• 제목/요약/키워드: Quality control program

검색결과 1,090건 처리시간 0.031초

저체중출생아를 위한 가정간호형 모성역할중재 프로그램 개발과 그 효과에 대한 연구 (Development of a Home-based Nursing Intervention, Mothering Program for Low-Birth-Weight Infants)

  • 한경자
    • 가정간호학회지
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    • 제8권1호
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    • pp.5-24
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    • 2001
  • The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

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대형 Ro-Ro Ferry의 방음 설계 (A Noise Control of a Ro-Ro Passenger Ferry)

  • 김동해;박종현
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2003년도 춘계학술대회논문집
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    • pp.738-741
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    • 2003
  • In general, the essential requirement for cruisers or car ferries is the reduction in noise to ensure high quality and comfort. Recently, the Ro-Ro Passengers Ferry (ROPAX) was built in Hyundai Heavy Industries. In order to minimize the noise levels, careful attention have to De paid by the special committee of experts from the initial design stage to the sea trial. Proper countermeasures, considering the characteristics of sources and receiver spaces, were applied from the noise prediction and various experiment results. Finally, this ship was successfully delivered with excellent noise properties. This paper describes the procedure of noise analysis, the countermeasures of noise control, and the measurement results of the sea trial. Onboard noise analysis had been carried out by statistical energy analysis program and outdoor noise prediction program based on ISO9614. The prediction results are in good agreements with the measurement results. The technology to minimize the noise levels for cruisers or car ferries has been established throughout the construction of this ship.

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향요법 발반사 마사지가 치매노인의 정서, 수면장애 및 배회행동에 미치는 효과 (Effects of Aromatherapy and Foot Reflex Massage on Emotion, Sleep Disturbance, and Wandering Behavior in Older Adults with Dementia)

  • 이선영
    • 재활간호학회지
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    • 제16권1호
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    • pp.9-17
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    • 2013
  • Purpose: This study was to evaluate the effects of aromatherapy and foot reflex massage on emotion, sleep disturbance and wandering behavior in older adults with dementia. Methods: This is a quasi-experimental study with a non-equivalent control group. A total of 39 participants were divided into two groups. Aromatherapy and foot reflex massage was administrated to experimental group (N=19). There was no treatment for the control group (N=20). Data were analyzed using the SPSS/Win 18.0 program. Results: Experimental group showed significant differences in emotion, sleep disturbance and wandering behavior in comparison to the control group. Conclusion: The results showed that aromatherapy and foot reflex massage program was effective on emotion, sleep and decreasing a wandering behavior in older adults with dementia. This research suggests that aromatherapy and foot reflex massage could be recommended as a nursing intervention for enhancing quality of life in older adults with dementia.

컨테이너 화물 안전수송을 위한 관제 및 운용기술 개발에 관한 사용자 만족도 (Investigation of Users' Satisfaction of Control & Operation Technology Development for Secure Container Transportation)

  • 하창승;황석준;손보라
    • 수산해양교육연구
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    • 제24권4호
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    • pp.482-493
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    • 2012
  • Logistics security has been enhanced to control cargo containers effectively and safely in global logistics. In response to the change, This study describes the system now being developed that tracks container position, watches cargo security status and gets informations of surrounding until the cargos arrived at its destination. We examine completion and satisfaction of the product for prospective users. For this, considering earlier studies about customer trust, satisfaction, service quality and purchase decision, we analyse an effect among the variables empirically. As a result, when the program is released, we examine customers' satisfaction and purchase decision for the informations to be offered from the program.

