• Neonatal Medicine
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• 제17권2호
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• pp.232-238
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• 2010

목적: 모유수유율이 증가하면서 재수유에 관한 수요가 증가하고 있다. 이에 성공적인 재수유에 기여하는 인자를 조사하기 위해서 약물, 모유수유 보충기, 상담, 가족의 지지 등의 기여도를 조사하였다. 방법: 후향적인 의무기록 조사와 2004년 1월부터 2007년 4월까지 본원 재수유 클리닉을 방문한 아기 엄마들에게 전화설문을 실시하였다. 결과: 총 84명의 자료를 분석하여 재수유의 성공에 도움이 되는 인자를 조사하였다. 75%에서 완전 모유수유로 성공적으로 이행할 수 있었다. 재수유 클리닉을 다니면서 재수유에 성공한 경우 의료진에 의해서 재수유 클리닉으로 의뢰된 경우, 약물을 사용한 경우와 가족의 지지가 있는 경우가 통계적으로 유의하게 높았다. 결론: 재수유에 성공하기 위해서는 산모들에게 재수유에 관한 정보를 미리 제공하고, 필요 시 유즙분비를 촉진하는 약물을 처방하고 상담 기간 동안 가족과 함께 상담을 받게 해서 정신적인 지지를 제공하는 것이 중요하다.

• 대한가정학회지
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• 제33권1호
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• pp.141-154
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• 1995

The purpose of this paper is to investigate the marital conflict problem and coping behavior. The methods of this study are quantitative and qualitative method. For the data, 1069 counselling case of the married people were collected on S counselling center in Daegu, from January to May, 1994. The results of this study are as follows: 1. The main problems are marital debauchery affairs and then the value orientation, character and communication problem in turn. 2. Most clients used the complain type as the coping gehavior. 3. Recognized problem of oneself is debauchery problem and the self-damage and immaturity. Recognized problem of spouse is husband's incapacity, debauchery and violence. alcohol problem in wife case. Recognized problem of couple is a sexual problem for the most case.

• 한국응급구조학회지
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• 제6권1호
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• pp.129-140
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• 2002

Purpose : To evaluate the emergency medical protocols and assessments through the case reports. Method : We studied retrospectively investigates the emergency calls through the 1339 emergency patients information center in 1997. Results : The emergency calls show an order : abdominal pain(13.5%), unconsciousness(12.0%), traffic accidents(7.4%), bleeding(6.6%), respiration difficulty(5.9%) by emergency medical protocols, and injury and poisoning(22.3%), symptom (51.6%), others (26.1%). Conclusion : The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review emergency medical dispatching cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

• Annals of Clinical Neurophysiology
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• 제7권2호
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• pp.141-142
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• 2005

Two cases of bilateral ulnar neuropathies caused by telephone overuse are described in people engaged in the job of longtime telephone use. They had worked using telephone all through the working hours. Although they were right handed, they usually used the telephone in their left hand so as to leave their right hand free for writing, and would lean his elbow on the desk. Telesales or teleconsultation is a rapidly expanding field of business. These cases highlights the need of proper training and supplies appropriate to do their job.

• 대한수의사회지
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• 제28권8호
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• pp.470-475
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• 1992

개업수의사로서 실천할 수 있는 예방의학 1. 효과적인 예방주사접종과 정확한 주사간격(예방주사접종일이 되면 축주에게 전화나 엽서로 시기가 되었음을 알려준다.) 2. 영양교육과 grooming 상담을 통한 건강상태 개선과 관계되는 처방약품 또는 양질의 용품판매 3. 비상/상비약품 필요성 인식과 판매, 건강유지를 위한 영양제의 계속적인 필요성 강조로 축주의 영양관리에 대한 인식개선 4. 1년에 2회, 분변검사를 통한 정기적인 기생충 r제와 일단 감염시 2회 치료와 효과확인 5. 구강검사를 통한 제질병의 발견과 치아검사의 필요성강조 및 치아건강 관련제품 사용권장 6. 각 품종별 특이한 질병의 설명과 예방을 한 검사(X-ray, 병리검사)의 추천과 결과에 따라 진행방지 방법이나 수술/치료 권유 7. 적극적인 진료자세-예)종양의 보다 세밀한 검사와 치료로 전이예방

