• Title/Summary/Keyword: 질 평가 도구

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Development of an evaluation tool for the quality of nursing care in abdominal surgery patients (복부수술 환자간호의 질평가 도구 개발)

  • Lee, Byoung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.107-127
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    • 1998
  • The purpose of this study was to develop an evaluation tool for the quality of nursing care in abdominal surgery patient. The target subjects of the tool were adult patients having abdominal surgery under general anesthesia. Process-outcome framework was selected for the development of the tool in this study. The results were as follows. 1. Nine standards. 40 criteria and 88 indicators were developed. A standard was summary statement of the ideal level of excellencein a dimension of quality of nursing care. which could be evaluated by criteria. Several criteria indicated a specific standard and each criterion could be measured by observable and measurable indicators. 2. The standards were divided into two dimensions. One was process dimension which contained four standards(23 criteria), the other was outcome dimension which contatined five standards(17 criteria). 3. Average CVI was .985 at 9 standards. .947 at 40 criteria. and .987 at 88 indicators. 4. The evaluation tool for the quality of nursing care in abdminal surgery patients was a criterion-referenced tool. And data collection methods of the tool were investigation of patient's record and interview( or questionnaire) with the patients. 5. Interrater reliabilities of the tool were ; r= .7572 (agreement between two raters), and pI=.8487 (intraclass correlation between five raters who rated the 84 patients). 6. Internal consistency reliability ${\alpha}$ was .6194, which was obtained from 32 criteria. Eight criteria were missed in the analyzing process because of data omission. 7. Scores of the process and the outcome dimensions showed significant. but low correlation(r= .3759, p < .001). 8. There were significant differences in total scores between the hospitals and the departments of surgery(F = 15.233. p .0001). There was also significant interaction effect between hospitals and departments to total score(F = 8.396. p = .0001). Construct validity of the toool was verified by the known-group method. these kinds of difference were expected by the nursing experts participated in the study. From these results, more specific patient classification is suggested for the development of evaluation tool of the quallity of nursing care. And indicators to be used for objective measurement for the quality of nursing care must be developed.

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Clinical Effectiveness of Upper Extremity Performances on Mirror Therapy for Adult with Post Stroke Hemiplegia: A Systematic Review (뇌졸중으로 인한 편마비 환자의 상지기능 향상을 위한 거울치료의 임상적 효과에 대한 체계적 고찰)

  • Baek, Sun-Woong;Kim, Jong-Bae
    • Therapeutic Science for Rehabilitation
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    • v.5 no.2
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    • pp.71-80
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    • 2016
  • Objective: To illustrate effects and application potential of Mirror Therapy (MT) for patients with post-stroke hemiplegia. Method: With reference to 9 journals (published Jan.2005-Jan.2016) on Pubmed, selected based on in/exclusion standards. Result: Simple wrist/hand movements and task-based MT were used as intervention methods to examine the effects. Tools used to assess intervention effects included upper limb functioning, Activities of Daily Living (ADL), physical condition and quality of life. Upper limb functioning turned out to have significance for ADL with higher effectiveness at the distal than the proximal region. Yet the quality of life disparity between the experiment group and the control was not found to be significant. Conclusion: We believe that research can aid clinical therapists in applying MT accordingly to individual patient characteristics. Despite prolonged difficulty in confirming efficient application due to varied protocols, development of systemized treatment protocols for maximization of MT's effectiveness remains necessary.

Development and a Psychometric Evaluation of Cardiovascular Disease-Specific Quality of Life Scale for Koreans (한국 심혈관질환 특이형 삶의 질 측정도구 개발 및 평가)

  • Lee, Eun-Hyun;Tahk, Seong-Jai;Shin, Jun-Han;Lee, Young-Whee;Song, Rha-Yun
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.313-323
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    • 2007
  • Purpose: Health-related quality of life (HRQOL) in patients with cardiovascular disease in Korea has rarely been studied, mostly due to the lack of a psychometrically validated disease-specific instrument. The purpose of this study was to develop and validate a cardiovascular specific-HRQOL questionnaire (CD-QOL). Method: The CD-QOL was developed and validated as follows; item generation, pilot study, and psychometric tests. Patients were recruited from three-university hospitals. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, SF-36, and CES-D. The NYHA and KASI classifications were used to classify the functional performance of the patients. The data was analyzed using correlation, factor analysis, multidimensional scaling, multitrait/multi-item matrix, ANOVA, and Cronbach's alpha. Result: Preliminarily, thirty-nine items were generated. Factor analysisextracted a five-factor solution with a total of twenty-two items. One item was deleted based upon the MDS. The remaining items were moderately correlated with the subscales of the SF-36 and associated with depression measured with the CES-D. The mean scores of patients in NYHA and KASI class I were significantly higher than those in NYHA and KASI class II or/and III, which suggested patients with better functional performance were likely to have a better HRQOL. Cronbach's alphas of the total and subscales were all greater than 0.70. Conclusion: The CD-QOL is a easily applicable instrument with excellent psychometric properties of content, criterion, factorial, convergent, and known-groups validity, and internal consistency reliability in Korean patients with cardiovascular disease.

