보건소 이용자의 모성보건실태에 관한 연구

윤순녕,여혜숙 中央醫學社 1983 中央醫學 Vol.45 No.5

The purpose of this study was to identify the maternal characteristics which influenced on prenatal care and the places of delivery. The respondents were 204 mothers who had their infants registered in a health center. Data, which were already computerized, were collected from Dec. 1, 1982 to Dec. 28, 1982 through prepared questionnaires and interviews. The results were as follows: 1. Mothers who received prenatal care occupied 88.7% and mothers who did not it occupied 11. 3%. 1) 56.2% of the mothers of prenatal care received first prenatal care during the first trimester, 17.7% of them during the second and 14.8% of them during the third trimester. The higher the educational background was, the younger the mother's age was and the fewer the number of delivery were, the earlier they visited to the prenatal clinic. (p<0.05 Cramer's V=0.212) (p<0.05 Cramer's V=0.222) (p<0.01 Cramer's V=0.297) 2) Of the mothers who received prenatal care, Average number of visiting to the prenatal clinic was 4. 6 times per pregnancy. one to two times occupied 27. 9%, three to four times 19.6%, five to six times 14.2% and above 7 times occupied 27.0%. The higher the educational background was and the fewer the number of delivery were, the more times they visited to the prenatal clinic. (p<0.01 Cramer's V=0.259) (p<0.01 Cramer's V=0.235) 3) Places of prenatal care; 76.2% of them received the prenatal care in hospital, 12.4% of them in health center or midwifery facilities. The higher the educational background was and the fewer the number of delivery were, the higher the rate of prenatal care in hospital they received. (p<0. 01 Contingency Coefficient=0.289 (p<0. 01 Contingency Coefficient=0.326) 2. 67.6% of the mothers who received prenatal care delivered in hospital 13.3% of them delivered at the midwifery facilities and 19: 1% of them delivered at home. The higher the educational background was and the fewer the number of delivery were, the higher the rate of hospital delivery was (P<0.01 Contingency Coefficient=0.294)(P<0.01 Contingency Coefficient=0.313) 3. Only 28. 1% of the respondants had knowledge of prenatal care in health center and 71.9% of them had not one

초·중·고등학교 학생, 학부모, 일반교사의 보건교육 요구

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Purpose : The purpose of this study was to identify needs of health education of the students, parents, general teachers, and health teacher of the elementary, middle, and high schools. Method : 279 schools of elementary, middle, and high school were sampled nonproportionally during the period from June 28 to July 26, 2004 . The data were collected by the questionnaire from 1,888 students, 1,876 parents, 1,695 general teachers, 279 health teachers. A frequency, % and χ2-test were used to analysis by SAS program. Result : 1. It showed that 98.1% of elementary school students, 92.3% of middle school students, 89.6% of high school students answered that they need health education. The most of students, parents, and general teachers had high interests in health education. 2. In the case of students, main causes of needs of health education was 'to prevent diseases or accidents''. But parents answered that it was 'to build up a healthier behavior'. General teachers answered that it was 'more effective systematic and continuous health education'. 3. Over 80% of students, parents, and general teachers about the question of who qualified person is to teach health education as a regular class responded that health teacher is available. Especially 93% of elementary school students answered like that. 4. The most of students, parents, and general teachers answered that health education in the classroom is favorable 1 to 2 hours per week. Conclusion : As results of the study , the majority of students, parents, general teachers agreed needs of health education. Therefore, on the basis of this study, systematic and continuous health education is necessary. Additionally the establishment of independent health subject is required certainly.

일개 도시 지역사회 간호센터 모형개발을 위한 요구조사

윤순녕 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.2

Objectives : The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods : Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results : 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal, state, and local governments. 2) Of the total health management members,37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion : A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.

