23 research outputs found
A Study on Family Health Conditions and Health Problems of Urban Low Income Families Requiring Visiting Health Care
๋ณด๊ฑด๊ฐํธํ๊ณผ/์์ฌ[์๋ฌธ]
[ํ๊ธ]
๋ณธ ์ฐ๊ตฌ๋ ์ ์๋ ๋ฐฉ๋ฌธ๊ฐํธ์ฌ์
๋์ ๊ฐ์กฑ์ ์ฃผ์ ๊ฑด๊ฐ ๋ฌธ์ ์ ๊ทธ ์คํ๋ฅผ ๊ฐ์กฑ์ ์ค์ฌ
์ผ๋ก ํ์
ํ ๊ฑด๊ฐ๋ฌธ์ ๊ธฐ์ด ์กฐ์ฌ ์ฐ๊ตฌ์ด๋ค.
๋ณธ ์ฐ๊ตฌ์์ ์ ์๋ ๋ฐฉ๋ฌธ๊ฐํธ์ฌ์
๋์ ๊ฐ์กฑ์ ๊ฑด๊ฐ ๋ฌธ์ ์ ์คํ๋ฅผ ํ์
ํ๋ ๊ฒ์ ๊ทธ
๋์ ๊ฐ์กฑ๋ค์๊ฒ ํ์ํ ์์ง์ ์๋ฃ์๋น์ค๋ฅผ ์ ๊ณตํ๊ณ ์ ํ๋ ๋ฐฉ๋ฌธ ๊ฐํธ์ฌ์
๊ธฐํ์ ๊ธฐ
์ด์๋ฃ๋ฅผ ์ ๊ณตํ๋๋ฐ ์์๊ฐ ์๋ค๊ณ ๋ณด๊ณ ๋ณธ ์ฐ๊ตฌ๋ฅผ ์๋ ํ์๋ค.
์ฐ๊ตฌ ๋์์ S๊ตฌ ์์ธ ์ง์ญ 3๊ฐ๋ ์ ์๋ ๋ฐฉ๋ฌธ๊ฐํธ์ฌ์
๋์ ๊ฐ์กฑ 326์ธ๋ ์ ์๋ฅผ ๋์
์ผ๋ก ํ์์ผ๋ ๋ฉด์ ์กฐ์ฌ๊ฐ ๊ฐ๋ฅํ๋ ์ด 128 ๊ฐ๊ตฌ๊ฐ ์๋ฃ ๋ถ์์ ์ฌ์ฉ ๋์๋ค.
์ฐ๊ตฌ ๋๊ตฌ๋ก๋ ๊ฐ์กฑ ๊ฑด๊ฐ ์ธก์ ์ ์ํ ์ค๋ฌธ์ง๋ก 1990๋
๋น์ทํ ์์ธ ์ง์ญ์ ์๋ ์ฃผ๋ฏผ์
๋์์ผ๋ก ์ค์ํ ๊น์์์ ๊ฑด๊ฐ๋ฌธ์ ๊ธฐ์ด ์กฐ์ฌ(survey)์์ ์ฌ์ฉํ์๋ ์ค๋ฌธ์ง๋ฅผ ์ฐธ์กฐํ
์ฌ ๋ณธ ์ฐ๊ตฌ ๋ด์ฉ์ ๋ง๋๋ก ์์ ํ ๊ฒ์ด๋ค.
์ค๋ฌธ์ง ๋ด์ฉ์ ๊ฐ๊ตฌ์ ์กฐ์ฌ, ํ๊ฒฝ ์ํ, ๊ฐ์ ๋ด ๊ฑด๊ฐ๋ฌธ์ , ๊ฐ์กฑ์ญ๋ฑ, ๋ถ๋ถ๋ฌธ์ , ์๋ฃ๋ณด
ํธ, ๊ฑด๊ฐ ๊ด๋ จ ํ์์ ๋ด์ฉ์ผ๋ก ๊ตฌ์ฑ ๋์์ผ๋ฉฐ ์ด 65๋ฌธํญ ์ผ๋ก ์ด๋ฃจ์ด ์ก๋ค.
์๋ฃ ์์ง ๊ธฐ๊ฐ์ 1992๋
4์ 6์ผ ๋ถํฐ 5์ 10์ผ ๊น์ง ์ด 35์ผ๊ฐ ์ค์ ๋์์ผ๋ฉฐ ์๋ฃ
์์ง ๋ฐฉ๋ฒ์ ๋ฐฉ๋ฌธ๋ฉด์ ์ค๋ฌธ์ง ์กฐ์ฌ๋ฒ์ ์ฌ์ฉํ์๋ค.
