• 디지털융복합연구
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• 제16권2호
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• pp.243-250
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• 2018

본 연구는 의료종사자의 임파워먼트, 표준주의지침 인지도 및 수행도의 관련성을 파악하고, 실무현장에서 의료종사자의 표준주의지침 수행도에 미치는 영향요인을 규명하기 위한 서술적 조사연구이다. 연구 대상자는 Y시에 있는 일개 종합 병원에 근무하는 의료종사자를 대상으로 하였으며, 200부를 최종 분석에 사용하였다. 수집된 자료는 IBM SPSS Statistics 20.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Scheffe, Pearson's correlation coefficient, stepwise multiple regression을 통해 분석하였다. 단계적 다중회귀분석결과 표준주의지침 수행도에 영향을 미치는 요인은 인지도였으며 이들의 설명력은 49.0%였다(F=191.98, p<.001). 본 연구결과를 바탕으로 의료종사자의 표준주의지침 수행도를 증진시키기 위해 표준주의지침 인지도를 높이기 위한 프로그램 개발이 필요할 것으로 생각된다.

• 디지털융복합연구
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• 제16권2호
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• pp.277-285
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• 2018

본 연구는 임상간호사의 간호근무환경, 긍정심리자본, 이직의도와의 관련성을 파악하고, 임상실무현장에서 임상간호사의 이직의도에 미치는 요인을 규명하기 위한 서술적 조사연구이다. 본 연구의 대상자는 Y시에 소재하고 있는 3개 종합 병원에 근무하는 간호사를 대상으로 하였으며, 193부를 최종 분석에 사용하였다. 수집된 자료는 기술통계, t-test 혹은 one-way ANOVA, Pearson's correlation coefficient, 단계적 다중회귀분석을 통해 분석하였다. 단계적 다중회귀분석결과 이직의도에 영향을 미치는 요인은 간호근무환경, 긍정심리자본과 근무경력이었으며 이들의 설명력은 41.8%였다. 본 연구결과를 바탕으로 임상간호사의 이직의도를 감소시키기 위한 간호근무환경 개선과 더불어 긍정심리자본을 강화시킬 수 있는 중재 프로그램 개발이 필요할 것으로 생각된다.

• 디지털융복합연구
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• 제16권2호
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• pp.461-469
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• 2018

본 연구는 정신건강의학과 입원 환자를 대상으로 하여 자살사고에 미치는 대인관계의 영향과 우울의 매개효과를 알아보았다. 대상은 정신건강의학과에 입원한 환자 109명으로, 대인관계는 인식된 짐스러움과 좌절된 소속감으로 구분하였다. 연구 결과, 대인관계 척도의 하위요인 중 인식된 짐스러움은 자살사고와 우울에 직접적인 영향을 주었고, 우울을 매개로 하여 자살사고에 간접적인 영향을 주었다. 반면 대인관계 척도의 하위 요인 중 좌절된 소속감은 우울에 직접적으로 영향을 주었으나 자살사고에는 유의한 영향을 주지 않았다. 이러한 결과와 관련하여 정신건강의학과 입원 환자의 자살사고 개입을 할 때 대인관계와 관련된 변인을 다룰 수 있는 자살개입 방법이 효과적일 것에 대해 논의하였다.

• 한국치위생학회지
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• 제12권3호
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• pp.503-511
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• 2012

Objectives : This research seeks to present the data needed for the development of coping strategy, following medical market opening by identifying dental hygienists' perspective and coping measures towards the opening. Methods : One hundred eighty-eight dental hygienists were targeted to identify their level of perception towards medical market opening, attitude towards medical market opening, question of whether they agree or not with the opening and reasons, and coping measures and benefits of the medical market opening. t-test, chi-square test and cross-tabulation analysis were used for the analysis Results : First, team leaders are more aware of the medical market opening and hold greater sense of crisis towards opening compared to the rank and file. Second, the reasons cited for agreeing with the medical market opening included improvement of medical services' quality and diversification of services. As for the reasons for disagreeing, they cited the increase medical expenses paid by public. Third, limitation of the hospital management technique was cited the most when it comes to the scope of Korean hospitals' management crisis, followed by the limitations of the diagnosis procedure, limitations of the medical services, limitations of the medical techniques and increase in the number of large hospitals, in the order cited. Fourth, team leaders perceive greater need to seek coping measures from the aspect of realizing medical insurance fee from the policy development, service and system level aspects when it comes to the coping measures depending on their ranks. Conclusions : Therefore, Dental Hygienist has a comparatively low awareness of medical market opening, coping measures need to be explored to cope with the medical market opening by ensuring the dissemination of accurate knowledge through the education on the fees for dental hygienist and seminars in relation to the medical market opening.

• 한국방사선학회논문지
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• 제11권2호
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• pp.131-138
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• 2017

본 연구는 부산광역시 소재의 11개 병원에 근무하는 의료기관 종사자를 대상으로 병원감염관리 인지도와 수행도를 분석하였다. 그 결과, 병원 내 감염관리부서, 감염관리 지침서, 감염관리 교육의 유무에 관계없이 인지도, 수행도의 척도가 높게 나타났다. 특히, 감염교육을 받은 적이 있는 집단의 인지도, 수행도에서 통계적으로 유의한 결과를 보였다(p<0.001). 감염관리에 대한 수행을 실천하지 못하는 주된 원인은 업무과다와 시간부족으로 나타났으며, 99.7%의 응답자가 감염관리 교육이 필요하다고 답하여 사회 전반적으로 병원감염에 대한 경각심이 커진 것으로 판단된다. 전체적으로 인지도에 비해 수행도가 낮게 분석되었으며, 병원감염을 낮추기 위해서는 실현가능한 제도의 개선과 종사자 개인의 적극적인 수행이 필요할 것으로 사료된다.

