보건소 이용자의 모성보건실태에 관한 연구

윤순녕,여혜숙 中央醫學社 1983 中央醫學 Vol.45 No.5

The purpose of this study was to identify the maternal characteristics which influenced on prenatal care and the places of delivery. The respondents were 204 mothers who had their infants registered in a health center. Data, which were already computerized, were collected from Dec. 1, 1982 to Dec. 28, 1982 through prepared questionnaires and interviews. The results were as follows: 1. Mothers who received prenatal care occupied 88.7% and mothers who did not it occupied 11. 3%. 1) 56.2% of the mothers of prenatal care received first prenatal care during the first trimester, 17.7% of them during the second and 14.8% of them during the third trimester. The higher the educational background was, the younger the mother's age was and the fewer the number of delivery were, the earlier they visited to the prenatal clinic. (p<0.05 Cramer's V=0.212) (p<0.05 Cramer's V=0.222) (p<0.01 Cramer's V=0.297) 2) Of the mothers who received prenatal care, Average number of visiting to the prenatal clinic was 4. 6 times per pregnancy. one to two times occupied 27. 9%, three to four times 19.6%, five to six times 14.2% and above 7 times occupied 27.0%. The higher the educational background was and the fewer the number of delivery were, the more times they visited to the prenatal clinic. (p<0.01 Cramer's V=0.259) (p<0.01 Cramer's V=0.235) 3) Places of prenatal care; 76.2% of them received the prenatal care in hospital, 12.4% of them in health center or midwifery facilities. The higher the educational background was and the fewer the number of delivery were, the higher the rate of prenatal care in hospital they received. (p<0. 01 Contingency Coefficient=0.289 (p<0. 01 Contingency Coefficient=0.326) 2. 67.6% of the mothers who received prenatal care delivered in hospital 13.3% of them delivered at the midwifery facilities and 19: 1% of them delivered at home. The higher the educational background was and the fewer the number of delivery were, the higher the rate of hospital delivery was (P<0.01 Contingency Coefficient=0.294)(P<0.01 Contingency Coefficient=0.313) 3. Only 28. 1% of the respondants had knowledge of prenatal care in health center and 71.9% of them had not one

서울지역 보건소 간호사의 보건사업 수행활동에 관한 조사연구

윤순녕,양순옥,박신애 한국지역사회간호학회 1991 지역사회간호학회지 Vol.1 No.1

산업간호사의 근무조건 - 서울 경인지역을 중심으로 -

윤순녕,고봉련 한국직업건강간호학회 1991 한국직업건강간호학회지 Vol.1 No.-

독립형 가정간호시범사업소의 가정간호행위분류체계 개발과 수가 연구

윤순녕,박정호,김매자,홍경자,한경자,박성애,홍진의,Yun, Soon-Nyoung,Park, Jung-Ho,Kim, Mae-Ja,Hong, Kyung-Ja,Han, Kyung-Ja,Park, Sung-Ae,Hong, Jin-Eui 한국가정간호학회 1999 가정간호학회지 Vol.6 No.-

The purpose of this study was to develop of home nursing care classification and home health care costs of the free-standing home nursing care agency. This study was done through 3 steps The First stage, home nursing care classification was identified and classified by literature, review-committee and expert meeting. The second stage, cost elements for home nursing care visit were identified and accounted. That were divided into direct nursing care cost, indirect nursing care cost, management cost and transportation cost. Third stage, total cost of per visit was produced. Data were collected from 810 visits of 120 patients received home dare and from January. 1999 to November, 1999, and analysed with EXCEL program. The obtained results are as follows : 1. Home nursing care classification was consisted of 6 high level classification domain and 10 low level classification domain and 163 home nursing care behavior. 2. The cost of home nursing care per visit was 30,638 won which were direct and indirect nursing care cost(16.305won), management cost(5,255won) and transportation cost (9,098won). In conclusion. Home nursing behavior care classification developed in this study would be used as home health care standard. And the home nursing care costs can be used as a fundamental data for the further development of home health care costs in Korea.

