• 성인간호학회지
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• 제12권1호
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• pp.30-39
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• 2000

Coronary intervention is now a well established method for the treatment of coronary artery disease. Coronary restenosis is one of the major limitations after coronary intervention. So medical teams advise the patients to get the follow-up coronary angiogram in 6 months after coronary intervention to know if the coronary artery stenosis recurs or not. This study was done in order to know how many patients complied with the advice, and to identify the relative factors to the compliance with getting the follow-up coronary angiogram. The subjects were 101 patients (male: 58 female: 22, mean age: $61{\pm}15$), who received coronary interventions from Jan. 1st to Mar. 31st 1997, and their data were collected from them by questionnaires one year after intervention. The questionnaires consisted of family support scale, self efficacy scale and compliance with sick role behavior scale. The result may be summarized as follows. 1. The number of patients who complied with getting the follow-up coronary angiogram were 37 people(36.6%) and did not comply with it were 64 people(63.4%). All scores of family support(t=5.56, p<.0001), self efficacy (t=4.13, p<.0001) and compliance with sick role behavior(t=5.66, p<.0001) were significantly higher in the patients who got the follow-up coronary angiogram than in those who did not get it. But there was not any relative factor in demographic variables (p>.05). 2. The major motivations for getting follow-up coronary angiogram were recurrence of subjective symptom(40.5%), the advice of medical team(32.4%), and fear of recurrence (27.1%). The restenosis rate in patients who got the follow-up coronary angiogram was 37.8%. 3. The restenosis rate was higher in the patients who had subjective symptoms than in those who did not have any subjective symptom. So subjective symptom and restenosis rate showed a high positive correlation(r=39.9, p<.001). However, 27.2% of the patients who did not have any subjective symptom showed coronary restenosis. 4. The reasons why they did not get the follow-up coronary angiogram were economic burden(37.5%), improved symptom(34.4%), busy life schedule(10.9%), fear of invasive procedure(9.4%), negative reaction of family member(3.1%), no helper for patient(3.1%) and worry about medical team's mistake (1.6%). The relative fators on compliance with getting the follow-up coronary angiogram after coronary intervention were family support, self-efficacy and Compliance with sick role behavior. And the most important reason why the patients did not get the follow-up coronary angiogram after coronary intervention was an economic burden.

• 기업가정신과 벤처연구
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• 제21권1호
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• pp.1-14
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• 2018

우리나라의 자영업자 비중은 아직도 OECD 국가 중 최상위에 속하고 있어 국민경제에 큰 부담으로 인식되고 있다. 그래서 정부는 자영업자에 대한 지원정책이 필요하다는 공감대 속에 이들에 대한 지원을 지속하고 있다. 그러나 아직까지 정부의 자영업자 지원의 경제적 효과에 대해 분석한 연구는 거의 없다. 그래서 본 연구는 정부의 자영업자 지원의 실질적 효과를 추정하였다. 자영업자의 매출액 결정식 추정결과 노동투입, 영업기간, 연령, 성별, 사전 사업 준비기간, 자영업자 지원정책 경험 변수가 통계적으로 유의하게 나타났다. 본 연구결과는 정부의 자영업자 정책 지원 시 우선 시 해야 되는 정책요인들이 무엇인지 중요한 실무적 지침을 제공하고 있다.

• 한국콘텐츠학회논문지
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• 제22권8호
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• pp.527-541
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• 2022

본 연구는 코로나19(COVID-19)로 인한 저소득 여성한부모가족의 경제적 곤경 경험을 탐색하여 개선방안을 모색하는 데 목적이 있다. 이를 위해 한부모가족 민간단체를 통해 연구참여자를 소개받는 눈덩이표집방법(snowball sampling)을 통해 중등 학령기 이하의 자녀를 둔 한부모 10명을 모집하였으며, 일반적 질적 연구방법(Generic Qualitative Research)을 활용하여 경제활동과 소득, 지출, 의 경제생활에 대한 경험을 심층면접하였다. 연구결과, 참여자들은 코로나19 초기에 실직과 부수입 활동의 소멸, 자녀의 식료품비와 교통비 등 부대비용 발생, 공과금 증가 등으로 생활고가 가중되는 경험을 하였다. 또 실직과 독박육아를 겪으면서서 코로나19가 저소득 여성한부모가족에게 더 힘들고 불평등하게 다가왔다고 인식하였다. 재난지원금으로 일시방편의 생활고를 해결하였으며, 밀린 월세, 식비, 자녀학원비, 가전제품 구입 등 우선순위에 따라 지출하면서 단기적으로 도움이 된 것으로 나타났다. 그러나 재난지원금이 맞춤형 재난지원으로는 부적합하고 장기적이고 선별적 지원이 필요하다고 인식하였다. 결론에서는 연구 결과를 바탕으로 코로나19 이후 경제적 문제를 개선할 수 있는 사회복지정책과 실천의 개선방안을 제안하였다.

