• 여성건강간호학회지
• /
• 제5권3호
• /
• pp.379-388
• /
• 1999

Breastfeeding is an excellent way of feeding infants and continues to be an important source of nutrition and antibodies for infants. Although breast-feeding is believed to be important, the rate of breastfeeding among Korean women is very low. One reason for the low breastfeeding rate is that the health professionals in the past have given little practical help couples to overcome difficulties encountered during breastfeeding. The promotion of breastfeeding has recently become a high priority among health professionals because of the undisputed physiological, psychological, social, economic, and nutritional benefits. Fathers have been found to influence the course of breastfeeding, but no one has conducted a systematic investigation into in and included fathers perspectives of breastfeeding in Korea. It is important to find strategies to solve the problems by assessing the knowledge, attitude and practice of breastfeeding with fathers as well as mothers. The purpose of this research is to find ways to promote primiparous(first child) couples's breastfeeding by assessing their general knowledge, attitude and practice of it. More specifically its purposes is to identify the relationship between knowledge, attitude, practice and the background factors of breastfeeding of primiparous couples in order to promote and support breastfeeding. The data will help health professionals to guide first-pregnancy couples to prepare and overcome any difficulties encountered during breastfeeding. Data were collected through a questionnaire which included both structured and open-ended questions. The questionnaire was composed referencing earlier literature, studies and surveys. This survey was made postpartum 2-3days after childbirth on 96 couples. The numbers of subjects for data analysis were selected 51 couples through pilot screening test. Data were coded and analyzed using the Statistical Package for Social Sciences : Cronbach's alpha coefficient, T-test, ANOVA, Stepwise pearson's correlation coefficient. The relations between the variables of breastfeeding were examined using a Pearson's correlation coefficient. This study showed that, the internal validity of the instrument was tested by Cronbach's alpha. The result was : mother knowledge 0.72, mother attitude 0.88, and father knowledge 0.70, father attitude 0.92, practice 0.76 and planning of breast feeding 0.95. The average age of mothers in the sample was 28.9 years old, and the average age of fathers in the sample was 31.3 years old. The other descriptive informations available included. the study also found that fathers were more important than doctors or nurses. However results of the study indicate that there were no differences between father and mother knowledge of breastfeeding(t=-0.39, p=0.698), and father attitude was statistically significant higher than mother attitude of breastfeeding (t=2.24, p=0.030). In analysis, the variable 'practice' with breastfeeding was the relationship with mother knowledge (p=0.031) and mother attitude(p=0.015). In this study, the correlation between one couple' knowledge and attitude was not significant. Primiparous couples surveyed in the postpartum period regarding knowledge, attitude and practice about breastfeeding might be affected by recall bias, the effects of the euphoria of the first 24-48 hours postpartum, but these variables were not examined. This study results add to the body of knowledge about nursing care for breastfeeding mothers and fathers. This indicates that a need for education about breastfeeding and, that fathers be included in it as well as mothers.

• 대한간호학회지
• /
• 제30권5호
• /
• pp.1333-1346
• /
• 2000

This study is a methodical research to develop a health behavior assessment scale for patients with rheumatoid arthritis, and to test the validity and reliability of the instrument. The research procedure was as follows; 1) The first step was to develop conceptual framework based on a comprehensive review of the literature, in-depth interviews patients with rheumatoid arthritis. This conceptual framework was organized in eight dimensions; pain management, exercise, rest, diet control, active committment, self-management, positive thinking, interpersonal maintenance. Initially 56 items were selected from 164 statement. 2) These items were reviewed by panel of eight specialists and the Index of Content validity (CVI) was calculated, and forty six items were selected which met more than 70% on the CVI. 3) 174 rheumatoid arthritis pateints were interviewed, and data was gathered from Jan. 25 to Feb. 18, 1999 for test reliabilities and validities of the scale. The item analysis was carried out and 40 items were selected. Factor analysis by varimax rotation was carried out to test construct validity. The internal consistency by chronbach's $\alpha$ was calculated. The findings were as follows; 1) Item analysis and factor analysis were carried out to test the validity of the health behavior assessment scale. The item analysis was based on the corrected item`s to total correlation coefficient (.30 or more), and information about the alpha estimate. However, this was only if this item was deleted from the scale. As a result of the item analysis, forty items were selected. Thirty items were selected by a initial factor analysis by varimax rotation, and ten items were deleted because of factor complexity. In the secondary factor analysis, eight factors were labled as 'positive thinking', 'exercise', 'rest', 'pain management', 'active committment', 'self-management', 'diet control', and 'interpersonal maintenance', each similar with the conceptual framework. 2) Chronbach's $\alpha$ coefficient to test reliability of the scale was. 903 for total the thirty items. The Scale for assessing health behavior developed in this study was identified to be a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for assessment in the health behaviors of the patients with rheumatoid arthritis.

