• 한국간호교육학회지
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• 제21권4호
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• pp.455-465
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• 2015

Purpose: This study aimed to explore human rights sensitivity and the perception of patients' rights among nursing students. For the study, 253 nursing students from K and D universities located in Daegu and the Gyeongbuk region were asked to participate. Methods: Data were analyzed using IBM SPSS Statistics 20.0; in addition, descriptive statistics, a t-test, and a one-way ANOVA were used. Results: The average human rights sensitivity score was 2.40 out of 5 points. Human rights sensitivity was significantly different in education experiences in regards to human rights after getting into nursing school and in nursing courses, as well as experiences of clinical practice. Among the six episodes that measured human rights sensitivity, nursing students reported the highest score on the right to the pursuit of happiness of older people and the lowest score was reported on the right to privacy. The average score of patients' rights perception was 4.53 out of 5 points. In particular, nursing students considered the right to enjoy human worth/dignity and the right to equality to be the most important of patients' rights. Patients' rights perception, in general, was significantly different depending on the number of family members. Conclusion: It is needed to develop an effective nursing curriculum in order to improve nursing students' human rights sensitivity and foster positive perceptions regarding patients' rights.

• 융합정보논문지
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• 제7권6호
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• pp.135-141
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• 2017

최근 만성질환을 앓고 있는 고령자가 늘어나고 교통사고와 같은 재난이 증대됨에 따라 이와 같은 응급상황에 응급구조사와 의사들이 효율적으로 대응할 필요성이 대두되고 있다. 특히, 만성질환과 치매를 앓고 있던 고령자에게 뇌경색이나 교통사고와 같은 응급상황이 발생하게 되면, 기본적인 자신의 인적정보과 병력을 전달하지 못하여 구조대의 응급처치가 늦어지고 의료정보의 부족으로 병원에서의 효율적인 응급치료도 어렵게 된다. 본 논문에서는 QR 코드를 이용하여 응급 구조사에게는 응급치료에 필요한 최소한의 개인정보와 병력을 전달하고 병원의 응급실 의사에게는 QR 코드와 지문인식을 통해 그동안의 병력 및 치료데이터를 전달함으로써 효율적인 응급처치 및 응급치료가 가능하도록 하였다. 특히 스마트폰의 QR 코드와 개인의 지문을 동시에 활용함으로써 개인정보는 보호하고 권한을 부여받은 의사들만이 병적기록을 확인할 수 있도록 하여 의료정보의 프라이버시 및 보안을 강화했다.

• 한방비만학회지
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• 제17권1호
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• pp.37-45
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• 2017

최근 비만이 전 세계적인 문제로 대두되면서 임상 연구의 해석에 필요한 중요 자료를 제시해 줄 수 있는 동물 모델을 이용한 생리학적 기전 연구에 대한 관심이 높아지고 있다. 인삼은 많은 동물 실험에서 항비만 또는 항당뇨 효과가 보고되었으나 인체의 임상에서 비만을 연구한 논문은 거의 없는 실정이다. 이 연구에서는 신체계측치수와 대사지표를 활용한 동물 모델에서의 인삼의 항비만 효과의 근거수준을 평가하고자 한다. 전임상 단계에서 비만에 대한 인삼의 효과를 연구한 대조군 연구, 비교 연구를 포함시키고자 한다. 실험적으로 비만을 유도하는 도중 혹은 이후에 인삼을 투여하고, 일차평가변수는 신체계측치수, 이차평가변수는 지방조직의 무게, 섭취음식의 총량, 대사지표 등을 포함한다. 언어, 출판일 등 특별한 제한 없이 MEDLINE, Embase, PubMed, Web of Science, Scopus를 통해 논문 검색을 시행한다. 본 연구에서의 자료 수집은 개인 정보를 포함하지 않으며, 사생활 침해의 우려가 없으므로 윤리적 승인 대상에서 제외된다. 연구의 전체과정을 수행한 후 연구결과는 연관 저널에 출간하거나 관련 학회에 발표할 예정이다. 본 연구 프로토콜은 the Collaborative Approach to Meta-Analysis and Review of Animal Data from Experimental Studies (CAMARADES) website (http://www.camarades.info)에 등록되었다.

