• 제목/요약/키워드: Caring system

검색결과 159건 처리시간 0.023초

정신질환자와 가족을 위한 회복적 가족서클 프로그램의 효과 (Effects of Restorative Family Circles on People with Mental Illness and Their Families)

  • 김효경;김현정;남경아
    • 한국보건간호학회지
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    • 제37권1호
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    • pp.111-124
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    • 2023
  • Purpose: This study aimed to investigate the effects of restorative family circles (RFCs) on empowerment and family support for people with mental illness, and the belief system and caring experience of their families. Methods: This study used a quasi-experiment with a non-equivalent control group pretest-posttest non-synchronized design. Ninety-two dyads of patient-family caregivers were recruited using convenience sampling and assigned to the experimental and control groups. The subjects of the experimental group participated in RFCs consisting of eight 90-minute sessions. Data were collected at three different times (pretest, posttest, follow-up test) and analyzed for the effects of RFC using the 𝑥2 test, Fisher's exact test, Mann-Whitney U test for homogeneity between groups, and generalized estimating equation models. Results: The findings of this study showed that there were significant differences in the family support for people with mental illness between the pretest and follow-up test, and also in the belief system and caring experience of the family between the pretest and posttest. Conclusion: This study revealed that family interventions based on restorative justice emphasizing community-driven conflict management could be used in psychiatric mental health nursing care for fostering a cohesive family relationship.

매장문화재(埋藏文化財)에 대한 보존과학의 역할(役割) (Role of the Conservation Science in Excavating Objects)

  • 이상수
    • 박물관보존과학
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    • 제1권
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    • pp.9-14
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    • 1999
  • 출토된 매장문화재의 소장관리책임은 문화재보호법 제3644에 따라 국립박물관에 있다. 이러한 문화재는 연간 10,000여점 씩이나 폭증하고 있고 이 숫자는 앞으로 더욱 증가될 전망이다. 한편 국립박물관의 보관시설은 이미 포화상태를 넘은 상황이며, 따라서 출토문화재는 열악한 시설과 인력이 태부족한 대학박물관 등에 위탁 관리되는 형편이라서 부실보관 등 원초적인 문제가 야기되고 있다. 더 큰 문제점은 이들 문화재가 과학적인 보존처리 및 관리의 보호를 받지 못한다는 점인데 그 이유는 보존과학자가 국립박물관에 5명이며 독립부서조차 없는 실정이고, 전국적으로는 20여명 밖에 없기 때문이다. 이러한 출토문화재의 보존관리 문제를 해결하기 위해서는 새로운 제도 및 기구(가칭 : 매장문화재 통합보존소)가 시급히 마련되어야 하며, 가장 효과적인 방안으로는 과학적인 수장시설의 설치와 이를 관리할 수 있는 전문인력(보존과학자)으로 구성된 기구의 설립이 절실하므로 이를 제안하는 바이다.

응급의료센터 환자의 내원 정보 및 실태 분석 (Analysis of Arrival Information and Status of the Patients in Emergency Department)

  • 이삼범;도병수
    • Journal of Yeungnam Medical Science
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    • 제16권2호
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    • pp.277-282
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    • 1999
  • 1998년 4월 1일부터 7일까지 1주일간 영남대학교 의과대학 부속병원 응급의료센터를 방문하는 환자 464명을 대상으로 응급 환자 조사 대장을 작성하여 환자의 일반적인 정보 내용과 현황에 대하여 전향적으로 조사 분석한 결과를 요약하면 다음과 같다. 1. 조사 기간중 내원 환자수는 일 평균 66.3명이었으며, 대기 환자수는 평균 17.3명으로 당일 총진료 환자수는 83.6명이었다. 2. 내원 방법은 걸어서 내원한 환자가 57.3%로 가장 많았고, 교통편은 자가용이 58.0%, 구급차가 26.3%였으며, 발생 장소는 거주지가 85.3%로 가장 많았고, 지역별로는 대구 지역이 81.5%였다. 타 병원을 경유하여 내원한 환자는 2.6%, 직접 내원한 환자는 97.4%였다. 3. 내원 원인 분류상 질환이 74.6%로 가장 많았고, 사고 환자가 71명(15.3%)이었으며 이중 교통 사고가 49명(10.6%)을 차지하였다. 4. 진료를 의뢰한 임상과는 내과가 26.6%로 가장 많았고, 다음이 소아과 16.8%, 정형외과 8.6%, 신경과 8.2%, 신경외과 7.8% 순으로 많았으며 응급의학과를 포함한 기타 과는 8.2%를 차지하였다. 5. 진료 결과 입원이 38.4%, 퇴원이 61.0%, 도착시 사망 환차가 0.6%였으며 타 병원으로의 전원은 1례도 없었다. 결론적으로 3차 의료기관의 응급의료센터에서의 진료는 질병 환자 중심의 진료와 당일 진료후 퇴원가능한 경한 환자 중심의 "fast tracking"을 이용한 신속한 진료 및 외상 환자 및 중환자 중심의 진료 등의 다원적인 진료 형태가 요구되며 이러한 진료형태의 개발과 확립이 필요할 것으로 사료된다.

