PART 01 지역사회 간호요구 사정

01 국내외 보건정책 이해 ································ 16
01 보건정책 ···················································· 16
02 지역사회보건간호의 정의 ·························· 20
03 지역사회간호의 역사 ·································· 37
04 보건의료체계의 이해 ·································· 45
05 사회보장제도 ··············································· 76
06 의료보장제도 ··············································· 83
07 국제보건의 이해 ······································· 115
기출문제 ······················································· 121
Final Test ···················································· 142

02 지역사회간호과정 ··········································· 150
01 지역사회간호의 대상 ································ 150
02 지역사회간호의 목표 ································ 152
03 지역사회간호 활동 ··································· 153
04 지역사회간호 과정 ··································· 155
05 기능의 연속지표(건강지표) ······················ 170
06 지역사회간호 수단 ··································· 171
기출문제 ······················································· 190
Final Test ···················································· 209

PART 02 역학과 질병관리

01 역학 ·································································· 218
01 역학의 개요 ··············································· 218
02 역학연구 방법 ··········································· 221

02 질병관리 ·························································· 229
01 질병의 발생 ··············································· 229
02 질병관리 ···················································· 238
기출문제 ······························································· 321
Final Test ···························································· 340

PART 03 보건사업 기획

01 기획이론 ·························································· 346
01 지역사회보건사업 기획의 이해 ··············· 346
02 지역사회보건사업 기획의 모형 ··············· 348
03 지역사회보건사업의 기획과정 ················· 354

02 교환이론 ·················································· 358
01 개념 ····················································· 358
02 주요 개념 ············································· 359
03 지역사회간호에서의 교환과정 ················· 359

03 체계이론 ·················································· 360
01 체계의 구조와 기능 ······························· 360
02 주요 개념 ·············································· 361
03 지역사회간호에의 적용 ························ 362

04 Roy의 적응이론 ······································· 364
01 이론의 개요 ·········································· 364
02 주요 개념 ············································· 364
03 이론의 간호과정 적용 ··························· 366

05 Orem의 자가간호이론 ····························· 367
01 이론의 개요 ·········································· 367
02 주요 개념 ············································· 367
03 이론의 간호과정 적용 ··························· 368
04 오렘의 자가간호결핍이론을 적용하기
위해 요구되는 4가지 인지적 행동 ········· 369

06 Neuman의 건강관리체계이론 ················· 370
01 개념 ····················································· 371
02 주요 개념 ············································· 372
03 이론의 간호과정 적용 ··························· 373
04 Neuman 모델을 적용함에 있어서의 장 단점 ················································· 374
05 Neuman의 건강관리체계이론을 적용한 간호사정 지침 ··········································· 375

07 보건정보 및 기술 활용 ···························· 377
01 지역보건의료 정보시스템(PHIS) ············· 377
02 보건의료 분야에서의 지리정보시스템(GIS, Geographic Information System)의 활용 ··································································· 378
03 전자자료 교환(EDI, Electronic Data Interchange)의 역할 ································ 378
04 보건의료 분야에서의 u-health 활용 ····· 379
05 보건의료 분야에서의 빅데이터 활용 ······ 379

08 보건사업 질 관리 ···································· 380
01 정의 ····················································· 380
02 질 관리의 구성요소 ······························· 380
03 질 관리의 접근방법 ······························· 381
04 질 관리 평가방법 서비스의 질 평가모형 SERVQUAL ···························· 382
기출문제 ······················································· 383
Final Test ····················································· 396

PART 04 1차 보건의료와 건강증진, 보건소의 기능

01 1차 보건의료 ·········································· 400
01 1차 보건의료의 역사 및 대두 배경 ········ 400
02 1차 보건의료의 개념과 접근원칙 ··········· 401
03 1차 보건의료사업의 내용(WHO)
필수요소 10가지 ···································· 402
04 지역사회간호와 1차 보건의료 ················· 402

02 건강증진 ················································· 403
01 건강증진 개념 ······································ 403
02 건강증진 발달과정 ······························ 404
03 건강증진의 목표 ··································· 408
04 건강증진 원칙과 주요 영역 ···················· 408
05 국민건강증진법 ····································· 411
06 건강신념모형(HBM) ······························ 428
07 Pender의 건강증진모형(HPM) ·············· 429
08 Green의 PRECEDE PROCEED 모형 ··································································· 432
09 횡이론적 변화단계이론 [The Transtheoretical Model and Stages of Change(TTM)] ······················ 434

