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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 4호 (2012)

노인장기요양보험제도에서의 가족수발자의 경험

김은영 ( Eun Young Kim ) , 이가언 ( Ga Eon Lee ) , 김삼숙 ( Sam Sook Kim ) , 이춘이 ( Chun Yee Lee )
4,600
초록보기
Purpose:The purpose of this study was to explore the experiences of family caregivers who care for the elderly under Long-term Care Insurance. Methods: Data were collected using focus group interviews and analyzed using a phenomenological approach. The four focus groups consisted of eight caregivers, two social workers and three nurses in B city, Korea. Results: Five themes were identified: ``Obtaining a care-helper certification for employment``, ``Taking care of the elderly in their homes``, ``Difficulties due to life changes``, ``Difficulties due to reduced wages`` and ``Dissatisfaction with the Long-term Care Insurance operating system``. Conclusion: The results of this study demonstrate that the long-term care system for family caregivers faces many systematic challenges in providing care for the elderly harmoniously in their home. To help them succeed in their tasks, Long-term Care Insurance system must offer respite and support programs to family caregivers.

지역사회 거주 노인의 금연의도 영향요인

김정순 ( Jung Soon Kim ) , 유정옥 ( Jung Ok Yu ) , 김묘성 ( Myo Sung Kim )
4,000
초록보기
Purpose:The purpose of this study was to identify predictors of drinking problems in Korean international students in the United States. Methods: The subjects involved this study were 190 Korean international students in the United States. Data were measured using a drinking problems questionnaire, an acculturative stress scale for international student, and the CES-D. The collected data were analyzed using the SPSS/WIN 17.0 program to calculate mean, standard deviation, ANOVA, Sheffe? test and pearson`s correlation coefficient. and stepwise multiple regression. Results: 1) The mean score of the degree of perceived acculturative stress was 2.15±0.63, of depression was 17.67±9.85, and of drinking problems was 15.03±15.52. 2) There were significant correlations between acculturative stress and drinking problems (r=.506, p<.001), between depression and drinking problems (r=.6726, p<.001), and between acculturative stress and depression (r=.453, p<.001). 3) In stepwise multiple regression analysis the most powerful predictor of drinking problems were acculturative stress (β=.243, p<.001), and depression (β=.562, p<.001). Conclusion: Based on the results, practical implications for reducing the acculturative stress and improving the psychological well-being of Korean students were discussed.

재미 한인대학생의 문화적응 스트레스, 우울과 음주문제

이순희 ( Soon Hee Lee )
4,000
초록보기
Purpose: The purpose of this study was to identify predictors of drinking problems in Korean international students in the United States. Methods: The subjects involved this study were 190 Korean international students in the United States. Data were measured using a drinking problems questionnaire, an acculturative stress scale for international student, and the CES-D. The collected data were analyzed using the SPSS/WIN 17.0 program to calculate mean, standard deviation, ANOVA, Sheffe? test and pearson`s correlation coefficient. and stepwise multiple regression. Results: 1) The mean score of the degree of perceived acculturative stress was 2.15±0.63, of depression was 17.67±9.85, and of drinking problems was 15.03±15.52. 2) There were significant correlations between acculturative stress and drinking problems (r=.506, p<.001), between depression and drinking problems (r=.6726, p<.001), and between acculturative stress and depression (r=.453, p<.001). 3) In stepwise multiple regression analysis the most powerful predictor of drinking problems were acculturative stress (β=.243, p<.001), and depression (β=.562, p<.001). Conclusion: Based on the results, practical implications for reducing the acculturative stress and improving the psychological well-being of Korean students were discussed.
4,000
초록보기
Purpose: The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population. Methods: The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale. Results: Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system (x2=13.89, p<.001) were significant, while the differences in the perception of depression (x2=.02, p=.891) and coping methods (x2=.34, p=.558) were not statistically significant. Conclusion: Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the singlehousehold elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.

중학생의 성격특성, 아동기 학대경험 및 스트레스가 자살생각에 미치는 영향

이석희 ( Seog Hee Lee ) , 김경희 ( Kyung Hee Kim ) , 김지수 ( Ji Su Kim ) , 김기숙 ( Ki Sook Kim )
4,000
초록보기
Purpose: The purpose of this study is to investigate the factors influencing suicidal ideation in middle school students. Methods: Suicidal Ideation Questionnaire (SIQ) results, personal characteristics, child abuse experiences, and stress were obtained from a sample of 657 middle school students from 3 conveniently selected schools in S city. Results: Suicidal ideation of participants was positively correlated with child abuse experience, stress, psychosomatic symptoms, antisocial personality and depressive tendencies, whereas sociability and self-esteem were negatively correlated with suicidal ideation. Significant factors influencing suicidal ideation included an antisocial personality tendency, stress related to the family environment, mental abuse, gender (female), depressive trend, running away from home, sociability, and stress related to academic performance. These factors explained 39.9% of the variance. Conclusion: These results suggest that earlier screening and intervention programs for depression and stress in middle school students will be helpful in reducing suicidal ideation. Further studies are needed in which other strategies that could prevent suicidal ideation in middle school students are examined.

