제1편 지역사회간호학

1장 지역사회간호개론····················································································································· 2
01 지역사회간호의 이해··································································································· 2
1.1 지역사회의 이해 / 2 1.2 건강한 지역사회의 특성 / 3
02 지역사회의 개념틀······································································································· 4
03 지역사회간호의 주요논점··························································································· 5
3.1 적정기능 수준 향상과 영향요인 / 5 3.2 지역사회 간호 정의 / 6
3.3 지역사회 간호목표 / 9 3.4 건강권 / 10
3.5 건강불평등과 건강형평성 / 11

2장 지역사회간호 이론················································································································ 13
01 체계이론······················································································································· 13
02 교환이론······················································································································· 15
03 뉴만의 (건강관리)체계이론······················································································· 16
04 오렘의 자가간호이론································································································· 18
05 로이의 적응이론········································································································· 20
06 기획이론······················································································································· 22
07 생태학적 모델············································································································· 23

3장 건강증진과 보건교육············································································································ 24
01 건강증진의 개요········································································································· 24
1.1 건강증진 / 24 1.2 건강증진 국제회의와 주요 전략 / 26
1.3 건강증진 활동의 예 / 27
02 국민건강증진 종합계획····························································································· 28
2.1 국민건강증진법 / 28 2.2 국민건강증진종합계획 / 29
03 건강증진 관련 이론··································································································· 34
3.1 타나힐의 건강증진모형 / 34 3.2 건강신념모형 / 35
3.3 합리적 행위이론/계획된 행위이론 / 37 3.4 Pender의 건강증진모형 / 38
3.5 범이론적 변화단계이론 / 40 3.6 PRECEDE-PROCEED 모형 / 43
3.7 사회인지이론 / 45
04 건강증진사업의 실제································································································· 47
4.1 건강증진프로그램 개발 / 47 4.2 지역사회 파트너쉽과 역량강화 / 47
4.3 지역사회 역량강화 / 48
05 보건교육의 이해········································································································· 49
5.1 보건교육 / 49 5.2 보건교육의 내용 및 범위 / 50
5.3 학습이론 / 52
06 보건교육 프로그램 개발··························································································· 54
6.1 보건교육과정 개발 / 54 6.2 보건교육프로그램 계획 / 55
07 보건교육의 수행········································································································· 58
7.1 보건교육계획서 / 58 7.2 보건교육방법 / 58
7.3 교육매체 / 66 7.4 보건교육수행 / 71
08 보건교육평가··············································································································· 73

4장 지역사회간호 보건행정······································································································· 77
01 국가보건의료체계······································································································· 77
02 보건의료자원··············································································································· 84
03 보건의료조직··············································································································· 85
3.1 공공보건의료조직 / 85 3.2 민간보건의료조직 / 86
04 보건의료재정··············································································································· 86
05 일차보건의료··············································································································· 88
06 보건사업기획··············································································································· 89
6.1 보건기획의 이해 / 89 6.2 보건사업기획 모형들 / 90
6.3 보건사업기획의 우선순위 결정 / 93

5장 지역사회간호 과정················································································································ 96
01 지역사회 간호사정····································································································· 96
02 지역사회 간호진단····································································································· 99
03 지역사회 간호계획··································································································· 101
04 지역사회 간호수행··································································································· 104
05 지역사회 간호평가··································································································· 105
06 지역사회 간호활동 및 수단··················································································· 106
07 사례관리와 방문간호······························································································· 107
7.1 사례관리의 개념 / 107 7.2 사례관리의 목적과 필요성 / 107
7.3 사례관리 모형 / 107

