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논문검색은 역시 페이퍼서치

지역사회간호학회지검색

Journal of Korean Academy of Community Health Nursing


  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : - / SCOPUS
  • - ISSN : 1225-9594
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 23권 2호 (2012)

재가 장기요양노인 가족수발자의 건강 관련 삶의 질 영향요인

김은영 ( Eun Young Kim ) , 여정희 ( Jung Hee Yeo )
4,000
초록보기
The purpose of this study was to identify the factors associated with the health-related quality of life of family caregivers. Methods: A cross-sectional study was conducted. This study included 191 primary family caregivers of elders who used home care services (home-visit nursing, home-visit care, daycare) covered by the public long-term care insurance. Data were collected using self-report questionnaires from December 2010 to June 2011. These data were analyzed by using hierarchical multiple regression. Results: The majority of the family caregivers were female (79.6%) and daughters-in-law (28.8%). The mean depression score was 6.33±6.49 and the mean health-related quality of life score was 0.69±0.39. It was found that the factors affecting the health- related quality of life of family caregivers included depression (β=-.406, p<.001), home-visit nursing use (β=.296, p<.001), and daycare use (β=.178, p=.015), which accounted for 36.6% of their health-related quality of life. Conclusion: Using home-visit nursing and daycare services has a positive effect on the health-related quality of life of family caregivers. To improve health-related quality of life of family caregivers, South Korea needs to fully activate the home-visit nursing and daycare services, and to strengthen family support programs.

재가 비암 환자의 생의 말기 단계별 신체적, 영적 간호요구도 -간호요구의 중요도와 난이도를 중심으로-

이종은 ( Jong Eun Lee ) , 김순례 ( Soon Lae Kim )
4,000
초록보기
This study was conducted to assess needs at each end-of-life care stage and to analyze importance and difficulty of care needs for home care nursing among non-cancer patients. Methods: We used a retrospective design. Total eligible patients were 117 at the ages of 40 and over, who continuously received home care nursing throughout beginning, stable, and near death stages, and finally died at home from January 1, 2006 to December 31, 2006. Descriptive statistics, Cochran`s Q test, Friedman`s test were used for data analysis. Results: In the area of physical care, the care need for ``assistance for activities in daily life`` was significantly highest in the beginning stage. The care need for ``aggravation or adverse changes in physical symptoms`` was significantly increased in the near death stage. In the area of psychospiritual care, ``family``s psychological burden`` was revealed as having the highest rate of care needs in the every stage. Conclusion: Future intervention should consider assessing care needs in end-of-life care for non-cancer patients who are provided with home care nursing.

노인요양보호사가 경험한 환자 및 보호자에 의한 폭력 경험과 대처

이은영 ( Eun Young Lee ) , 강희선 ( Hee Sun Kang ) , 김경희 ( Kyung Hee Kim ) , 박경숙 ( Kyung Sook Park )
4,000
키워드보기
초록보기
The purpose of this study is to investigate verbal, physical and sexual violence to caregivers in nursing home workplaces. Methods: This cross-sectional study was done from October 17 to 31, 2011 at eight randomly selected nursing homes in Seoul and one nursing home in Gyeonggi, South Korea. This study explored their responses to violence and violent situations, and then investigated on how caregivers coped with workplace violence. Results: The results of this study show that most caregivers in nursing homes experience some form of violence. Verbal violence was more frequent than physical or sexual violence. Verbal and physical violence occurred most often while they were changing the clothes of patients and sexual violence occurred most often while they were showering patients. After experiencing violence, caregivers most often dealt with the situation by informing their colleagues of what was happened. Conclusion: These results suggest that institutional and administrative measures must be implemented to increase the prevention of violence against caregivers and to improve effective measures to deal with violence once it has occurred. Violence in nursing homes can be reduced through the combination of appropriate responses by caregivers and proper education of both patients and caregivers.

북한이탈 청소년의 문제행동과 문화변용정체성에 관한 연구

박영숙 ( Young Suk Park )
4,600
초록보기
The purpose of this study was to investigate the characteristics of problem behaviors, cultural identity and acculturation of North Korean (NK) refugee youth and to suggest an appropriate approach for helping them to adjust to our society based on these findings. Methods: The subjects were 117 NK adolescent refugees in Hanawon. Data were collected by a demographic questionnaire, Youth Self Report (YSR), the South-North Korean cultural identity. Results: Problem behaviors of NK refugee youth were the highest in anxiety/depression and withdrawal behavior and were followed by internalized behavior, aggressiveness, overall problem behavior, externalized behavior, delinquency and positive behavior in that order. Acculturation was the highest in ``separation`` followed by ``integration``, ``assimilation`` and ``marginalization`` in that order. No significant relationship was found between acculturation types and problem behaviors except positive behavior. Conclusion: This study provides some important information that we have to develop specific strategies and interventions primarily focused on withdrawal, anxiety/depression, and internalization for the adjustment and mental health of NK refugee youth. It is necessary to explore further research related to cultural identity, acculturation processes, and the correlation between acculturation types and problem behaviors.

