2020 전면개정 김희영 지역사회간호

제 1 편 지역사회 간호요구 사정

01 국내외 보건정책 이해······································ 14
01 보건정책····················································· 14
02 지역사회보건간호의 정의······························· 18
03 지역사회간호의 역사····································· 34
04 보건의료체계의 이해······································ 42
05 사회보장제도················································ 72
06 의료보장제도················································ 79
07 국제보건의 이해··········································· 110

기출문제·························································· 117
Final Test ······················································· 127
02 지역사회간호과정·········································· 135
01 지역사회간호의 대상···································· 135
02 지역사회간호의 목표···································· 137
03 지역사회간호 활동······································· 138
04 지역사회간호 과정······································· 141
05 기능의 연속지표(건강지표) ·························· 156
06 지역사회간호 수단······································· 157

기출문제·························································· 177
Final Test ······················································· 189

제 2 편 역학과 질병관리
01 역학···························································· 198
01 역학의 개요················································ 198
02 역학연구 방법············································· 201

02 질병관리······················································ 208
01 질병의 발생················································ 208
02 질병관리···················································· 217

기출문제··························································· 308
Final Test ························································ 321

제 3 편 보건사업 기획
01 기획이론······················································· 328
01 지역사회보건사업 기획의 이해··············· 328
02 지역사회보건사업 기획의 모형··············· 330
03 지역사회보건사업의 기획과정················ 336

02 교환이론······················································· 340
01 개념························································ 340
02 주요 개념················································ 341
03 지역사회간호에서의 교환과정················ 341

03 체계이론······················································· 342
01 체계의 구조와 기능································ 342
02 주요 개념················································ 343
03 지역사회간호에의 적용··························· 344

04 Roy의 적응이론·········································· 346
01 이론의 개요············································ 346
02 주요 개념················································ 346
03 이론의 간호과정 적용···························· 348

05 Orem의 자가간호이론································ 349
01 이론의 개요············································ 349
02 주요 개념················································ 349
03 이론의 간호과정 적용···························· 350
04 오렘의 자가간호결핍이론을 적용하기 위해
요구되는 4가지 인지적 행동·················· 351

06 Neuman의 건강관리체계이론··················· 352
01 개념························································ 353
02 주요 개념················································ 354
03 이론의 간호과정 적용···························· 355
04 Neuman 모델을 적용함에 있어서의
장?단점················································· 356
05 Neuman의 건강관리체계이론을 적용한
간호사정 지침········································· 357

07 보건정보 및 기술 활용······························· 359
01 지역보건의료 정보시스템(PHIS) ············· 359
02 보건의료 분야에서의 지리정보시스템(GIS,
Geographic Information System)의 활용
······························································· 360
03 전자자료 교환(EDI, Electronic Data
Interchange)의 역할······························ 360
04 보건의료 분야에서의 u-health 활용····· 361
05 보건의료 분야에서의 빅데이터 활용······ 361

08 보건사업 질 관리········································ 362
01 정의························································ 362
02 질 관리의 구성요소································ 362
03 질 관리의 접근방법································ 363
04 질 관리 평가방법:서비스의 질 평가모형
SERVQUAL ············································· 364

기출문제······························································ 365
Final Test ··························································· 369


제 4 편 1차 보건의료와 건강증진, 보건소의 기능
01 1차 보건의료················································ 374
01 1차 보건의료의 역사 및 대두 배경········ 374
02 1차 보건의료의 개념과 접근원칙··········· 375
03 1차 보건의료사업의 내용(WHO) :필수요소
10가지····················································· 376
04 지역사회간호와 1차 보건의료················· 376

02 건강증진······················································· 377
01 건강증진 개념········································· 377
02 건강증진 발달과정·································· 378
03 건강증진의 목표····································· 382
04 건강증진 원칙과 주요 영역···················· 382
05 국민건강증진법······································· 385
06 건강신념모형(HBM) ································ 309
07 Pender의 건강증진모형(HPM) ··············· 400
08 Green의 PRECEDE?PROCEED 모형··· 403
09 횡이론적 변화단계이론[The Transtheoretical
Model and Stages of Change(TTM)]
······························································· 405

03 보건소··························································· 410
01 보건기관의 발전과정 및 설치기준········· 410
02 보건소의 조직체계·································· 411
03 지역보건법·············································· 411
04 보건진료소··················································· 428
01 보건진료소의 발전과정··························· 428
02 보건진료소·············································· 428

기출문제······························································ 433
Final Test ··························································· 453


제 5 편 산업보건
01 산업보건의 이해·········································· 458
01 산업간호의 정의····································· 458
02 산업간호의 목적····································· 458
03 산업간호의 역사····································· 458
04 산업보건 조직········································· 459
05 산업보건인력·········································· 461

02 건강진단······················································· 468
01 건강진단의 종류····································· 468
02 건강진단 건강관리 구분························· 471