• 대한간호학회지
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• 제20권3호
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• pp.281-299
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• 1990

The organization of nursing department Significantly effects the hospital management. Especially, The head nurse is one of the most important position because head nurse is a first-line manager in the hospital level, a middle manager in nursing service organizations level and the top manager in each nursing unit level. This study was attempted to show the ideal model and nile by compare head nurses' role perception with staff nurses' role expectation according to two types of hospital. The survey was conducted among 94 head nurses and 233 staff nurses who are working at 5 different University Hospitals over 600 beds and 93 head nurses and 218 staff nurses Who are working at 12 different General Hospitals between 100∼300 beds in Seoul. The data was collected in a period from 8th September to 13th October in 1989 and the instrument used for this study was based on Han's one and reffered back to many literary sources and revised. The collected data was analysed by computer using S.P.S.S. program as a Mean, Percentage, Cronbach's alpha, Chi-Square, t-test and ANOVA. 1. The study was compared to the difference of the two subject group's general characteristics according to a type of hospital. As a relult, there were significant differences in age, educational background and career. 2. This Study was compared to the difference of the two subject group's role perception and role expection about each question according to a type of hospital. The result of this comparisons as follows : First, These were the most important issue between both groups : “Head nurse has to know about her staff's events and problems and then help them to solve that promptly.” Second, These were the least important issue between both groups : “Head nurse has an interview with patient's family and visitors”, “Head nurse is interested in her staff's privacy.” 3. This study was compared to the differences of each role areas according to a type of hospital. As a result, there were no significant differences both two subject groups except nursing manager role in staff nurses' group(t＝-2.893, df＝449.0, p＝0.004). 4. This study was tested to the difference of the two subject groups according to general characteristics. As a result, All of that there were no significant differences.

• 핵의학기술
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• 제14권1호
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• pp.78-82
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• 2010

현재 우리나라 암발생률을 보면 유방암과 갑상샘암이 매년 빠르게 증가하고 있는 추세이다. 따라서 I-131 scan과 전초림프절 검사인 lymphoscintigraphy가 많이 시행되고 있다. 그러나 이러한 검사는 전통적인 핵의학 영상 검사들과 마찬가지로 병리생태를 영상화하는 데에는 탁월하나 해부학적 정보는 많지 않다. 따라서 트랜스미션 스캔을 실시하여 해부학적 위치를 찾는 데 도움을 주는 등 여러 방법을 사용하고 있으나 만족스럽지 못하다. 이에 착안하여 감마실사영상의 fusion으로 좀 더 해부학적 정보가 많은 영상을 구현하고자 한다. 2009년 4월부터 7월까지 본과를 내원하고 SIEMENS사의 Symbia Gamma Camera를 이용하여 lymphoscintigraphy를 시행한 환자와 I-131 추가 검사를 시행한 환자를 대상으로 하였다. 먼저 감마카메라로 촬영한 후 촬영실 천정에 설치한 hyVISION사의 소형카메라(R-2000)로 동일 위치를 촬영하여 감마영상과 소형카메라의 실사영상을 자체개발한 Gamma Ray Tool Fusion 프로그램을 이용하여 fusion하여 일치도를 평가 하였으며, 환자 및 술자의 피폭선량을 평가하였다. 술자와 환자의 피폭선량은 트랜스미션 스캔을 적용하기 위한 플러드 선원의 제작과정과 실제 트랜스미션 스캔이 적용될 때 방사선피폭이 발생되며 술자의 방사선피폭은 평균 14.1743 ${\mu}Sv$이며, 환자의 방사선피폭은 평균 0.9037 ${\mu}Sv$이다. 또한 fusion 영상에서 감마마커와 실사마커가 일치하였고 플러드 선원에 의한 피폭은 없었다. 본원에서 구축한 감마영상과 실사영상의 fusion 프로그램으로 보다 많은 해부학적 정보를 포함하고 있는 영상을 임상의 및 판독의에게 제공할 수 있고, 업무프로세스가 감소되어 편리한 조작이 가능하게 되었다. 또한 플러드 선원에 의한 피폭을 줄일 수 있어서, 다른 핵의학 검사에도 사용이 가능할 것으로 생각되어진다. 하지만 환자의 사생활이 존중되어야 하기 때문에 검사시행 전, 검사진행 과정과 장점 등을 자세하게 설명한 후 환자가 동의할 경우 검사를 실시하여야 할 것이다.

