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이경희 ( Lee Kyung-Hee ) - 경북대학교 보건대학원
박재용 ( Park Jae-Yong ) - 경북대학교 보건대학원
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Abstract
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School nurses, in service of 102 special schools in Korea, were surveyed by mail questionnaires from February to March, 1991 and 77 of them responded. Collected data were analyzed to establish th direction of health management in special school and to provide basic reference data for improving the quality of the management of school-nurses services. The major findings are as follows: Out of special schools surveyed, 67.5% is private school and 83.2% is located in city. The average number of classes, students, and educational personnels per special school is 17.2, 194, and 28 respectively. The average age of school -nurses surveyed is 32.7%. The proportion of graduates from the junior college and upward was 97.4%, the proportion of the married was 71.4%. Out of respondents, 71.4% has religion ; 79.2% has past career in the fields of clinics or public health ; 62.3% accompanishes independent services ; 77.9% belongs to primary school. About 69% of nursing room in special schools surveyed is located at the first floor. Out of special school surveyed, 90.9% has no organization for school health programmes ; Only 18.2% entrusted everyone of school doctor, school dentist, and school pharmacists with school health, 46.8% of respondents didn’t know about the annual budget for school health programmes. The average annual expenditure for school health programmes per special school was 317,000 won and the purchase cost for medical supplies accounted for the larger part of them. The monthly average number of students utilizing school nursing room was 71 per school, annual utilization times of school nursing room was 4.4 per student and utilization due to injury was prevalent by 26.6% and there is some differences in using the school nursing room according to disabled area. Rate of referred to medical facilities was 1.4%. The leading reason of referral to medical facilities was high fever among those who have visual handicaps, fracture among those who have emotional disturbance, injury by trauma among others. Nine hundred fifty six students of students in special school surveyed have suffered from epilepsy and prevalance rate of epilepsy was 6.4%. Only 22.6% of respondents replied that they had physical examination more than 2 times per year. Out of respondents, 98.7% answered that they had health education and 67.1% them answered that they educated in a classroom. 98.7% of respondents emphasized need of sex education. Respondents put the most emphasis on the personal hygiene when they performed health education and they used broadcasting education in the area of visual handicaps. OHP of VTR in hearing handicaps, home correspondence or OHP·VTR in order area importantly. About 47% of repondents answered that health education was the most difficult and they emphaszed that definite guide on health management was requested. Respondents had self-confidence and high performance rate in most of school-nurses; services completely, but so they was not in area of evaluation of school health programmes, and examination of physical strength, evaluation of health education, management of school purification area, suture of wounds. In consideration of above findings. we may conclude that special education for school-nurse in special schools as well as improvement of definite guiding principles are requested to establish direction for health management in special schools and improve the degree of quality for school-nurses’ services in special schools.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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