03 보건소 ···················································· 438
01 보건기관의 발전과정 및 설치기준 ········· 438
02 보건소의 조직체계 ································ 439
03 지역보건법 ············································ 439

04 보건진료소 ············································· 456
01 보건진료소의 발전과정 ·························· 456
02 보건진료소 ············································ 456
기출문제 ······················································· 461
Final Test ···················································· 484

PART 05 산업보건

01 산업보건의 이해 ····································· 488
01 산업간호의 정의 ···································· 488
02 산업간호의 목적 ···································· 488
03 산업간호의 역사 ···································· 488
04 산업보건 조직 ······································· 489
05 산업보건인력 ········································· 491

02 건강진단 ················································· 499
01 건강진단의 종류 ··································· 499
02 건강진단 건강관리 구분 ······················· 502

03 작업환경 관리 ········································· 505
01 유해물질 허용기준 ······························· 505
02 작업환경의 유해 인자와 유해성 영향요소
··································································· 506
03 작업환경관리의 기본원칙 ························ 507

04 산업재해 ················································· 508
01 산업재해의 개념 ···································· 508
02 산업재해 통계지표 ································ 508
03 산업재해의 원인 ···································· 509
04 산업재해 발생의 역학적 요인 ················· 510
05 산업재해의 대책 ···································· 511
06 물질안전 보건자료(MSDS Material Safety Data Sheets) ····························· 512

05 산업장 건강문제 ····································· 513
01 산업피로 ··············································· 513
02 직업성 질환 ·········································· 516
기출문제 ······················································· 539
Final Test ···················································· 549

PART 06 학교보건

01 학교보건의 이해 ······································ 554
01 학교보건의 개요 ······························· 554
02 학교보건 관련법 ·································· 556
03 학교보건 인력의 배치 및 직무 ··············· 561

02 학교보건사업 ·········································· 564
01 학교보건사업의 개요 ······························ 564
02 학교보건사업의 주요 내용 ······················ 565
03 학교보건사업의 변천과정 ························ 568

03 학교간호과정 ·········································· 570
01 학교간호과정의 개요 ························· 570
02 학교간호과정 ········································ 571

04 학생건강평가 ·········································· 576
01 건강평가의 개요 ·································· 576
02 신체발달상황 ········································· 580
03 건강조사 ··············································· 581
04 정신건강 상태 검사 ······························· 582
05 건강검진 ·············································· 582

05 보건실 운영관리 ····································· 584
01 보건실 관리 ·········································· 584
02 보건실 방문학생의 지도 ························ 589

06 학교환경관리 ··········································· 591
01 교내환경관리 ········································· 591
02 교육환경 보호에 관한 법률 (약칭 교육환경법) ·································· 599


07 학교 내 감염병 예방관리지침 ················ 606
01 예방접종 ··············································· 606
02 감염병 발생 시 관리 ···························· 607

08 학교건강증진 ········································· 611
01 학교건강증진 개념 ······························· 611
02 학교건강증진 프로그램 ························ 612
기출문제 ······················································· 617
Final Test ···················································· 621

PART 07 보건교육

01 보건교육의 개념 ····································· 626
01 보건교육의 정의 ··································· 626
02 보건교육의 원리 ···································· 628
03 학습에 영향을 미치는 요인 ···················· 629
04 보건교육 시 고려할 사항 ························ 630
05 보건교육 대상별 특성 ·························· 630
06 보건교육가의 자질 ······························· 632

02 보건교육 관련 이론 ································ 633
01 행동주의 ··············································· 633
02 인지주의 ··············································· 634
03 인본주의 ··············································· 635
04 구성주의 ··············································· 637
05 사회학습이론(Bandura, 사회인지이론) ·· 638
06 합리적 행동이론(TRA, Theory of Reasoned Action) ··································· 639
07 계획된 행동이론(TPB, Theory of Planned Behavior) ································· 640

03 보건교육계획과 보건교육지도안 작성 ······· 644
01 보건교육요구 사정 ································ 644
02 우선순위 설정 ······································ 645
03 목적 설정 ············································· 645
04 집행계획 수립 ······································· 649
05 평가계획 수립 ······································· 649
06 보건교육지도안 작성 ······················· 650

