• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제27권3호
• /
• pp.164-172
• /
• 2016

Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

• 근관절건강학회지
• /
• 제11권2호
• /
• pp.187-198
• /
• 2004

Purpose: The purpose of this study was to identify differences of BMI, pain, depression, self-esteem and self-efficacy between rheumatoid arthritis and osteoarthritis patients. Method: The study subjects were 135 persons having chronic arthritis at rheumatology clinic and the department of orthopedic surgery of the C university hospital in D city. The data were collected from February 19th to April 7th, 2003. The data analysis consisted of $X^{2}-test$, t-test, Pearson Correlation Coefficient, and multiple regression using SPSSWIN 10.0 program. Result: 1. There were significant differences in age(p=0.000), occupation(p=0.015), marriage(p=0.028), duration of illness(p=0.000), BMI(p=0.006) and Self-efficacy(p=0.017) between rheumatoid arthritis and osteoarthritis patients. 2. In rheumatoid arthritis, the BMI and self-esteem(r=-0.239, p=0.05) were significantly correlated and also pain and self-esteem(r=-0.402, p=0.01), pain and self-efficacy(r=-0.455, p=0.01) were significantly negatively correlated. The self-esteem and depression(r=-0.622, p=0.01), self-efficacy and depression(r=-0.729, p=0.01) were significantly negatively correlated and also pain and depression(r=0.432, p=0.01), self-esteem and self-efficacy(r=-0.476, p=0.01) were significantly positively correlated. In osteoarthritis, the pain and self-esteem(r=-0.225, p=0.01) were significantly negatively correlated and also pain and self-efficacy(r=-0.493, p=0.01), self-esteem and depression(r=-0.692, p=0.01), self-efficacy and depression(r=-0.566, p=0.01) were significantly negatively correlated. The pain and depression(r=0.290, p=0.05), self-esteem and self-efficacy(r=0.383, p=0.01) were significantly positively correlated. 3. The factors influenced by the self-efficacy, the depression and age in rheumatoid arthritis explained 56.2%, the depression and pain in osteoarthritis explained 43.9%. The factors influenced by the BMI, the self-esteem in rheumatoid arthritis explained 5.7%, but there was no significantly variable in osteoarthritis. Conclusion: The results support the importance of different nursing intervention focused on BMI and self-efficacy in patients with rheumatoid arthritis and osteoarthritis. There is a need for further studies to identify relation of variables in different diseases related to arthritis.

• 한국융합학회논문지
• /
• 제9권10호
• /
• pp.347-353
• /
• 2018

본 연구의 목적은 장애인에 대한 차별과 폭력경험이 자살생각에 어떠한 관련성이 있는지를 파악하고자 하였다. 연구 자료는 2014 장애인실태조사를 이용하였으며, 6,332명을 최종분석대상자로 하였다. 자살생각은 최근 1년 동안 실제로 자살시도를 해 본적이 있는지 여부로 정의되었다. 참조군은 자살생각 없음이며, 로지스틱회귀분석을 실시하였다. 연구결과 자살생각을 가진 장애인은 18.5%(n=1,171)였다. 장애인이라는 이유로 언어폭력과 정신적 폭력을 당한 경험이 있는 경우에서 자살생각 위험이 높게 나타났다. 성희롱, 성추행, 성폭력을 경험한 시기가 청소년기인 경우에서 자살생각 위험이 16.7배(CI=4.22-66.18), 가해자가 모르는 사람인 경우 5.85배(CI=2.34-14.6), 대처방법이 무시하거나 참는 경우 4.08배((CI=2.05-8.12) 자살생각 위험이 높았다. 결혼 시 차별경험을 받은 경우 1.60배(CI=1.24-2.08), 장애로 인한 차별을 항상 느끼는 경우 2.73배(CI=4.22-66.18) 자살생각 위험이 높았다. 차별경험과 폭력경험으로 인한 자살생각은 자살로 발전할 수 있으므로 정신적 안녕을 위해 가족 및 사회의 관심과 배려 및 지역사회 차원의 예방프로그램이 함께 지원되어야 할 것이다.

