• 제목/요약/키워드: Information Practice

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사회변화와 요구를 수용하는 가정교과의 내용 혁신 연구 (A Study on the Content Innovation of Home Economics Curricula Reflected in Social Change & Need)

  • 박명희
    • 한국가정과교육학회지
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    • 제18권1호
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    • pp.77-93
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    • 2006
  • 본 연구는 가정교과의 내용요소에 대한 교육수요자들의 시각의 변화가 일어나고 있는 현 시점에서 교육수요자가 추구하는 요구에 부응하면서 미래사회에서 인간이 살아가는데 진정으로 배워야 할 내용이 무엇인가를 원론적 차원에서 고찰하여 가정교과의 내용혁신을 시도하고자 하는 목적으로 수행된 연구이다. 현재 가정교과 교육과정의 비판적 검토를 시도한 결과 급속한 사회변화에 따른 다원화된 가족의 구성과 가족문화를 담아내지 못하고 있으며 사회 환경 변화에 따른 능동적 교과내용 도입이 지체되고 있었는데 그 원인은 가정학의 학문적 정체성에대한 문제와 교육내용의 전문성과 통합적 접근의 문제, 가정학의 학문적 보수성 그리고 교사재교육의 비실효성과 행정 정책가의 리더십 부족 등이었다. 가정교과의 내용혁신을 위한 사회적 합의로서 가정교과의 목표 및 내용체계는 가족과 소비자를 중심축으로 하여 구성되어야 할 것이다. 가족부분에서는 다양한 가족의 구성 체계와 다원적 문화를 포용하는 열린 가족의 개념을 포함하고 자녀양육이나 가사노동에 있어 양성 평등적이어야 한다. 성인지적 관점에서 개인의 사회진출부분과 가정생활기능의 사회화에서 일어날 수 있는 조정역할과 의사결정부분에 대한 가치교육, 선택과 의사결정 커뮤니케이션 그리고 자신들이 살고 있는 지역 생활공동체의 참여, 복지기관에의 자원봉사와 같은 내용에 더 중점을 두어 이러한 주제를 비판 과학적 철학에 바탕을 두고 접근하여야 할 것이다. 이와 함께 지구환경자원의 보존을 위한 지속가능 소비와 이의 실천등과 같은 사회재건 중심 교육과정 관점이 도입된 내용이어야 할 것이다. 기존의 가정교과의 영역별 전문분야별 접근보다는 통합적 접근을 지향하여야 할 것이다.

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환경 인쇄 기술의 발전과 인쇄물의 $CO_2$ 발생량에 관한 연구 (A Study about Development of Environment Printing Technology and $CO_2$)