보건소의 환경, 조직구조와 조직유효성과의 관계

윤순녕,Yun, Soon-Nyoung 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.1

The objective of the study are two-fold: one is to explore the relationship between environment, organizational structure, and organizational effectiveness of public health centers in Korea, and the other is to examine the validity of contingency theory for improving the organizational structure of public health care agencies, with special emphasis on public health nursing administration. Accordingly, the conceptual model of the study consisted of three different concepts: environment, organizational structure, and organizational effectiveness, which were built up from the contingency theory. Data were collected during the period from 1st of May through 30th of June, 1990. From the total of 249 health centers in the country, one hundred and five centers were sampled non proportionally, according to the geopolitical distribution. Out of 105, 73 health centers responded to mailed questionnaire. The health centers were the unit of the study, and a various statistical analysis techniques were used: Reliability analysis(Cronbach's Alpha) for 4 measurement tools; Shapiro-Wilk statistic for normality test of measured scores of 6 variables: ANOVA, Pearson Correlaion analysis, regressional analysis, and canonical correlation analysis for the test of the relationships and differences between the variables. The results were. as follows : 1. No significant differences between forma lization, decision-making authority and environmental complexity were found(F=1.383, P=.24 ; F=.801, P=.37). 2. Negative relationships between formalization and decision-making authority for both urban and rural health centers were found(r=-.470, P=.002 ; r=-.348, P=.46). 3. No significant relationship between formalization and job satisfaction for both urban and rural health centers were found (r=-.242, P=.132, r=-.060, P=.739). 4. Significant positive relationship between decision - making authority and job satisfaction were found in urban health centers (r=.504, P=.0009), but no such relationship was observed in rural health centers. Regression coefficient between them was statistically significant($\beta=1.535$, P=.0002), and accuracy of regression line was accepted (W=.975, P= .420). 5. No significant relationships among formalization and family planning services, maternal health services, and tuberculosis control services for both urban and rural health centers were found. 6. Among decision-making authority and family planning services, maternal health services, and tuberculosis control services, significant positive relationship was found between de cision-making authority and family planning services(r=.286, P=.73). 7. A significant difference was found in maternal health services by the type of health centers (F=5.13, P=.026) but no difference was found in tuberculosis control services by the type of health centers, formalization, and decision-making authority. 8. A significant positive relationships were found between family planning services and maternal health services and tuberculosis control services, and between maternal health services and tuberculosis control services (r=-.499, P=.001 ; r=.457, P=.004 ; r=.495, P=.002) in case of urban health centers. In case of rural health centers, relationships between family planning services and tuberculosis control services, and between maternal health services and tuberculosis control services were statistically significant (r=.534, P=.002 ; r=.389, P=.027). No significant relationship was found between family planning and maternal health services. 9. A significant positive canonical correlation was found between the group of independent variables consisted of formalization and de cision-making authority and the group of dependent variables consisted of family planning services, maternal health services and tuberculosis control services(Rc=.455, P=.02). In case of urban health centers, no significant canonical correlation was found between them, but significant canoncial correlation was found

보건진료원의 지역사회 몰입과정

윤순녕,김영임,최정명,Yun, Soon-Nyoung,Kim, Young-Im,Choi, Jeong-Myung 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.2

Primary health care(PHC) has been established since A Health Law for rural residents has been legislated in 1980 following the WHO declaration, 'Health for All 2000'. in 1978. PHC services are presently assumed to be provided by 2038 Community Health Practitioners(CHP) to about 28% out of rural population in Korea. Most CHPs have confronted the adaptation process to the community being practiced although a CHP's role is to evoke community participation for the improvement of their health by themselves. So the purpose of this study is to describe and explain of the commitment of CHPs into the community. Data were collected by direct interview and tape-recording under subjects' permission till theoretical saturation were occured from 6 CHPs. The subjects were 41 years old and have served in the community for 9 years in average. Main questions and concepts were explored from data according to the procedure of the grounded theory methodology. The results are as follows. 1) The number of the main concepts were twenty four that identified Motive, Desire, Personal characteristics, Unfamiliarity, Denial, Feeling of isolation, Self-sacrifice, Kindness, Patience, Assimilation, Respect for the residents, Support by the family, Support by the residents, Achievement, Acceptance of realities, Use of resources, Inducement of cooperation from the residents, Changes of the difference from time orientation between CHP and residents, Attitude as a official, Technical support, Cost management, Satisfaction level, Acknowledgement by the residents and discrepancy. 2) The twenty four concepts were categorized to seven groups such as Motivation, Feeling of Heterogeneity, Self-discipline, Social support, Induced changes in the attitudes of residents, Familarity and Persistent discrepancy. 3) The categorized groups were analyzed on the base of the Causal Conditions, Central Phenomena, Contexts, Intervening Conditions, Action / Interaction Strategies, and Consequences. Central phenomenon in this study was identified to be the feeling of heterogeneity. Community health practitioners experienced unfamiliarity and denial from the community and felt themselves isolated in the first. In time, they won the trust of residents by their efforts including self-sacrifice, kindness, patience, and assimilation. Afterward, practitioners got self-confidence and familiarity with lesser feeling of heterogeneity. Nevertheless, practitioners could not commit themselves completely because of the persistent discrepancy between CHP and residents. 4) On the commitment process, the CHPs' feeling of heterogeneity were decresed and social support increesed and newly evolved induced change of residents through the continuous interaction between CHP and them The contribution of this study would be concluded as follows. 1) It is expected that effective strategies for more rapid committment into the community can be developed based on this study. 2) More easy committment would be possible for the newly appointed CHP through understanding of the committment process identified on this study.