• 한국간호교육학회지
• /
• 제6권2호
• /
• pp.287-302
• /
• 2000

The purpose of the study are to examine the perception of the importance and performance of patient education of the clinical nurse and find out the interfering factors in practicing patient education. The data were collected from convenient sample of 256 clinical nurses working in the nursing units of adult patients except the psychiatric unit, obstetric unit, dental surgical unit and intensive care unit of one University Hospital in Seoul from September 29 to October 2, 1998. Three measurement tools of self-report- questionnaires developed by researcher used. For the content validity of the questionnaires, two sessions of panel discussion and a pilot test were done and finally factor analysis was done with Varimax method. Analysis of data was done with SAS program using frequency, percentage, means, standard deviation, Pearson's Correlation Coefficients, t-test and ANOVA. The obtained results were as follows : 1. The surveyed nurses perceived the importance of patient education at higher level with mean score of 4.08 among 5 point than their perception of practice( mean score : 3.42). 2. There was positive significant correlation(r=.29, p=0.0001)between nurses' perception of the importance of patient education and it's practice 3. Among the teaching contents for patients, 'information of diagnostic procedure and operation' and 'orientation of hospitalization' were perceived most important. And 'preparation for discharge' and 'understanding of disease and health promotion' were perceived least important 4. Among the teaching contents for patients, 'orientation of hospitalization' and 'information of diagnostic procedure and operation' were perceived highly performable. And 'understanding of disease and health promotion' and 'preparation for discharge' were perceived least performable. 5. Three types of interfering factors were identified as patient-factor, situational factor, nurse-factor. The mean degree of impediment with the interfering factors was at average level(3.09 among 5). The patient and situational factors of impediments were more interfering than nurse- factor for teaching patients. 6. In older age(p<.05), married state (p<.05), higher educational status (p<.01), higher clinical experience (p<.01) and higher position(p<.01), the score of perceived importance of patients education was more high. 7. In older age(p<.01), higher clinical experience(p<.001) and surgical unit (p<.01), the score of perceived performance of patients education was more high. In conclusion, in order to activate patient education practice in the clinical setting, the continuing education for patients education should be more emphasized and the effective teaching methods and materials should be developed to help patient teaching. And an organizational support such as budgeting for patient education and reimbursement system should be administrated.

• 한국응용과학기술학회지
• /
• 제25권4호
• /
• pp.539-555
• /
• 2008

It is well understood that developing new drugs is one of the highest value-added businesses in a country; however, the current governments' spending in pharmaceutical research and development(R&D) is minimal in Korea. This paper suggests that different governmental bodies should take in charge of different stages of the R&D process in order to maximize the use of limited government research funding. First, during the initial phase of the drug development, including clinical trials, the Ministry of Education, Science and Technology is the most appropriate governmental organization to support the research. For later procedures such as supporting the industries for exporting developed drugs, legislative approvals, and building infrastructure for future clinical trials should be supported by the Ministry of Knowledge and Economy and the Ministry of Health and Welfare along with the Korea Food and Drug Administration(KFDA). The KFDA, which is the main governmental agency approving newly developed drugs in the market, will need to take a crucial responsibility in the initial phase of the pharmaceutical R&D by guiding the industries with timely and proper information. As a first step, it is recommended to set up and operate a center for supporting new drugs, so that the industries can facilitate the development of marketable drugs which meet customers' needs. Later, in order to expedite the process of exporting and getting approvals of the newly developed drugs from foreign countries, it is necessary to develop new approval system, which includes introduction of the Good Manufacturing Practice (GMP), mandatory validation system, and education program for supporting expertise. Lastly, the KFDA needs to take an active role in developing Korean pharmaceutical industries by communicating with other foreign governments with regards to the globalization of the Korean pharmaceutical industries. For example, as a follow up after the Free Trade Agreement(FTA), active discussion on GLP of Mutual Recognition Agreement(MRA) with the United States of America, should be seriously considered.

