• 제목/요약/키워드: treatment need degree

검색결과 159건 처리시간 0.025초

주부 우울에 영향을 미치는 요인들에 관한 비교연구 (A Comparative Study of Influencing Factors on Depression in Housewives)

  • 이삼연
    • 한국사회복지학
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    • 제39권
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    • pp.238-265
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    • 1999
  • 이 연구의 목적은 주부들이 경험하는 우울의 정도를 알아보고, 그들의 우울에 영향을 미치는 요인을 종합적으로 비교 분석해 보는 것이다. 특히 주부의 발달단계에 따라 우울의 정도와 우울에 영향을 미치는 요인들이 어떻게 달라지는가에 연구의 초점을 두었다. 서울, 부산, 창원, 마산에 거주하는 20 30대 성년주부와 40 50대 중년주부 총 272명을 대상으로 한 설문조사 분석결과, 주부들이 평균적으로 가벼운 기분장애에 해당되는 우울을 경험하고 있음이 나타나 그들의 정신건강 상태의 심각성을 보여주었다. 이러한 우울상태는 여러 연구들이 주장한 것처럼 중년주부가 성년주부보다 심각한 것은 아니었다. 그러나 우울에 영향을 미치는 요인은 주부의 발달단계에 따라 달리 나타났다. Stepwise multiple regression 분석결과 성년주부의 우울을 설명하고 예측하는 요인은 자존감, 배우자와의 갈등, 충격적 사건경험, 나이, 자녀와의 갈등으로 나타난 반면, 중년주부의 우울을 설명하고 예측하는 요인으로는 자존감, 배우자와의 갈등, 직업, 월수입으로 나타났다. 연구결과를 바탕으로 우울한 주부들을 위한 사회사업개입 방안이 논의되었다.

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일부 농촌지역 초등학생들의 인터넷중독과 건강증진 행위와의 관련성 (The Relationship between Internet Addiction and Health Promoting Behaviors of Elementary School Students in a Rural Area)

  • 배진순;이동배
    • 한국학교보건학회지
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    • 제22권2호
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    • pp.37-47
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    • 2009
  • Purpose : To find degree of internet addiction of rural elementary school students and to assess the relationship of them to the health promoting behaviors in a rural area in chungnam province. Method : Children's grade, sex and their internet habits, and family background and internet addiction records, health promoting behavior scores of 5th and 6th grade of elementary school students. Self-recorded questionnaire surveys from 2nd December to December 20, 2008, and total 393 data were analysed. Results : The results of this study were summarized as follows: 1. The internet risk group of 5th and 6th grade of rural elementary school students were 18.3%. 2. Place of major using internet were home in 84.6% of male and using internet time were more than 2hours per day and major purpose of internet was game(72.9%) than female. 3. Significant negative correlation between the degree of internet addiction and the health promoting behavior(r=-0.245. p=0.000) 4. Health promoting behavior score was 138.24${\pm}$18.64 in internet non-addictive group and 126.66${\pm}$16.81 in potential risk group, 124.60${\pm}$19.85 in high risk group 5. As a result of multiple regression analysis, degree of internet addiction, school record, health status, concern to health of the students by the parents were related to the health promoting behavior and these provided predicted 21.7%.. Conclusion : The internet addiction risk group need for the health education including health promoting behavior and counseling for treatment of internet addiction.

한국 간호교육에 대한 개혁 전망 (A Vision for Nursing Education Reform in Korea)