์๋ฃ ๋ถ์ ๋ฐฉ๋ฒ์ผ๋ก์๋ ์์ง๋ ์๋ฃ๋ ๋์์ ๊ฐ์ธ๋จ์, ๋ถ๋ถ๋จ์ ๋ฐ ๊ฐ๊ตฌ๋จ์๋ก ๋๋
์ด ๋ถ์ ํ์์ผ๋ฉฐ ๋์์์ ์ผ๋ฐ์ ํน์ฑ์ ๊ฐ ๋ฌธํญ์ ๋ํด ์ค์์ ๋ฐฑ๋ถ์จ์, ๊ฑด๊ฐ๋ฌธ์ ๋
๊ฐ์ธ ๋จ์๋ก ๋ถ์ํ์ฌ ์ฑ๋ณ ์ ์ฒด๊ธฐ๊ด(System)๋ณ ๊ฑด๊ฐ๋ฌธ์ , ์ฌ์ฉํ ์น๋ฃ ๋ฐฉ๋ฒ์ ๋ํด์๋
์ค์์ ๋ฐฑ๋ถ์จ์ ๊ตฌํ์๋ค. ๊ฐ์กฑ์ญ๋์ ๊ฐ๊ตฌ ๋จ์๋ก ๋ถ์ํ๊ณ ๋ถ๋ถ๋ฌธ์ ๋ณ์๋ ๋ถ๋ถ๋จ์
๋ก ๋ถ์ํ์ฌ ์ค์์ ๋ฐฑ๋ถ์จ์ ์ฐ์ถ ํ์์ผ๋ฉฐ ๊ฑด๊ฐ์ ๊ด๋ จ๋ ๊ฐ์ ์ ๋ฌธ์ ๋ ์ค์๋ฅผ ๊ตฌํ์
๋ค.
๋ชจ๋ ์๋ฃ๋ Spss๋ก ์ ์ฐ ํต๊ณ ์ฒ๋ฆฌ ํ์๋ค.
๋ณธ ์ฐ๊ตฌ์กฐ์ฌ ๋์๊ฐ์กฑ์ ์ผ๋ฐ์ ํน์ฑ, ํ๊ฒฝ์์์ํ, ๊ฑด๊ฐ๋ฌธ์ , ๊ฐ์กฑ์ญ๋, ๋ถ๋ถ๋ฌธ์ ,
๊ฑด๊ฐ๊ณผ ๊ด๋ จ๋ ๊ฐ์ ์ ๋ฌธ์ ๋ฅผ ์กฐ์ฌํ์ฌ ํ์
๋ ๊ฒฐ๊ณผ๋ฅผ ํ ๋๋ก ๋ค์๊ณผ ๊ฐ์ ๊ฒฐ๋ก ์ ์ป์๋ค
.
1. ์กฐ์ฌ๋์ ๊ฐ์กฑ์ค ๋ฉด์ ์กฐ์ฌ ๊ฐ๋ฅํ 128 ๊ฐ๊ตฌ 365๋ช
์ ๊ฑด๊ฐ๋ฌธ์ ์์ ๋ง์ฑ๊ฑด๊ฐ๋ฌธ์ ๋ฅผ
๊ฐ์ง ๊ฐ์กฑ์ ์ ์ฒด๊ฐ๊ตฌ์ 79.7% ์์ผ๋ฉฐ, ๋ง์ฑ๊ฑด๊ฐ๋ฌธ์ ๊ฐ ๊ธ์ฑ๊ฑด๊ฐ๋ฌธ์ ์ 4.5๋ฐฐ๋ ๋์์ผ๋ฉฐ
, ๋ง์ฑ์งํ์ 56.7%๊ฐ 30-50๋ ์ฐ๋ น์ธต์ ๋ถํฌ๋์ด ์์ผ๋ฉฐ, ์ฃผ์ ๊ฑด๊ฐ๋ฌธ์ ๋ ์ค๋
์ธต์ ๋ง
์ฑ์งํ์ผ๋ก, ์์
์ ์ข
์ฌํ ์ ์๊ฒ ๋ ์ด๋ค์ ๋ํ ๋ฐฉ๋ฌธ๊ฐํธ์ฌ์
์ด ์ฐ์ ๋์ด์ผ ํ๋ค๊ณ
๋ณธ๋ค.
2. ์กฐ์ฌ๋์ ๊ฐ์กฑ๊ตฌ์ฑ์์ ์ ์ฒด๊ธฐ๊ด(System)๋ณ ๊ฑด๊ฐ๋ฌธ์ ๋ ๊ธ์ฑ๊ฑด๊ฐ๋ฌธ์ ๋ก๋ ํธํก๊ธฐ๊ณ
๊ฐ 44.4%๋ก ๊ฐ์ฅ ๋ง์์ผ๋ฉฐ ๋ง์ฑ๊ฑด๊ฐ๋ฌธ์ ๋ก๋ ๊ทผ ๊ณจ๊ฒฉ๊ณ 23.9%, ์ํ๊ธฐ๊ณ 19.6%, ์ํ๊ธฐ๊ณ
11.0%, ํธํก๊ธฐ๊ณ 8.0%, ์์ ๋ฐ ์ค๋
์ด 7.4%์ ์์ผ๋ก ๋ง์๋ค. ํ๊ท ์ ๋ณ๊ธฐ๊ฐ์ 7.4๋
์ผ๋ก ๋ํ๋, ๊ทผ ๊ณจ๊ฒฉ๊ณ์งํ๊ณผ ์ํ๊ณ์งํ์ด ์์๋ฅผ ์ฐจ์งํ๊ณ ์์ผ๋ฏ๋ก ๊ฑฐ๋์ด ๋ถํธํ ํ
์๊ฐ ๋ง๋ค๋ ๊ฒ์ ์์ฌํ๊ณ ์์ผ๋ฉฐ ์ด์ ๋ํ ๋ฐฉ๋ฌธ์ง๋ฃ ๋ฐฉ๋ฌธ๊ฐํธ๊ฐ ํ์ฑํ ๋์ด์ผ ํ๋ค๊ณ
์๊ฐํ๋ค.
