지역사회 보건사업의 사회적 접근 방법

김공현 인제대학교 지역사회의학연구소 1996 硏究論文集 Vol.4 No.-

1. 건강의 변화는 사회의 변화에서 비롯된다. 2. 앞으로 변화시키고자 하는 것이 무엇인가를 확실하게 하여야 한다. 3. 변화에 대한 지역사회의 전망은 각양각색일 수 있다. 4. 주민이 사용하는 용어로 말하라. 5. 지역사회 지도자 및 주민을 사업 초창기부터 연계시키라. 6. 혁신전파 원리를 알고 응용하라. 7. 사회 조직망을 파악 활용하라. 8. 우선 순위와 활동 계획을 세워 사업을 전개하라. 9. 지역사회에 대한 기초 자료를 수집 정리하라. 10. 위원회를 조직 운영하라. 11. 사업 목표를 설정하여 시행하라.

A Study on Urinary Excretions of Sodium and Potassium and the Volume of 24 Hour Urine in Rural Korean Residents

Sun, Myung Hoon 인제대학교 지역사회의학연구소 1995 硏究論文集 Vol.1 No.-

한국인은 많은 양의 염류를 섭취하며 저단백식을 주로 한다는 사실이 1960년대로부터 알려져왔다. 일련의 연구로부터, 한국인이 많은 양의 염류를 섬취하는 것은 저단백식과 관계가 있는 것으로 여겨져왔다. 지난 30년 간 한국인의 식사 중 단백성분은 크게 증가해 왔다. 본 연구는 1990년 현재 한국 농촌지역 거주자의 소변 중에 배설되는 나트륨과 칼륨의 양 및 총 소변배설량을 측정하여 유의할 만한 변화가 있었는지를 알아보기 위하여 실시되었다. 또, 도시지역 거주자와 비교를 위해 34명의 농촌지역 거주자와 9명이 도시지역 거주자를 대상으로 하였다. 조사기간중 조사대상자는 일상생활을 그대로 영위하도록 하였다. 24시간 동안 배설된 소변을 수집하여 그중의 나트륨, 칼륨, 크레아티닌 농도를 측정하였다. 마지막 뇨 수집 시에는 정맥혈을 채취하여 혈장 중의 나트륨, 칼륨, 총단백 농도를 측정하였다. 그 결과는 다음과 같다. 1) 혈장 중의 나트륨, 칼륨, 총단백 농도는 정상범위 내에 있었다. 2) 농촌인구에서는 24시간 소변 중의 나트륨, 칼륨 배설량은 각각 255±95.6mEq/day, 45±15.1mEq 이었으며 24시간동안 수집된 소변의 총량은 1800±514.3㎖/day이었다. 이 수치를 1960년의 자료와 비교할 때 뇨중 나트륨 배설량은 감소추세를 보였으나 칼륨과 총 소변배설량에 있어서는 별 변화를 발견할 수 없었다. 3) 농촌거주자의 소변중 Na/K 비는 도시거주자에 비해 유의하게 높았으며 도시지역거주자에 있어서 소변중 나트륨 배설량의 감소추세가 더욱 두드러졌다. 4) 이 수치를 서양인의 수치와 비교하면 아직도 한국 농촌지역 거주자의 염분 섭취가 높음을 보이고 있는 반면 칼륨에 있어서는 서양인에 비해 훨씬 낮음을 알 수 있다. 5) 염분과 단백의 섭취 사이에 있을 수 있는 관계를 고찰했다.

지역사회 보건 발전을 위한 보건대학원의 역할

박형종 인제대학교 지역사회의학연구소 1996 硏究論文集 Vol.4 No.-

Diagnostic Value of Ultrasonographic Findings of Clonorchiasis : Including Positive Infestation Rate of Nakdong River Basin in Korea 낙동강유역 환자의 감염율을 포함하여

Kim, Jong Deok 인제대학교 지역사회의학연구소 1995 硏究論文集 Vol.1 No.-

1989년 1월부터 1990년 2월까지 건강진단을 목적으로 본 병원의 성인병예방센타를 방문했던 경상남북도 거주자 5,978명중 간흡충증 환자 528명을 대상으로 하여 낙동강유역 거주자와 나머지 지역 거주자이 감염율을 비교하였고, 같은 기간동안 본병원의 외래 또는 입원 환자 중 간흡충증으로 진단된 206명의 복부초음파 소견을 분석하여 다음과 같은 결과를 얻었다. 1) 낙동강유역 거주자의 감염율이 나머지 지역 거주자에서 보다 3.8배 높았으며, 남녀의 비가 2 : 1이었고, 30세에서 59세 사이가 86%를 차지하였다. 2) 간내담관의 미만성 확장 및 여러정도의 간내담관벽의 에코증가와 아울러 담낭내의 떠다니는 뚜렷한 에코소견들이 간흡충증의 특징적 초음파 소견이며, 이중 간내담관의 확장으로 인한 parallel channel sign은 활동성 감염증이거나 또는 후유증일 수 있지만 담낭내에 떠도는 에코소견은 활동성 감염증을 나타내는 소견이다.