  • 김모임
    • 대한간호학회지
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    • 제24권2호
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    • pp.313-318
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    • 1994
  • To build a suitable National Health Care System for the coming 21s1 century, Nursing must also be renewed. The future Korea will be united and the majority of its population will raidly consist of the aged. Economically standing on the same level with developed countries the growth of scientific technologies will foster communications, firing astounding changes in the medical field. While the overall life style pattern of Koereans not to mention the structure of diseases undergo change, the possibility that the reckless induction of high-tech health care may only cause medical fees to eascafate. It can전so be expected that the health care system will evolve towards the consumers. Nursing in the 21s1 century will be of two scenarios according to WHO, which presents the role of the nurse. The first scenario is that "a gen-eric health care work force" namely a "care giver" will replace all other health professions. If Nursing does not become the compatent profession fitting to this purpose it will eventually dei out. The second scenario is that nurses who are educated in a well grounded and extensive general background and have command of a specialized area will undertake services varying from health pro-motion to treatment and rehabilitation both direct and indirectly, while supervising other personnel. The nurse here would become the "care giver". To become the necessary health care profession in the 21s1 century, nurses should be provided with more educational opportunities, variating in its con-tents, course, and system, enabling them to grow. Clair Faign points out that the minimal educational entry for the nursing profession is a 4 year undergraduate education in this aspect, now in the time to set the future of Nursing into the course of the first scenario. A new educational system stipulating a baccalaureate nursing degree is in urgent need, and aside from govermental actions nurse themseives should formaily officiallze this process, striving for quality assurance. While considering 6 years nursing education programs, multifarious degree courses for existing 3 years educated nurse should be provided Junior nursing schools must devise measures to grow into baccalaucate institutions, also. Among the existing courses, the Self Study Degree Program should be converted into RN, BSN courese provided by universities, and clinical training for the University on the Air must be supplimented, The possibility of establishing nursing courses into commercial high school programs only jeopardizes the development of the nursing profession.

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무역학 분야의 학문후속세대 양성교육에 관한 연구 (A Study on Educating the Next Generation for the Academia of International Trade)

  • 김재식
    • 무역학회지
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    • 제42권3호
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    • pp.75-99
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    • 2017
  • 무역학 분야의 신규박사 공급과 관련해서 양적인 측면에서는 특별한 문제가 없지만, 채용수요자가 기대하는 질적 수준을 충족할 수 있을 정도로 제대로 된 교육훈련 과정을 거친 자원은 부족한 편이다. 따라서 이 연구는 무역학 전공교수를 대상으로 양적연구인 설문조사와 질적연구 방법의 하나인 표적집단면접을 통해서 무역학 분야의 학문후속세대 양성교육의 현재 상태에 대한 진단과 발전대안의 모색을 목적으로 한다. 연구결과, 무역 분야의 학문후속세대 양성을 위한 일반대학원 박사과정 교육이 제대로 이루어지기 위해서는 우수한 전일제 지원자를 확보하는 것이 매우 중요하며, 이를 위해서는 충분한 재정적인 지원이 선행되어야 한다. 무역학 분야의 학문후속세대 양성을 목표로 하는 소수의 대학에서는 전일제 대학원생을 중심으로 철저한 교육훈련과 검증을 거쳐서 학위를 수여하고, 직장을 가진 학생들이 주로 입학하는 대학원에서는 박사학위의 질적 관리에 유의할 필요가 있다. 그리고 무역학 분야에서 학위를 취득한 사람에 대한 취업기회 확대를 위해 무역관련 학과에서 신임교원 채용 시 우대할 필요가 있으며, 이들에 대한 수요기관을 확충할 필요가 있다.

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가정전문간호사의 대체요법에 대한 인식 (A Study on the Home Care Nurses' Perception of the Complementary & Alternative Therapy)

  • 장경자;김현리
    • 가정간호학회지
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    • 제13권1호
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    • pp.24-32
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    • 2006
  • The purpose of this study is to predict the degree of taking the complementary & alternative therapy in the home care nursing service and provide basic data for the application of it. To accomplish this, degree of general recognition of the complementary & alternative therapy, experiences, degree of concern, applicability of the therapy, and educational need should be studied. This study is a descriptive research survey on the home care nurses working at 73 medical centers out of 125 nationwide who provide hospital based home nursing care. The data was collected from Sep. 20, to Oct. 20, 2004 by ChoiHeyran's questionaries (2002). The data was analyzed by the frequency and the percentage. The results of this study are as follows ; 1. The degree of pre-cognition on the complementary & alternative therapy is very high. Information about the therapy was mostly obtained through medias. Home care nurses understand that he desirable treatment is to practice medical treatment and complementary & alternative therapy simultaneously. While 50% of them have already practiced complementary & alternative therapy among their patients. The most commonly used therapy is Acupressure. And Home care nurses have open and positive attitudes about the complementary & alternative therapy as to answer they aye ready to recommend it to their patients. 2. Over half of the Home care nurses met patients taking complementary & alternative therapy. 94.5% of them think scientific diagnosis on the effect of the therapy. advice from the doctor. and the special working staff is required to apply it on to the home care nursing. 3. 68.5% of the Home care nurses have taken education on the therapy through general comprehensive instructions and supplementary. Most of them want to have a opportunity education on the therapy because they want to provide comprehensive nursing and diversified nursing service. The preferred educations are Hand acupuncture, Acupressure & Massage and Aromatherapy, in that order. Based on the above results, the followings are recommended. 1. A study that stipulates the types, applications, and efficiency assessment of the complementary & alternative therapy practiced by Home care nurses in the home care nursing care procedure. And systematic and scientific nursing intervention be developed.