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2014년도 추계학술대회 논문집
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• pp.693-697
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• 2014

본 연구는 민원인(아래층)과 피민원인(윗층)간 전문상담사의 중재를 통해 층간소음 문제를 해결하는 층간소음 현장관리시스템의 실효성을 검증하였다. 민원인(아래층)과 피민원인(위층)의 층간소음 피해경향을 분석한 결과, 4,087건 중 80%에 해당하는 3,254건의 민원인들은 층간소음 발생장소를 바로 윗층을 지목하는 것으로 나타났고, 반면에 15%에 해당하는 피민원인들(윗층)은 피해를 받는 원인이 소음이 아니라 피민원인의 전화나 방문 등을 통한 잦은 항의를 지적하는 것으로 분석되었다. 1,304건의 현장 방문 민원건수 중 80%에 해당하는 1,050건을 대상으로 현장방문 컨설팅 전 후의 층간소음 저감 등 만족도 조사결과, 약 683건에 해당하는 65%정도의 민원인은 층간소음 현장관리시스템에 만족하고 있는 것으로 평가되었다.

• 한국응급구조학회지
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• 제14권2호
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• pp.5-12
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• 2010

Purpose : The comparative effectiveness of without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCPR) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR) in CPR. Methods : The CPR instruction to 774 students and faculties in universities and colleges. There selected without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCRP) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR). Compare the effectiveness to sills performance of DCPR and NDCPR students and faculties of according to the CPR. Results : 397(51%) students and faculties was DCPR and 377(49%) students and faculties was NDCPR. There was no difference in the compression depth, hand position, adequacy of recoil, volume of ventilation, self-confidence, and willingness to do CPR between the two instructional methods. Conclusion : Under the guide of dispatcher-assisted CPR instruction integrated into mobil phone, novice could perform more effective CPR. This method could be used as a supplement to CPR practice and skill retention.

• Tuberculosis and Respiratory Diseases
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• 제61권6호
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• pp.533-546
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• 2006

배 경: 만성폐쇄성폐질환의 여러 가지 호흡재활프로그램 중에서 자기효능감을 증진시키는 것이 호흡재활치료에 효과적이라는 국외 보고는 있으나 국내에서는 연구가 시도되지 않았다. 저자들은 만성폐쇄성폐질환자에서 자기효능감증진 호흡재활프로그램의 효과를 알아보기 위하여 이 연구를 하였다. 대상 및 방법: 대상은 호흡기내과 외래에서 진료 받는 만성폐쇄성폐질환자 중 GOLD분류에 의한 II,III 병기 환자로 하였으며, 치료군 18명, 대조군 18명으로 선정, 비교하였다. 연구는 무작위할당 대조군 전-후연구로 이루어졌다. 저자들이 개발한 자기효능감증진 호흡재활프로그램을 8주 동안 실시하였으며 치료군은 실시 전, 4주, 8주째는 1:1의 교육과 상담이 이루어졌고 전화상담은 매주 1~2회 이루어졌다. 교육과 상담으로 대리경험, 성취경험 등이 이루어지도록 하였고 매일 가정에서 운동훈련과 이완요법을 수행하도록 하여 성취경험과 정서적 이완이 이루어지도록 하였다. 대조군은 프로그램 실시 전에 1:1의 교육과 상담만 제공하였다. 평가는 자기효능감, 평소 호흡곤란, 운동유발호흡곤란, 운동내구성은 6분 걷기 거리로, 폐기능, 삶의 질 등을 양 군에서 측정 비교하였다. 결 과: 자기효능감증진 호흡재활프로그램은 대조군보다 치료군에서 유의하게 자기효능감이 향상되었다. 평상 시 호흡곤란, 운동 시 호흡곤란, 6분 걷기 거리도 치료군에서 유의하게 향상되었다. 그러나 폐기능은 유의한 차이가 없었다. 자기효능감증진 호흡재활프로그램은 치료군에서 삶의 질도 유의하게 향상되었다.. 결 론: 만성폐쇄성폐질환자에서 자기효능감증진 호흡재활프로그램은 자기효능감, 운동내구성, 삶의 질을 증가시키고 운동유발 호흡곤란 정도를 감소시키는 효과가 있었으며, 자기효능감증진 호흡재활프로그램은 만성폐쇄성폐질환자의 호흡재활치료로 효과적으로 활용될 수 있겠다.

