• 한국화재소방학회논문지
• /
• 제34권1호
• /
• pp.103-114
• /
• 2020

이 연구는 아파트 거주자의 안전교육 만족도와 소방계획서의 활용성이 화재안전의식에 미치는 영향을 규명하는데 주된 목적이 있다. 분석 결과는 다음과 같다. 첫째, 안전교육내용의 만족도가 낮으며 화재안전의식수준에 부(-)의 영향을 미쳤다. 이는 아파트 거주자의 안전교육내용의 흥미나 참여가 낮을수록 화재안전의식에도 영향을 미쳐 화재로부터 안전성 확보에 대처하지 못하는 것으로 관리 주체에서는 안전교육의 만족 및 안전문화의 정착을 위해 학습지원 정보시스템 등으로 교육의 만족도에 긍정적인 영향이 필요할 것으로 판단된다. 둘째, 소방계획서의 활용성이 화재안전의식에 정(+)의 영향을 미쳤다. 이러한 결과는 아파트 거주자는 안전에 필요한 교육 및 훈련에 접근하는 기회가 없을 뿐 아니라 의무적으로 수료하는 법적인 책임감이 없어 화재안전의식이 부족하므로 관리 주체에서 소방계획서에 의한 운영강화 및 활성화로 거주자의 참여나 화재안전의식을 고취해 화재로부터 안전한 주거 생활이 되도록 대처하여야 할 것이다. 셋째, 아파트 거주자의 안전교육 만족이 화재안전의식에 미치는 영향에 대해 소방계획서의 활용성은 조절효과가 나타났다. 이는 안전교육 만족도가 높아지면 화재안전의식도 높았지만, 아파트 거주자와 관리주체의 직원이 일체가 되어 소방계획서에 의한 업무를 시행하고 참여가 높을 때 화재안전의식에도 긍정적인 효과로 나타나므로 소방계획서의 운영과 안전교육 만족도가 높을수록 화재안전의식도 높아져 주거 생활에 영향력이 높아짐을 보여준다.

• 디지털융복합연구
• /
• 제16권2호
• /
• pp.385-402
• /
• 2018

본 연구는 인간중심미술치료 프로그램이 성폭력피해 청소년의 정서안정감, 자아탄력성, 자아존중감 향상에 어떤 영향을 미치는가를 사례 연구하였다. 연구대상은 15세 중학교 3학년 여학생으로 성폭력피해 직후 무기력하고 자신감이 결여되어 일상생활에 어려움을 호소하였다. 주1회, 매회기 60분, 총 20회기 인간중심미술치료를 실시하였다. 프로그램의 효과 검증을 위해 심리적 변화(정서안정감, 자아탄력성, 자아존중감)사전-사후 검사 차이를 밝히고자 하였고 연구대상자의 작품 및 행동의 변화를 질적 분석 하였다. 본 프로그램 실시 후 얻어진 결과는 다음과 같다. 첫째, 정서안정감의 사전 110에서 사후 96점으로 변화 되었고 점수는 낮을수록 긍정적 효과이다. 자아탄력성의 사전 63에서 사후 133으로 변화 되었고 점수는 높을수록 긍정적이다. 자아존중감은 사전 16에서 사후 35로 변화 되었고 점수는 높을수록 긍정적이다. 분석결과 본 연구대상자의 정서안정감과 자아탄력성, 자아존중감 향상에 긍정적이었음을 확인할 수 있었다. 둘째, 인간중심미술치료 프로그램은 성폭력피해 청소년의 행동에 긍정적 영향을 주었다. 초기단계에서 연구자와 라포 형성에 성공적이었으며 중기와 종결과정을 통해 내면의 감정을 표출하거나 관계를 탐색하는 일이 가능하였다. 창작활동을 통해 자신의 미래를 탐색할 수 있었다. 그럼에도 불구하고 본 프로그램은 성폭력피해 직후 청소년이 PTSD로 진행되지 않도록 하는데 초점을 두었지만 성폭력 후유증으로 인해 장기적으로 나타날 수 있는 우울, 분노, 무기력감 등을 회복하고 적극적인 삶을 살아낼 수 있도록 추수지도가 필요함을 알 수 있었다.