3. ์๋ฃ์ด์ฉ ์ํ๋ ๊ธ์ฑ ๊ฑด๊ฐ๋ฌธ์ ์ ๊ฒฝ์ฐ ๋ณ์์, ์ฝ๊ตญ์ด์ฉ(70.0%)์ผ๋ก ํด๊ฒฐ ํ์์ผ๋
, ๋ง์ฑ ๊ฑด๊ฐ๋ฌธ์ ์ ๊ฒฝ์ฐ ์ด๊ธฐ์๋ ์ฃผ๋ก ๋ณยท์์์ ์ด์ฉ(55.2%) ํ์ผ๋ ๋์ค์ ์น๋ฃ์ฒ๋ฅผ
๋ณ๊ฒฝ ํ๊ฑฐ๋(20.7%) ํ์ฌ๋ ์น๋ฃ ๋ฐ๊ณ ์์ง ์์ ๊ฒฝ์ฐ๊ฐ 23.4%์ผ๋ก ๋ํ๋, ์น๋ฃ ํจ๊ณผ๊ฐ
๋๋ ทํ์ง ์์์ผ๋ก ์ฆ์์ฒ๋ฆฌ๋ง ํ๋ ๊ฒ์ผ๋ก ์ฌ๋ ค๋๋ค. ์๋ฃ์ด์ฉ์ ๋ฌธ์ ๋ 2,3์ฐจ ์ ๋ฌธ์๋ฃ
๊ธฐ๊ด์ ์ ๊ทผ์ด ์ฉ์ด ํ์ง์์ ์ธ๊ทผ ์์์ด๋ ์ฝ๊ตญ์ด์ฉ์ ์์กดํ๊ณ ์์ผ๋ฏ๋ก ๊ทผ๋ณธ์ ์ธ ์น
๋ฃ๊ฐ ๋ฆ์ด์ง๊ณ ์๋ค๊ณ ๋ณธ๋ค.
4. ๊ฐ์กฑ์ญ๋ ๋ฐ ๊ฐ์ ๋ฌธ์ ์ ์์ด์ ๊ฐ์ฌ์ด์์ ๊ฒฐ์ ์ ๋๋ถ๋ถ ๋ถ์ธ์ด ํ๊ณ ์๋๊ฒ(47 4
%)์ผ๋ก ๋ํ๋ฌ๋๋ฐ, ๊ฐ์ฌ์ด์์ด ๋จ์ํ๊ณ ๋จํธ์ ์์
์ด ๋ฎ๊ธฐ ๋๋ฌธ์ด๋ผ๊ณ ๋ณธ๋ค. ์น์ฒ๊ณผ์
์๋๋ ํฐ์ผ๋๋ง ์๊ณ (47.7%) ๊ฐ์กฑ์ด ํจ๊ปํ๋ ์๊ฐ์ ์ ์ํธ์ผ๋ก ์ธ์งํ๊ณ ์์์ผ๋ฉฐ(42
.8%) ๊ฐ์ ๋ด์ ๋ถํ๋ฅผ ์ผ์ผํค๋ ๋ด์ฉ์ ๊ฑด๊ฐ์์ ๋ฌธ์ (40.4%)์ ๊ฒฝ์ ์ ์ธ ๋ฌธ์ (37.4%)๊ฐ
๋๋ถ๋ถ์ด์๋ค. ๊ฐ์กฑ ๊ฒฐ์๋ ฅ์ด ์ฝํ๋ค๊ณ ๋ณด๋ฉฐ ์ง์ญ์ฌํ ์ฃผ๋ฏผ์ ๊ด์ฌ์ด ์๊ตฌ ๋๋ค๊ณ ๋ณธ๋ค.
