• 제목/요약/키워드: Education System

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노인성 치매 환자의 돌봄경험에 대한 문화기술지 (Ethnography of Caring Experience for the Senile Dementia)

  • 김귀분;이경희
    • 대한간호학회지
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    • 제28권4호
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    • pp.1047-1059
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    • 1998
  • Senile Dementia is one of the dispositional mental disorder which has been known to the world since Hippocratic age. It has become a wide-spread social problem all over the world because of chronic disease processes and the demands of dependent care for several years as well as improbability of treatment of it at the causal level. Essentially, life styles of the older generation differ from those of the younger generation. While the fomer is used to the patriarchal system and the spirit of filial piet and respect, the latter is pragmatized and individualized under the effects of the Western material civilization. These differences between the two generations cause conflict between family members. In particular, the pain and conflict of care-givers who take care of a totally dependent dementia patient not only is inciting to the collapse of the family union, but is expanding into a serious social problem. According to this practical difficulty, this study has tried to compare dementia care-givers' experiences inter-culturally and to help set up more proper nursing interventions, describing and explaining them through ethnographies by participant observation and in-depth interviews that enable seeing them in a more close, honest and certain way. It also tries to provide a theoetical model of nusing care for dementia patients which is proper to Korean culture. This study is composed of 12 participants (4 males, 8 females) whose ages range from 37-71 years. The relations of patients are 5 spouses(3 husbands, 2 wives), 4 daughters-in-law, 2 daughters, and 1 son-in-law. The following are the care-givers' meaning of experiences that results of the study shows. The first is "psychological conflict". It contains the minds of getting angry, reproaching, being driven to dispair, blaming oneself, giving up lives, and being afraid, hopeless, and resigned. The second is "physical, social and psychological pressure" . At this stage, care-givers are shown to be under stress of both body and soul for the lack of freedom and tiredness. They also feel constraint because they hardly cope with the care and live through others' eyes. The third is "isolation". It makes the relationship of patient care-giver to be estranged, without understanding each other. They, also, experience indifference such as being upset and left alone. The forth is "acceptance" They gradually have compassion, bear up and then adapt themselves to the circumstances they are in. The fifth is "love". Now they learn to reward the other with love. It is also shown that this stage contains the process of winning others' recognition. The final is "hope". In this stage they really want situations to go smoothly and hope everything will be O.K. These consequences enable us to summarize the principles of cue experience such as, in the early stage, negative response such as physical·psychological confusion, pain and conflict are primary. Then the stage of acceptance emerges. It is an initial positive response phase when care-givers may admit their situations. As time passes by a positive response stage emerges. At last they have love and hope. Three stages we noted above : however, there are never consistent situations. Rather it gradually comes into the stage of acceptance, repeating continuous conflict, pressure and isolation. If any interest and understanding of families or the support of surrounding society lack, it will again be converted to negative responses sooner or later. Otherwise, positive responses like hope and love can be encouraged if the family and the surroundings give active aids and understanding. After all, the principles of dementia care experiences neither stay at any stage, nor develop from negative stages to positive stages steadily. They are cycling systems in which negative responses and positive responses are constantly being converted. I would like to suggest the following based on the above conclusions : First, the systematic and planned education of dementia should be performed in order to enhance public relations. Second, a special medical treatment center which deals with dementia, under government's charge, should be managed. Third, the various studies approaching dementia care experiences result in the development of more reasonable and useful nursing guidelines.

