노인의 예방적 건강관리를 위한 방문건강관리사업 필요 전문인력 추계

황라일,박남희,임지영,정성원 한국방문건강관리학회 2022 한국방문건강관리학회지 Vol.1 No.2

남녀 대학생의 월경 지식, 태도 및 교육요구도 비교 분석

황라일 한국융합학회 2018 한국융합학회논문지 Vol.9 No.10

본 연구는 남녀 대학생을 대상으로 월경 지식, 월경 태도 및 월경 교육요구도를 비교 분석하기 위해 시도하였다. 일개 대학의 남녀 대학생 총 385명을 대상으로 설문조사를 실시한 후 SPSS ver. 22.0을 이용하여 분석하였다. 연구결과 남학 생은 여학생에 비해 월경 지식이 낮았고 여학생은 남학생에 비해 월경에 대해 부정적 태도를 가지고 있는 것으로 나타났다. 또한 남학생은 여학생에 비해 월경 교육 및 정보에 대한 이해도, 교육의 도움 정도 및 충분성 측면에서 부정적으로 인식하는 것으로 나타났다. 월경 교육에 대한 교육 내용 역시 남녀간에 차이를 보이는 것으로 나타났다. 결론적으로 성인 초기인 남녀 대학생 대상 월경 지식 및 태도를 함양하고 상호 이해도를 증진시키기 위한 남녀 맞춤형 교과 및 비교과 융합적 프로그램 개발이 필요할 것이다. The purpose of this study is to compare the menstrual knowledge, menstrual attitude and education needs of male and female university students. A total of 385 students in a university were surveyed. The results of the study showed that male students had lower menstrual knowledge than female students and female students had a negative attitude toward menstruation. In addition, Male students were found to have insufficient understanding of menstrual education and perceived that menstruation education was not enough. Educational needs about menstruation is also different between men and women. In conclusion, it is necessary to develop curriculum and comparative programs to enhance the knowledge and attitudes of menstrual college students and to enhance their mutual understanding.

졸업 학년 간호대학생의 노인장기요양 분야 취업의도 영향요인

황라일,김인아 한국융합학회 2019 한국융합학회논문지 Vol.10 No.6

The purpose of this study is to investigate factors affecting the long - term care - related employment intention of nursing students in graduation grade. The study design was a descriptive study. As a result, the average intention of employment at the long - term care institution for the elderly was 2.8. It differed according to the experience of living with the elderly, the degree of interest in the elderly problem, long-term care benefits for the elderly in the family, and the concern of the long - term care insurance system. Therefore, in order to induce nursing college students to work in the long-term care field of elderly people, it is necessary to operate various curriculum and comparative programs that can get interested in the elderly problem. and long-term care insurance. 본 연구는 졸업 학년 간호대학생의 노인장기요양 분야 취업의도에 영향을 미치는 요인을 조사하기 위하여 시도하였다. 연구분석은 SPSS program을 이용하여 t-test, ANOVA, 다중회귀분석을 실시하였다. 연구결과 졸업 학년 간호대학생의 노인장기요양기관 취업의도는 평균 2.8점이었고, 간호대학생의 노인장기요양 분야 취업의도는 노인과 살았던 경험유무, 노인문제에 대한 관심의 정도, 가족 중에 노인장기요양보험 혜택을 받은 경우, 장기요양보험제도의 관심의 정도에 따라 차이가 있었다. 노인장기요양기관 취업의도에 영향을 미치는 요인은 평소 노인문제에 대한 관심과 가족 중 노인장기요양보험 수혜 여부로 분석되었다. 따라서 향후 간호대학생의 노인장기요양 분야 취업을 유도하기 위해서는 노인과의 상호작용 및 접촉을 통해 노인문제에 대한 관심을 증대시키는 한편 노인장기요양제도에 대한 관심을 높일 수 있는 다양한 교과 및 비교과 융합 프로그램의 운영이 요구된다.

35세 이상 고령 임산부 진료실적 추이에 관한 연구

황라일,김경하,윤지원,이정석 한국보건행정학회 2011 보건행정학회지 Vol.21 No.4

This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade. A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, 10threvision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure. According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women.

간호대학생의 졸업 후 재택간호 취업의도 및 관련 요인에 관한 연구

황라일 한국직업건강간호학회 2023 한국직업건강간호학회지 Vol.32 No.4

Purpose: The purpose of this study was to identify the present situation and related factors among 3rd and, 4th-grade nursing students on the intention to work as home visit nurse after graduation. Methods: A descriptive quantitative study was conducted using a structured online questionnaire survey from May 26 to July 10, 2023. The data were analyzed using descriptive statistics, t-test, and x 2 test analysis. Results: Nursing students who intended to be employed as home visit nurse were 26.8%, and working as a home visit nurse right after graduation and 10 years after graduation showed 0.0%, and 41.9% respectively. Factors influencing the intention of nursing students to work in home visit nursing were high awareness of home visit nursing (x 2 =10.75, p=.005), interest in home-visit nursing (x 2 =70.56, p=.000), and positive image about home-visit nursing (x 2 =12.04, p=.002). Conclusion: It would be necessary to strengthen theoretical courses and practicum of home visit nursing care. Also, it would be necessary to develop an extra curriculum to provide various opportunities to encounter the characteristics of home visit nursing work.

