• Asian-Australasian Journal of Animal Sciences
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• 제8권3호
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• pp.281-287
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• 1995

A study was conducted to investigate the effect of different inclusion levels of urea treated whole-crop wheat silage (UWCWS) in grass silage based rations on the performance of growing beef cattle. The winter wheat (variety, Riband) was harvested (in the summer of 1991) at a dry matter proportion of 520 g/kg and treated with feed grade urea at the rate of 37 kg/tonne crop dry matter and preserved in a heavy duty plastic bag using a silo press. The urea treated whole crop wheat silage (UWCWS) was mixed with grass silage to replace 0.00 (S100), 0.33 (S33) and 0.67 (S67) parts of the forage dry matter and fed ad libitum in a cross over design to 18 Simmental X Holstein Friesian growing beef animals. Two energy sources {one high in starch, rolled barley (RB) and one high in digestible fibre, sugar beet pulp (SBP)} were fed to supply sufficient energy for the efficient use of nitrogen by the rumen micro-organisms. The data on DMIF (dry matter intake of forage), TDMI (total dry matter intake), DLWG (daily live weight gain), FCR (feed conversion ratio) were recorded and faecal samples were collected to determine the digestibility coefficients. Results revealed that with the inclusion of UWCW in the animals' diets the DMI of the forage was significantly increased (p < 0.05). The highest DMIF was found in the treatment "S33" ($6.28{\pm}0.25kg$) where 67% of the silage dry matter was replaced with the UWCW and the lowest value for DMIF was observed in the control treatment ($5.03{\pm}0.23kg$). The DLWG did not differ significantly between the treatments. However, treatment "S100" showed a trend towards a superior DLWG. Feed conversion ratio in the control treatment differed significantly from "S67" and "S33". The addition of the UWCW in the animals' diet resulted in the lower FCR There was no effect of type of energy supplement on any aspect of performance either overall or in interaction with grass silage: UWCWS ratio. The regression and correlation coefficients for DMIF (r = 5.22 + 0.0184x*), DLWG (r = $1.04-0.00086x^{NS}$) and FCR (r = 4.78 = 0.022x*) on the inclusion of UWCW in the diet were calculated. The effect of the inclusion of UWCW on the overall digestibility coefficients was significant (p < 0.05). The addition of the UWCWS in the diet decreased the digestibility of the DM, OM, ADF and NFE but effect on the protein digestibility was non significant. The results of present study suggests that a DLWG slightly over 1 kg can be achieved with UWCW during the store period (period in which animal performance targets are low especially during winter) and the prediction of ME was overestimated as the high intake of DM did not reflect in improved animal performance.

• 생명과학회지
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• 제20권3호
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• pp.437-443
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• 2010

국내 중고교 엘리트 사이클 선수를 대상으로 점진부하 운동 시 유산소반응과 폐환기 반응을 분석하는데 목적을 두었다. 남자 사이클 선수($17{\pm}1$ 세, $175{\pm}5\;Cm$, $70{\pm}9\;kg$) 12명이 신체계측, 점진부하 운동 검사, 폐기능 검사에 참여하였다. 사이클 에르고미터를 이용한 점진부하 운동 중 이들의 최대산소섭취량($VO_2max$)과 최대파워 (Wmax), 환기량, 산소 및 이산화탄소호흡당량($V_E/VO_2$, $V_E/VCO_2$), 호흡율, 일회호흡량 등이 측정되었다. 호흡반응의 시간변인으로 흡기시간(Ti), 호기시간(Te), 일회호흡시간(Tb), 흡기의무사이클(Ti/Tb), 흡기율($V_T$/Ti)이 분석되었다. 폐기능으로는 폐활량, 일초호기량, 일초율, 최대호기량 등이 측정되었다. 선수들은 최대운동시 $57.5{\pm}3.9\;ml{\cdot}kg^{-1}{\cdot}min^{-1}$의 $VO_2max$, $194.1{\pm}8.6\;beat{\cdot}min^{-1}$의 최대심박수를 보였으며, Wmax 는 평균 452 W에 도달하였다. $VO_2max$은 신체계측 변인들과 상관관계를 보이지 않았다. 대부분의 환기반응은 운동강도가 점차적으로 증가하면서 동반 증가하였다. 운동강도의 증가와 함께 Ti, Te, Tb는 감소하였으며, Ti/Tb는 대략적으로 일정하게 유지되었다. 250 W 이하에서 신장, 체중, 신체질량지수, 체표면적은 $V_T$/Ti 그리고 Ti/Tb 와 높은 상관관계를 나타냈다(p<0.05). 결과적으로, 엘리트 사이클 선수들의 최대유산소능력은 성인에 비해 낮은 것으로 보이며, 이는 성인과 호흡조절 양상이 다른 것으로 추정된다. 신체계측 변인은 $VO_2max$와 상관성이 존재하지 않았다. 호흡반응의 시간 변인은 운동강도 250 W 이하에서만 체격과 연관성을 가지는 것으로 보인다. 흡기율은 어린 선수들의 운동지속시간과 연관 있어 보이지만, 흡기의무사이클은 성인과 유사한 것으로 보인다.