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위암(胃癌)의 동서의학적(東西醫學的) 진치(診治) 개황(槪況) (An Outlook of the Oriental and Western Medical Diagnosis and Treatment on Gastric Cancer)

  • 김병주;문구
    • 대한한의학회지
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    • 제17권2호
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    • pp.100-116
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    • 1996
  • Gastric cancer shows the most high friquency in cancers that occurs in Korea. The western medicine treatment for gastric cancer has radiation and surgery, chemical treatment. While, oriental medicine cures the gastric cancer by herb-drugs, acupunture , moxa and srigma. With just one way of treating gastric cancer can't be effective remedy. Because each medicine has a strength and weakness. Thus, it is effective treatment when two medicine combins and supplement each other. We got the following result about a trend of oriental and westernal combination treatment for gastric cancer through studing records. 1. The western medicine treats gastric cancer patient with surgery first and right after surgery. They need on assembly treatent such as chemical and immune treatment. In oriental medicine, they treats gastric cancer patients with differentiation of symptone and signs and treatment(辨證施治)[for example:incoordination between liver and stomach(肝胃不和), insufficiency of spleen and stomach(脾胃虛弱), stagnation of blood stasis and toxic agent(瘀毒內阻), deficiency of yin by stomach heat(胃熱傷陰), reinforcing both qi and blood(氣血雙虧), stagnation of damp-phlegm(痰濕凝結)] and cure for them by acupuncture and stigma, too. 2. In combination with oriental and western medical treatment principle of gastric cancer by each stage is as follows. First stage and second stage gastric cancer is cured with radical surgery mainly. After operation, the herb of invigoration of the spleen(健脾), coordination of the stomach(和胃), and smoothing the liver and regurating the circulation of qi(疏肝理氣), is used for good gastroenteric condition. The second stage patients can be concidered using in combination with chimical treatment. The third stage gastric cancer is treated with radical surgery or with temporizing surgery. After those surgery, herb-drugs treatment is used jointly. The fourth stage patients who have no extensively metastasis or local contraindication can undergo temporizing and curcuit surgical operation. Herb-drugs and chemical treatments are used together for patients after operating. If he has operating contraindication, he would be treated with herb-drugs and chemical treatment. 3. In case of using in combination with oriental and western medical treatment as follows. As for herb-drugs with chemical treatment, reinforcing both qi and blood(補益氣血), invigorate the spleen and the stomach(健脾和胃), reinforcing liver and kidney(滋補脾腎), clear out the heat and relieve the toxic agent(淸熱解毒), can be used and with radiation treatment, clear out the heat and relieve the toxic agent(淸熱解毒), promoting the production body fluid and moisturizing the vicera(生津潤燥), reinforcing both qi and blood(補益氣血), invigorate the spleen and the stomach (健脾和胃), reinforcing liver and kidney(滋補肝腎) etc, can be used. 4. According to the research of oriental and western medical combination treatment are the 5-year-survival degree with oriental and western medicine combination treatment was for better than that just with oriental or western medical treatment. Especially, it has good effect on the third, fourth stage gastric cancer. That is, the middle and the end of stage gastric cancer. 5. The merits of oriental and western medicine combination treatment are lengthers one's life and diminish the bad effect of chemical treatment and radiation treatment be near completion, prevent from relapsing, maintain the balance in their eveirenment of body and improve immunity.

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신경모세포종의 의학적 치료에 따른 치과적 합병증과 관리 : Mini-screw를 이용한 치근이형성 하악 절치의 고정술 (DENTAL COMPLICATIONS AND MANAGEMENT OF A PATIENT WITH NEUROBLASTOMA : SPLINT OF MANDIBULAR INCISORS WITH ROOT ANOMALIES USING MINI-SCREW)

  • 천민경;김재환;최남기;김선미
    • 대한장애인치과학회지
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    • 제11권1호
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    • pp.5-8
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    • 2015
  • 다발성 우식증을 주소로 내원한 7세 1개월의 여자아이가 신경모세포종의 다각적 치료에 따른 치근 형성이상으로 인해 하악 영구절치의 중증도 동요도를 보여 mini-screw를 이용한 레진강선고정을 시행하였다. 이를 통해 동요도의 감소 및 교합안정을 이루었으며, 따라서 하악 영구절치의 치근 형성이상으로 인한 동요도 증가 시 선택적 치료법이 될 수 있을 것이라 생각한다.