• 미래기술융합논문지
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• 제1권2호
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• pp.57-62
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• 2022

경력단절 여성들이 노동시장으로 재진입하는 것을 지원하기 위해서는 유망직업을 발굴하여 선정하는 것 뿐만이 아니라, 선정된 유망직종에 대한 객관적이고 정확한 직업정보를 제공하여 경력단절 여성들이합리적인 직업선택을 할 수 있도록 지원할 필요성이 제기된다. 정부지원과정이 일반과정에 비해 수강료의 부담이 없고, 교육 내용의 충실도가 높기 때문에 교육생 모집과정에서 경쟁을 통하여 취업의지가 높은 교육생을 선발할 수 있다는 점을 들 수 있다. 그리고 정부지원과정이 상대적으로 양질의 프로그램과 강사진을 확보하여 교육생의 집중도와 만족도, 취업에 대한 의지를 높인다는 점, 직무소양 및 취업대비 교육의 의무화, 취업상담을 통한 직업설계 지원 및 지속적인 사후지원 체제도 작용한다. 이에 따라 경력단절 여성을 위한 유망직종의 선정 및 교육훈련 프로그램의 설계과정에서 체계적이고 지속적인 개발과 지원이 이루어진다면 경력단절 여성들의 노동시장 재진입도 좀 더 활성화될 것으로 기대된다

• 근관절건강학회지
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• 제3권2호
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• pp.216-228
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• 1996

This study has purpose to perform leaving the hospital nursing plan during hospital treatment of patient with the knee ligament Injury on the basis of the concerns between the time of leaving the hospital after 2 weeks in hospital and the concerns through practical life after leaving the hospital systematically. This study is also tried to make exercise plan to prevent atrophy of Quardriceps muscle of the thigh caused by the limitation of activities. The subjects of study are 12 people who were in the hospital in affiliation to a university in Seoul, were operated on the knee ligament, and were discharged from the hospital within 2 weeks. Data collection time was for about 4 months from December, 94 to March, 95. Research method was performed 2 times by unorganized open questions. The collection of first data is through direct interview about the concerns before leaving the hospital, and secondary data is through direct interview about the concerns by practical life and experiences after leaving the hospital. The data was categorized by classifying several common elements among similar contents according to data by the situational analysis of Giorgi. The result of this study is as follows : 1) The concerns before leaving the hospital are like that the concerns of recovery possibility, the limitation of activities, the grim realities of life, the lack of confidence about self-nursing, the eyes of the surroundings, the burden to the others, and so on. 2) The concerns after leaving the hospital are like that the demands of the inconvenience by the limitation of self-nursing, the support about self-nursing by the difficulties of performing treatment order, the support of physical activities limitation by physical tiredness and the limitation of social activities, the support of information by the necessities of education in using crutches before leaving the hospital and continuing informational needs, psychological and mental support of normal physical recovery by the worries of physical recovery and physical change, and social support by thankfulness for his family and relatives. I suggest to make more systematic leaving the hospital nursing plan and exercise education plan for nursing plan after leaving the hospital of the patients with the knee ligament injury on the basis of this content.

