• 모자간호학회지
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• 제4권1호
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• pp.3-11
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• 1994

Presently there is an increasing demand for home health care services due to changes in the demographic structure as a result of an increasing elderly population, socio-economic improvements, and changes in the family structure, as well as the growing number of people with degenerative diseases. In addition to these reasons, rising medical costs and there a shortage of patient beds space in the hospital, particularly since introduction of national medical insurance. There has been an increasing demand for health care health care services. This study was done to identify the basic data for home health care management. It focused on developing client selection criteria, assessment tools, and recording methods. This was accomplished by the researchers visiting the patients in their homes. The research process included preparation investigation, tool development, training of the project researcher, and visiting the clients in their homes. The research tools are as follows : 1. Record development : a) The selection criteria tool for home health care of postpartum women was a structured tool and consisted of four parts. b) The structured assessment tool consisted of a general items, obstetric history, past medical history, methods of feeding, medications taken before admission, laboratory test results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of postpartum women and their newborns. c) The visit note I consisted of the frequency of visits. Visit note II consisted of the date ; nursing problems ; nursing process including the initial assessment ; nursing goal ; visit plan ; postpartum women and their neonate health status, diagnosis, goal, implementation, evaluation, summary, next plan, for visit revision. d) Problem note consisted of the date, problem numbers, nursing diagnosis, problem appearance date problem resolution date. The research results are as follows : 1. Nursing problems : The nursing problems of the postpartum women and their neonates were evaluated by the number of nursing diagnoses and the change in the pattern of nursing diagnosis related to the number of visits. a) Nursing diagnosis The nursing diagnosis was classified according to physical function, psychosocial function, family system maintained function. b) The changes of nursing diagnosis related to the number of visits. As the type of nursing diagnosis changed related to the number of visits the number of nursing diagnoses decreased. 2. Contents of home health care : The content was categorized according to assessment, direct care, counseling, education, family care, reporting to with the attending doctor. The recommendations based on the research results are as follows : 1. Tool development Replication of this study is needed to test the validity of the assessment tools used. 2. Home visit a) Home health care nurses should be licensed and qualified. A referral form from the attending doctor is needed for legal protection of nurses. b) The first home visit need to be within 24 hours of discharge from the hospital to decrease the anxiety of frightened postpartum women. c) When the changes occur in the newborn's status, home health care nurses should consult a pediatrician. Communication within the home healthcare team is essential and needs to consistent and done smoothly. 3. Home health care A Study is required to develop protocols for education of staff and for operation of all aspects of this program.

• 가정∙방문간호학회지
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• 제6권
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• pp.46-58
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• 1999