보건소조직구조에 따른 방문간호사업의 성과 비교

윤순녕,박성애,Yun, Soon-Nyoung,Park, Sung-Ae 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.1

The purpose of this study was to identify the differences of the outcomes of visiting nursing service (VNS) between the two types by the organizational structure of health centers. Type I referred to 3 health centers with departmentalization for VNS and type II of 3 health centers providing VNS under the subunit of a department. Data were collected from 38 visiting nurses at the six health centers for their perceived formalization, decision-making authority and job satisfaction, 293 clients for the satisfaction level with VNS served and their records analysis for level of quality care and frequency by the contents of VNS through the questionares during the period from June, 1 to August 30, 1993. Data were analyzed using $\chi^2$, F. t or/and Scheffe test. The result were as follows: 1) There were no significant differences in perceived formalization and decision -making authority of visiting nurses between the two types of health centers. 2) There were significant differences in the level of quality care and frequency of the VNS contents between the two types of health centers. 3) There were no significant differences in perceived clients' satisfaction and job satisfaction of the visting nurses between the two types of health centers. From this study, Not only organizational differentiation with the development of job standards and supportive system but also personnel development are suggested when new health care service in health centers begins.

看護學生들의 希望就業分野와 業務 分野別 看護員制度에 관한 調査硏究

尹順寧 서울大學校 保建大學院 1976 公衆保健雜誌 Vol.13 No.1

A survey was conducted on 454 senior students in three college programs and three nursing schools from September 1 to September 15, 1975. The purpose was to determine the future supply of a nursing manpower. The response rate from the six programs was 79.2 per cent. A pretested questionnaire was used for the data collection. The distribution and frequency of the data were computed, and the Chi-squars test was performed. The analysis of the data showed the following findings. 1. 77.7 per cent of the students were graduated from high schools in large cities. The economic status of college nursing students was higher than that of the nursing school students. 53.3 per cent of all students plan to go abroad to work. 2. In terms of employment plans, 77.9 per cent of all students want to be a hospital nurse, while 23.9% of the nursing school students want to work in the operative and anesthesic room, 25.3% of college nursing students want to work in the nursery and pediatric word. Only 7.1% of all nursing students want to become a public health nurse. 37.5 percent of nursing school students and 48.3 per cent of college nursing students want to become a school health nurse. 3. The reasons among students for wanting to become a hospital nurse were; to apply nursing-48.8%, interesting job-26.4%, and easy employment-8.2%. The reasons for wanting to become P.H.N. among college nursing students were; to apply nursing, interesting job, reasonable salary-26.6%. Among nursing school students, the reasons for wanting to be a P.H.N. were; interesting job-68.8%, reasonable salary-26.4%, and to apply nursing-12.5%. 4. In terms of specializing, 46.3 percent of all nursing students want to become a nurse practitionor, and 24.2% percent of them would like to become a psychiatric nurse. The reasons among all students for wanting to become a nurse practitionor were; interesting job-57.3%, higher status-17.3%, and desire to go abroal 8.4 percent. 5. The nursing school students thought the nurse training was more interesting than did the college students(significant at the P<0.01 level.) 6. College nursing students received more lectures on public health and medical law, than did the nursing school students. (significant at the P<0.01 level) However, the nursing school students were more knowledgeable about the feasibility of becoming a nurse practitionor which had been legalized in 1973.(significant at the P>0.05 level.) 7. 16.3 percent of college nursing students want to become a militory training teacher.