  • 이문학
    • 한국인쇄학회지
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    • 제30권3호
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    • pp.89-114
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    • 2012
  • For as to world, the concern about the environment problem is enhanced than any other time in the past because of being 21 century. And the environment problem is highlighted as the world-wide issue. The time of the environment problem intimidates the alive of the mankind and presence of an earth over the time. It becomes the essentiality not being selection in the personal living or the economical viewpoint now to prepare for the climatic modification. As to the company management, the green growth period which it excludes the environment management considering an environment, cannot carry on the company the continued management comes. That is, in the change center of the management paradigm, there is the environment management. Nearly, the greenhouse gas which the publication industry is the environmental toxic material like all industries is generated. The greenhouse gas is ejected in the process of running the manufacturing process and print shop of the various kinds material used as the raw material of the book. Particularly, the tree felling for getting the material of the paper is known to reach the direct influence on the global warming. This study does according to an object it considers and organizes the environment parameter based on this kind of fact as to the publication industry. And it is determined as the reference which is used as the basic materials preparing the case that carbon exhaust right transaction(CAP and TRADE) drawing are enforced in all industries and is sustainable the management of the publication industry and reduces the environmental risk among the company many risk management elements and plans and enforces the publication related policy that there is a value. In the printing publication industry, this study tried to inquire into elements discharging the environmental pollutant or the greenhouse gas. Additionally, in the printed publication production process, it tried to inquire into the effort for an environment-friendly and necessity at the printing paper and the printers ink, regarded as the element discharging the greenhouse gas all kinds of the printing materials, operation of the print shop and all kinds of the machines and recycle process, and etc. These considerations make these industrial field employees aware of the significance about a conservation and environmental protection. They try to give a help in the subsequent study producing quantitatively each environmental parameter emission of green house gas. This makes the calculation of the relative $CO_2$ output reproached ultimately possible. Meanwhile, in a sense, many research protects and improving an environment in connection with the contents of research at the printing publication industrial field is in progress. There will be the voluntary human face that it has to protect an environment but this can not do by the outside factor according to all kinds of environment related law and regulation. Anyway, because of acting on company management as the factor of oppression, the increase of this environment-related correspondence cost could know that the research that the environment loading relates with a procurement and development, environment management system introduction, quality control standard, including, normalizing including a material, and etc. through the part of the effort to reduce the cost low was actively in progress. As to the green growth era, as follows, this paper prescribed the subject and alternative of the print publication industry. It is surrounded by the firstly new digital environment and the generation of the subject. And secondly the printing industry is caused by the point of time when the green growth leaves by the topic which is largest in the global industry and it increases. The printing publication industry has to prepare the bridgehead for the environment-friendly green growth as the alternative for this resolution with first. The support blown in each industry becomes the obligation not being selection. Prestek in which the print publishing was exposed to spend many energies and which is known as the practice of the sustainable print publishing insisted that it mentioned importance of the green printing through the white pages in 2008 and a company had to be the green growth comprised through the environment-friendly activity. The core management for the sustainable printing publication industry presented from Presstack white pages is compacted to 4 words that it is a remove, reduce, recover, and recycle. Second, positively the digital printing(POD) system should be utilized. In the worldwide print out market, the digital printing area stops at the level of 10% or so but the change over and growth of the market of an analog-to-digital will increase rapidly in the future. As to the CEO Jeff Hayes of the Infoland, the offset print referred to that it of the traditional method got old and infirm with the minor phase of the new printing application like the customer to be wanted publication and the print of the digital method led the market. In conclusion, print publishers have to grasp well the market flow in the situation where a digitalization cannot be generalized and a support cannot avoid. And it keeps pace with the flow of the digital age and the recognition about the effort for the development and environment problem have to be raised. Particularly, the active green strategy is employed for the active green strategy.

119 구급대원들이 지각하는 의료지도의 필요성 인식과 요구도 (Recognition and Request for Medical Direction by 119 Emergency Medical Technicians)

  • 박주호
    • 한국응급구조학회지
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    • 제15권3호
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    • pp.31-44
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    • 2011
  • Purpose : The purpose of emergency medical services(EMS) is to save human lives and assure the completeness of the body in emergency situations. Those who have been qualified on medical practice to perform such treatment as there is the risk of human life and possibility of major physical and mental injuries that could result from the urgency of time and invasiveness inflicted upon the body. In the emergency medical activities, 119 emergency medical technicians mainly perform the task but they are not able to perform such task independently and they are mandatory to receive medical direction. The purpose of this study is to examine the recognition and request for medical direction by 119 emergency medical technicians in order to provide basic information on the development of medical direction program suitable to the characteristics of EMS as well as for the studies on EMS for the sake of efficient operation of pre-hospital EMS. Method : Questionnaire via e-mail was conducted during July 1-31, 2010 for 675 participants who are emergency medical technicians, nurses and other emergency crews in Gyeongbuk. The effective 171 responses were used for the final analysis. In regards to the emergency medical technicians' scope of responsibilities defined in Attached Form 14, Enforcement regulations of EMS, t-test analysis was conducted by using the means and standard deviation of the level of request for medical direction on the scope of responsibilities of Level 1 & Level 2 emergency medical technicians as the scale of medical direction request. The general characteristics, experience result, the reason for necessity, emergency medical technicians & medical director request level, medical direction method, the place of work of the medical director, feedback content and improvement plan request level were analyzed through frequency and percentage. The level of experience in medical direction and necessity were analyzed through ${\chi}^2$ test. Results : In regards to the medical direction experience per qualification, the experience was the highest with 53.3% for Level 1 emergency medical technicians and 80.3% responded that experience was helpful. As for the recognition on the necessity of medical direction, 71.3% responded as "necessary" and it turned out to be the highest of 76.9% in nurses. As for the reason for responding "necessary", the reason for reducing the risk and side-effects from EMS for patients was the largest(75.4%), and the reason of EMS delay due to the request of medical direction was the highest(71.4%) for the reason for responding "not necessary". In regards to the request level of the task scope of emergency medical technicians, injection of certain amount of solution during a state of shock was the highest($3.10{\pm}.96$) for Level 1 emergency rescuers, and the endotracheal intubation was the highest($3.12{\pm}1.03$) for nurses, and the sublingual administration of nitroglycerine(NTG) during chest pain was the highest($2.62{\pm}1.02$) for Level 2 emergency medical technicians, and regulation of heartbeat using AED was the highest($2.76{\pm}.99$) for other emergency crews. For the revitalization of medical direction, the improvement in the capability of EMS(78.9%) was requested from emergency crew, and the ability to evaluate the medical state of patient was the highest(80.1%) in the level of request for medical director. The prehospital and direct medical direction was the highest(60.8%) for medical direction method, and the emergency medical facility was the highest(52.0%) for the placement of medical director, and the evaluation of appropriateness of EMS was the highest(66.1%) for the feedback content, and the reinforcement of emergency crew(emergency medical technicians) personnel was the highest(69.0%) for the improvement plan. Conclusion : The medical direction is an important policy in the prehospital EMS activity because 119 emergency medical technicians agreed the necessity of medical direction and over 80% of those who experienced medical direction said it was helpful. In addition, the simulation training program using algorithm and case study through feedback are necessary in order to enhance the technical capability of ambulance teams on the item of professional EMS with high level of request in the task scope of emergency medical technicians, and recognition of medical direction is the essence of the EMS field. In regards to revitalizing medical direction, the improvement of the task performance capability of 119 emergency medical technicians and medical directors, reinforcement of emergency medical activity personnel, assurance of trust between emergency medical technicians and the emergency physician, and search for professional operation plan of medical direction center are needed to expand the direct medical direction method for possible treatment beforehand through the participation by medical director even at the step in which emergency situation report is received.