• 대한지역사회작업치료학회지
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• 제10권1호
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• pp.39-49
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• 2020

목적 : 본 연구는 영남권역 내 가정에서 인공호흡기 사용 환자를 돌보는 가족간병인이 느끼는 간병 부담과 삶의 질을 알아보고자 하였다. 연구방법 : 영남권역 내에 거주하며 가정에서 인공호흡기를 사용하는 환자를 돌보는 주간병인을 대상으로 설문조사를 시행하였고 가족간병인의 응답 내용을 분석하였다. 설문지는 환자의 정보, 간병 실태 및 추가 지원 요구 사항 등으로 구성하였다. 가족간병인의 간병 부담과 삶의 질을 평가하기 위해 각각 Korean version of Short Form Zarit Burden Interview(K-ZBI-12)과 한국형 가중치 모형에 따라 교정한 3-Level version of EuroQol-5 Dimension(KEQ-5D-3L)을 사용하였다. 통계적 유의수준은 p<0.05로 하였다. 결과 : 총 150명 중 주간병인이 가족간병인인 98명을 분석하였다. 환자의 연령은 54.10±17.94세, 성별은 남자 74명(75.5%), 여자 24명(24.5%)이었고 주 진단은 신경근육계 질환이 83명(84.7%)으로 가장 많았다. 가족간병인의 K-ZBI-12 점수는 33.08±10.34로 간병에 대한 고부담을 보였고 EQ-5D-3L 점수는 0.71±0.25로 두 항목은 음의 상관관계를 보였다(p=.038). 환자의 연령, 인공호흡기 사용기간, 의료비에 대한 가족간병인의 경제적 부담, 간병비에 대한 가족간병인의 경제적 부담 및 전문간병인의 참여 시간은 K-ZBI-12 점수와 각각 통계적으로 유의한 상관관계를 보였다. KEQ-5D-3L 점수는 가정용 인공호흡기의 사용기간과 음의 상관관계를 나타냈다(p=.017). 환자가 침습적 인공호흡기를 사용하는 경우 비침습적 인공호흡기를 사용하는 경우보다 가족간병인의 KEQ-5D-3L 점수가 낮았다(p=.008). 간병에 참여하는 인원이 두 명 이상인 경우가 한 명인 경우보다 K-ZBI-12 점수가 낮았다(p=.001). 가족간병인이 추가지원을 바라는 요구사항 중 경제적 지원에 대한 요구도가 가장 높게 조사되었다. 결론 : 영남권역에서 가정용 인공호흡기를 사용하는 환자들의 보호자가 느끼는 간병 부담이 크고 삶의 질이 낮다는 것을 알 수 있다. 가족간병인의 간병 부담과 삶의 질을 개선하기 위해서 지역에서 실질적으로 필요한 사회경제적 지원 및 환자와 가족들의 요구 사항을 확인하고 추가적인 지원을 위한 노력이 필요하다.

• 지역사회간호학회지
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• 제15권2호
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• pp.289-297
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• 2004

Purpose: This study was conducted to determine factors affecting workers' physiological somatic complain using the Job Stress Model proposed by the National Institute for Occupational Safety and Health (NIOSH). Method: Data were collected from the 1st to the 30th of December 1999. The subjects were 2.123 workers employed at 155 work sites. Collected date were analyzed through SAS/PC program. Result: According to individual characteristics, younger and women groups showed significantly higher physiological somatic complaint than elder men groups. By work condition, groups with higher physiological somatic complaint included workers of irregular shift work. Dark lighting, improper temperature in winter, improper ventilation, inappropriate humidity, unpleasant work environment and crowded work place were significantly related with physiological somatic complaint. By work-related factor, physiological somatic complaint was high in those with higher variance in work load, quantitative work load, role conflict, job burden, role ambiguity and future ambiguity. On the other hand, physiological somatic complaint was low in those with little underutilization of ability. As for the relationships between physiological somatic complaint and non-work related factors, physiological somatic complaint was high in workers who had a side job, were bringing up infants alone, cleaned the house alone, cared for the elderly and disabled persons, were studying, were volunteering at another organization, and were spending 5-10 hours in religious activities per week. Physiological somatic complain was in significantly negative correlations with overall social support, supervisory support and family support, but in significantly positive correlations with co-worker support. Conclusion: The main predictors of physiological somatic complain were gender, shift work pattern, overtime work, ventilation, role ambiguity, role conflict, future ambiguity, job control, variance in work load, overall social support, worker with side job, worker who cleans the house alone, worker who is studying. These predictors explained 19.10% of the total variance of physiological somatic complain.

