• 제목/요약/키워드: Physical self description

검색결과 23건 처리시간 0.025초

환자의 신체기능적 능력(Self-Care Status)별 소요되는 간호시간 결정에 관한 연구 (Study on the Determination of Nursing Hours by Self-Care Status of Patients)

  • 박정숙;김주희
    • 대한간호학회지
    • /
    • 제12권2호
    • /
    • pp.57-66
    • /
    • 1982
  • This study was undertaken to delineate the relationship between numerical score and the amount of nursing hours required in the nursing process. Score was a numerical description of the patients functional nursing needs. Therefore this study focused on standard nursing hours required by patient's self-care status. This study observed the 62 patients and 15 R.N. in H. university hospital from Aug. 7, 1982 to Aug. 13, 1982. 1. For the first time, each head nurse assessed self-care status by Schoening's self-care score-Minimal care patient (self-care score: 23, 24) was placed in Group Ⅰ, intermediate care patient (self-care score: 11∼22) was Group Ⅱ, and special care score: 0∼10) was Group Ⅲ. 2. We observed and recorded the nursing care received from nurses according to patient's group. (8AM∼4PM) 3. And, We observed and recorded the activities of nurses in order to determine standard nursing hours required. (8AM∼4PM) 4. If we apply the content of paragraph 3 to paragraph 2, we will predict the number of patient that nurse can care during day time by self-care status. The following results were obtained: 1) Patient's mean self-care score were Group I : 23.9 score Group Ⅱ:17.8 score Group Ⅲ : 1.6 score 2) Nursing hours required by patient's physical function(self-care status) status were Group I : 35 min. Group Ⅱ: 47.5 min. Group Ⅲ : 104.6 min. 3) Nurse's nursing time and distribution required in nursing activities during day duty were A.D.L. : 84.3min. (17.56%) Functional nursing activities : 279.9min. (58.31 %) Education & Emotional support : 11.3min. (2.35%) Task unrelated patients : 54min. (11.25%) Non Productive nursing care : 50. 5min. (10.52%) 4) Mean nursing hours required by each patient and the number of patient that nurse can rare during day duty by self-care status were Group I : 38.6min. 11.1 patients/1 nurse Group Ⅱ : 51.1min: 8.4 patients/1 nurse Group Ⅲ: 108.2min. 4 patients/1 nurse It seems reasonable that this could be done effectively as each-unit has an established standard for hours required, This not only allows time for planning of staff but helps to avoid the very human inclination to predict excessive staffing requirements by placing the majority of patients in high care group.

  • PDF

아동작업치료사의 직무분석: 감각통합치료 중심으로 (Job Analysis of Pediatric Occupational Therapists in Korea: Focused on Sensory Integration Intervention)

  • 최정실;홍은경
    • 대한감각통합치료학회지
    • /
    • 제15권2호
    • /
    • pp.1-21
    • /
    • 2017
  • 목적 : 본 연구의 목적은 감각통합치료를 하는 아동작업치료사의 직무를 정의하고, 직무기술서를 도출하며 아동작업치료사를 대상으로 각 책무별 과제와 과제요소의 중요도, 빈도, 난이도 인식도를 조사하는 것이었다. 연구방법 : 2017년 5월부터 9월까지 직무분석을 하였다. 1단계에서 직무분석을 위해 10명의 전문가로 구성된 DACUM 위원회를 조직하였고, 워크숍 및 메일을 통해 감각통합치료를 하는 아동작업치료사의 직무를 정의하고 직무기술서를 완성하였다. 2단계에서 141명의 아동작업치료사를 대상으로 완성된 직무기술서로 설문조사하여 과제와 과제요소의 중요도, 빈도, 난이도를 알아보았다. 연구결과 : 직무의 정의는 '아동 청소년에게 작업치료서비스를 제공하여 일상생활 및 놀이를 포함한 작업수행과 사회참여를 지원한다'이었다. 직무기술서를 통해 9개의 책무(상담, 평가, 치료계획, 치료, 기록, 교육, 자기개발, 관리, 행정), 28개의 과제, 169개의 과제요소가 도출되었다. 중요지수가 가장 높은 과제는 '안전유지하기'와 '치료실행하기'이었고, 과제요소는 '아동과 도구, 주변의 안전 확보하기', '안전한 환경 준비하기'이었다. 결론 : 본 연구의 결과는 감각통합치료를 하는 아동작업치료사의 직무범위를 정의하고, 관련 교육과정을 개발 및 개선하는데 활용할 수 있을 것으로 보인다.

