• Perspectives in Nursing Science
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• 제13권2호
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• pp.96-109
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• 2016

Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

• 간호행정학회지
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• 제15권1호
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• pp.81-90
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• 2009

Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.

• 가정과삶의질연구
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• 제17권2호
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• pp.1-18
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• 1999

The purpose of this study was to evaluate the utility of the community welfare center. for the purpose this study consisted of three main subjects(1) A analysis about the programs of the community welfare center (2) A analysis about the experience of the user and non-user on the community welfare center (3) A analysis about the demand for family welfare service program For the data set 398 married women living in Jeonju were chosen. The data were analyzed with the spss pc+ program. The major findings were as follows : (1) The program of community welfare center consisted of child adolescent elder family a disabled person community welfare program Among contents of this program family welfare program is limited to level of individual needs (2) The wives experienced of community welfare center did not satisfied about equipment location program of community welfare program The 44.0 portion of wives not experience of community wlfare center have no plan using of community welfare center (3) The wives hoped to establish diversed subjects such as parents-child communication conjugal communication sexuality education for child child care techniques health and nutrition of family member time managememt and lesuire and consumer's rights and damage relief.

• 공업화학전망
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• 제23권6호
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• pp.3-13
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• 2020

저출산 고령화 사회로의 진입은 대한민국뿐만 아니라 전 세계적으로 많은 사회 문제를 야기하고 있다. 그 중에서 고령 인구 증가로 인한 의료 수요 증가와 이를 뒷받침 할 의료인력 부족은 곧 다가올 사회문제이다. 4차 산업 혁명으로 인해 다양한 사회문제에 대한 혁신적인 해법들이 제시되고 있는데, 본 기고문에서는 다가올 고령화 사회에서 의료인력 부족 등에 의한 해결법으로 원격의료 지원을 위한 인공지능 활용을 다루고자 한다. 병 진단 및 예측을 위한 여러 가지 인공지능 알고리즘은 이미 많이 개발 되어 있으나, 일반적으로 딥러닝에 많이 쓰이는 인공신경망 구조인 합성곱 뉴럴네트워크(convolution neural network)나 기존 퍼셉트론(perceptron) 구조에서 벗어나 확률론적 인공신경망 중에 하나인 베이지안 뉴럴네트워크(Bayesian neural network)를 다루고자 한다. 그중에서 연산효율적이며 뉴로모픽 하드웨어로 구현 가능성이 높고 실제 진단 예측(diagnosis prediction) 문제 해결에 강점을 보이는 알고리즘으로써 naive Bayes classifer를 활용한 연구를 소개하고자 한다.

• 한국콘텐츠학회논문지
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• 제10권12호
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• pp.387-396
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• 2010

본 연구는 은행종업원을 대상으로 하여 일-가족 문화, 직무만족, 조직몰입 및 이직의도와의 관계를 연구하였다. 일-가족 균형에 대한 종사원들의 욕구에 기업은 어린이와 노인을 돌보는 프로그램, 유연근무시간제, 직무공유제, 단축근무제, 그리고 재택근무의 채택 등의 다양한 프로그램을 시행하고 있다. 이러한 연구영역은 조직의 성공과 종업원 개인의 생활에 영향을 주기에 현대조직에서 매우 중요하다. 이에 본 연구는 일-가족문화에 대한 인식이 종업원들의 태도와 이직의도에 미치는 영향관계를 실증적으로 규명하고자 문헌연구와 더불어 금융업의 종업원들을 대상으로 254부의 설문지를 최종분석에 사용하였다. 연구결과, 첫째, 일-가족문화에 대한 인식은 직무만족과 조직몰입 및 이직의도에 유의한 영향을 주는 것으로 나타났다. 둘째, 직무만족과 조직몰입은 이직의도와의 관계에서 모두 유의성이 검증되었다. 이러한 연구결과를 바탕으로 인력관리의 경제적 효용성을 위한 시사점과 연구의 한계점 및 향후 연구방향을 제시하였다.