5. ๋ถ๋ถ๋ฌธ์ ๋ก๋ ๊ฐ์กฑ์์ ๋ํ ๊ฑด๊ฐ๋ฌธ์ , ๋ฐฐ์ฐ์์ ์ํ๋ฌด๋ฅ๋ ฅ, ๋ถ๋ถ๊ฐ์์ฑ๊ฒฉ ์ฐจ์ด์
๋ฌธ์ ๊ฐ ์ฃผ๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ์ผ๋ฉฐ ๋ถ๋ถ๊ฐ์ ๋ํ์๊ฐ์ ์ ๋๋ก ๊ฐ์ง ๋ชปํ๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ
๋ค(54.4%). ๋ํ ๋ด์ฉ์ ์ผ์ ์ํ ์ด์ผ๊ธฐ ์ด๋ฆผ์ด์ด์ ๋ด์ฉ์ ๋ํ ๊ฒ์ผ๋ก ์กฐ์ฌ ๋์๊ณ ,
์๋
์์ ๋ํ ๋ด์ฉ์ ๊ต์ก๋ฌธ์ ์ ๋ํ ๊ฒ์ด ๊ฐ์ฅ ๋ง์ ๊ฒ์ผ๋ก ๋ํ๋ฌ๋ค(35 8%). ์ดํผ์
๋ํ ํ๋๋ ๋งค์ฐ ๋ถ์ ์ ์ผ๋ก ๋ํ๋ฌ์ผ๋ฉฐ(90.2%), ์๋
๊ต์ก์ ๋ํ ๊ด์ฌ์ด ๋์ ๊ฒ์ผ๋ก
๋ณด์ ์ํ๊ฐ๋ฅ์ฑ์ด ์๋ค๊ณ ๋ณธ๋ค.
6. ๊ฑด๊ฐ๊ณผ ๊ด๋ จ๋ ๊ฐ์ ์ ๋ฌธ์ ๋ก๋ ์
์๋น ๋ฌธ์ , 2,3์ฐจ ์๋ฃ๊ธฐ๊ด์ ์น๋ฃ๋น ๋ฌธ์ , ๊ฑด๊ฐ
๋ฌธ์ ๋ก ์ธํ ์ง์
์์ค, ์ ์ฒด ์ฅ์ ์์ ๋ฐ๊นฅ ์ถ์
๋ฌธ์ , ์๋
์ ๊ฐ์ถ, ์ฃผ๊ฑฐ ๊ณต๊ฐ ๋ถ์กฑ,
๊ฐ๋ณ์ธ ๋ฌธ์ , ์๋ฃ์ด์ฉ ์ ๋ณด๋ถ์กฑ, ์ ๋ฌธ์๋ฃ๊ธฐ๊ฐ์ ์ ํ๋ฑ์ ๋ฌธ์ ๊ฐ ๋ฐ๊ฒฌ๋์๋ค.
7. ๋ณธ ์กฐ์ฌ๋์ ๊ฐ์กฑ์ ๊ฑด๊ฐ๋ฌธ์ ์ ๊ฑด๊ฐ๊ณผ ๊ด๋ จ๋ ๊ฐ์ ์ ๋ฌธ์ ๋ฅผ ํด๊ฒฐํ๊ธฐ์ํ ๋ฐฉ์์ผ
๋ก ์ง์ญ๋ณด๊ฑด๊ฐํธ์ฌ์ ํ๋ ์์ญ์ผ๋ก์๋ ๋ณด๊ฑด ๊ต์ก, ์ง์ ๊ฐํธ ์๋น์ค ์ ๊ณต, ์๋ด์ ์ญํ
, ์์ํ์ฉ๊ณผ ์๋ขฐ ํ๋, ์ฐ๊ตฌ์ ํ๋์ ๊ฐํธ์ฌ์
์ด ์๊ตฌ๋๋ฉฐ ์ ์ฑ
์ง์ ๋ฐฉ์์ผ๋ก๋ ๊ณต๊ณต
์ ๋ฌธ์๋ฃ๊ธฐ๊ฐ์ ํ๋ณด, ํ์ ์ฒด๊ณ์์ ์ง์, ์ฌํ๋ณต์ง์ฒด๊ณ์์ ์ง์, ์ง์ญ์ฌํ ์ฃผ๋ฏผ๊ณผ ์๋ฃ
์ธ๋ค์ ๊ด์ฌ๊ณผ ์ฐธ์ฌ๋ก ๋ฌธ์ ํด๊ฒฐ ๋ฐฉ์์ ๋ชจ์ํด ๋ณด์๋ค.
A STUDY ON FAMILY HEALTH CONDITIONS AND HEALTH PROBLEMS OF URBAN LOW INCOME
FAMILIES REQUIRING VISITING HEALTH CARE
Kim, Young Ja
Graduate School of Health Science and Management Yonsei University
(Directed by Professor Cho, Won Jung. Ph.D.)
This study was survey of family health conditions and health problems of low
income families requiring visiting health care. This study was done to provide for
visiting health care plan basic data and supply quality medical services to the
subject families.
The subject were 326 families requiring visiting health care in an urban poor
area of three blocks in S District. Data collection was completed for 128 families
which were surveyed for analysis. The study tool used was a questionnaire for
family health exam which was a modification tool of the health problems survey by
EuiSook, Kim which was designed in 1990 for use with the urban poor.
The questionnaire was composed of 65 items including demographic information on
family mebers, environmental conditions, families health problems, family dynamics,
husband and wife problems medicaid and health related activities.
The period for data collection was a total of 35 days from April. 6, 1992 to May
10, 1992 and the method used was a home visiting interview using the questionnaire.