Association between Oral Health Status and Perceived General Health (EuroQol-5D) (구강건강상태와 감지 건강상태(EuroQol-5D)와의 연관성)

  • Sim, Seon-Ju
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.364-370
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    • 2014
  • The purpose of this study was to examine association between oral health status and perceived general health symptom. We analyzed 14,231 subjects who participated in Korea National Health and Nutrition Examination Survey (2007~2009). All individuals were examined by a questionnaire about socioeconomic history, smoking and drinking habit, the frequency of daily tooth brushing, the presence of regular dental visit, and EuroQol-5D. Dental survey was conducted to find the decayed, missing, and filled teeth (DMFT) index and community periodontal index. Subjects with perceived problem with mobility had higher DMFT index (odds ratio, 1.18, p<0.001). Subjects with with perceived problem with pain/discomfort had higher DMFT index (odds ratio, 1.16, p<0.001). Self-rating general health symptom was not associated with periodontitis (p>0.05). Perceived general health was associated with DMFT index. It is recommendable that we can use the perceived general health to predict oral health status.

The Effects of Industrial Workers' Job Stress and Oral Health Related Quality of Life on Subjective Happiness in convergence era (융복합시대 산업장 근로자의 직무 스트레스 및 구강건강 관련 삶의 질이 주관적 행복감에 미치는 영향)

  • Ji, Min-Gyeong
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.185-194
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    • 2017
  • The purpose of this study was to evaluate the association between industrial workers' job stress and oral health related quality of life and subjective happiness. The subjects of this study were 228 workers, from August 8 to September 2, 2016, research tool was the structured, anonymous, self-administrated questionnaire. The data were analyzed by SPSSWIN 18.0, t-test and one way ANOVA, Scheffe' post hoc test, Pearson correlation and Hierarchial multiple regression. Negative correlation was found between job stress and OHIP-14 and between job stress and subjective happiness and positive correlation was found between OHIP-14 and subjective happiness. As for the explanatory power of the independent variables affecting subjective happiness, gender, self-reported living status, self-reported general health, dental checkups, and job stress were significant variables. It is therefore necessary to run an industrial oral intervention program on a regular basis and cope positively with stress with the objective of helping workers improve their subjective happiness.

Development of Quality Management Standards and Evaluation Tool for the Quality Improvement of Hospital Food and Nutrition Services (병원 급식.영양 서비스 향상을 위한 질 관리 기준 및 질 평가 도구의 개발)

  • 이소정
    • Journal of Nutrition and Health
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    • v.33 no.5
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    • pp.548-555
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    • 2000
  • The purpose of this study were to : a) establish quality managements standards and performance indicators in order to define the concept of the hospital food and nutrition services, b) develop a self evaluation tool for quality management applicable to dietetic department's CQI program on the basis of the estabilished quality management standers, c) investigate the factual quality of hospital food and nutrition services throught the result of the application study of the quality management tool and the perceived quality by the patients servery, and d) verify the validity of the quality management tool through analysing the correlation between the factual quality and the preceived quality. The quality management standards were classifie dinto 3 parts, 'Nutrition Care', 'Foodservice Operation', and 'Management Function'. There consisted of 72 quality management standards and 293 performance indicators. The developed quality evaluation tool using 5-Likert scale was performance at 45 general hospitals over 400 beds in Seoul and Kyungki-do. Also, 1,573 patients in 42 hospitals were participated in the patient survey. The result of quality evaluation tool application study showed that 17 standards were relatively high(more than 4.5) and 22 relatively low(less than 4.0) in score. The categorical mean scores of $\ulcorner$Nutrition Care$\lrcorner$, $\ulcorner$Foodservice Operation$\lrcorner$and $\ulcorner$Management Function$\lrcorner$ were respectively 60.7, 162.8, and 73.5 Each mean score was conversed to 81.0, 83.5, and 81.7 on the basis of 100 point scale, but the range of score was very wide between hospitals. The Cronbach's $\alpha$ was more than 0.6 in 59 quality management standards, this result verified reliability of the quality management tool was proved. The factual quality showed positive correlation with the perceived quality. Therefore, this result verified the criterion validity of the quality management tool.

