• 보건의료생명과학 논문지
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• 제9권1호
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• pp.179-184
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• 2021

본 연구는 치과위생사와 치과기공사 면허증을 발급받았으며 현재 병원에서 근무하는 대상자로 편의 표본추출하여 자료를 분석하였다. 회수된 설문자료 가운데 75부의 치과위생사 설문지와 90부의 치과기공사 설문지를 이용하여 최종자료로 선정하였다. 분석결과로는 두 집단 모두 윤리적 가치관이 높게 나타났고, 봉사기회가 주어진다면 봉사 할 의사가 있음으로 조사되어 직업적 직업적 사명의식도 높은 것으로 나타났다. 또한 조사대상자 두 집단 모두 임상활동에서 윤리적 문제가 대두 될 것임을 과반수 이상에서 응답했고, 이에 따른 직업윤리 교육이 절실히 필요하다고 응답했다. 이에 따른 윤리적 기반이 확립된 지속가능한 전문직업적 교육과 프로그램 개발로 직업적 전문성 함양을 위한 방안이 모색되어야 한다.

• 한국응급구조학회지
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• 제17권1호
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• pp.41-50
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• 2013

Purpose : This study intended to improve the quality of prehospital emergency care for patients with dyspnea by figuring out the current situations and problems based on run-sheets of 119 emergency medical technicians (EMTs). Methods : A total of 336 dyspnea patients were transferred to G university hospital by 119 ambulances from January 1, 2011 to December 31, 2011. Results : The data were analyzed by SPSS 19.0. Patients over 60 years old accounted for 57.2% and 48.4% had the history of heart disease. Among the heart disease patients, 31.7% complained of dyspnea and chest pain. The vital sign measurement performance by 119 EMTs increased compared to previous study. The number of prehospital treatment by 119 EMTs significantly increased depending on the mental state of the patients. Conclusion : 119 EMTs should remind the heart disease and other past history of the patients when they perform the dyspnea patient care.

• 융합보안논문지
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• 제16권3_1호
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• pp.37-45
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• 2016

본 연구에서는 육군에 근무하는 의무부사관 80명과 의무부사관과 재학생 80명을 대상으로 응급구조 의무부사관에 대한 필요로 하는 능력과 지식 등을 알아보고 응급구조의무부사관의 자질을 갖추기 위한 교육목표 수립과 핵심직무를 선정하고 교과목 도출을 위한 프로세스에 의해 국가비상사태시 신속 대응할 수 있는 응급구조 의무부사관인력 양성 프로그램을 개발 하였다.

• 보건행정학회지
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• 제23권2호
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• pp.145-151
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• 2013

Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

• 한국응급구조학회지
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• 제24권1호
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• pp.85-92
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• 2020

Purpose: The purpose of this study was to analyze the English abstract key words found within the Korea Society of Emergency Medical Services journal using text mining techniques to determine the adherence of these terms with Medical Subject Headings (MeSH) and identify key word trends. Methods: We analyzed 212 papers that were published from 2012 to 2019. R software, web scraping, and frequency analysis of key words were conducted using R's basic and text mining packages. Additionally, the Word Clouds package was used for visualization. Results: The average number of key words used per study was 3.9. Word cloud visualization revealed that CPR was most prominent in the first half and emergency medical technician was most frequently used during the second half. There were a total of 542 (64.9%) words that exactly matched the MeSH listed words. A total of 293 (35%) key words did not match MeSH listed words. Conclusion: Researchers should obey submission rules. Further, journals should update their respective submission rules. MeSH key words that are frequently cited should be suggested for use.

• 한국응급구조학회지
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• 제17권2호
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• pp.65-76
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• 2013

Purpose : The purpose of this study was to provide an appropriated direction for fire service organizational management by analyzing the violence experiences and turnover intention of female 119 emergency medical technicians (119 EMT) in Korea. Methods : The questionaries were obtained from 415 female 119 EMT in Korea from April 27 to March 8 in 2009. The collected data were analyzed with SPSS WIN 19.0 program. Results : Female 119 EMTs experienced 94.9%-verbal insults, 57.1%-violence aggression, 62.89%- potential violence, 32.5%-physical assault. About 76.4% of the subjects experienced to feel shame about the verbal insults. They had a stress level (mean 5.47 out of 10) and about 41.2% was more than seven points. About 39.3% of the subjects responded turnover intention. Conclusion : We proposed the preventive program against violence as well as critical incident stress debriefing. These results are expected to be useful in making human resource management plans to lower turnover intention.