일개 지역사회 재해 주민의 외상 후 스트레스 장애 정도와 관련요인 분석 (A Field Study of Posttraumatic Stress Disorder in a Community after Typhoon Rusa)

  • 이인숙;하양숙;김기정;김정희;권용희;박진경;이나윤
    • 대한간호학회지
    • /
    • 제33권6호
    • /
    • pp.829-838
    • /
    • 2003
  • Purpose: In South Korea, as growing the need of psychological support in disaster situation psychological assessment on stress after disaster is important to find out the factors affecting coping, and to plan intervention in the community. Method: The volunteers of Korea Redcross who live around K city, and the research team visited all homes at Jirye town, one of the high-impact area, 4 month after the typhoon. One of the family members who is over 18 years old, answered the self-report questionnaire composed of disaster experience, damage, exposure to traumatic event, and posttraumatic stress with IES-K (Impact of Event Scale-korea) He also, described his family members symptom related to re-experiencing, hyper-arousal, and avoidance. Six hundreds households were surveyed. Result: The prevalence of moderate to severe PTSD symptom was 36% of the subjects. The severity of PTSD was affected by gender, economic status and affected by damaged property, physical injury, worsening existing disease, getting infectious disease, amount of experienced traumatic event before disaster, warning, taking shelter, and subjects revealed differences in somatization as severity of PTSD. According to the description, community members had re-experiencing, hyper-arousal and avoidance. Conclusion: At a rural area, South Korea, community members have suffered from psychological distress after disaster. So psychological interventions are required as affecting factors and also to plan for warning and shelter in disaster situation is needed for preventing PTSD.

학령기 비만아동의 생활습관에 관한 조사연구 (A Survey of Life Style Habits of Obese School Children)

  • 김희걸;남혜경
    • 한국학교보건학회지
    • /
    • 제11권1호
    • /
    • pp.99-110
    • /
    • 1998
  • The purpose of this study is to investigate the effect of obese school children's life style habits in order to help school nurse in controlling and preventing the obesity by health education The survey group is extracted from the students of two elementary schools located in Seongnam city Out of 280 children randomly sampled, 102 children were evaluated to be obese and 178 ones to be normal by the standard of the 1985 Korea Pediatric Association Height and Weight Standard Chart The obese children group was compared with the normal one. For this purpose, the surveyors designed a self questionnaire to obtain the description of general background, exercise including play behavior, eating behavior, and family environment of the sampled children. The results are as follows The number of the obese children who took extracurricular physical exercises was significantly (p<0.05) more than that of the normal ones The significantly (p<0.05) more obese children went without a meal to control their weight than the normal ones. In relation to the degree of obesity, the children with the high degree of obesity watched the television significantly (p<0.05) longer than the ones with the mild and the moderate degree of obesity In gender relations, the obese girls participate in outdoorplays and physical exercises significantly (p<0.05) longer and more regularly than the normal ones, while no significant difference was found between the male groups The obese boys had significantly (p<0.05) their mothers occupying in a vocation. Combining television watching habit and mother's vocation of the obese boy, the obesity is resulted from complicated situation It can not be due to the simple absence of the mother, but rather due to the absence of a person responsible for controlling snacking and television watching time of the child Looking at the results, it is necessary for both school and home to actively involve in guiding children and providing an environment to modify life style habits and prevent childhood obesity.

  • PDF

NCS(국가직무능력표준) 도입에 따른 스포츠계열 공공기관의 채용 중요도 및 우선순위 분석 (An Analysis of Recruitment Importance and Priority of According to the introduction of NCS(National Competency Standards) in Sports Public Institution)