소규모 사업장 보건관리 모델개발에 관한 연구

윤순녕,정혜선 지역사회간호학회 2001 지역사회간호학회지 Vol.12 No.3

Forming health care management model in small-scale enterprises was the purpose of this study. For the purpose, we tried to investigate the characteristics of small-scale enterprises and analyzed the pattern of their health care management. The results are as follow: 1. The strength of health managing agency and technical supporting program lies in team approach by specialized manpower. However, if the liaison between each part of the organization is not smooth, the overall management will be very difficult. 2. Small scale enterprises are characterized by their short life after the establishment, use of rental building, lack of welfare facilities, weakness in sanitary management and aggregation of factories of similar type of industry. Because of these characteristics, it is very difficult to solve problem basically, such as improvement of working environment. Therefore, it is important to focus on health education and communitybased approach. 3. Many workers in small-scale factories are in middle and old age. They have health problems mainly related to personal habits. Implementation of an appropriate health promotion program is needed. 4. The number of workplaces, which should be managed by health managing agent, is increasing rapidly. But the number of health managing agent is limited. In the aspect of the requirement of manpower and equipment, training personal agent is more urgent than founding institutional agent. 5. The uniform method of health management hampers the choice of employer and workers. The types of provision of health management should be diversified. 6. For an efficient management, a frequent visit of personal agent and the following referral to a specialist should be done. The specialists in charge of secondary management are from the field of occupational medicine, occupational hygiene, ergonomics, etc. 7. The health management of small-scale facilities should have six components. They are community-based approach, multi-disciplinary cooperative system, program based on the need of recipient, forming partnership of employer and worker, change of lifestyle, and evidencebased program.

포커스 그룹 면담을 이용한 청소년 흡연의 습관화 과정

윤순녕,이윤정,서은영,김춘미,고영,장미경,현정희 지역사회간호학회 2008 지역사회간호학회지 Vol.19 No.4

Purpose: The smoking rates among teenagers in Korea grow gradually since 1980s despite of the numerous programs for youth smoking prevention and cessation have been developed and implemented. The purpose of this study was to explore and describe the processes of habituating to smoking among teenagers using the grounded theory methodology. Method: Qualitative data was collected via six focus group interviews. A total of 38 people, twelve teachers and 24 middle school students participated in this study. All focus group interviews were tape-recorded, transcribed, and analyzed according to the grounded theory methodology. Results: The overriding theme of the elicited grounded theory was “stepping into a quagmire by a merest chance”. The student participants began smoking by a simple chance. The contingent factors to starting smoking were “discord within the family”, “family member’s smoking”, “schoolwork stresses”, or “a rebellious spirit”. The conditions of smoking included accessibility, going around in group, and the lack of discipline. “Stigmatizing”, “involved in mob violence”, and “making a poor academic record” coexisted as the covariance of the smoking habituation. Conclusion: The findings of this study illustrated the comprehensive and insightful picture of the phenomena under investigation. Nursing implications and further directions for research were discussed.

제조업 여성근로자의 건강증진행위 예측을 위한 새 건강증진 모형의 검증

윤순녕 지역사회간호학회 2001 지역사회간호학회지 Vol.12 No.3

The purpose of the study was to test the Pender's New Health Promotion Model in order to explain and predict female workers' health promotion behavior at manufacturing plants by using latent variable structural equation model. The data were collected from 280 female workers at 8 electronic factories located at Seoul, Kyunggi, and Incheon using a structured questionnaire through interview and self-report. LISREL was used to test the model. The results are as follows; 8 out of 15 paths of the modified one from the hypothetical model of Health Promotion were statistically significant and the total variance was 40%. The relationship between the previous health behavior and the cognitive emotional factor, and the interpersonal factor, and the situational factor each, and the relationship between perceived health status and interpersonal factor, and health promotion behavior each among gamma paths were unidirectional. On the beta paths, the relationship between the interpersonal factor and the cognitive emotional factor was bi-directional; the relationships amongst the interpersonal factor and the commitment to action, and the health promotion behavior were unidirectional. But the commitment to action was not a significant mediating factor to the health promotion behavior. Pender's New Model is considered good to explain and predict the female workers' health promotion behavior. The interpersonal factor should be considered in occupational nursing practice. But the concepts of situation and commitment to action should be further validated and measured.