• 보건행정학회지
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• 제9권4호
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• pp.41-64
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• 1999

The major concern for this research is to discuss and to offer some solutions to bring the effectiveness of existing notifiable diseases reporting system over the physicians' attitudes of reporting, the actual condition of performance and the reasons of inertia in notifiable diseases reporting through examining the physicians of medical institutions in nationwide such as pediatrics, internal medicine and family medicine. The actual conditions of notifiable communicable diseases(NCD) reporting was surveyed by mail objectifying an internal medicine, pediatrics and family medicine in nationwide on the basis of stratified random sampling method divided into the classification of medical institutions and areas. As a result of survey. the rate of respondents showed 145 persons from physicians, 105 persons from hospitals. 120 persons from general hospitals, and 51 persons from tertiary hospitals. The total number of respondents were 421 and was rated 59.0 %. The analysis of collected survey went through a descriptive analysis primarily to grasp physicians' attitudes on the notifiable communicable diseases reporting, and then upon the dependent variables. Following are major findings obtained form the data analysis. 1. The results of a descriptive analysis on physicians' attitudes towards reporting NCD were as follows: First, the respondents who didn't know that yellow fever is reporting NCD were 11.0% of clinic, 10.5% of hospital. 5.0% of general hospital. 11.8% of tertiary hospital. and in case of hepatitis B, were 26.9% of clinic, 35.2% of hospital. 35.0% of general hospital. 23.5% of tertiary hospital. Second, The rate of physicians' knowledge on penalties of not reporting the NCD by their medical institution were 35.2% of clinic, 45.7% of hospital. 36.7% of general hospital. 62.7% of tertiary hospital. Third, among the no-reporting physicians in whole, the major reason of not reporting NCD were uncertainty of diagnosis(78.9%), no need to report(46.4%), no adequate actions from PHC(29.1%), no knowledge of the cases being notifiable ones in the order of their frequencies(30.4%), meddling from PHC(29.1%), concerning of patient's privacy(26.3%). 2. To analyze the characteristics related to the physicians' behaviors to report NCD, univariate and multiple logistic regression analyses were applied to the variables related to physician, 4 medical facility, PHC, and reporting system. The result were as follows: First, the result of the univariate analysis on physicians' attitude to report NCD and characteristics related to reporting in odds ratio was in the case of hospital. 3.4 times higher positive responses on physicians' attitude to report NCD came up as compared to the clinic. Second, the result of the univariate analysis on physicians' action of reporting NCD and characteristics related to reporting by the classification of medical institutions showed that the odds ratio of hospital was 2.3 times, the odds ratio of general hospital was 2.0 times, the odds ratio of tertiary was 6.8 times significantly higher than clinic. And the medical institution with significantly higher positive attitudes rate by multiple logistic regression analysis was hospital that rated 2.5 times significantly higher than clinic. Also in the PHC related characteristics of reporting, the rate of action in reporting NCD was significantly higher in medical institution that were endowed with the good condition of reporting. In multiple logistic regression analysis, the medical institution that has a good conditions of reporting showed a significantly higher positive rate on the action of reporting than the others.