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간호에서의 여성적 윤리에 대한 비판적 탐구 (A critical inquiry on the feminine ethics in nursing)

  • 공병혜
    • 간호행정학회지
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    • 제9권1호
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    • pp.41-49
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    • 2003
  • Purpose : This study was to illuminate the main characteristics and limits of the feminine ethics of care when it applies to the nursing ethics, and suggested sufficient conditions of care ethics in nursing in order to actualize the autonomy for nurses. Method : This study inquired the relationship between the ethical trait of caring in nursing and Gilligan & Noddings's moral theory as feminine ethics in relation to supporting the nursing ethics. In contrast to traditional moral theories based on universal principles, Gilligan's moral theory emphasized the conscious of the interpersonal relationship on the basis of the empathy and the responsibility for the other's need in contextual situations, and Noddings developed her ethics based on mothering as a model for the caring relation, the moral feature of which was characterized as reciprocity, receptiveness and responsiveness. Result : The feminine ethics of care came to support nursing ethics considering the nterpersonal relationship and responsibility. However, it did not show a possible ideal of nursing ethics because it has some difficulties in actualizing the nurse's individual and professional autonomy in the health care system. Conclusion : Therefore, in order that ethics of care can be an ideal and universal nursing ethics, it should be studied in proper direction, that is, toward actualization of the autonomy of the universal ethical self in relation to the concern and responsibility for the other.

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Pediatric Nurses' Perspectives on Family-Centered Care in Sri Lanka: A Mixed-Methods Study

  • Done, Rishani Deepika Gangodage;Oh, Jina;Im, Mihae;Park, Jiyoung
    • Child Health Nursing Research
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    • 제26권1호
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    • pp.72-81
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    • 2020
  • Purpose: This study was conducted to investigate nurses' perceptions and performance of family-centered care (FCC) at a children's hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system. Methods: A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses' perspectives on FCC. In total, 157 nurses working at a large teritagy children's hospital responded to a self-report survey and 18 nurses participated in focus group interviews. Results: Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children's hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC. Conclusion: Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.

거동불편노인가족에 있어서 주 간병인의 가족자원과 스트레스에 관한 연구 (A Study of Family Resources and Stress of Main Caregivers for the Disordered Elderly Family)

  • 배옥현;홍상욱
    • 한국생활과학회지
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    • 제7권2호
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    • pp.1-10
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    • 1998
  • The purpose of this study are to examine the influential variables between general character, family system, coping strategies, social support and stress of main caregivers for disordered elderly family. This study was conducted by interviewing of 177 family-members care to giving disordered elderly families in Taegu and Kyeongbuk province. The data were analyzed with the SPSS statistical package using frequency and percentage, multiple regression and path analysis. The results of this study were as follow : The variables influencing stress related to the disordered elderly family are the degree of disorder (${\beta}=.348^{***}$), caring-time-per day (${\beta}=.303^{***}$), employment status of main caregivers (${\beta}=.223^{***}$), social support (${\beta}=.241^{**}$), relational coping strategies (${\beta}=.199^{**}$), problem-avoidance coping strategies (${\beta}=.327^{***}$). Thus, in disordered elderly families, a high-stress situation arises with a highly-educated caregiver when problem-avoidence coping strategies or relational coping strategies are used or when daily caring time is great. A low-stress situation results when the caregiver is employed and the social support level is high.