• 동서간호학연구지
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• 제10권1호
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• pp.11-26
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• 2004

The purpose of this study is to investigate the present conditions of nursing investment contents, its conversion process, and output in Oriental University Medical Center, Korea to get good qualified Oriental nursing result which is the ultimate purpose of the Oriental nursing management, and to develope a matrix of Oriental nursing management system on the basis of that project. The subjects for nursing investment and output contents were eighteen nursing directors in eleven Oriental University Medical Center and two hundred thirty-nine nurses with three years and over experience in Oriental medical center. The subjects for Oriental nursing organization, human affair management, and control function were nineteen Oriental medical center in Oriental University Medical Center, Korea. Data were collected from November, 2002 to February, 2003 with questionnaire. Data analysis was done by SPSS PC+ 12 program. Frequency, percentage, and minimum/maximum values were used for investment contents, and frequency and percentage were used for conversion process and output contents. 1. The input factors of oriental nursing management system The objective's western hospital career was over five years of one hundred and seventy-five(73.2%) persons. Nursing in-service education was performed in fourteen hospitals(77.8%). Two hundreds(83.7%) were pro to oriental nurse system. Only four hospitals(22.2%) had independent budget in nursing division. Nursing staff allocation to the bed was from 2.8:1 to 9.06:1 respectively, with a big gap of the rate following the hospitals. 2. The conversion factors of oriental nursing system 1) Oriental nursing system Oriental hospital nursing system was organized independently in ten hospitals among eighteen hospitals. The recruitment of nurses which was a vital role of the nursing division of the hospital was mostly(79%) opened. The education to develope nursing personnels was through in-service one in 97.4%. Education for oriental nursing and management was performed in 42.1%(eight hospitals) and that for reserves was done in 36.8%(seven hospitals). Administration for nursing education by nursing division was 68.5%(thirteen hospitals). The post education evaluation was performed by report submission in 36.8%(seven hospitals), by written examination in 26.3%, by questionnaires in 21.1%, and by lecture presentation in 15.8% subsequently. The directorial meeting for the nursing directors was attended by 84.2%(sixteen hospitals), and the meeting type was the medical executive and support division executive meeting in 55.6%(ten hospitals) and the personnel management in 39.6%(seven hospitals). 2) The actual conditions of oriental nursing personnel management The reason of working in oriental hospital was by voluntary in 67.1%(a hundred and sixty persons), by nursing department order in 28.0%(sixty-seven persons), and by others in 5.0%(twelve persons) respectively. The shift form was a three-shifts one in 94.7%(eighteen hospitals), a two-shift one in only one hospital. Duty assignment was functional in 52.6%(ten hospitals), team and functional in 26.3%(five hospitals) and no team alone. Promotion manual was present at 68.4%(thirteen hospitals) and the competency essentials comprised of performance evaluation in 79%, interview, written examination, training result, study result subsequently. No labor union existed in 79%(fifteen hospitals) 3) Oriental nursing preceptor system There were five oriental hospitals(27.7%) administering the preceptor utilization model, which showed lower rate than the twenty-two medical university hospitals in Seoul in which fifteen hospitals (72.7%) were having the system. To the question of necessity of oriental nurse system asked to the objectives of two hundred and thirty-nine with more than three year-experience in oriental hospital, two hundred persons(83.7%) answered positively. 4) The control of oriental nursing The evaluation results from the target hospitals were mostly not opened in 89.4% of oriental hospitals. Thirteen hospitals(68.3%) had evaluation system of direct managers and the next were three hospitals(15.8%) of direct managers and selves. There was one hospital(5.3% each) where fellows and superiors, fellows, and inferiors' evaluation was performed and no hospital where superiors, fellows, inferiors and selves, and superiors, fellows and selves' evaluation was performed. The QI activity of nursing was 42.1%(eight hospitals) for nursing service evaluation, 36.8% for survey of ECSI, 26.3% for survey of ICSI, 15.8% for medical visit rate, 10% for hospital standardization inspection in sequence. 3. The output factors of oriental nursing management system The job satisfaction appeared good in general, indicating very good in thirty-seven persons (15.7%), good in one hundred and fourteen persons (48.3%) and fair in eighty-five persons(36.0%).