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일부 농촌지역 여성 골다공증 환자의 칼슘보조제 치료순응도와 결정요인 (Therapeutic Compliance for Calcium Supplements and Its Related Factors in Rural Osteoporotic Women)

  • 천병렬;감신;이영자;이상원;이경은;이영석;김봉기
    • 농촌의학ㆍ지역보건
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    • 제26권2호
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    • pp.111-132
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    • 2001
  • 골다공증 환자들의 치료순응도와 그 관련요인을 알아보기 위하여 1999년 4월에서 6월 사이에 골다공증으로 진단된 고령지역의 3개 보건진료소와 보건소 관할지역에 거주하는 40세에서 69세 사이의 여성 140명을 대상으로 골밀도 검사 사업을 실시한지 약 1년 후인 2000년 4월에서 5월 사이에 약물치료순응도와 치료순응도 관련 이론적 모형 변수에 대한 설문조사를 실시하였다. 연구 대상자 중 규칙적 치료군은 12.1%, 간헐적 치료군은 53.6%, 미치료군은 34.3%였다. 단순분석 결과, 일반적 특성 중 연령이 높을수록, 본인이 인지하는 질병의 정도가 심하다고 생각할수록, 의사의 치료권유를 받은 경우에 치료순응률이 높았다(p<0.05). 환자역할수행요인 중 합병증(골절)의 가능성과 골다공증의 심각성이 치료 순응과 유의한 관련성이 있었다(p<0.05). 그리고 치료가 유익하다고 생각할수록, 치료의 장애도가 낮을수록 치료경험율이 높았다(p<0.01). 경로분석 결과 모형의 적합도는 양호하였다. 합병증(골절)의 가능성 인지에는 연령, 학력, 골다공증에 대한 매스컴 접촉/보건교육 경험, 치료에 대한 가족의 관심 등이 정(正)의 직접효과를 미쳤으며, 골다공증의 심각성 인지에는 연령, 학력, 의사의 치료권유, 치료에 대한 가족의 관심 등이 정(正)의 직접효과를 미쳤다. 치료의 유익성 인지에는 의사의 치료권유와 치료에 대한 가족의 관심이 정(正)의 직접효과를 미쳤으며, 치료의 장애도 인지에 대하여는 연령, 경제적 수준, 의사의 치료권유와 치료에 대한 가족의 관심이 부(負)의 직접효과를 미쳤다. 골다공증 치료순응도에는 골다공증의 심각성이 정(正)의 직접효과, 치료의 장애도가 부(負)의 직접효과를 미쳤다. 수정요인 중 본인이 인지한 질병의 정도는 치료순응도에 정(正)의 직접효과를 미쳤으며, 연령, 경제적 수준, 학력, 의사의 치료권유, 가족의 치료에 대한 관심 등은 환자역할 수행요인에 대한 영향을 통해 치료순응도에 정(正)의 간접효과를 미쳤다. 치료순응도에 총 효과 가장 큰 요인은 치료의 장애도였으며, 그 다음으로 본인이 인지하는 질병의 정도, 연령, 의사의 치료권유, 치료에 대한 가족의 관심, 골다공증의 심각성 순이었다. 치료의 장애도는 연령, 경제적 수준, 의사의 치료권유와 치료에 대한 가족의 관심의 영향을 받았다. 또한 낮은 연령일수록 치료순응도가 낮았다. 향후 골다공증 환자의 치료순응도를 향상시키기 위하여는 자신의 질병상태를 올바르게 인식하도록 하고, 의사의 치료 권유와 치료에 대한 가족의 관심 등 골다공증 치료에 지지적인 환경을 조성하여 심리적 및 현실적 장애를 감소시키는 것이 중요하리라 생각되며, 효율적이고 지속적인 환자관리체계의 개발이 필요하겠다.