03 작업환경 관리·············································· 474
01 유해물질 허용기준·································· 474
02 작업환경의 유해 인자와 유해성 영향요소
······························································· 475
03 작업환경관리의 기본원칙······················· 475

04 산업재해······················································· 477
01 산업재해의 개념····································· 477
02 산업재해 통계지표·································· 477
03 산업재해의 원인····································· 478
04 산업재해 발생의 역학적 요인················ 479
05 산업재해의 대책····································· 480
06 물질안전 보건자료(MSDS : Material Safety
Data Sheets) ········································· 481

05 산업장 건강문제·········································· 482
01 산업피로················································· 482
02 직업성 질환············································ 485

기출문제······························································ 507
Final Test ··························································· 515

제 6 편 학교보건
01 학교보건의 이해·········································· 520
01 학교보건의 개요····································· 520
02 학교보건 관련법····································· 522
03 학교보건 인력의 배치 및 직무··············· 527

02 학교보건사업··············································· 530
01 학교보건사업의 개요······························ 530
02 학교보건사업의 주요 내용····················· 531
03 학교보건사업의 변천과정······················· 534

03 학교간호과정··············································· 536
01 학교간호과정의 개요······························ 536
02 학교간호과정·········································· 537

04 학생건강평가··············································· 542
01 건강평가의 개요····································· 542
02 신체발달상황·········································· 546
03 건강조사················································· 547
04 정신건강 상태 검사································ 548
05 건강검진················································· 548

05 보건실 운영관리·········································· 551
01 보건실 관리············································ 551
02 보건실 방문학생의 지도························· 556

06 학교환경관리··············································· 558
01 교내환경관리·········································· 558
02 교육환경 보호에 관한 법률(약칭：교육
환경법) ···················································· 566

07 학교 내 감염병 예방관리지침···················· 573
01 예방접종················································· 573
02 감염병 관리············································ 574

08 학교건강증진··············································· 577
01 학교건강증진 개념·································· 577
02 학교건강증진 프로그램··························· 578

기출문제······························································ 583
Final Test ··························································· 586

제 7 편 보건교육
01 보건교육의 개념·········································· 592
01 보건교육의 정의····································· 592
02 보건교육의 원리····································· 594
03 학습에 영향을 미치는 요인···················· 595
04 보건교육 시 고려할 사항······················· 596
05 보건교육 대상별 특성···························· 596
06 보건교육가의 자질·································· 597

02 보건교육 관련 이론···································· 599
01 행동주의················································· 599
02 인지주의················································· 600
03 인본주의················································· 601
04 구성주의················································· 603
05 사회학습이론(Bandura) ·························· 603
06 합리적 행동이론(TRA; Theory of Reasoned
Action) ···················································· 604
07 계획된 행동이론(TPB; Theory of Planned
Behavior) ··············································· 605

03 보건교육계획과 보건교육지도안 작성······· 607
01 보건교육요구 사정·································· 607
02 우선순위 설정········································· 608
03 목적 설정················································ 608
04 집행계획 수립········································· 612
05 평가계획 수립········································· 612
06 보건교육지도안 작성······························ 613

04 보건교육 실시·············································· 616
01 보건교육 실시········································· 616
02 보건교육 방법········································· 622
03 보건교육매체 활용·································· 634

05 보건교육 평가·············································· 641
01 보건교육 평가 목적································ 641
02 보건교육 평가단계·································· 641
03 보건교육 평가유형·································· 641
04 보건교육 평가방법·································· 643

기출문제······························································ 645
Final Test ··························································· 651


제 8 편 모자보건사업
01 모자보건의 개요·········································· 656
01 모자보건의 정의····································· 656
02 모자보건사업의 대상자 및 목적············· 656
03 모자보건의 중요성·································· 657
04 우리나라 모자보건사업의 내용··············· 658
05 모자보건사업의 발전 방향····················· 658
06 모자보건지표·········································· 660

02 모성 건강관리·············································· 663
01 혼전 관리(임신 전 관리) ························ 663
02 산전 관리················································ 663
03 분만 및 산욕기 관리······························ 667
04 고위험 임산부 관리································ 671

03 아동 건강관리·············································· 673
01 신생아 건강관리····································· 673
02 영유아 건강관리····································· 674
03 미숙아 건강관리····································· 685
04 선천성 이상아········································· 685

기출문제······························································ 687
Final Test ··························································· 691


제 9 편 인구 및 가족계획
01 인구의 이해················································· 696
01 인구의 개요············································ 696
02 인구이론················································· 697

02 인구통계······················································· 700
01 인구통계 자료원····································· 700
02 생정통계················································· 701

03 인구구조······················································· 704
01 성비(sex radio) ······································ 704
02 연령구조················································· 705
03 부양비····················································· 705
04 인구구조(인구 피라미드)의 유형············ 706
05 우리나라 인구구조의 변화····················· 707

