• 한국산학기술학회논문지
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• 제20권11호
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• pp.425-435
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• 2019

본 연구의 목적은 중소병원에 근무하는 간호사의 표준주의에 대한 지식, 인지도, 안전환경 및 수행도를 조사하고 의료관련 감염관리 표준주의에 대한 수행도에 미치는 영향요인을 확인하여 중소병원의 표준주의 수행도를 증진시킬 수 있는 방안을 모색하기 위함이다. 본 연구의 대상자는 경기도와 충남에 소재하는 300병상 미만의 6개 중소종합병원에 1년 이상 근무한 간호사 총 151명을 대상으로 하였다. 자료수집은 2018년 1월 15일부터 2월 15일까지 연구의 목적을 이해하고 참여에 서면 동의한 간호사에 한해 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과 안전환경과 표준주의 수행도는 근무부서에 따라 유의한 차이를 보였으며 표준주의 수행도는 표준주의 지식(r=.19, p=.025), 표준주의 인지도(r=.27, p=.001), 표준주의 안전환경(r=.48, p=.000)과 유의한 양의 상관관계를 보였다. 표준주의 수행도에 영향을 미치는 주요 요인은 안전환경과 표준주의 인지도로 나타났으며 안전환경의 설명력은 21.6%였고 이 두 변수의 수행도에 대한 설명력은 23.3%였다. 이상의 연구결과로 볼 때 중소병원에서 간호사의 의료관련 감염관리를 위한 표준주의 수행도를 증진시키기 위해서는 안전환경의 개선 외에도 지속적인 교육프로그램과 행정적지지가 제공되어야 할 것이다.

• 한국병원경영학회지
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• 제21권1호
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• pp.14-31
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• 2016

Obesity of adolescents causes mental and physical problems as well as social problems, which need prevention and management. Although a number of systematic reviews and meta-analyses on obesity programs for adolescents were conducted, there is no study evaluating the programs based on CCM(Chronic Care Model), an organizing framework for improving chronic illness care. This study was conducted to review the features of studies in obesity management programs and interventions of the selected studies were evaluated in terms of inclusion of components of the Chronic Care Model. 4 databases were searched for relevant studies in obesity management programs, which were published from 1994 to 2014 in Korea. Results were analyzed in a qualitative way. 14 studies were satisfied inclusion criteria. The interventions most frequently utilized the elements of self-management support(66.7%) and only 1 of the studies included more than three components of CCM. This study presents the direction of health policies about managements of metabolic syndrome, which means that we identified effective process of the obesity management programs for adolescents in Korea and also this study will be used as a basic information for the development of obesity management program.

• 한국치위생학회지
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• 제22권4호
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• pp.273-280
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• 2022

Objectives: This study aimed to investigate the perception of dental infection-control coordinator (DICC) among dental hygienist and determine whether there is a difference in perception depending on the type of work. Methods: Dental hygienists working at the dentistry were conveniently extracted and distributed to 351 patients, and the data of 320 patients were finally analyzed. The chi-square test was conducted to determine the difference in perception of the DICC according to the type of work, and the one-way ANOVA was performed to determine the difference in the perception of DICC tasks. A p-value of <0.05 was statistically significant. Results: General hospitals and university hospitals (100%), dental hospitals (95.8%), and dental clinics (86.6%) showed the highest awareness of the need for DICC. The dental clinics had the lowest level of awareness regarding the duties of the DICC, and dental hospitals and clinics were in different areas with different levels of awareness regarding infection control-related administrative support areas (3.98-4.21 and 3.79-4.12 of 5). Conclusions: Because of a difference in perception regarding the work of DICC according to the type of work, dental organizations should establish the tasks of DICC and develop an education program for a person in charge based on this.

• 한국지역사회생활과학회지
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• 제21권1호
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• pp.105-115
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• 2010

This study explores the gender differences in the relationship between social support, social networks and drinking behavior and illustrates gender differences in drinking behavior in order to provide evidence in planning a community health promotion program. Data was collected from 444 surveys (Male=190, Female=244) from a total of 1,899 adult residents in 738 households in the "Y" Apartment Complex in the Gangnam area of Seoul, Korea. Results show significantly higher rates of drinking frequency and alcohol consumption volume in males. Women with high-risk drinking behavior have fewer social relationships than women with normal drinking behavior. Within social networks, friends were significantly associated with drinking behavior and alchol abuse. Drinkers had more friends than non-drinkers in both genders. However, in association with alchol abuse, while male abusers had less friends than normal male drinkers, women abusers had more friends, indicating women who have drinking problems have a stronger social network. This pattern suggests gender differences in the association between social networks and alchol abuse. Therefore in approaching drinking issues, social support and social networks act as a key factor. For men, alcohol prevention programs should be aimed at achieving healthy drinking behavior at the aggregate level including people in his social support and social network groups. For women, the priority is alchol abuse. More attention is required in revealing the context between female social networks and alchol abuse and in developing coping strategies other than drinking.

