지역사회 거주 저소득 재가 노인의 칩거 측정 도구 개발

박언아 한국보건간호학회 2022 韓國保健看護學會誌 Vol.36 No.1

Purpose: This study was done to develop and test a scale to measure the homeboundness for low-income aged who live in the community. Methods: This was nursing methodology research. Homeboundness Scale development process was composed of construct identification based on concept analysis using the Hybrid model, 35 initial items. This number was reduced to 31 items through face validity tests by 7 experts. The preliminary Homeboundness Scale for low-income aged was administered to 240 aged who registered and received visiting health care service in the community health center located in S city. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach’s alpha. Results: Twenty-two items were selected for the final scale. Three factors evolved from the factor analysis, which explained 66.0% of the total variance. The internal consistency, Cronbach’s alpha, was .945 and reliability of the subscales ranged from .890 to .934. Conclusion: Homeboundness Scale demonstrated acceptable validity and reliability. It can be used to assess the Homeboundness of the low-income aged in practice and research. .

제1부 청년기 음주폐해예방을 위한 접근전략 - 대학생 절주서포터즈 운영 성과

박언아 알코올과 건강행동학회 2017 한국알코올과학회 학술대회 Vol.2017 No.11

지역사회 재가노인의 로봇 인지기능강화 프로그램 이용 경험

박언아(Park, Eun-A),정애리(Jung, Ae-Ri) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.2

Purpose: The purpose of this study was to explore in-depth experiences of subjective memory droppers registered at the Dementia Safety Center in S-si, Gyeonggi-do and older adults who participated in a robot cognitive improvement programs. Methods: A focus group interviewing approach was adopted for this study. Focus groups with a total of 9 older adults were interviewed using semi-structured interview questions from February 18 to February 25, 2021. The collected data were analyzed using thematic analysis. Results: Three main themes and eight sub-themes emerged. One main theme was ‘discovery of hope for reviving cognitive function’, the second theme was ‘difficulty concentration while learning’, and the third theme was ‘the motivating power that promotes learning’. Conclusion: The findings of the study provide a deep understanding on the experiences of robot-based cognitive improvement programs. It is necessary to expand and operate programs that closely reflect the needs of older adults with subjective memory loss and cognitive decline in order to show long-term effects.

민간위탁의 효율성 제고방안에 관한 연구

박언서 釜山大學校行政大學院 地方行政硏究所 1998 地方과行政硏究 Vol.10 No.1

빈곤층 여성 노인의 우울에 미치는 영향요인

박언아(Eun A Park),이인숙(In-Sook Lee) 한국농촌의학 지역보건학회 2009 농촌의학·지역보건 Vol.34 No.2

본 연구는 65세 이상 빈곤층 여성 노인의 우울에 영향을 미치는 요인을 파악하기 위하여 방문건강 관리사업 대상자 중 노인 교육프로그램 대상에게 수집된 기초자료를 분석한 서술적 조사연구이다. 연구대상자는 방문건강관리사업 대상자로, 2008년 4월 1일부터 5월 30일까지 기초생활수급권자, 차상위계층, 건강보험료부과하위 20%에 속하는 빈곤층 여성 노인 1,410명을 임의표출하여 조사하였다. 방문간호사가 대상자에게 자료 수집 및 방문건강관리서비스 제공에 대하여 설명하고, 대상자가 동의한 이후에 구조화된 설문지를 이용하여 직접 면담을 통해 시행하였고 이 중 1,208명만이 최종분석에 포함되었다. 수집된 자료는 SPSS프로그램을 이용하여 서술적 통계분석, Pearson correlation coefficients, x²-test, 다변량 로지스틱 회귀분석을 통해 분석하였고, 연구결과를 요약하면 다음과 같다. 첫째, 연구대상자의 연령은 75~84세가 54.4%로 가장 많았고, 배우자가 없는 경우가 87.8%로 무배우자 비율이 높고, 간접적 경제수준인 의료보장 유형에서 의료급여가 74.9%를 차지하였다. 교육수준은 무학이거나 초등학교 졸업이 92.4%로 조사되었다. 둘째, 주관적 건강상태가 ‘나쁨’이 72.7%, 보유 만성질환 수는 평균 2.81개, 인지기능이 13.51점으로 나타났다. 셋째, 일반적 특성과 건강행태, 건강수준 변수들이 우울에 미치는 영향요인을 분석한 결과, 무배우자일수록(p<.05), 인지기능이 낮을수록(p<.01), 주관적 건강감이 낮을수록(p<.001) 우울한 것으로 나타났다. 연령, 교육수준, 건강행태, 일상생활수행 능력, 도구적 일상생활수행능력, 보유 만성질환 수에서는 우울정도에 유의미한 차이를 보이지 않았다. 본 연구결과를 토대로 다음과 같이 제언하고자 한다. 첫째, 사회적 지지 및 가족지지를 포함한 심리 사회적 요인이나, 영양, 질병특성을 고려하여 우울에 영향을 미치는 요인을 규명하는 심층연구가 필요하다. 둘째, 빈곤층 여성 노인을 대상으로 우울 감소를 위한 중재프로그램을 제공할 때 우선적으로 차별화된 맞춤식 중재가 요구되며 노인의 기초적인 생활보장문제와 인지기능과 주관적 건강상태를 고려한 지역사회 기반의 통합 프로그램의 개발 및 운영이 요구된다. Objectives: This study was to investigate the factors affecting the depression of the elderly women in poverty in community. Methods: The subjects were 1,208 elderly women over 65 years who were enrolled in the Public Health Care Center from Apr. 2008 to Jun. 2008. Data were collected using questionnaires including general characteristics, health related behaviors and health status by nurses at the time of enrollment. The collected data were analyzed by descriptive statistics, χ2-test, Pearson correlation coefficients and multivariate logistic regression. Results: The major findings of this study are as follows : The elderly women in poverty show a tendency to have lower level in income, education, self-rated health, cognitive function compared with ordinary women in old age. The predictors of depression of the elderly women in poverty were spouse"s existence or nonexistence, type of insurance, cognitive function, and self-rated health. Conclusion: These findings suggest the need to develop nursing strategies for decreasing depression in the elderly women in poverty. To decrease the depression of the elderly women, the above-mentioned major influencing factors should be considered.