• 여성건강간호학회지
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• 제6권2호
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• pp.234-257
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• 2000

At present in the medical care, the study and effort for producing health service to consider efficiency, effectiveness, and quality are urgently called for because of the difficulty in the keen competition according to the inter- nationalization and opening, the operation in the medical institution service testing system, the change in the medical policy of KDRGs, and the lack of the health care cost increasing rate. As an alternative, the case management for the new management system is introduced in the U.S., and the Critical Pathway that is the method designing the contents of activity and its result has been developed and applied in order to anticipate and manage the patient-outcome for the realization of the cost-effective case-management. Thus, this study intended to analyze the effectiveness to obtain by developing the Critical Pathway presented as the method to improve the quality-betterment and cost effectiveness through the continuous and consistent patient management for the hysterectomy patient and applying it to the real practice. As a study method, this author formed a conceptual framework through considering five Critical Pathway used in the current U.S. and three Critical Pathway presented in the literature to develop the Critical Pathway for the hysterectomy patient, and made out the preliminary Critical Pathway through reviewing the old chart. This author made the verified the validity of the expert group about the developed Critical Pathway, and to confirm the possibility of practice application, completed and settled the final Critical Pathway after using the Critical Pathway to the hysterectomy patient from March 1st to 15th, 1997. Finally, to analyze the application-effect of the developed Critical Pathway, this author offered health care service applying the Critical Pathway to the hysterectomy patient from April 15th to August 31th, 1997. The guide for the Critical Pathway was carried out in advance by outpatient setting nurse for outpatient setting visit before the operation, and after hospitalization the primary nurse monitored the execution degree on the every duty. After discharge this author surveyed the complication through phone visiting, and one month after discharge surveyed the patient's reaction about the offered service when outpatient setting visit and analyzed the result. The source for health care cost was obtained by the statistics about the hospital charge which was offered by the General Business Department. The results were as follows. 1. It was decided that the vertical line of the Critical Pathway was made up of eight items such as monitoring/assessment, treatment, line/drains, activity, medication, lab test, diet, patient teaching, and the horizontal line of the Critical Pathway was made up of from hospitalization to discharge. 2. After the analysis of service contents through reviewing the old chart, it was decided that the horizontal line of the preliminary Critical Pathway was made up of from hopitalization to fourth postoperative day, and the vertical line of it was divided into eight items which were the contents to occur with the time frame of the horizontal line. 3. After the verifying the validity of the expert group about the preliminary Critical Pathway, the horizontal line was amended from hopitalization to third postoperative day, and taking their consensus, some contents of the horizontal line was amended and deleted. 4. From March 1st to 15th, 1997, to confirm the clinical suitability, this author offered eight hysterectomy patients the medical service through the Critical Pathway. The result was that three of them could be discharged at the expected discharge day, and the others later than that day. Supplementing the preliminary Critical Pathway through analyzing the cause of that delay- case, this author developed the final Critical Pathway. 5. There were no significant differences between the experimental and the control group in the incidence of complication(P > 0.05). 6. The 92.4% of experimental group was satisfied with the Critical Pathway service. 7. The length of hospital stay of the experimental group offered with the Critical Pathway service was 4.6 days and there was a significant difference that it was 1.3 days shorter than that of the control group(t=-29.514, P=0.000). 8. There wsa a significant difference that the mean medical charge per one patient of the experimental group offered the Critical Pathway service was cheaper \124,150 than that of the control group(t=-9.826, P=0.000). 9. The result that the author assumed and analyzed hospital income with the rate of turning bed was assumed that the increase of hospital income was \63,245,072 for that study, and the income increase was expected with \68,704,864 for a year. The result that this author applied the Critical Pathway to the hysterectomy patient have no differences in the incidence of complication, high satisfaction with that service, and the length of hospital stay decreased in the experimental group, and the mean hospital charge per one patient decreased, but hospital income increased. Suggestions for further study and nursing practice are as follows. 1. The study to apply the Critical Pathway for a year, verify the validity, and measure the effect repeatedly is needed. 2. To apply and manage the Critical Pathway effectively, the study to computerize it is needed. 3. The study to develop hospital-based Critical Pathway about other diseases or procedure, and measure the effect is needed.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.851-860
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• 2020