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학생들의 정신건강문제와 정신과 의뢰에 대한 교사의 인식도 조사 (TEACHERS' PERCEPTIONS OF MENTAL HEALTH PROBLEMS IN STUDENTS AND PSYCHIATRIC CONSULTATIONS)

  • 곽영숙;천자성
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제9권1호
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    • pp.82-90
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    • 1998
  • 서울과 광주 및 전라남도의 초등학교, 중학교, 고등학교에 재직하는 일반교사 450명을 대상으로 하여 학생들이 보이는 정신건강문제의 빈도와 유형 및 원인에 대한 교사들의 인식과, 애로점 및 개선요구 사항, 의뢰나 도움을 청하는 대상, 정신과 의뢰나 권유 정도 및 의뢰 장애요인을 설문 조사하여 다음과 같은 결과를 얻었다. 1) 교사에 의해 정신건강문제가 있다고 판단되는 학생은 5.3%, 정신과 진찰이 필요하다고 생각되는 학생은 1.9%, 정신과 의뢰나 권유를 한 학생은 1.2%였다. 2) 교사에게 발견되는 학생들의 주된 정신건강문제의 유형은 초등학교의 경우에는 산만함과 주의력결핍, 학습능력결여, 언어능력결여의 순이며, 중학교는 산만함과 주의력결핍, 가출이나 비행문제, 학습능력결여의 순이었고, 고등학교는 가출이나 비행문제, 산만함과 주의력결핍, 신체증상의 호소, 담배나 본드의 상습적 사용의 순이었다. 3) 교사들은 학생들의 정신건강문제의 유발 원인에 대해 양육태도나 가정환경, 심리적 요인, 성적위주의 교육제도, 상담이나 정신건강관리 미흡 등의 순으로 중요하게 생각하였다. 4) 학생들의 정신건강문제를 접할 때 교사가 느끼는 애로사항은 담당 학생수의 과다, 시간적 여유 부족, 상담교육 기회 결여의 순이었고, 개선을 희망하는 사항으로는 담당 학생수의 감축, 성적위주 교육환경의 개선, 시간적 여유, 정규적인 정신건강교육, 문제학생을 위한 개별 프로그램, 학교와 연계된 상담전문가나 자문의사의 순이었다. 5) 도움을 받거나 의뢰할 수 있는 대상은 동료교사, 학부모, 상담교사, 양호교사, 상담기관, 신경정신과, 교장 ${\cdot}$ 교감의 순이었으며, 정신과 의뢰를 못하는 이유로는 정신과에 대한 학부모의 편견, 학생들의 문제에 대한 교사의 우위의식, 시간적 여유 부족, 정신과에 대한 교사의 편견, 과거 정신과 의뢰 결과에 대한 불만족의 순이었다. 6) 정신과 의뢰나 진찰 권유의 경험이 있는 교사는 20.4%였고, 서울시의 교사가 전남의 교사보다 정신과 의뢰나 권유의 경험이 많았다.

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가정간호 기록지 분석 - 원주기독병원 가정간호 보건활동을 중심으로 - (An Analysis of Referrals, Nursing Diagnosis, and Nursing Interventions in Home Care - Wonju Christian Hospital Community Health Nursing Service -)

