• 지역사회간호학회지
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• 제10권1호
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• pp.183-203
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• 1999

High school is regarded as the period when many important physical, mental and social developments occur, and when many health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw however, in that health -related subjects are divided and taught under various subjects at school. In order to achieve quality health education, it is essential to assess the learners' and teachers' educational needs. So far, most of the research projects that had been carried out for improving high school health education were limited to only the learners' educational need. They failed to in elude an educational assessment of the teachers. Therefore, in this study the high school health education teachers' needs relating to health education were investigated through a focus on the teachers' health education activity level, health education activity self-efficacy level, and perceived level of importance in health education content. In this study, research instruments these factors were constructed by Yoo(1997) on the basis of the PRECEDE model. The data for this study were collected from a sample consisting of twenty general and vocational high schools in Seoul and Chongju for a two month period beginning in July, 1996. In analyzing the data, an ANOVA test and stepwise multiple regression were accomplished using an SPSS - PC+ program. The results were as follows: The average level of health education activity and self-efficacy among high school health edu cation teachers were found to be low. But, teachers' perceived importance of health education contents was high. Teachers' activity and perceived importance concerning sex education were lower than in other health education areas. Health education activity of Military drill teachers was higher than that of physical education teachers as well as school nurses. But it was not significant. Health education activity self-efficacy of school nurses was higher than that of other teachers(p<.05). Perceived level of importance of health education contents was the most influential variable in teachers' health education activity. Health education activity self-efficacy level was not an influential variable in teachers' health education activity. The significance of this study is that it has diagnosed the needs of high school health education through the teachers' assessment of a variety of health factors related. These findings suggest that the management of an integrated health education, program requiring large changes in the curriculum of health education is necessary.

• 한국학교ㆍ지역보건교육학회지
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• 제21권1호
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• pp.15-31
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• 2020

Background and objectives: One-person households are the fastest growing family type in Korea. They bring social concerns such as weakened social integration, increasing poverty and social isolation. They are not homogeneous but heterogeneous groups depending on their socio-demographic characteristics including generation. This study compared the life satisfaction level as well as factors affecting it among the three one-person household generations Methods: The 13th wave of the Korea Welfare Panel dataset with 1,187 respondents was utilized. For data analysis Chi-square test, analysis of variance and hierarchical regression analysis were employed. Generations are divided into three, namely young adult (20-39), the middle-aged (40-64) and the elderly (65 and over). Result: The life satisfaction level was highest among the young adult one-person household generation, followed by the middle-aged and the elderly generation. The common factors affecting life satisfaction of the three generations were physical as well as mental health, including self-esteem and depression. However, there were more factors different from generation to generation. As for the young adult, age, religion, and smoking were significant. As for the middle aged and the elderly, gender (male) and income were significant. Additionally, age, home-ownership and drinking were significant to the elderly generation. Conclusions: As there are differences as well as similarities among the three generations, policies for one-person households need to be devised considering these findings. For all generations, both physical and mental health policies are needed. For young adult strengthening social relations, providing decent jobs, and promoting anti-smoking policy are major agenda, and for the middle-aged and the elderly, assisting in social capital accumulation (for male), providing stable jobs and diverse leisure activities, and securing income. Additionally, for the elderly, expanding the social security system and housing support are needed.

• 보건교육건강증진학회지
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• 제31권5호
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• pp.97-107
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• 2014

Objectives: The purpose of this study was to examined the association between unemployment and suicidal ideation in Korea. Methods: We analyzed data from the Korean National Health and Nutrition Examination Surveys (KNHANES) IV, conducted in 2009. Statistical analysis methods used in this study were $x^2$-test, Hierarchial logistic regression analysis and other basic statistics using SPSS version 19.0. Results: The suicidal ideation of unemployment workers was 24.7% in male and 35.9% in female. After adjusting for sociodemographic characteristics and health-related characteristics, the risk for suicidal ideation of unemployment workers was significantly higher than employment workers. In men, the OR for suicidal ideation of the employed workers compared with the employed was 2.13, and in women, the OR was 1.31. Conclusions: The findings suggest the impact of unemployment status on suicidal ideation and the need for further prospective investigation that lead to interventions should be required to introduce of suicide prevention program for unemployment worker.

