• 한국의료질향상학회지
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• 제12권2호
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• pp.84-92
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• 2006

Background : To examine the difference between ICD-10 and The Korean standard classification of disease(oriental medicine), and to aim at improve the practical use as statistical data. It is one of the reason of disease classification. On that account we convert the many to many correspondence presenting classification of oriental medicine into many to one correspondence. Method : The study tracked out 155 patients discharged from the university hospital which is located in Gyeonggi Province and managing hospital and oriental medicine hospital from July to October this year. The period of this study was from August 1 to November 18. We compared correspondence between the two services' diagnosis(hospital services and oriental medicine hospital services) at the same time and attempted many to one correspondence classification. That is for production of statistical data. Result : We investigated the group which have had medical treatment experience of two kinds of services at the same time. The result of this investigation was that the same oriental medicine diagnosis used differently in western medicine diagnosis. 44.5% was accorded with western medicine diagnosis. Correspondence of the western medicine diagnose with the top of the Korean standard classification of disease(oriental medicine) list's western medicine diagnosis was 13.5%. For many to one correspondence classification for statistics, one western medicine diagnosis was selected for one oriental medicine diagnosis. In case of the main diagnosis(I sign) was not enough to explain oriental medicine diagnosis' characteristic, we chose multiple other diagnosis, so other diagnosis(II sign) about patient's cause of disease could be selected for supplement after we examined the patient's records. The statistics was possible with this many to one correspondence. Conclusion : The result of this study about correspondence between western medicine diagnoses and those of oriental medicine confirms that The Korean standard classification of disease(oriental medicine) is hard to be standardized with western medicine diagnosis. Therefore, according to this study, we use new many to one correspondence classification, multiple oriental medicine diagnoses with one ICD-10, which can be used by statistical data.

• 한국병원경영학회지
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• 제28권3호
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• pp.58-67
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• 2023

Purpose: The purpose of this study was to analyze the factors associated with long-term hospitalized patients in long-term care hospitals using the quality assessment data for long-term care hospitals by the Health Insurance Review. Methods: Among 1,376 long-term care hospitals, frequency analysis and descriptive statistics were used to analyze the characteristics of these hospitals. Multiple linear regression was conducted to examine the associations between infrastructure characteristics, medical personnel characteristics, health outcomes and the proportion of long-term hospitalized patients. Results: The research findings indicate that the number of patients per doctor, the number of patients per nurse, and the number of patients per nursing staff were positively associated with the proportion of long-term hospitalized patients. Among health outcomes, a higher proportion of patients with more than a 5% weight loss compared to the previous month and the proportion of patients showing improvement in ADL, were more likely to have a lower proportion of long-term hospitalized patients. However the proportion of diabetic patients with HbA1c test results within the appropriate range was positively associated with the proportion of long-term hospitalized patients. Conclusion: The present study results provide fundamental data for the establishment of policies for long-term care hospitals. Based on this study, it is important to suggest screening methods for unnecessary long-term hospitalizations, such as sufficient medical personnel to improve the quality of care in long-term care hospitals. It is also necessary to clearly separate the roles of medical institutions and long-term care facilities and implement policies to support patients' social reintegration.

• 성인간호학회지
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• 제29권3호
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• pp.313-322
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• 2017

Purpose: The purpose of this study was to identify over time the changes of cancer symptom, depression and quality of life (QOL) among people who had stomach or colorectal cancer. Methods: Of the 74 participants recruited, 67 participated in the study. Participants were asked to complete three instruments at three different time. The instruments were the M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, Hospital Anxiety Depression Scale, and the Functional Assessment of Cancer Therapy-General. The questionnaires were administered before chemotherapy, toward the end of chemotherapy, and six months after the completion of adjuvant therapy. Data were analyzed using descriptive statistics and repeated measure ANOVA. Results: At the immediately after chemotherapy point, the most frequent symptom was lack of appetite, followed by fatigue and problem with remembering things. The mean score for depression was 8.27 with a prevalence of 31.3%. The mean score for quality of life was 61.88 out of 135. Repeated measures ANOVA showed a significant increase in cancer symptom (F=23.22, p<.001) and depression (F=35.29, p<.001) after chemotherapy. However, improvement was observed 6 months after the completion of chemotherapy. QOL (F=33.73, p<.001) also showed similar patterns as observed with cancer symptom and depression. Cancer symptom was the strongest predictor of QoL at pre-chemotherapy point. but depression was the strongest predictor at immediately after chemotherapy point. Conclusion: Chemotherapy is highly associated with cancer symptom, depression and QOL in patients with cancer. The nursing intervention is needed to relieve depression as well as cancer symptoms to improve QOL in patients undergoing chemotherapy from baseline to follow-up.