• Journal of Korean Medical Science
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• 제33권52호
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• pp.339.1-339.11
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• 2018

Background: Hip pain is a common musculoskeletal complaint in general practice. Although comprehensive diagnostic approach on hip pain is mandatory for adequate treatment, un- or mis-diagnosis is not rare in primary care. The aim of this study was to analyze descriptively un- or mis-diagnosed hip pain cases referred from primary care to a tertiary hospital, especially in young adults ${\leq}50years\;old$. Methods: We retrospectively analyzed a consecutive cohort of 150 patients (${\leq}50years\;old$) with chronic hip pain (${\geq}6weeks$), which was not diagnosed or misdiagnosed based on the information provided on the referral form. Results: Overall an average 32 cases/month were referred due to hip pain without a diagnosis or with an incorrect diagnosis. Among them, 150 patients were enrolled in this study and 146 (97.3%) could be allocated to a specific disease by using data from routine clinical practice. Four common final diagnoses were femoroacetabular impingement (FAI) syndrome (55.3%), hip dysplasia (HD, 13.3%), referred pain from the lumbar spine (9.3%), and spondyloarthritis (SpA, 7.3%). In patients with FAI syndrome, 37 (44.0%) had pincer-type FAI and 33 (39.8%) had combined-type. Although the pain site or gender was not tightly clustered, the distribution of final diagnosis was significantly different according to hip pain location or gender. Especially, SpA or HD was not observed in younger women subgroup or elder men subgroup, respectively, when stratified by the mean age of participants. Conclusion: Most (> 80%) young patients with hip pain, a difficult issue to diagnosis for many primary physicians, had FAI syndrome, HD, spine lesions, and SpA. This study could give a chance to feedback information about cases with un- or mis-diagnosed hip pain, and it suggests that primary physicians need to be familiar with the diagnostic approach for these 4 diseases.

• 대한치과기공학회지
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• 제34권3호
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• pp.273-281
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• 2012

Purpose: This study conducted a survey on the elderly of 65 years and over with physical debilities and ones capable of living at home residing in Jeju Special Self-Government Province to compare and analyze demo-sociological characteristics and factors influencing on oral health related living quality. And also this study intended to provide basic data for developing effective public medical policies and health promotion programs to increase oral health related living quality of the elder. Methods: The elderly of 65 years and over living in Jeju Special Self-Government Province were interviewed individually from 7 February 2011 to 18 April and interview results of a total of 220 subjects were analysed for this study. Results: Current status of the elderly including ones with & without physical debilities influenced functional limitation and behavioral aspects of GOHAI criteria used in this study. The elderly with physical debilities experienced less limitation in food chewing and swallowing, and pronunciation than ones capable of living at home. On the analogy of the previous study(by Park, N. G., 2010) in which oral health related quality and satisfaction of life of the elderly with physical debilities were different due to their physical, circumstantial and psychological limitations, the former's oral health conditions are worse than the ones capable of living at home and because of medical care accessability limitation they suffer from deteriorated oral condition. By the comparison of factors influencing on the living quality relating to the oral health of the elderly with physical debilities and ones capable of living at home, 2 factors, age and living area, were meaningful factors commonly influencing on the oral health related living qualities of both. The elderly of 75 years and over were more affected by psychological and behavioral aspects of oral health related living quality than the ones of 65-74 years, and the ones living in country suffered from functional limitations, pains and discomfort more than ones in city. Additionally, being different from the elderly capable of living at home, the ones with physical debilities were influenced by the factors of average monthly income and medical security type. Conclusion: Improvement of programs and systems to increase oral health related quality of life needs to be carried out preferentially for the elderly of 75 years and over, and dwelling in country. Also this study suggests that the policy of paying the denture insurance allowance in 2012 need effective planning considering the elderly's current status, age, living area, medical security type.

• 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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• 제15권4호
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• pp.244-254
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• 2009