하우스재배 종사자와 노지재배 종사자의 임상검사 비교

김병성 인제대학교 지역사회의학연구소 1995 硏究論文集 Vol.1 No.-

In order to find out the effects of vinyl house farming on human body, the author compared the physical and laboratory examinations between 96 cases of vinyl house farmers and 96 cases of land farmers who lived in 3 Gun's in Kyoungnam Province from July, 1st through September, 30, 1993. The examination included blood pressure, CBC, urinalysis, and blood chemistry. Systolic blood pressure and alkaline phosphatase levels were lower in vinyl house farmers than in land farmers. But white blood cell counts were higher in vinyl house farmers and the other results were not different between two groups. It suggests that the environment of vinyl house - small, poorly ventilating, hot and humid environment - affected human body, then those facts should be considered during construction of vinyl houses.

노인에서의 건강행위와 신체적 건강상태의 관련성

이가영,박태진 인제대학교 지역사회의학연구소 1998 硏究論文集 Vol.5 No.-

Backgrounds: This study was performed to find the relationship of health behaviors and physical health status in the elderly. Therefore, we evaluated the significance of health behaviors and to get the useful data of the health promotion in the elderly. Methods: The elderly 65-years old or over were recruited and enrolled at a medical service practiced in 8 different rural areas in 1997. A total of 217 completed questionnaires were obtained. The questionnaire consisted of the variables of sociodemography, health behavior, physical health status, health concern, and depression. The data were analysed by Mantel-Haenszel test for linear association, t-test, ANOVA, and multiple regression analysis. Results: Eating breakfast and physical activity among the health behaviors were related to physical health status. The level of practicing health behavior was related to physical health status, especially to the admission history , and disability in work because of the illness. The predictors of health status score were health concern and total health behaviors. Only physical activity among the health behaviors was the significant predictor of physical health status. Conclusions: The result that health behaviors are related to health status in the middle-aged is applicable to the elderly. And physical activity is the predictor of physical health status in the elderly. These results suggest health behaviors will be helpful to the elderly's health.

관상동맥질환자의 사회적지지, 대처방식이 치료지시이행에 미치는 영향 : 부산시내 1개 병원을 대상으로

김미영,박태진 인제대학교 지역사회의학연구소 1998 硏究論文集 Vol.5 No.-

This study was undertaken in order to identify the relationships between various social support, stress coping styles and compliance in coronary heart disease patients. Coronary heart disease has become one of the main cause of death in Korean and the mortality rate is increasing rapidly. Chronic disease is hard to recover completely so it's important to keep up the compliance. The subjects for this study were 107 coronary heart disease patients at one hospital in Pusan who were diagnosed at least two months ago. Using prepared questionnaires the data was collected from January 3 to March 31 of 1997. The instruments used for this study were Interpersonal Support Evaluation List(ISEL), translated and modified by Kim, Family Support scale and the Professional Medical Support scale made by Tae, The Ways of Coping Checklist, translated and modified by Kim, and Compliance scale, modified and supplemented by the investigator. The data were analyzed with t-test, ANOVA, correlation coefficient, multiple regression. The results of the study were summarized as follows; 1. There were significant difference in compliance between age groups(P=0.0432), duration of illness(P=0.0384). 2. Correlation between social support, family support, professional medical support, coping styles and compliance were as follows; a. The relationship between family support and compliance was statically significant(r=0.246, P=0.011). b. The relationship between professional medical support and compliance was statically significant(r=0.352, P$lt;0.001). c. The relationship between active coping style and compliance was statically significant(r=0.277, P=0.005). Especially relationship between problem-focused coping and compliance was statically significant (r=0.299, P=0.002). d. The relationship between social support and compliance, passive coping style and compliance were not statically significant. 3. By multiple regression analysis, the main influencing factors on the compliance were age, duration of illness, professional medical support and positive(especially problem-focused) coping style. The variables could explain 34.6% of the variance in compliance.

