• 제목/요약/키워드: Collection management

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러시아혁명 이후부터 1930년대까지의 소련의 기록관리제도 (The Soviet Archival System from the Russian Revolution to the 1930's)

  • 조호연
    • 한국기록관리학회지
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    • 제4권2호
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    • pp.23-39
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    • 2004
  • 1917년에 발발한 러시아혁명은 사회주의 정권의 수립이라는 점 이외에도 기록물관리제도라는 측면에서 볼 때에도 러시아 역사의 전환점을 이루었다. 우선 법적인 측면으로 보자면, 소련 정부는 러시아 혁명 직후인 1918년 6월 1일에 공포한 "러시아사회주의연방의 기록업무의 재조직 및 중앙집중화에 관하여"라는 법을 통하여 기록물 관리의 기반을 닦아놓았다. 레닌에 의하여 서명된 이 법은 1920년대 들어서 수정 및 보완 과정을 거치다가 1929년 4월에 "러시아소비에트사회주의연방공화국의 기록관리에 관한 법"으로 연결되었다. 이를 통하여 소련은 단일국가기록폰드로부터 국가기록폰드로의 개념적인 발전을 이룸과 아울러, 국가기록폰드의 대상을 보다 확대시켜놓을 수 있었다. 뿐만 아니라, 이 법으로 인하여 소련 정부가 중앙기록물관리기관의 역할을 크게 확대시키고 다양화시켜놓았다는 점도 주목할 만한 사실이었다. 또한 기록물의 보존 기간도 새롭게 규정됨으로써 기술적인 측면에서도 기록물의 보존 업무가 개선되었다는 측면도 무시할 수 없었다. 그런데 문제는 이 법령이 순수하게 기록물 관리와 관계된 법적인 토대를 정비하는 데에만 그치지는 않았다는 점에 있었다. 더구나 이 법령이 공포된 시점은 스탈린이 명실상부하게 소련의 최고 권력자로 부상하여 스탈린 시대의 막을 연 때였다. 따라서 이 법은 공업화나 농업 집단화와 마찬가지로 중앙의 강력한 통제력을 기록관리 분야에다가 적용시킨 사례라고 말할 수도 있었다. 이 점은 1929년 5월 25일부터 6월 1일 사이에 개최된 러시아소비에트연방사회주의공화국의 기록관리종사자들의 제2차 대회에서 분명히 확인될 수 있었다. 러시아 혁명 이후 기록물 관리 분야의 주요 책임자 중 한 사람이었던 포크로프스키가 이 대회를 마지막으로 더 이상 영향력을 발휘할 수 없게 되었던 예에서 분명히 알 수 있듯이, 소련의 기록전문가들이 가지고 있던 자율성은 1929년 법이 제정된 이후로 점차로 축소되어가고 있었다. 러시아 혁명 이후의 중앙기록물관리기구도 법적인 측면과 유사한 변화 과정을 겪게 되었다. 소련 시기에 설치된 최초의 중앙기록물 관리기구인 기록관리총국은 스탈린 체제가 강화되던 1929년에 이르러 중앙기록관리부로 재편되었다. 이와 동시에 기록관리기구라는 측면에서 의미 있는 사건은 소련의 개별 공화국이 아니라 소련 전체를 대상으로 하는 소련중앙기록관리부가 설치되었다는 사실이었다. 그렇지만 소련의 기록관리 업무는 대숙청이라는 시대적인 배경을 두고 결국 기록관리총국을 통하여 소련내무인민위원부의 직접적인 통제하에 들어가고 말았다.