• 한국간호교육학회지
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• 제1권1호
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• pp.17-23
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• 1995

One of the biggest problems of Nursing Education in Korea is the division among nursing education programs of the last 3 and 4 years. To solve this problem, Nursing community must do variable trials to achieve the unity of a 4-year educational program. With this, we need to observe the phenomena and reality of the present 4-year nursing educational program that we have. The object of this study is to analyse and discuss that we have. The object of this study is to analyse and discuss the problems and future strategies of 4-year Nursing Baccalaureate program. 1. Problems as nursing department in Medical School. 1) Many 4-year nursing baccalaureate programs are operating under the medical school as nursing department. So the academic development in nursing department is unprogressive and is not approved as unique discipline. 2) The operating system between nursing and medical department are different even though they are in the same school. 3) Inequality between nursing and medical department : In many case, the nursing professor can not attend administraion committees to discuss the medical school's operation because of many differences between nursing and medical organization. 4) Weakness of the leadership and the student activities in nursing student : The nursing student involvement is usually passive because of the difference of curriculum, less number than medical students and the difference between 4-year and 6-year education program. 5) There is the obscurity of the relationship between department of nursing and other departments in whole university. 2. Problems in nursing itself 1) We need to reconstruct nursing discipline. We must change from the disease centered model to health centered model and life cycle centered model so that we can be distinguished from medicine. We also must change from hospital centered nursing to all population centered nursing, 2) The improvement of curriculum ; When the independent framework of nursing discipline become established, we need to improve the curriculum. 3) The education of clinical practice ; Most nursing school programs are divided into professors who are lecturing the theory and clinical teachers who are teaching the nursing technique in the clinic. So, what is needed in nursing discipline is that the professors have a dual position. In America, The professor is required to be a clinical specialist and to have his or her clinic so that the professor become a good role model, teach the clinical practice effectively, and give the student the practice field. 4) To extend fields of nursing : At first, the school nurse must become the school health educator, a real teacher. The nurse must establish and operate a childern's wellbeing center or nursery school, a disabled people's house or senile's wellbeing center, a mental health center, and a health promotion clinic for healthy people. 5) The name 'nursing department' need to be considered. When the focus is to be changed from the disease model to health improvement model, we take into consideration change 'nursing college', 'nursing department' and 'nursing profession' to 'health science college' or 'health wellbeing college'. 6) We must have highly qualified academic students. Each Nursing educational faculties must have the high qualified students through the development of nursing educational program and the increment of scholarship. The Korean Nurses Association and The Korean Clinical Nurses Association need to make an endeavor for the improvement of work condition and payment of clinical nurses of hospitals who consist of 70% of all nursing manpower. 3. Improvement Strategy 1) All nursing educational program must be changed 4-year program gradually. 2) Nursing department need to try to become nursing college. 3) We need to study many researches for improvement of the problem in nursing discipline and nursing education. We need more interdisciplinary researches, and we need to be granted for that research. 4) We need to have many seminars and workshops thoughout the whole country to expand a sense of nursing education. 5) Drawing up a policies plan for the nursing educational improvement : The Korean Nurses Association, The Korean Academic Nursing Association, Korea Nursing College and department President's Committee, and Korea Academic Society of Nursing Education must try for the development of nursing educational improvement and ask for government frame the policy to develop nursing education.

• 재활간호학회지
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• 제5권2호
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• pp.180-192
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• 2002