일부 농촌주민의 농부증 및 농기계사고

김병성,전해성,차인준 인제대학교 지역사회의학연구소 1995 硏究論文集 Vol.1 No.-

The symptoms of farmer's syndrome that occurred to Korean farmers are due to the specific characteristics of Korean agriculture, and the basic reasons are poverty and less-privileged rural cultural life originated from social and political conditions. Then the purposes of this study are to investigate farmer's syndrome of farmers and to get substantial data to make a strategy that could prevent diseases. The results are as follows : 1. The most common symptom was lumbago(83.0%) among the 7 kinds of symptoms of farmer's syndrome. And it was more common among women who deliver babies and also work house chores and in farms than men(p$lt;0.05). 2. The numbers of symptoms of farmer's syndrome increased as age increases and, 71.4% of those aged 70-79 complained some of the symptoms. 3. The accident rate due to agricultural machine was significantly higher in men than women(p$lt;0.05). By frequency contusion was the most common trauma, fall, fracture were the nexts, and the age group with highest accident rate(40%) was those aged 20-29. 4. To see the significantly correlated factors between farmer's syndrome and sociodemo-graphic variables, the more the numbers of family members were, the more lumbago and the less heartburn occurred. And the less gross income was the more frequent nocturnal urinary frequency occurred, and the wider the farming land was the more frequent noctural urinary frequency occurred. 5. As result of correlation coefficient between the numbers of illnesses and sociodemographic variables, the larger the family was and the larger the farming land was the more illnesses the subjects had, and those without spouses had more illnesses.

중년기 여성의 생활사건 스트레스와 우울에 관한 연구

박희정,박태진 인제대학교 지역사회의학연구소 1998 硏究論文集 Vol.5 No.-

This study was carried out to investigate the relationship between life-events stress and depression, in order to identify health care strategies to improve the mental health promotion among middle-aged women. The subjects in the study were 517 mothers aged 35~59 years old of students in a middle school and two high school located in Pusan. The instruments for this study were $quot;$quot;Lee Pyoung Sook's social readjustment rating scale$quot;$quot; to assess life-events stress, and $quot;$quot;Beck's Depression Inventory(BDI)$quot;$quot; to evaluate depression. The collected data were analysed with Frequency, Percentage, Means, Standard Deviations, t-test, ANOVA, Pearson Correlation, Spearman Correlation, Chi-square test, Mantel-Haenszel test for linear association. The results this study were as follows : 1. The total stress scores were with in the range of the lowest was zero and the highest was 8062.68. The average for all the women was 608.72. When classifying life-events into 17 factors, the life-events stress to present marital life, economy and work, marital affairs of parents and of children, family conflicts were higher than the other 13 factors. 2. The total stress score was significantly higher in post-menopausal women, those who dissatisfied with marriage, those who had less support from spouse, those who had ill health status(all P$lt;0.05). 3. The total depression scores were with in the range of the lowest was zero and the highest was 51. The average for all the women was 15.65. The total depression score was significantly by age, marital status, level of education, menopausal status, satisfaction of marriage support of spouse, health status(all P$lt;0.05). 4. The correlation coefficient for life-events stress and depression was r=.3686(P$lt;0.001), indicating that increased stress is related to higher depression score. It is concluded that, middle-aged women were under a lot of life-events stress and this stress had correlation with depression. Thus middle-aged women should develop coping with strategies to improve their mental health.

청소년의 물질남용에 관련된 요인 : 스트레스와 자아개념 중심으로 Focusing on stress and self concept

이숙자,박태진 인제대학교 지역사회의학연구소 1998 硏究論文集 Vol.5 No.-

This study was carried out to investigate the effect of the amount of stress related to life events and the scale of self-concept on the substance abuse in high school students. Subjects surveyed for this study consist of 1149 students who are the 1st grade. The adolescent population is different area of Kyong Sang Nam Do. The data were collected from 13 academic high school students(317boys, 364girls) and 14 vocational high school students(317boys, 249girls) by a Questionnaire survey in March. 1996. As the criteria of substance abuse are to use the substance once more times last month, 399 students are substance abuser and 750 students are substance non-abuser. This study uses as a tool' self-concept scale' developed by Song In Sub and' the amount of stress related to life events' developed by Lee pyoug Sook. The collected data analyzed by frequency, X2, t-test, logistic regression. The results are as follows. 1. The total score of self-concept of substance abuser group was higher than that of substance non-abuser group (P$lt;0.001). Class self concept, achievement self concept of substance abuser group were lower than those of substance non-abuser group. Social self concept of substance abuser group was higher than that of substance non-abuser group. 2. The total score of stress related to life events of substance abuser group was higher than that of substance non-abuser group(P$lt;0.00I). Legal torts, love affairs, health problems were significantly more in substance abuser group.