6장 역학과 질병관리··················································································································· 110
01 역학개론····················································································································· 110
1.1 역학개론 / 110 1.2 질병의 자연사와 예방수준 / 110
02 역학모형····················································································································· 114
03 질병의 역학관리 및 지표······················································································· 116
04 역학적 사상 측정지표····························································································· 119
05 건강검진의 진단검사······························································································· 125
5.1 집단검진= 집단검사 / 125 5.2 검사방법의 타당도와 신뢰도 / 126
5.3 집단검진의 효율성 위해 고려사항 / 127 5.4 집단면역 / 128
06 역학적 연구··············································································································· 129
6.1 연관성과 원인 / 129 6.2 기술역학연구 / 130
6.3 분석역학연구 / 131 6.4 실험역학 / 133
07 감염병 관리/만성병 관리························································································ 134
7.1 감염병관리 / 134 7.2 수인성·식품매개질환의 역학적 특성 / 138
7.3 감염병의 예방 / 139

7장 가족간호····································································································································· 142
01 가족간호의 개요······································································································· 142
02 가족간호이론············································································································· 147
03 가족간호과정············································································································· 150
04 취약가족····················································································································· 156
4.1 개념 / 156 4.2 취약가족 유형 / 156
05 가족폭력의 유형······································································································· 159

8장 학교보건····································································································································· 163
01 학교보건 개요··········································································································· 163
02 학교간호과정············································································································· 165
03 학교보건서비스/학교보건교육 및 건강증진························································ 166
04 2015년 개정 보건교육과정···················································································· 167
4.1 중학교 / 167 4.2 고등학교 / 169
4.3 학교 건강증진 / 172
05 학생건강평가············································································································· 173
06 학생건강문제 관리··································································································· 175
07 학교보건(관련)법······································································································· 177
08 학생건강관리/감염병관리························································································ 203
8.1 학교감염병 관리 / 203
8.2 학생 흡연·음주 등 약물 오·남용 예방 관리(사업) / 208
8.3 성 건강 문제와 관리 / 210 8.4 학교폭력 / 211
09 학교환경관리············································································································· 212
9.1 학교환경관리 / 212 9.2 교내 환경 / 212
9.3 교외환경 / 213

9장 직업건강간호··························································································································· 223
01 직업건강간호의 이해······························································································· 223
02 산업안전보건관리····································································································· 224
2.1 안전보건관리체제의 개요 / 224 2.2 사업장 보건관리자 유형 / 225
03 산업재해의 예방······································································································· 228
04 작업환경관리············································································································· 233
4.1 작업환경유해인자 / 233 4.2 유해물질 허용기준 / 236
4.3 유해물질 관리 / 237 4.4 작업환경관리의 기본원칙 / 238
05 사업장/근로자 건강관리·························································································· 238
5.1 사업장 건강관리 / 238 5.2 근로자 건강관리 / 239
5.3 작업관련성 질환의 예방과 관리 / 241

10장 환경과 건강·························································································································· 242
01 환경보건의 이해······································································································· 242
1.1 환경의 이해 / 242 1.2 환경호르몬 / 243
1.3 환경영향평가 / 243 1.4 건강영향평가 제도 / 243
02 환경요인과 건강······································································································· 244
2.1 대기와 건강 / 244 2.1.1 공기 / 244
2.1.2. 기후 / 244 2.1.3 대기오염 / 244
2.1.4 환경정책 기본법 시행규칙 / 247 2.2 물과 건강 / 250
2.2.1 상수 / 250 2.2.2 하수 / 252
2.2.3 먹는 물의 수질 / 253 2.2.4 수질오염 / 254
2.3 식품과 건강 / 256

11장 재난관리·································································································································· 258
01 재난의 이해··············································································································· 258
02 재난간호····················································································································· 259

12장 인구와 모자보건················································································································· 262
01 인구보건의 개요······································································································· 262
02 인구통계····················································································································· 263
2.1 인구통계 자료 / 263 2.2 생정통계 / 263
03 인구구조····················································································································· 265
04 모자보건의 개요······································································································· 266
4.1 모자보건사업의 이해 / 266 4.2 모성건강관리 / 267
05 영유아 관리··············································································································· 268
13장 노인보건·································································································································· 270
01 노인보건의 이해······································································································· 270
02 노인 보건복지 정책 및 제도················································································· 271
부록 ························································································································································· 275
학교보건관련 법률 3단 비교 ····················································································· 275