근무경력별 간호사의 성격유형과 직무만족도와의 관련성(MBTI이용) (A Study of the Relationship of Nurses' Personality Type and Job Satisfaction Level, according to the Career)

  • 박영숙;박경민;박정숙;고효정;권영숙;김명애;김정남;박청자;신영희;이경희;이병숙
    • 한국보건간호학회지
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    • 제15권2호
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    • pp.301-313
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    • 2001
  • This study was to explore the relationship between nurses' personality type and their job satisfaction level. The subjects of the study were the 364 nurses who were serving at the general surgical department, psychiatric department, pediatric department and emergency room. The hospitals for which they were working were four university hospitals in Daegu and Busan, and six other university hospitals in Seoul were selected as sample hospitals. For data collection, questionnaires were self-reported to the subjects, under their agreement, from May to June, 2000. The following two instruments were used in the study: One was MBTI Test whose Korean version designed and verified to reliability and validity by Kim Jung Taek and Shim Hae Sook(1990): the other was the Nursing Job Satisfaction Instrument, 'The Index of Work Satisfaction' developed by Slavitt, et al.., (1978). The data were analyzed by frequency, t-test, one-way variance analysis, scheffe's post hoc contrast, and Pearson correlation coefficient with SPSS Win 10.0 program. The results this study were as follows ; 1. As a result of testing nurse's personality type by function at each career, it's found that the most personality type was expressed by the ST-type$(37.3\%)$ at 1-5 years, the SF-type$(29.4\%)$ at 6-10 years, the ST-type$(43.3\%)$ at more than 11 years. 2. As a result of testing the disparity in job satisfaction according to career, it appeared that the 6-10 years group showed higher job satisfaction, followed by the 6-10 years$(119.6\%),\;1-5 years(118.6\%)\;and\;more\;than\; 11 years(117.7\%)$ groups. 3. As a result of testing job satisfaction level according to nurse's personality type by function at each career, it's found that the most job satisfaction was expressed by the SF-type(F=8.50, p=0.00l) at 1-5 years. the ST-type(F=30.61, p=0.001) at 6-10 years. the SF-type(F=4.98, p=0.003) at more than 11 years groups. 4. As a result of testing a significant correlation between nurse's personality type by function and job satisfaction level. the SF(r=0.279, p=0.001) and ST(r=0.222, p=0.001) types showed significant positive correlation. and the NF(r=-0.201, p=0.001) and NT(r=-0.402, p=0.001) types revealed significant negative correlation. The nursing management is likely to be done more effectively, if managers in charge of nursing administration carefully reflect nurses' personal opinions in posting and personnel management, keeping in mind that there is a specific personality type that serves to raise job satisfaction at a specific career.

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폐 농양및 농흉 치료에서 Pig-tail 도관 배액술의 효과 (The effect of Percutaneous pig-tail catheter drainage in the management of lung abscess and empyema)

