농촌지역 재가 장애인의 삶의 질 영향 요인 분석

김현리(Hyun li Kim),정미숙(Mi Sook Jung),주경옥(Kyoung ok Ju) 한국장애인재활협회 2017 재활복지 Vol.21 No.1

본 연구의 목적은 역학적 요인(우울), 행위적 요인(일상생활 수행능력), 소인요인(자기효능감), 강화요인(가족지지, 전문가 지지), 촉진요인(자원이용가능성, 접근성)이 농촌지역 재가 장애인의 삶의 질에 미치는 영향요인을 파악하기 위한 것이다. 연구의 개념적 기틀은 Green과 Kreuter의 PRECEDE 모형을 기반으로 하였다. O군 보건소에서 실시한 지역사회중심 재활사업 기초조사 결과 자료를 근거로, 기초조사에 참여한 190명중 186명이 최종분석에 포함되었다. 선택된 요인들과 삶의 질 간의 직ㆍ간접 경로를 파악하기 위하여 AMOS 19.0을 이용하여 자료를 분석하였다. 모형 검증 결과 농촌지역 재가 장애인의 삶의 질은 85.5%의 설명력을 가지며, 역학적 요인(우울)과 강화요인(가족지지, 전문가지지)에 의해 직접적 영향을 받은 반면, 행위적 요인(일상생활수행능력), 소인요인(자기효능감), 촉진요인(자원이용가능성, 접근성)을 통하여 간접적 영향을 미치는 것으로 나타났다. 본 연구 결과는 농촌지역 재가장애인의 삶의 질 증진을 위한 재활사업 계획 시 우울을 감소시키거나 가족이나 건강전문가로부터의 지지를 강화해야 할 필요성을 조명하였다. 뿐만 아니라 자기효능감 향상을 위한 전략을 세우고 지역의 보건기관과 전문 의료기관과의 연계를 확대하는 것도 농촌지역 재가 장애인을 위한 지역사회 중심재활서비스에 유용할 수 있음을 제안하였다. The aim of this study was to explore the effects of the epidemiological factor (depression), the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), reinforcing factors (family support, professional support), and enabling factor (resource availability, accessibility) on quality of life in home-dwelling disabled people in rural areas. The conceptual model for this study was established on the basis of the PRECEDE model which was developed by Green and Kreuter. Data were drawn from the Preliminary Investigation for Community-centered rehabilitation conducted by a public health center located in the O province in 2011 and 186 of 190 disabled people who participated in the survey were included in the final analysis. Data were analyzed using Direct effects on quality of life arose from latent variables depicting the epidemiological factor (depression)and reinforcing factor (family support, professional support), while indirect effects arose from the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), and enabling support (resource availability, accessibility). This model explained 85.5% of the variance in quality of life among rural disabled individuals. These findings may have shed some light on the necessity of including strategies to reduce depression and to strengthen supports from family and healthcare professionals when performing rehabilitation programs to improve quality of life in home-dwelling disabled people in rural areas. Furthermore, it suggested that it would be useful to develop specific strategies and tactics which might increase self-efficacy and to expand linkages between public health centers and other professional institutions such as hospitals for communitycentered rehabilitation services for individuals with disabilities.

산업장 근로자의 건강증진 행위

김현리(Hyun-Li Kim),정현숙(Hyun-Sook Jeong),조영채(Young-Chae Cho) 한국보건간호학회 1997 韓國保健看護學會誌 Vol.11 No.2

연구 : 부부조화 측정도구 개발

김현리 ( Hyun Li Kim ) 연세대학교 간호정책연구소 2005 간호학탐구 Vol.14 No.1

소규모사업장 산업간호사의 업무활동 분석

김현리(Hyun Li Kim),이명숙(Myung Sook Lee),김명순(Myung Soon Kim),정문희(Moon-Hee Jung) 한국보건간호학회 1998 韓國保健看護學會誌 Vol.12 No.2

일부 대학생들의 건강증진행위

김현리(Kim, Hyun-Li),민현옥(Min, Hyun-OK) 한국보건간호학회 1995 韓國保健看護學會誌 Vol.9 No.2

노인의 건강상태

소희영,김현리,류명인,So, Hee-Young,Kim, Hyun-Li,Liu, Ming Ren 한국재활간호학회 2004 재활간호학회지 Vol.7 No.2

Purpose: This study examined the health status of elderly. Method: This is a survey using cross-sectional design. The subject were 122 elders who were 65 and over in Daejeon. Instrumental activity of daily living, nutrition and Body mass index for physical health status, social engagement for social health status, and depression and loneliness for emotional health status were measured. Results: Independent level was medium, and nutrition and BMI were normal level. Social engagement score was 2.38 which means low. Mean depression level was 7.71 and mean loneliness level was 56.77, which means high. The risk factors for vulnerable health status were no spouse, lower pocket money, living at institution, poor subjective health status. Conclusion: This finding indicates that the elderly subjects were in normal physical health status, but social and emotional health status were poor.