• 부모자녀건강학회지
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• 제20권2호
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• pp.80-87
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• 2017

Purpose: This research compared the degrees of grandmothers' subjective health status, depression, quality of life and conflict with their children between the grandmothers who take full charge of raising their grandchildren and the grandmothers who don't and was being conducted to provide the basic data of arbitration for health improvement of grandmothers raising grandchildren. Methods: The study participants was 30 grandmothers who take full charge of raising the grandchildren and 30 grandmothers who don't of grandchildren. Grandmothers' subjective health status, depression, quality of life and conflict with their children between the grandmothers was measured by measurement tools developed by previous research. Data collecting were measured by self-report questionnaire. The data were analyzed using descriptive statistics, t-test, Pearson correlation coefficient by SPSS 23.0. Results: The depression score of grandmothers raising grandchildren was $26.60{\pm}12.04$, which was significantly higher than that of $19.57{\pm}7.04$ grandmothers were not raising grandchildren (t=2.76, p=.008). Also the conflict score of between children and grandmothers raising grandchildren was $30.70{\pm}10.72$, which was significantly higher than that of $22.43{\pm}6.40$ between children and grandmothers were not raising grandchildren (t=3.63, p=.001). Conclusion: The results showed that a solution to intervene the depression and conflict with their children of the grandmother who raise their grandchildren is needed.

• 한국의료질향상학회지
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• 제24권2호
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• pp.2-14
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• 2018

Purpose: The objective of this study was to report the incidence of falls in hospitals and analyze the risk factors for falls. Methods: This study used data on 1,216 patients who experienced falls from 2015 to 2017 during their hospitalization. The data was collected from the falls incident reports and patient' electronic medical record of hospital. Data were analyzed with descriptive statistics using Chi-square test, Fisher's exact test and multiple Poisson regression analysis with the SAS 9.4 Results: The incidence of falls was 1.38 per 1,000 patients days (2015), 1.81 per 1,000patients days (2016) and 1.99 per 1,000patients days (2017). The incidence of injury caused by falls (level III~V) was 0.05 per 1,000patients days (2015), 0.04 per 1,000patients days (2016) and 0.06 per 1,000patients days (2017). The largest number of falls occurred during night shift (42.5%), specifically in the patients' room (70.8%), and medical unit (66.0%). Average age of fallers was 69.1 years and 61.7% of them were older than 71 years. CCI and the patient's department have statistically significant differences in injury or injury levels from falls, but the integrated nursing care services had no significant difference in injury or injury levels from falls. Conclusion: The result of this study can be used as a reference for establishing a fall prevention strategy for hospitalized patients by presenting index values such as the fall rate.

• 한국병원경영학회지
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• 제22권3호
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• pp.18-30
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• 2017

This study was performed to analyze systematically and validate empirically the influence of korean medicine service quality on satisfaction factors and revisiting intention. The candidates were patients visiting the one korean medicine hospital in Gyeongnam. We took a direct survey collected during 15 days May 1 to 15, 2016. For the survey I distributed a total of 250 questionnaire and used the final 230 of them in verifying this research model except unreliable data. The collected data were used statistics program SPSS WIN 22.0 and the research model were examined by AMOS 18.0. The main research results are follows. First, the most influencing factors on consumer satisfaction were public image factors and then human factors. and then effectiveness factors. Second, the most influencing factors on reuse intention were public image factors and then physical factors. Third, human and effectiveness factors of service quality factors in korean medicine hospital did not effect on revisiting intention directly but, effected on revisiting intention through mediation role of the customer satisfaction. Forth, satisfaction on the significant effect on reuse intention. so satisfaction has proved to be a important factor for reuse intention. The results of this study are expected to contribute to management efficiency and developmental improvement on korean medicine hospital policy and management efficiency and be used as a basis for leading to national health promotion through the development of korean medicine service.

• 한국문헌정보학회지
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• 제45권3호
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• pp.327-343
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• 2011

본 연구는 국회전자도서관의 품질을 평가하고 개선방안을 수립하기 위하여 평가 도구를 설계하여 품질을 측정하였고, 개선방안 도출을 위해 ISA(Importance-Satisfaction Analysis) 기법을 적용하였다. 국회전자도서관 품질 평가 도구는 선행연구들에 기반하여 콘텐츠, 서비스, 그리고 시스템의 품질 차원으로 구성하였고 각 차원의 세부적인 항목은 선행연구 및 이용자들의 요구사항 분석을 통해 설계되었다. 각 세부 항목에 대한 측정지표에는 DigiQUAL에서 사용하고 있는 중요도와 만족도가 사용되었다. 국회전자도서관 품질 평가는 질문지법을 통해 수집된 이용자 270명의 응답을 사용하여 Excel 2007과 PASW Statistics 18로 분석하였다. 그리고 측정된 품질 평가 값을 사용하여 국회전자도서관 개선방안 수립을 위해 ISA기법을 적용하였고 그 결과 국회전자도서관 품질 차원 및 세부항목들 중에서 유지, 집중, 저순위, 그리고 과잉 품질 영역을 도출하였다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2015년도 춘계학술대회
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• pp.768-770
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• 2015