  • 김연수;김성민;김진호;이경상;양석철;윤호주;신동호;박성수;이정희;최요원;전석철;김영태
    • Tuberculosis and Respiratory Diseases
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    • 제43권4호
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    • pp.571-578
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    • 1996
  • 배 경 : 폐 농양은 괴사된 폐실질에 농이 고이는 질환으로 1940년대 이전까지는 폐 농양은 체외 배액술에 의한 방법이 치료 원칙이었으나 피 이후 파양한 항생제의 발달로 대부분의 폐 농양에서는 항생제와 체위적 배농술을 포함한 내과적 치료법이 매우 효과적으로 이용되어 왔고 내과적 치료에 실패한 경우에 한해서 폐엽 절제를 포함한 외과적 치료 방법이 적용되어 왔다. 농흉은 흉막강내에 농이 고이는 질환으로 흉수 그람 염색상 양성이어야 하고 약제의 효과적인 침투가 어려우므로 내과적인 치료만으로 치유를 기대할 수 없고 흉관삽관 등 수술적인 조작이 필요하다. 하지만 최근 환자의 전신상태가 불량하거나 외과적 폐절제술이 용이하지 않는 경우에 국소 마취로 직경이 작은 카테타를 사용하여 경피적으로 배농시켜 치료하는 방법을 시행하고 있다. 이에 본 연구에서는 한양대학병원에 내원한 폐 농양 10례와 농흉 23례의 환자를 대상으로 pig-tail 도관 배액술을 시행하였기에 이에 대한 치료 효과를 보고하는 바이다. 대상 및 방법 : 1990년 1월 1일부터 1996년 5월 20일까지 한양대학병원에서 입원 치료한 환자중에서 pig-tail 도관을 이용하여 치료한 폐 농양 환자 10례와 농흉 환자 23례를 대상으로 하였고 각 환자들은 도관 배액술 전에 단순 흉부 X-선사진과 흉부 전산화 단층촬영을 하였고 형광 투시 또는 초음파 유도하에서 천자를 시행하였다. 천자후 카테타는 배액이 잘 되는 위치에서 피부에 고정되어었고 매일 배액량을 관찰한 후 3-4일 간격으로 단순 흉부 X-선사진을 검사하여 폐 농양의 크기나 농흉의 크기가 줄고 임상적 호전이 있으면서 배농량이 하루 5ml이하일때 도관을 제거하였다. 결 과 : 원인균은 폐 농양에서는 Staphylococcus aureus aureus 1례, Klebsiella pneumoniae 1례였으며 농흉에서는 결핵균이 14례로 가장 많았고 2례에서는 Streptococcus pneumoniae 였고 나머지에서는 균의 성장을 관찰할 수 없었다. 카테타의 삽입기간은 폐농양에서는 1-2주 사이가 7례(70%)였으며 농흉에서도 1-2주 사이가 14례(60.8%)로 가장 많았다. 경피적 배농은 29례(87.8%)에서 성공적이었으며 그 중 20례(60.6%)에서는 그 크기가 빠르게 감소되었다. 결 론 : 폐 농양과 농흉에서 pig-tail도관을 통한 배농은 항생제 요법과 보조 요법에 반응하지 않는 경우와 외과적인 수술의 어려움이 있는 환자들에서 비교적 안전하게 선택할 수 있는 효과적인 치료 방법으로 생각된다.

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본태성 고혈압 환자의 자가간호증진을 위한 자기조절 프로그램 효과 -Orem이론과 Bandura이론의 합성과 검증- (An Effect of the Self-Regulation Program for Hypertensives -Synthesis & testing of Orem and Bandura's theory-)

  • 박영임;홍여신
    • 지역사회간호학회지
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    • 제5권2호
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    • pp.109-129
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    • 1994
  • Chronic health problems has become a major concern and challenge to the health care professionals today. Especially hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Self-care is an essential factor that keeps chronic patients in control of their health and wellness. Thus this study was conducted to identify the effect of the comprehensive self-regulation program as a nursing intervention on the promotion self-care performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi-experimental research with pre and post test design was used. The subjects of the study was consisted of thirty persons with mild or moderate essential hypertension from two companies in Cheong-ju city. The whole program was carried out from October, 1993 to February, 1994. The self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The instruments used for data collection in this study were as follows : 1) Instruments used for measuring the knowledge about hypertension, multiple health locus of control, and perceived benifits and barriers were adapted from previous studies and modified by author to be fit for the subjects. 2) Self-efficacy scale and self-care performance record were developed by the author. 3) Physiological parameters included systolic / diastolic blood pressure, body weight, level of blood cholesterol, and 24hour ambulatory blood pressure. The post-experimental Cronbach's Alpha as the reliability test of scales were 0.703-0.897, an appropriate level of confidence. The effect of the program was analyzed by experimental stages ; the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t-test and t-test, repeated measure ANOVA, and pearson's correlation to de termine the effect of program. The results were as follows : 1) After the self-regulation program, scores on knowledge(t=-2.41, p=.011), perceived self-efficacy (F=5.60, p=.001), self-care performance(F=22.31, p=.0001) were significantly higher than those before the program. 2) After the program, both systolic and diastolic blood pressure were significantly lower than those before the program(F=10.89 -13.11, p=.0001). However in 24hour ambulatory blood pressure, systolic mean pressure was nearly significantly lower, but not in diastolic mean pressure. 3) After the program, the body weight was significant decresed(t=5.53, p=.0001), but the blood cholesterol level was not decreased significantly except in those cases with higher cholesterol level. 4) There were significant relationships between changes in self-care performance and diastolic pressure at 1st week (r=.3389, p=.033) and changes in self-care performance and systolic pressure at 9th week(r=.3651, p=.024). 5) There were significant relationship between perceived self-efficacy and self-care performance at 5th week(r=.5313, p=.001) and 9th week (r=.3026, p=.052). 6) After the program, internal health locus of control and perceived benefits did not show significant change, but perceived barriers was significantly lower than those before the program (t=3.57, p=.0001). From the above results, it can be concluded that 1) The self-regulation program is an effective nursing strategy to promote self-care performance of hypertensives and to lower the blood pressure. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings. 2) The synthesis of Orem's self-care theory and Bandura's self-regulation & self-efficacy theory in this study was proved to enhance explanation and prediction of the change of self-care behavior. Thus the result of the study would contribute in development of the self-care theory and an expansion of practice-theory.