인구 고령화와 건강 복지에 대한 사회적 관심이 높아지면서 재활복지기를 포함한 실버 및 헬스케어 산업과 관련한 연구들이 활발하게 진행되고 있다. 본 연구에서는 기존에 1차적으로 설계·제작되었던 이·승강 전동휠체어를 사용자 측면에서 보다 더 안전성과 편의성을 갖도록 개선하고자 하였다. 사용자 체형을 고려한 헤드레스트 높이조절 기능의 시트 디자인, 사용성 증대를 위한 암레스트의 길이조절 및 95° 회전 기능, 사용자 탑승 편의성을 위한 바닥까지의 시트하강 및 운행 시 승강할 수 있는 기능, 캐스터 회전반경 및 안전성 증대를 위한 발판 추가 및 풋레스트 길이 조절 기능, 승·하강 시 흔들림 방지를 위한 프레임 및 승·하강 링크 설계 등을 개선시켰다. 또한 안전주행을 위한 컨트롤러 및 드라이브 부문과 사용자 편의성 측면의 기능들을 추가적으로 설계·제작하였다. 추가 기능을 보완하여 제작된 실내 전동휠체어의 동작 상태를 평가하기 위해 구동 실험을 수행하였다. 연속 주행시간, 회전반경, 승·하강 최대 하중, 최대 승강 높이, 소음레벨, 운행 보조센서 센싱 최소거리, 서버 및 앱 프로그램 상호연동 및 기기호환성, 듀티 사이클 최대 오차율의 성능실험을 수행하였다. 실험 결과, 더 개선하여 설계·제작한 전동휠체어는 시험 목표 값을 달성하였으며, 성공적으로 동작하는 것을 확인할 수 있었다. 향후 연구로는 개선하여 제작된 이·승강 전동휠체어에 대해 사용자 측면에서의 사용성 평가를 수행할 것이다.

• 한국산학기술학회논문지
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• 제20권10호
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• pp.415-424
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• 2019

최근 고령인구의 증가로 인해 실내 외에서 고령자들이 편리하게 생활할 수 있는 다양한 재활복지기기에 대한 관심이 증가하고 있다. 본 논문에서는 거동이 불편한 노인 또는 장애인들 스스로가 좁은 실내에서 안전하고 편리하게 이동과 이승이 가능하도록 최소 회전반경과 문턱 극복을 포함하여 설계 제작하였다. 좌식문화가 발전한 실내 환경에서 골절질환, 노인질환 및 기타 무릎, 허리질환을 가진 사용자의 이승 편의성을 제공하고자 하였다. 먼저 실내에서 이 승강이 가능하도록 프레임에 기본적으로 링크, 시트, 암레스트, 커버, 모터, 감속기, 배터리, 충전기, 센서, 컨트롤러 기구물 등을 부착하였다. 사용자의 환경과 신체적 특징을 고려하여 제품 디자인과 구조물을 설계하였으며, 고령자 또는 장애인이 실내에서 일상생활을 지원할 수 있도록 IoT 기능을 추가하였다. 제작된 실내 이 승강 휠체어의 동작성능을 확인하기 위해 구동실험을 수행하였다. 연속 주행시간, 회전반경, 액추에이터 최대부하, 최대 승강 높이, 음압레벨, 운행 보조센서 센싱 최소거리, 서버 및 앱 프로그램 상호 연동과 기기호환성, 듀티 사이클 오차율 시험성능 테스트를 수행하였다. 시험결과, 제작된 휠체어는 각 항목의 성능시험 목표 값을 달성하였으며, 성공적으로 작동하는 것으로 나타났다.