만성질환이 있는 일하는 노인의 건강행위 관련요인에 관한 탐색적 연구

김동옥 ( Dong Ok Kim, ) , 윤순녕 ( Soon Nyung Yun )
4,000
초록보기
Purpose: This study aimed to identify the health behaviors of working elderly Koreans aged 65 over and examined the socio-demographic and disease-related factors by health behaviors. Methods: This study used data obtained from the 2nd basic survey of the 2008 Korean Longitudinal Study of Ageing. We selected 381 working elderly having one or more of the diseases hypertension, diabetes, heart disease or cerebrovascular disease. Results: 78.9% out of the subjects have hypertension, 31.2% have diabetes, 12.3% have heart disease, and 6.3% have cerebrovascular disease. Compared to the health behaviors of the general elderly, the rate of the practice of regular exercise among the subjects was lower, but the smoking and drinking rate were higher. The significant variables associated with health behavior practice rates were gender, type of work, subjective health status and chronic diseases. Conclusion: The type of work of the elderly with chronic diseases was significantly associated with health behaviors. Consequently, this study found that continuous care programs for the working elderly with chronic diseases should be developed and provided as an occupational health service when the jobs are offered to them.

초등학교 저학년 여학생의 성 성숙과 신체상 및 자아존중감에 관한 연구

노소영 ( So Young Roh ) , 김계하 ( Kye Ha Kim )
4,000
초록보기
Purpose: The purpose of this study was to examine the sexual maturation, body image, and self-esteem of Korean elementary school girls with symptoms of precocious puberty compared to those with no symptoms of precocious puberty. Methods: The subjects were 309 girls of lower grades in elementary school. Tanner`s Sexual Maturation Rating (SMR), Self Image Scale, and Self-esteem Scale were utilized to determine the presence of symptoms of precocious puberty, body image, and self esteem. Collected data were analyzed by Chi-square test, independent t-test, and one-way ANOVA using the SPSS/WIN 17.0 program. Results: The percentage of the girls with breast development was 14.9%. Breast development usually began in the third grade (56.5%). Of the subjects, 0.3% were experiencing menstruation. Breast development was related to grade, age, height, weight, and a cause of worry. There was a significant difference of body image between girls with breast development in the first grade and in the second grade. Conclusion: An effective intervention that can improve the self-image of children with symptoms of precocious puberty should be developed to prevent and treat physical and mental problems related to sexual maturation.

노인장기요양보험의 방문간호 제공기관 특성별 서비스 제공 추이

이정석 ( Jung Suk Lee ) , 황라일 ( Rah Il Hwang ) , 한은정 ( Eun Jeong Han )
4,700
초록보기
Purpose: This study aimed to investigate trends in home-visit nursing care by agencies` characteristics under the national long-term care insurance system. Methods: Cochran-Mantel-Haenzel tests were conducted, using data drawn from the nationwide long-term care insurance claim database of the Korean National Health Insurance Corporation from 2009 to 2011. Results: The number of home-visit nursing care agencies has decreased continuously since 2009. There were also similar trends in the total amount of service provided by home-visit nursing care agencies, the number of recipients, the number of employees, and payments. This study showed that there were statistically significant differences in the trends in home-visit nursing care by agencies` characteristics. Despite the overall downward trend, there were some increases in the percentage of home-visit nursing care provided by agencies which were established by individuals, located in large cities, and which combined home-visit care with home-visit bathing. Conclusion: Home-visit nursing care agencies are responsible for providing community- based healthcare services. For past three years, however, they have not been utilized to their full potential. Understanding the trends in home-visit nursing care by agencies` characteristics is important to develop utilization strategies for home-visit nursing care.

강유역의 간흡충 감염양성자를 위한 사례관리 적용효과

김춘미 ( Chun Mi Kim ) , 김희걸 ( Hee Ger Kim ) , 전경자 ( Kyung Ja June ) , 김숙영 ( Souk Young Kim )
4,600
초록보기
Purpose: In order to lower the infection rate and the reinfection rate of Clonorchiasis in high-risk areas, we performed and analyzed a case management on people with chlonorchisis. Methods: The data was collected from April 2010 to March 2011. A community health practitioner was selected as a case manager based on our training program. The intervention group had 58 participants with three months of case management and the control group had 144 participants handled with traditional methods. Results: the pre and post-test in the intervention group and the control group showed us improved knowledge of Clonorchiasis, attitudes and behavior toward eating freshwater fish. The results of post-test between the intervention group and the control group showed statistically significant differences in all categories, except a hand-washing category. However, one year after a case management, there was no significant difference in the failure rate of treatment. Conclusion: The case management was effective for people infected with Clornorchiasis near riverside areas; however, in order to lower the rates of reinfection and treatment failure, it is necessary to perform continuous monitoring and regular evaluations.

선택병의원제가 의료급여 수급권자의 건강에 미치는 영향

최정명 ( Jeong Myung Choi ) , 오진주 ( Jin Joo Oh )
4,000
초록보기
Purpose: Medical Aid Beneficiaries were surveyed to identify differences in health behaviors, adherence to drug regimen, and quality of life between those people in the Designated Doctor System and those who are not. Methods: A total of 1,327 study subjects were separated into three groups: those in the Designated Doctor System for 2 years, those in for 1 year, and those not in the system. Results: After the introduction of the Designated Doctor System, 55.8% and 67.9%, respectively, of the subjects in the Designated Doctor System complained of inconvenience in relation to hospital use and the patient referral process. Also, the rate of emergency room use or hospitalization guided by the Designated Doctor System was only 8.7% and 6.5%, respectively. There were no significant differences in health behaviors and adherence to drug regimens between those in the Designated Doctor System and those who are not. Conclusion: This study was carried out early in the introduction of the system. Therefore, it is necessary to monitor the positive and negative effects of the Designated Doctor System for a full reflection of its impact.
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