  • 김동만
    • 한국응용과학기술학회지
    • /
    • 제37권5호
    • /
    • pp.1409-1417
    • /
    • 2020
  • 스포츠계열 공공기관 채용에 대한 중요도 우선순위를 알아봄으로써 체육계열 학생들의 공공기관 취업에 대한 가능성을 높이는데 그 목적이 있다. 연구대상은 스포츠계열 교수 4명, 스포츠분야 NCS 전문위원 3명, 스포츠 공공기관 심사위원 2명, 공공기관 채용 담당자 2명 등 총 11명을 유목적 표집(purposeful sampling)하였다. 이와 같은 과정을 통하여 2020년 1월 3일부터 3월 12일까지 NCS 직업기초능력 주요 항목 요인을 사용하여 계층구조분석을 이용해 중요도 우선순위를 분석하였다. 모든 자료는 통계처리를 하기 위해 Window 용 SPSS/PC (ver. 21.0)을 이용하여 빈도분석과 EC-2000을 이용하여 계층구조분석 하였다. 첫째, 스포츠계열 공공기관 채용 대영역에서 의사소통능력(.231), 조직이해능력(.177), 자원관리능력(.128), 대인관계능력(.110), 직업윤리(.082), 문제해결능력(.061), 정보능력(.056), 수리능력(.054), 자기개발능력(.052), 기술능력(.049) 순으로 분석되었다. 둘째, 평가항목에 있어서는 의사소통은 의사표현능력(.442), 수리능력은 기초연산능력(.512), 문제해결능력은 사고력(.722), 자기개발능력은 자기관리능력(.587), 자원관리능력은 시간관리능력(.531), 대인관계능력은 팀웍크능력(.382), 정보능력에서는 컴퓨터 활용능력(.677), 기술능력에서는 기술이해능력(.599) 순으로 분석되었다.

재활병원 입원 시 선택 및 전원 요인 조사 (An Investigation of Selection and Transfer Factors on the Admission of Rehabilitation Hospital)

  • 이재홍;권원안;이진환;민동기
    • 한국산학기술학회논문지
    • /
    • 제14권6호
    • /
    • pp.2819-2827
    • /
    • 2013
  • 본 연구는 신경계 재활전문병원의 이탈환자에 대한 환경적 요인과 의료적 요인에 관해서 조사하는 것이다. 대상자는 107명의 입원환자를 대상으로 조사하였다. 수집된 자료는 SPSS Win 19.0을 이용하여 분석하였다. 그 결과 첫째, 일반적 병원선택에서는 추천이 35.5%, 환경적 불만족 요인에는 병원시설이 37.4%, 병원 선택인에는 지인이 23.4%로 장 높게 나타났다. 둘째, 전문성, 친절성 및 설명성에 대한 만족도 조사에서 만족도가 가장 낮은 그룹은 간병사 그룹이고 만족도가 가장 높은 그룹은 물리치료사와 작업치료사 그룹으로 나타났다. 셋째, 원무(행정)절차, 진료절차, 대기시간 및 의료비용에 관한 만족도는 모두 '보통'의 선택 안이 가장 높은 분포를 보였다. 결론적으로 환경적 불만족 요인에서 높은 비율을 차지한 병원시설은 신경계전문병원의 수가 적어서 환자의 밀집현상으로 인해 발생한 것으로 보여 환자이탈의 요소로 간주될 수 있고, 의료적 불만족 요인에서는 환자와 많은 시간을 할애하는 간병사(care worker)에 대한 만족도(전문성, 친절성, 설명성)가 가장 낮아서 환자 이탈의 중요한 요인이 됨을 알 수 있었다. 따라서 간병사에 대한 서비스 만족도와 불만족도에 미치는 요인을 조사하고 문제점을 해결하여 간병사의 서비스 질을 향상시킬 수 있는 방안을 모색해야 할 것으로 사료된다.

RN-BSN 과정 학생의 간호실무 수행능력 분석 (Analysis of RN-BSN Students' Clinical Nursing Competency)

  • 손정태;박명화;김혜령;이우숙;오가실
    • 대한간호학회지
    • /
    • 제37권5호
    • /
    • pp.655-664
    • /
    • 2007
  • Purpose: The purpose of this study was to investigate RN-BSN students' clinical nursing competency in order to establish baseline data for developing nursing competency based clinical education for RN-BSN students. Method: A survey of 1,453 RN-BSN students from 21 nursing schools was conducted using a self administered questionnaire. Result: The mean score of the clinical nursing competency was 2.93. The scores for competency were shown as 2.91 for nursing management, 2.94 for developing professionalism & legal implementation, 2.95 for critical thinking, 2.96 for teaching & leadership, and data collection, basic nursing care, and communication were above 3.00. The items perceived as insufficient competency were physical examination and observation & monitoring in data collection, cardiopulmonary resuscitation, psycho-social care, spiritual care, hospice in basic nursing care, application of knowledge and theory, formulating nursing diagnosis, nursing care planning in critical thinking, education material development, leadership, delegation in teaching and leadership, analysis of organization, planning, infection control, role & job description, evaluation of nursing activities in nursing management, quality improvement, and research in developing professionalism and legal implementation. Conclusion: This study will contribute to developing a nursing competency based on clinical education for RN-BSN students who have various education needs and clinical backgrounds.