The purpose of this study was to survey basic data for management of elderly day care centers. In this study, occupation, leisure life, and food, clothing and habituation, as well as social relationship, health state and behavior, and general characteristics of subjects were examined to identify the factors affecting their cognition, need and preference of the day care centers. The subjects of this study were 392 elderly, aged 60 years or over, living in Gangnung and neighboring districts. Data were collected by educated interviewers from November 4 through November 22, 2002. The subjects were interviewed face to face, one for one after the interviewee's agreements on the survey. The collected data were analysed with logistic regression analysis by SAS (statistical analysis system). Logistic regression analysis was done to identify affecting factors for cognition, need and preference of the elderly day care centers. The major findings are as follows: 1. The factors affecting cognition for the day care centers were analysed. The subjects with an occupation and a lower satisfaction level of living environment and friendship, who were economically secure enough to manage a sudden accident, showed a higher level of cognition of the day care centers. The subjects with a higher level of mental health state and a lower level of IADL also showed a higher level of cognition. On the general characteristics younger female subjects showed a higher level of cognition. 2. The subjects with a lower level of perceived economic condition who did not own their housing and were not economically safe enough to manage a sudden accident, had showed a higher level of need for the day care centers. It showed that the subjects with a high level of mental health state, a bad eye sight and dental condition, a good perceived health condition, and a lower level of IADL, needed the centers. 3. The subjects who had an occupation, however, not capable of making their own daily expenses, and a low occupation satisfaction level, and who did not own their housing, and were economically poor not enough to manage a sudden accident, showed a higher preference for the day care centers. The subjects with higher levels of friendship satisfaction and perceived health condition, not living with their spouse, and a higher education level, showed a higher preference for the centers. In conclusion, the common factors affecting their cognition, need and preference of the day care centers were occupation, economic security enough to manage accidents, and friendship satisfaction level. Especially, the subjects who had an occupation, however, not economically secure enough to manage accidents, and who did not live in their own housing with a good perceived health condition, showed high levels of need and preference for the day care centers. These results can be used as basic data to develop the efficient elderly day care centers, thus contribute to the elderly welfare in a local community.

• 치위생과학회지
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• 제18권3호
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• pp.182-187
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• 2018

As the elderly population increases, they are increasingly affected by oral health problems. Therefore, efforts are being made to improve the oral health of older people, alleviate mental discomfort, and reduce unmet dental needs. This study was conducted to confirm the relationship between the National Health Insurance Elderly Denture Coverage and the unmet dental need for the edentulous elderly, as part of the protection policy. We analyzed the 2011 and 2013 Community Health Survey data of the edentulous elderly, aged 75 years or older, before 2012. In order to more precisely confirm the effects of the denture donation policy on unmet dental care, basic life recipients who were subject to the free elderly prosthetic project were excluded from the analysis. The final analysis included 20,400 subjects. According to our investigation of the factors that affect the unmet dental needs of the elderly, the National Health Insurance Elderly Denture Coverage did not affect unmet dental needs. The statistically significant variables that affected the unmet dental needs of the elderly were education and income levels, which are representative socioeconomic status variables. The lower the level of education, the unhealthier the dental care experience, and income levels showed a similar tendency. The elderly who have a low socioeconomic status are more likely to experience unmet dental needs because they lack the knowledge and socioeconomic ability to pay for dental care. Therefore, the policy for health protection of the entire elderly population should be continuously expanded. In addition, the socioeconomically vulnerable groups may have health problems due to the restriction of medical use, which may lead to quality of life deterioration.

• 의학교육논단
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• 제16권2호
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• pp.88-91
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• 2014

Medical students often need high levels of specialized institutional and personal support to recover from a burnout experience and to prevent student failure. This study aimed to present approaches to supporting medical students who had experienced burnout using case studies. The study subjects were 45 burnout cases who had been supported by the student support system and committee in one medical school. The factors associated with burnout include poor social network: the lack of belongingness, immature sense of identity, poor mental health, a lack of intrinsic motivation and aptitude, or a major personal crisis. We summarized some tips according to the factors associated with burnout. These tips should provide guidance to organizations and individual support providers to encourage the best quality support for medical students with burnout experiences.