• Journal of Preventive Medicine and Public Health
• /
• 제50권6호
• /
• pp.361-368
• /
• 2017

Objectives: This study aimed to explore dimensions in addition to the 5 dimensions of the 5-level EQ-5D version (EQ-5D-5L) that could satisfactorily explain variation in health-related quality of life (HRQoL) in the general population of South Korea. Methods: Domains related to HRQoL were searched through a review of existing HRQoL instruments. Among the 28 potential dimensions, the 5 dimensions of the EQ-5D-5L and 7 additional dimensions (vision, hearing, communication, cognitive function, social relationships, vitality, and sleep) were included. A representative sample of 600 subjects was selected for the survey, which was administered through face-to-face interviews. Subjects were asked to report problems in 12 health dimensions at 5 levels, as well as their self-rated health status using the EuroQol visual analogue scale (EQ-VAS) and a 5-point Likert scale. Among subjects who reported no problems for any of the parameters in the EQ-5D-5L, we analyzed the frequencies of problems in the additional dimensions. A linear regression model with the EQ-VAS as the dependent variable was performed to identify additional significant dimensions. Results: Among respondents who reported full health on the EQ-5D-5L (n=365), 32% reported a problem for at least 1 additional dimension, and 14% reported worse than moderate self-rated health. Regression analysis revealed a $R^2$ of 0.228 for the original EQ-5D-5L dimensions, 0.200 for the new dimensions, and 0.263 for the 12 dimensions together. Among the added dimensions, vitality and sleep were significantly associated with EQ-VAS scores. Conclusions: This study identified significant dimensions for assessing self-rated health among members of the general public, in addition to the 5 dimensions of the EQ-5D-5L. These dimensions could be considered for inclusion in a new preference-based instrument or for developing a country-specific HRQoL instrument.

• 정보관리학회지
• /
• 제30권2호
• /
• pp.245-268
• /
• 2013

본 연구는 마케팅 분야에서 개발된 서비스 품질 모형인 SERVQUAL을 도서관의 실정에 맞게 적용한 ARL(Assoication of Research Libraries) LibQUAL+ 평가 프로그램에 국내 대학도서관 한 곳이 공식 참여한 과정과 결과를 제시하고 있다. LibQUAL+ 시행을 위해 영문으로 된 설문지의 번역, 설문 대상자 표본 선정, 설문 버전의 선택 등을 포함한 절차를 설명하고 있다. 또한 설문의 시행 결과로 입수되는 설문 데이터에 대한 설명 및 응답과 관련된 제반 사항에 대한 검토 결과를 제시한다. 마지막으로 설문 데이터를 통해 이용자 집단간, 타기관과의 다양한 비교 전략을 제시하고 있다. LibQUAL+ 프로그램은 단순한 설문도구가 아닌 총체적인 도서관 서비스 품질 평가 시스템이다. LibQUAL+ 프로그램에 참여함으로써 보다 체계적이고 국제화된 평가를 시행할 수 있을 것이다. 설문도구로서 LibQUAL+에 대한 비판에도 불구하고 LibQUAL+ 프로그램에 참여함으로써 국내 대학도서관은 새로운 평가 및 서비스 개선 노력을 경주할 수 있을 것으로 기대된다. 도입과 관련해서는 개별적인 참여 대신 다수의 도서관이 컨소시엄을 구성해서 참여하는 것이 바람직하다. 이들 도서관을 중심으로 학습공동체를 구성해서 워크샵, 사례발표 등을 통해 한 단계 높아진 평가 활동을 할 수 있다.