• Archives of Plastic Surgery
• /
• 제39권5호
• /
• pp.540-545
• /
• 2012

Background Patients have anxiety and fear of complications due to general anesthesia. Through new instruments and local anesthetic drugs, a variety of anesthetic methods have been introduced. These methods keep hospital costs down and save time for patients. In particular, the target-controlled infusion (TCI) system maintains a relatively accurate level of plasma concentration, so the depth of anesthesia can be adjusted more easily. We conducted this study to examine whether intravenous anesthesia using the TCI system with propofol and remifentanil would be an effective method of anesthesia in breast augmentation. Methods This study recruited 100 patients who underwent breast augmentation surgery from February to August 2011. Intravenous anesthesia was performed with 10 mg/mL propofol and 50 ${\mu}g/mL$ remifentanil simultaneously administered using two separate modules of a continuous computer-assisted TCI system. The average target concentration was set at 2 ${\mu}g/mL$ and 2 ng/mL for propofol and remifentanil, respectively, and titrated against clinical effect and vital signs. Oxygen saturation, electrocardiography, and respiratory status were continuously measured during surgery. Blood pressure was measured at 5-minute intervals. Information collected includes total duration of surgery, dose of drugs administered during surgery, memory about surgery, and side effects. Results Intraoperatively, there was transient hypotension in two cases and hypoxia in three cases. However, there were no serious complications due to anesthesia such as respiratory difficulty, deep vein thrombosis, or malignant hypertension, for which an endotracheal intubation or reversal agent would have been needed. All the patients were discharged on the day of surgery and able to ambulate normally. Conclusions Our results indicate that anesthetic methods, where the TCI of propofol and remifentanil is used, might replace general anesthesia with endotracheal intubation in breast augmentation surgery.

• 성인간호학회지
• /
• 제12권2호
• /
• pp.175-183
• /
• 2000

The study was done by applying a phenomenological study, which is qualitative research methods, in order to understand the meaning of the lived experiences, to confirm and describe the meaning structure, and to prepare nursing interventive strategies centering around the meanings of the inpatients' families in the intensive care units. In the study, the family members were the main important nursing providers for in the inpatients' who were admitted in the neurosurgical intensive care unit in K-university hospital and who agreed to participate in the study after being given on explanation about the purpose of the study. The data were collected from the seven participants who had feelings of trust and intimacy favorable toward the researcher as they were families of patients who had been cared for by the researcher in the ICU where the researcher has been assigned. The data were collected from April to October, 1999. The participants described their experiences as candidly as possible. The researcher described closely the lived experiences with their own words and the observations of the researcher. A tape recorder was used with the consent of the participants to prevent nursing information and communication. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi; as an unit of description, which include the participants' expressions and the researcher's observations, the analysis was used based on the data described from the expressions of the participants and the details of observations of the researcher. The conclusions of the study were as follows : The meanings of the lived experience of the inpatients' families in the ICU was confirmed by indepth interviews and observations including these of the participatants : (1) Psychological impact: confusion, impatience, surprise, insensibility; (2) Physical suffering: fatigue, discomfort, indigestion; (3) Psychological suffering: heartbreaking emotion, anxiety, annoyance, fear, compassion, grief; (4) Economical suffering: economical difficulties; (5) Psychological disagreement: escape from reality, personnel avoidance, grudge, powerlessness, carefulness, transposition of life-tract, abandonment, role-crisis, hope, lack of understanding, regret, feeling of ambivalence(progressive process, medical personnel interest); (6) Psychological dependency; self-reliance group support, family support, religious support; (7) Psychological acceptance; acquaintance, gratitude, reassurance; The study will offer better understanding of experiences therefore, based on the experiences confirmed by the study, it may facilitate more appropriate nursing interventive strategies for health maintenance and to prevent occurrence of possible problems with the inpatients' families in the ICUs.

• 대한한의학방제학회지
• /
• 제16권2호
• /
• pp.1-9
• /
• 2008

Objective : The purpose of this report was to provide the information about activity and safety of Ojeok-san by analyzing domestic/international papers about Ojeok-san. Methods : Domestic/international papers related to Ojeok-san were reviewed and analyzed. These papers were then classified by year, experimental method and subject. Results : The following results were obtained in this study. 1. The studies of Ojeok-san started from 1984 and has continuously increased. The studies were mainly focused on experimental models rather than clinical studies. 2. By subject, papers related to safety were most common with 5 papers among 20 papers. Besides there were papers related to efficacy of analgesic, anti-hyperlipidemic, anti-blood stasis and treatment for uterine myoma. 3. The papers related to safety were mainly focused on the effect of Okeok-san on liver function, renal function or metal concentration of organs such as blood, brain, liver, kidney and bone. Ojeok-san proved to be safe, but more clinical studies regarding the safety are needed hereafter. 4. Papers related to analgesic, anti-pyretic, anti-phlogistic activities of Ojeok-san were in vivo studies, and other papers were about anti-hyperlipidemic activity, apoptosis inducing activity on uterine myeloma cell line and anti blood static activity on hydrocortisone acetate induced blood statis model. 5. Case reports were about anti-lipidemia, analgesic effect for mastalgia/back pain and anxiety disorder due to climacteric changes. Conclusion : Ojeok-san is being used in various ways with analgesic, anti-pyretic, anti-phlogistic, anti-hyperlipidemic, anti-tumor or anti-blood statis activity. However, mechanism study should be conducted at the molecular biology level and more clinical studies on the efficacy of Ojeok-san are needed.