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기혼여성의 경력단절 및 자녀양육 경험에 관한 질적연구 (A Qualitative Study on the Career Interrupted and the Child Care of Married Women)

  • 엄경애;양성은
    • 가정과삶의질연구
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    • 제29권1호
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    • pp.21-40
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    • 2011
  • This research is intended to find out the causes of the career interruption of highly-educated housewives, their experiences of caring for their children after career interruption, their psychological conflicts and coping strategies, and their attitudes toward reemployment. The participants were university-graduated housewives in their thirties who have pre-school children older than 2 years. The participants in this research consisted of twenty-nine participants. The essence of this study is the belief system that career and maternal roles are not compatible. Specifically, the participants possessed a certain motherhood ideology, so they gave up working in order to care for their children, deferring their careers for a while. The participants had ambivalent feelings about working mothers, and described their children by highlighting their negative aspects. Additionally, the participants experienced persistent conflicts about developing their careers and caring for their children during their period of career interruption. The participants seemed to possess a vague sense of hope about their careers, and their attitudes toward their careers were ambiguous in the past, present, and even in the future.

치매노인 가족의 치매특별등급서비스 이용 경험 (Experience of a Special Rating Dementia Service for Family Caregivers of Elderly People with Dementia)

  • 조희경;장수정
    • 지역사회간호학회지
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    • 제29권2호
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    • pp.231-243
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    • 2018
  • Purpose: This study tries to explore experiences with a special rating dementia service among family caregivers of elderly people with dementia. Methods: The participants were 11 family caregivers of elderly people with dementia and had used a day-care service from the special rating dementia service for more than 3 months. Data were collected through individual in-depth interviews and analyzed using content analysis. Results: Three categories emerged: "reminiscence of an entangled life", "feeling relieved from a stifled life", and "hope for a better life through help and support" with 8 sub-categories and 23 codes. By using the special rating dementia service, the participants experienced relief from the burden of caring for their elderly family member with dementia and restored their social relations or family relationships. They experienced a positive transition in which their caring for elderly family members with dementia was integrated into their daily lives, and they expressed their desires for better policies. Conclusion: These findings imply the importance and necessity of the special rating dementia service. Practical and systematic family support programs are necessary and proactive publicity activities by the government and public agencies are suggested to ensure that family caregivers can easily use the special rating dementia system.

Sensor fusion based ambulatory system for indoor localization

  • Lee, Min-Yong;Lee, Soo-Yong
    • 센서학회지
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    • 제19권4호
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    • pp.278-284
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    • 2010
  • Indoor localization for pedestrian is the key technology for caring the elderly, the visually impaired and the handicapped in health care districts. It also becomes essential for the emergency responders where the GPS signal is not available. This paper presents newly developed pedestrian localization system using the gyro sensors, the magnetic compass and pressure sensors. Instead of using the accelerometer, the pedestrian gait is estimated from the gyro sensor measurements and the travel distance is estimated based on the gait kinematics. Fusing the gyro information and the magnetic compass information for heading angle estimation is presented with the error covariance analysis. A pressure sensor is used to identify the floor the pedestrian is walking on. A complete ambulatory system is implemented which estimates the pedestrian's 3D position and the heading.

연속숫자음 인식을 이용한 열차무선호출방식 개선방안 연구 (A Study on Improving the Train Radio Call Using Continuous Digit Recognition)

  • 최윤석;이상배
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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    • pp.2775-2781
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    • 2011
  • Urban Transit Train Radio is Radio Communication system that is used official business as leading motive for train safety running among the train crew and the central control center and drive-caring-chamber on main line and branch line. This system is operated that organizes talking path on handset of terminal after the train crew receives audio and understands call voice on speaker of terminal at calling the train of the central control center. When the central control center calls the specific train uses all call radio form, the train crew doesn't recognize the call cause the train situation, noise and action as train control. So there is a delay response cause reset call at the central control center. This research discusses the management of subway radio system and describes the call the train system that recognize train call number of all-call used between the central control center and the train crew.

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