대학생의 음주.흡연 동시사용에 미치는 영향요인

박언아(Park, Eun A),최순옥(Choi, Soon Ook),황혜민(Hwang Hye Min) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.9

목적 본 연구에서는 대학생의 음주 흡연 행태를 파악하고 음주⋅흡연 동시사용에 미치는 영향요인을 규명하고자 실시한 서술적 단면조사연구이다. 방법 연구대상은 B시 소재 B 대학교 대학생 1-3학년 총 523명을 대상으로 하였으며 조사기간은 2020년 5월 18일부터 6월1일까지 자기기입식 설문조사를 실시하였다. 비음주⋅비흡연군, 비흡연⋅음주군, 음주⋅흡연 동시사용군으로 구분하여 건강행태와 건강수준, 환경변수의 차이와 음주행태와 음주 흡연 동시사용의 영향요인을 확인하였다. 결과 대학생의 비흡연⋅음주행태에 미치는 영향요인은 용돈(OR=1.000, p<.05)이었고, 음주와 흡연을 동시에 하는 행태에는 낮은 학점(OR=32.318, p<.05)과 중등도 스트레스(OR=3.687, p<.05), 남자 적정음주량에 대한 인식(OR=3.303, p<.01) 및 여자 적정음주량에 대한 인식(OR=2.495, p<.05)이었다. 결론 대학생의 교내 금주, 금연 교육과 홍보활동을 위해서는 개인의 건강수준과 건강행태가 고려되어야 하며, 본 연구는 대학과 지역사회의 실효성 높은 건강증진 프로그램의 기초자료로 활용할 수 있을 것이다. Objectives The purpose of this study was to identify the drinking and smoking behavior and to identify the factors influencing the co⋅occurrence of drinking and smoking among college students in community. Methods The method of research is a descriptive cross⋅sectional survey. The participants were 523 college students. The period for this study was from May 15 to June 1, 2020. This study identified the differences in health behaviors, health levels, related systems and environmental variables, and the factors influencing both drinking and smoking. Results The research results showed that the main influences on non⋅smoking and drinking habits were allowance(OR=1.000, p<.05), and that influences on the behavior of co⋅occurrence of drinking and smoking were low grades(OR=32.318, p<.05), Middle-Side Stress (OR=3.687, p<.05), and the right amount of drinking for men (OR=3.303, p<.01) and women(OR=2.495, p<.05). Conclusions This study suggests that individual health levels and health behaviors should be considered for non-smoking, non-drinking, and promote activities on campus, and is expected to be the basis for effective health promotion programs of universities and communities.