• Child Health Nursing Research
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• 제2권1호
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• pp.112-126
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• 1996

The purpose of this study was to investigate the current status of the need of telephone call and to identify the status of nursing intervention through telephone. Head nurses of the pediatric nursing unit and a nurse of pediatric outpatient clinic wrote down the telephone record of calls by parents of children discharged from hospital from 7 am to 3 pm during the period of March to June, 1995. Content of 120 telephone calls but for 26 calls with incomplete record among 146 calls were analyzed into frequency of general characteristics, needs and nursing intervention. The needs of telephone call were identified and classified into 11 areas and analyzed into frequency of detailed content by 11 areas. Nursing intervention was identified and classified into 10 categories, and analyzed into frequency of detailed content by 10 categories. The findings of this study were as follows ; The need of telephone call was identified with nutritional state, medication, vital signs, language retardation, personal hygiene, vaccination, administration procedure, physical symptoms, follow up care management and others. The most frequent needs were physical symptoms and vaccination. A kind of food among nutrition dose of drugs among medication, fever among vital signs, cough among physical symptoms, and content of vaccination among vaccination was the most frequent needs. Nursing intervention through telephone was identified with instruction, knowledge offer, information offer, judgement, solicitation, referral and instruction, referral, connection, reassurance, reservation, and regulation. Instruction, knowledge offer and information offer was the most frequent nursing intervention by telephone call. Instruction was about a visit to hospital, a visit to nearby clinic, instruction about symptoms,, instruction about nursing care procedure, retelephoning and vaccination. Knowledge offer was about vaccination, knowledge related to medication, and dental care. Information offer and judgement was about vaccination and medication. Referral and instruction delivery was about instruction delivery following consultation to doctor, visit to emergency room and a visit to hospital following consultation to doctor. These results suggest that telephone call intervention program should be established as a field of extended pediatric nursing role in health care delivery system for the children.

• 한국간호교육학회지
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• 제14권2호
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• pp.294-304
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• 2008

Purpose: Cancer patients experience a range of physical and psychological sequelae. Consistent nursing support should be provided along the cancer treatment path. This study aimed to i)examine the effects of a telephone counseling program after discharge on perceived health, psychological well-being, and satisfaction with nursing services, and ii)describe symptom distress and their coping methods. Method: The study was a quasi-experimental design with a non-equivalent pre-post test. The sample included 20 women with gynecologic cancer in the experimental group and the same in the control group from a university hospital in Seoul. The telephone intervention was given once from 5 to 7 days after the chemotherapy. The General Well-Being Schedule and Symptom Distress Scale were used. Result: An effect from telephone counseling was found only in the vitality subscale of psychological well-being. Other subscores, perceived health, or satisfaction with nursing services did not differ between the two groups. Pain, skin change, decreased appetite, and constipation were the major symptoms and a relatively few coping strategies were utilized. Conclusion: Protocol of telephone counseling led by a nurse needs to be further developed in regard to best timing, amount, and target effects for follow-up care of gynecologic cancer patients.