서울시 교사의 건강검진 및 건강증진 프로그램에 대한 만족도 및 요구도

전나미 ( Na Mi Chun ) , 윤재희 ( Jae Hee Yoon ) , 김채윤 ( Chae Yoon Kim ) , 황나미 ( Na Mi Hwang ) , 김영숙 ( Young Sook Kim ) , 황문숙 ( Moon Sook Hwang ) , 채현주 ( Hyun Ju Chae )
4,000
초록보기
The purpose of this study was to investigate Seoul teacher`s satisfaction with and needs for health examination and health promotion programs. Methods: The participants were 3,186 teachers in Seoul. Data were collected through an on-line survey system from November 16 to December 7, 2008. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe`s test using PASW 18.0 program. Results: Teacher`s satisfaction with teacher health examination was low and needs for detailed tests of cancer and vocal cord disorders were high. Teacher`s satisfaction with teacher health promotion programs was low and needs for stress management, exercise and vocal cord protection program were high. Conclusion: Vocal cord disorders should be included in teacher health examination and vocal cord protection program should be provided for teacher`s health promotion. Stress management and exercise program should also be provided for teacher`s health promotion.

보건소 맞춤형 방문건강관리사업 전문인력의 직무분석

한영란 ( Young Ran Han ) , 박영례 ( Young Rye Park ) , 김영희 ( Young Hee Kim ) , 최희정 ( Hee Chung Choi ) , 정미자 ( Mi Ja Chung )
4,900
초록보기
The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty. Methods: Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject`s general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task. Results: The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance. Conclusion: Considering the analyzed managers` tasks and core tasks, we need to examine each manager`s role precisely and provide various educational programs for improving overall manager competence.

일 지역 보건진료원의 문화적 역량

이은지 ( Eun Jee Lee ) , 김윤경 ( Yune Kyong Kim ) , 이현경 ( Hyeon Kyeong Lee )
4,000
초록보기
This study aimed to describe the cultural competence among community health practitioners (CHPs). Methods: A cross-sectional descriptive study design was used with a convenience sample of 257 CHPs. Data collection was conducted with a structured questionnaire, including Cultural Competence Assessment. Data were analyzed by t-test and ANOVA with the SPSS/WIN 17.0 program. Results: Most participants reported a moderate level of cultural competence (M=3.0,SD=0.41). Scores for culturally competent behaviors were high (M=3.4, SD=0.48) and cultural knowledge scores were low (M=2.6, SD=0.54). Those CHPs who were living with their family, were working in rural area, and had more opportunities to contact with multicultural patients and experience abroad showed significantly higher cultural competence. Conclusion: The findings support the need for future education and training to enhance CHPs` cultural competence.

고혈압 환자의 복약순응행위 변화단계에 영향을 미치는 요인

변영순 ( Young Soon Byeon ) , 김순옥 ( Soon Ock Kim ) , 조정현 ( Jeong Hyun Cho )
4,700
키워드보기
초록보기
The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension. Methods: Participants were 323 patients with hypertension. Sociodemographic/ medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered. Results: Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self- liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence. Conclusion: The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

전, 후기 허약 고위험 노인을 대상으로 한 지역사회 중심의 다요인적 허약 예방 프로그램의 효과 평가

이인숙 ( In Sook Lee ) , 고영 ( Young Ko ) , 이광옥 ( Kwang Ok Lee ) , 임은실 ( Eun Shil Yim )
4,600
키워드보기
초록보기
The purpose of this study is to evaluate the effects of a local community based multi-factorial program for high-risk younger and older elderly people. Methods: The quasi-experimental research design (pretest-post test) was employed. Participants were recruited in Seoul and a total of 98 elders completed an 8-week multi- factorial program for preventing frailty. Descriptive statistics, x2-test and GLM were used in the data analysis with SPSS/WIN 15.0. Results: The high-risk elderly people in the younger and older stages showed differences in IADL, TUG and BMI, and after being provided with the multi-factorial program for preventing frailty, some effects were shown on improving the total score of frailty, a physical function, TUG, BMI, depression, subjective feeling of health, and social interaction. Conclusion: The 8-week multi-factorial program for preventing frailty had positive effects on improving physical, emotional and social functions of the high-risk elderly people. It is necessary to evaluate the effects after individual intervention as well as group intervention and to evaluate the effects of the program by setting a control group in the future.

유통업 근로자의 직장폭력 경험 실태

김숙영 ( Souk Young Kim ) , 윤순녕 ( Soon Nyung Yun )
4,000
키워드보기
초록보기
The purpose of this study is to explore violence experienced by workers in the distribution industry. Methods: The research subjects were 236 workers from 2 department stores and 1 large scale discount store located in Daejeon City, Korea. The collected data were analyzed through descriptive statistics, x2-test, and logistic regression analysis. Results: 72.9% of the research subjects experienced verbal violence, and 9.3% of the respondents experienced physical violence during last year. 17.8% of the respondents reported that they had experience of sexual harassment at their workplaces. The variables which affected verbal violence included working departments and stress level, whereas the variable that affected physical violence was educational level of workers. The variables that affected experience of sexual harassment turned out to be gender as well as the duration of work at the current workplaces. Conclusion: The findings from this research revealed that many of the workers engaged in the distribution industry were exposed to workplace violence. For the reduction of risk of workplace violence for these workers, it is required to develop and execute programs including violence related policies and education about workplace violence.
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