  • 서미혜;허혜경
    • 가정간호학회지
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    • 제3권
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    • pp.53-66
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    • 1996
  • Home Health Care is one part of the total health care system. It includes health care services that link the hospital to the community. While it is important for early discharge patients, home care is also important for people with chronic illnesses or handicapping conditions. In 1989 the Korean government passed a law that opened the way for formal development of home health care services beginning with education programs to certify nurses for home care, and then demonstration home care services. Part of the mandate of the demonstration projects was evaluation of home care services. This study was done in order to provide basic data that would contribute to the development of records that could be used for evaluation through a retrospective audit and to examine the care that had been given in Home Care at Wonju Christian Hospital over a twenty year period from 1974 to 1994. The purposes of the study were : to identify to characteristics of the clients who had received home care, to identify the reasons for client referrals, to identify the nursing problems of these clients, to identify the nursing care provided to these clients, and to identify differences in these areas over the twenty year period. The study was a descriptive study involving a retrospective audit of the client records. Demographic data on all clients were included : 4,171 clients from 2,564 families. Data on referrals, nursing diagnosis and nursing interventions were from even numbered records which had a patient problem list included in the record, 2,801 clients, Frequencies and ANOVA were used in the analysis. The results of the study showed that the majority of the clients were from Wonju city /county. There were more women than men related to the high number of postpartum clients(1,300). The high number of postparttum clients and newborns was also evident in the age distribution. An the number of maternal-child clients decreased over the 20 years, the mean age of the clients increased significantly. Other factors also contributed to this change ; as increasing number of clients with brain injuries or with cancer, and fewer children with burns, osteomyelitis and tuberculosis. There was a decrease in the mean number of visits and mean length of coverage, reflecting a movement towards a short term acute care model. The number of new clents dropped sharply after 1985. The reasons for this are : the development of other treatment alternatives for clients, the establishment of an active wellbaby clinic, many more options plus a decreasing number of new cases of Hansen's Disase, and insurance that allows people with burns to be kept in hospital until skin grafts are healed. Socioeconomic changes have resulted in an increase in the number of cases of cancer, stroke, head injuries following car accidents, and of diabetes. Of the 2,801 client records, 2,541(60.9%) contained a written referral but for 1,802 it contained only the medical diagnosis. The number of records with a referral requesting specific nursing care was 739(29.1%). Many family members who were identified as in need of nursing care had no written referral. Analysis of the patient problem list showed that 41.9% of the enteries were nursing diagnoses. Others incuded medical diagnosis, symptoms, and plans. The most frequently used diagnoses were alteration in nutrition, less than body requirements(115 entries), alteration in skin integrity(114), knowledge deficit(111), pain(78), self-care deficit(66), and alteration in pattern of urinary elimination(50). These are reflected in the NANDA categories for which the highest number of diagnosis was in the Exchanging pattern(446), followed by Moving(178), Feeling(136) and Knowing (115). Analysis of the frequency of interventions showed that exercise and teaching about exercise was the most frequent intervention, followed by teaching concering the need for follow-up care, checking vital signs, managing nutritional problems, managing catheters, giving emotional support, changing dressings, teaching about medication, teaching (subject not specified), teaching about diet, IM and IV medications or fluid, and skin care, in that order. Recommendations included: development of a record that would allow for efficient recording of frequently used nursing diagnoses and nursing interventions: expansion of the catchment area for Home Care at Wonju Christian Hospital ; expansion of the service to provide complication prevention, rehabilitation services, and support to increase the health maintenance /health promotion of the people being served as well as providing client dentered care ; and development of a clinical record that will allow efficient data collection from records, even though the recording is done by a variety of health care providers.

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죽음의 태도에 관한 조사연구 -임종환자의 간호를 위하여- (A Study On The Attitudes Toward Death -For Nursing Care of The Terminally Ill-)

