• 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.

• 한국농촌건축학회논문집
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• 제23권1호
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• pp.27-34
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• 2021

The senior welfare centers should provide integrated welfare services to the elderly whose needs are in change. So this paper tried to find a direction for improvement by identifying the spatial organization of the centers which are in Yeosu, Suncheon and Gwangyang. Classification of spaces of senior welfare center followed the guidelines 2020 for senior welfare center from Ministry of Health and Welfare which are consultation, medical rehabilitation, day or short-term protection, social education, home welfare, employment, welfare and public relations and PR planning and by adding management and public space. The above factors are invested and analyzed. The results of the survey and analysis of seven senior welfare centers are as follows. First, in the survey, the spatial organization of the senior welfare centers surveyed showed that the larger the size is, the dominantly lager the social education space is. Second, the space for day or short-term care, and employment is less than 1% of the total area, and most senior welfare centers do not have a basic space for this. Third, the space related to home welfare and counseling is very small, and more than half of the senior welfare centers do not have space related to it.

• Architectural research
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• 제25권1호
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• pp.11-17
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• 2023

This study aims to derive key construction supervision work that can be digitalized among construction supervision work. The scope of the study includes domestic construction sites to which the Building Act of South Korea is applied. First, the construction supervision process was identified through extensive consultation of construction expert witnesses. Afterwards, the key construction supervision works for digitization were derived through survey results construction expert witnesses. Among the 24 supervision works throughout the pre-construction, construction, and post-construction stages, the proportion of supervision work manpower or cost, the type of data generated by supervision work and the urgency of introducing digital technology, and the impact on productivity and safety of supervision work were evaluated on a 5-point scale from "very low" to "very high" was investigated. The survey was conducted by t-test analysis, and as a result, it was possible to derive that the level of digitization was higher than average in "quality management," "safety management," and "collection and cooperation of maintenance instructions." It can be interpreted that digitization has been introduced on a pilot testing basis or has already been completed according to the needs of the site. On the other hand, it can be interpreted that the work that are obtained below the average score are considered to be realistically constrained at the construction site and that it is inevitable for the supervisor to proceed manually. Future studies include analyzing the quantitative impact of the key construction supervision work once digitalization is fully applied.

• 한국지역사회생활과학회지
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• 제27권spc호
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• pp.593-608
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• 2016

This study is an exploratory case study of a humanity community building process in a rural area context, particularly in the villages of Eoro-ri, Chilgok-gun, and Gyeongsangbuk-do. Chilgok-Gun has institutionalized support systems for a humanity community building, and has implemented some programs for four years. This article uses a qualitative approach to analyze the process of community buildings, such as in-depth interviews and observations. The analysis is based on the process of discovering, vitalization, and self-governing for community buildings, and give some implications for future community buildings in a rural area context as follows. First, the village leader constantly needs to be cultivated. The village leader is not a simple representative of the village. He constantly needs to make efforts to communicate with the villagers. Second, learning through constant self-reflection is necessary for the villagers. It is important to make community programs and residents' small meetings to facilitate reflection. In community buildings, the process of communication and consultation for villagers is more important. The process that creates a new value of the village in the learning process takes place. Third, talented village people who can develop the village should be educated. This is a virtuous circle for Village Development. Aging in rural areas has been deepening, which will affect the future of local communities that can meet in accordance with various crises and responses. There is a need for complex research on sustainable ways to reinvent itself as a community.

• 한국환경복원기술학회지
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• 제26권6호
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• pp.205-220
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• 2023

This study aimed to analyze the needs and interests of the public on endangered wildlife using complaint big data. We collected 1,203 complaints and their corresponding text data on endangered wildlife, pre-processed them, and constructed a document-term matrix for 1,739 text data. We performed LDA (Latent Dirichlet Allocation) topic modeling and network analysis. The results revealed that the complaints on endangered wildlife peaked in June-August, and the interest shifted from insects to various endangered wildlife in the living area, such as mammals, birds, and amphibians. In addition, the complaints on endangered wildlife could be categorized into 8 topics and 5 clusters, such as discovery report, habitat protection and response request, information inquiry, investigation and action request, and consultation request. The co-occurrence network analysis for each topic showed that the keywords reflecting the call center reporting procedure, such as photo, send, and take, had high centrality in common, and other keywords such as dung beetle, know, absence and think played an important role in the network. Through this analysis, we identified the main keywords and their relationships within each topic and derived the main issues for each topic. This study confirmed the increasing and diversifying public interest and complaints on endangered wildlife and highlighted the need for professional response. We also suggested developing and extending participatory conservation plans that align with the public's preferences and demands. This study demonstrated the feasibility of using complaint big data on endangered wildlife and its implications for policy decision-making and public promotion on endangered wildlife.