• 간호행정학회지
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• 제5권3호
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• pp.477-500
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• 1999

Korean labor market has showed remarkable change of the increase in the amount of unemployment and contingent employment since IMF bailout agreement. There is a theoretical position to explain this increase in contingent employment at hospitals with the notion of flexibility. The high flexibility of employment due to the increase of contingent employees is becoming very important part in new business strategy of hospitals. The types of contingent employment of the nurse are part-time employment temporary employment, fixed-term employment, and internship which was introduced in early 1999. Recently, Korean health care industry managers have paid attention to the customer oriented service, rationalization of business administration, service quality control so that they can adjust their business to outer environment. Especially their efforts concentrate on the wage reduction through efficient and scientific control of man power because wage shares about 40% of total cost. This dissertation aims at verifying the phenomena of the contingent employment of the nurse and analyzing the related factors and problems. To rephrase these aims in ordinal: First, verifying the phenomena of contingent employment of the nurse. Second, verifying the problems of that phenomena. Third, analyzing the related factors of the contingent employment of the nurse. To accomplish these research goals, a statistical survey was executed. in which 384 questionnaires-66 for manager nurses, 318 for contingent nurses - were given to nurses working at 66 hospitals-which have at least 100 beds-in Seoul. Among them, 187 questionnaires-38 from manager nurses, 149 from contingent nurses'- 'were returned. Then, the data coded and submitted to T-test, $X^2$ -test, variance analysis(ANOVA), correlation analysis, multiple regression analysis, Logistic Regression with SAS program. The research results of the contingent nurses are followings: 1. The average career term at the present hospital 8.4 months: duty-on days per month are 24.2 days: working time per day is 7.9 hours. These results showed little difference from regular nurses. 2. Their wage level is about 70% of regular nurses except for internship nurses whose wage level is 41% of regular nurses. To break down the wage composition, part-time nurses and internship nurses get few allowance and bonus. And contingent nurses get very low level of additional pay except for fixed-term nurses who are under similar condition of employment to regular nurses. These results show that hospital managers are trying to reduce the labor cost not only through the direct way of wage reduction but through differential treatment of bonus, retirement allowance, and other additional pay. 3. The problem of contingent employment: low level of pay; high level of turn-over rate: weakening of union; low level of working condition: heavy burden of work; inhuman treatment. The contingent nurses consider these problems more seriously than manager nurses do. What manager nurses regard problematic is the absence of feeling-belonged and responsibility of the contingent nurses. 4. The factors strongly related with the rate of the number of contingent nurses for the number of regular nurses; gross turn-over nurses; average in-patients per day; staring wage of graduate from professional college: the type of hospital ownership; the number of beds; the gap between gross newcomer nurses and gross turn-over nurses. The factors related with their gross wage per month; the number of beds; applying of health insurance; applying of industrial casualty insurance; applying of yearly-paid leave; the type of hospital ownership; average out-patients per day; gross turn-over nurses. The meaningful factors which make difference by employment type: monthly-paid leave; physiological leave. The logistic regression analysis using these two factors shows that monthly-paid leave is related with the type of hospital ownership; the number of beds; average out-patient per day, and physiological leave is related with the gross newcomer nurses; gross turn-over nurses; the number of beds.

• 농촌의학ㆍ지역보건
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• 제17권1호
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• pp.34-45
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• 1992

In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.

• 대한예방한의학회지
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• 제5권2호
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• pp.40-68
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• 2001