The data was analyzed according to several units; individual, couple and household.
Incidence and percentage were used to analyze the characteristics of the family for
each item of the questionnaire.
Health problems were analyzed for the individuals. Actual numbers and percentages
were used to analyze the method of the treatment used and the health problems
according to body system, and to sex. Family dynamics were analyzed for households
unit; variables regarding husband and wife problems were analyzed for couples using
actual numbers and percentages. Health related family problems were analyzed using
actual numbers.
The following conclusions are based on the result of the survey for general
characteristics, environmental sanitary conditions, health problems, family
dynamics, husbands and wife problems and the health related family problems.
1. The result showed that 79.7% of the families had a meber with a chronic
disease. Chronic health problems were 4.5 times higher than acute ones, 56.7% of
the chronic diseases were found in the 30-50 age group, people who must participate
in economic activities. The main health problems was chronic disease in the middle
aged group.
2. In the survey of health problems according to the physical system for family
mebers, chronic health problems in the muscle andskeletal system showed the
most(23.9%). The circulatory system showed next(19.6%). These results indicate that
there are a high number of mobility disabled who need visiting health care.
3. In case of utilization medical facilities, acute health problems were solved
using care in hospitals and drug stores (70.0%). But early chronic health problems
were solved mainly using care in hospitals or medical clinics(55.2%) but changing
medical facilities was frequent(20.7%) and 23.4% were not receiving treatment. They
stopped receiving care for symptoms because of the progress made under the hospital
treatment was poor.
4. Decisions of household affairs were generally made by wives (47.0%). Mainly
because the household affairs were very simple and husbands' incomes were very low.
Relatives visited for big events (47.7%). They spent few hours together as family
mebers(42.8%).
Health problems(40.4%) and economic problem were the main causes of home
troubles.
The result showed that the family dymamics were poor.
5. The main problems between husband and wife were caused by family health
problems, incompetent spouses and differences of the character between husband and
wife. The number of hours spent in conversation between the couples were very
low(54.4%). The main subjects of the conversations were life and household affairs.
The main subject of the conversation with children was education(35.8%).
These couples' attitudes to divorce were negative(90.2%). This result showed that
these families were interested in their children's education and had traditional
attitudes.
6. Health related family problems were hospital charges, medical fees for
secondary and tertiary class medical services, loss of job due to health problems,
physical handicapped persons' the outdoor life, children who run away from home,
lack of space in residence, caretaker's problem, lack of medical information and
limited professional medical organizations.
7. Nursing care addressing solutions to the health problems and health related
family problems should include health education, direct nuring service, the role of
counsellor, the use of resources and requiring activity, and the researcher's
activity are required.
Policy support plans, such as, increasing public professional medical
organizations, governmental help, social welfare expansion and expanding the
interest and participation of medical personnel and the local community people are
needed.restrictio
(A) comparative study of knowledge on tuberculosis between the delinquent and non-delinquent of the Yonhee Community Health Service Center
๊ฐํธํ๊ต์ก์ ๊ณต/์์ฌ[ํ๊ธ]
๊ฒฐํตํด์น๋ฅผ ์ํ ๋ฒ ๊ตญ๊ฐ์ ์ธ ๊ฒฐํต๊ด๋ฆฌ์ฌ์
์๋ ๋ถ๊ตฌํ๊ณ ๊ฒฐํต์น๋ฃ ๋์ค์ ์ค๋จํ๊ฒ ๋๋ ์น๋ฃ์ค๋จ์์ ๋ฌธ์ ๋ ๊ฒฐํต๊ด๋ฆฌ์ ์ค๋ํ ๋ฌธ์ ๋ก ๋๋๋๊ณ ์๋ค.
๋ณธ ์ฐ๊ตฌ๋ ๊ฒฐํต์น๋ฃ์ค๋จ์์ ๊ณ์์์ ๊ฒฐํต์ ๊ดํ ์ง์์ ๋น๊ตํ๊ธฐ ์ํ์ฌ ์๋๋์๋ค.
์ฐ๊ตฌ์ ๋ชฉ์ ์
1. ๊ฒฐํต์น๋ฃ ์ค๋จ์์ ์น๋ฃ๊ณ์์์ ์ผ๋ฐ์ ์ธ ํน์ฑ๊ณผ ๊ฒฐํต์น๋ฃ๋ ฅ์ ํน์ฑ์ ๋น๊ต, ์กฐ์ฌํ๋ค.
2. ๊ฒฐํต์น๋ฃ์ค๋จ์์ ์น๋ฃ๊ณ์์์ ๊ฒฐํต์ ๊ดํ ์ผ๋ฐ์ ์ธ ์ง์์ ๋น๊ต ์กฐ์ฌํ๋ค.
์ฐ๊ตฌ๋์์ ์์ธ์๋ด Y ๋ณด๊ฑด์ ๊ฒฐํต์ค์ ๋ฑ๋ก๋ ํ์์ค ์ค๋จ์ 41๋ช
๊ณผ ๊ณ์์ 42๋ช
, ์ด 83๋ช
์ ๋์์ผ๋ก ํ์๋ค.