토 론 문

황라일 한국장기요양학회 2023 한국장기요양학회 춘계학술대회자료집 Vol.2023 No.-

노인의 인지 기능 수준에 따른 삶의 만족도 영향 요인 비교

황라일,임지영,이영휘 한국간호과학회 2009 Journal of Korean Academy of Nursing Vol.39 No.5

Purpose: This study was conducted to analyze the factors that influence the life satisfaction of the elderly according to their cognitive impairment level. Methods: This study was conducted by dividing 3,012 elderly residents of a regional community into three groups based on the scores of the Korean version of the Mini-Mental State Examination: a normal group without any cognitive impairment, a suspicious group with a mild level of cognitive impairment, and a high risk group with a high level of cognitive impairment. Researchers made phone calls, house calls, and personal visits to health centers and shelters for the elderly to gather the information required for this study. Results: The results of this study revealed that social relationships, depression, and activities of daily living had a significant impact on life satisfaction for the normal group, while social relationships and depression had a high impact on life satisfaction for the suspicious group, and social relationships had high impact on the life satisfaction of the high risk group. Conclusion: Based on the results of this study, we suggest that programs that promote development of the social relationship networks of the elderly should be established to promote their life satisfaction.

일본 개호보험 방문간호 정책동향 및 시사점

황라일,이정석,권진희 한국장기요양학회 2022 장기요양연구 Vol.10 No.3

This study aimed to find out the implications for revitalizing home-visit nursing care under the Korean long-term care insurance system, by investigating the current status and policy trends of home-visit nursing care in Japan. Four electronic databases (DBpia, RISS, KISS, and Google scholar) and home pages were searched from July 12, 2021 to May 30, 2022. We collected secondary data from reports in the form of public data that was published on web-sites of Japanese government, local governments, private visiting nursing organizations and medical peer-reviewed journals. According to the Japanese government's policy of strengthening the home medical care and community care system, there has been an increasing trend in the number of providers and users of home-visit nursing care for 10 years in Japan. Along with home healthcare, home-visit nursing care plays an important role in community-based integrated care for older people. Home-visiting nursing agencies provide comprehensive and professional nursing services from prevention to terminal care and from education or counseling to skilled nursing care for supporting the aging in place. The Japanese organizations, related to home-visit nursing care, established the Visiting Nursing Action Plan 2025, that consisted of four goals(quantitative expansion, quality improvement, extension of function, and footwork to community care) and detailed strategies. We also need to seek the policy measures for supporting the role of home-visit nursing care in home healthcare and community care in South Korea in the future. 본 연구는 일본의 개호보험 방문간호 운영 현황과 정책 동향을 살펴봄으로써 우리나라의 노인장기요양보험 방문간호 활성화를 위한 정책적 시사점을 도출하고자 시도하였다. DBpia, RISS, KISS, Google scholar 등 데이터베이스를 활용하여 일본 후생노동성, 간호협회, 방문간호재단 등 관련 기관의 홈페이지에 탑재된 보고서, 기관 게시물 등의 자료를 수집 분석하였다. 본 연구의 문헌고찰 기간은 2021년 7월 12일부터 2022년 5월 30일까지였다. 연구 결과, 일본 방문간호는 정부의 재택의료와 지역포괄케어시스템 강화의 정책방향에 따라 제공기관 수 및 이용자 수가 최근 10년 사이 2배 이상 증가하였다. 일본 방문간호기관은 규모화, 전문화, 다기능화가 이루어지고 있고 다양한 수가 가산 도입으로 중증 재가수급자의 의료욕구에 대응, 케어플랜에 따른 예방부터 임종 말기 케어까지 포괄적 서비스 및 재택의료 연계 강화 등이 진행되고 있다. 또한 방문간호 액션플랜 2025를 수립하여 방문간호의 양적 확대, 질적 향상, 기능 확대 및 지역포괄케어 대응을 위한 세부전략을 추진 중이다. 향후 한국도 지역사회통합돌봄 틀에서 방문간호 서비스 범위 확대, 기관 운영방식의 다양화, 인력 역량 강화, ICT 기술 접목 및 관련 단체의 지원 유도 등 정책 방안 모색이 필요하다.

장기요양 입소시설 간호사 배치 현황 비교 고찰: - 한국, 미국, 일본, 캐나다 중심 -

황라일,박소영,정성원 한국장기요양학회 2023 장기요양연구 Vol.11 No.3

The purpose of this study is to draw policy implications for securing nurses in long-term care facilities in Korea by comparing and examining the current status of nurses in long-term care facilities in the United States, Japan, and Canada and policy trends on how to attract them. Using databases such as DBpia, RISS, KISS, and Google scholar, data such as posts and reports on the websites of related organizations such as nursing associations, health departments, and statistics offices in each country were collected. The literature review period was from November 25, 2022 to October 10, 2023. As a result of the study, the U.S. and Canada set the minimum time to provide services from residents' daily nurses and nursing assistants, and Japan set the criteria for placement as nurses or nursing assistant but more nurses were assigned than nursing assistants. In all three countries, the ratio of nurses engaged in long-term care to all nurses and their wage levels were low, but they were higher than in Korea. In all three countries, specialized curriculum systems are being overhauled to prepare national budgets and strengthen capabilities to improve wages and working conditions to secure nurses in long-term care facilities and reduce the burden of work through the use of computer and advanced equipment. In the future, Korea also needs to seek administrative and financial support measures to reduce the burden of work and strengthen capabilities by re-establishing standards for nurse placement and utilizing information technology to provide integrated medical care services in long-term care facilities.

이용자 중심의 커뮤니티케어 구축 I

황라일 한국장기요양학회 2019 한국장기요양학회 춘계학술대회자료집 Vol.2019 No.-