• 디지털융복합연구
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• 제15권9호
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• pp.301-309
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• 2017

이 연구는 온라인 치매가족 교육프로그램 개발을 위한 기초자료로 치매환자 가족의 프로그램 사용 의향과 프로그램 구성에 대한 요구도를 파악하기 위해 실시되었다. 서울시 치매관리 사업에 등록된 치매노인을 돌보는 가족 220명을 대상으로 1:1 개별면접 또는 온라인 설문 조사를 통해 자료를 수집하였으며, 수집된 자료는 기술 통계와 t-test를 이용하여 분석하였다. 연구결과, 50% 이상의 대상자가 온라인으로 제공되는 가족교육 프로그램을 이용할 의향이 있다고 응답하였다. 프로그램 요구도는 치매에 대한 정보를 알려주는 동영상 강의와 치매환자를 돌보는 사례 동영상에 대한 요구도가 가장 높았으며, 성별과 연령대에 따라 요구도 항목에 차이가 있는 것으로 나타났다. 온라인 교육프로그램은 시공간적 한계를 극복해서 보다 효과적인 교육을 제공할 수 있는 수단이며, 본 연구 결과에 따라 온라인 교육프로그램 효과를 극대화하기 위해서는 획일화된 방식보다 대상자의 특성을 고려한 개별화된 맞춤형 프로그램 운영 전략 및 체제를 마련하는 것이 중요하다.

• 한국직업건강간호학회지
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• 제13권2호
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• pp.104-117
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• 2004

Objectives: To propose the basic data for the development of the optimum health promotion program (HPP) for the workers in a petrochemical industry complex. Methods: The subjects were 553 workers who worked at the six plants in a petrochemical industry complex. From February to March 2003, questionnaire survey was conducted by the nurses with occupational health specialty about the life styles, interests, self-cognitions, practices of health behavior, subjective symptoms thought to be related the working environments, burden to the own health, needs and intentions to participation of the HPP. Data analysis was done using SPSS program (ver 10.0) with ${\alpha}=0.05$ of statistical significance. Results: The mean age and tenure of the subjects were 39.7 years and 14.2 years, respectively, and proportion of smokers was around 50%. Two of third (66%) satisfied their own job, and 58% recognized themselves healthy. The most frequent health behavior were exercise (60%) and regular health check (87%) in individual and job based, respectively. About half of them (58%) had at least one of the symptoms thought to be related the working environments, and the most frequent one was odor (21%). These symptoms were more frequent in case of the shorter career. The needs of HPP was relatively higher in exercise (66%), cancer prevention (51%), stress control (47%), and intention to participation was also the highest in exercise (64%). Job satisfaction was higher in case of the higher interests and cognitions to their own health, and thought that the ownership's interest to workers' health be high (p<0.01), but no associations with the subjective symptoms. The mean level of burden to the own health were $14.1{\pm}13.9$ of physical, $11.7{\pm}13.6$ of emotional, $9.1{\pm}10.7$ of behavioral as out of one hundred. They felt the more burden in case of office workers, the lower interests and cognitions to their own health, the lower satisfaction to their job, the frequent drinking group, and complained the subjective symptoms (p<0.05). Abnormal results of the regular health check was higher in the frequent drinking group (p=0.083). Conclusions: For the optimum HPP for the workers in the petrochemical complex, the ownership's interest to workers' health would be enhanced, and the priority would be focused on exercise and drinking habits control.

• 한국노년학
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• 제28권4호
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• pp.1069-1087
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• 2008

본 연구의 목적은 노인복지시설 입소치매노인을 대상으로 치매행동심리증상에 대한 아로마요법의 효과를 연구하여 치매노인과 부양자에게 양질의 삶을 영위하는 데 도움을 주고, 노인요양시설 등에서 치매노인을 위한 노인요양프로그램의 적용근거를 제공하기 위함이다. 본 연구는 단일집단 사전 사후설계로 진행되었고 연구대상은 시설입소 치매노인으로 의사소통이나 의사표시가 가능한 15명이다. 본 연구의 실험은 라벤더, 카모마일과 그레이프푸룻을 혼합하여 연구조원들이 아로마 손마사지법과 흡입법을 각각 1일 1회씩 총 15일간 3주 동안 제공하였다. 연구결과는 치매행동심리증상에 대한 아로마요법 후의 전체적 변화가 사전의 측정치는 1.47점, 사후1의 측정치는 1.09점, 사후2의 측정치는 1.01점, 사후3의 측정치는 0.71점으로 실험시기에 따른 변화가 유의미한 차이(F=11.501, p<0.001)가 있었고, 실험시기의 차이에도 유의미한 차이가 있는 것으로 나타났다. 항목별 결과는 대화 또는 태도에서 근심, 걱정, 두려움, 공포의 기분, 우울한 기분, 눈에 띄게 수선스러운 동작, 눈에 띄게 저조한 행동, 수면장애 및 야간배회 행동에서 유의미한 차이를 보였다. 본 연구결과를 바탕으로 아로마요법을 치매노인에게 적용하여 양질의 삶을 영위하는 데 도움을 주고, 노인요양시설에서 치매노인을 위한 프로그램으로 활용하면 치매노인의 심신의 건강에 기여할 것으로 기대된다.