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A study on the uncertainty assessment of Clark unit hydrograph with limited events (제한된 수문사상을 갖는 유역의 단위도 매개변수 산정 불확실성 분석에 관한 연구)

  • Kwon, Ji-Hye;Park, Jiyeon;Kim, Tae Hyung;Shin, Cheol-Shik
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.423-423
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    • 2015
  • 국내에서는 유역의 설계홍수량을 결정하기 위해 강우-유출 사상에 의해 유도된 대표단위도를 활용하는 방식이 일반적으로 채택되고 있으나, 유역의 실측 호우사상이 부족한 경우 대표단위도의 신뢰성은 종종 논쟁의 여지를 갖게 된다. 이는 제한된 수의 자료를 활용하여 도출된 매개변수의 평균이나 최대/최소값으로 채택되는 대표단위도를 통해 산정되는 설계홍수량이 왜곡될 수 있는 가능성에 기인하는 것이다. 따라서 매개변수 산정 및 검정에 활용되는 사상의 수와 질이 설계홍수량 산정에 미치는 영향을 파악하는 것이 필수적이다. 본 연구에서는 가용한 호우사상의 수가 제한된 유역의 경우 Clark 단위도의 매개변수 도출에 대한 불확실성 분석을 수행하였다. 대상유역은 비교적 다량의 실측 호우사상을 갖는 국내 중규모 댐 유역으로 선정하였으며, 호우사상 모집단의 수가 N개일 때 단위도 유도에 활용되는 사상을 2개부터 N-1개까지 증가시켜 가며 분석대상이 되는 호우사상이 무작위로 선정될 경우를 가정하였다. 불확실성 분석을 수행하기 위하여 Monte Carlo Simulation을 각 호우사상 수별로 100회씩 적용하였으며, 이 때 확률변수는 등분포함수를 따르는 것으로 가정하여 각 호우사상이 선정될 가능성을 동일하게 부여하였다. 이러한 과정을 통해 선정된 호우사상별 매개변수들 중 도달시간과 저류상수의 평균값과 최소값을 대표단위도(평균, 최대)의 매개변수로 각각 채택하여 설계홍수량을 도출하였다. 그 결과 선정된 호우사상의 양과 질에 관계없이 호우사상 수가 증가함에 따라 채택되는 대표단위도의 매개변수가 안정되는 경향을 보였으며, 설계수문곡선의 첨두홍수량 분포는 음으로 왜곡되는 경향을 나타내어 설계홍수량이 과소산정될 가능성이 감소하는 결과를 보였다. 즉, 대상유역의 분석 대상 호우사상 수가 증가하면 대표단위도 매개변수 및 설계홍수량 산정결과가 안정되는 경향을 보이므로 설계홍수량 산정의 신뢰성을 향상 시킬 수 있을 것이며, 이는 향후 설계홍수량 산정 및 평가를 수행하는 기술자들의 판단도구로 활용될 수 있을 것으로 판단된다.

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Internal Structure of the Health-Related Quality of Life Instrument with 8-Items in a Nationally Representative Population (한국형 건강 관련 삶의 질 측정도구(Health-Related Quality of Life Instrument with 8-Items)의 심리계량적 내적구조 평가: 국민건강영양조사 8기 1차년도 자료 적용)

  • Lee, Eun-Hyun
    • Journal of Korean Academy of Nursing
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    • v.53 no.3
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    • pp.359-369
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    • 2023
  • Purpose: This study evaluated the internal structure (structural validity, internal consistency, and measurement invariance) of the Health-Related Quality of Life Instrument with Eight Items (HINT-8), developed to measure Korean people's health-related quality of life. Methods: A secondary analysis was conducted using data from the Korea National Health and Nutrition Examination Survey, involving 6,167 adults aged over 18 years. The structural validity of the HINT-8 was assessed using exploratory graph analysis and confirmatory factor analysis. Internal consistency and measurement invariance were analyzed using McDonald's omega (ω) and multigroup confirmatory factor analysis, respectively. Results: The HINT-8 had a single dimension and good internal consistency (ω =.804). The one-dimension HINT-8 exhibited matric invariance but not scalar invariance across sociodemographic groups (sex, age, education, and marital status). Further, it exhibited scalar or partial scalar invariance across medical condition groups (hypertension, diabetes, depressive symptoms, and cancer). Conclusion: The study finds that the HINT-8 demonstrated satisfactory structural validity and internal consistency, indicating its suitability for practice and research. However, the HINT-8 scores cannot be compared across different groups regarding sex, age, education, and marital status, as the interpretation varies within each sociodemographic category. Conversely, interpretation of the HINT-8 is consistent for individuals with and without hypertension, diabetes, depressive symptom, and cancer.