실공간 TB-LMTO-recursion 전자구조 방법에 의한 자성연구 : Fe, Co, Ni (Real-space TB-LMTO-recursion Electronic Structure Calculations for Ferromagnetic Fe, Co, and Ni)

  • 박진호;조화석;윤석주;민병일
    • 한국자기학회지
    • /
    • 제5권5호
    • /
    • pp.846-853
    • /
    • 1995
  • 국소섭동을 포함하는 비대칭성 계의 전자구조 물성을 연구하기 위해서 밀접 결합 (tight-binding ; TB) linear-muffin-tin-orbital(LMTO) 방법과 회귀(recursion ; R) 방법을 결합한 실공간 전자구조 방법인 제일원리-자체충족적-스핀분극 TB-LMTO-R 방법을 개발하였다. 이 방법을 강자성 물질인 bcc Fe, hcp Co, fcc Ni등에 적용하여 송이의 크기, 회귀 계수, TB-LMTO Hamiltonian의 차수등을 변화시키며 국소 상태밀도와 자기 모멘트등의 수치적 수렴도를 고찰하였다. 송이 크기는 5,000개 원자 이상, 연속 분수 계수 n은 40이상, TB-LMTO Hamiltonian의 차수는 2차 이상이며 TB-LMTO-R 방법이 기존의 LMTO 방법의 결과와 거의 일치하는 결과를 준다는 사실을 얻었고 실공간 전자 구조 방법으로 TB-LMTO-R 방법의 충분한 신뢰도를 확인 하였다.

  • PDF

태교 실천에 대한 일상생활 기술적 연구 (An Ethnographic Study about Taegyo Practice in Korea)

  • 김현옥
    • 대한간호학회지
    • /
    • 제27권2호
    • /
    • pp.411-422
    • /
    • 1997
  • The purpose of this study is twofold : (i) to investigate how much effort the married couples are making for the good health of both the pregnant woman and her unborn child from the time of their marriage to and during the period of conception : and (ii) to comprehensive investigate socio-cultural back-grounds which affect prenatal effort. Result of this study provide a basis for the prenatal care program which will be appropriate to our culture. This study has been done by the ethnographic research method. The subjects of this study are 53 people in all consisting of 33 pregnant women and 20 husbands. In order to investigate socio-cultural factors which influence Taegyo, producers of Taegyo music were interviewed. In addition the researcher surveyed the markets of Taegyo music, participated in special courses of prenatal education, analyzed the content of the books and periodicals dealing with Taegyo, and collected the concept of Taegyo distributed by the mass media. The full-fledged study continued for eight months from February to August.1996. The data were analyzed as soon as they were collected. Spradly's(1979, 1980) developmental, sequential method of domain analysis. taxonomic analysis, componential analysis, and theme analysis in this order was adopted as the procedure of analyzing the data. To obtain the exactness of study, Sandelowski's (1986) four criteria, that is, Credibility, Fittingness, Auditability, and Confirmability were applied to all stages of data collection, data analysis, the interpretation of the result, and the description of the result. The following are the result : 1. The couples' Taegyo at the stage of preconception was related to their physical, psychological, spiritual conditions under which a healthy baby will be born. Specific methods they prefer are : "the choice of one's spouse." "physical check-up," "physical good health, " "praying, " and so on. 2. When the marriod couple have sex in order to conceive, their Taegyo was related to the imposition of their physical, psychological, and environmental conditions. Specific methods they prefer are : "having sex at specific time, " "having sex in nice place." "to purify their minds while having sex," and so on. 3. The married couples' Taegyo while they are in pregnancy was related to the imposition of their physical. psychological, emotionmental. environmental, social and spiritual conditions. Specific methods they prefer are : "listening to music. " "reading," "looking at beautiful things only," "to avoid looking at or listening to bad things." "to eat food in good shape, " "to avoid drugs," "eating Korean herbal medicine." "sexual abstinence," "to avoid dangerous places," "to keep emotional tranquility," "moderate exercises and rest." "leading a pure life." "praying." "being aware of their words and behavior." "for the couple to keep a good relationship." "interaction with their unborn child," "to support Taegyo for pregnant women," and so on. 4. The married couple put Taegyo into practice on the basis of the following principles : the principle of respecting an unborn child, the principle of forming a good disposition. the principle of top-down parental love, the principle of synergy between a pregnant woman and her unborn child, the principle of expecting a good child, the principle of forming a good habit, and the principle of acquiring a parental role. 5. The practice of Taegyo is influenced by such factors as the married couple, the supporting system, and the mass media. As the husband -and-wife factor, their information of Taegyo, the degree of importance is assigned to their characters, their time to spare, their healthiness, the age of pregnant woman, their conception plan, their religion, their belief of the Taegyo effects, and the birth of a baby in this order. The factor of the supporting system consists of her husband's support, her family support, and her neighbor's support. The mass media factors include the broadcasting media, books specialized in Taegyo, periodicals for pregnant women, booklets for advertizing powdered milk, Taegyo music of record manufacturing companies, and the teaching materials for gifted children. Among these the mass media is especially taking advantage of Taegyo as its main source of economic profits are leading the public behavior pattern to a prodigal one. Taegyo is a self-control behavior which requires practice for the following : the physical and psychological good health of the pregnant woman and her unborn child, the development of the unborn child's good character, the development of the unborn child's intelligence and talents, the expectation of the unborn child's good features. shape a good habit, the expectation of the unborn child's bright future, and the learning of a parental role, the expectation of male birth. Above all it is a type of our good cultural tradition which pursues a value higher than the one that the prenatal care does. The principles of pregnancy care inherent in the habit of Taegyo will provide us a guideline for the development of the prenatal care.