The purpose of this research was to find out the state of the nursing performance of the home care nurses in Seoul in order to provide the data for the practical work guide. The data were collected from fifty home care nurses working in 22 institutions located in Seoul. The research tool used for this research was modified and tested by Song Jong-Rye(1999) which was originally modified the standard tool of American Nurses Association (1998) and was partly supplement and adjusted for this research. The reliability of this tool was Cronbach's $\alpha$=.0982. The collected data were statistically processed using SAS for t-test, ANOVA. $Scheff\'{e}$ test. Among the surveyees, 50% have been working as a home care nurse more than three years and 74.0% of them were married. And 52% have B.S degree with certification of home care nurse from the certification program for Home Care Nurses affiliated at nursing schools. Half of the home care nursing organizations were based on the general hospitals, and most(78%) of the responsible senior personnels of those organizations were nurses. The following results are drawn from this research. 1) The level of nursing performance by the task sectors General performance level of home care nurses was relatively high in grade of 3.06 from total 4.00. Among the task sectors. the ethical field scored the highest points, and the next were nursing intervention, professional training, and data gathering, and the research sector scored the lowest point. 2) The level of nursing performance by general features of home care nurses Statistically relevant correlation between performance according to the duration of working experience as a nurse(p=0.8951) and performance according to the duration of working as home care nurse(p=0.2263) did not emerge. Also, performance by marriage status(p=0.2218), education(p=0.5733), and taking the certification program for home card nurse(p =0.1560) has no statistically meaningful correlation. 3) The level of nursing performance by the type of home care nursing organizations There exists a significant difference(p=0.002) between performances by the types of organizations. Most of the responsible senior personnels of the home care nursing organization were nurses. The level of nursing performance of the home care nursing organization under nurse management was relatively higher than that of home care nursing organizations led by medical doctors or non-medical professional, but this was not proved as statistically meaningful(p =0.3617). 4) The level of nursing performance by task sectors according to the characteristic of home care nursing service organization There exists a significant difference between nursing performances by task sectors according to the characteristics of home care nursing organization(p=0.002). In case of model research center of one College of Nursing, the nursing performance in the sectors of organization, theory, and data gathering were lower than that of in hospital based home care nursing service. And in case of local home care centers, performances in sectors of organization, theory, data gathering, nursing intervention. professional training, and research sectors were significantly low. Based on the obtained results, overall performance of home care nurses can be appraised as relatively good. Especially, performances in sectors of the nursing intervention, nursing plan. and data gathering including the in direct nursing were recorded high scores. From this, it can be concluded that high quality of nursing is relatively practicing for home patients at these days. Since the high quality of nursing for patients was directly related to the level of nursing performances of home care nurses, it is required to improve practical performance level of them by making constant evaluation and running continual education program and supplementing curriculum for the sectors with low scores.

• 대한물리치료과학회지
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• 제8권2호
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• pp.967-976
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• 2001

The purpose of the present study was to the investigate the effect of aging in men and women on muscle strength of knee extensor and flexors by using the cybex 6000 isokinetic dynamometer. A total of 100 volunteers participated in this study and were divided into five groups according to their chronological age as follows: 20s, 30s, 40s, 50s, 60s, 10 men and 10 women in each decade respectively. Isokinetic ($60^{\circ}{\cdot}s-l$) knee extensor and flexor peak torque, peak torque to body weight ratio, opposing muscles(flexor/extensor) peak torque ratio, deficit of peak torque between dominant and non-dominant were measured. The results obtained were as follows: 1) In men, While the aged increased. the peak torque of the knee flexor and extensor statistically sig nificant decreased in the dominant and non-dominant side. 2) In women, Statistically significant difference of knee extensor peak torque was found as the aged increased in the dominant and non-dominant side, but significant difference of knee flexor peak torque did not that. 3) In men, No significant difference in the peak torque of knee flexor to body weight ratio was found as the aged increased in the non-dominant side, but statistically significant difference in the peak torque of knee flexor to body weight weight ratio was found as the aged increased in the dominant side. 4) In women. No significant difference in the peak torque of knee flexor to body weight ratio was found as the aged increased in the dominant side, but statistically significant difference in the peak torque of knee flexor to body weight ratio was found as the aged increased in the non-dominant side. 5) In men and women, While the aged increased, statistically significant difference was found the dominant and non-dominant side in the peak torque of knee extensor to body weight ratio. 6) Peak torque of hamstring to quadriceps ratio of dominant and non-dominant side in men and women were not significantly different as the age increases. 7) Mean deficit of peak torque between dominant and non-dominant side in men and women were not significantly different as the age increases. From these results we conclude a proper exercise program is need before 50s decade to preserve in muscle strength of knee flexors and extensors.

