• 지역사회간호학회지
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• 제11권1호
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• pp.231-244
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• 2000

Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

• 지역사회간호학회지
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• 제7권1호
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• pp.154-169
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• 1996

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

• 대한물리치료과학회지
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• 제9권3호
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• pp.31-49
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• 2002

The purpose of this study was to investigate discomforts and sexual life and to identify the relation between the discomforts and sexual life with low back pain. The data were collected from March 2 through July 31, 2001. Four hundred forty-two questionnaires were returned (response rate=88.0%). Analysis of the data was done with SPSS PC+ and use descriptive statistics, $x^2$-test, t-test, ANOVA. regression. The statistics shows that over than 80% of the adults experienced lumbago at least one time in their life, and Back pain is known as one of the most common complaints made by the patients of all ages in the general hospital or local medical clinics throughout. However, in certain case it leads to a chronic condition which can cause a great deal of problems in management and in financial burden to individuals and society. The result of this study was summarized as follows: 1) It appeared that regarding the distribution of gender, male was the higher(63.6%) then that of female, the portion of forties was 28.5%. Sitting for long time was 23.1% in men and 21.7% in women. Unknown reason including sexual behaviour was 12.9% in men and 15.5% in women. Patients treated medicine and physical therapy were 36.4%. In level of educational background, the rate of high school was 31.0%, technical college was 28.5%. The highest proportion by occupation was 18.3% of office workers, occupation posture was 41.9% of sitting. 2) Men(26.0%) and most of women(34.8%) were not satisfied in the explanation satisfaction rate of sex life concerned disease. 23.8% in men and 23.6% in women considered flexibility of waist good. Man(33.3%) and most of woman(35.0%) considered that Health education is necessary. 32.7% in men and 27.3% in women did't mind educator is whoever. Preventing of lower back pain(LBP) and proper Health education of sex life are demanded in daily life. 3) 58.0% of man and 64.0% of woman mostly had a posture which is man over woman. 28.5% in men and 27.8% in women considered that proper information finding of LBP and sex life was very few and few. 37.7% in men and 42.7% in women have acquired information about sex life flung their friends. 4) The number of sex life was decreased from 2.96 0.98 to 2.61 1.63 and also the time of sex life was decreased from 3.65 1.89 to 226 1.64. The satisfaction rate of sex life changed from 3.60 0.86 to 2.77 1.10. In the number of sex life, The non correct group was 2.62 1.91 and the correct group was higher in 2.68 1.65. In the time of sex life, The non correct group was 2.02 1.47 and the correct group was higher in 229 1.65. The satisfaction rate of sex life was 2.76 0.86 in non correct group and 2.88 1.10 in correct group. So there was a difference. 5) In the satisfaction rate of sex life, Men who have a lower back pain were higher than women and no attack group was higher than attack group. As they had many sex life, the satisfaction rate was higher significantly in statistics. As the time of sex life was short, the satisfaction rate was lower significantly in statistics. As the age was low, the demand rate of Health education was high and as means of patient who had a lower back pain was high, the demand rate of Health education was high. As the patient who had a lower back pain had a long married life, the demand rate of Health education was high and as education level was high, the demand rate of Health education was high. It is necessary to provide patients with conservative treatment, educational teaching, and training to prevent further injuries in the future. In general, it is important to educate the public how to prevent back injuries and how to treat themselves in an onset period to prevent further injuries sliding into a chronic state. Sexuality is an integral part of normal and healthy relationships, but patients are unable to enjoy sex because they are riot able to get into a comfortable position due to back pain. Many conditions of the spine can make certain positions uncomfortable. Health educator should make the education program of the discomforts and the sexual pattern for low back pain in workplace and/or hospital. Further study Is needed on how to integrate the educational program on sexuality into the total rehabilitation program.