• 보건교육건강증진학회지
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• 제16권2호
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• pp.205-233
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• 1999

This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

• 보건교육건강증진학회지
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• 제32권3호
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• pp.11-22
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• 2015

Objectives: This study was to examine the influences of community characteristics on the mortality rates. Community characteristics included socioeconomic environmental characteristics, health care resources, and health lifestyle practice. Methods: This study used secondary data whose units of analyses were 249 administrative districts. Mortality rates were estimated with hierarchical regression models entered in the order of (1) socioeconomic environmental characteristics, (2) health care resources, and (3) health lifestyle practice. Results: About 70% of mortality rate was explained by socioeconomic environmental characteristics, health care resources, and health lifestyle practice. In particular, socioeconomic environmental characteristics showed the strongest impact on mortality rate. Among socioeconomic characteristics, community with lower rate of households headed with college or more, lower number of inhabitants per on-premise license, higher rate of population in poverty, and rural region showed higher mortality rate. Among health care resources, community with higher number of inhabitants per doctor and lower number of inhabitants per hospital bed showed higher mortality rate. Among health lifestyle practice, community with higher current smoking rate and lower moderate physical activity practice rate showed higher mortality rate. Conclusions: The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

• Asian Pacific Journal of Cancer Prevention
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• 제14권10호
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• pp.5681-5685
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• 2013

Background: To compare breast cancer incidence and mortality trends in Central Serbia between males and females in the period 1999-2009. Materials and Methods: In this descriptive study, mortality data were obtained from the National Statistics Institute and morbidity data were derived from Institute of Public Health of Serbia for the period of interest. Results: Breast cancer is a leading cancer in the female population of Central Serbia, whereas in male population it is not on the list of 10 leading localizations, concerning both incidence as well as mortality. In the period 1999-2009 the average standardized incidence rates of breast cancer were 60.5/100,000 in women and 1.4/100,000 in men, while average standardized mortality rates were 20.4/100,000 and 0.4/100,000. The average standardized incidence and mortality rates were about 45 times higher in females than males. Male breast cancer comprises approximately 2.1% of all breast cancer cases. The average age-specific mortality and incidence rates increased with age in both sexes. In the observed period standardized mortality rates of breast cancer increased significantly only in men ($y=0.320+0.0215{\times}$, p=0.044). Conclusions: The increase of breast cancer incidence in both sexes and mortality in men, indicate an urgent need for Serbian health professionals to apply existing cancer control and preventive measures. Male breast cancer is more present than in other world regions, with an outstanding increase of mortality, which demands a timely identification (screening) and adequate treatment. A national policy including mammography should be considered in the light of the newest findings.

• 성인간호학회지
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• 제27권6호
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• pp.728-741
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• 2015

Purpose: The purpose of the study was to explore and describe the experience of pursuing complementary and alternative medicine (CAM) in breast cancer patients. Methods: Ten women with breast cancer participated in the study. Data were collected through individual in-depth unstructured and individualized interviews with each participant from February to July, 2015. Theoretical sampling was used upto the point of theoretical saturation. Data were analyzed using Corbin & Strauss's grounded theory methodology. Results: Through open coding, 22 sub-categories, and 13 categories were identified. Analysis revealed that the core category was 'endless management of mind and body for healing', which consisted of four phases; exploring, applying, grasping, and integrating. Through this process, the participants utilized various action/interactional strategies such as 'dealing with information', 'trying out blindly', 'enduring volitionally', 'experiencing effects on mind and body,' and 'grasping one's own way.' The consequences of these strategies were integrating the habit of health remedy into one's life, becoming a main agent for change, and tolerating one's weak body. Conclusion: In-depth understanding of the CAM pursuing experiences of patients with breast cancer would guide clinical nurses and policy makers to develop effective interventions and policies for better supporting them with regard to the usage of CAM.

• Asian Pacific Journal of Cancer Prevention
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• 제13권5호
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• pp.1989-1994
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• 2012

Background and Purpose: An analysis of the current nuclear medicine (NM) status and future demand in Turkey in line with the international benchmarks was conducted to establish a comprehensive baseline reference. Methods: Data from all NM centers on major equipment and manpower in Turkey were collected through a survey and cross-checked with the primary research and governmental data. Data regarding manpower currently working were obtained from the relevant academic centers and occupational societies. Results: The current numbers of NM laboratories, NM specialists, gamma cameras, PET/CT scanners, radioiodine treatment units for thyroid cancer are 217, 474, 287, 75 and 39, respectively. There was personnel and equipment need underestimated in the field compared to developed countries. Equipment insufficiency was more significant in the Ministry of Health (MoH) hospitals. These gaps should be eliminated with strategic planning of equipment and NM laboratories. Currently, the number of the PET/CT devices is at the level of the developed countries. The number of specialists in the field should reach the expected goal in 2023. By 2023, Turkey will need around 820 NM specialists, 498 gamma cameras and 99 PET/CT devices. In addition, further studies should be made regarding other related staff, particularly for health physicians, radiopharmacists and NM technicians. Conclusion: There is an insufficiency of personnel and equipment in Turkey's NM field. Comprehensive strategic planning is required to allocate limited resources and the purchase of the equipment and employment policies should be structured as part of "National Special Feature Requiring Health Service Plan".