• 한국환경복원기술학회지
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• 제15권3호
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• pp.29-43
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• 2012

This study evaluated 23 botanic gardens and arboretums under two main categories including professional group and operational group. As for professional group, the main difference between the functions of botanic gardens and arboretums was analyzed. In the case of operational group compared professional group respectively, on categories including importance of function and implementation, seeking to provide fundamental data of botanic gardens and arboretums by enhancing the quality of visitors and examining functional differences. The result of a difference in arboretums' function between professional and operational groups, the study analyzed the importance of botanic gardens and arboretums in terms of detailed categories such as research, education, collection, display, retention, and service for visitors. As a result, professional group showed retention 4.32>education 4.11>research 4.09>service for visitors 4.05, and operational group showed retention 3.70>service 3.52>education 3.41>research 3.37, indicating that both groups had retention as the most selected answer. Looking closely at the functions of the currently implemented detailed categories of botanic gardens and arboretums, such as research, education, collection, display, retention, and service for visitors, the study showed that 91.3% selected rare species and individual multiplication for research function, 78.3% chose education of natural ecosystem for children for education, 73.9% answered space for experiencing nature for display, and 73.9% also replied managon, diof rare species, reproduction, and retention of native plants' species for retention category, and service for visitors showed 95.7% for implementation. The study could not clearly point out the influence between predictors due to absence of an established comprehensive evaluation model. Also, it analyzed and reviewed comparison of functions of professional group and operational group, but in the future, it should conduct study on a systemic and objective classification of botanic gardens and arboretums to clearly examine the difference in views between groups, which also requires, at the same time, study on management policy of botanic gardens and arboretums or suggesting guidelines that suit types of forms, and also study on facilities and program development that can be applied to each class.

• Journal of Oral Medicine and Pain
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• 제38권1호
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• pp.69-76
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• 2013

목적 : 측두하악장애 치료에서 기존의 다른 치료 방법이 동일한 경우, 초진 시에만 서면으로 된 주의사항을 보고 읽어주며 교육했을 때와 내원 시마다 자가평가 설문지를 통한 반복적 주의사항 교육을 시행했을 때의 치료효과 차이를 알아본다. 방법 : 2012년 10월부터 12월까지 부산대학교치과병원 구강내과에 내원한 측두하악장애 환자(n=62, 실험군)와 2011년 10월부터 12월까지 내원한 측두하악장애 환자(n=156, 대조군)를 대상으로 하였다. 측두하악장애로 진단된 후 내원횟수, 치료방법을 동일하게 시행한 환자를 표본으로 선정하였다. 실험군은 자가평가 설문지를 통한 반복적 주의사항 교육을 초진일, 2주 후, 4주 후 시행하였고 또한 Pain NRS(Numerical Rating Scale), MCO(Maximum comfortable opening), Noise NRS, LOM(Limitation of Mouth opening) NRS를 조사했다. 대조군은 초진 시만 주의사항 교육을 하였고, 실험군과 동일 항목을 조사하였다. 실험 군과 대조 군간의 조사항목의 1,2회 내원 시 차이와 1,3회 내원 시 차이를 전체, 연령, 성별, 골 변화 유무별로 독립표본 T검정을 시행하였다. 결과 : 반복적인 주의사항 교육으로 인한 주의사항 준수는 약물치료를 중단한 후에도 MCO개선을 유지 및 증가 시켰다(p=0.001). 반복적인 주의사항 교육으로 인한 주의사항 준수로 인한 MCO개선 효과는 남자에서 두드러졌으며(p=0.001) 젊은 연령에서 크게 나타났다(p=0.004) 결론: 측두하악장애 환자의 행동조절을 위한 주의사항 교육은 반복적으로 시행할수록 치료효과가 크게 나타난다.