• Journal of Hospice and Palliative Care
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• 제5권2호
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• pp.136-145
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• 2002

목적 : 본 연구는 암환자의 요구를 포괄적으로 포함하면서 실용적으로 측정할 수 있는 도구를 개발하기 위해 시도되었다. 방법 : 기존의 문헌들과 함께 Wingate와 Lackey(1989)의 내용분석 결과를 근거로 정보요구, 이용가능한 자원, 신체적 요구, 정서적 요구, 영적 요고, 그리고 법적/경제적 요구의 6개 영역을 선정하였고, 각 영역에 대한 문항 내용은 암환자 대상의 요고, 조사연구들를 참고로 하여 작성한 후 간호학 교수 3인의 자문을 받아 문항의 내용을 수정, 추가 또는 삭제하면서 예비문항을 작성하였다. 이를 통해 정보요구 7문항, 이용가능한 자원 5문항, 정서 요구 4문항, 영적요구 5문항, 법적/경제적 요구 4문항, 신체적 요구 7문항의 총 32문항의 예비도구를 작성하였다. 예비 도구의 내용 타당도를 확인하기 위해 강원도 소재 대학병원의 간호사 중 평균 경력 10년 이상인 암환자를 간호하고 있거나 간호한 경험이 있는 수간호사와 책임 간호사 9명을 대상으로 실시하였고, 구성타당도와 신뢰도를 검증하기 위해서는 강원도 충정도 및 경기도 소재 종합병원에 근무하고 있는 간호사 116명을 편의표출하였다. 수집된 자료를 SPSS 10.0 WIN을 이용하여 요인분석 및 Cronbach ${\alpha}$값을 구하였다. 결과 : 1) 내용 타당도 분석 결과, 전문가 합의률이 55.4%로 낮은 '유언장 쓰는 방법을 알고싶다'는 문항이 삭제되어 31문항이 선정되었다. 2) 요인분석을 실시한 결과 신체적 요구, 정보 요구, 영적 요구, 정서 요구, 이용가능한 자원, 그리고 법적/경제적 요구의 6요인이 추출되었고 전체 설명력은 61.840%였다. 제 1요인인 신체적 요구와 제 2요인의 정보요구는 각각 25.354%와 10.903%의 설명력을 나타내어 암환자 요구의 주요 영역으로 규명되었다. 3) 도구의 신뢰도는 내적 일관성을 나타내는 Cronbach ${\alpha}$값은 .90이었다. 결론 : 본 연구에서 개발된 도구는 간호사로 하여금 암환자의 요구를 포괄적으로 사정할 수 있게 하고 궁극적으로는 암환자의 요구에 맞는 총체적이며 포괄적인 간호중재를 마련하는 근거로 활용될 것이다.

• 성인간호학회지
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• 제12권4호
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• pp.517-532
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• 2000

The purpose of this study was to develop a critical pathway for case management of patients who have received Lumbar Laminectomy because of low back pain, arm and leg numbness, and radiating pain in the leg. For this study, a preliminary critical pathway was developed through a review of the literature including five critical pathways which are currently being used in the USA. In order to identify the overall service contents required by these patients, 30 cases were analyzed. These cases were taken from medical records of those with Lumbar Laminectomy between January, 1998 and December, 1998 in the department of neurosurgery at the Pusan National University Hospital in Pusan. An expert validity test was done for the preliminary critical pathway, a clinical validity test was also done using 12 patients with Lumbar Laminectomy between October 1, 1999 and January 31, 2000. After these processes, the final critical pathway was developed. The results are summarized as follows. 1. The vertical axis of the critical pathway includes the following eight items: assessment, consultation, diet, test, medication, treatment, activity, education/ discharge planning. The horizontal axis includes the time from the start of hospitalization to discharge. Analysis of the 30 medical records was done. analysis of the service contents showed the horizontal axis of the preliminary critical pathway was set from hospitalization to the 12th post operation day and the vertical axis was set to include eight items, the contents which should have occurred, according to the time frames of the horizontal axis. 2. As a result of the expert validity test, it was found that among the 233 items, 203 showed over 88% agreement and 30 of them showed less than 88% agreement, which were then revised or deleted from the critical pathway. At the preliminary meeting for the clinical validity test, the time of hospitalization on the horizontal axis was shortened to the 10th post operation day. A clinical validity test was done with 12 patients with Lumbar Laminectomy. All the cases progressed according to the critical pathway although some variances were noted in assessment, consultation, test, medication, and treatment. 3. Based on these results, a final critical pathway was determined. In conclusion, this critical pathway is partially applicable to the care of patients with Lumbar Laminectomy and needs further investigation.