소설과 말기 암환자를 통해 본 한국인의 죽음의 의미

  • 전혜원;김분한
    • 호스피스학술지
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    • 제3권2호
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    • pp.34-54
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    • 2003
  • Every one experiences death one day, however no one can knows exactly what it is because people can not experience death until it comes, it is therefore impossible to judge correctly on the phenomenon of the death. On the whole, man experiences indirect death through the mass communications such as TV drama, fiction, magazine etc because those methods can easily access by every one. In addition to this, people usually acquire the negative awareness of death through the dramatic change of story like dying of cancer for dramatic effect by giving scare and fear to the cancers. The purpose of this study is to provide basic information on the spiritual care that enables the facing death patients to accept death as a part of life and divert hope from scare about after death by comparing and analyzing of two aspects of death meaning I.e, Korean fiction and the end stage cancer patients. Additionally, for medical staff to understand the facing death cancer patients by making to aware patients correctly and provide the better quality of care. The study was performed from September 28, 2002 to February, 28 2003. The materials of this study were collected by direct data obtained from observation, interviews, note and diary of end stage of cancer patients and written materials acquired from Korean contemporary fiction. Participants of this study were 4 end stage cancer patients including 2 lung cancer patients, 1 liver cancer patient and 1 esophagus cancer patient. The methodology used in this study was divided into two types; Huberman & Miles methodology was used for fiction to find and categorize subject, and Colaizzi, one of phenomenological methodology was used for end stage cancer patients to find the major meaning, subject and categorization. 1.The death investigated in the fiction, was found as a progress of negative emotion, acceptance and sublimation, life related subjects in the negative emotion were tenacity for life, anxiety, lingering attachment, responsibility, abandonment and death related subjects were shock, isolation, fear, scare and rejection. Acceptance related subjects were acceptance, destiny, secularism, preparation and arrangement, and sublimation related subjects were sublimation through Christian and Buddhism. 2.The death showed in the participants was negative emotion, acceptance and sublimation, life related subjects were repentance, anxiety, responsibility and hopelessness, and death related subjects were dejection, solitude, anger, fear and scare. The acceptance was a type of religious acceptance that admitted instantly by reaching an understanding with the God, and death was accepted as a progress of preparation, arrangement, acceptance and hope. Sublimation related subjects were Christian sublimation and relief or destiny incurred from self-reflective sublimation through communications and thoughts. 3.The death in view of fiction and participants were positively accepted both death and negative emotion, and the study disclosed the fact that death was sublimated dependent on religion. 4.The progress of negative emotion, acceptance and sublimation was disclosed more complicated and various in the real end stage cancer patients and acceptance only found in the patients on the form of religious acceptance, according to the results compared with fiction and real end stage cancer patients. The death showed in the fiction was standardized, gradated and similar progress with psychological status of Kubler-Ross. However, death in the participants was showed complex and various feelings simultaneously, and sometimes they accepted death positively. The sublimation through religion was found in Buddhism and Christian in the fiction and mostly Christian in the participants due to a number of Hospice patients. It was found that negative emotion various types of death was more found in the participants than fiction. It is therefore necessary to study on the response of death in various types. In the participants death was incurred more systematic and variously, we knew that nursing practice focused on experience of participants is required and reality on death is much profound than we analyzed and presented, lots of situations and reactions should be premised because we can not completely rule out the negligence possibility of care mediation of participants. In caring for the facing death patients, we discovered and confirmed again through this study that the spiritual care should be needed as a mediation method.