업종별 산업간호사의 보건관리업무 분석

윤순녕,박정희,김명순,임혜경,이애경,이남준,현혜진 한국직업건강간호학회 1992 한국직업건강간호학회지 Vol.2 No.-

업종별 산업간호사의 의료행위 분석

윤순녕,현혜진 한국직업건강간호학회 1993 한국직업건강간호학회지 Vol.3 No.-

제조업 여성근로자의 건강증진행위 예측을 위한 새 건강증진 모형의 검증

윤순녕 지역사회간호학회 2001 지역사회간호학회지 Vol.12 No.3

The purpose of the study was to test the Pender's New Health Promotion Model in order to explain and predict female workers' health promotion behavior at manufacturing plants by using latent variable structural equation model. The data were collected from 280 female workers at 8 electronic factories located at Seoul, Kyunggi, and Incheon using a structured questionnaire through interview and self-report. LISREL was used to test the model. The results are as follows; 8 out of 15 paths of the modified one from the hypothetical model of Health Promotion were statistically significant and the total variance was 40%. The relationship between the previous health behavior and the cognitive emotional factor, and the interpersonal factor, and the situational factor each, and the relationship between perceived health status and interpersonal factor, and health promotion behavior each among gamma paths were unidirectional. On the beta paths, the relationship between the interpersonal factor and the cognitive emotional factor was bi-directional; the relationships amongst the interpersonal factor and the commitment to action, and the health promotion behavior were unidirectional. But the commitment to action was not a significant mediating factor to the health promotion behavior. Pender's New Model is considered good to explain and predict the female workers' health promotion behavior. The interpersonal factor should be considered in occupational nursing practice. But the concepts of situation and commitment to action should be further validated and measured.

Effectiveness of Community-based Case Management for Patients with Hypertension

윤순녕,이인숙,김진현,고영 한국지역사회간호학회 2014 지역사회간호학회지 Vol.25 No.3

Purpose: The purpose of this study was to evaluate the effectiveness of case management for patients with hypertensionon their health status and medical service utilization. Methods: This study was a secondary analysis ofdata collected for a larger study of chronic disease management in 2008 using the National Health InsuranceCorporation database. A total of 12,944 patients who received case management for hypertension were includedin this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use,and non-use groups according to the amount of medical service utilization. To compare the medical service utilization,a control group was selected randomly. The data were analyzed through descriptive statistics, McNemartest, and ANOVA. Results: All the subgroups displayed significant differences in blood pressure, self-management,social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medicalexpense of the over-use group. Conclusion: This finding suggests that there is a need to re-examine why patientsoveruse medical services and to supplement specific strategies for encouraging appropriate medical service utilization,and enhancing case management efforts for the over-use group.