본 논문은 독거노인들의 움직임을 감지하여 주기적 활동 패턴을 원격으로 모니터링 하는 시스템에 대해 기술한다. 제안하는 모니터링 시스템은 1차 시스템[2] 개발 과정에서 도출된 모니터링 시스템에 대한 요구 기능을 보다 편리하고 안정적으로 제공하도록 설계, 구현되었다. 개발된 시스템은 개별 노인 주택에 설치되는 댁내 센싱 시스템과 중앙 서버 시스템으로 구성된다. 댁내 센싱 시스템은 초전도 적외선(PIR) 센서를 장착한 무선 센싱 노드들로 구성된 무선 센서 네트워크 형태로 구현되었고, 각 센서가 감지한 노인들의 움직임은 홈 게이트웨이를 거쳐 중앙 데이터베이스 서버로 저장된다. 서버 시스템은 데이터베이스 서버와 웹 서버로 구성되어 있으며, 이를 통해 웹 기반 모니터링 시스템이 구현되었다. 시스템은 저장된 움직임 데이터를 가공하여 독거노인들의 수발제공자(가족, 친구 및 사회복지 사 등)들에게 각 노인들의 외출 여부와 주기적 활동 패턴 정보를 제공한다. 보완 개선된 2차 시스템은 신뢰도 성능 개선과 함께 1차 시스템에서 구현되지 못했던 '자동 진단 기능', '외출 감지 기능' 및 향상된 웹 기반 사용자 인터페이스를 제공한다. 개발된 시스템의 성능 평가는 1차와 2차 시스템 각자 춘천 권역에 거주하는 9명/15명의 노인들의 실제 주택에 시스템을 설치하고, 약 3/4개월의 연속 운영 실험을 통해 수행하였다. 실험 결과는 제안된 모니터링 시스템이 독거노인 관련 복지 서비스의 효율성을 높일 수 있다는 가능성을 보여주었다.

• 대한간호학회지
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• 제1권1호
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• pp.103-110
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• 1970

It is important to point out that the percental mortality rate of the multiple pregnancy is almost twice of the single pregnancy due mainly to their prematurity and the mothers of twins will also be suffered from the plural births to nurse and take care of them. We therefore studied the incidence, the sex ratio, the types of deliveries, the complications and the percental mortality rate of the twin deliveries in order to promote the development of our field of maternal and child nursing. We selected our materials from the 112 patients who had been admitted and delivered twins in the department of OB. & Gyn. of the S.N.U. Hospital from Jan. 1962 to Dec. 1969. The abstructed results of this study were as follows. 1. The incidence of twins among 7, 731 births was 1:69 2. The occurrence of twins from elder multigravida was 4 to 6 times higher than younger primigravida mothers under 35 years of age. 3. The generational length of 45.5% of all twins was under 38 weeks and the mean birth weight of 1st and 2nd twins were 2, 354.7gm and 2, 215.8gm respectively. 4. The sex ratio of twins was 99 males and 124 females. 5. Presentation of twins: 59 cases (52.69%) were in both vertex. 37 cases (33.03%) in vertex plus breech. 15 cases (13.39%) in both breech and one case (0.89%) in transverse presentation. 6. For the types of deliveries Spontaneous deliveries were in 90 babies (40.6%) Breech extraction in 60 babies (26.3%) Vacuum used in 33 babies (15.0%) Cesarean section in 33 babies (9.8%) Forceps in 9 babies (4.2%) and others such as version and destructive measures in 9 babies (4.1%) 7. Intervals between the 1st and 2nd delivery were analyzed and 93% of 2nd twins were delivered within minutes after 1st delivery. 8. The main complications of twin deliveries were totemic (45.5%), second was postmarital hemorrhage (19.6%) and third was hydrations (7.1%) 9. The mean percental mortality of 1st and 2nd twins was 12.52% and 16.96% respectively of which main cause of death were their prematurity.

• 디지털융복합연구
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• 제11권3호
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• pp.317-325
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• 2013

본 연구는 지역사회의 경증인지장애노인과 치매환자에게 인지작업치료를 적용한 후 인지기능과 일상생활활동 수행능력, 우울정도의 효과를 알아봄으로 인지작업치료가 인지기능회복에 미치는 효과를 알아보고자 하였다. 연구방법은 2012년 2월에서 2012년 6월까지 일개광역지역에 소재하는 노인종합복지관과 요양원에 내원한 환자 중 경증인지장애군 13명과 치매군 19명으로 전체 32명을 대상으로 8주 동안 주 1회 신체기능, 인지기능, craft를 이용한 작업치료 활동 프로그램을 실시하였다. 두군 모두에서 인지기능, 우울감에서 유의한 호전을 보였다. 특히 경증인지장애군은 치매보다 집중력과 기억력 유지에 필요한 인지기능에서 유의한 효과를 보여 향후 경증인지장애군에서 인지기능회복을 위한 프로그램의 개발과 예방적 효과에 대한 연구가 필요하다.