  • PDF

노인의 성별 만성동통 호소의 차이에 대한 조사연구 (Difference of Pain Description According to Gender in the Elderly)

  • 김명애;박경민;김효정
    • 대한간호학회지
    • /
    • 제28권2호
    • /
    • pp.369-379
    • /
    • 1998
  • Despite acknowledgment that pain is likely to be a major problem for many older adults, it is difficult to estimate the frequency of pain problems for this population. The main purpose of this study was to identify the various characteristics of chronic pain in the elderly by gender. It examines by gender, pain frequency, pain intensity, number of chronic pain sites, localization of pain, impact on activities, methods of pain management, and effects of chronic pain management. The subjects were 189 elderly people(65 years and older) living in an urban area. They were surveyed at their homes. They were surveyed by interview using a closed-ended questionnaire. The survey was done from Nov. 6th. to Dec. 6th. 1997. Descriptive statistics were used to determine all of the reported pain variables. Chi-square tests were used to determine crude differences between pain intensity and gender. T-test was used to determine differences in number of pain sites between men and women. The findings are as follows ; Of the 189 subjects, 83.6% reported experiencing pain, and men reported a lower prevalence (69.5%) than women(89.2%). Women had significantly more severe pain than did men(p=.001). Lower back pain(20.2%) and leg pain(20.2%) were the most prevalent, followed by knee pain(17.4%), arm pain(13.3%), neck and shoulder pain(11.6%), and headache(9.9%). Women experienced more multiple localizations of pain(p=.0001), the greatest impact was on movement (83.5%) , followed by usual activities(60.8%), sleep(49.4%), visiting(29.1%), and hobbies and recreations(50.0%). No differences were observed between men and women in the proportion of subjects reporting a negative impact on each of these activities. The methods of pain management were hospital visit(70.9%), drug store medication(46.7%), oriental medicine clinic(32.9%), endurance(13.3%), self-management(6.3%). Drug therapy was the most effective pain management strategy(94%), followed by physical therapy(63%) and accupuncture.byssocausis(55%). The conclusion : Pain is a symptom of great clinical importance that is often associated with disability, loss of independence, and reduced quality of life. In this study chronic pain symptoms were common but unevenly distributed in men and women. The results further advance understanding of the experience and impact of pain by gender. Future studies should incorporate questions that gather systemic and more detailed information on the characteristics of pain, especially by gender and by age.

  • PDF