대전.충남지역 산업장의 보건관리 실태

홍춘실,김현리,Hong, Chun-Sil,Kim, Hyun-Li 한국지역사회간호학회 1993 지역사회간호학회지 Vol.4 No.1

The purpose of this study was to identify the status of health management from Dec 5, 1992 to March 10, 1993. The data. was. collected from 30 industrial nurses, through a structured questionnaire. The results were as follows : 1. 1.50%. of the companies surveyed were manufacturing companies, 24% of them were research center. 2. The sizes of the companies were as follows: 300-499 employees 11(37%). more than 1,000 employees 4(13%). 3. 18 companies(60%) had organized safety and health committees. 4. 25 companies(83%) had there own health clinics. 5. 60% of companies had a Health center assigned as were hospitals 83%. 6. Practical nurses were employed by all industries, 10 companies had their own physicians, and 3 had their own industrial hygienist. 7. The primary health examination rate was 96% and workers who took follow up examinations were 8.5% out of them, 73.6% were evaluated at the C & D grade. Follow Up management to D. evaluations was performed about 50%. 8. 13 personnel(43%) required, special examinations. 9. The relation between the workers health score and the health status, score was negative and not significant. Therefore the better health management the higher health level score.

노인의 건강관련 생리적 지수에 관한 연구

김종임(Kim Jogn Im),소희영(So Hee Young),김현리(Kim Hyun Li) 한국보건간호학회 2000 韓國保健看護學會誌 Vol.14 No.2

방사선 치료 중인 암환자의 주관적 행복감 향상을 위한 탐색적 연구

송미순,김현리,Song, Mi Soon,Kim, Hyun Li 서비스사이언스학회 2016 서비스연구 Vol.6 No.2

본 연구는 방사선 치료 중인 암환자의 주관적 행복감을 향상시키기 위한 서비스를 탐색하기 위한 것이다. 백 한 명의 방사선 치료중인 암환자를 대상으로 설문조사하여 주관적 행복감에 영향을 줄 수 있는 자기의식과 증상 불편감을 파악하여, SPSS 20.0 프로그램을 이용하여 독립표본검정, 일원분산분석, 피어슨 상관분석을 시행하였다. 방사선 치료중인 암환자의 불편감은 피로감, 외모변화, 현기증, 식욕저하, 수면장애의 순으로 높게 나타났으며, 암환자의 주관적 행복감은 증상불편감이 낮을수록, 그리고 개인의 내면적인 의식이 높을수록 향상됨을 나타냈다. 따라서 방사선 치료기간 동안 주관적 행복감을 향상시키기 위해서는 증상불편감은 감소시키고, 개인의 의식수준을 향상시킬 수 있는 신체적 심리적 정서적 측면을 고려한 통합적 서비스가 필요하다. 이를 위해서는 기존의 서비스 프로그램의 보완과 환자의 편의를 고려한 치료병원과 지역암센터나 보건기관을 연계할 수 있는 시스템이 준비되어야 할 것이다. This study is to find a service that improves the subjective happiness of cancer patients that receive radiation therapy. One hundred and one cancer patients undergoing radiation therapy were enrolled in the survey to verify the self-consciousness and symptom distress that could affect the subjective happiness. Independent t-test, one-way analysis of variance, and Pearson correlation were conducted with the SPSS 20.0 program. Symptom distress of cancer patients undergoing radiation therapy showed highest in the order of fatigue, appearance changes, dizziness, loss of appetite, and sleep disorders. And lower symptom distress, higher private self-consciousness were significantly correlated with higher subjective happiness among patients receiving radiation therapy for cancer. Study findings reflect the necessity of an integrative approach combining physical, psychological and emotional interventions during a radiotherapy period. For this cause, it would be necessary to supplement previously existing service programs and organize a patient-friendly system that could affiliate regional cancer centers or Public health centers with the hospitals in which the patients are being treated.

가정전문간호사의 대체요법에 대한 인식

장경자,김현리,Jang, Kyoung-Ja,Kim, Hyun-Li 한국가정간호학회 2006 가정간호학회지 Vol.13 No.1

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.