• 한국보건간호학회지
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• 제16권1호
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• pp.95-104
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• 2002

Purpose : This study was conducted to investigate the extent to which the professional self concept between the psychiatric mental health nurse practitioner (PMHNP) and general nurse in psychiatric ward was comparable. The results were expected to provide basic data for developing the construct of professional self concept and making awareness of the importance of the program increasing professional self concept. Method : The subjects of this study were 227 PMHNP and 436 general nurse in psychiatric ward. The instruments used for this study were PSCNI by Arthur (1990), PSI by Heppner and Peterson(1982) and the index of work satisfaction by Slavitt et al.(1978). With the aid of the SAS, t-test. two-way ANOVA and stepwise multiple regression were conducted. Result : 1. The average item score of PSCNI of PMHNP was $2.82\pm0.27$. and that of general nurse was $2.66\pm0.27$. Statistically significant difference between two groups was found(p=0.0000) 2. There was statistically significant difference between two groups in the score of professional practice(p=0.0000), satisfaction(p=0.0024), leadersbip(p=0.0000) , flexibility(p=0.0000) and skill (p=0.0000). 3. Statistically significant differences between the two groups were observed in terms of age(p=0.0003), marital status(p=0.0001). education(p=0.0005), religion(p=-.0144), motive (P=-.0001), length of service as a nurse(p=0.0121), the length of service in psychiatric unit(p=0.0143). However there were no significant interaction effect with group and age, marital state. education, religion, motive, length of service as a nurse, length of service in psychiatric unit. 4. Job satisfaction (JS) and problem solving inventory score(PS) were found to be the highest factor predicting the professional self concept between the PMHNP and general nurse. JS and PS accounted for $43.4\%$ in the professional self concept of PMHNP, whereas PS, JS, age and religion accounted for $53\%$ in the professional self concept of general nurse in psychiatric ward. In conclusion, this study suggested that we need to develop programs and polices to increase the professional self concept of nurse, particularly of psychiatric mental health nurse practitioners.

• 한국학교ㆍ지역보건교육학회지
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• 제14권3호
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• pp.1-14
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• 2013

Objectives: The purpose of this study was to investigate the possible impact factors(oral health level, oral health promotion behaviors, health level, health behaviors, and mental health) on oral health related quality of life using OHIP-14 of health allied college students. Methods: A total of 363 self-administered questionnaires were collected from university student in Seoul. To investigate the casual relationship between each variable presented in the research model, descriptive statistics, t-test, one-way ANOVA(Scheffe's test), man-whitney, kruskal wallis, multiple regression analysis were carried out by using SPSS ver. 21.0 Results: The study shows that the students reported mean score of OHIP-14 ($8.32{\pm}7.51$), of which physical pain was the highest score($1.88{\pm}1.45$) and social disability was the lowest score($0.69{\pm}1.13$). Multiple regression revealed that the score of OHIP-14 was shown to be significantly higher for the following people: who were get more self-reported symptom of periodontitis, halitosis, negative self-perceived general health and oral health, no received dental scaling treatment, and participants who had no experience awareness of distress in two weeks. The explanatory power was 18.2%. The most powerful factor regarding to self-reported symptom of periodontitis was shown to be negatively relations oral health-related quality of life. Conclusions: In order to enhance the students' life quality, there need to be considered for a comprehensive oral health-related quality of life program for the students through health education policy.

• 보건교육건강증진학회지
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• 제24권1호
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• pp.1-16
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• 2007

Objctives: This study purposed to examine the intention to participate in the preventive program of depression of Internet user and to offer the baseline data for development of mental health promotion program. Methods: The internet survey was performed using a self-reported questionnaire on intention to participate in the preventive program of depression, depressive symptom(with Zung's SDS) and so forth from 1,000 internet user (aged $13{\sim}49$ years) via two web sites at Feb($1st{\sim}10th$), 2006. We analyzed the intention to participate in preventive program of depression and the factors related with that intention by depressive level. Results: In the normal group, the intention to participate in a preventive program of depression was influenced significantly by counselling experience(s) on depression(p<.001), and perceived control(p<.001) over the barriers to participation in the preventive program of depression, and marginally by gender. In the depressive group, the smoking habit revealed marginal effect(p=.051) and perceived control over the barriers to participation in the preventive program of depression influenced on that intention significantly(p<.001). Conclusion: Among internet users, especially the solutions of barriers to participate in the preventive program of depression is more important at the intervention program for prevention of depression. In the normal group, we need to consider the use of messages tailored by counselling experience(s) on depression. Some intervention program dealing with two subjects, smoking cessation and prevention of depression concurrently, will be appropriate for the depressive group.