• 근관절건강학회지
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• 제2권1호
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• pp.41-72
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• 1995

The purpose of this study is to examine the effects of assertiveness training and value clarification training on nurse's conflict and conflict management mode. Fifty seven registered nurses participated in the study ; they were employed by three general hospital located in Daegu, Korea. The study employs two treatment groups. The assertiveness training group consisted of subjects who participated in 90-120 minutes sessions of assertiveness training nine times over five weeks. The other treatment group, was adiministed nine, 90-120 minutes sessions of value clarification during the same period. For the control group, nursing subjects were appointed the training after five weeks. Pre-test evaluation were administered to all subjects in three groups prior to one week of the treatment. Role conflict Inventory-general(RCI-G) and Communication Conflict Inventory-general (CCI-G) measure nurse's conflict management mode. Post-test evaluation were administered to all subjects in three groups two weeks after the last session by Role Conflict Inventory-Specific(RCI-S), Communication Conflict Inventory-Specific (CCI-S), Management Model-Specific(CMMI-S). The analysis of variance(ANOVA) and covariance(ANCOVA) on gain scores were running the SPSS program. In order to test statistical differences among mean scores of the scales obtained after treatment, multiple comparisons were carried out by Turkey method. Conclusions obtained from the results are as follows. 1. The assertiveness training and the value clarification training were effective in decreasing the nurse's role conflict. The value clarification was more effective than the assertiveness training in decreasing the nurse's role conflict. 2. Both assertiveness training and value clarification training were effective in decreasing nurse's communication conflict. There was, however, no differences between assertiveness training and value clarification training in decreasing the nurse's communication conflict. 3. The assertiveness training and the value clarification training were quite effective in compromizing and collaborating conflict management mode, to reducing the withdrawl and accomodate, force and accomodate conflict management mode to conflict. There was no difference in the effectiveness of assertiveness training and value clarification. In assessing the effects of the treatments, this study employed different measurements. It is unclear whether the measurement affected the test results. It is worth conducting a further test using the same measurements. The results of future studies can be compared with those of this study. The homogeneity of the control group and treatment group is questionable. Futher studies may employ homogeneous sample group to evaluate whether the sample characteristics bias the test results. Assertiveness training or value clarification training for nurses can be utilized in nursing intervention.

• 전자공학회논문지SC
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• 제47권3호
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• pp.48-55
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• 2010

신생아 난청은 신생아들에게 있어서 흔한 선천성 질환 중의 하나로 알려져 있다. 이를 방치할 경우 언어장애와 학습장애를 불러 오는 결과를 초래하게 되지만 조기에 발견하여 치료를 한다면 예방 할 수 있다. 신생아 청력장애를 조기에 선별하기 위해 사용되는 방법으로 청성뇌간반응검사(auditory brainstem response; ABR)가 유용하게 쓰이고 있다. 하지만 기존의 수동 ABR 시스템은 시간이 오래 걸리며 숙련된 검사자가 매번 파형을 분석해야 하는 번거로움이 있다는 단점이 있다. 이와 같은 이유로 최근 청력을 자동으로 판독하는 A-ABR(Automated-ABR)의 필요성이 인식되어 연구가 활발하지만, 국내에서는 아직 관련된 연구가 미미한 실정이다. 본 연구에서는 선행 연구를 통하여 구현된 A-ABR 시스템을 휴대용으로 개발하여 신생아를 포함한 정상 성인과 난청을 가진 성인을 대상으로 시스템에 대한 성능 평가를 수행하였다. 임상 진단 결과와 A-ABR의 결과를 비교한 결과 94.4%의 민감도, 92.2%의 특이도, 93.0%의 정확도를 보임으로서 우수한 진단 성능을 확인할 수 있었다.

• 한국산학기술학회논문지
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• 제19권12호
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• pp.836-846
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• 2018