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사찰림 관리자와 일반인의 인식조사를 통한 불교수목원 조성방안 (Establishment of a Buddhist Arboretum through a Survey of Temple Managers and Laypersons)

  • 이영경;이병인
    • 한국조경학회지
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    • 제42권1호
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    • pp.104-114
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    • 2014
  • 오늘날, 산림자원은 생물종 다양성과 관광 및 휴양을 위한 중요한 자원으로 대두되고 있다. 사찰림은 우리나라 산림의 1.3%를 차지하고 자연생태가 매우 양호하나, 관리가 미비한 실정이다. 근래 불교계 내부에서는 사찰림의 지속가능한 관리에 기여하면서 산림에 대한 사회적 요구에 부응할 수 있는 활용대안으로서 불교수목원이 크게 대두되고 있다. 본 연구에서는 불교수목원의 조성방안을 제시하기 위하여 사찰림 관리자 105명과 일반인 130명에 대한 인식조사를 수행하였다. 조사결과를 요약하면 불교수목원을 통해 사찰림 관리자는 불교문화 홍보와 사찰의 이미지 향상에 대한 관심이 더 높고, 일반인은 휴양과 교육에 대한 기대가 더 높다는 점에서 차이점이 있다. 그러나 두 집단 모두 전통사찰의 유산가치 보존과 사찰림 관리를 중요하게 생각한다는 점에서 유사하다. 특히, 두 집단 모두 불교수목원의 필요성을 시급성보다 높게 평가하고 있으며, 사찰림 관리를 가장 중요한 기능으로 인식하고 있었다. 또한 두 집단 모두 불교수목원은 배타적이지 않은 이용을 도모하고 사찰지역의 자연생태적 특성을 감안하여 조성되어야 한다고 생각하고 있었다. 중요 결과를 바탕으로 다음과 같은 불교수목원의 계획방안이 제시되었다. 첫째, 불교수목원은 장기적 관점에서 추진하면서 불교 내부 구성원의 공감대 형성과 일반인에 대한 교육 및 홍보를 진행하여야 한다. 둘째, 사찰림 보전을 가장 중요한 기능으로 설정하며, 이와 함께 휴양과 교육기능을 강조하여야 한다. 셋째, 배타적이지 않은 이용을 도모하기 위해서 불교수목원은 다양한 계층의 이용자들에게 적용될 수 있는 혼합프로그램을 개발하여 이용 만족을 높이고 교육효과를 달성하여야 한다. 넷째, 불교경전 식물 등 불교와 관련있는 식물을 통해 불교적 정체성이 있는 수목원을 조성하도록 한다. 다섯째, 식물수집에 있어서도 사찰의 이미지와 자원특징을 중심으로 하여 기존 사찰림의 보존 및 관리에 기여하도록 하여야 한다. 따라서 불교수목원은 보존 수집형 수목원과 전시 교육 휴양형 수목원의 두 가지 유형으로 구분될 수 있다.