์ฐ๊ตฌ์กฐ์ฌ๋ 1977๋
9์ 1์ผ๋ถํฐ 10์ 10์ผ ์ฌ์ด์ ์ค์๋์์ผ๋ฉฐ ์ฐ๊ตฌ๋๊ตฌ๋ ์ ์๊ฐ ์์ฑํ ๋ฉด์ ์ง์ ๊ฒฐํต์ค์ ๋น์น๋ ํ์๊ธฐ๋ก๋ถ๋ฅผ ์ฐธ๊ณ ํ์๋ค.
์๋ฃ์์ง์ ๋ณธ ์ฐ๊ตฌ์กฐ์ฌ๋ฅผ ์ํ์ฌ ํ๋ จ๋ ๋ฉด์ ์๊ฐ ๋ฉด์ ์ง๋ฅผ ๊ฐ์ง๊ณ ๋์์๋ฅผ ์ง์ ๋ฉด์ ํ์ฌ์์งํ์์ผ๋ฉฐ ์์ง๋ ์๋ฃ๋ ๋์์์ ์๋ฃ์์ง์ ๋ณธ ์ฐ๊ตฌ์กฐ์ฌ๋ฅผ ์ํ์ฌ ํ๋ จ๋ ๋ฉด์ ์๊ฐ ๋ฉด์ ์ง๋ฅผ ๊ฐ์ง๊ณ ๋์์๋ฅผ ์ง์ ๋ฉด์ ํ์ฌ ์์งํ์์ผ๋ฉฐ ์์ง๋ ์๋ฃ๋ ๋์์์ ์ผ๋ฐ
์ ์ธ ํน์ฑ๊ณผ ๊ฒฐํต์น๋ฃ๋ ฅ์ ๋ฐฑ๋ถ์จ๊ณผ ฯ^^2 - test, ๊ฒฐํต์ ์ผ๋ฐ์ ์ธ ์ง์์ ๊ดํ ๋ฌธํญ์ ์ ์ฒด์ ์ ๋ต์จ๋ก ๋น๊ตํ๊ณ ๋์์ 1์ธ์ ์ด์ ๋ต์๋ฅผ ๋ฌธํญ๋ณ, ์์ญ๋ณ๋ก ๊ตฌ๋ถํ์ฌ t-test๋ก ์ฒ๋ฆฌํ์๋ค.
๋ณธ ์ฐ๊ตฌ์ ์ํด ์ป์ด์ง ๊ฒฐ๊ณผ๋ฅผ ์์ฝํ๋ฉด ๋ค์๊ณผ ๊ฐ๋ค.
1. ๋์์์ ์ผ๋ฐ์ ํน์ฑ๊ณผ ๊ฒฐํต์น๋ฃ๋ ฅ
๋์์์ ์ผ๋ฐ์ ์ธ ํน์ฑ์์๋ ์ฐ๋ น, ์ฑ๋ณ, ๊ฒฐํผ์ํ, ๊ต์ก์์ค, ์ง์
์ ๋ํด ์กฐ์ฌํ์์ผ๋ฉฐ ์ค๋จ์๊ตฐ๊ณผ ๊ณ์์๊ตฐ๊ฐ์ ์ ์ํ ์ฐจ์ด๋ฅผ ๋ณด์ด๋ ๊ฒ์ ์ง์์ ์ ,๋ฌด,๊ด๊ณ ๋ฟ์ด์์ผ๋ฉฐ ๋ค๋ฅธ ํน์ฑ์์๋ ์ ์์ฑ์ด ์์ด ๋์ง๋จ์ ๋น๊ต๊ฐ ํ๋นํ์๋ค.
๋์์ 83๋ช
์ ์ฐ๋ น๋ถํฌ๋ 16์ธ์์ 71์ธ๊น์ง๋ก, ํ๊ท ์ฐ๋ น์ 40.4์ธ์๊ณ ๋จ๋
์ ๋น๋ 1.5:1๋ก ๋จ์๊ฐ ๋ง์๋ค.
๊ฒฐํผ์ํ๋ ๊ธฐํผ์๊ฐ ๋ง์๊ณ ๊ต์ก์์ฃผ๋ ๊ณผ๋ฐ์๊ฐ ๊ตญ์กธ์ดํ์์ผ๋ฉฐ ์๊ฐ์์ ์จ์ 54.2%์๋ค.
์ง์
์ ๋ถํฌ๋ ๋ฌด์ง์ด ์ ์ผ ๋ง์์ ๊ณ์์๊ฐ 85.8%๋ก ์ค๋จ์ 60.9%๋ณด๋ค ๋์๊ณ ํต๊ณ์ ์ธ ์ ์์ฑ์ด ์์๋ค(ฯ^^2 = 6.59, d.f. = 1, P < 0.05).