04 보건교육 실시 ········································· 653
01 보건교육 실시 ····································· 653
02 보건교육 방법 ····································· 659
03 보건교육매체 활용 ······························ 670

05 보건교육 평가 ········································· 677
01 보건교육 평가목적 ······························· 677
02 보건교육 평가단계 ······························· 677
03 보건교육 평가유형 ······························· 678
04 보건교육 평가방법 ································ 679
기출문제 ······················································· 681
Final Test ···················································· 692

PART 08 모자보건사업

01 모자보건의 개요 ····································· 696
01 모자보건의 정의 ··································· 696
02 모자보건사업의 대상자 및 목적 ············· 696
03 모자보건의 중요성 ································ 697
04 우리나라 모자보건사업의 내용 ··············· 698
05 모자보건사업의 발전 방향 ······················ 698
06 모자보건지표 ········································ 700

02 모성 건강관리 ········································· 703
01 혼전 관리(임신 전 관리) ······················· 703
02 산전 관리 ············································· 703
03 분만 및 산욕기 관리 ····························· 706
04 고위험 임산부 관리 ······························· 710

03 아동 건강관리 ········································· 712
01 신생아 건강관리 ···································· 712
02 영유아 건강관리 ···································· 713
03 미숙아 건강관리 ···································· 724
04 선천성 이상아 ······································· 725
기출문제 ······················································· 726
Final Test ···················································· 731

PART 09 인구 및 가족계획

01 인구의 이해 ············································ 736
01 인구의 개요 ·········································· 736
02 인구이론 ··············································· 737

02 인구통계 ················································· 740
01 인구통계 자료원 ···································· 740
02 생정통계 ··············································· 741

03 인구구조 ·················································· 745
01 성비(sex radio) ···································· 745
02 연령구조 ··············································· 746
03 부양비 ·················································· 746
04 인구구조(인구 피라미드)의 유형 ············ 747
05 우리나라 인구구조의 변화 ······················ 748

04 인구문제 ················································· 749
01 인구문제의 개념 ··································· 749
02 인구문제의 보건의료적 측면 ··················· 749
03 인구문제의 사회 경제적 측면 ··············· 750

05 인구정책 ················································· 751
01 인구정책의 개념 ···································· 751
02 인구정책의 분류 ···································· 751
03 저출산 고령화 사회 ································ 753

06 가족계획 ················································· 759
01 가족계획의 이해 ···································· 759
02 가족계획사업 ········································· 760
기출문제 ························································ 770
Final Test ···················································· 778

PART 10 가족간호

01 가족의 이해 ············································ 782
01 가족의 정의 ·········································· 782
02 가족의 구조와 유형 ······························· 782
03 가족의 특징 ·········································· 784
04 가족의 기능 ·········································· 784
05 취약 가족(Vulnerable families) ············· 786

02 가족간호 ·················································· 787
01 가족간호의 발전 ··································· 787
02 가족간호의 목적 ···································· 788
03 가족간호의 주요 이론 ··························· 788
04 간호대상으로서의 가족에 대한 4가지 관점 ···························································· 796
05 가족생활 주기(Family Life Cycle, WHO) ··································································· 797
06 가족생활 주기별 발달과업과 건강문제 ··································································· 798

03 우리나라의 가족 ····································· 801
01 가족의 변화 ·········································· 801
02 우리나라의 가족정책 ····························· 802
03 다문화가족 ············································ 802

04 가족간호 과정 ········································· 804
01 사정단계 ··············································· 804
02 간호진단 가족과 개인의 건강문제 ······· 809
03 계획단계 ··············································· 810
04 수행단계 ··············································· 811
05 평가단계 ············································· 811
기출문제 ······················································· 812
Final Test ···················································· 826

PART 11 환경과 건강

01 환경오염의 이해 ······································ 830
01 개념 ······················································ 830
02 환경관련 용어 ······································· 831
03 환경과 관련된 국제협약 ························ 833

02 공기와 건강 ············································· 838
01 공기의 구성 ·········································· 838
02 온열지수 ··············································· 839
03 공기의 자정작용 ····································· 843
04 실내 공기오염 ········································ 843
05 대기오염 ················································ 846
06 대기오염 현상과 발생 기전 ···················· 850
07 대기오염의 일반적 대처 ························· 856