• 한국융합학회논문지
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• 제9권4호
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• pp.443-452
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• 2018

본 연구는 간호사의 사건보고태도, 사건보고지식 및 안전분위기 인지수준을 파악하고 간호사가 인지하는 안전분위기에 영향을 미치는 요인을 규명하기 위함이다. 간호사 240명을 대상으로 구조화된 설문지를 이용하여 자료수집하였으며 분석은 기술통계, t-test, ANOVA, Scheffe test, Pearson상관계수 및 다중회귀분석으로 하였다. 5점 척도에서 간호사의 사건보고태도는 3.34, 사건보고지식 3.05, 안전분위기 인지는 3.25로 나타났다. 사건보고태도는 사건보고지식, 안전분위기와 양적상관관계가 있었으며(r=.33, p<.001; r=.38, p<.001) 사건보고지식도 안전분위기와 유의한 양적 상관관계를 나타내었다(r=.32, p<.001). 안전분위기에 영향을 미치는 요인은 사건보고지식과 사건보고태도 하위영역 중 개선효과에 대한 신념과 보고의도였으며 이들 요인은 안전분위기 인지수준의 24.7%를 설명하였다(F=12.22, p<.001). 그러므로 사건보고에 대한 교육과 긍정적 태도를 증진시켜 안전분위기를 조성하는 것은 안전사고 예방중재로 적용가능하며 환자안전을 위한 강화된 실무전략개발로 확대되어야 할 것이다.

• 보건행정학회지
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• 제24권3호
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• pp.254-260
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• 2014

Background: The purpose of this study is to assume appropriate outpatient consultation time for each clinical department on the basis of measured outpatient consultation time and satisfaction of outpatient. Methods: We surveyed the feeling and satisfactory outpatient consultation time, satisfaction, revisiting intention and recommendation to others to 1,105 patients of single general hospital in Gyeonggi-do and measured their real outpatient consultation time from October 28 to November 27 in 2013. On the basis of satisfaction, we estimated appropriate outpatient consultation time through area under the receiver operating characteristic curve in logistic regression model. Results: Feeling outpatient consultation time was 5.1 minutess, satisfactory outpatient consultation time which was suggested by patient was 6.3 minutes, and real outpatient consultation time was 4.2 minutes. Department which had longest real outpatient consultation time was infection (7 minutes) and department which had longest satisfactory outpatient consultation time was neurology (9.4 minutes). From the univariate and the multiple linear regression analysis, real outpatient consultation time was longer in pulmonology patient, new patient and afternoon patient, satisfactory outpatient consultation time was longer in infection, neurology, neuropsychiatry, neurosurgery, and rehabilitation patient. Appropriate real outpatient consultation time was suggested as 5.6 minutes which differentiated high and low satisfied patient group. However, we could not assume appropriate outpatient consultation time for each clinical department because the number of patient who had bad satisfaction was too low. Conclusion: To improve patient's satisfaction, we hope outpatient reservation system is operated as each patient's outpatient consultation time is at least 5.6 minutes.

• 한국병원경영학회지
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• 제21권2호
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• pp.1-12
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• 2016

This study examines academic research trends and the change of patterns by analyzing researches related to hospital management registered in Korea Citation Index(KCI) from 2010 to 2014 and offers basic information for interests and future research demands in the field of hospital management As research subjects, a total of 694 published articles were selected. It's to analyze them by dividing into research topics, methods and author's characteristics, and to present them by classifying the period into 2010-2011, 2012-2013, 3rd quarter of 2014 since there was no significant difference in the result between adjacent years. As a result, Korean Journal of Hospital Management has accounted for the highest published rate year after year. In the research topic analysis, it showed a decreasing trend in these research topics as medical marketing and patient satisfaction which became the biggest issue in 2010-2011 significantly were lower in 2014, but an increasing trend in job satisfaction, job stress, labor administration and workforce productivity. The most frequently cited keywords were hospital employees, job satisfaction, organizational commitment, job stress, turnover intention. According to the research method analysis, the survey was the most popular method for data collection. However, Interview and medical records as data sources showed a decline trend. As analysis methods, multivariate analysis of quantitative methods was most used. Finally, as a result of analyzing main author's characteristics, the ratio of the authors belonging to health administration and nursing departments of the academic world increased gradually. In the regional distribution, organizations in Seoul are most common, those in Daegu Gyeongbuk areas, foreign organizations showed a tendency to decrease. This is the first study to examine the annual trend on hospital management-related research issues among articles published in domestic journal and we found qualitative and quantitative advances in hospital management research filed.