๋์์์ ๊ฒฐํต์น๋ฃ๋ ฅ์ ๋ณด๋ฉด ๊ฒฐํต์ง๋จ์ ๋ฐ์ ๊ธฐ๊ด๊ณผ ์น๋ฃ์์๊ธฐ๊ด์ ๋ณด๊ฑด์๊ฐ ๊ฐ์ฅ ๋ง์์ ๋๋ถ๋ถ์ ํ์๊ฐ ๊ฒฐํต์ง๋จ ๋ฐ์๊ธฐ๊ด์์ ์น๋ฃ๋ฅผ ์์ํ๋ ์์์ ์ ์ ์์๋ค.
Y๋ณด๊ฑด์ ๋ฑ๋ก๋น์ ๊ฒฐํต์ ์ํ๋ 79.5%๊ฐ ์ค๋ฑ์ค์ด์์ด์๊ณ ์น๋ฃํ ๊ฐ๋ด์ํ๊ฐ ์ข์์ง๋ ์น๋ฃ๋ฅผ ์ค๋จํ๋ ์์์ ๋ณด์๋ค.
์น๋ฃ์์ํ 1๋
๋ด์ 2๋
์ด์ ๊ธฐ๊ฐ์ด ๊ธธ์ด์ง๋ ์ค๋จํ๋ ์จ์ด ๋์์ผ๋ฉฐ ์น๋ฃ์ค๋จ์ ์ด์ ๋ ํ์์ธก์ ์ด์ ๊ฐ ๋์๊ณ ํนํ ์๊ฐ์ฆ์์ด ์์๋ ์น๋ฃ์ค๋จ์จ์ด ๊ฐ์ฅ ๋์ ์๊ฐ์ฆ์ฐ๋ง ์์ผ๋ฉด ๋ณ์ด ์์น๋๋ ๊ฒ์ผ๋ก ์๊ณ ์น๋ฃ๋ฅผ ์ค๋จํ๊ฒ ๋๋ ๊ฒฝํฅ์ ์ ์ ์์๋ค.
2. ๋์์์ ๊ฒฐํต์ ๊ดํ ์ง์
๊ฒฐํต์ ๊ดํ ์ผ๋ฐ์ ์ธ ์ง์์ธ 31๋ฌธํญ์ ๋ํ ์ง์์ ๋๋ ์ ๋์์์ 57.9%์ ์ ๋ต์จ์ ๋ณด์ฌ ๊ณผ๋ฐ์์ด์์ด ๊ฒฐํต์ ๊ดํ ์ผ๋ฐ์ ์ธ ์ง์์ ๋ํด ์๊ณ ์์๋ค.
์ค๋จ์๊ตฐ์์๋ 55.5%, ๊ณ์์๊ตฐ์์๋ 60.3%์ ์ ๋ต์จ์ ๋ณด์ด๊ณ ์์ด ๊ณ์์๊ตฐ์์ ์ฝ๊ฐ ๋์ ๊ฒฐ๊ณผ์์ผ๋ ์ ์ํ ์ฐจ์ด๋ ์์๋ค.
5๊ฐ์ ์์ญ๋ณ ์ง์์ผ๋ก ๊ตฌ๋ถํ์ฌ ๋น๊ตํด๋ณธ ๊ฒฐ๊ณผ ๊ฒฐํตํ์์ ๊ฐํธ์ ๊ดํ ์ง์์์ญ์ด 78.7%๋ก ๊ฐ์ฅ ๋์ ์ ๋ต์จ์ ๋ณด์๊ณ ๊ทธ๋ค์์ ์งใท๋จ์ ๊ดํ ์์ญ, ๊ฐ์ผ์ ๊ดํ ์์ญ, ์น๋ฃ ๋ฐ ํฌ์ฝ์ ๊ดํ ์์ญ์ ์์ด์๊ณ ๊ฒฐํต์๋ฐฉ์ ๊ดํ ์์ญ์ด 37.3%๋ก ๊ฐ์ฅ ์ ์กฐํ ์ ๋ต์จ์ ๋ณด์ฌ์ฃผ๊ณ ์๋ค.
31 ๋ฌธํญ์ ๋ํ ์ ๋ต์์ ๋ถํฌ๋ ์ต๊ณ ๊ฐ 28์ด๊ณ ์ตํ๋ 4๋ก์ ์ ๋์์์ ํ๊ท ์ ๋ต์์ ํ์คํธ์ฐจ๋ 17.3 ยฑ 5.10 ์ด์๋ค.
31 ๋ฌธํญ์ ๋ํ ์ค๋จ์๊ตฐ์ ํ๊ท ์ ๋ต์์ ํ์คํธ์ฐจ๋ ์ค๋จ์๊ตฐ์์ 16.4 ยฑ 5.13, ๊ณ์์๊ตฐ์ 18.2 ยฑ 5.63 ์ผ๋ก ๊ณ์์๊ตฐ์ด ์ฝ๊ฐ ๋์์ผ๋ ๋์ง๋จ๊ฐ์ ํต๊ณ์ ์ธ ์ ์์ฑ์ ์์๋ค(t = 1.54, d.f. = 81, P > 0.05).