• 한국도로학회논문집
• /
• 제17권2호
• /
• pp.55-62
• /
• 2015

Cracking is an inevitable fact of asphalt concrete pavements and plays a major role in pavement deterioration. Pavement cracking is one of the main factors determining the frequency and method of repair. Cracks can be treated with a number of preventative maintenance actions, including overlay surface treatments such as slurry sealing, crack sealing, or crack filling. Pavement cracks can show up as one or all of the following types: transverse, longitudinal, fatigue, block, reflective, edge, and slippage. Crack sealing is a frequently used pavement maintenance treatment because it significantly extends the pavement service life. However, crack sealant often fails prematurely due to a loss of adhesion. Because current test methods are mostly empirical and only provide a qualitative measure of the bond strength, they cannot accurately predict the adhesive failure of the sealant. This study introduces a laboratory test aimed at assessing the bonding of hot-poured crack sealant to the walls of pavement cracks. A pneumatic adhesion tensile testing instrument (PATTI) was adopted to measure the bonding strength of the hot-poured crack sealant as a function of the curing time and temperature. Based on a limited number of test results, the hot-poured crack sealants have very different bonding performances. Therefore, this test method can be proposed as part of a newly developed performance-based standard specification for hot-poured crack sealants for use in the future. PURPOSES : The purpose of this study was to evaluate both the adhesion and failure performance of a crack sealant as a function of its curing time and curing temperature. METHODS: A pneumatic adhesion tensile testing instrument (PATTI) was adopted to measure the adhesion performance of a crack sealant as a function of the curing time and curing temperature. RESULTS: With changes in the curing time, curing temperature, and sealant type, the bond strengths were found to be significantly different. Also, higher bond strengths were measured at lower temperatures. Different sealant types produced completely different bond strengths and failure behaviors. CONCLUSIONS: The bonding strength of an evaluated crack sealant was shown to differ depending on various factors. Two sealant types, which were composed of different raw materials, were shown to perform differently. The newly proposed test offers the possibility of evaluating and differentiating between different crack sealants. Based on alimited number of test results, this test method can be proposed as part of a newly developed performance-based standard specification for crack sealants or as part of a guideline for the selection of hot-poured crack sealant in the future.

• 한국지구과학회지
• /
• 제34권7호
• /
• pp.727-737
• /
• 2013

본 연구의 목적은 중학교 과학수업을 위한 스마트러닝 기반의 수업 모듈을 개발 적용하고 학생들의 인식과 만족도를 밝히고자 하는 것이다. 이를 위하여 중학교 2학년 천문단원의 태양계 행성과 달의 위상을 주제로 3가지 유형의 모듈을 개발하였고, 중학생 207명을 대상으로 수업을 실시하였다. 수업에 참여한 모든 학생들에게 태블릿PC를 제공하였고, 천문교육용 앱 Solar Walk, 미러링 기능, QR코드, 구글 프리젠테이션 등을 활용하여 학교와 가정에서 학습이 이루어졌다. 본 연구에서 개발한 인식조사 도구는 스마트러닝 수업에 있어서 자기주도적 학습(Self-directed), 학습동기유발(Motivation), 학습자 맞춤형(Adaptiveness), 정보기술활용(Technology Embedded)의 4가지 요인으로 이루어져 있으며, 리커트 5척도의 총 20문항으로 구성되어 있다. 학습만족도 검사도구는 Keller (1987)의 만족도 영역의 검사 항목을 번안 및 수정하여 사용하였다. 스마트러닝 기반의 과학수업에 대한 인식과 학습 만족도를 밝히기 위하여 연구대상 학생들의 성별과 과학성취도 수준별로 비교 분석하였다. 그 결과, 스마트러닝 기반의 수업에 대하여 남학생이 여학생보다 긍정적으로 인식하는 것으로 나타났으며, 과학성취도가 높은 집단이 자기주도학습 요인과 학습동기유발 요인에서 성취도가 낮은 집단보다 긍정적으로 인식하였다. 또한, 학습 만족도 측면에서는 남학생이 여학생보다 만족도가 높게 나타났고, 학업능력이 높은 학생들일수록 스마트러닝 기반의 과학수업에 대하여 만족하고 있는 것으로 조사되었다. 본 연구의 결과는 향후 과학 분야 스마트러닝 활성화를 위한 방향 설정과 실질적인 프로그램 개발에 시사점을 제공할 것이다.