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한국재래산양(韓國在來山羊)의 사양표준(飼養標準)에 관(關)한 연구(硏究) (Studies on the Feeding Standard of Korean Native Goat)

  • 권순기;이봉덕;이수기
    • 농업과학연구
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    • 제12권2호
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    • pp.260-271
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    • 1985
  • 한국재래산양(韓國在來山羊)의 사육방법(飼育方法)은 아직 산야지(山野地)에 계목(繫牧)을 시키는 등 관습적(慣習的)인 방법(方法)으로 사육(飼育)되고 있는 실정(實情)이어서 각 영양소(營養素)의 요구량(要求量)을 구명(究明)하여 좀 더 체계적(體系的)이고 과학적(科學的)인 사육방법(飼育方法)이 필요(必要)하다. 이에 유지(維持) 및 증체(增體)에 필요(必要)한 energy와 단백질(蛋白質)의 양(量)을 측정(測定)하여 사양표준작성(飼養標準作成)의 기초자료(基礎資料)로 사용(更用)하고자 하였으며, 그 시험결과(試驗結果)를 요약(要約)하면 다음과 같다. 1. 재래산양(在來山羊)의 일당(日當) 증체량(曾體量)$\bar{X}{\pm}SE$은 숫산양이 $80{\pm}13.9g$으로 암산양의 $41{\pm}8.9g$보다 현저히 높았다. 그리고 비육초기(肥肉初期)에는 조사료(粗飼料)만을 급여(給與)하고 후기(後期)에 농후사료(濃厚飼料)를 급여(給與)하는 것이 일당(日當) 증체량(曾體量)이 높았다. 2. Orchardgrass 건초(乾草)와 농후사료(濃厚飼料)를 무제한(無制限) 급여(給與)할 때 체중(體重)에 대한 섭취비율(攝取比率)은 각각 0.60~0.75%와 1.80~2.80%였고, 바랭이 생초(生草)만을 급여(給與)할 때는 10.50~14.50%, orchardgrass 건초(乾草)만을 급여(給與)할때 는 1.98~3.16%를 섭취(攝取)하였다. 3. 재래산양(在來山羊)의 유지(維持)에 요구(要求)되는 1일(日) 대사(代謝) energy는 체중(體重) 30kg, 21kg, 12kg일 때 각각 794.3kcal, 636.3kcal, $462.6kcal(Wkg{^{\circ}75}$당(當) 61.57kcal, 64.95kcal, 72.31kcal)로서 유령기(幼齡期)보다 성장(成長)함에 따라서 감소(減少)하는 경향(傾向)이었다. 그리고 절식시(絶食時)의 기초대사(基礎代謝)energy의 측정결과(測定結果)는 각각 492.3kcal, 453.9kcal, $389.9kcal(Wkg{^{\circ}75}$ 당(當) 44.4kcal, 50.4kcal, 61.1kcal)였다. 4. 유지(維持)에 요구(要求)되는 1일(日) 질소량(窒素量)은 체중(體重) 30kg, 21kg, 12kg일 때 각각 7.07g, 4.67g, 3.04g(가소화조단백질(可消化粗蛋白質) $Wkg{^{\circ}75}$당(當)2.71g, 2.35g, 2.09g)이었다. 5. 건초(乾草)와 농후사료(濃厚飼料)를 무제한(無制限) 급여(給與)할 때 energy의 가소화율(可消化率)은 65.8~74.6%였고 대사(代謝) energy의 비율(比率)은 50.7~62.9%였으며, $Wkg{^{\circ}75}$당(當) energy는 $DE=180.1{\pm}24.36kcal$, $ME=141.6{\pm}22.77kcal$ 였다. 6. Energy의 1일(日) 축적량(蓄積量) $(\bar{X}{\pm}SE)$$138.1{\pm}18.9kcal$였으며, 질소(窒素)의 축정율(蓄積率)은 13.3~22.5%였다.

