위즈고시

새롭게 교재를 출간하면서 그동안 저와 함께 공부했던 많은 수험생들의 얼굴이 떠올랐습
니다.
“어떻게 하면 수험생들에게 좀 더 도움이 될 수 있을까?”라는 고민으로 시작된 본 교재
는 그 동안의 공무원 강의의 현장경험을 토대로 각 시.도 기출문제를 심층적으로 분석하
고, 가장 최근에 새로 개정된 지역사회 간호학 관련 교재들을 정리하는 동시에, 합격생들
의 조언과 상담과정에서 얻은 방향을 토대로 개정되었습니다.
나름대로 여러분에게 도움이 되고자 자부심을 갖고 원고를 마감하면서 본 교재가 많은
수험생들에게 합격의 통로가 되었으면 하는 소망을 가져봅니다.
다양한 영역이 지역사회간호라는 개념으로 묶여있고, 또한 각 영역마다 개념과 이론, 그리
고 우리나라의 상황에 대한 이해와 적용으로 연결됨으로 정확한 개념이해를 기초로 관련 지
식을 깊이 있게 알아야 하며, 더 나아가 최근의 우리나라의 지역사회 간호의 경향까지 정확
히 알고 암기해야 하므로 난이도가 큰 과목이라고 볼 수 있습니다.
더욱이 지역사회 간호는 우리나라의 간호정책과 맞물려 있어 법이 바뀔 때 마다 수시로
변하는 관련법과 내용들로 인해 혼자서 공부하는데 제한이 있는 과목입니다.
또한 최근의 출제경향을 분석해 보면 지역사회 간호의 각 영역별 기본개념을 정확히 알고
있는지 묻는 문제를 비롯하여, 그 개념을 기초로 상황적용문제와 여러 영역의 관련성을 이해
하고, 비교하는 문제까지 다양하게 출제되고 있음을 볼 수 있습니다.
따라서 본 교재는 이러한 출제경향을 정확히 분석하고 대비하기위해 그동안 강의와 현장
경험을 기초로 내용을 더욱 수정 보완하였고, 최근 개정된 법령을 토대로 정리함으로써 수험
생들이 혼란 없이 공부할 수 있도록 최선을 다했습니다.
추후 개정되는 법령내용들은 홈페이지를 통해 지속적으로 업데이트 할 것입니다.
특히 더 깊이 알아가거나 연결하여 공부해야 될 내용들은 첨부자료를 통해 필요한 내용을
강조하여 수록하였고, 각 단원별 문제와 최근 기출문제를 수록하여 공부한 내용을 한 번 더
다져나갈 수 있도록 구성하였습니다.
앞으로 이 교재가 공무원으로써 꿈을 이루기 위해 노력하는 수험생에게 디딤돌이 되길 기
대해 봅니다.
또한 자신의 소신을 가지고 공무원으로의 진출을 꿈꾸는 수험생들이 공부하는 과정에서도
기쁨과 만족을 느끼며, 더불어 멋진 인생의 장이 펼쳐지기를 축복합니다.

저자올림

단원 1 지역사회 간호 개론
I. 지역사회 ························································································· 10
II. 지역사회 건강 ··············································································· 16
III. 지역사회 간호 ·············································································· 18
IV. 지역사회 간호의 역사 ································································· 22
V. 지역사회 관련 이론 ····································································· 30
VI. 지역사회 간호사의 역할과 기능 ················································ 46
단원 확인 문제 _ 55

단원 2 지역사회 간호과정
I. 지역사회 간호과정의 개요 ···························································· 70
II. 지역사회 간호과정 ······································································· 74
III. 지역사회 간호수단 ······································································ 94
단원 확인 문제 _ 103

단원 3 지역사회 보건행정
I. 보건행정의 개요 ··········································································· 116
II. 보건의료정책 ··············································································· 127
III. 보건의료자원 ············································································· 129
IV. 보건의료조직 ············································································· 134
V. 보건의료재정 ··············································································· 142
VI. 우리나라 사회보장과 의료보장 제도 ········································ 150
VII. 보건의료전달체계 ····································································· 176
VIII. 일차보건의료 ··········································································· 178
IX. 지역보건사업 ·············································································· 181
단원 확인 문제 _ 191


단원 4 지역사회 간호사업
I. 방문건강관리 사업 ······································································ 202
II. 가정간호사업 ··············································································· 218
III. 정신보건사업 ············································································· 224
IV. 재활간호사업 ············································································· 230
V. 암관리 사업 ················································································ 235
VI. 감염병 관리사업 ········································································ 239
VII. 호스피스 간호사업 ··································································· 243
VIII. 건강행태 개선사업 ································································· 244
IX. 건강검진사업 ············································································· 246
X. 사례관리 ····················································································· 249
단원 확인 문제 _ 253

단원 5 가족간호
I. 가족에 대한 이해 ········································································ 266
II. 가족 간호 ···················································································· 272
III. 가족간호과정 ············································································· 276
IV. 취약가족 간호 ··········································································· 285
V. 보건소 가족간호 접근 ································································ 295
단원 확인 문제 _ 299

단원 6 노인보건
I. 노인보건의 이해 ··········································································· 312
단원 확인 문제 _ 323
단원 7 건강증진과 보건교육
I. 건강증진 ······················································································· 328
II. 보건교육 ····················································································· 358
단원 확인 문제 _ 385

단원 8 역학과 질병관리
I. 역학 ······························································································ 400
단원 확인 문제 _ 441

단원 9 환경보건
I. 환경보건에 대한 이해 ································································· 458
II. 대기환경과 건강 ········································································· 464
III. 수질환경과 건강 ······································································· 479
IV. 식품과 건강 ··············································································· 494
V. 기생충 질환 개론 ······································································· 507
VI. 주거와 건강 ··············································································· 509
Ⅶ. 토양과 건강 ················································································ 511
Ⅷ. 소음과 건강 ··············································································· 513
Ⅸ. 폐기물처리 ················································································· 514
X. 방사능 관리 ················································································· 515
단원 확인 문제 _ 517

단원 10 학교보건
I. 학교보건의 이해 ·········································································· 532
II. 학교보건 간호과정 ····································································· 540
III. 학교보건사업 ············································································· 548
단원 확인 문제 _ 595

단원 11 산업보건
I. 산업보건의 개요 ·········································································· 604
II. 우리나라의 산업보건 역사 ························································· 606
III. 산업보건 조직 ··········································································· 610
IV. 산업간호과정 ············································································· 615
V. 산업간호 업무 ············································································· 618
단원 확인 문제 _ 645

단원 12 인구와 가족계획
I. 인구 ······························································································ 654
II. 가족계획 ····················································································· 670
단원 확인 문제 _ 677
단원 13 모자보건
I. 모자보건사업 ················································································ 684
단원 확인 문제 _ 699

부 록
1. 보건소 업무 ··························································································· 707
2. 감염병 각론 ··························································································· 715
3. 학교보건 기록지 관련자료 ···································································· 777
4. 먹는 물의 수질기준 ·············································································· 787
5. 장애인의 장애등급표 ············································································· 793

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