• 제목/요약/키워드: Quality of Work-Life

검색결과 716건 처리시간 0.031초

한국어판 세인트조지 호흡기설문의 타당도와 신뢰도 검정 (Validation of the Korean Version of the St. George's Respiratory Questionnaire for Patients with Chronic Respiratory Disease)

  • 김영삼;변민광;정우영;정재희;최상봉;강신명;문지애;한숙정;남정모;박무석;김세규;장준;안철민;김성규
    • Tuberculosis and Respiratory Diseases
    • /
    • 제61권2호
    • /
    • pp.121-128
    • /
    • 2006
  • 연구배경: 만성폐질환 환자에서 삶의 질을 측정하는 도구로서 세인트조지 호흡기 설문(St George's Respiratory Questionnaire;SGRQ)이 개발되어 치료효과를 판정하는 측정지표로 널리 사용되고 있으나 영어권국가에서 만들어 졌기 때문에 우리나라에서 동일하게 사용하는데 제한점을 가지고 있다. 따라서 이의 정확한 적용을 위해서 언어, 기술, 개념적인 관점을 고려하여 한국어 설문지를 만들고 이들의 타당도와 신뢰도를 평가하였다. 방 법: 한국판 세인트조지 호흡기 설문은 번역, 역번역, 전문가 패널의 수정을 통해 완성되었고, 세브란스병원 호흡기내과를 방문한 환자를 대상으로 하여 이 설문을 시행하였다. 신뢰도 검정은 Cronbach's $\alpha$를 구하여 측정하였고 타당도는 폐기능검사, 6분보행검사, 호흡곤란지수와 산소포화도 검사를 동시에 시행하여 설문 검사결과와의 상관관계를 알아보았다. 결 과: 74명의 환자를 대상으로 시행하였으며, 남녀 비는 2.2:1, 평균연령은 $63.8{\pm}10.3$세였다. 이 중 천식환자는 27명(36.5%), 만성폐쇄성폐질환 환자는 39명 (52.7%)이었고, 결핵에 의한 파괴 폐환자는 8명(10.8%)이었다. Cronbach's ${\alpha}$ 값은 증상영역, 활동영역, 영향영역 및 총 점수에서 각각 0.63, 0.87, 0.89, 0.92 이였다. 총점수와 $FEV_1$, FVC, 6분보행거리, 산소포화도, 호흡곤란지수와 유의한 상관관계를 보였다. 결 론: 한국어판 세인트조지 호흡기 설문은 만성폐질환 및 천식과 같은 만성폐질환 환자에서 신뢰도가 높았고 총점수와의 상관관계는 6분보행검사 및 산소포화도에서 높음을 알수 있었고 폐기능 검사와의 상관계수는 원저인 세인트조지 호흡기설문 및 타 국가의 번역본 호흡기설문에서와 같이 높지 않음을 알 수 있었다. 따라서 우리나라에서도 호흡기질환의 삶의 질에 대한 치료효과 판정에 활용할 수 있을 것으로 기대된다.

장기간의 복합운동이 골다공증 노인의 신체부위별 골밀도와 심혈관질환 위험요인에 미치는 영향 (Long-term Combined Exercise has Effect on Regional Bone Mineral Density and Cardiovascular Disease Risk Factors of the Elderly with Osteoporosis)