• 디지털융복합연구
• /
• 제18권10호
• /
• pp.51-58
• /
• 2020

본 연구는 외국인 학부생들을 대상으로 한국어 말하기 수업을 플립러닝으로 설계하여 적용하고, 말하기 관련 정서적 요인에 미치는 영향과, 한국어 말하기 효능감을 높이기 위해 필요한 경험이 무엇인지에 대한 그들의 인식을 알아보는데 그 목적이 있다. 이를 위하여 신입생 대상 '창의적 말하기' 과목을 플립러닝으로 재설계하여 한 학기 동안 운영하였다. 말하기 관련 정서 요인에 대한 효과를 분석하기 위해 26명의 외국인 유학생들을 대상으로 말하기 효능감, 말하기에 대한 부정적 인식과 신체 증상, 그리고 청중 의식에 대하여 사전-사후 검사를 하고 그 차이에 대한 대응표본 t검증을 실시하였다. 또한 '말하기에 대한 자신감 향상을 위해 필요한 경험'에 대한 인식을 조사하고 내용분석을 실시하였다. 분석결과, 플립러닝 후 학생들의 말하기 효능감은 유의미하게 향상되었다. 이는 플립러닝이 외국인 학부생의 한국어 말하기에 대한 긍정적 정서를 높이는 데에 효과가 있음을 의미한다. 또한 유학생들은 한국어로 말하기 연습을 하고, 한국인 동료와 같이 학습함으로써 한국어 말하기 자신감을 높일 수 있다고 인식하고 있었다. 이런 결과를 바탕으로 몇 가지 논의와 제언을 제시하였다.

• 한국치위생학회지
• /
• 제11권5호
• /
• pp.671-683
• /
• 2011

Objectives : The purpose of this study was to examine the oral health knowledge and actual oral health care of the selected subjects, their decision making about prosthetic treatment, the state and characteristics of their prosthetic treatment and their satisfaction with prosthetic treatment in an attempt to provide some information on the improvement of the quality of life related to oral health and the promotion of oral health. Methods : The subjects in this study were 250 people who received education in two different lifelong education institutions in the city of Busan. After a survey was conducted from May 23 to June 15, 2011, the answer sheets from 217 respondents were analyzed. Results : 1. As for the general characteristics of the respondents, the men(52.1%) outnumbered the women. Those who were in their 60 and up(47.5%) made up the largest age group, and the married people(65.4%) outnumbered the unmarried ones. By occupation, the company employees(20.3%) made up the biggest group. By education, the greatest group was high-school graduates(36.1%). By monthly mean income, the biggest group gained an income of 2.01 million won or more(36.9%). As to medical security, community-based insurance was most prevailing (36.9%). In terms of health promotion, the largest group worked out to stay fit(52.4%). 2. Regarding oral health knowledge, they had a good knowledge about the cause of dental caries(56.7%), but they weren't well aware of the right time for regular dental checkup(47.9%). In relation to oral health care, regular scaling wasn't prevailing(16.9%). 3. Regarding connections between the general characteristics and satisfaction with prosthesis, the less-educated respondents expressed significantly more dissatisfaction(p=0.015). By monthly mean income, those who had a smaller income were dissatisfied in general(p=0.028). Conclusions : The findings of the study illustrated that it's required to spread awareness of the importance of oral health among people in general, and that differentiated incremental oral health care should be provided for different age groups. In order to raise the satisfaction of patients with prosthesis, how to relieve their pain and anxiety and how to adjust prosthetic treatment cost properly should carefully be considered. In addition, the government should take measures to offer assistance for the low-income classes in preparation for an increase in the elderly population.

• 근관절건강학회지
• /
• 제21권1호
• /
• pp.1-10
• /
• 2014

Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

• 융합정보논문지
• /
• 제10권2호
• /
• pp.116-125
• /
• 2020

본 연구는 경기도 다문화가정 청소년들이 인식하는 자아탄력성과 가족기능 및 문화적응 스트레스가 정신건강에 미치는 영향을 알아보고 이들의 정신건강 증진을 위한 효과적인 원조방안을 제시하고자 하는데 그 목적이 있다. 이를 위해 경기도에 거주하는 다문화가정 중학생 304명을 대상으로 기술통계분석, T검증과 일원분산분석, 위계적 회귀분석을 실시하였다. 연구결과, 다문화가정 청소년들이 문화적응 스트레스 하위변인인 과정스트레스를 높게 지각할수록, 자아탄력성의 하위변인인 감정조절을 낮게 지각할수록 우울불안이 높아져 정신건강 수준이 낮아지는 것을 알 수 있었다. 본 연구결과를 토대로 다문화가정 청소년의 정신건강을 증진시키기 위한 자아탄력성을 고취시킬 수 있는 다양한 심리정서 프로그램의 개발과 문화적응 과정의 스트레스를 극복할 수 있는 지원방안 마련, 다문화가정을 지원할 수 있도록 관련 법률의 제도적 보완 등을 논의하고 제언하였다.

• 한국보건간호학회:학술대회논문집
• /
• 한국보건간호학회 2002년도 제27회 보건종합학술대회
• /
• pp.224-227
• /
• 2002

Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.