 2015. The smokers underwent six consecutive times of individual intervention with nurse specialist on smoking cessation including education on behavioral modification, counseling for withdrawal symptoms, and anti-smoking advice over a 12-month period. Results: Among the total participants, the continuous abstinence rate from smoking changed from 79.4% at 1 month to 60.8% at 12 months after discharge. The continuous abstinence rate from smoking after 12 months was 88.5% in participants who completed the entire program (6 times), while 51.3% in participants who did not complete the entire program (${\leq}5$ times) (P=0.001). After adjustment for general and smoking-related characteristics, complete implementation of hospital-based smoking cessation intervention was significantly associated with continuous abstinence from smoking after 12 months (odds ratio: 5.93; 95% confidence interval: 1.45-24.22). Conclusions: The hospital-based smoking cessation intervention might be effective for smoking cessation in patients with cerebral infarction, especially when the intervention was implemented thoroughly.

경북 일부지역 유아들의 비만과 이에 관련된 요인에 관한 연구 - 식습관, 식품기호도 및 스트레스를 중심으로 - (Related factors on Overweight among Young Children in the Kungbuk area)

  • 박경애;김선희
    • 대한가정학회지
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    • 제43권5호
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    • pp.199-219
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    • 2005
  • The purpose of this study was to investigate the prevalence and to identify the related factors of overweight among young children. The study subjects were 138 children, aged 3-5, attending child care centers in the Kyungbuk area. We assessed a wide range of collected variables including general characteristics, anthropometric data, dietary habits, stress, food preferences, and food frequencies of young children, and anthropometric data and general characteristics of their parents. The results of this study were analyzed with $\chi$$^{2}$_ or t-test using SPSS package program. The subjects were classified into two groups using the weight for length index WLI criteria: normal group(n=101) and overweight group(n=37). Forty-nine percent of mothers of overweight children did not recognize their child's current overweight status. Scores for encountering criticized-violent situation stress, hurt-pride stress and total stress were higher in the overweight group than in the normal group. The frequency of snacking and the appetite of the overweight group were increased compared to those of the normal group. The overweight group had higher preferences for salad, kimbab, boiled rice with meat, vegetables and Chinese noodles, chicken, shell, banana, soybean milk, hotdog, and potato than the normal group. The overweight group showed higher consumption frequencies of pan-fried foods, egg, laver and strawbery compared to the normal group. Therefore, our results suggest that obese young children, as well as their parents, need more nutritional counseling education about dietary habits, food preference, recognition of normal weight and strategies for actively coping with stresstopreventandtreatobesityandtomaintainhealth. .

관절염 자조관리과정이 통증, 피로, 일상활동 어려움, 관절뻣뻣함, 유연성에 미치는 효과 (Effects of the Self-Help Program on Pain, Fatigue, Difficulty in Physical Activity, Joint Stiffness, Flexibility of the Joints in Arthritis Patients)

  • 이경숙;최정숙;이은희;서길희;소애영;최선하
    • 근관절건강학회지
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    • 제14권1호
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    • pp.26-32
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    • 2007
  • Purpose: The purpose of this study was to determine if osteoarthritis patients would benefit in terms of pain, fatigue, difficulty with physical activity, joint stiffness, and flexibility of the joints from a structured self-help program. Method: This self-help program was carried out 2-3 hours once a week for 6 weeks in 2005-2006, and evaluated in one group pretest-posttest pre-experimental design. The subjects of this study who were diagnosed osteoarthritis were recruited at two different Community Health Centers in Kangwon. The subjects who agreed with the purpose of this study and participated both pretest and post-test were 55 patients. Mean age is 63.48 (9.48) years, mean duration of disease is 7.95 (7.66) years. The self-help program was consisted of weekly health contract, exercise, health education, group discussion, group counseling, and recreation. At every meeting, researcher and trained public health nurse evaluated the program, and prepared the next program. The measurement tools were pain rating scale (0-10), fatigue rating scale (0-10), Korean WOMAC (Western Ontario and McMaster University Osteoarthritis) Index, ruler, and goniometer. Results: At the completion of 6 weeks of self-help program, the subjects reported significantly less pain and difficulty with physical activity and more flexibility in both shoulder and knee joints compared to pretest. Conclusion: The self-help program would be helpful on pain, physical activity, and joint flexibility for arthritis patients.

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최근 국외 뉴테러리즘의 사례분석과 국내 발생가능 유형에 대한 연구 (A Case Study of Recent New Terrorism and Potential Patterns in South Korea)

  • 전용재;이창배;이승현
    • 시큐리티연구
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    • 제53호
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    • pp.11-33
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    • 2017
  • 열망을 성취하기 위한 도구로 테러리즘은 인류의 역사와 공존해 왔고, 범죄학의 연구대상으로 발전하였지만, 기존의 연구는 대개 북한을 테러리즘의 주체로 한정하고 있어 국제적 테러리즘의 추세에 대한 심층적 논의가 미흡하다. 뉴테러리즘의 시대에 이르러 연성 목표물(soft target)이 테러리즘의 주요 대상이 되었고, 피해가 대규모화되고 있다는 점에서 현상을 분석하고 대응방안을 강구하기 위한 학술적 노력이 요구된다. 이에 이 연구는 국외의 주요 테러리즘 사건에 대한 사례분석과 전문가 설문의 AHP 분석을 병행하여 뉴테러리즘의 특성을 도출하고 우리나라 발생가능성 및 형태를 진단하였다. 분석결과 북한 사회불만세력이 사제폭발물 차량 드론 등의 수단을 활용하여 다중이용시설을 대상으로 공격하는 테러리즘의 발생 가능성이 높은 것으로 발견되었다. 결과에 따라 첫째 환경설계를 통한 다중이용시설 방호능력의 제고, 둘째, 직무교육의 정기화를 통한 사이버 감시단의 전문성 제고, 셋째, 드론의 등록기준 강화, 넷째, 급진화 억제정책의 일환으로 상담센터의 설치를 제안하였다. 예방 및 대응의 균형적 접근을 통해 테러리즘으로부터의 안전지대를 구축할 수 있을 것이다.

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