• 보건교육건강증진학회지
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• 제12권2호
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• pp.139-145
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• 1995

본 연구의 목적은 알코올 문제의 현황을 파악하고 효과적인 음주교육 방안을 모색하기 위한 것이다. 사회문화적 행위로서의 음주행동의 특징을 파악하고 음주로 인한 위해가 우리에게 미치는 영향을 파악하기 위한 것이다. 음주행동은 한 사람이 속한 사회의 문화와 관습이 허용하는 범위에 따라 그 사회가 공유하는 음주에 대한 태도나 가치의 영향을 받아 학습을 통해 습득하게 된다. 음주는 사망률, 이환율, 유산율, 범죄율 등에 막대한 영향을 끼치고 있으며 이로 인한 사회적 비용과 생명손실은 엄청난 것이다. 매스미디어를 통한 음주교육은 다른법적 제재와 병행될 때 효과적이다. 음주연령이나 세금부과 등을 통해 음주행위를 통제하는 것이 가능하다. 음주교육의 주기능은 법령과 처벌에 대한 두려움(perceived fear)를 높이는 것이다. 음주행위에 관용적인 사회 분위기를 변화시키는 것이 법령이나 처벌보다 더 효과적이다. 과도한 음주행위에 대한 비판적인 사회적 분위기와 같은 비공식적인 사회적인 제재가 음주문제의 예방에 더욱 중요하다. 청소년의 음주행위는 부모와 동료집단과의 관계에 의해 크게 영향을 받기 때문에 부모와 동료집단의 참여하에 객관적인 태도를 통해 자율적인 결정을 할 수 있도록 유도해야 한다. 음주교육에 대해 지식과 경험을 갖춘 교사가 교육을 실시하여야 하며 소그룹 활동을 통해 음주문제에 대한 이해와 바람직한 태도를 습득하게 하고 동료집단의 압력을 거부할 수 있는 능력을 키우는 것이 필요하다. 교사는 편견이 없는 객관적인 태도를 갖추어야 하고 최종적 결정은 지식에 근거하여 청소년이 하도록 하여야 한다. 음주는 가정불화, 좌절감, 실업, 이혼 둥의 부정적 감정과 연관되어 있으며 깊은 인간관계를 통한 상담이 효과적이다. 단주친목과 같은 자발적인 민간단체는 알코올 문제를 가진 사람들이 서로 모여 친목하는 가운데 도움과 치료를 받을 수 있다는 점에서 매우 효과적이다. 이러한 단체의 활용이 더욱 확대되어야 한다. 병원에서의 음주교육은 노조의 참여하에 전문적인 의료인들에 의해 이루어져야 한다. 이전에 알코올중독에서 회복된 사람을 동료교육가(peer educator)로 활용하는 것도 효율적인 교육방법중의 하나이다. 의과대학의 교과과정에 음주교육에 대한 내용을 더욱 확대하여야 한다. 음주교육은 음주라는 행위의 저변에 깔린 문화적 심리적 요인에 대한 깊은 이해를 토대로 계획되고 실시되어야 한다. 음주교육은 지역사회 전체의 참여를 통해 부모, 학생, 정부, 민간단체, 매스미디어의 공동참여를 통한 다각적인 접근이 요구된다.

• 여성건강간호학회지
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• 제8권1호
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• pp.96-105
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• 2002

The purpose of this study is to identify the relation between functional limitation, functional disability and back pain during pregnancy. Data was collected by interview or self-report from 66 pregnant women between the gestational ages of 17 and 22 weeks who had experienced back pain from February 17 through July 28, 2001. The results of this study are as follows; 1. The prevalent mean week of back pain starting during pregnancy was 12.8. The mean pain intensity scores on the VAS during the past week and now were 5.6 and 3.7. The mean score on the functional limitations was 38.9. The mean score on the functional disability was 19.7. 2. The pain intensity on the past week was correlated with the pain intensity now (r=.339, p<0.01) and the functional limitations (r=.251, p<0.05). The pain intensity now was correlated with the functional limitations (r=.295, p<0.05) and the functional disability (r=.429, p<0.01). The functional limitations was correlated with the functional disability (r=.229, p<0.01). The higher pain intensity was the more functional limitation and functional disability occurred. 3. There was a statistically significant correlation between the pain intensity now and the type of housing (t=-2.051, p=.045), and back pain history before pregnancy (t=-2.429 p=.003). 4. There was a statistically significant correlation between the functional limitation and income (F=2.803, p=.047) and back pain history before pregnancy (t=-3.225, p=.002). There was a statistically significant correlation between the functional disability and back pain history before pregnancy (t=-3.058 p=.003). In conclusion, we found that a history of back pain was an important factor when predicting back pain and functional disability and limitation during pregnancy. The nurse and the prenatal educator should detect risk factors of back pain early in pregnancy and manage continuously though pregnancy.