• 한국전문물리치료학회지
• /
• 제14권1호
• /
• pp.46-54
• /
• 2007

The purposes of the present study were to determine the difference of functional outcome, and to identify factors associated with functional difference in patients with stroke. The sample consisted of 56 stroke patients who had received physical therapy at the physical therapy unit of the Dongeui Medical Center in Busan city between January 2000 and June 2002. Stroke patients were evaluated by physical therapists 3 times; The first day in physical therapy (PT) (T1), one month after the first day in PT (T2), and two months after the first day in PT (T3). Functional status was assessed with the Functional Independence Measure (FIM) instrument, a validated instrument for documenting the severity of disability and assessing the outcome of rehabilitation treatment. Functional gain was calculated over T2-T1, T3-T1, and T3-T2. SAS statistical software was used for the analysis. The Student's t-test, paired t-test, analysis of variance (ANOVA/Tukey and Scheffe), and analysis of covariance (ANCOVA) were used to examine the functional difference in variables. Repeated measures ANOVA was also used to analyze the functional difference by time (T1, T2, and T3). Multiple regression analysis was performed to determine the effects of independent variables on the difference of functional outcome as defined by the FIM score. A total of 56 stroke patients were evaluated, their average age${\pm}$standard deviation was $61.6{\pm}9.3$ years (range: 40~81 yr). The functional status of patients who received physical therapy for about 2~3 months was significantly improved (mean FIM scores, $20.5{\pm}1.8$, $28.9{\pm}1.9$, and $8.41{\pm}1.1$ points for each time period, respectively) (p<.0001). Diabetes was significantly associated with the FIM score for T2-T1 (p<.05). The type of diagnosis was significantly associated with the FIM score for T3-T1 (p<.05). Gender, smoking, and the FIM score on admission were significantly associated with the FIM score for T3-T2 (p<.05). In conclusion, gender, smoking, diabetes, the type of diagnosis, and the FIM score on admission were significantly associated with improved FIM scores. We recommend that further research should explore the functional outcome by using larger sample sizes, longer follow-up periods, and more sensitive assessment instruments.

• 대한소아치과학회지
• /
• 제28권4호
• /
• pp.633-637
• /
• 2001

소아치과에서 국소마취는 공포의 대상이며, 특히 행동조절이 힘든 소아의 경우 더욱 그러하다. 국소마취에 대한 공포는 주사침의 자입시나 주사액의 주입시 느끼는 동통 만큼이나 주사침 자체의 공포도 크게 차지한다. 주사침 자입시의 동통을 완화하기 위하여, 도포마취제 등이 개발되었으나 이들은 국소마취의 동통을 완화시키는 면은 있으나 주사침 자체에 대한 공포를 없애지는 못하였다. Syrijet Mark II$^{(R)}$(Mizzy Inc, USA)는 주사침이 없는 치과용 분사식 주사기 (jet injection device)로서 소아에서 주사침에 대한 공포를 성공적으로 감소시킬 수 있다고 알려져 있다. 저자들은 여러 행동등급의 소아를 대상으로 Syrijet을 사용하여 국소마취를 시행한 후 동통평가의 척도로서 VAS(visual analogue scale)를 소아에게 적합하게 색상화한 CAS(color analogue scale)를 이용하여 국소마취시의 동통수준을 측정한 결과, 기존 주사침에 의한 국소마취시 보다 국소마취의 동통이 감소된 것을 알 수 있었다. Syrijet의 장점으로는 주사침이 없다는 점, 기존의 술식에서 일회용이었던 마취용 카트리지를 재사용할 수 있다는 점, 신경 및 혈관에 안전하다는 점 등이 있었으며, 단점으로 부피가 크며, 가격이 비싸며, 사용시 숙련성을 요구한다는 점 등이 있었다.