  • 최필병
    • 한국노년학
    • /
    • 제31권2호
    • /
    • pp.355-369
    • /
    • 2011
  • 본 연구는 장기간의 복합운동이 골다공증 노인의 신체부위별 골밀도와 심혈관질환 위험요인에 어떠한 영향을 미치는가를 규명함으로써 골다공증 노인의 골밀도 개선과 심혈관질환을 예방하기 위한 운동 지침을 제공하고자 실시하였다. 연구의 대상자는 서울 S·K타워 실버타운에 입주하여 거주하는 골다공증 노인 여성 31명으로 규칙적인 복합운동군(n=16)과 통제군(n=15)으로 무선배정 하였다. 복합운동프로그램으로 동적 및 정적 스트레칭으로 이루어진 준비운동과 정리운동을 각각 10분씩 실시하고, 본 운동에서 유산소운동으로 자전거와 트레드밀을 이용하여 30~45분(예비 심박수; HRR 40%~60%) 동안 실시하였으며, 무산소운동으로는 대근육 단련을 위한 7가지 웨이트트레이닝(1RM * 50-70%; 8-10회 * 2세트 ~ 10-15회 * 1세트)을 주당 5일 1년간 시행하였다. 통제군은 실험이 진행되는 기간 동안 S·K타워에서 규칙적인 운동 및 신체활동에 참여하지 않고 TV 시청이나 회원과의 담소를 나누는 정도의 좌업생활을 하였다. 또한 이들은 실험 전, 중, 후에 신체 부위별 골밀도(상지, 하지, 골반, 척추, 체간 및 T-score)와 심혈관질환 위험요인(혈압, 혈중지질)을 측정하였다. 그 결과 첫째, 신체 부위별 골밀도에서는 골반, 척추, 체간 및 T-score에서 유의한 차이를 나타내었다. 둘째, 심혈관질환 위험요인 중 혈압(SBP, DBP)에서도 유의한 차이를 나타내었으며, 혈중지질의 변인 중 TC, TG, LDL-C 및 HDL-C에서도 유의한 차이를 나타내었다. 결론적으로 장기간 실시하는 복합운동은 골다공증 노인에게 있어 골반, 척추, 체간의 골밀도 및 T-score 개선과 함께 심혈관 질환 위험요인을 감소시킴에 따라 심혈관 질환으로 인한 사망률과 골절의 위험성을 감소시키고, 삶의 질을 향상 시킬 수 있을 것으로 생각된다. 이에 향후 연구에서는 골다공증과 만성질환의 다각적인 연구를 통하여 만성질환으로 인한 조기 사망률 감소와 삶의 질 향상을 위한 프로그램 개발이 논의 되어야 할 것이다.

Conceptual Approaches to Training Specialists Using Multimedia Technologies

  • Shchyrbul, Oleksandr;Babalich, Viktoriya;Mishyn, Sergii;Novikova, Viktoriia;Zinchenko, Lina;Haidamashko, Iryna;Kuchai, Oleksandr
    • International Journal of Computer Science & Network Security
    • /
    • 제22권9호
    • /
    • pp.123-130
    • /
    • 2022
  • Modernization of the educational sector requires globalization, democratization, and the transition to an information technology society. The main goal of education at the present stage is to solve the problem of ensuring the priority of the development of education and science. In modern conditions, the quality of training of qualified specialists is becoming particularly relevant. The great role of teacher education is emphasized by its main goal, which is to train specialists who can ensure the versatile and innovative development of a person as a person and the highest value of society, its mental, physical and aesthetic abilities, high moral qualities, and, consequently, the enrichment on this basis of the intellectual, creative and cultural potential of the people. Among the strategic tasks of modernizing higher education is to ensure informatization of the educational process and access to International Information Systems. The essence of the concept of multimedia is clarified. In the context of media education, multimedia lists a number of functions: informational, interpretive, cultural, entertainment, and educational. The need to meet the needs outlined in the article in the conditions of informatization of the educational process requires the teacher to have knowledge and skills in the field of multimedia pedagogical technologies, knowledge of advanced methods and means of modern science. It is considered what relevant concepts of media education have been developed and are being developed in Ukraine and form an important basis for the modernization of education, which will contribute to the construction of an information society in the country and the formation of civil society. Distance learning is considered - the most democratic form of education that allows broad segments of society to get an education. Distance learning methods are used in higher education institutions, in school education, in the system of advanced training of teachers, in the system of training managerial personnel.

노인 장기요양 보험 제도에 대한 부산광역시 물리치료사들의 인식도 조사 (A study of Korean Physical Therapist's Attitudes and Beliefs on Korean Government's National Long Term Care Insurance Program)

