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노쇠와 과부담의료비의 관계에서 건강정보이해능력의 조절효과
조성은 ( Cho Sung Eun ),김수경 ( Kim Su Kyoung ),이수림 ( Lee Soo Lim ),신혜리 ( Shin Hye Ri ),박설우 ( Park Seol Woo ),( Lee Hee Yun ),김영선 ( Kim Young Sun ) 이화여자대학교 사회복지연구소 2017 사회복지 실천과 연구 Vol.14 No.2
본 연구는 노쇠(frailty)와 과부담의료비 간의 관계에서 건강정보이해능력(health literacy)의 수준이 조절효과를 가지는지를 검증하고자 하였다. 2016년도에 실시한 치매이해능력 설문조사(2016 Dementia Literacy Survey)를 사용하였으며 총 457명을 분석의 대상으로 설정하였다. 연구 결과는 다음과 같다. 첫째, 노쇠와 건강정보이해능력과 과부담의료비 간의 정적인 연관성을 가지는 것으로 나타났다. 즉, 노쇠할수록 건강정보이해능력 수준이 낮을수록 과부담의료비의 수준이 높아짐을 확인하였다. 둘째, 건강정보이해능력은 노쇠와 과부담의료비 간의 관계를 조절하는 것으로 밝혀졌다. 연구결과를 바탕으로 한 제언은 다음과 같다. 첫째, 건강정보이해능력의 조절효과가 특히 전노쇠집단에서 유의미한 영향력을 미쳤다는 연구결과는 영양 및 운동을 주요 내용으로 하는 노쇠 중재 프로그램에서 건강정보이해능력 증진교육이 함께 포함되고 강화 될 필요성이 있음을 의미한다. 둘째, 취약계층일수록 과부담의료비가 높아진다는 결과를 통해 적극적인 보장성 강화 정책이 필요하다. 본 연구는 전국노인을 대상으로 확률표집을 실시한 대표성 있는 데이터로 노쇠와 과부담의료비와의 관계 및 건강정보이해능력의 조절효과를 입증하였다는 것에 의의를 가진다. The study investigates the moderating effects of health literacy on the relationship between frailty and catastrophic health expenses. 457 respondents of 2016 Dementia Health Literacy Survey were analyzed. The results of the research are as follows. First of all, both frailty and health literacy have positive effects on catastrophic health expenses. That is, the more frail one is, or the lower health literacy one has, the bigger the catastrophic health expenses become. Secondly, health literacy has moderating effects on the relationship between frailty and catastrophic health expenses. The results which prove catastrophic health expenses increase when one belongs to the vulnerable group suggest that, firstly, the coverage of the health policy should expand. Secondly, a program promoting health literacy should be included in the intervention for the frail elderly which currently focuses only on nutrition and exercises. This is suggested based on the results proving the moderating effects of health literacy on the whole frail group. This study is meaningful in that it shows the moderating effects of health literacy on the relationship between frailty and catastrophic health expenses with the data represents the elderly nationwide.
아토피피부염 통합치료 프로그램에서의 심리적 개입의 실제
조성은 ( Sung Eun Cho ),전지은 ( Ji Eun Jeon ),조하나 ( Ha Na Cho ),손동국 ( Dong Koog Son ),김혜원 ( Hye One Kim ),이수형 ( Soo Hyung Lee ),염혜영 ( Hye Yung Yum ) 대한천식알레르기학회 2010 천식 및 알레르기 Vol.30 No.2
Background: Psychological interventions have potentials for improving disease management and quality of life in children with atopic dermatitis (AD) and their families. However, integration of medical and psychological health care in the treatment of children with AD is very rare in Korea. Objective: The aim of this study was to present descriptive data from a hospital-based interdisciplinary program that provides integrated medical and psychological health-care for children with AD. Method: Clinical records were reviewed for 127 children seen in our program as well as common problems and interventions addressed during family visits with the program psychologist. Age group differences in problems and interventions addressed during psychology sessions were evaluated. Also, the differences by symptom severity and sex in problems addressed during psychology sessions were analyzed. Result: Significant age-group differences were found in the problems and interventions addressed during psychology sessions. Among the age groups, sleep problems were most common in the <5 age group (50.0%). Negative self-image, problems of being bullied and attention problems were most common in the 6~12 age group (25.4%, 23.7% and 16.9%, respectively). Anxious/depressed mood, study burden and parent-child relational problems were most common in the 13~18 age group (65.0%, 60.0% and 45.0% respectively). Conclusion: The results of this study support the need for and feasibility of providing integrated care for children with AD and their families. Age-group differences found in problems and interventions addressed during psychology sessions could be useful especially in planning for group sessions. (Korean J Asthma Allergy Clin Immunol 2010; 30:100-109)