• 해양환경안전학회지
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• 제20권2호
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• pp.157-164
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• 2014

본 연구에서는 2010년부터 2013년까지 4년간 연안개발사업에 따른 일반해역이용협의서 133건을 분석하여 사업유형별 해양환경영향평가 개선방안을 제시하였다. 침식방지사업은 정확한 침식원인 분석이 선행되어야 하고 주변 해안의 상태와 구조물 설치 시 추가적인 문제점 발생 가능성에 대해 정확히 예측해야 하며, 사업시행 후 사후모니터링을 통한 침식방지 효과를 입증하는 체계적인 시스템이 마련되어야 한다. 호안 및 해안도로 건설사업의 경우, 무분별한 해안도로의 건설은 지양하고 구조물 안정성을 충분히 검토하여야 하며 반사파 증가에 따른 해안침식의 문제점을 함께 검토해야 한다. 그리고 침수방지 사업은 평가항목에 파랑을 선정할 필요가 있고 이상 파랑의 영향을 함께 고려해야 한다. 친수공간 조성사업은 종합적이고 체계적인 공간계획이 수립되어야 하고, 자연환경을 최대한 보전하고 자연과 융화될 수 있는 개발이 될 수 있도록 검토를 강화해야 할 것이다. 아울러 연안개발사업과 관련하여 많은 문제점이 내재되어있어 법 제도적 측면에서의 지원과 함께 추후 해역별, 사업별 특성이 다양하게 반영된 추가적인 연구가 필요할 것으로 판단된다.

• 한국학교ㆍ지역보건교육학회지
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• 제6권
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• pp.89-107
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• 2005

The purposes of this study were to investigate the recognition and the needs and problems of in-service education for school nurse, and to suggest the desirable guidelines, for supples the basic data of in-service education for school nurse to upgraded the quality as school nurse's professional specialist. The subjects of this study were 376 school nurses who were working in Jollanamdo. The research instruments used in this study was 'Needs of In-service Education questionnaire'. 305 collected Data were analyzed with the frequency analysis, $x^2$-test. The conclusions were as follows; First of all, the most important motives for the school nurses to participate in-service education are the enhancement of their specialties on teaching profession, self-realizations as educators, and improvement of health teaching skill. However, the motives to obtain the skill for school management or to obtain a high rank qualification and promotion are quite low. School nurses are generally satisfied with duration, time, place of in-service education, But they are not satisfied with contents of in-service education, professional specialist and understanding of real educational situation of the instructors. On the urgent problem of school nurses, promotion of health teaching skill was highest in the rank, and establishment of firm educational philosophy and a sense of teaching profession, proceed to university and graduate school ranked next, respectively. Second, the need of a school nurses on in-service education direction ranked the application of teachers' character and need, practicable and concrete educational programs, planning of school health development, reinforcement of health education, expansion of practical knowledge and on reflection thought, respectively. The need of a school nurses on in-service education contents(major part) ranked health education, health promoting program of student, knowledge and practice of practical medicine and oriental medicine, consultation process, health education of advanced country, respectively. The need of in-service education supervisory organization, the need for a cities provinces educational office was highest in the rank. The need of in-service education type, duty training ranked high, and abroad training, qualification training, general training ranked next. the need for specialist for lecturer of in-serve education ranked among the highest, along with school nurses and university professor. The need of school nurses on education method(duplication answer), need for conference and discussion teaching was highest in the rank. The need on evaluation method, evaluation through a examination ranked the highest. On the needs of in-service education times, need for vacation during the winter and summer was the highest. As for the duration, 31 to 60 hours in duration of in-service education was need most, and most school nurses need cities and provinces in-service training institute as the location of in-service education. On the organization size, need for 21 to 30 people was the highest, where as need for 41 people was relatively low. Lastly, on the problem of in-service education for school nurses, lack of opportunity of in-service education for school nurses was highest in the rank, and improperness of in-service education contents and method, lack of incentive ranked next, respectively.

• 한국학교수학회논문집
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• 제17권1호
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• pp.23-43
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• 2014

TIMSS와 PISA의 두 국제평가에서 우리나라 학생들의 경우, 수학 교과에 대한 인지적 영역의 성취도는 매우 우수한 반면 정의적 영역의 성취도는 참가국 중 최하위권의 순위를 기록하여 우리나라 교육의 문제점을 드러내고 있다. 이즈음에, 우리나라 학생들이 취약한 정의적 특성 요인의 함양 방안을 모색해 보는 것은 의미 있은 일일 것이다. 이러한 취지하에, 한국교육과정평가원에서는 PISA와 TIMSS 두 국제평가에 공통적으로 포함되어 있는 우리나라 학생들의 수학 학습에 대한 흥미와 자아효능감, 그리고 수학에 대한 가치 인식의 정의적 특성 요인을 대상으로, PISA와 TIMSS 결과에 나타난 우리나라 학생의 정의적 특성의 성취 실태 및 사례를 파악하여 이의 실천적 함양 방안을 모색해 보고자 하였다(최승현 외, 2013). 본고에서는 PISA와 TIMSS에 관한 선행 연구 재분석 및 통계 분석 결과를 중심으로 이에 초점을 두어 수학 교과에서의 우리나라 학생의 정의적 성취 실태를 탐색하고자 하였다.