• 디지털융복합연구
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• 제15권11호
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• pp.385-394
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• 2017

본 연구는 도시거주 일하는 노인의 건강관련 삶의 질 영향요인을 파악하고 건강관련 삶의 질 향상을 위한 방안을 마련하기 위하여 시도되었다. 본 연구는 제6기 국민건강영양조사 자료를 활용하였으며 도시에 거주하는 만 65세 이상의 일하는 노인을 대상으로 건강관련 삶의 질과 영향요인을 파악하였다. 자료 분석은 IBM SPSS 18.0 프로그램을 이용하였다. 연구 결과 도시지역 일하는 노인의 건강관련 삶의 질은 연령, 성별, 결혼상태, 가구세대구성, 교육수준, 소득수준, 주택소유여부, 기초생활수급여부, 민간의료보험 가입여부, 흡연, 음주, 스트레스에 따라 유의한 차이가 있었다. 회귀분석 결과, 도시지역 일하는 노인의 건강관련 삶의 질에 영향을 미치는 요인은 성별, 교육수준, 기초생활수급여부, 민간의료보험 가입여부로 나타났으며 설명력은 12.3%였다. 본 연구의 결과에 따라 일하는 노인의 건강관련 삶의 질 증진을 위한 중재 시 성별에 따른 특성과 경제적 상태를 고려하여 접근하는 것이 필요하겠다.

• 한국융합학회논문지
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• 제7권6호
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• pp.213-218
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• 2016

최근 한국에서는 고령화가 본격적으로 진행되어 가족이나 개인중심의 노인돌봄시스템이 한계에 도달하였다. 본 연구는 장기요양등급자로 재가서비스를 받고 있거나 등급외자로 돌봄서비스를 받고 있는 노인을 대상으로 하는 재활 및 건강증진, 삶의 질 향상을 위한 적절한 서비스를 개발하는 목적을 갖는다. 특히 공급자입장의 품질 관리 측면에서 접근하였으며 서비스관리공급자인 기관 및 서비스제공자인 요양보호사를 대상으로 FGI 조사를 실시하고, 지역사회복지사와 방문간호사 대상 심층면접을 실시하였다. 연구결과에서는 서비스 공급자 및 제공자 간 서비스 내용에 대한 의식차이가 나타났고 또한 적절한 서비스를 제공하기 위해서는 지역사회에서 영역별로 분리되어 있는 케어서비스를 융합하기 위한 통합 교육 및 팀워크 훈련 등이 필요한 것으로 나타났다.

• Journal of Hospice and Palliative Care
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• 제6권2호
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• pp.164-171
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• 2003

목적 : 본 연구는 유방절제술 환자의 신체기능과 피로를 파악하여 수술 후 적응을 돕고 삶의 질을 향상시키기 위한 중재 개발에 기초 자료를 마련하고자 실시되었다. 방법 : 2003년 3월부터 6월까지 서울 C 대학병원에서 유방절제술을 받은 환자 63명을 대 상으로 어깨관절 가동범위, 어깨관절 기능, 신체적 자각증상 및 피로 정도를 측정하였다. 결과 : 환측의 어깨관절 가동범위는 건측에 비해 유의하게 낮았다. 어깨관절 기능이 가장 높았던 문항은 '바지 입기'였으며, 가장 낮았던 문항은 '등지퍼 올리기'였다. 신체적 자각증상의 정도가 가장 높았던 문항은 '감각이 둔하다'였으며, 가장 낮았던 문항은 '가렵다'였다. 4. 피로 때문에 가장 방해가 되었던 문항은 '일상적인 생활(집 밖의 일과 매일하는 허드렛 일)'이었다. 결론 : 유방절제술 후 신체기능을 향상시키고 피로를 감소시키기 위한 효과적인 중재가 필요하다.

• 한국콘텐츠학회논문지
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• 제11권12호
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• pp.378-385
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• 2011

본 연구는 기혼 직장인을 대상으로 라이프스타일에 따른 직무스트레스, 직장-가정갈등 및 정신건강의 정도 및 관계를 파악하기 위해 실시되었다. 연구결과 기혼직장인의 라이프스타일은 창작지향형: 28.6%이 가장 많은 비율을 차지하고 있었고, 자아신뢰형: 26.5%, 가족중심형: 18.4%, 성공지향형: 13.5%, 모범책임형: 13.0% 순으로 분류되었다. 라이프스타일에 따라 직장-가정갈등과 정신건강에는 유의한 차이가 있었으며, 창작지향형의 경우 직장-가정갈등을 가장 크게 느끼고 있었고, 정신건강이 가장 좋지 않은 것으로 나타났다. 자아신뢰형, 가족중심형, 모범책임형과 창작지향형은 직무스트레스와 직장-가정갈등 간에 유의한 양의 상관관계가 있었으며, 모범책임형은 직장-가정갈등과 정신건강 간에 음의 상관관계가 있었다. 창작지향형과 성공지향형은 직무스트레스와 정신건강 간에 양의 상관관계가 있었다. 이상의 결과를 토대로 대상자의 라이프스타일에 따른 차이를 고려하여, 직장인의 높은 직무스트레스를 줄여주고, 직장-가정갈등 해결과 정신건강 향상에 도움이 될 수 있는 직장 내의 사회적 지지자원 확보와 치료적인 사회 심리적 간호중재를 개발이 필요함을 알 수 있다.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1069-1076
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• 2012

본 연구는 산업재해예방을 위해 산업안전보건교육의 방안을 개선하기 위해 기초자료를 제공하고자 실시되었다. 대상자는 강원도 소재 5개의 제조업 업체에 근무하는 근로자 167명을 대상으로 하였으며, 자료수집은 2010년 3월 15일부터 4월 15일 까지의 기간 동안에 구조화된 자기기입식 설문지를 이용하였다. 제조업 근로자의 76.6%가 교육장을 가지고 있었으나, 산업안전보건교육은 약 44.3%의 근로자가 현장사무실에서 교육을 받고 있었다. 교육 수단은 대부분 주입식 강의식으로 이루어지고 있었다. 산업안전보건교육은 근로자의 일반적 특성과 직무에 대한 고려 없이 이루어지고 있었다. 제조업의 근로자에게 실시되는 산업안전보건교육의 문제점을 개선하기 위하여 교육은 근로자의 일반적 특성과 직무를 고려한 교육이 실시되어야 한다.