• 한국학교ㆍ지역보건교육학회지
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• 제9권1호
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• pp.143-156
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• 2008

Objectives: This study was performed to examine the effective health education measures and health education programs for college students and also investigated the demands of restriction on drinking and smoking behavior in public area at the school level. Methods: The data were collected from 446 students of five universities located in Seoul and analyzed with SPSS WIN 10.0 program. Results: 1) Current drinkers were average 87.7% (male 90.1%, female 85.3%) and binge drinker was 68.4% (male 76.5%, female 60.2%). Among all drinkers, 19.4% drank more than eight times per month. As for the rate of smoking, 50.9% among the male student, and 12.1% among females were smokers. Among all smokers. the largest group (41.5%) smoked between >$11{\sim}20$ cigarettes per day. Many of the students started smoking in their middle schools (male 29.8%, female 51.5%). It implies that smoking prevention programs need to be emphasized in these schools. 2) The analysis of the correlation between drinking and smoking shows that no smoking students who drank were 66.2%, but abstainer who is smoker were only 5.7%(p=0.004). Alcohol consumption frequency and amount of smokers were higher than those of nonsmokers (p=0.000). The rate of attempts to reduce drinking was 38.1%, mainly for health reason. More than 34.5% of smoking student had made attempts to quit smoking, but succeeded only 16.9%. 3) As for the needs of moderate drinking and smoking cessation education, 67.8% among female students and 53.6% among male demand special education programs. About effective health education measures on drinking and smoking, 49.3% of drinkers and 35.2% of smokers had an inclination for health educator, and the next were video, campaign and pamphlet. 4) The largest group (45.0%) of respondents had agreed to regulate on drinking behavior, and especially 74.5% of them wants to ban the practice in most public area in school. 35.7% among female students and 27.0% among male desired to extend the non-smoking area on whole campus. The health policy for college students, through various ways, such as education, counseling service, and special program on orientation, should be employed. For public health perspectives, university and college community had to institute the detailed enforcement regulation on drinking and smoking.

• 한국치위생학회지
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• 제22권6호
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• pp.485-494
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• 2022

연구목적: COVID-19로 인해 유치원과 어린이집에서의 교육 방식이 변화되고 있다. 본 연구의 목적은 COVID-19 이전과 COVID-19 시기의 유아 구강건강관리 실태와 유치원 및 어린이집 교사들의 구강건강관리에 대한 인식을 조사하는 것이다. 연구방법: 연구 대상은 만 3-5세 아동을 담당하는 유치원 및 어린이집 교사 189명으로 온라인 설문조사를 통해 자료를 수집하였다. 통계분석은 빈도분석과 카이제곱 검정을 이용하였다. 연구결과: COVID-19 이전보다 COVID-19 이후 아동의 점심식사 후 칫솔 사용 횟수, 구강보건교육 및 정기 구강검진 횟수, 보육교사의 구강보건교육 경험률이 감소했다. 또한 유치원 및 어린이집 교육자들은 보건소 구강보건담당자가 가장 바람직한 구강보건교육자라고 응답하였다. 결론: COVID-19 팬데믹 이후 유치원과 어린이집에서 영유아의 구강건강관리가 취약해졌다. 구강위생과 구강건강교육을 통해 이를 회복시키려는 노력이 필요하다. 또한 구강건강교육자로서 치과위생사의 역할을 확대할 필요가 있다.