국내 유기와 관행 재배 인삼의 토양화학성과 생육 특성 조사 (Research of Chemical Properties of Soil and Growth Characteristics of Panax ginseng under Organic and Conventional Cultivation Systems in Korea)

  • 임진수
    • 한국유기농업학회지
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    • 제24권3호
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    • pp.435-451
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    • 2016
  • 본 연구는 유기재배와 관행재배지의 토양화학성 및 인삼의 생육특성을 비교 분석하기 위하여 수행하였다. 유기재배 인삼과 관행재배 인삼 시료 채취는 전국 14개 지역 52개 포장에서 4, 5, 6년근을 대상으로 2013년부터 2015년까지 3년에 걸쳐 10월부터 11월까지 2개월 동안 이루어졌다. 인삼 유기재배에서는 수량을 높이기 위해 관행재배지와 비슷하게 양분의 함량이 높아지고 있어 토양화학성기준에 맞는 적합한 관리가 요구된다. 유기재배 인삼은 관행재배 인삼보다 생육기간이 60일 이상 짧은 특징을 보였으며 1 ha당 평균 수량도 관행 수량의 60% 수준이었다. 근중은 유기재배 인삼이 관행재배 인삼의 54% 정도였다. 동직경 및 체형계수도 유기재배 인삼이 관행재배보다 더 작아 유기재배 인삼이 가늘고 긴 특징을 보였다. 근장은 답전윤환지의 비율이 낮은 관행재배 인삼 5년근에서 길었다. 지근의 수는 직파재배의 비율이 높은 유기재배 인삼 5, 6년근에서 적었다. 건물중은 관행재배보다 조기낙엽이 발생된 유기재배 인삼의 5, 6년근에서 뚜렷하게 낮았다. 동할과 뿌리썩음병은 관행재배에서 많은 경향이었는데 동할은 4, 6년근에서 뚜렷하게 많았으며 뿌리썩음병은 5, 6년근에서 많이 발생되었다. 토양수분의 영향을 많이 받는 적변과 선충의 피해는 유기재배 4년근에서 많았다. 즉 유기재배 인삼은 관행재배보다 조기낙엽 현상이 뚜렷하여 수량 및 근중이 낮은 반면 생리장해는 적었다. 유기재배 인삼의 수량을 높이기 위해서는 조기낙엽의 문제를 극복할 수 있는 재배 기술적인 연구가 필요하며 생리장해를 줄일 수 있는 토양 수분관리가 필요하다.

산업장 교대근무 근로자의 건강증진행위 예측요인 (Predictive Factors of Health promotion behaviors of Industrial Shift Workers)