• 한국학교보건학회지
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• 제29권3호
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• pp.310-317
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• 2016

Purpose: This descriptive research was carried out to identify how high school students' attitude to death and their meaning of life were affected by hospice volunteering and death education. Methods: This study is based on a structured questionnaire designed for 180 high school students who were given death education while doing volunteer work at non-profit hospice hospitals and another 288 high school students not doing any hospice volunteer work. The collected data was processed by the SPSS 20.0 program and then analyzed by $x^2$ test, t-test and ANOVA test. Results: High school students' attitude to death and their meaning of life showed significant differences depending on whether or not they had volunteered at hospice hospitals. The group with hospice volunteering experience tended to be more negative about death and have a higher meaning of life compared to those without hospice volunteering experience. Students with proper hospice recognition made up 52.4%, those who expressed hopes to receive hospice-care themselves if necessary accounted for 70.5%, and those who said they would like to take care of their family members either at home or at a hospice center if any of them got incurably sick comprised 59.0%. Those who thought dignified death is to be with one's family or any other meaningful person were 47.6% and 18.5% of the students thought that 'thinking they had led a meaningful life' was the core of a dignified death. Conclusion: Given the above results, it became clear that hospice volunteering and death education can affect high school students' meaning of life and their attitudes toward death.

• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1620-1627
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• 2000

Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

• 한국산업보건학회지
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• 제27권3호
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• pp.221-230
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• 2017

Objectives: This study was conducted to investigate general characteristics, job characteristics, characteristics of hospitals, and hospital coordinators, and to investigate the factors affecting the job satisfaction of medical workers. Methods: The data was collected through a self-reported questionnaire among 435 workers in plastic surgery and dermatology clinics in metropolitan city G. We investigated general characteristics, job-related characteristics, characteristics of medical institutions and hospital coordinators, job performance of hospital coordinators, and job satisfaction of medical workers. T-tests, ANOVA, correlation, and multiple regression analyses were conducted to investigate the factors related with job satisfaction. Results: The job satisfaction of the medical workers and the perceived job performance of hospital coordinators were $3.55{\pm}0.40$ and $3.74{\pm}0.43$, respectively. In multiple regression analysis, drinking frequency, number of night shifts, number of work days, and hospital coordinator introduction years were associated with the job satisfaction of medical workers. The more the overall job performance of hospital coordinators increased, the higher was job satisfaction(B=0.458, p<0.001). In detail, the more job roles(B=0.218, p<0.001), core competency(B=0.145, p=0.005), and leadership(B=0.099, p=0.037) increased, the higher was the job satisfaction of medical workers. Conclusions: The job satisfaction of the medical institution workers was associated with the perceived job performance of the hospital coordinator. In order to increase the job satisfaction of medical institution workers, a hospital coordinator with specialized job performance will be able to improve job satisfaction by carrying out efficient work in the medical institution.

• 근관절건강학회지
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• 제9권1호
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• pp.68-81
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• 2002

Arthritis patients living in a rural town are thought to have more problems in terms of life stress, social support, and depression than those living in an urban city. But there were few studies which investigated the status of arthritis patients living in a rural town. This study investigated how much life stress they got, which life events were perceived as stress, what kind of social support were most perceived, and how much they were depressed. Fifty six arthritis patients were surveyed using structured questionnaire. Life stress, social support, and depression were assessed using the following scales: Life changes scale, Duke's short scale to measure social support, and CES-D(Center for Epidemiologic Study- Depression), respectively. They were found to perceive life stress in home-work, health and work, in order. And they were found to perceive relatively good social support. But they sot most of social support from their family members especially their spouses and children. Lastly, it was found that they were moderately depressed. Based upon these results, it is suggested that integrative rehabilitation programs which provide professional support and reduce depression are necessary for arthritis patients living in rural towns.

• Safety and Health at Work
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• 제9권1호
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• pp.79-83
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• 2018

Background: Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevalence of VVs among nurses, an occupational group considered to be at high risk of VVs, and determine the occupational risk factors of prolonged standing. Methods: Between March and August 2014, a questionnaire survey coupled with Doppler ultrasonography was conducted on the nurses working at a university hospital. Results: A total of 414 nurses participated in the survey and diagnostic testing. From the survey analysis and test results, the prevalence of VVs in nurses was estimated to be 16.18%. Significant factors for venous reflux were age [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.03-1.10], pregnancy (OR = 2.15, 95% CI = 1.17-3.94), and delivery (OR = 2.02, 95% CI = 1.08-3.78). The statistical significance of these factors was verified after risk adjustment for sociodemographic factors (OR = 3.40, 95% CI = 1.27-9.09). Conclusion: Factors significantly associated with venous reflux were increasing age and prolonged working hours (${\geq}4hours$) in a standing position (OR = 2.80, 95% CI = 1.08-7.25), even after risk adjustment for sociodemographic factors. This study is significant in that an objective diagnosis of VVs preceded the analysis of the risk factors for VV incidence, thus verifying objectively that VVs are associated with occupations requiring prolonged hours of working in a standing position.