์์ญ๋ณ ์ ๋ต์ ๋ถ์์์ ์ค๋จ์๊ตฐ๊ณผ ๊ณ์์๊ตฐ๊ฐ์ ์ ์ํ ์ฐจ์ด๋ฅผ ๋ณด์ด๋ ๊ฒ์ ๊ฒฐํต์๋ฐฉ์ ๊ดํ ์์ญ(t = 1.67, d.f. = 81, P < 0.05) ๊ณผ ๊ฒฐํต์น๋ฃ ๋ฐ ํฌ์ฝ์ ๊ดํ ์์ญ(t=2.16, d.f. = 81, P < 0.05) ์ด์๋ค. ๋ณธ ์ฐ๊ตฌ์ ๊ฒฐ๊ณผ๋ฅผ ๊ธฐ๋ฐ์ผ๋ก ํ์ฌ ๋ค์๊ณผ ๊ฐ์ด ์ ์ธํ๋ค.
1. ์ง์์ด ๊ฒฐํต์น๋ฃ์ ๊ณ์๊ณผ ์ค๋จ์ ๋ฏธ์น๋ ์ํฅ์ ๋ํ ์ข
๋จ์ ์ฐ๊ตฌ.
2. ๋์์ ๊ฐ์ธ์ ๊ณผ๊ฑฐ๊ฒฝํ์ด๋ ๊ต์ก์ด ๊ฒฐํต์น๋ฃ์ ํ๋์ ๋ฏธ์น๋ ์ํฅ์ ๊ดํ ์ฐ๊ตฌ
3. ๊ฐํธ์์ ๋น๋กฏํ ๊ฑด๊ฐ์์์ ์ญํ ์ด ๊ฒฐํตํ์์ ์ง์์ ๋ฏธ์น๋ ์ํฅ์ ๊ดํ ์ฐ๊ตฌ.
[์๋ฌธ]
The fact that there still exist a numerous pulmonary tuberculosis patients who discontinue proper tuberculosis treatment inspite of the national tuberculosis control system. Thisstudy was designed to find out how those who discontinued tuberculosis treatment(the delinquents) and who are continuously under proper treatment (the non-delinquents) know on tuberculosis and to compare knowledge between those two groups.
The specific objectives of this study are:
1. To find out the general characteristics and treatment history of tuberculosis of the delinquents and the non-delinquents.
2. To compare the extent of knowledge on tuberculosis between the delinquents and the non-delinquents.
The subjects of this study was 83 consist of 41 delinquents and 42 non-delinquents. The subject was sample from the patient registerd at the tuberculosis clinic of "Y" Community Health Service Center in Seoul. The data was obtaioned by personal interview from September 1 to October 10, 1977. The auther developed a interview schedule that is consist of thirty one items which are devided into five categories, all items were answered by true and false.
The general characteristics and treatment history of tuberculosis was analized by the percentage and ฯ^^2-test and the knowledge on tuberculosis were figured by percentage and t-test for statistical significance.
The results of this study are as follows:
1. General characteristics and teatment history of tuberculosis:
The age range of the 83 subjects extends from 16 to 71 with on average of 40.4 years, and sex ratio was male 1.5: female 1. Inmarriage status the married was over 50% and 49.4% of the subjects was educated in the elementary school. 60.9% was unemployees in the delinquents as compared with the non-deliquents 85.8% and the fact showed statistical significance (ฯ^^2=6.59, d.f.=1 p<0.05)
The most of the subjects were diagnosed and treated at a Health Center. The diagnostic level of tuberculosis at the "Y" Health Center was mostly modrate and far advanced tuberculosis. It was found that tuberculosis treatment was stopped when the subjects did not have subjective symptoms and 53.2% delinquents have had tuberculosis treatment over two years.
2. Knowledge on tuberculosis:
The initial step in the data analysis was to make a percentge analysis of a right answers to each item which would determine the subject's knowlege to each of the thirty one items. 57.9% of the total answer were correct. The fact implies that more than a half of the items were correctly known by the subjects. In detail, the delinquents revealed 55.5% of correct answer while that of the non-deliquents were 60.3%
Among the five cathegories of the knowledge, as follows:
The subjects showed 78.7% of correct answer on cathegory of nursing care of tuberculosis that was the highest. Preventure measure of tuberculosis was the lowest cathegory. Only 37.3% of the subjectives cheched right answer on these items of the cathegory.
Numer of correct answer for one subject ws scored twenty eight out of thirty one items were the highest correct answer and the lowest correct answer was four. Mean and standard deviation was figured as 17.3 ยฑ 5.10. The mean and standard deviation of the delinquent group was 16.4 ยฑ 5.13 and in the group of delinquent was a slightly higher as being 18.2 ยฑ 5.63, and thus no remarkable significance noted between the two groups (t=154, d.f.=81, p<0.05)
In analysis of correct answer by each cathegory, a remarkable difference the delinquent and the non-delinquents was on the cathegory of prevention of tuberculosis ( t=1.67, d.f.=81, p>0.05)restrictio