유전체 염기서열 분석비용이 크게 감소하면서 유전체 정보 생산이 본격화됨에 따라 시스템 생물학 기반의 통합 및 표준화된 오믹스 데이터베이스 구축이 필요하다. 이에 따라 현재 진행중인 연구 수행의 결과로 얻어진 차세대유전체서열(NGS) 및 전사체(transcriptome) 등의 대용량 정보를 수집하였고 이를 표준화 형식에 맞춰 농업생명공학정보센터(NABIC)에 등록하였다. 또한 농업생명자원 생물정보를 품목별, 개체별로 통합 저장소를 구축하였으며 농업생명자원 생물정보를 품목별, 개체별로 통합 저장소를 구축하였다. 농업생명공학정보센터 오믹스 정보등록시스템 서비스와의 연계 및 확충작업을 하기위해 시스템 기능 개선 및 유지보수 작업을 수행하였다.

• Journal of the Korean Data and Information Science Society
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• 제25권3호
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• pp.533-545
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• 2014

경북지역의 한우농가를 대상으로 한우 사육실태와 육종개량에 대한 농가들의 인식도를 조사 분석하여, 앞으로 사육 기술지도와 한우개량 방향을 개선하는데 기초자료로 이용하고자 설문조사하여 분석한 결과는 다음과 같다. 후보번식우 선발은 '외모, 체형, 혈통등록우' (39.0%)를 고려하여 선발하였으며, 번식우의 종부방법은 '계획교배를 통한 인공수정' (38.6%)을 실시하고 있어 가장 높게 나타났다. 비육밑소 구입시 외관상 가장 관심을 두는 부분은 '체장' (40.7%)부분으로 나타났고, 비육 밑소의 거세는 '생후 6~7개월'이 가장 많이 실시하였고, 한우고급육 생산을 위하여 '고급육생산 프로그램에 준하여 80% 이상 맞춰준다' (51.7%)고 하였다. 그러나 농가들은 비육출하 월령은 '생후 28개월' (35.2%)이 가장 경제적일 것이라고 생각하고 있었다. 이러한 결과는 조사항목에 따라 다소 차이가 있긴 하지만 대체로 조사대상자의 일반적 특성에 따라 학력, 연령, 직업, 가족 노동력에 따라 유의수준 0.05에서 통계적으로 유의한 차이가 있었다. 그러나 비육 후 출하 시에 육질 1+등급 이상 출현율은 '출하두수의 30% 정도' (22.1%)라고 응답하여 가장 높았지만, 조사대상자의 알반적 특성 간에는 유의한 차이가 나타나지 않았다.

• 임상간호연구
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• 제29권1호
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• pp.95-106
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• 2023

Purpose: This study is descriptive survey research on the analysis of nurses' perception of the 4th industrial revolution and the importance and performance of future core nursing competencies in a tertiary hospital located in Seoul. Methods: Data were collected from 149 nurses with more than a year of work experience and analyzed using descriptive statistics, t-test, one-way ANOVA, and Importance Performance Analysis(IPA) with the IBM SPSS/WIN 25.0 program. Results: The nurses' perception of the 4th industrial revolution was 3.23±0.71 out of 5 points. The importance of future core nursing competencies was 4.31±0.48, and the performance of it was 3.47±0.54. The analysis results of IPA showed that A (area of continuous maintenance) included critical thinking, problem-solving skills, teamwork and collaboration, evidence-based practice, communication, quality improvement and safety, professionalism, self-regulation and self-management, and personal literacy. The specific competencies were not included in B (area of priority improvement). Creativity, informatics, healthcare policy, leadership, research ability, and continuing education were included in C (area of progressive improvement). Knowledge and patient-centered care, ability to manage resources as well as professional, legal, and ethical responsibility were included in D (area of overinvestment). Conclusion: The nurses seemed not to be fully prepared for the 4th industrial revolution. However, they were well aware of the importance of the future core nursing competencies. Therefore, if nurses increase the performance of core competencies in order of priority according to the IPA results, they will be able to independently lead the changing nursing field.