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국제전자상무중적영소표준화화공사표현(国际电子商务中的营销标准化和公司表现) (Marketing Standardization and Firm Performance in International E.Commerce)

  • Fritz, Wolfgang;Dees, Heiko
    • 마케팅과학연구
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    • 제19권3호
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    • pp.37-48
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    • 2009
  • 市场营销的标准化已经成为有关国际市场营销的研究中最为关注的焦点之一. 全球营销这个术语常被定义为以国外市场的共同性为前提的国际标准化的营销战略. 营销标准化仅在传统的实体市场交易场所的背景中被讨论. 自从上个世纪90年代起, 联网上的电子市场交易场所开始兴起, 并成为全球化过程中为全球营销活动标准化开拓新机会的最重要的动力之一. 另一方面, 消费者由于更大程度的接受互联网而可能产生与标准化相比更高水平的定制化和产品的差异化, 这样的观点也很流行. 考虑这个分歧, 在全球电子商务的背景下关注营销标准化的综合的研究不能达到一定高度的这种情况值得注意. 在这个背景下, 本研究提出了两个基本研究问题: (1) 在国际电子商务中公司多大程度标准化了他们的营销? (2) 营销的标准化对公司的表现(或成功)有没有影响? 根据文献回顾提出了下列研究假设: H1: 从事国际电子商务的公司为营销标准化做了更多的准备. H2: 营销标准化在帮助公司在国际电子商务中获得成功的方面发挥积极的作用. H3: 在国际电子商务中, 营销组合标准化在公司获得经济的和非经济的成功方面比营销过程标准化发挥更积极的作用. H4: 国际电子商务公司获得非经济的成功越大, 获得经济的成功也越大. 本研究的数据是通过在2005年2月到4月间进行问卷调查获得的. 本调查包括了德国各种产业中的国际电子商务公司和国外电子商务公司驻德国的所有总部和分公司. 801家公司中的118家回复了问卷. 本研究为结构方程模型, 使用PLS‐Graph3.0版本中的偏最小二乘法. 数据分析结果支持所有的4个研究假设. 结果表明, 从事国际电子商务的公司在商标, 网页设计, 产品定位和产品项目上的标准化很高. 这些公司打算未来在营销组合标准化方面加大努力. 另外, 他们想提高营销过程标准化的水平, 尤其是和信息系统, 企业语言和在线营销控制程序一起. 在本研究中, 营销标准化对企业在国际电子商务中的表现起到了积极全面的影响. 营销组合的标准化在非经济的成功方面比营销过程的标准化发挥更积极的影响. 相反, 营销过程的标准化在经济的成功方面发挥了较积极的作用. 另外, 我们的结果明确的支持了在国际电子商务中非经济的成功和经济的成功是高度相关的这一假设. 实证结果表明, 国际电子商务公司的成功与营销标准化高度相关. 但营销组合和销售过程标准化以不同的方式帮助企业的经济和非经济的成功. 结果表明, 公司在互联网上使营销组合的众多因素标准化. 这种做法在一定程度上违背了 "划分标准化" 的经营理念, 认为营销组合的一些因素应该适应本土化, 其他的应该国际标准化. 而且, 发现表明, 相比一个特定的营销组合元素的标准化, 整体标准化营销为成功带来更积极的总体影响.

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학령기 입원아동의 병원관련 공포에 관한 탐색연구 (Identification and Measurement of Hospital-Related Fears in Hospitalized School-Aged Children)