• 패션비즈니스
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• 제21권4호
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• pp.105-115
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• 2017

Continuous lifting and carrying of babies constitutes a serious physical burden, leading to issues such as muscle fatigue and pain in child-care workers. However, there is a lack of research on the pressure and subjective comfort of baby carriers that are commercially available in the market. Therefore, this study was intended to determine the most comfortable and least burdensome type of baby carrier. This was done by analyzing muscle activity and pressure when subjects carried babies using three types of baby carriers. The types of baby carriers evaluated included a 'baby carrier of thin shoulder straps without back support band (X-type)', a 'baby carrier with a back-support band and without a hip sheet (H-type)', and a 'baby carrier with back support band and hip support (H-hip type). The subjective comfort of subjects wearing each type of baby carrier was investigated and compared to the objectively measured data. As a result, the X-type baby carrier showed the heaviest pressure on the shoulders and the subjective comfort was found to not be good. On the waist region, the H-type and H-hip type baby carriers showed significantly less muscle activation than the X-type baby carrier. However, subjects showed a stronger preference for the X-type baby carrier on the waist region, despite greater muscle activation. This appears to be because although the back-support band disperses the weight and thus improves physiological comfort; the wearers feel cramped and thus, lower their psychological comfort.

• 산경연구논집
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• 제9권10호
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• pp.39-50
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• 2018

Purpose - This study is to propose discriminative management strategies to long-term care facilities based on the empirical analysis after reviewing the effects of social support, perceived by long-term care facility employees, to service orientation. Research design, data, and Methodology - The research model designed social support, job stress, organizational commitment, and service orientation. The survey collected data from 453 customers in a long-term care facility in jeju. The SPSS 18.0 package was used for analysis. Results - First, social support for long-term care facility employees has a negative(-) effect to job stress. Test results, social support factors except appraisal support had a negative impact on job stress. Second, social support has a positive(+) effect to organizational commitment. Test results, informational support, tangible support and appraisal support had significant effects on organizational commitment. However, emotional support had a positive impact on affective commitment and normative commitment. Third, social support has a positive(+) effect to service orientation. Test results had a positive impact. Fourth, job stress has a negative(-) effect to organizational commitment. In the test results, employee's continuance commitment and normative commitment had significant negative effects in job stress. However, affective commitment had no significant impact. Fifth, job stress has a negative(-) effect to service orientation. Test results showed a negative impact. Conclusions - The study implies the following. First, that there should be a change in the social perception of long-term care facilities. 'Long-Term Care Insurance for The Elderly' was enacted to emphasize this responsibility for the elderly problems as a new system. Enactment of this Act was expected to improve the quality of life of the people by stabilizing the elderly life and reducing the burden of families. Therefore, long-term care facility system should be as efficient as possible for making plans for systematic and organizational support. Second, the efforts of facility managers to minimize job stress of employees is necessary. Accordingly, performing spontaneous work is required for a comfortable working environment and management. Third, the systematic education and training to employees for service oriented behavior of the facility will be required in the long term.

• 한국콘텐츠학회논문지
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• 제22권8호
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• pp.377-391
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• 2022

본 연구는 코로나19 상황에서 육아종합지원센터 어린이집 지원사업 운영실태를 파악하고, 운영 개선 및 발전 방안을 모색하는데 목적이 있다. 이를 위해 서울, 경기 지역 소재의 육아종합지원센터에서 어린이집 지원사업을 담당하는 보육전문요원 6인 대상으로 2022년 2월 1주부터 4주까지 심층 면담을 통해 자료를 수집하고 분석하였다. 연구 결과, 코로나19 상황에서 육아종합지원센터 어린이집 지원사업의 운영실태에 있어서는 사업 운영방식의 다양화, 비대면 교육 확대, 개별컨설팅 및 소규모 교육 요구가 증가한 것으로 나타났다. 운영상의 어려움은 미디어 활용 능력 부족, 예측 불가 상황에 대한 대처 부담, 어린이집과 보육정책기관 사이의 소통역할 미흡으로 나타났다. 지원 요구는 전산 전문인력 확보, 온라인교육 활성화를 위한 환경 구축, 긴급상황에서의 효율적 업무전달체계가 필요한 것으로 나타났다.