제2편 정신간호학

1장 정신간호의 주요개념·········································································································· 296
01 정신건강의 개요······································································································· 296
02 정신장애의 개념······································································································· 297
03 중추신경계의 구조와 기능····················································································· 298
3.1 뇌신경계 / 298 3.2 신경전달물질 / 300
3.3 전기적/화학적 신경전달 / 302
04 정신 심리-사회문화적 접근···················································································· 303
4.1 정신의 구조와 기능 / 303 4.2 의식의 수준 / 303
4.3 성격의 구조 / 303 4.4 방어기제 / 305
4.5 정신심리적 발달 / 310
05 정신간호의 이론적 모형························································································· 317
5.1 정신분석모형 / 317 5.2 대인관계모형 / 317
5.3 사회모형 / 318 5.4 실존모형 / 318
5.5 의사소통모형 / 319 5.6 행동모형 / 319
5.7 스트레스-적응모형 / 320 5.8 지지치료모형 / 322
5.9 생물학적 모형 / 322
06 치료적 관계와 의사소통························································································· 324
6.1 치료적 관계 / 324 6.2 치료적 의사소통 / 329
6.3 비치료적 의사소통 / 334
07 정신간호과정············································································································· 335
7.1 정신상태 검사 / 335 7.2 심리학적 검사 / 340

2장 정신간호의 주요장애·········································································································· 342
01 불안장애····················································································································· 342
02 불안장애 관련 질환································································································· 343
2.1 분리불안장애 / 343 2.2 선택적 함구증 / 343
2.3 특정공포증 / 344 2.4 사회불안장애 / 344
2.5 공황장애 / 345 2.6 광장공포증 / 346
2.7 범불안장애 / 347
03 강박 및 관련장애····································································································· 348
3.1 강박장애 / 348 3.2 신체이형장애(또는 신체변형장애)/ 350
3.3 수집광(또는 저장장애, 저장강박증)/ 350 3.4 발모광 / 351
3.5 피부뜯기 장애 / 351
04 외상 및 스트레스 관련 장애················································································· 352
4.1 외상 후 스트레스 장애 / 353 4.2 급성 스트레스 장애 / 356
4.3 적응장애 / 356 4.4 반응성 애착장애 / 357
4.5 탈억제성 사회적 유대감 장애 / 358
05 해리장애····················································································································· 359
5.1 개요 / 359 5.2 해리성 정체성 장애 / 359
5.3 해리성 기억상실 / 360 5.4 이인성/비현실감 장애 / 361
06 신체증상 및 관련 장애··························································································· 362
6.1 개요 / 362 6.2 신체증상 장애 / 363
6.3 질병불안장애 / 364 6.4 전환장애 / 364
6.5 허위성 장애(인위성 장애) / 366
07 조현병 스펙트럼 및 기타 정신병적 장애··························································· 367
7.1 개요 / 367 7.2 조현병 / 368
7.3 망상장애 / 371 7.4 단기 정신병적 장애 / 372
7.5 조현양상장애 / 372 7.6 조현정동장애 / 372
7.7 긴장증 / 373
08 우울장애····················································································································· 374
8.1 개요 / 374 8.2 주요 우울장애 / 375
8.3 지속적 우울장애 / 376 8.4 파괴적 기분조절 곤란장애 / 376
8.5 월경전 불쾌장애 / 377
09 양극성 장애··············································································································· 378
9.1 개요 / 378 9.2 양극성 장애 I / 379
9.3 양극성 장애 II / 381 9.4 순환기분장애 / 382
10 인격장애····················································································································· 383
10.1 개요 / 383 10.2 일반적 인격장애 / 384
10.3 편집성 인격장애 / 384 10.4 조현성 인격장애 / 385
10.5 조현형 인격장애 / 385 10.6 반사회성 인격장애 / 386
10.7 경계성 인격장애 / 387 10.8 히스테리성 인격장애 / 388
10.9 자기애성 인격장애 / 389 10.10 회피성 인격장애 / 390
10.11 의존성 인격장애 / 391 10.12 강박성 인격장애 / 392
11 섭식장애····················································································································· 394
11.1 개요 / 394 11.2 신경성 식욕부진증 / 395
11.3 신경성 폭식증 / 397 11.4 폭식장애 / 398
11.5 이식증 / 398 11.6 반추장애 / 398
11.7 회피성/제한성 음식섭취장애 / 399
12 물질관련 및 중독장애····························································································· 400
12.1 개요 / 400 12.2 알코올 사용 장애 / 402
12.3 알코올 중독 / 405 12.4 알코올 금단 / 405
12.5 진정제, 수면제, 항불안제 관련 장애 / 406 12.6 중추신경자극제 관련 장애 / 408
12.7 대마계 관련 장애 / 410 12.8 아편류 관련 장애 / 410
12.9 환각제 관련 장애 / 411 12.10 환각제 지속성 지각장애 / 413
12.11 흡입제 관련 장애 / 413 12.12 카페인 관련 장애 / 416
12.13 비물질관련 장애 / 418 12.14 물질중독의 치료약물 / 419
13 신경인지장애············································································································· 421
13.1 신경인지장애 / 421 13.2 섬망 / 422
14 성관련 장애··············································································································· 423
14.1 개념 및 성반응 주기 / 423 14.2 원인해설 / 424
14.3 성기능장애 / 425 14.4 성도착 장애(변태성욕장애) / 426
15 수면각성장애············································································································· 428
15.1 개념 및 수면주기 / 428 15.2 불면장애 / 429
15.3 과다수면장애 / 429 15.4 기면증 / 430
15.5 호흡관련 수면장애 / 431 15.6 일주기리듬 수면각성장애 / 432
15.7 사건수면 / 432
16. 아동·청소년 정신장애·························································································· 434
16.1 지적장애 / 434 16.2 특정학습장애 / 435
16.3 자폐스펙트럼장애 / 436 16.4 틱장애 / 438
16.5 주의력결핍과잉행동장애 / 439 16.6 품행장애 / 440
16.7 간헐적 폭발장애 / 441 16.8 적대적 반항장애 / 442
16.9 불안장애 / 443 16.10 애착장애 / 443
16.11 배설장애 / 444