04 인구문제······················································· 708
01 인구문제의 개념····································· 708
02 인구문제의 보건의료적 측면·················· 708
03 인구문제의 사회?경제적 측면··············· 709

05 인구정책······················································· 710
01 인구정책의 개념····································· 710
02 인구정책의 분류····································· 710
03 저출산?고령화 사회······························ 712

06 가족계획······················································· 716
01 가족계획의 이해····································· 716
02 가족계획사업·········································· 717

기출문제······························································ 727
Final Test ··························································· 732

제 10 편 가족간호
01 가족의 이해················································· 736
01 가족의 정의············································ 736
02 가족의 구조와 유형································ 736
03 가족의 특징············································ 738
04 가족의 기능············································ 738
05 취약 가족(Vulnerable families) ············· 740

02 가족간호······················································· 741
01 가족간호의 발전····································· 741
02 가족간호의 목적····································· 741
03 가족간호의 주요 이론···························· 742
04 간호대상으로서의 가족에 대한 4가지
관점······················································· 750
05 가족생활주기(Family Life Cycle, WHO)
······························································· 751
06 가족생활 주기별 발달과업과 건강문제·· 752

03 우리나라의 가족·········································· 755
01 가족의 변화············································ 755
02 우리나라의 가족정책······························ 757
03 다문화가족·············································· 758

04 가족간호 과정·············································· 760
01 사정단계················································· 760
02 간호진단：가족과 개인의 건강문제········ 765
03 계획단계················································· 766
04 수행단계················································· 766
05 평가단계················································· 767

기출문제······························································ 768
Final Test ··························································· 777


제 11 편 환경과 건강
01 환경오염의 이해·········································· 782
01 개념························································ 782
02 환경관련 용어········································· 783
03 환경과 관련된 국제협약························· 785

02 공기와 건강················································· 790
01 공기의 구성············································ 790
02 온열지수················································· 791
03 공기의 자정작용····································· 795
04 실내 공기오염········································· 795
05 대기오염················································· 798
06 대기오염 현상과 발생 기전···················· 801
07 대기오염의 일반적 대처························· 809

03 물과 건강····················································· 811
01 물···························································· 811
02 정수법····················································· 813
03 먹는물 수질기준 및 검사 등에 관한 규칙
······························································· 816
04 하수처리과정·········································· 820
05 수질오염················································· 823

04 식품과 건강················································· 830
01 세균성 식중독········································· 831
02 화학적 식중독········································· 834
03 자연독에 의한 식중독···························· 834
04 기타 식중독············································ 836
05 식중독예방·············································· 838

05 폐기물 처리················································· 839
01 폐기물의 정의와 종류···························· 839
02 폐기물 처리방법····································· 839
03 폐기물 관리정책····································· 842

06 환경 호르몬················································· 843
01 환경 호르몬의 정의································ 843
02 기전························································ 843
03 내분비계 장애물질의 특징····················· 843
04 환경 호르몬의 여러 가지 피해현상········ 844
05 환경 호르몬의 피해를 줄이기 위한 실천
사항························································ 844

07 환경영향 평가·············································· 845
01 내용························································ 845
02 환경오염의 대책····································· 846
03 환경오염의 규제방법······························ 847

08 의복······························································ 848
01 개념························································ 848
02 의복의 열전도율과 방한력····················· 849
03 의복과 건강············································ 849

09 주거와 건강················································· 850
01 대지의 선정············································ 850
02 조명························································ 850
03 자연 환기················································ 851
04 난방과 냉방············································ 851
05 기타 주거환경········································· 852

기출문제······························································ 853
Final Test ··························································· 856

제 12 편 지역간호사업
01 가정간호사업··············································· 866
01 가정간호의 정의와 필요성····················· 866
02 가정간호사업의 범위와 대상·················· 868
03 가정간호사업의 유형······························ 870

02 노인간호사업··············································· 872
01 노인인구의 정의····································· 872
02 노인인구의 특성····································· 872
03 노화현상················································· 873
04 노인간호················································· 874
05 노인복지사업·········································· 878

03 재활간호사업··············································· 890
01 재활의 이해············································ 890
02 재활간호················································· 895

04 안전 및 재난간호········································ 897
01 재난의 정의············································ 897
02 재난의 유형············································ 897
03 재난관리의 단계····································· 898
04 중앙재난안전대책본부···························· 899

05 보건통계······················································· 901
01 보건통계학의 개념·································· 901
02 측정수준················································· 901
03 표집조사················································· 902
04 비실험연구 중 서술연구의 종류············· 904
05 중앙집중화(대푯값) ································· 904
06 산포도····················································· 905

기출문제······························································ 907
Final Test ··························································· 910

부록 2019년 보건복지부의 업무계획 및 주요 정책

01 2019년 보건복지부 업무계획····················· 916
02 2019년 보건복지부의 주요 보건정책········ 920

* 참고문헌·························································· 946