In this study, grade of subjective symptom appealed by laborer of Jeollabuk-do was evaluated using questionary regarding factor made effect on musculoskeletal disease and in addition, studied relationship with health promotion life style of them. Based on the result, relationship of general characteristics of musculoskeletal subjective symptom and life-style of the subjects was concluded as below. 1. General characteristics of study subjects were as following. Ratio of male was higher as 57.7% of male and 42.2% female and age distribution was 5.1% of 20s, 34.99% of 30s, 36.3% of 40s and 23.7% of 50s and therefore, $30{\sim}40$ aged groups showed highest ratio. Most subjects (74.9%) was married status and in case of education level, high-school graduate and dropout (23.3%) and over-college graduate (46.8%) showed highest distribution. $1{\sim}2$ Mil. KRW (29.5%) and $2{\sim}2.99$ Mil. KRW (21.2%) is the main income distribution and however there was high ratio of non-reply (29.0%). In case of employment period, $10{\sim}14$ years (15.3%) and over 15 years (29.6%) showed highest ratio and there were many non-reply (39.4%) and in addition, 67.6% replied as own house and 14.3% as lease on deposit base in question of residence type. 2. Subjects showed high ratio of subjective symptom appeal of 62.79% and many cases (50.23%) appealed 1 or 2 symptoms. Symptom by body region was 29.8% (waist), 27% (shoulder), 21.2% (knee), 15.5% (neck), 9.5% (ankle), 8.1% (wrist) and 5.0% (elbow) in order. In case of relationship with general characteristics, female comparing with male, non-residence of own house, subjects with lower education level and employment period of $10{\sim}14$ years showed higher appeal rate and kind of symptoms than others. Therefore, it was concluded that rate of musculoskeletal symptom appeal have close relationship with gender, level of living, education level, age and employment period. 3. In case of severe pain of upper body except waist and ankle, it was appealed in both or right side and it means that upper body pain is originated from right side and right region pain is transited to both region pain. In addition, there was 39.41% of non-reply to existence of right-left region pain and therefore, it was evaluated that, in may cases, there was no awareness of their own symptom condition even on subjective symptom. 4. Degree of pain was, as pain over middle level, evaluated as 2.79 on full mark of 4.0 and in order of waist (2.97), ankle (2.83), knee (2.82), wrist (2.82), neck (2.79), shoulder (2.70) and elbow (2.62). In addition, 71.97% appealed $2{\sim}3$ cases for the latest 1 week. Owing to subjective symptom, 54.95% drop into hospital or pharmacy, 10.32% made temporary retirement or absence, 7.99% transferred into more comfortable duty and $39.4{\sim}54%$ experienced one or more managing mentioned above. 5. Fulfillment of health promotion life style of subjects was evaluated on full mark of 4.0 and total score was 2.63. Average mark of each area was personal relationship (3.05), self-realization (2.92), stress management (2.63), health control (2.48), physical exercise (2.19) and nutrition management (2.19) and personal relationship was highest and physical exercise and nutrition management were lowest. As general characteristics influencing health promotion life style, gender, residence style and employment period showed significant difference. Male showed higher mark than female and showed higher mark in order of own house, others, lease on deposit base, monthly rent. Subjects with longer employment period showed higher mark with significant difference. 6. Accounting of factor influencing each area of health promotion life style, self-realization showed significance in marriage status, income, residence style and education level and health control in age, residence style and employment period. Physical exercise showed significant difference in gender, age, residence style and employment period and nutrition in gender, age, residence style and employment period. Stress management showed significant difference in residence style and employment period and however not in personal relationship. 7. Health promotion life style relating with existence and kind of pain showed significant difference in all area except personal relationship area. In absence of pain, there was statistically significant high score in all area even in total health promotion life style and all area. Accounting of kind of pain, cases of $1{\sim}2$ kinds of pain and $5{\sim}6$ kinds of pain showed relatively high score and it was lower than mark of subject stated absence of pain. 8. Subjects appeal symptom were classified by symptom region and difference of total and each areas were evaluated. General area (p=0.002), self-realization (p=0.012), health management (p=0.023), physical exercise (p=0.028), nutrition management (p=0.028) and stress control (p=0.001) showed statistically significant difference and not in personal relationship area. Especially, elbow, shoulder and neck area marked high and group appealed pain of knee, arm and elbow, foot and ankle marked low. Based on those results, subjective symptom should be accounted seriously in diagnosis of occupational musculoskeletal disease of laborer and among subjective symptom, general characteristics of gender, age, condition of living, education level and employment period make effect. Generally subject appeal symptom marked lower than subject without symptom appeal and it means that life management of subject appealing musculoskeletal pain make important role in management and treatment of occupational musculoskeletal disease.