콘크리트 표면절삭 장비의 품질관리를 위한 머신비전 알고리즘 개발 (A Study of the Machine Vision Algorithm for Quality Control of Concrete Surface Grinding Equipment)

  • 김정환;서종원;송순호;이원식
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2007년도 정기학술발표대회 논문집
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    • pp.983-986
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    • 2007
  • 콘크리트 표면절삭 작업은 콘크리트 표면의 평탄성 및 부착성을 필요로 하는 공사에서 빈번히 사용되고 있으나 작업형태가 노동집약적이며, 유해한 작업환경을 보유하고 있다. 또한 장비를 다루는 기능공의 숙련도에 따라 생산성 및 절삭품질의 편차가 큰 경향이 있다. 그러므로 주변 환경오염 방지와 장비 조종자가 위험에 노출되지 않도록 하기 위한 원격조종 콘크리트 표면절삭 장비 개발이 요구된다. 그러나 원격 조종 시스템에서 조종자가 절삭면의 품질을 측정하기 난해하고 품질에 대한 객관적인 판단을 내리기가 어려우므로, 본 연구에서는 머신비젼시스템(Machine Vision System)을 적용하여 네트워크 카메라로 촬영한 절삭면의 이미지를 디지털 영상처리(Image Processing)과정을 거쳐 그 결과를 그래픽 MMI(Man-Machine Interface) 프로그램에 표현함으로써 품질관리 시스템을 구축하였다. 머신비전 알고리즘은 콘크리트 절삭면의 디지털 영상처리 알고리즘을 의미하며 본 논문에서 제안된 알고리즘을 적용하여 콘크리트 절삭면의 객관적인 품질관리 기준을 제시하고자 한다.

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미술요법이 노인의 인지, 우울 및 삶의 질에 미치는 효과 (Effects of Art Therapy on Cognition, Depression, and Quality of Life in Elderly)

  • 최연희;전은영
    • 지역사회간호학회지
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    • 제24권3호
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    • pp.323-331
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    • 2013
  • Purpose: The study attempted to examine whether the group art therapy using a collage medium and reminiscence therapy prevented or reversed dementia, prevented depression, and improved the quality of life of elderly women at high risk for dementia in community public health centers. Methods: As a quasi-experimental study with a non-equivalent control group, this study used a pre-post design. The subjects consisted of a random sample of women over 65 years of age who had been registered as being at high-risk for dementia at the Public Health Center of the G City, and the Dementia Support Center. Of these elders, 30 were assigned to the experimental group and 33 to the control group. The intervention was conducted twice a week for 5 weeks. $x^2$-test, t-test, Wilcoxon test were used to analyze the data. Results: After the program, cognitive function, depression, and quality of life were significantly better in the experimental group than in the control group. Conclusion: The group art therapy can be utilized in community-based nursing practices by identifying and registering those who are at high risk for dementia. The results should prove useful when designing future intervention strategies targeting elderly individuals residing in communities.

말기 암 환자에게 적용한 발 반사 마사지의 통증경감 및 수면증진 효과 (The Effects of Foot Reflexology on Pain and Quality of Sleep in Patients with Terminal Cancer)

  • 김은주;경부순
    • 임상간호연구
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    • 제14권1호
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    • pp.33-44
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    • 2008
  • Purpose: This study was performed to determine the effects of foot reflexology on pain and quality of sleep in patients with terminal cancer. Method: Quai-experimental research design was used. The subjects of this study were consisted of 19 for experimental group and 18 for control group. Visualue Scale(VAS) was used as the measurement tool of pain in this study, Verra & Snyder-Halpern Sleep Scale(VSH) and Visual Analogue Scale(VAS) were used as the measurement tool of perceived quality of sleep. Data were analyzed using statistical methods such as frequency, percent, $x^2$-test, t-test using SPSS WIN 12.0 program. Results: The hypothesis 1 that the experimental group with reflexology has less degree of pain than the control group without reflexology was supported (t=5.41, p<.001). The hypothesis 2 that the experimental group with reflexology has higher degree of VSH Scale than the control group without reflexology was supported(t=2.37, p=.02). The hypothesis 3 that the experimental group with reflexology has the difference among the mean of sleep VAS Scale during the 12 measurement periods was not supported(F=1.63, p=.08), and no significant interactions between group and time. Conclusion: It is considered that reflexology is effective for reducing cancer pain and improving quality of sleep in patients with terminal cancer.