장애인 환자에서의 전악 수복 증례 (Full mouth rehabilitation for a disabled patient: a case report)

  • 김애라;방몽숙;박상원;임현필;윤귀덕;양홍서
    • 대한치과보철학회지
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    • 제51권3호
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    • pp.208-213
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    • 2013
  • 장애인치과는 비장애인과 별차이 없는 경증 장애인에서부터 질환의 진단이 쉽지 않고 전신관리의 필요에 따른 의학적인 전문성이 요구되거나 행동조절 및 치료의 어려움으로 특수기술과 장비를 필요로 하는 장애인까지 다양하다. 본 증례는 자폐성 장애를 갖은 25세 남자 환자로 구강위생관리가 잘 되지 않아 다수의 우식으로 전반적인 치료를 위해 내원하였다. 장애인 환자에 대한 정보 부족으로 인한 치료 계획 수립의 어려움 및 전신마취 하에서 시술의 어려움을 경험하며 장애인 치과치료시 충분한 상담과 기왕력 파악 후 적절한 치료가 필요할 것으로 사료되었다.

요부 굴곡과 신전운동의 관점에서 분석한 만성요통의 침치료 효과 (Analysis of the Efficacy of Acupuncture for Chronic Low Back Pain Based on the Relationship Between Trunk Flexors and Extensors)

  • 김유진;박원형;차윤엽
    • 동의생리병리학회지
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    • 제26권4호
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    • pp.557-565
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    • 2012
  • The purpose of this study was to examine the effect of acupuncture on trunk flexors compared with trunk extensors in patients with chronic low back pain. The experimental group was treated with acupuncture on trunk flexors. The control group was treated with acupuncture on trunk extensors. Acupuncture treatment was performed 12 sessions over the course of 6 weeks. Volunteers who satisfied the requirements were enrolled in the study. Chronic low back pain was evaluated based on the VAS for bothersomeness, VAS for pain intensity at every treatment and 8, 12 and 24 weeks after starting the treatments, and ODI, SF-36 and BDI before and after treatments and 8, 12 and 24 weeks after starting the treatments. The VAS score for bothersomeness significantly decreased after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for bothersomeness in the experimental group decreased more rapidly than that of the control group with statistical significance (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI significantly improved after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI in the experimental group showed more rapid improvement than those of the control group. But, there were no statistical significances. Treating trunk flexors using acupuncture was more effective in decreasing the degree of bothersomeness caused by chronic low back pain than treating trunk extensors with acupuncture. There is a need to perform further studies.

자동차회사 근로자를 대상으로 한 근골격계 자각증상과 moire 영상 진단과의 관계 연구 (Research on the Relation between Musculoskeletal symptoms and Diagnosis using Moire Topography among Workers at an Automobile Manufacturing Plant)