• 기본간호학회지
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• 제20권1호
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• pp.27-36
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• 2013

Purpose: Self-care behavior is a key dimension of healthcare quality among elderlys with diabetes mellitus. The purpose of this study was to identify factors associated with self-care behaviors related to insulin therapy among elders with diabetes mellitus. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 147 older adult patients with diabetes mellitus receiving insulin therapy. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS statistics 19.0 program. Results: Participants' self-care behaviors related to insulin therapy were not adequate. Stepwise multiple regression analysis for self-care behaviors related to insulin therapy revealed that the most powerful predictor was self-efficacy. Self-efficacy, family support and frequency of blood sugar test explained 54.4% of the variance in self-care behaviors related to insulin therapy. Conclusion: The results indicate a need to promote self-efficacy, family support and frequency of blood sugar testing with these participants. In addition, strategies to improve self-care behaviors among elderly patients should be considered by health professionals, family members and the elderly patients themselves.

• 여성건강간호학회지
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• 제26권4호
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• pp.274-284
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• 2020

Purpose: The purpose of this study was to investigate the effects and characteristics of health care programs for pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: This study was conducted according to the Cochrane Collaboration's systematic literature review handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. We searched eight international and domestic electronic databases for relevant studies. Two reviewers independently selected the studies and extracted data. For each study, information on the research method, participants, characteristics of the program, and results were extracted using a previously established coding table. The National Evidence-based Healthcare Collaborating Agency's risk of bias assessment tool for non-randomized studies was used to assess the risk of bias of the included articles. A qualitative review of the selected studies was performed because the interventions differed considerably and the measured outcomes varied. Results: Out of 128 initially identified papers, seven were included in the final analysis. The risk of bias was evaluated as generally low. Health care programs for pregnant women with GDM showed positive effects on blood glucose control. Anxiety and depression were reduced, and self-management and self-care behavior, self-efficacy, and maternal identity improved. Conclusion: Our study provides clinical evidence for the effectiveness of health care programs for pregnant women with GDM, and its results can be used to support the development of health care programs for GDM. More well-designed research is needed on GDM, especially studies that deal with emotional stress and apply a family-oriented approach.

• 한국컴퓨터정보학회논문지
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• 제27권12호
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• pp.219-229
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• 2022

본 연구는 여성결혼이민자 대상으로 K-POP 커버댄스를 실시, 자아존중감과 사회적지지에 따른 문화적응스트레스 및 우울에 미치는 영향을 분석하여 여성결혼이민자의 사회관계 개선 및 정신건강 증진을 위한 기초자료를 제공하고자 하였다. 20~30대 여성결혼이민자를 모집, 사전검사의 자아존중감과 사회적지지에 따라 정도가 높은 그룹 HSS(High Self-esteem & Social Support)와 낮은 그룹 LSS(Low Self-esteem & Social Support)로 각 25명씩 임의배정하였고, 사전검사, 6주차, 12주차, 총 3회 설문조사를 실시하였다. K-POP 커버댄스(60분, 주 3회, 12주간) 참여에 따른 여성결혼이민자의 자아존중감은 HSS, LSS 두 그룹 모두 참여 기간이 길수록 향상되었고, LSS 그룹이 6주후부터 더 크게 향상되었다. 사회적지지는 HSS는 6주후부터, LSS는 12주 후부터 감소하였고, 문화적응스트레스는 HSS, LSS 모두 6주후, 12주후 지속 감소, LSS 그룹이 더 크게 감소하였다. 우울은 HSS, LSS 두 그룹 모두 참여 기간이 길수록 감소, LSS 그룹이 6주후부터 더 크게 감소하였다. 따라서 K-POP 커버댄스는 여성결혼이민자를 위한 자아존중감, 사회적지지 향상과 문화적응스트레스 및 우울 감소에 효과적인 여가활동 프로그램이 될 수 있을 것으로 생각된다.