  • 문영임
    • 대한간호학회지
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    • 제25권1호
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    • pp.61-79
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    • 1995
  • When children are admitted to hospital, they have to adapt to new and unfamiliar stimuli. Children may respond with fear to stimuli such as pain or unfamiliar experiences. One goal of nursing is to help hospitalized children to adapt effectively to their hospital experience. Accordingly, nurses need to assess childrens' fears of their hospital experience to contribute to the planning of care to alleviate these fears. The problem addressed by this study was to identify and measure hospital-related fears(hereafter called HRF) in hospitalized school-aged children. The study was conceptualized with Roy's model. A descriptive qualitative approach was used first, followed by a quantitative approach. This study was conducted from November 30, 1989 to January 12, 1991. The sample consisted of 395 hospitalized school-aged children selected through an allocated sampling technique in nine general hospitals. The HRF questionnaire (three point likert scale ) was developed by a delphi technique. The data were analyzed by an SAS program. Factor analysis was used for the examination of component factors. Differences in the HRF related to demographic variables were examined by t-test, analysis of variance and the Scheffe test. The crude scores of the HRF scale were transformed into T- scores to calculate the standard scores. The results included the following : 1. Forty-four items were derived from 188 statements identifying the childrens' hospital-re-lated fears. These items clustered into 14 factors, fear of injections, operations, bodily harm others' pain, medical rounds, physical examinations, medical staff, disease process, blood and X-rays, drugs and cockroaches, tests, harsh discipline from parents or staff, being absent from school, and separation from family. The 14 factors was classified into four categories,'pain','the unfamiliar','the un-known' and 'separation'. 2. The reliability of the HRF instruments was .92(Cronbach's alpha). In the factor analysis, Cronbach's alpha coefficients for the 14 factors ranged from .84 to .86 and Cronbach's alpha coefficients for the four categories ranged from .70 to .84. Pearson correlation coefficient scores for relationships among the 14 factors ranged from ,11 to .50, and among the four categories, from ,44 to ,63, indicating their relative independence. 3. The total group HRF score ranged from 45 to 130 in a possible range of H to 132, with a mean of 74.51. The fears identified by the children were, in order, injections, harsh discipline by parents or staff, bodily harm, operations, medical staff, disease process, and medical rounds ; the least feared was others' pain. The fear item with the highest mean score was surgery and the lowest was examination by a doctor. HRF scores were higher for girls than for boys, and for grade 1 students than for grade 6 students. HRF scores were lower for children whose fathers were over 40 than for those whose fathers were in the 30 to 39 age group, and whose mothers were over 35 than for those whose mothers were in the 20 to 34 age group. HRF scores were lower when the mother rather than any other person stayed with the child. The expressed fear of pain, the unfamiliar, the un-known and of separation directs nurses' concern to the threat felt by hospitalized children to their concept of self. This study contributes to the assessment of fears of hospitalized children and of stimuli impinging on those fears. Accordingly, nursing practice will be directed to the alleviation of pain, pre-admission orientation to the hospital setting and routines, initiation of information about procedures and experiences and arrangments for mothers to stay with their children. Recommendations were made for further research in different settings and for development and testing of the instrument.

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A RURAL HEALTH SERVICE MODEL FOR KOREA BASED OH A PRIMARY CARE NURSING SERVICE SYSTEM

  • Hong, Yeo-Shin
    • 대한간호학회지
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    • 제11권2호
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    • pp.5-8
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    • 1981
  • This study concerns itself with the development of a new model of comprehensive health service for rural communities of Korea. The study was conceived to resolve the problems of both underservice in rural communities and underutilization of valuable health manpower, namely the nurses, the disenchanted elite health personnel in Korea. On review of the current situation, the greatest deficiencies in the Korean health care system were found in the availability of primary care at the peripheries of md communities, in the dissemination of knowledge of disease prevention and health care, and in the induction of and guidance for active participation by the clientele in health maintenance at the personal, family and community level Abundant untapped health resources were identified that could be brough to bear upon the national effort to extend health services to every member of the Korean Population. Therefore, it was Postulated that the problem of underservice in rural communities of Korea can be structurcturally resolved by the effective mobilization and organization of untapped health resources, and that. a primary care Nursing Service System offers the best possibility for fulfillment of rural health service goals within the current health man-power situation. In order to identify appropriate strategies to combat the present difficulties in Korean rural health services and to utilize nurses and other health personnel in community-centered health programs, a search was made for examples of innovative service models throughout the world. An extensive literature survey and field visits to project sites both in Korea and in the United States were made. Experts in the field of world health, health service, planners, administrators, and medical and nursing practitioners in Korea, in the United States as well as visitors from other Asian countries were widely consulted. On the basis of information and inputs from these experts a new rural health service model has been constructed within the conceptual framework of community development, especially of the innovation diffusion Model. It is considered especially important that citizens in each community develop capacities for self-care with assistance and supports from available health professionals and participate in health service-related decisions that affect their own well-being. The proposed model is based upon the regionalization of health care planning utilizing a comprehensive Nursing Service System at the immediate delivery level The model features: (1) a health administration unit at each administrative level; (2) mechanisms for community participation; (3) a continuous source of primary health care at the local community level; (4) relative centralization of specialty care and provision of tertiary or super-specialty care only at major national metropolitan centers; and (5) a system for patient referral to the appropriate level of care. This model has been built around professional nurses as the key community health workers because their training is particularly suited and because large numbers of well-trained nurses are currently available and being trained. The special element in this model is a professional nurse-guided, self-care facilitating primary care Community Nursing Service System. This is supported by a Nursing Extension Service as a new training and support structure. (See attached diagrams). A broad spectrum of programs was proposed for the Community Nursing Service System. These were designed to establish a balance of activities between the clinic-centered individual care component and the field activity-centered educational and supportive component of health care services. Examples of possible program alternatives and proposed guidelines for health care in specific situations were presented, as well as the roles and functions of the key health personnel within the Community Nursing Service System. This Rural Health Service Model was proposed as a real alternative to the maldistributed, inequitable, uncoordinated solo-practice, physician-centered fee-for-service health care available to Koreans today.