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통계적 품질관리도를 활용한 차별적 경찰대응전략의 평가 (Evaluating the Quality of the Differential Police Response Strategy: Applications of Statistical Quality Control Charts)

  • 이명우;김지훈;박한호
    • 한국콘텐츠학회논문지
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    • 제16권6호
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    • pp.529-536
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    • 2016
  • 본 연구의 목적은 차별적 경찰대응전략의 품질을 평가하는 것이다. 새로운 경찰대응시스템이 도입된 지 약 3년이 지났지만, 이를 실증적으로 평가한 연구는 미비한 실정이다. 2가지 종류의 통계적 품질관리 기법을 활용하여, 2012년 한해동안 익산경찰서에 신고된 약 3,000건의 경찰데이터를 분석하였다. "Xbar-R 관리도"의 분석결과, 경찰은 긴급출동신고전화 (Code 1)에 지속적으로 신속히(3분 이내) 대응하지 못하는 것으로 나타났다. 더불어 "P 관리도"의 분석결과, 경찰은 비긴급출동신고전화 (Code 2)에 5분이내로 대응하지 못한 출동건수의 월별 상이성이 큰 것으로 나타났다. 본 연구에서 알 수 있듯이 경찰이 추구하는 "신속한" 수준의 대응전략에 있어 코드별 목표대응시간에 대하여 재검토 할 필요성이 제기된다.

복합운동프로그램이 중년여성의 신체구성 및 혈중지질의 변화에 미치는 영향 (The Effect of an Integrated Kinetic Program on the Change of Body Composition and Blood Lipid Components in Middle-aged Women)

  • 양지;이완희
    • The Journal of Korean Physical Therapy
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    • 제24권1호
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    • pp.41-50
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    • 2012
  • Purpose: This study examined the effect of an integrated kinetic program on the body composition of middle-aged and their associated blood lipid components. Methods: The subjects included 50 middle-aged women who resided at J city. Upon their agreements, the subjects were divided into either an experimental group or the control group. There were 25 subjects in each. The integrated kinetic program was conducted during the 6 weeks, and the experimental group was underwent its associated program 5 times a week. There were 3 subjects from each group that were excluded. The extensions were measured with the extensometer, the weights were taken with the body ingredient analysis instrument, and the blood lipid consistency with the blood autoanalyzer. Results: Pre- and Post- the integrated kinetic program, there were statistically significant differences between the body fat mass and the BMI in the experimental group. However, this difference was not significantly different in the control group. Further, there were no statistically significant differences between the two groups of all items in blood lipid components. But the experimental group showed the decrement from TC and TG items after accomplishing the program. Conclusion: The results of this study showed that this kinetic program helps the prevention and functional control of bodily functional decrement to middle-aged women. It is considered that follow-up studies on practically integrated kinetic programs are needed so that they include exercise accomplishments of proper period and good quality nutrition intake. This is in order to maintain muscular quantity and prevent muscle function decrement for the healthy middle-aged women, preparing in aging and menopause.

문제중심학습을 적용한 노인보건교육 프로그램의 효과 (Effects of a Problem-Based Learning Program on Health Education for Elders)

  • 손영주;최은영;송영아
    • 대한간호학회지
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    • 제39권2호
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    • pp.207-216
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    • 2009
  • Purpose: The purposes of this study was to analyze the effects of a health education program using problem-based learning on health related knowledge, behavior, and quality of life in elderly people. Methods: The participants included 44 elders, of whom 23 took the health education program and 21 did not. All participants were over 60 yr of age and were selected from residents of nursing homes or participants in activities of social welfare facilities in Jeju Province. Elders in both groups completed pre- and post-tests. Elders in the education group participated in 5 weekly sessions, 100-120 min/session of problem-based learning on health education. Data were analyzed using SPSS WIN 12.0. Results: Scores for health knowledge, health behavior, and quality of life for the education group were significantly higher than those of the control group. Conclusion: A problem-based learning health education program can be recommended as a method to promote the health of the elders. Indirectly, the results seem to indicate that proper assessment and support should be provided simultaneously in the management of elders' health. Finally, future study is needed to examine whether problem-based learning is more helpful compared to traditional education.