  • 유계주
    • 대한간호학회지
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    • 제4권1호
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    • pp.162-178
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    • 1974
  • The present study is purported to provide a basic information to be utilized by nurses to care and attend effectively for patients nearing the moment of death. Therefore, the primary purpose of the study has been placed upon grasping an understanding of the trends of death in general. For this purpose: 1. By utilizing the schneidman questionnaire, the trend of death has been categorized by 6 parts and analyzed. 2. A search has been conducted to find out dying patient's needs, nurse's attitudes viewed by the patient, and nurse attitudes to dying patient. The followings are itemized results of analysis: 1. Analysis by the schneidman questionnaire. (1) In general concepts of death. the first sighting of the occurrence of death was experienced upon strangers, grandfather and great grandfather. The death is openly discussed among people of all ages and sex. Ages in which the death is mostly feared were from 12 to well over 70 yews old that are evenly distributed regardless of difference in age. (2) As to the attitudes toward death the occurrence of death to most closely associated person influenced most upon the attitude of their own termination of lives. Among the reading materials, the maximum influence was effected by the Bible. In terms of religion, the thoughts of death were Influenced by religions education in case of the believers of the western religions (36%), and by their own health and physical conditions in case of the believers in the oriental religions (35%). In case of non-believer, their attitude toward death were largely determined through their own thinking meditation (45%). People aged 20 or thereunder revealed that they wished to know the day of their own death to be occurred (58%). However, the older the less thor wanted to know. (3) As to the choosing the time of death, 57% preferred senility, and 30% preferred the time in mediately following the prime period of their lives in general. In terms of religion, 85% of the believer in the oriental religion preferred senility, and 67% in the western religion, 58% in others, Therefore. the desiring of their lives to be terminated in earlier stage, not by the natural senility. sequenced as follows : Others, western religions and oriental religions. (4) Referring to the disposal of the corpse under the assumption that it had already occurred, majority desired the burial system. There has been seen a slight tendency to consider the importance of holding funeral services for the sake of survivors. Concerning the life insurance policy, it showed that the nurse had less belief in it than the patient (5) Upon the subject of life-after-death. religion wise, 72% of western religion believers preferred to have an existence of life-after-death: Among the believers of oriental regions, 35% desired this category, 30% did not mind either way. and 35% did not desire the existence of such a life-after-death. In others, 53% did not mind whether or not such a life existed. (6) In general, serious thoughts were not being attended to the commitment of suicide. 37% emphasized that such an act should be prevented. However, 30% insisted that such commitment should not be bothered, and that society possesses no right to prevented it. More male wished to commit suicide (13%) than females (9%). 2. Nurse's attitudes toward terminal patients and patient's needs. In the instance where the patient realized that their death is imminent, most of them showed desire to discuses mainly on the problems of life. When faced a situation of this nature, it is revealed that 40% of nurses could not furnish appropriate care for them.

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근린 생활권 공원에서의 자발적 공동체 활동의 활성화 요인에 관한 연구 - 세종시 '참샘을 사랑하는 모임'을 대상으로 - (A Study on the Activation Factors of Voluntary Community Activities in Neighborhood Parks - Based on the People Who Love Chamsaem in Sejong City -)

  • 김우주;이차희;성종상
    • 한국조경학회지
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    • 제46권2호
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    • pp.37-51
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    • 2018
  • 최근 도시 공원의 사회적 기능을 강화하고, 지속가능한 유지관리를 위해 적극적인 주민 참여가 요구되고 있다. 이에 본 연구는 지역 주민들이 일상생활공간을 기반으로 형성한 연대의식을 바탕으로 지속적인 참여가 가능한 근린생활권 공원에서 활동하는 자발적 공동체의 형성과정을 근거이론으로 분석하였다. 이를 바탕으로 공동체 활동이 활성화되는데 중요하게 작용하는 요인을 자원, 지역영역, 공동체 역량, 공동체 역할, 공공지원 5가지 측면에서 도출하였다. 연구 결과는 다음과 같다. 1) 생활 밀착형 자원: 공원 내 '참샘'과 같은 생활 밀착형 자원의 발굴이 중요하였다. 이는 강한 애착을 형성시켜 공원 내 매력적인 자원을 지속적으로 활용하기 위한 공동체 활동을 유도하였다. 2) 공통의 일상공간 공유와 확장: 공동체 활동이 근린생활권을 중심으로 이루어지면서 주민사회 내 활동자들의 네트워크가 확장되었다. 이는 지속적인 주민의 관심과 호의적 참여를 이끌어내고, 공동체 활동의 지역적 확장도 이끌어냈다. 3) 일상의 한 부분으로서의 공원관리: 공원관리가 일상의 부분으로 결합되면서 쾌적한 공원관리가 가능하였다. 주민들의 재능을 활용하여 다양한 활동을 진행하고, 고된 노동을 지속적으로 효율화하였다. 4) 주도적 공원관리 활동을 통해 주민과 공공부문을 연결하는 공동체의 리더십: 공동체가 공원관리기관인 공공부문과 이용자집단인 주민들을 연결하는 중간자적 리더 역할을 수행하였다. 5) 공공부문의 역할과 지원: 지속적인 주민 활동이 이루어지는데, 공공부문의 공원 계획과 운영 측면에서 관리자의 주민 주도 활동 지원 의지가 중요하였다. 그리고 공원의 공공관리 시스템 내에서 재정, 교육, 컨설팅 등의 공동체 활동지원이 요구되었다.