  • 김영미
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.13-30
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    • 2002
  • Industrial shift workers feels suffer mental stresses which are caused by unfamiliar day sleep, noisy environment, sleeping disorder by bright light, unusual contacts with family, difficulty in meeting with friends or having formal social meetings and other social limitations such as the use of transportation. Such stresses influence health of the workers negatively. Thus the health promotion policy for shift workers should be made considering the workers' ways of living and shift work specially. This study attempted to provide basic information for development of the health promotion program for industrial shift workers by examining predictive factors influencing health promotion behaviors of those workers. In designing the study, three power generation plants located in Pusan and south Kyungsang province were randomly selected and therefrom 280 workers at central control, boiler and turbine rooms and environmental chemistry parts whose processes require shift works were sampled as subjects of the study. Data were collected two times from September 17 to October 8, 1999 using questionnaires with helps of safety and health managers of the plants. The questionnaires were distributed through mails or direct visits. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of internal locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of social support measurement by Paek(1995). The collected data were analyzed using SPSS program. Controlling factors of the subjects were evaluated in terms of frequency and percentage ratio Perceived factors and health promotion behaviors of the subjects were done so in terms of mean and standard deviation, and average mark and standard deviation, respectively. Relations between controlling and perceived factors were analyzed using t-test and ANOVA and those between perceived factors and the performance of health promotion behaviors, using Pearson's Correlation Coefficient. The performance of health promotion behaviors was tested using t-test, ANOVA and post multi-comparison (Scheffe test). Predictive factors of health promotion behavior were examined through the Stepwise Multiple Regression Analysis. Results of the study are summarized as follows. 1. The performance of health promotion behaviors by the subjects was evaluated as having the value of mean, $161.27{\pm}26.73$ points(min.:60, max.:240) and average mark, $2.68{\pm}0.44$ points(min.:1, max.:4). When the performance was analyzed according to related aspects, it showed the highest level in harmonious relation with average mark, $3.15{\pm}.56$ points, followed by hygienic life($3.03{\pm}.55$), self-realization ($2.84{\pm}.55$), emotional support($2.73{\pm}.61$), regular meals($2.71{\pm}.76$), self-control($2.62{\pm}.63$), health diet($2.62{\pm}.56$), rest and sleep($2.60{\pm}.59$), exercise and activity($2.53{\pm}.57$), diet control($2.52{\pm}.56$) and special health management($2.06{\pm}.65$). 2. In relations between perceived factors of the subjects(self-efficacy, internal locus of control, perceived health state) and the performance of health promotion behaviors, the performance was found having significantly pure relations with self-efficacy (r=.524, P=.000), internal locus of control (r=.225, P=.000) and perceived health state(r=.244, P=.000). The higher each evaluated point of the three factors was, the higher the performance was in level. 3. When relations between the controlling factors(demography-based social, health-related, job-related and human relations characteristics) and the performance of health promotion behaviors were analyzed, the performance showed significant differences according to marital status (t=2.09, P= .03), religion(F=3.93, P= .00) and participation in religious activities (F=8.10, P= .00) out of demography-based characteristics, medical examination results (F=7.20, P= .00) and methods of the collection of health knowledge and information(F=3.41, P= .01) and methods of desired health education(F=3.41, P= .01) out of health-related characteristics, detrimental factors perception(F=4.49, P= .01) and job satisfaction(F=8.41, P= .00) out of job-related characteristics and social support(F=14.69, P= .00) out of human relations characteristics. 4. The factor which is a variable predicting best the performance of health promotion behaviors by the subjects was the self-efficacy accounting for 27.4% of the prediction, followed by participation in religious activities, social support, job satisfaction, received health state and internal locus of control in order all of which totally account for 41.0%. In conclusion, the predictive factor which most influence the performance of health promotion behaviors by shift workers was self-efficacy. To promote the sense, therefore, it is necessary to develop the nursing intervention program considering predictive factors as variables identified in this study. Further industrial nurses should play their roles actively to help shift workers increase their capability of self-management of health.

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대학도서관 업무의 시대별 변천에 따른 특성 연구 (A Study on the Characteristics of Jobs in Academic Libraries According to Different Generations)