• 한국산학기술학회논문지
• /
• 제18권12호
• /
• pp.589-596
• /
• 2017

본 연구는 응급구조학과 학생들의 취업스트레스에 영향을 미치는 요인을 파악하고 응급구조학과 학생들의 취업스트레스를 감소시키기 위하여 조사하였다. 전라북도와 전라남도의 4년제 대학 1개와 3년제 대학 4개의 응급구조학과 학생들 중에 임상실습을 경험한 학생 276명을 대상으로 2017년 09월 10일부터 15일까지 5일간 설문조사를 실시하였다. 통계분석은 SPSS 18.0 프로그램을 사용하였으며, t-test, ANOVA, pearson correlation coefficient, 다중회귀분석으로 분석하였다. 임상실습 스트레스와 전공만족도는 유의한 음의 상관관계를 보였으며(r=-0.192, p=0.001), 취업스트레스와 임상실습 스트레스는 유의한 양의 상관관계를 보였고(r=0.222, p<0.001), 취업스트레스와 전공만족도는 유의한 음의 상관관계를 나타냈다(r=-0.245, p<0.001). 다중회귀분석 결과 임상실습 스트레스가 높을수록(${\beta}=0.157$, p=0.005), 전공만족도가 낮을수록(${\beta}=-0.211$, p<0.001) 취업스트레스가 높아지는 것으로 나타났고, 3학년(${\beta}=0.237$, p<0.001)과 4학년(${\beta}=0.288$, p<0.001)에서 취업스트레스가 높았고, 가정의 경제적 상태가 보통인 학생들에서 취업스트레스가 높은 것으로 나타났다(${\beta}=0.173$, p=0.012). 따라서 응급구조학과 학생들의 임상실습 스트레스를 감소시키기 위하여 학교의 지원이 필요하고, 취업스트레스의 감소를 위해 취업기관의 확대와 취업 관리 프로그램의 개발이 필요하다.

• Child Health Nursing Research
• /
• 제20권2호
• /
• pp.75-86
• /
• 2014

목적 본 연구는 기존 문헌의 체계적인 고찰을 통해 국내에서 영유아를 대상으로 수행된 모아상호작용에 관해 보고된 중재 연구의 특성과 중 재내용을 분석, 평가하여 최적의 중재를 적용하기 위한 근거자료를 제공하고자 시도되었다. 방법 본 연구는 영유아를 대상으로 한 모아상호작용 중재 효과를 객관적으로 규명하기 위한 통합적 문헌고찰 연구이다. 결과 19편의 논문 중 18편(94.7%)이 비 무작위 대조연구(NRCCT)였고 1편은 단일군 사전사후설계연구이었다. 신생아 대상 논문이 9편, 미숙아 대상 논문이 5편, 장애 영아 대상 논문이 1편, 중환자실에 입원한 영아 대상 논문이 1편, 영유아를 대상으로 한 연구가 3편이었다. 모아상호작용에 적용한 중재연구를 내용 분석한 결과, 전신 마사지를 포함하여 총 6종류의 중재가 적용되었으며, 감각자극을 적용한 논문이 8편으로 가장 많았고, 교육 및 증진프로그램을 적용한 중재연구는 4편, 전신 마사지를 적용한 중재연구 3편, 캥거루식 돌보기를 적용한 논문 2편, 방문지원 1편, 음악요법 1편이었다. 결론 추후 연구에서는 대상자 수를 확대하여 통합적 문헌고찰에 적합한 연구설계를 적용할 필요가 있으며, 모아상호작용 중재효과의 지속시기에 대한 연구가 수행됨으로 모아상호작용 증진에 보다 적합한 간호 중재임을 증명할 수 있는 과학적인 근거가 축적될 수 있어야겠다.

• 대한치과기공학회지
• /
• 제6권1호
• /
• pp.31-86
• /
• 1984

The educational purpose of a junior college is believed to be to effectively train and produce professional workers equipped with the knowledge and skills required in various technical fields of modern society. Since dental technology takes its share of an important role through the enhancement of people's health and the construction of a whlfare society, the prosthodontia department is imposed with a great responsibility to train highly skilled, responsible dental technicians who will meet the social demands. To attain this goal, those who are in charge of the training and education should place emphasis on the development of better educational programs. In other words, the present curriculum which is lacking in many comprehensive aspects, is not satisfactory to provide the students with the required know-how and qualities. As is known, a currculum is the detailed guidance to the efficient operation of an educational program, and that of dental technology is not an exception. In addition, dental technology requires very detailed programs in training, because it requires both diversified and comprehensive application of serveral different fields. The following are the main points to be taken into consideration in developing an effective curriculum for this department. 1. The curriculum should be gradually expanded so that the fundamental subjects will contain principal theories which can be directly applied to the specified majoring subjects. 2. An effective arrangement of time tables should be provided so that basic practice and experiments can be conducted in direct connection with the leatures on the basic theories. 3. For a creative and up-to-date curriculum to help cope with the problems in achieving the aims of technological development and scientific education, intensive and extensive studies should be done on the curricula developed in the advanced countries. 4. The specific majoring subjects should be rearranged to contain new theories which are beneficial to dental technology. As an institution which is spearheaded for ondustrial-educational cooperation, the Junior collegeis role demands that the department should make every possible effect to cultivate highly-skilled technicisns. The following suggestions are made to help work out an ideal curriculum. 1. The basic theory subjects should be selected with consideration toward closely related majoring subjects. 2. The curriculum should be efficiently operated to effectively relate theories with experiments. 3. Subject importance must be rearranged ; It has been found that the ideal proportion of cultural, elective and required subjects is 20%, 20% and 60% respectively. 4. The credit allotments should be reconsidered: The total credits required for completion should preferably be 80; 16 for the cultural and the elective subjects respectively and 48 for the required subject. 5. A Commissioned education system should be formalized for strengthening industrial educational cooperation. 6. Experiments and practice should be intensified with the support of improved laboratory facilities. 7. The training period should be expanded form the present two years to three of four years, in order to produce more highly qualified technicians.