보건소 보건간호사의 지역사회 진단활동에 관한 조사연구 (A Study of community diagnosis activity by Community Health Nurse Working in Health Centers)

  • 조원정;김영란
    • 한국보건간호학회지
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    • 제6권1호
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    • pp.32-45
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    • 1992
  • An important role of community health nurses in health centers is to solve community health problems found through data collection methodology which has been used to identify the health needs of the community, diagnose the health problems and to plan health programs suitable for the health problems. Also community health nurses must be prepared to know the community health needs and to participate in the planning process. Since 1956 when the health center law was established, community health nurses have really implemented only the services which the government has asked them to do. This has kept them busy enough. But these days as society is in rapid change, community health nurses should have the flexibility to deal with the social change and demands that are unique to their community each which has different health needs and demands. So community health nurses need to identify what community health problems exist in their particular communities. The purposes of this study were as follows. 1) To explore the suitability of the health programs which the government has asked the community health nurses to do for their own communities and if these programs are not suitable, to explore the reasons why. 2) To explore the degree to which the community health nurses have the ability to identify health problems in their own communities and activate the community diagnostic process. 3) To identify the degree that the community health nurses have the ability to implement plans related to community diagnosis. 4) To find out how much data related to community health problems, the community health nurses have and how they are utilizing it. 5) To measure the community health nurses self-confidence concerning diagnostic activities for community health. The study subjects were 454 Community Health Nurses working in Health Centers in Seoul, Korea. The period of data collection was 6 days(Nov. 9th 1991-Nov. 15th 1991). A questionnaire used for data collection was composed of three different items; general characteristics, community health diagnostic activities and self-confidence in performing diagnostic activities. The results of the study are as follows. First, over one third of the respondents replied that the government required activities for their communities are not appropriate. Of these activities the most frequent reply $(51.2\%)$ indicated that many of the activities in the community were inappropriate to the actual situation. Further, $25\%$ of the replies indicated that many activities were only administratively oriented and as such not appropriate. Second, $49.8\%$ of the respondents replied that they had done general assessments and had a general idea of the health problems of their community. Effective solutions to health problems could be found with an increase in health personnel and management ability according to $41.5\%$ of the respondents. Third, to the question as to whether they had ever independently implemented a plan towards solving community diagnosed problems, $52\%$ of nurses replied 'never', $40\%$ 'occasionally' but only $7.5\%$ replied that they did it frequently. Actually there was very little done even in the basic work of collecting the necessary data. Fourth, when asked how much of basic information they had collected that might be used in community diagnosis activity, of 26 items in 5 areas, there was hardly one for which complete data had been collected. Fifteen percent did have data on the geographical aspects of their area, housing distribution and types of housing, while $17.8\%$ knew the frequency with which the health center was used. Concerning community resources, even with a list of community resources, only $12.3\%$ had data on any of these resources, and this data was incomplete. Further, information about social work institutions, and facilities was also incomplete, only $14.2\%$ of the respondents had any data and even it was incomplete; that is, in general, the nurses did not have this information. Fifth, concerning the confidence of the community health nurse in their ability to carry out community diagnoses activities, $60\%$ replied that they were very or at least nominally confident, indicating that although they were not doing community diagnostic activities they felt they could do so, as they were carrying out home visits and program planning as part of their official duties. The following recommendations are made based on the results of this study. First; since the community health nurses have a high perception of the need for community diagnostic activities and. high confidence in their ability to carry out this activity and high percentage of respondents replied that with a little training they could do this even better it is recommended that community diagnostic activity training be included in the continuing education program for community health nurses. Second, in order for the Community Health Nurses to successfully solve the health problems of their respective community they reported to a need to increase the number of health personnel, improve the facilities and the system of managing their work. Considering this, it is recommended that ways be sought to remedy these deficits.