  • 조철현
    • 한국비블리아학회지
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    • 제26권1호
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    • pp.135-170
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    • 2015
  • 본 연구는 웹의 진화에 따른 도서관의 대응을 도서관1.0, 도서관2.0, 도서관3.0으로 시대 구분하여 대학도서관 업무의 변화를 알아보고, 시대별 변화에 따른 업무의 특성을 제시하고자 하였다. 선행연구와 사례를 통한 직무분석과 델파이 조사를 통하여 나타난 연구 결과, 첫째, 도서관1.0 시대에서 시작하여 도서관3.0 시대로 계속 이어지는 업무 170개, 도서관2.0 시대에서 시작하여 도서관3.0 시대로 이어지는 업무 58개, 도서관1.0 시대에서 시작하여 도서관2.0 시대로 이어지는 업무 3개, 도서관1.0 시대에만 존재한 업무 3개, 도서관2.0 시대에만 존재한 업무 1개, 도서관3.0 시대에 새롭게 생성된 업무 25개 등으로 나타났다. 둘째, 5개 직무영역의 세부적인 부분을 포괄하는 전체적인 특성을 살펴보면, 경영관리의 경우, 중요도, 난이도, 빈도 모두가 시대별로 유의미하게 상승하는 것으로 밝혀졌다. 장서개발 및 관리의 경우, 중요도, 난이도, 빈도 모두가 도서관2.0 시대에서 도서관3.0 시대로만 유의미하게 상승하는 것으로 밝혀졌다. 자료조직의 경우, 중요도는 도서관1.0 시대에서 도서관2.0 시대로 유의미하게 하락하고, 빈도는 시대별로 유의미하게 하락하며, 난이도는 시대별로 유의미한 변화가 없는 것으로 밝혀졌다. 이용서비스의 경우, 중요도는 시대별로 유의미하게 상승하며, 난이도는 도서관1.0 시대에서 도서관2.0 시대로만 유의미하게 상승하는 것으로 밝혀졌다. 빈도는 시대별로 유의미하게 변화하지 않는 것으로 밝혀졌다. 정보시스템 구축 및 관리의 경우, 중요도 및 빈도는 시대별로 유의미하게 상승하며, 난이도는 시대별로 유의미하게 변화하지 않는 것으로 밝혀졌다.

뇌졸중환자 가족의 간호요구 (A Study on the Care Needs of Family-Caregivers to the Patients with Stroke)

  • 김미희
    • 기본간호학회지
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    • 제4권2호
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    • pp.175-192
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    • 1997
  • The purpose of this study was to identify the care needs of family-caregivers to the patients with stroke. Subjects were 115 family-caregivers caring for the patients while they were in-patients or out-patients with stroke in two general hospitals and one oriental medicine hospital located in Seoul and Kwang-Ju. The instrument used for this study was made by the researcher on the basis of results of literature review and interviews with family-caregivers, composed of 35 items. Internal validity by calculation of cronbach's alpha with data of respondents was 0.91, which was regarded as high. The Data were analyzed by SAS program, with percentage, mean, t-test, and ANOVA. Factor structures of care needs of family-caregivers were elicited by factor analysis(PCA, Varimax rotation). Datum collection had been from July 1 to August 14, 1997. The results of this study were as follows : 1. The mean score of the sum of the care needs of family-caregivers was 3.96 and the highest-mean item was 'need for immediate care(M=4.77)', and the lowest-mean item was 'need for chaplian's visit (M=2.82)'. 2. Care needs of the family-caregivers were : Need to be informed of the disease, treatment and care ; need of education and assistance related to physical functional level ; need of social support and consultation ; need of management of nursing problem related to immobility ; need of appreciation ; need of the way to communicate with patients ; need of immediate care and help. The highest mean factor was the 'need for immediate care and help(M=4.74)', and the lowest mean factor was the 'need of appreciation(M=3.58)'. 3. The variables influencing the degree of care needs perceived by family-caregivers to the patients with stroke were as follows : There were significant differences between need to be informed of the disease, treatment and care and general characteristic factors, which were family caregiver's sex (p=.0178), caring period(p=.0223) and patient's suffering period(p=.0244). There were significant differences between need of education and assistance related to physical functional level and general characteristic factors, which were patient's paralysis(p=.0177), patient's ADL dependency(p=.0032). There were significant differences between need of social support and consultation and general characteristic factors, which were family caregiver's sex(p=.0055), occupation(p=.0159), religion(p=.0093) and patient's sex(p=.0134). There was significant difference in the degree of need of management of nursing problem related to immobility, according to the patient's ADL dependency(p=.0493). There were significant differences between need of appreciation and general characteristic factors, which were family caregiver's age(p=.0107), sex(p=.0133), and patient's age(p=.0338). There were significant differences between need of the way to communicate with patient and general characteristic factors, which were patient's paralysis(p=.0002) and aphasia(p=.0001). There were significant differences between need of immediate care and help and general characteristic factors, which were family caregiver's caring period(p=.0162) and patient's suffering period(p=.0116). 4. The mean score of patient's ADL dependency was 3. 38 and the highest-mean item was 'ascending and descending stairs(M=4.12)', and the lowest-mean item was 'drinking(M=2.60)'. There was no significant difference in the degrees of care needs related to the patient's ADL dependency. 5. The highest information source of family-caregivers was from the doctors about the disease, treatment and care(26.1%). The second highest one was from mass media(20.8%), and the third one was from the nurses. The above findings may be used as the basic data to seek more efficient way of elevating nursing practice and quality for family-caregivers to the patients with stroke.