유방암 환자의 항암화학요법 경과일에 따른 피로도 및 타액 코티졸 농도의 변화

박언아,김명애 성인간호학회 1999 성인간호학회지 Vol.11 No.3

The purpose of this study was to develop the basis of scientific nursing intervention by examining the changes of stress level with elapse of post chemotherapy in breast cancer patients. The design on this study was a longitudinal descriptive study. The subjects of this study was patients receiving chemotherapy from March 1, 1998 to June 30, 1998 at K university hospital in Taegu. The number of subjects was 14 and they were given treatment every 21 days, a cycle of chemotherapy. The changes of their stress with the elapse of chemotherapy were examined every other day. The changes of stress reaction were measured by fatigue and salivary cortisol level. The instrument used to measure fatigue was the revised Pipe Fatigue Scale which was developed by Piper(1984). The reliability of this instrument was Cronbach's alpha. 997. The Salivary cortisol was measured to examine the stress physiological reaction, analyzed using radioimmunoassay. Data was analyzed by computer using the SPSS WIN 7.0 program. Frequency, and Wilcoxon Singned Ranks test were used to examine the changes in degree of fatigue and salivary cortisol with the elapse of chemotherapy. The relationship between fatigue and salivary cortisol was examined using Spearman's rho. The results of this study were as follows : 1) The degree of fatigue was increased a little on the third day 5.64(±1.86)(z=-1.85. p=.06) compared with that of fatigue on the basic day. After that, the degree of fatigue was continuously decreased, it had tendancy to increase a little as patients visited the clinic for next chemotherapy. 2) The mean of salivary cortisol concentration was the higest shortly before chemotherapy. 3) The relationship of fatigue and salivary cortisol was r= .4(p=.098) To sum up, the degree of fatigue was the highest on the third day and salvary cortisol was the highest shortly before chemotherapy. Because the stress reaction of cancer patient receiving chemotherapy was the higest within 3 days in one cycle, it will be effective to provide specified nursing interventions to reduce stress within 3 days after chemotherapy.

한국의 보건소 이용률에 영향을 미치는 요인 분석

박언아(Eun-A Park),최성용(Sung-Yong Choi) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.3

본 연구는 전국 보건기관 이용률과 보건기관 이용에 영향을 미치는 요인 중 개인특성과 지역특성변수를 규명하는데 목적이 있다. 자료는 개인특성변수 선정을 위해 2016 지역사회건강조사자료를 이용하였고, 지역특성변수는 국가통계포털과 한국환경공단의 대기환경 연보 자료를 이용하였다. 자료 분석은 독립표본 t-test, 분산분석, 다중로지스틱회귀분석을 이용하였고 보건기관 이용률에 대한 개인특성변수와 지역특성변수를 함께 분석하기 위해 다수준회귀분석을 이용하였다. 연구결과, 전체 보건기관 이용률은 25.54%이고 군, 시, 대도시 순으로 나타났다. 다수준회귀분석 결과, 고령지역, 여자, 높은 연령, 낮은 교육수준과 낮은 소득수준, 걷기 실천자, 영양표시 독해자, 우울감 경험자, 고혈압 진단을 받은 자, 건강검진을 받은 자, 필수의료서비스 미충족자, 배우자가 있는 자, 기초생활수급권자에서 보건소 이용률이 증가하였다. 반면, 스트레스 인지자, 인구 천명당 보건의료인 수가 전국 평균이상이고 보건복지예산 비중과 재정자주도, 그리고 실업율이 평균 이상으로 높은 지역에서 보건소 이용이 감소하는 것으로 나타났다. 이상의 결과에서 중앙정부와 지자체는 지역보건의료정책 수립시 지역주민의 건강행태와 정신심리적 변수 등 개인특성 뿐 아니라 지역특성 변수들을 포괄적으로 분석하고 동시에 고려하는 것이 필요함을 시사한다. This study was conducted to identify the utilization of public health centers, as well as the individual characteristics and regional characteristics that affect their utilization based on data from the 2016 Community Health Survey, National Statistical Portal, and National Institute of Environmental Research. Independent samples t-tests, variance analysis, and multiple logistic regression analysis were used for analysis. Hierarchical multiple regression was used to analyze individual and regional characteristics. The results of hierarchical multiple regressions revealed that aged regions, women, older age individuals, respondents with lower education level and income level, walking practitioners, nutrition label readers, individuals experiencing depression, those who have received health checkups, those who are not covered by essential care, those who have spouses, and basic livelihood beneficiaries have increased use of public health centers. However, the use of public health centers decreased in stressors, and regions in which the population per 1,000, number of health care workers, health and welfare budget, fiscal independence, and unemployment rate were above the national average. As above, the central government and local governments need to analyze not only individual characteristics such as health behavior and psychological factors, but also regional characteristics, when establishing local health care policy.

초,중등사학의 활성화 방안 : 농,어촌 중등사학의 운영실태와 개선방안

박언서,박찬주,김용호 한국사학진흥재단 1998 사학경영정보자료집 Vol.2 No.-

제 5부 세계의 교육과 한국의 중등사학 : 제 1장 한국

박언서 대한사립학교장회(구 대한사립중고등학교장회) 1998 대한사립중고등학교장회 자료집 Vol.1998 No.1