  • 천은주;이영길;장두섭;이기남;송용선
    • 대한예방한의학회지
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    • 제5권2호
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    • pp.69-92
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    • 2001
  • The purposes of this study were to offer foundation making more certain standards of musculoskeletal disorder diagnosis, We researched musculoskeletal symptoms degrees, frequencies, and cares and then examined relation between musculoskeletal symptoms and diagnosis of musculoskeletal conditions using moire topography among workers at an automobile manufacturing plant. Therefore we propose the possibility of moire topography as diagnosing utilities of musculoskeletal disorders. Methods: This study was to examine the general characteristics, complaints of musculoskeletal symptoms, and work-related musculoskeletal disorder rates of cervicobrachial and lumbar area by survey among 435 workers at an automobile manufacturing plant and then to show each frequency and percentage, In the diagnosis using moire topography, we studied pain control necessity of cervicobrachial and lumbar area, 435 subjects were classified by 5 levels: A(no symptoms), B(need management), C(need treatment) and then more divided by B1(light symptoms)/B2(heavy symptoms), C1(light symptoms)/C2(heavy symptoms), And musculoskeletal areas were divided by 2 parts, cervicobrachial area(neck, shoulder, arm&elbow, and wrist&hand) and lumbar area, Then, frequency and percentage of each musculoskeletal areas(cervicobrachial and lumbar area) were appeared. At last, Pearson's chi-square test analysis was utilized to observe the relation between diagnosis using moire topography and general characteristics and the relation between diagnosis using moire topography and work-related complaint of musculoskeletal symptoms of cervicobrachial and lumbar area, Results: The subjects employed for this research were categorized into; by gender, all of them were males(l00%): by age, under 35 years 12 %, 36-40 years 56.3%, 41-45 years 26.3 %, and above 46 years 5.3% with 36-40 years accounting for most of it. By living location, owned houses represented 69.7%, rented houses 23.4%, monthly-rented 1.6%, the others 5.3%; by education, middle school and lower represented 3.0%, high school 89.4%, and junior college and higher 7.6% with high school occupying most of the group. By marital status, married represented 95.2%, unmarried 4.1%, and the others 0.7% with most of them married; by alcohol, drinking represented 81.8% and non-drinking 18.2%; by smoking status, smoking represented 53.6%, non-smoking 46.4% with no big difference between them. By working time(hours/week), below 50 represented 26.9%, 50-60 67.6%, above 60 5.5%; by working time(hours/day), below 9 represented 21.6%, 10-12 73.1%, above 13 5.3%; by job tenure(years), below 10 represented 25.1%, 11-15 54.3%, 16-20 15.2%, above 21 5.5%. By personal income per year, below 30 million won represented 11.0%, 30-40 84.8%, above 40 4.1%; by sleeping hours, below 6 hours represented 26.7%, 7-8 hours 69.9%, above 9 hours 3.4%. Complaint rates of musculoskeletal symptoms and work-related musculoskeletal disorder rates were 63.9% and 54.9% with shoulder area occupying most of both them. By pain degree of musculoskeletal symptoms, shoulder area represented $2.73{\pm}0.84$, lumbar area $2.66{\pm}0.86$, wrist and hand area $2.59{\pm}0.86$, neck area $2.55{\pm}0.74$, and arm and elbow area $2.48{\pm}0.71$. By cares about musculoskeletal symptoms, taking medication or care represented 34.4%-46.7%, absence or leave 15.4%-28.7%, and job transfer 6.3%-11.5%. So experienced cases more than one thing among cares about musculoskeletal symptoms represented 39.6%-54%. In the diagnosis using moire topography, pain control necessity of cervicobrachial area was shown below; A(no symptoms) 20.7%, B1(need management/light symptoms) 64.6%, B2(need management/heavy symptoms) 11.5%, C1(need treatment/light symptoms) 3.0%, C2(need treatment/heavy symptoms) 0.2%. By lumbar area, A(no symptoms) 8.7%, B1(need management/light symptoms) 52.2%, B2(need management/heavy symptoms) 30.3%, C1(need treatment/light symptoms) 8.7%, C2(need treatment/heavy symptoms) was none. In the relation between pain control necessity and general characteristics, age(P=0.013), education(P=0.000), and job tenure(P=0.012) with pain control necessity showed differences with significance. The relation between pain control necessity and complaint of musculoskeletal symptoms of cervicobrachial and lumbar area showed no difference with significance; in cervicobrachial area represented P=0.708, lumbar area P=0.318 Conclusions: This study for musculoskeletal symptoms on workers at automobile manufacturing plant showed that complaint rates of musculoskeletal symptoms for cervicobrachial and lumbar area were so high, 63.9%. But Pearson's chi-square test analysis was utilized to study the relation between musculoskeletal symptoms and the diagnosis using moire topography, showed no differences with significance. They have no differences with significance, but the prevalence rates of diagnosis using moire topography for cervicobrachial and lumbar area were more higher than complaint rates of musculoskeletal symptoms; complaint rates of musculoskeletal symptoms were 52.4%, 34.5% and the diagnosis using moire topography were 79.3%, 91.3% for cervicobrachial and lumbar area. The results of this study indicate that the diagnosis using moire topography can find weak musculoskeletal disorders that an individual can not feel, not be judged work-related musculoskeletal disease. Therefore, this study has an important meaning that diagnosis using moire topography can predict and control own physical condition complete musculoskeletal disorders beforehand, since oriental medicine theory considers that prevention is important.

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