• 대한간호학회지
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• 제47권2호
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• pp.222-232
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• 2017

Purpose: This study was done to develop a children's sex education program for the parents of lower elementary grade students and to evaluate its effects on sexual knowledge, gender role attitude, parent efficacy for child's sex education, and marital consistency. Methods: A quasi-experimental with a non-equivalent control group pretest-posttest design was used. The participants were 29 couples (58 parents, experimental group=28, control group=30) from G city. The 5-week (5-session) program was developed based on 'A theory of protection: parents as sex educators' and used the case-based small group learning method. Data were collected during July and August 2015. The characteristics of the program developed in the present study were a theoretical-based, client-centered, multi-method. Results: After the intervention, the experimental group showed a significant improvement in sexual knowledge, gender role attitudes, parent efficacy for child's sex education, and marital consistency, compared to the control group. The effect sizes of the program were .64 (knowledge), .65 (gender role attitudes), and .68 (parent efficacy). Conclusion: The results of this study provided implications for the parents as effective sex educator and the role expansion of school health nurses.

• 한국콘텐츠학회논문지
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• 제17권4호
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• pp.384-394
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• 2017

본 연구는 흡연자와 비 흡연자의 금연결심에 대한 인식구조를 알아보고, 금연 교육기관과 금연 교육자의 선택 및 흡연자의 금연 동기부여 관련사항을 알아보고자 시행된 연구이다. 흡연자와 비 흡연자는 금연 정책 인식에 차이가 있었고, 금연 교육기관의 선택에서는 보건소가 높았으며, 금연 교육자는 내과의사의 비중이 높았으나 인식차이는 없었다. 일반적 사항에 따른 금연 동기부여 간 관련성에서는 폐암사진, 치과치료, 담배 값 인상, 금연 구역지정, 금연 광고 등이 흡연자의 금연 결심 원인(동기)와 금연의 동기부여 간의 결과에서 통계적으로 유의하게 나타났다[P=.000].

• 보건교육건강증진학회지
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• 제9권2호
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• pp.72-88
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• 1992

The purpose of the present study was to identify the charateristics and social activities of graduates from a School of Public Health in Seoul and to provide basic information which might contribute to the improvement of new established Schools of Public Health in Korea. The Subjects were composed of 199 persons who graduated from a School of Public Health in Seoul during the period of 1987 through 1989. The response rate was 59.8% (199 graduates). The survey was conducted from December 1st 1991 to the end of February 1992 with a self-administered questionnaire by mail. Descriptive analysis with Chi-square test was employed for analysis. The major results were as follows : 1. 462% of students were the group aged 24-28 and 76.5% of them were married at the time of entrance to the School. 2. The major motives to come to the School were continuous study in a graduate school(41.2%), and strengthening of job opportunities(35.3%). 3. The major expectation of students were to acquire new professional knowledge(31.9%), to improve present work performance(22.7%) and to become an educator(22.7%). 4. 84.9% of students had some kinds of expectation at the entrance to the School, but only 48.8% of them met their expectations they had had. 5. The most preferred subjects were Health Statistics and Epidemiology in order. 6. 59.7% of students insisted that a professor should advise 4-5 students in maximum for a thesis. 7. Students suggested that the candidate for scholarship should he selected from those who had earned high credits in the previous semester(33.6%), who were low economic status(31.l%) or who were recommended by academic adviser(24.4%). 8. 57.1% of students were positive in utilizing their major subjects studied in their current works. 9. Students expressed that if the School of Public Health is to be further developed full-time professors should be added (37.9%) and excellent students be secured (33.6%). 10. After graduation from the school, some of the respondents changed their job placement, the number of persons working in research institutes increased from 6 to 14 persons, those working in educational institutes from 16 to 35, and Ministry of Health and Social Affairs and its affiliated organization from 10 to 13.