• 대한의생명과학회지
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• 제10권4호
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• pp.485-493
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• 2004

In the current field of Medical Informatics, the information increases, and changes fast, so we can access the various data types which are ranged from text to image type. A small number of technician digitizes these data to establish database, but it is needed a lot of money and time. Therefore digitization by many end-users confronting data and establishment of searching database is needed to manage increasing information effectively. New data and information are taken fast to provide the quality of care, diagnosis which is the basic work in the medicine. And also It is needed the medical database for purpose of private study and novice education, which is tool to make various data become knowledge. However, current medical database is used and developed only for the purpose of hospital work management. In this study, using text input, file import and object images are digitized to establish database by people who are worked at the medicine field but can not expertise to program. Data are hierarchically constructed and then knowledge is established using a tree type database establishment method. Consequently, we can get data fast and exactly through search, apply it to study as subject-oriented classification, apply it to diagnosis as time-depended reflection of data, and apply it to education and precaution through function of publishing questions and reusability of data.

• 한국항행학회논문지
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• 제15권4호
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• pp.646-654
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• 2011

최근 구급차에 탑승하는 응급 구조사의 인원이 턱없이 부족하여 소방관 한 사람만이 구급차에 타고 환자를 이송하는 일이 종종 문제시 되곤 한다. 응급환자가 발생 시 신속하고 정확한 조치가 무엇보다도 필요하며 특히, 환자에게 적합한 의료기기가 있는 전문적인 병원으로 이송해야한다. 본 논문은 스마트 폰을 이용하여 병원 전 단계의 응급의료 시스템을 구현한다. 구현된 시스템은 환자 이송 중에 환자의 심박동을 실시간적으로 모니터링이나, 과거 환자의 병력 정보 등을 파악할 수 있으며, 환자가 필요로 하는 응급 병원 정보도 제공하여 병원 전 단계에서 응급 환자에게 신속하고 효율적인 처치가 가능한 환경을 제공한다.

• 한국산업정보학회논문지
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• 제18권3호
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• pp.47-56
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• 2013

현대 의학기술의 발달로 병의원의 치료 및 건강관리기술은 사람들의 고귀한 생명을 연장하며 지키는 역할을 충실히 해내고 있다. 응급상황이 발생되어 병원전단계에서 적절한 응급처치와 함께 적시에 필요한 병의원으로 이송되지 못하거나 응급처치에 필요한 정보가 미비하여 응급환자에 대한 적절한 응급처치가 이루어지지 못하는 경우 심각한 손상을 입거나 생명을 잃는 문제가 발생할 수 있다. 본 논문에서는 다양한 여러 응급상황에 대한 경험적 지식을 활용한 효과적 응급의료정보시스템을 통해 응급구조사가 응급상황이 발생되었을 때 실시간으로 발생된 상황에 가장 적합한 응급처치를 수행할 수 있고 환자에 대한 병이력정보를 지식데이터베이스에 체계적으로 저장, 관리, 운영함으로써 해당 환자의 생명 안전과 건강 증진에 더욱더 적합한 응급처치가 이루어지도록 하였다.

• 한국응급구조학회지
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• 제23권2호
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• pp.75-86
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• 2019

Purpose: It is crucial that 119 emergency medical technician (EMT) have adequate knowledge regarding forensic science. This study aimed to assess the forensic knowledge of EMTs in the Republic of Korea. Methods: This study was conducted on EMTs of five fire stations in D metropolitan city between August 6 and August 13, 2018. A questionnaire consisting of items on crime-related incident recognition (i.e., mechanical asphyxiation, trauma, sex crimes, and child abuse), forensic evidence management (i.e., evidence collection, preservation, and recording) was administered to the participants. Finally, 119 questionnaires were analyzed. Results: The ratio of correct answers for crime-related incidents recognition was 55.82%, which was lower than that for forensic evidence management(84.5%). In particular, the scores for the type of neck compression(16.5%) and wound assessment(44.0%) were low. The percentage of correct answers for forensic evidence management was 78.4% for evidence collection, 84.4% for evidence preservation, and 90.6% for evidence recording. Previous forensic education experience was not a significant variable. Conclusion: Specific and practical forensic science education on perception of crime-related incident, including asphyxia and wound identification, and forensic evidence collection is needed.