본 연구는 졸업생의 교육목표 달성도, 비판적 사고 성향과 임상수행능력 정도를 파악하고, 교육목표 달성도와 비판적 사고 성향, 임상수행능력 간의 상관관계와 교육목표 달성도에 영향하는 요인을 확인하고자 시행하였다. 연구대상자는 간호학과를 졸업 한 후 병원에서 근무하는 간호사로서 대학 졸업 후 5년 이내 졸업생 82명과 그 졸업생을 지도하는 간호관리자 68명이였다. 자료는 2014년 1월부터 3월까지 수집하였다. 수집한 자료는 SPSS/WIN 23.0 프로그램을 이용하여 기술통계, t-test, ANOVA, pearson correlation과 multiple regression으로 분석하였다. 연구 결과 졸업생의 교육목표 달성도는 평균 $3.60{\pm}0.60$점/6점, 비판적 사고 성향은 평균 $3.46{\pm}0.28$점/5점, 임상수행능력은 평균 $4.17{\pm}0.56$점/6점이었다. 교육목표 달성도는 비판적 사고 성향(r=0.52, p<.001), 임상수행능력(r=0.52, p<.001)과 양의 상관관계를 보였다. 교육목표 달성도에 영향을 미치는 요인은 비판적 사고 성향(${\beta}=.30$, p=.018)과 임상수행능력(${\beta}=.26$, p=.029)이었고, 회귀분석 모형의 설명력은 34.25%이었다(F=6.65, p<.001). 간호단위 관리자가 평가한 졸업생들의 교육목표 달성도와 임상수행능력이 졸업생들이 자가 평가한 것보다 높았다(p<.001). 이러한 결과는 앞으로 교육목표 재설정과 교육과정 개선에 반영될 것이며, 교육목표 달성도를 높이기 위한 전략을 수립하는 데 기초자료로 활용할 수 있을 것이다.

• 근관절건강학회지
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• 제8권1호
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• pp.122-140
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• 2001

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and functional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and good of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fitness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy. BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status. perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39%. Perceived barriers of action were directly influeced by past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status. which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style. Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention.

• 핵의학기술
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• 제17권2호
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• pp.78-83
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• 2013

SPECT/CT는 SPECT와 CT를 결합하여 감약에 의한 왜곡된 영상을 CT의 감쇠보정을 이용하여 구현할 수 있는 장점이 있다. 감쇠보정을 이용한 SPECT/CT 영상은 우수한 의료 영상 정보를 제공하며 정확한 영상을 비교 및 판독할 수 있어서 영상의 진단적 가치가 높은 것으로 평가된다. 이 연구에서는 phantom 실험 및 환자의 영상을 이용하여 CT 감쇠보정 전후의 차이를 살펴보고자 한다. 2012년 7월부터 9월까지 본원 핵의학과에서 검사를 시행한 환자와 phantom을 이용하여 영상의 대조도와 공간분해능, 심근의 관류 점수를 연구하였다. NEMA IEC, Jaszczak phantom으로 영상의 대조도, triple line phantom으로 영상의 공간분해능, anthropomorphic torso phantom을 사용하여 심근의 관류 점수를 평가하였다. 또한 환자들의 검사 영상을 통하여 CT 감쇠보정 전후를 핵의학 전공의 3명, 5년 이상 근무한 방사선사 5명의 blind test를 통하여 영상을 평가해 보았다. IEC phantom에서 각 구별로 CT 감쇠보정 전후의 대조도 분석 결과 감쇠보정 전보다 최소 33.6%, 최대 89.8% 향상되었고, Jaszczak phantom의 경우 대조도가 최소 9.9%, 최대 27.8%, triple line phantom에서 수평의 경우 분해능이 4.4%, 수직의 경우 분해능이 4.6%로 평균 약 4.5%, anthropomorphic torso phantom의 경우 심근 하벽에서의 관류 점수가 29.4%로 향상된 것을 알 수 있었다. 그리고 환자를 대상으로 한 실험에서는 $^{131}I$, bone SPECT/CT의 blind test 결과 감쇠보정 후 영상의 질이 향상되었음을 알 수 있었다. CT 감쇠보정을 통한 SPECT/CT 영상의 질을 평가한 결과 SPECT 영상에서 대조도와 공간분해능이 향상됨을 알 수 있었다. 따라서 CT를 이용한 감쇠보정은 병소의 해부학적 위치를 정확히 검출할 수 있고, 보다 나은 영상을 기대할 수 있을 것으로 사료된다.