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연령별 성인 여성의 체중감량 다이어트 실태와 만족도 및 관련지식 (Weight Reduction Dieting Survey and Satisfaction Degree and Diet Related Knowledge among Adult Women by Age)

  • 김명경;이귀주
    • 한국식품영양과학회지
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    • 제35권5호
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    • pp.572-582
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    • 2006
  • 서울지역에 거주하는20대부터 50대 이상에 이르는 각 연령층의 여성 432명을 대상으로 설문지를 이용하여 2004년 6월부터 8월에 걸쳐 체격 및 비만도, 전반적인 다이어트 실태조사, 다이어트 방법에 대한 만족도, 다이어트에 관한 지식, 다이어트 후 경험한 부작용 등을 조사한 결과는 다음과 같다. 조사대상자의 연령 분포는 20대 25.8%, 30대 26.5%, 40대 24.2%,50대 이상 23.5%이었으며 학력은 고졸이 32.6%로 가장 높았다. 조사대상자의 키는 160.45 cm, 체중 56.01kg, 희망체중 51.87 kg, BMI 21.92 $kg/m^2$로 나타났으며 연령에 따라서 유의적인 차이(p<0.05)를 나타내었다. BMI를 체격지수로 한 비만도는 저체중(BMI<18.5)은 10.1%, 정상군($18.5{\leq}BMI{\leq}22.9$)은 58.4%, 과체중($23.0{\leq}BMI{\leq}24.9$)은 17.6%, 비만($BMI{\geq}25.0$)은 14.0%로 나타났으며 연령이 높아짐에 따라 비만도가 증가하였다(p<0.05). 다이어트의 목적은 '건강을 위해' 52.3%, '몸이 무거워 거동이 불편해서' 15.0%, '아름다워 보이기 위해서'가 32.6%이었으며, 아름다워지기 위한 다이어트는20대에서 가장 높았으며 건강을 위한 다이어트는 40대, 50대 연령대에서 높았다(p<0.05). 가장 효과적이었던 다이어트 방법은 운동요법(50.2%), 식사요법(45.0%), 기타요법(4.8%) 순서이었다. 다이어트를 위한 운동 횟수에 있어서 46.5%가 '전혀 하지 않는다'라고 답하였으며 대부분의 조사대상자가 운동이 부족한 것으로 나타났다. 그러나 주당 운동 횟수가 증가함에 따라서는 연령이 높을수록 운동 횟수가 높게 나타났다(p<0.05). 다이어트에 관한 정보 출처는 '가족, 친구' 31.7%, '신문, 잡지' 29.3%이었으며, 군살의 원인은 '식습관'이 39.6%, '운동부족'이 38.3%, '임신과 출산'이 10.5% 순으로 나타났다. 가장 만족도가 높은 다이어트 방법은 식이 다이어트에서는 유기농 식품이었으며 유기농 채소와 잡곡밥 그리고 기능성 다이어트밥 등은 40대, 50대 연령대에서 만족도가 높았다. 운동 다이어트로는 유산소 운동, 외과수술 및 스페셜 다이어트로는 사우나, 찜질방, 고온 반신욕으로 나타났으나 연령별로 유의적인 차이는 나타나지 않았다. 연령 및 비만도에 따른 다이어트 지식에 대한 평균 점수는 10점 만점에 모두 9.02점이었으며 연령이 감소함에 따라서 영양지식 점수는 증가하였다(p<0.05). 다이어트 지식에 대한 정답율은 '성인병과 비만과의 관계'가 가장 높은 정답률(97.7%)을 보인 반면, '식사속도와 비만과의 관계'가 가장 낮은 정답률(83.3%)을 보였다. 다이어트 중의 부작용은 '어지러움증, 빈혈' 16.2%, '피로' 15.1%, '소화불량'과 '변비'가 각각 11.1%, '전신무력감'이 10.5%, '집중력 감소' 7.8%, '피부건조'가 7.4%, '의욕상실' 6.7% 순으로 나타났으나 연령별로 유의적인 차이는 나타나지 않았다. 이상의 결과로부터 본 연구에서 체중감량 다이어트를 효과적으로 하기 위해서 식이 다이어트는 친환경을 지향하는 '유기농 채소', 운동 다이어트는 '유산소 운동'이 가장 만족도가 높게 나타나 웰빙에 대한 관심이 높은 것을 알 수 있었다.