• 한국사회복지학
• /
• 제51권
• /
• pp.183-210
• /
• 2002

본 연구는 소년사법처리과정에 있는 청소년들이 인지한 사회적 지지와 비행교정성이 어떤 관계에 있는지를 알아보고자 하였다. 구체적인 연구문제로는 청소년의 사회적 지지유형별 지지수준에 따라 교정성에 어떤 차이가 있는지 하는 점과 사회적 지지제공자별 지지유형이 교정성을 어느 정도 설명하는지를 살펴보고자 하였다. 이에 대한 측정은 기존의 척도를 본 연구에 맞게 수정, 보완한 소년사법처리과정 청소년의 사회적 지지척도와 교정성 척도를 가지고 One way ANOVA, 다중회귀분석을 행하였는데 그 결과는 다음과 같다. 첫째, 사회적 지지유형에 따른 사법처리과정에서의 교정성 차이를 알아본 결과 정보적 지지는 자기반성에 있어서 유의미한 차이를 보였고 자존감 지지는 자아존중감, 법의식, 자기반성에 있어 유의미한 자이를 보였으며 정서적 지지는 자아존중감에서 유의미한 차이를 보였다. 둘째, 사회적 지지제공자별 지지유형이 교정성 관련변인을 어느 정도 설명하는지를 조사한 결과 자아존중감, 법의식, 자기반성에서 유의한 결과가 나타났다. 즉 자아존중감은 친구의 자조적 지지와 지역사회의 정서적 지지와 관련이 높았고 법의식은 교사의 정보적 지지와 지역사회의 자존적 지지와 관련이 높았으며 자기반성은 친척의 자존적 지지와 정서적 지지와 관련이 높게 나왔다.

• 한국노년학
• /
• 제29권4호
• /
• pp.1577-1589
• /
• 2009

본 연구는 재가노인을 대상으로 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경의 위험을 비교하고, 낙상공포에 영향 미치는 요인을 규명하는 것을 목적으로 하였다. 대상자는 A시 D구 노인보건센터에 방문보건사업 대상자로 등록된 65세 이상 노인으로 선정하였다. 2006년 1월부터 2007년 12월까지 사전에 교육받은 방문간호사가 직접 가정방문하여, 가노인기능상태평가도구(Resident Assessment Instrument, RAI)를 이용해 자료를 수집하였다. 연구에 참여한 973명의 평균 연령은 76.8(±7.6)세였고, 여성이 74.8%였으며, 낙상공포를 가진 대상자는 20.7%였다. 낙상공포 여부에 따른 건강상태 비교에서 요실금, 통증, 이환질병 수, 지난 3일간 우울/불안/슬픔의 징후에 있어서 유의한 차이를 보였다. 신체기능 상태는 낙상공포가 있는 집단에서 일상 생활수행능력 의존도가 유의하게 높았고, 시력 문제가 많았으며, 불안정한 걸음걸이를 보이는 대상자가 현저히 많았다. 가정환경위험은 화장실, 방 출입 및 집 밖 출입 시 낙상공포가 없는 집단에 비해 유의하게 더 어려움이 많았다. 연령이 많을수록, 일상생활 의존도가 높을수록, 이환질병 수가 증가할수록, 걸음걸이가 불안정하거나 낙상경험이 있는 경우에 낙상공포가 증가하는 것으로 나타났다. 반면, 통증, 우울/불안/슬픔의 징후, 복용하는 약은 낙상공포와 유의하지 않았다. 이 연구는 지역사회의 노인을 사정할 때 낙상공포에 관련된 주요 요인인 연령, 일상생활수행능력, 현재 앓고 있는 질환 및 걸음걸이 사정이 매우 중요하다는 것을 재확인시켜 준다. 또한, 재가노인의 낙상예방 전략 수립을 위한 기초 자료로 활용될 수 있을 것이며, 불안정한 걸음걸이의 원인을 파악하고 이에 대한 중재방법을 모색하는 지속적인 연구의 필요성을 제시한다. 이 연구를 토대로 건강 상태와 신체기능을 향상시키려는 포괄적인 간호중재를 통해 낙상공포를 감소시키고 낙상 발생률을 낮추면, 궁극적으로 노인의 삶의 질이 향상될 것이다.