03 물과 건강 ················································ 858
01 물 ························································· 858
02 정수법 ·················································· 861
03 먹는물 수질기준 및 검사 등에 관한 규칙 ·························································· 863
04 하수처리과정 ·········································· 867
05 수질오염 ················································ 869

04 식품과 건강 ············································ 876
01 세균성 식중독 ········································ 877
02 화학적 식중독 ······································· 880
03 자연독에 의한 식중독 ··························· 880
04 기타 식중독 ··········································· 882
05 식중독 예방 ··········································· 884

05 폐기물 처리 ············································· 885
01 폐기물의 정의와 종류 ··························· 885
02 폐기물 처리방법 ···································· 885
03 폐기물 관리정책 ···································· 888

06 환경 호르몬 ············································ 889
01 환경 호르몬의 정의 ······························· 889
02 기전 ······················································ 889
03 내분비계 장애물질의 특징 ······················ 889
04 환경 호르몬의 여러 가지 피해현상 ······· 890
05 환경 호르몬의 피해를 줄이기 위한 실천사항 ···················································· 890

07 환경영향 평가 ·········································· 891
01 내용 ······················································ 891
02 환경오염의 대책 ····································· 893
03 환경오염의 규제방법 ······························ 893

08 의복 ······················································· 894
01 개념 ····················································· 894
02 의복의 열전도율과 방한력 ······················ 895
03 의복과 건강 ··········································· 895

09 주거와 건강 ············································· 896
01 대지의 선정 ·········································· 896
02 조명 ······················································ 896
03 자연 환기 ············································· 897
04 난방과 냉방 ··········································· 898
05 기타 주거환경 ······································· 898
기출문제 ························································ 899
Final Test ····················································· 904

PART 12 지역간호사업

01 가정간호사업 ·········································· 914
01 가정간호의 정의와 필요성 ······················ 914
02 가정간호사업의 범위와 대상 ··················· 916
03 가정간호사업의 유형 ····························· 918

02 노인간호사업 ··········································· 920
01 노인인구의 정의 ····································· 920
02 노인인구의 특성 ···································· 920
03 노화현상 ················································ 921
04 노인간호 ················································ 922
05 노인복지사업 ········································· 926

03 재활간호사업 ··········································· 938
01 재활의 이해 ··········································· 938
02 재활간호 ················································ 950

04 안전 및 재난간호 ····································· 951
01 재난의 정의 ··········································· 951
02 재난의 유형 ·········································· 951
03 Petak의 4단계 재난과정 ······················· 952
04 중앙재난안전대책본부 ···························· 955

05 보건통계 ················································· 956
01 보건통계학의 개념 ································ 956
02 측정수준 ··············································· 957
03 표집조사 ··············································· 958
04 비시험연구 중 서술연구의 종류 ············· 959

05 중앙집중화(대푯값) ···························· 960
06 산포도 ··············································· 960
기출문제 ······················································· 962
Final Test ···················································· 966

부록 2022년 보건복지부 및 질병관리청의

주요 보건의료정책
01 2022년 보건복지부와 질병관리청의
비전과 미션 ················································· 972
Ⅰ. 비전과 미션(임무) ·································· 972
Ⅱ. 2022년 보건복지부의 업무계획
(핵심 추진과제) ······································· 972

02 2022년 보건복지부 및 질병관리청의 보건정책 ················································ 976
Ⅰ. 보건의료 부문 주요 정책 ······················ 976
Ⅱ. 공공보건 부문 주요 정책 ······················ 977
Ⅲ. 건강보험 부문 주요 정책 ······················ 979
Ⅳ. 건강부문 주요 정책 ································ 982
Ⅴ. 보건산업 부문 주요 정책 ······················ 988
Ⅵ. 복지부문 주요 정책 ································ 990
Ⅶ. 인구아동 부문 주요 정책 ······················ 997
Ⅷ. 노인부문 주요 정책 ······························ 1000
Ⅸ. 감염병 부문 주요 정책 ························ 1002
Ⅹ. 만성질환 정책 ······································· 1009
?. 국가예방접종 사업 ································ 1011

참고문헌 ················································· 1014