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우리나라 대학생들의 창업 및 사업계획에 대한 연구 (A Study on University Students' Business Planning and Starting up a Business in Korea)

  • 고인곤
    • 벤처창업연구
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    • 제7권2호
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    • pp.1-8
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    • 2012
  • 최근 청년층의 창업이 화두가 되고 있다. 창업에 있어서 사업계획 수립은 기본이 된다. 따라서 본 연구는 우리나라 대학생들의 사업계획 수립행태에 대해 살펴보았다. 특히 우리나라 대학생들이 교내, 외에서 사업계획을 접하고 있는지 살펴보고 그들이 사업계획과 기업성과를 관련이 있다고 생각하는지, 관련이 있다면 얼마나 밀접하게 생각하고 있는지를 알아보았다. 한편, 기존 연구들과 관련 서적들은 사업계획과 기업성과 간에는 높은 상관관계가 있다고 주장하고 있으나 이를 실증적으로 분석한 연구들은 국내외적으로 많지 않다. 본 연구는 이러한 문제에 대한 답을 찾기 위하여 실증적으로 접근하였다. 우선 사업계획의 구성요소들을 기존 연구들을 포함한 광범위한 문헌 연구를 통하여 선정하고 요인분석을 통하여 이들 구성요소들을 제품관리 요인, 제품개발 요인, 경영지원시스템 구축 요인, 조직관리 요인, 거시적(macro) 계획화 요인으로 분류하였다. 아울러, 본 연구에서는 기업성과를 계량적 성과와 비계량적 성과로 구분하여 각각에 미치는 사업계획 구성요소들의 영향을 살펴보았다. 연구결과, 우리나라 대학생들은 사업계획서 구성요소들이 기업의 계량적 및 비계량적 성과에 정(+)의 영향을 미친다고 인식하고 있었다. 아울러 우리나라의 내국인 대학생들은 창업에 대한 관심도가 높으며, 서비스업 창업을 희망하고 있으나 대부분 사업계획서를 작성해본 경험은 없는 것으로 나타난 반면, 외국인 학생은 상대적으로 높은 창업관심도와 사업계획서 작성경험을 가지고 있었으며, 창업희망 산업도 다양했다. 하지만 창업관심도나 창업희망 산업, 사업계획서 작성경험에서 성별에 따른 차이는 나타나지 않았다. 본 연구는 기업의 관점이 아닌 우리나라 대학생들의 시각에서 사업계획서의 구성요소와 기업 성과와의 관계를 살펴본 실증적 연구로서, 청년창업 성공률을 제고하기 위한 효과적인 창업교육의 방향을 제시하고 있다.

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진단방사선 일반촬영에서의 X-ray Beam Collimator 사용 전국 실태조사 (Nationwise Survey of the X-ray Beam Collimator Utilization in General Diagnostic Radiograph)

