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부산시내 남자 초.중.고등학생의 척추측만증 유병률 측정을 위한 단면조사
김복용,박정한,김풍택,Kim, Bok-Yong,Park, Jung-Han,Kim, Poong-Taek 대한예방의학회 1988 예방의학회지 Vol.21 No.2
남자 초 중 고등학생의 척추측만증 유병률을 알아 보고자 1988년 5월 부산 시내 남자 2개 국민학교 4학년 463명, 1개 중학교 1학년 543명, 1개 고등학교 1학년 387명 총 1,393명을 대상으로 국민학생에게는 시진으로, 중 고등학생에게는 시진과 폐결핵 집단검진을 위해 실시한 흉부X-선 간접촬영을 이용하여 조사하였다. 이상소견으로 나타난 학생의 체중, 신장, 평소 가방을 메고 다니는 방향을 조사하였다. 만곡의 크기는 Cobb's 방법을 이용하였다. 사진과 흉부X-선 간접촬영 어느 한쪽이라도 척추에 이상소견으로 판정된 학생은 국민학생 15명(3.2%), 중학생 174명(32.0%), 그리고 고등학생 92명(23.8%)이었다. 그러나 시진과 흉부X-선 간접촬영 모두 이상소견으로 일치되는 경우는 중학생 2.2%, 고등학생 2.6%이었으며 Cobb's 각이 $5^{\circ}$ 이상인 척추측만증은 중학생 1.1%, 고등학생 2.3%였다. 두가지 조사방법에 모두 이상소견을 보인 학생들의 가방메는 방향과 척추만곡의 방향은 통계적으로 유의한 상관관계를 보였다(p<0.05). 두가지 조사방법중 어느 한가지에 이상소견을 보인 281명의 평균체중과 신장은 같은 나이의 우리나라 표준체중과 신장에 비해 국민학생의 경우 체중은 거의 같았으나 신장은 표준신장보다 약간 작았다. 중학생은 표준치보다 체중은 1.4kg, 신장은 4.3cm 작았고 고등학생의 평균 체중과 신장은 모두 표준치보다 약간 더 높았다. 본 조사성적으로 미루어 보아 고등학교 상급학년에는 척추측만증 유병률이 더 높을 것이며 여학생들에게는 남자보다 더 흔하므로 척추측만증은 간과할 수 없는 학교보건문제로 생각된다. 또한 척추측만증 예방을 위해 가방의 무게를 줄이고, 학교에서 바른 자세를 갖도록 교육하고, 주기적으로 체조를 시키도록 하는 것이 좋을 것으로 생각된다. A cross-sectional survey was conducted to determine the prevalence rate of scoliosis in elementary, middle and high school boys in May 1988. The study population included 1,393 male students in Pusan ; 463 students of 4th grade in two elementary schools, 543 students of 1st grade in one middle school and 387 students of 1st grade in one high school. The students of elementary school were screened with inspection by two physicians at the same time and the students of middle and high schools were screened with both inspection by the same physicians and 70mm chest X-ray. Positive students in any one of the two screening tests were measured for height and body weight and asked for the shoulder side on which he carries the school bag. The angle of curvature on X-ray film was measured by Cobb's method. The number of positive students in any one of the two screening tests were 15(3.2%) in elementary schools, 174(32.0%) in middle school and 92(23.8%) in high school. However, positive rates in both tests were only 2.2% for the middle school students and 2.6% for the high school students and among these students 1.1% out of total middle school students and 2.3% of high school students had a curvature equal to or greater than $5^{\circ}$ of Cobb's angle on 70mm chest X-ray film. There was a statistically significant association between the direction of spinal curve and the shoulder side on which one carries school bag among positive students in both screening 1.sts (p<0.05) Mean height and body weight of 281 positive students in any one of two screening tests were compared with the Korean standard for the same age. Mean weight of elementary school students was nearly the same as the standard weight but the height was slightly shorter than the standard. However, both mean height and weight of the middle school students were lower than the standard while those of the high school students were higher. The prevalence rate of scoliosis for the 2nd and 3rd grades of high school is presumed to be higher than that of the 1st grade of high school and the rate for girls will be even higher than the rate for boys of the same age. Thus, scoliosis seems to be an important school health problem. To prevent scoliosis, it is recommeded to reduce the weight of school bag, educate the students to keep a right posture and exercise periodically.