• 농촌의학ㆍ지역보건
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• 제20권1호
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• pp.1-13
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• 1995

본 연구는 변화되고 있는 지역사회보건사업의 요구에 따른 연도별 보건소 간호사들의 역할 변화, 역할 수행에 따른 장애요인 및 간호업무 수행과 관련하여 인지하는 직무만족도를 파악하고자 1992년 3월 19일부터 4월 11일까지 경상남도 보건간호사 270명을 대상으로 설문조사한 결과는 다음과 같다. 보건간호사들이 수행한 최우선 보건사업은 1970년 이전에는 가족계획사업, 1970 - 1979년대에는 간호업무, 1980 - 1989년대에는 모자보건사업, 1990 - 1992년대에는 간호업무이었다. 가족계획사업 내용의 우선순위는 1970년 이전에는 자궁내장치 삽입 권장과 경구피임약 또는 콘돔 배부에 역점을 두었으며 그 이후로는 가족계획 홍보를 우선으로 했다. 모자보건사업 내용의 우선순위는 1970년 이전부터 임부등록에 많이 두었으며 그 다음으로 산전진찰과 예방접종에 치중한 것으로 나타났다. 결핵관리사업 내용의 수선순위를 보면 각 년대마다 신환자 발견 등록에 치중하였으며 그 다음으로 환자관리 및 투약 주사에 비중을 두었다. 간호업무 냉용의 우선순위를 보면 1970년대 이전에는 순회진료에 역점을 두었으며 그 다음으로 주사 및 투약에 치중하였다. 전염병관리 내용의 우선순위는 1970년 이전부터 1순위였으며 그 다음으로 투약 및 주사에 치중하였다. 1990-1992년대에는 상담 및 교육이 2순위로 나타났다. 노인보건사업 내용의 수선순위가 1979년대 이전부터 순회진료가 1순위였으며 그 다음으로 검진보조가 2순위로 나타났다. 사업별 업무수행시 장애요인을 보면 가족계획 사업에서는 주민의 이해부족이 28.8%, 예산부족이 13.6%, 보건행정체계 미비가 11.9%였으며, 결핵사업에서는 주민의 이해부족이 32.5%, 업무과다(인원부족)가 15.6%, 기술이나 지식의 부족이 13.0%였다. 업무과다(인원부족)와 시설 장비의 부족이 각각 15.6%, 주님의 이해부족이 13.0%였다. 직급별 보건간호사의 직무만족도에서 경력이나 능력에 비해 승진기회여부는 불만이다가 8,9급이 64.7%로 높았으며 전문직 발전의 기회는 없다가 6,7급이 67.7%, 8,9급이 64.0%로 높았다. 보건업무에 필요한 물품과 시설의 만족여부에서 하위급으로 내려갈수록 만족도는 낮았으며 보수의 만족도에서는 적당하다가 6,7급이 64.7%, 너무 작다가 8,9급이 53.0%로 높았다. 직급별 보건간호사의 직업 긍지 만족도에서 직급이 높을수록 직업적 긍지의 직무만족도는 높았다. 직급별 현 직급에 대한 만족도는 하위급으로 내려갈수록 만족하는 사람의 비율은 높아졌다. 보건간호사의 경력(년)별 직무만족도에서 보건간호사 경력이 많을수록 직급, 승진기회, 전문직 발전의 기회에 대한 직무만족도는 낮게 나타났다. 보건간호사의 경력(년)별 직업 긍지 만족도에서 보건간호사 경력이 많을수록 직업적 긍지의 직무만족도는 높게 나타났다. 대상자의 37.6%가 이직할 의사가 있다고 하였으며, 승진기회의 부족, 근무여건의 불만이 이직 이유였다. 하력과 경력은 직무만족도 사이에 유의한 상관관계가 없었으며 직급이 낮을수록 직무만족도는 낮아 유의한 관련성을 나타내었다. 1차 보건의료사업을 수행토록 하기 위해서는 보건간호사의 인식이나 주민들의 인식을 새롭게 하기 위한 홍보활동 및 교육이 더 주어져야 할 것이며 보건간호사의 승진기회 및 직급에 대란 불만도가 높기 때문에 보건간호사의 승진제도개선 및 직무영역확대가 고려되어야 할 것이다. 그래서 간호업무에 만족할 수 있는 제도개선에 대해 고려해야 할 것으로 생각된다.