• Child Health Nursing Research
• /
• 제8권3호
• /
• pp.260-271
• /
• 2002

This study was performed to identify the level of stress recognized by the parents as a support system for their infant patients who were hospitalized in an emergency department, thus to provide the resulting data as the basic material of care intervention for the families of infant patients. This study subjected the parents with infant patients who were hospitalized in emergency department of C University Hospital in Daejeon, and the data was collected from questionnaires for them, dating from Mar. 20, to Jun. 24, 2001 This study used the tool(30 questions) which was originally developed by Ji, Dong-ok (1992) for measuring the stress of families of infant patients in emergency room, and then was modified and complemented by this researcher suitably for infant patients. Collected data was statistically analyzed with frequency, percentage, mean, standard deviation, t-test, ANOVA, by using SPSS WIN10.0 program, and the results were as follows: 1. The stress of parents with infant patients hospitalized in emergency department averaged 3.31 on the basis of 5-point measure, which means that they felt stress beyond means. 2. The factor with high average out of stress factors the parents of infant patients recognized included the followings: 'about the pain of infant patients due to examination(3.91±1.00)'; 'about rare opportunity to be in contact with physician(3.78±1.09)'; 'delay in emergent treatment required for infant patients(3.75±1.31)'; 'delay in the general treatment of infant patients(3.72±1.32)'. Factors of the stress level includes the followings: 'care and medical treatment'(3.46±.72); 'body and diseases'(3.41±.97)'; 'lack of information and supportable resources (3.25±.77)'; and so on. 3. For the stress level according to general characteristics, there were statistically significant differences in the result of the condition of infant patients, medical treatment(P<.01), religion, the procedure of treatment(P<.05). With little preceding studies for infant patients hospitalized in emergency department, this study looked through the level of stress recognized by the parents of infant patients. Based on the comprehension on the parents with infant patients and the knowledge on stress factors recognized by the parents, it is expected that we can seek the methods of care intervention such as explanation of care and treatment procedures, unit policies, continuous interest and emotional supports as well as the provision of information to understand the responses of parents and reduce accompanied stresses.

• 여성건강간호학회지
• /
• 제7권3호
• /
• pp.348-358
• /
• 2001

This study was designed to identify the relationship between the level of sense of coherence(SOC) and coping resources of nurses working in hospital. The subjects of this study were 248 nurses working at C University hospital in Seoul. The data was collected during the period from July 1. to July 14. 2001. The insruments for this study were SOC scale by Antonovsky(1987) and Coping Resources Inventory by author. The analysis of data was done by simple statistics, ANOVA and Pearson correlation coefficient with SAS program. The results of this study were as follows: 1. Total mean SOC was 132.1/203.0 with a range 96.0 to 171.0. The mean score of this item was arranged according to three areas. The meaningfulness was 4.9, managability was 4.7, and comprehensibility was 4.2. 2. Total mean coping resources was 144.5/225.0 with a range 93.0 to 190.0. The highest mean score of item according to the area was social support 4.0 and the lowest mean score was self care coping 2.7. 3. A significant statistical difference between age, religion, spending money and SOC was found. 4. Significant statistical difference between age, educational level, spending money, working period and coping resources were found. 5. Coping resources by the level of SOC was high in the highest group of SOC(F=6.19, p=0.00). With respect to the area of coping resources, higher group of SOC was using much coping resources generally except area of leisure. 6. SOC was positively related to age(r=0.17), working periods(r=0.16), each SOC area, coping resources and all area of them except leisure. 7. The coping resources were positively related to age(r=0.21), working periods(r=0.21), SOC (r=0.49), each coping resources area, and each SOC area. In conclusion, we confirmed that the level of SOC of the subjects was low relatively and the high level of sense of coherence was related to the high score of coping resources. Therefore, it could also contribute to select suitable nurses in their fields. In the future, it's necessary to develop strategies improving SOC.