3장 정신장애의 치료적 중재·································································································· 445
01 정신치료····················································································································· 445
1.1 정신분석 / 445 1.2 정신분석적 정신치료 / 446
1.3 대인관계 분석치료 / 446 1.4 단기역동 정신치료 / 446
1.5 실존주의 정신치료 / 446
02 인지치료····················································································································· 450
03 행동치료····················································································································· 455
04 집단치료····················································································································· 460
05 가족치료····················································································································· 463
5.1 가족치료의 관점 / 463 5.2 가족체계이론: 보웬의 가족치료 / 463
5.3 구조적 가족치료: 미누친 / 464 5.4 경험적 가족치료: 휘태커, 사티어 / 464
5.5 전략적 가족치료: 헤일리, 밀리안 / 465 5.6 인지행동주의적 가족치료 / 467
5.7 해결중심 단기가족치료 / 467
06 정신약물치료············································································································· 469
6.1 항정신병 약물 / 469 6.2 항우울제 / 472
6.3 기분안정제 및 항경련제 / 475 6.4 항불안제와 수면제 / 476
6.5 인지기능개선제와 정신자극제 / 477
07 신체적 치료··············································································································· 478
7.1 전기경련 / 478 7.2 경두개자기자극술 / 478
7.3 광선치료 / 479 7.4 격리 및 신체적 억제 / 479

4장 정신간호의 주요 이슈······································································································· 480
01 위기 및 재난간호····································································································· 480
02 자살과 간호··············································································································· 483
2.1 자살행동의 이해 / 483 2.2 자살위험에 대한 간호과정 / 484
03 학대와 폭력·······························································································485
3.1 학대와 폭력 / 485 3.2 이론적 근거와 간호과정 / 485
3.3 상실과 슬픔 / 486