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자조집단 활동과 자기효능성 증진법을 이용한 수중운동 프로그램이 류마티스 관절염 환자의 통증, 생리적 지수 및 삶의 질에 미치는 영향 (An Effect of Aquatic Exercise Program with Self-help Group Activites and Strategies for Promoting Self-efficacy on Pain, Physiological Parameters and Quality of Life in Patients having Rheumatoid Arthritis.)

  • 김종임
    • 근관절건강학회지
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    • 제1권1호
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    • pp.1-30
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    • 1994
  • Rheumatoid arthritis is a chronic systematic disease with unpredictable course of exacerbation and remission, characterized by pain, joint deformity and reduced activity by joint limitation. The growing public awareness of the need for health management of chronic illnesses, provides impetus for nursing to demonstrate social effectiveness by active nursing intervention in this vast area in general, and with rheumatoid condition in particular. However, nursing interventions to date have not demonstrated its active participation in the management of chronic conditions. Nursing intervention for the patients having rheumatoid arthritis is one such area that needs to be studied intensively and to demonstrate their effectiveness empirically. The purposes of this study were two fold : first, to develop a comprehensive program that was intensified with therapeutic joint exercises in water, self-help group activities and utilization of self-efficacy promoting strategies : and secondly, to determine the effect of aquatic exercise program on pain, physiological changes and quality of life in the rheumatoid arthritis patients. Thirty five female subjects participating in this study were selected from outpatients in the Rheumatism Center, Hanyang University hospital. The period of data collection was from December, 1992 to March, 1993 in seoul and Taejeon. Subjects in Taejeon were assigned to the experimental group. The comprehensive aquatic exercise program for the experimental group was carried out three times a week for 6 weeks in regular swimming pool. Subjects in Seoul did not participated in the program, and treated as the control group. Data were analyzed with repeated measure MANCOVA, t-test, ANCOVA, percentage of change, Kruskal-Wallis 1-Way ANOVA using SPSS $PC^+$ program. Results were obtained as follows : 1) Scores on Korean pain scale, Numeric pain score, and RAI score of the experimental group were significantly lower than those of the control group (t=2.11, p=0.022 ; F=4.40, p=0.044 : t=3.10, p=0.002). 2) There was significant improvement in the physiological parameters (higher joint movement parameters, F=15.64, p=0.024 ; higher lean body mass, percentage of change=+12.2, lower body weight, t=1.01, p=0.026 : lower ESR, t=1.69, p=0.001) in the experimental group compaired with subjects In the control group. 3) There was significant improvement in the specific self-efficacy score through the comprehensive aquatic exercise program(t=2.73, p=0.011), but not in the general self- efficacy score(t=0.62, p=0.113). 4) The quality of life failed to show significant improvement in the experimental group as compaired with the control group (F=3.69, p=0.064). 5) In the experimental group, findings from additional analysis showed no significant difference in the specific self-efficacy between those who continued to aquatic exercise after completing 6 week program and those who stopped (X2=0.086, p=0.690). Therefore, adherence to aquatic exercise program for 6 weeks seem to be affected mainly by self-help group activities. An indepth study to delve into articulation of mechanisms affecting the effect of aquatic exercise program be recommended. A further study is necessary to determine the difference in the effect of group and individual aquatic exercise program, to assess factors affecting adherence to exercise for an extended length of time.

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