• 한국농촌건축학회논문집
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• 제15권1호
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• pp.21-28
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• 2013

Problems of housing, healthcare, social exchanges, and lonely feelings of vulnerable social groups such as the elderly living alone in rural and fishing villages should be resolved by guaranteeing minimum residential rights and levels to restore the sense of self-esteem and social stability and to maintain the rural communities and these should be the object of social interest and support. The housing problems of rural and fishing villages should be resolved not through supply to meet demand but by beginning with providing the ways to attain mutual interaction through the program that recognizes housing as merit goods to maintain the regional communities This research examines more minutely the problems caused by poor housing conditions of rural and fishing villages and attempts to present rural and fishing village type community living home as an alternative through regeneration. The results of this research are as follows. First, the administrative support system should be built to support the community living home in its beginning, process, completion, and even post management. Second, education for reinforcing capabilities to help understand the community living home should continually conducted on the occupants, villagers, and related organizations. Third, in order to expand the community living home, research and development should be made so that the zero-energy house, the alternative energy utilizing house, etc. can be widely used. In building community living home for vulnerable social groups in rural and fishing villages, practical alternatives suitable to the regional realities should be presented and practiced so that the community living home can be built to the satisfaction of all the villagers and the occupants, and the improvement measures should be presented through constant interest and monitoring.

• 한국컴퓨터정보학회논문지
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• 제23권1호
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• pp.103-109
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• 2018

The purpose of the study is to investigate the effect of a simulation training of BLS in paramedics in pre-hospital situation. This a nonequivalence control quasi-experimental study. The study subjects were 8 paramedics of experimental group and 8 paramedics of control group in K fire department. An informed consent was written by the subjects after explaining of the purpose of the study. The study methods consisted of conventional education and practice training. The conventional education was done for 30 minutes and the practice training was taken by four trainees of one group and the instructor demonstrated Basic Iife Support (BLS) performance for three minutes. Each trainer peformed BLS for ten minutes. In the beginning of the course, two paramedics got off from the ambulance and performed BLS including 5 cycles of Cardiopulmonary Resuscitation (CPR). Soon after the BLS, another two paramedics performed pre-hospital BLS survey. The education was guided by two professors of emergency medical technology, two Basic Iife Support instructors, and two emergency rescue directors. Pre-hospital BLS was measured by a 5-point Likert scale. Higher score means higher performance skills. The data were analyzed using SPSS/WIN 22.0 program set at significance level of p<05. The effect of simulation education was much more significant than the conventional education in BLS. The simulation education is very important and effective in improving the clinical performance skills of paramedics than the conventional education. The simulation education can provide the virtual environment of cardiac arrest to the paramedics. In conclusion, the simulation education can provide the effective teaching methods for various practice performance skills and solution by critical thinking in the paramedics and healthcare providers in the future.

• KIEAE Journal
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• 제15권2호
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• pp.27-35
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• 2015

Purpose: Healthcare is on the whole a personal and critical service that consumer's use, whereas hospitalization is as a rule painful, because nature nurtures and Sun Light Luminosity for healthcare settings is considered healing. The performance and design of climate responsive buildings such as AKU requires a detailed study of attributes of climate both at micro as well as macro level. The therapeutic value of contact with nature through window view, greenery and landscape is calculated there. Method: A two prong strategy is been devised for this article, at micro level three typical morphologies are analysed by creating same environment of neighboring building on sun shading chart, radiation and temperature range. Since the analysis of local climate helps to determine the design strategies for hospital Healing Environment which is suitable for Karachi climate; in order to track the macro climatic behaviour, a considerable analysis of psychometrics chart for AKU Karachi are designed on Climate Consultant (CC) and analysed by Machine Learning. Climate Consultant proposes different design strategies suitable for Karachi. And on the other hand time wise illumination sources for clinical area which are then measured on psychrometric chart- according to singular space: multi patient admission, secondly: acute ambulatory ward, and tertiary: multi windowed space according to the mushrabiyah and sky light pattern. Result: Our findings support the hypothesis that windowed wall is 75-80% more healing wall; an accelerated evidence was found for healing at macro level if the form of the hospital is designed according to the climatologically preferences, whereas at micro level: the light resource becomes the staff attentiveness determinant. In Conclusion evidence was provided that the actual form of luminosity results consequently in satisfaction while light entering from several set of windows and other sources might be valued if design according to the healing environment. The data added on the sun shading chart to calculate rays entraining into space in patient room equal to 124416.21 Watts/ meter $m^2$ is calculated as precise healing rate-and is confirmed by questionnaire from patients belonging from each clinical stage having different illnesses.