• 한국병원경영학회지
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• 제22권4호
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• pp.74-86
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• 2017

Purposes: This study was performed to understand the recognition about accreditation motives, support within the hospital and accreditation survey process for the hospitals that participated in the accreditation program and to find out whether these factors are related to hospital management performances, so that the study can suggest plans for activation and development of the accreditation program. Methodology: This study was performed targeting 98 hospitals answered th the survey among 189 acute care hospitals that acquired accreditation from December 2010 to February 2014. For data analysis, frequency analysis, ${\chi}^2$-test, reliability analysis, ANOVA, Kruskal-Wallis H test and multiple regression analysis with SPSS 21.0 were used. Findings: The hospitals that had staff in charge of patient safety had bigger hospital culture change than those that didn't have(p<.05). In addition, the hospital culture change was bigger as internal motives were bigger, and as CEO's will was bigger(p<.05). Meanwhile, as maintenance rate of internal management after accreditation was higher, and as CEO's will was bigger, process improvement level was higher(p<.05). The quality improvement and patient satisfaction level were higher as CEO's will was bigger, and as suitability of survey process was recognized to be high(p<.05). As a result of analyzing the factors that affect hospital management performances with hospital culture change, process improvement and quality improvement combined, as internal management maintenance rate was higher, as CEO's will was bigger, and as suitability of survey process was higher, performances were higher(p<.05). Practical Implications: Hospitals need to reinforce internal motives to improve internal competences such as the whole system maintenance opportunity and staff training. In addition, the will of hospital director is most important, and if there is hospital director's interest in quality improvement and improvement intention definitely, employees voluntarily participate in and cooperate with the accreditation program, so that prompt medical service provision and high quality of medical services can be guaranteed, leading to hospitals' management performances.

• 한국산림과학회지
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• 제106권1호
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• pp.87-99
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• 2017

본 연구의 첫 번째 목적은 일제가 수호신으로 전나무를 심었다는 가설의 증명에 있다. 두 번째 목적은 우리가 항일인사 사적지에 심은 전나무에 대한 문제제기에 있다. 일제는 신공왕후의 삼한출병을 보살펴 주었다는 스와신사의 신을 현신시키기 위해 전나무를 심었다. 통영 충렬사, 양주 권율장군 묘소, 경주문화원에서 일제가 심은 전나무의 실체를 확인하였다. 일제강점기 사찰과 공공장소의 전나무 사진, 전나무 양묘회사, 총독의 식수목, 판결문에 있는 전나무 훼손 사건 등의 사실을 근거로 전나무가 일제의 수호신으로 심어졌다는 가설을 입증코자 하였다. 금후 관련 분야의 공동연구에 의해 일제의 전나무 식재 의도를 더 명확히 밝혀야 한다. 항일인사 사적지의 전나무에 대해 논의하여야 한다. 노거수가 되면 칭송되고 경외의 대상이 되기 때문이다.

• 대한예방한의학회지
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• 제18권1호
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• pp.1-10
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• 2014

Objective : This study aimed to investigate the level of friendship perceived by hospital staffs in korean medicine hospitals in Gwangju and relationship between friendship and organizational effectiveness. Method : The subject were 134 hospital staffs in 5 different hospitals in Gwangju. The questionnaire used in this study contained 44 questions about workplace friendship (15 questions), organizational effectiveness (16 questions), social demographic characteristics (8 questions) and others (5 questions). Results : Young woman in their 20s and 30s were major participants (69person, 52.7%), nursing and administrative department(72person, 55%) were dominant division, the person those who have less than 1 year current workplace career(69person, 52.7%) were major group in this study. Participants responded about barriers of friendship at workplace were lack of opportunities for formal or informal meeting and lack of hospital's interest and supporting about human relations among employees at workplace. Both friendship level with superior and friendship level with subordinate were lower than friendship level with colleague. (p=.000) Participants who have higher workplace friendship level, were also higher level at job satisfaction, organizational commitment and lower level at turnover intention, job stress. Especially friendship level with superior had biggest relationship with variables of organizational effectiveness. Conclusion : Participants showed close relationship with friendship degree and organizational effectiveness. We suggest that the CEOs of korean medicine hospital would make their effort to improve friendship level of workers for the rise of organizational effectiveness.

• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.381-393
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• 2019

본 연구는 남북 여성 건강 격차 완화에 기여하기 위해 북한이탈여성을 위한 자궁경부암 예방 교육을 개발하여 시행하고 그 효과를 검증한 비동등성 대조군 전후 설계를 이용한 유사 실험 연구이다. 남한에 거주하고 있는 20대 북한이탈여성 42명을 대상으로 연구를 진행하였다. 인유두종 바이러스 연계 자궁경부암 예방 교육을 받은 실험군은 대조군에 비해 자궁경부암 지식(U=40.00, p<.001), 인유두종 바이러스 지식(U=4.50, p<.001), 인유두종 바이러스 백신접종에 대한 태도(U=128.00, p=.013) 점수가 유의하게 증가하였다. 본 연구에서 개발한 북한이탈여성을 위한 자궁경부암 예방이 대상자들의 자궁경부암 지식, 인유두종 바이러스 지식, 인유두종 바이러스 백신접종에 대한 태도를 향상시키는 효과적인 간호 중재인 것으로 나타났다. 통일에 대비하여 남북 여성 건강 격차를 완화하기 위해서는 자궁경부암 예방 교육을 집단교육에 지속적으로 적용할 수 있도록 하는 등의 정책 지원이 필요하다.