모자제품의 레이블과 소비자 관리행동 (Care Labels and Consumer's Care Behavior of Hat Products)

  • 김차현;박명자
    • 한국의류학회지
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    • 제31권12호
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    • pp.1784-1792
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    • 2007
  • 현대의 패션의 다양화, 개성화로 패션 스타일을 구현하는데 있어서 모자는 더욱 부각되어 수요자 층이 확대되고 있지만, 다양한 재료와 형태로 세탁 및 관리에 어려움을 갖는다. 이에 본 연구는 모자제품의 관리방법에 대한 소비자의 현황을 조사, 분석함으로써 모자 레이블 부착의 문제점과 개선책 방안을 모색해 보고자 하며, 나아가 모자의 보관이나 세탁방법에 대한 정확하고 충분한 정보를 제공함으로써 제품을 오랫동안 유지할 수 있게 하고자 한다. 소비자들의 모자제품의 세탁 및 관리행동에 관한 조사를 하기 위하여 서울 및 도시에 거주하며 모자를 소유하고 있는 20대, 30대, 40대, 50대 이상의 남녀 395명을 대상으로 연령과 성별을 고려한 할당 표본추출방법을 통하여 설문지 조사를 실시하였다. 조사기간은 2007년 3월에서 4월까지 이루어 졌으며, 설문은 총 42문항으로 구성되었다. 모자 착용실태, 세탁방법, 건조방법, 보관방법에 관한 문항은 선다형으로, 모자 소비자 불만, 소비자 모자 레이블 인식에 관한 문항은 5점 리커트 척도로 측정하고, 자료분석을 위하여 SPSS 12.0 프로그램으로 빈도, 백분율, 평균, 표준오차, 교차분석, t-test, 일원분산분석 통계처리를 하였다. 그 결과에 의하면 첫째, 모자 소비자의 세탁방법 인식도와 실천정도는 보통 수준으로 나타났다. 남성보다는 세탁경험이 많은 여성이 모자 세탁 방법에 대하여 잘 알고 실천하고 있었으며, 편안함을 추구하는 젊은 세대보다 높은 연령대가 세탁방법을 더 잘 실천하는 것으로 조사되었다. 둘째, 모자 소비자들은 다른 의복 아이템과 비교하여 울세제로 세탁망에 넣어 세탁기로 돌리거나 손으로 직접 빠는 세심한 관리를 하는 경우가 많았다. 세탁빈도는 더러움이 탈 때마다 하는 것으로 조사되었으며, 세탁의 주 목적은 얼룩제거로 나타났지만, 여성은 남성에 비해 모자의 형태보전과 냄새제거를 중요한 요인으로 평가하는 것으로 나타났다. 건조장소에 있어서는 그늘에서 건조한다는 응답이 가장 많았고 대부분 집게로 집어 빨래 줄에 말리는 경우가 많았다. 모자 세탁 시 세탁방법, 건조방법, 건조장소의 요인들보다 세제종류가 세탁 후 변형에 영향을 미치는 것으로 조사되어 적절한 세제를 사용할 수 있는 정보를 소비자에게 인지시켜 피해를 줄이는데 노력하여야 할 것이다. 또 보관방법으로는 대부분 옷장 선반에 두고 있었으며 보관 후 형태변화 결과를 경험한 소비자의 비율이 높은 것으로 보아 적합한 모자 보관으로 형태유지에 각별한 주의가 요구된다. 셋째, 대부분의 모자 소비자들은 레이블에 대한 중요성을 인지하고 있으나 다른 의복 아이템에 비하여 모자레이블에 대한 신뢰도는 더 낮게 나타나, 공급자들은 정확하고 실질적인 레이블을 표기하여 신뢰도 회복을 기해야 할 것이다. 많은 소비자들이 모자의 치수 체계 이해에 어려움을 갖고 있으며, 특히 남성의 경우 레이블에 대한 전반적인 인지도가 낮게 나타나 남성 소비자에게도 전반적인 레이블에 대해 교육시키도록 구체적인 노력이 이루어져야만 하겠다. 후속연구에서는 모자의 다양한 형태나 재료에 따른 세탁 및 관리 방법을 보완하여 연구가 수행되어서 보다 구체적인 자료가 제공되어야 할 것으로 보인다.