Program Development for Students' Figure Comprehension Improved and its Application (학생의 도형 인지 향상을 위한 프로그램 개발 및 적용)

  • Hong, Young-Woo;Kho, Dae-Ghon;Koo, Duk-Hoi
    • 한국정보교육학회:학술대회논문집
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    • 2004.08a
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    • pp.272-280
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    • 2004
  • 전통적인 수학교육은 간단한 수학적 사실을 이해하고 활용하는 측면에 있어서는 효과적일 수도 있지만, 수학적 개념, 원리, 법칙을 학생 스스로 탐구, 발견하고 창조하는 능력을 기르는 데는 적절하지 않다. 이러한 능력을 기르기 위해서는 학생들 스스로가 관찰, 조작, 분석, 종합하는 활동을 강화할 필요가 있다. 구체적 조작물을 학습도구로 활용하는 경우, 수학 학습에 대한 흥미와 자신감을 길러 주고, 자신의 수준에 맞는 내용을 자기 주도적 학습을 통하여 성취감을 가지게 하며, 학생 스스로 탐구 활동을 활발히 하는데 도움이 된다. 삶의 질이 급격히 향상되는 정보사회에서는 사이버 공간의 등장으로 공간감각 기능의 필요성이 더욱 절실한 바, 현행 수학교과서에서 제공되는 각종 공간 도형들은 3차원 공간에서 이루어지지 않고 평면도형으로 처리함으로써 아동의 도형인지 능력 향상에 큰 효과를 기대하기 어렵다. 이에 본 연구에서는 아동의 인지발달 단계를 고려, 도형인지능력 향상을 위한 선 및 점대칭 관련 동기유발, 선수, 기본, 보충, 심화, 평가, 도움말 관련 프로그램을 개발, 적용한 결과 학습자의 동기가 유발되고, 도형 인지능력 향상에 유의미한 결과를 얻었다.

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Energy Management System Design Based on Fast Simulation Using Machine Learning Model (기계학습 모델을 이용한 고속 시뮬레이션 기반의 건물 에너지 관리 시스템 설계)

  • Lee, Eun-joo;Kim, Jeong-min;Ryu, Kwang-ryel
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2016.07a
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    • pp.13-15
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    • 2016
  • 에너지 소비가 큰 건물은 내부 온/습도, 이산화탄소 농도, 미세먼지 농도 등의 일정 공기 질을 유지하면서 에너지 비용을 최소화할 수 있는 제어계획을 수립하는 것이 필요하다. 기존 건물에서 실내 환경의 운영은 설정된 실내 환경 값을 기준을 벗어나면 설비 기기를 제어하는 방식으로 이루어진다. 이는 단 시간에 고에너지를 투입하여 장비를 가동시키므로 에너지 소모가 크며 peak 전력이 높아 에너지 비용이 크다는 문제가 있다. 따라서 온도를 포함한 환경이 변해가는 상황을 예측하고 사전에 에너지 사용 계획을 수립하여 관리 제어를 수행함으로써 예열부하 등의 불필요한 에너지 손실을 절감하려 한다. 이를 위해 실내 환경이 변화하는 것을 예측하고 후보 제어계획으로 제어를 수행할 때 소요되는 에너지가 어느 정도인지 시뮬레이션하여 제어계획의 적합도를 평가한다. 기존 EnergyPlus와 같은 시뮬레이션 도구는 모델이 복잡하여 시뮬레이션에 많은 시간이 필요하기 때문에 환경 변화를 반영하기 위해 주기적으로 재수립되는 수많은 제어계획 데이터를 단시간에 시뮬레이션하기에 부적합하다. 본 논문에서는 빠른 시뮬레이션을 위해 실제 운영 데이터와 에뮬레이션을 통해 획득한 운영 데이터를 기반으로 학습 알고리즘을 이용하여 제어계획 적용 시의 미래 상황을 예측한다.

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