보건소의 환경, 조직구조와 조직유효성과의 관계

윤순녕,Yun, Soon-Nyoung 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.1

The objective of the study are two-fold: one is to explore the relationship between environment, organizational structure, and organizational effectiveness of public health centers in Korea, and the other is to examine the validity of contingency theory for improving the organizational structure of public health care agencies, with special emphasis on public health nursing administration. Accordingly, the conceptual model of the study consisted of three different concepts: environment, organizational structure, and organizational effectiveness, which were built up from the contingency theory. Data were collected during the period from 1st of May through 30th of June, 1990. From the total of 249 health centers in the country, one hundred and five centers were sampled non proportionally, according to the geopolitical distribution. Out of 105, 73 health centers responded to mailed questionnaire. The health centers were the unit of the study, and a various statistical analysis techniques were used: Reliability analysis(Cronbach's Alpha) for 4 measurement tools; Shapiro-Wilk statistic for normality test of measured scores of 6 variables: ANOVA, Pearson Correlaion analysis, regressional analysis, and canonical correlation analysis for the test of the relationships and differences between the variables. The results were. as follows : 1. No significant differences between forma lization, decision-making authority and environmental complexity were found(F=1.383, P=.24 ; F=.801, P=.37). 2. Negative relationships between formalization and decision-making authority for both urban and rural health centers were found(r=-.470, P=.002 ; r=-.348, P=.46). 3. No significant relationship between formalization and job satisfaction for both urban and rural health centers were found (r=-.242, P=.132, r=-.060, P=.739). 4. Significant positive relationship between decision - making authority and job satisfaction were found in urban health centers (r=.504, P=.0009), but no such relationship was observed in rural health centers. Regression coefficient between them was statistically significant($\beta=1.535$, P=.0002), and accuracy of regression line was accepted (W=.975, P= .420). 5. No significant relationships among formalization and family planning services, maternal health services, and tuberculosis control services for both urban and rural health centers were found. 6. Among decision-making authority and family planning services, maternal health services, and tuberculosis control services, significant positive relationship was found between de cision-making authority and family planning services(r=.286, P=.73). 7. A significant difference was found in maternal health services by the type of health centers (F=5.13, P=.026) but no difference was found in tuberculosis control services by the type of health centers, formalization, and decision-making authority. 8. A significant positive relationships were found between family planning services and maternal health services and tuberculosis control services, and between maternal health services and tuberculosis control services (r=-.499, P=.001 ; r=.457, P=.004 ; r=.495, P=.002) in case of urban health centers. In case of rural health centers, relationships between family planning services and tuberculosis control services, and between maternal health services and tuberculosis control services were statistically significant (r=.534, P=.002 ; r=.389, P=.027). No significant relationship was found between family planning and maternal health services. 9. A significant positive canonical correlation was found between the group of independent variables consisted of formalization and de cision-making authority and the group of dependent variables consisted of family planning services, maternal health services and tuberculosis control services(Rc=.455, P=.02). In case of urban health centers, no significant canonical correlation was found between them, but significant canoncial correlation was found

보건진료원의 지역사회 몰입과정

윤순녕,김영임,최정명,Yun, Soon-Nyoung,Kim, Young-Im,Choi, Jeong-Myung 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.2

Primary health care(PHC) has been established since A Health Law for rural residents has been legislated in 1980 following the WHO declaration, 'Health for All 2000'. in 1978. PHC services are presently assumed to be provided by 2038 Community Health Practitioners(CHP) to about 28% out of rural population in Korea. Most CHPs have confronted the adaptation process to the community being practiced although a CHP's role is to evoke community participation for the improvement of their health by themselves. So the purpose of this study is to describe and explain of the commitment of CHPs into the community. Data were collected by direct interview and tape-recording under subjects' permission till theoretical saturation were occured from 6 CHPs. The subjects were 41 years old and have served in the community for 9 years in average. Main questions and concepts were explored from data according to the procedure of the grounded theory methodology. The results are as follows. 1) The number of the main concepts were twenty four that identified Motive, Desire, Personal characteristics, Unfamiliarity, Denial, Feeling of isolation, Self-sacrifice, Kindness, Patience, Assimilation, Respect for the residents, Support by the family, Support by the residents, Achievement, Acceptance of realities, Use of resources, Inducement of cooperation from the residents, Changes of the difference from time orientation between CHP and residents, Attitude as a official, Technical support, Cost management, Satisfaction level, Acknowledgement by the residents and discrepancy. 2) The twenty four concepts were categorized to seven groups such as Motivation, Feeling of Heterogeneity, Self-discipline, Social support, Induced changes in the attitudes of residents, Familarity and Persistent discrepancy. 3) The categorized groups were analyzed on the base of the Causal Conditions, Central Phenomena, Contexts, Intervening Conditions, Action / Interaction Strategies, and Consequences. Central phenomenon in this study was identified to be the feeling of heterogeneity. Community health practitioners experienced unfamiliarity and denial from the community and felt themselves isolated in the first. In time, they won the trust of residents by their efforts including self-sacrifice, kindness, patience, and assimilation. Afterward, practitioners got self-confidence and familiarity with lesser feeling of heterogeneity. Nevertheless, practitioners could not commit themselves completely because of the persistent discrepancy between CHP and residents. 4) On the commitment process, the CHPs' feeling of heterogeneity were decresed and social support increesed and newly evolved induced change of residents through the continuous interaction between CHP and them The contribution of this study would be concluded as follows. 1) It is expected that effective strategies for more rapid committment into the community can be developed based on this study. 2) More easy committment would be possible for the newly appointed CHP through understanding of the committment process identified on this study.