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김이순,김복용,Kim, Lee-Sun,Kim, Bok-Yong 한국지역사회간호학회 1989 지역사회간호학회지 Vol.1 No.1
The purpose of this study was to find out the general characteristics of school health teachers, the status of school health resources and the degrees of self-confident performance for the 124 school health teachers in Pusan City. Data was collected by means of questionaires from Aug. 1986 to Mar. 1987. The data were analyzed by use of percentage, mean, standard deviation, t-test, ANOVA and Pearson-correlation coefficient. The results of this study were as follows: 1 . General Characteristics of School Health Teachers (SHT) 1) The average of age of the SHT was 32.8 years old and 39.5% of them were from 30 to 34 years old. 2) The average for school nursing experience of the SHT was 7.9 years and 37.9% of them were from 5 to 9 years. 3) The 45.2% of them have not the clinical experience. 4) The 74.2% of them were graduated from the 3 years college of nursing. 2. Status of school health resources and nursing activities. 1) The average of student number was 2497.3 and class number was 45.2. 2) The average of school health budget was 1039000 won and 27.7% of school health budget expended on examination cost. 3) Only 29.0% of all schools have organization for school health. 4) The 84.7% of all schools have health clinic separately and 69.1% of schools have less than $33m^2$ sized. 5) The average of clinic visitor number was 2111.8 for 1 year. 6) Major problem was on digestive system. And other problems were skin, respiratory, musculo-skeletal system and dental problem. 7) The number of literal message was 14.4 times for 1 year. 3. The degree of the school health teachers' self-confidence. The school health teachers' self-confidence was deviced into 6 and the maximum degree was 4. 1) Program planning & evaluation; 2.8 2) Clinic management; 2.9 3) Health education, 3.0 4) Management of school environment; 2.7 5) Health care services; 2.7 6) Operating of school health organization; 2.4 4. Significances to the degree of self-confidence on school health nursing activities. 1) There was significant difference between clinical management and Religion (t=2.15 p<.05) 2) There was significant difference between Operating of school health organization and level of school (F=3.588 p<.05) 3) Program planning & evaluation: expending time for clinical management (r=-0.184 p<.05) expending time for health care services (r=0.273 p<.01) 4) Clinical management: use of separate health clinic (r=0.151 p<.05) 5) Health education: use of separate health clinic (r=0.170 p<0.5) 6) Health care services: No. of student (r=-0.144 p<0.5) No. of class (r=-0.160 p<.05) 5. The degree of the school health teachers' self-discipline. The school health teachers' self-discipline was devided into 2 and the maximum degree was 2. 1) Program planning & evaluation:1.8 2) Clinic management: 1.9 3) Health education: 1.9 4) Management of school environment: 1.7 5) Health care services: 1.8 6) Operating of school health organization.: 1.3 6. Significances to the degree of self-discipline on school health nursing activities 1) Program planning & evaluation; Level of nursing education (F=4.309 p<.01) 2) Clinical management: Level of nursing education (F=3.587 p<.05) 3) Operating of school health organization: School health organization (t=-2.68 p<.01) 4) Health care services: School health organization (t=2,58 p<.05) 5) School health performance: School health organization (t=2.32 p<.05) 6) Program planning & evaluation: School health experience (r=0.239 p<.01) Expending time for program planning & evaluation (r=-0.172 p<.05) 7) Clinic management: School health experience (r=0.249 p<.01) Expending time for dinic management (r=0.181 p<.05) No. of student (r=-0.158 p<.05) Expending time of program planning & evaluation (r=-0.199 p<0.5) 8) Health education: School health experience (r=0.234 p<0.1) Expending time of program planning & evaluation (r=-0.193 p<.05) 9) Management of school environment: Age of school health teacher (r=0.142 p<.05) School health experience (r=0.
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장애 및 부모 요인이 발달장애아 부모의 지원서비스 요구와 삶의 질에 미치는 영향
최선희,김복용,윤치연 대구대학교 특수교육재활과학연구소 2007 특수교육재활과학연구 Vol.46 No.4
The purpose of this study was to analyze the effects of disability and family factors on the needs of support service and quality of life in parents’children with developmental disabilities. Specifically, the difference of needs of support service and quality of life was analyzed by the disability factors(type of disability, severity of disability, special class) and family factors(age, academic career). The subjects of this study were 120 mothers of students with disabilities being in the special school in Busan Province. The collected data were analyzed and handled by the SPSSWIN 12.0 statistical program. The results were processed by mean and standard deviation, and then were verified by F-test(ANOVA) and t-test to find out significant differences in the needs of support service and quality of life. The results of the study were as follows: First, The needs of support service across disability factors were statistically significant difference in type of disability, severity of disability, and special class. Second, The needs of support service across family factors were not statistically significant difference in age and academic career. Third. The quality of life across disability factors was statistically significant difference in type of disability and special class, but were not in severity of disability. Forth, The quality of life across family factors was statistically significant difference in age and academic career. 본 연구는 자녀의 장애 관련요인(장애유형, 장애정도, 학교급별)과 부모 요인(연령, 학력)에 따라 발달장애아 부모의 지원서비스 요구와 삶의 질은 어떠한 차이가 있는지를 알아보고자 하였다. 이를 위해 특수학교 유치부 33명, 초등부 45, 중등부 42명 등 120명의 부모를 연구 대상으로 하였다. 연구를 위한 도구로는 양경애(2003)가 사용한 지원서비스 요구 척도와 이창미(2005)가 개발한 삶의 질 척도를 사용하였다. 수집된 자료는 SPSSPC12.0 통계 프로그램을 통해 전산처리하였는데, 장애 요인에 따른 발달장애아 부모의 지원서비스와 삶의 질의 차이를 알아보기 위해 F검증(ANOVA)를 실시하였고 각 하위 영역에서 집단간의 유의미한 차이가 있는 경우에는 Scheffe 사후 검증을 하였다. 또한 부모 요인에 따른 발달장애아 부모의 지원서비스와 삶의 질의 차이를 알아보기 위해 t검증을 실시하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 장애요인에 따른 지원서비스 요구는 장애유형, 장애정도, 학교급별에서 통계적으로 유의미한 차이가 있었다. 둘째, 부모 요인에 따른 지원서비스 요구는 연령과 학력 모두 유의미한 차이가 나타나지 않았다. 셋째, 장애요인에 따른 삶의 질은 장애유형과 학교급별에서 통계적으로 유의미한 차이가 있었지만, 장애정도에서는 유의미한 차이가 나타나지 않았다. 넷째, 부모 요인에 따른 삶의 질은 연령과 학력 모두 유의미한 차이가 있었다.
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