  • 김지혜;성동욱;김정욱;신진호;이순근;정경일;엄종권;이기남;성호진;김윤현;김혁주
    • 한국의학물리학회지:의학물리
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    • 제24권2호
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    • pp.119-126
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    • 2013
  • 방사선 검사에서 CR, DR의 도입으로 인해 X-선속 조사야의 사용이 경시되고 있는 실정이다. 일반방사선 검사에서 검사 부위별 조사야를 적절히 사용하고 있는지에 대해 현장 실태 조사와 설문 조사하고, 조사야의 기준의 필요성을 강조하며 표준 조사야를 제시하고자 한다. 서울, 경기도, 전라도, 충청도, 강원도, 부산 지역 총 333개 의료기관을 대상으로 X-선속 조사야의 사용 실태를 현장 조사하여, 검사부위별, 의료기관종별, 영상종류별로 조사야 조절의 사용 여부를 분석하였다. 또한 조사야 조절이 방사선피폭에 미치는 영향과 인식을 평가하기 위해 종합병원 10곳, 병원 10곳, 의원 10곳의 일반촬영실에 근무하는 168명의 방사선사를 대상으로 X-선속 조사야 조절이 환자피폭선량 저감화에 끼치는 영향에 대한 인식, 조사야 조절 방법과 실제 사용하고 있는 검사부위별 X-선속 조사야 크기를 설문 조사하였다. 검사부위별 적합한 조사야을 사용하고 있는 의료기관은 61.3%이었으나, 주요 장기가 밀집된 요추 검사의 경우에는 적합한 사용이 49.9%에 불과하였다. 의료기관종별에서는 종합병원이 약 69%, 영상종류별로 보면 DR을 사용하는 병원의 65.0%에서 적합한 조사야을 사용하였다. 설문 조사에서는 응답자의 97.6%가 조사야 조절이 환자에게 끼치는 선량을 줄일 수 있다고 인식하고 있었으나, 실제로 부위별 X-선속 조사야의 크기를 조절하여 검사하는 경우는 83.3%이었다. 일반방사선 검사에서 적절한 조사야를 사용하는 경우가 실태조사를 통해 낮게 나타났으며 이는 환자에 대한 방사선 피폭선량을 줄이기 위한 노력이 시급히 필요하며, 조사야에 대한 통일된 표준 규격이 필요하여 철저한 교육이 동반되어야 한다.

식물공장 재배시스템에 따른 방풍나물의 생육, 비타민 C와 아미노산 함량 및 수량에 미치는 영향 (Effects of Plant Factory Cultural Systems on Growth, Vitamin C and Amino Acid Contents, and Yield in Hydroponically Grown Peucedanum japonicum)

  • 이광재;허정욱;정충렬;김현환;윤정범;김동억;남상영
    • 생물환경조절학회지
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    • 제24권4호
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    • pp.281-286
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    • 2015
  • 본 연구는 방풍나물의 인공광 식물공장에서 재배시스템에 따른 생육, 비타민 C, 아미노산함량, 수량에 미치는 영향을 구명코자 실시하였다. 박막수경(NFT), 배지경(Perlite), 분무경(Aeroponics) 등 3처리를 하였다. 초장은 NFT 처리에서 10.2cm 가장 길었으며, Perlite 처리에서 8.9cm로 가장 짧았다. 주당 엽 생체중은 Perlite, NFT, Aeroponics순으로 무거웠다. 총 페놀 함량은 Aeroponics가 $117.84mg{\cdot}100g^{-1}\;GE$로 가장 높았고, NFT $98.57mg{\cdot}100g^{-1}\;GE$, Perlite $74.62mg{\cdot}100g^{-1}\;GE$ 순으로 재배 방법에 따라 차이를 나타냈다. 총 플라보노이드는 Aeroponics에서만 $0.12mg{\cdot}100g^{-1}$가 검출되었으나, NFT와 Perlite 처리구에서는 검출되지 않았다. 비타민 C 함량은 Aeroponics가 $108.23mg{\cdot}100g^{-1}$으로 가장 높았으며, Perlite가 $88.05mg{\cdot}100g^{-1}$, NFT가 $80.83mg{\cdot}100g^{-1}$으로 처리에 따라 통계적인 유의성을 나타냈다. 총 식이섬유소 함량은 Aeroponics가 Perlite와 NFT보다 높았다. Cystein 함량은 Aeroponics에서 $46.76mg{\cdot}100g^{-1}$로 가장 높았으며, methionine 함량은 Perlite가 $75.64mg{\cdot}100g^{-1}$로 가장 낮았다. 무기질 함량은 모든 처리에서 K, Ca, P, Mg 순으로 높았다.