  • 김부영;박보람;송인경;오태영
    • 대한물리치료과학회지
    • /
    • 제18권1호
    • /
    • pp.21-32
    • /
    • 2011
  • Objective: This study was conducted to describe physical therapists' attitudes and beliefs towards Korean Government's National Long Term Care Insurance Program implemented last July 2008. Design: A survey research. Methodology: Participants were 143 physical therapists working in General Hospitals or University Hospitals in Busan, Korea. Each of the participants completed a questionnaire which was comprised of 22 questions. Among the 22 questions, 7 of these were independent variables such as gender, age, career, etc. while 15 of these questions were dependent variables such as the subject's expectations and reactions on the said program, opinions of the participants on the impact of the program to old people's families and relatives, participant's sentiments on social effects of this program to the society, etc. Data collection was conducted from the $20^{th}$ of July to the $5^{th}$ of August, 2008. Data were analyzed by Chi-square test, frequency and cross tabs using SPSS/PC program. Results: Based on the survey conducted, it showed that 50.3% were female respondents, 53.8% were on their twenties, 31.5% of the total respondents were married and that a percentage of 82.4% had working experiences below 10 years. About 80.4% of respondents were satisfied of their jobs and 32.4%of the respondents graduated from three - year college degree, 49.3% of the respondents graduated from four-year college degree. 95.1% of the total respondents knew the existence of the national long term care insurance program of the government and almost 78% got the information of the said program via internet, news paper or T.V. About 86% of the respondents believe that there will be future improvements in the quality of life in Korea through the said program and 82% said that there will be an increase sense of responsibility among family members to take care of their old relatives. 67.2 % of respondents believe that problems regarding old people will be solved through the government's national long term care insurance program. In aspect of Physical Therapy, 50% of the respondents expected generation of more jobs especially to physical therapists and 95% of the respondents want to work in any position in the said program especially those are more experienced ones. Conclusion: Physical Therapists in Korea are aware of the existence of the National Long Term Care Insurance Program of the Korean Government. Based on the gathered results from the survey, many experienced physical therapists of the country wanted to acquire positions in the said program especially that their expertise are needed in the said field. Through this study, it is evident that many physical therapists of the country have positive vibes on the said program and are optimistic on the outcomes of the said insurance program.

  • PDF

치과위생사의 감염관리실태와 관련요인 (Infection control realities and relevant factors in dental hygienists)

  • 엄숙;김경원
    • 한국치위생학회지
    • /
    • 제12권2호
    • /
    • pp.379-389
    • /
    • 2012
  • Objectives : The purpose of this study was to improve the practice level on dental hygienists'infection prevention by examining the actual condition of dental hygienists'infection control and analyzing factors of having influence upon this. Methods : A questionnaire survey was carried out from July 18, 2011 to August 26 targeting dental hygienists who work at medical institutions where are located in Daegu, Busan and Ulsan Metropolitan Cities and Gyeongsangnam buk-do. After then, the following conclusions were obtained. Results : 1. As a result of surveying practice by item in the practice level of infection prevention, the items with high practice level in the management of infectious diseases were surveyed to be 12 months(89.6%) for health-checkup cycle and to be having experience of vaccination(78.0%) for hepatitis type B. The items with high practice level in the management and practice of washing hands were indicated to be in order of regularly paper towel(87.7%) and hands cleaning after regular medical examination(80.5%). In the item of the practice on wearing and managing individual protection equipment, regularly wearing(93.1%) rubber globes given washing implements was indicated to be high. 2. As a result of analyzing working career, working institution, working region, and practice level of infectious-disease management, the appearance of fulfilling infection control guidelines at medical institution and the experience of education for infection control were indicated to have difference depending on working institution. Regularly health checkup was indicated to have difference depending on respondents' working career and working institution. 3. The whole average in the practice level of infection prevention according to working career, working institution, and working region was indicated to be 2.55 out of 3-point perfection. 4. Wearing latex gloves was indicated to have statistically significant difference depending on working institution(p<0.001) and working region(p<0.001). The exchange of latex gloves every patient and the use of paper apron had statistically significant difference depending on working region(p<0.001). 5. As a result of comparing the frequency of using protection equipment for preventing infection according to the management of infectious diseases, the statistically significant difference was shown depending on the appearance of infection control guidelines at medical institution(p<0.001), the appearance of having experience of health checkup(p<0.01), and the appearance of having experience of vaccination for hepatitis type B(p<0.05). Conclusions : The above-mentioned findings showed that the denture satisfaction of the denture-wearing senior citizens was linked to their subjective oral health awareness. Therefore it will be possible to improve denture-wearing elderly people's quality of life when oral health plans geared toward boosting their denture satisfaction are carried out.

경남 서부지역의 중심지 세력권 변화와 주민 통근형태 연구 -진주 도시권지역의 통근-역통근을 중심으로- (The Metropolitan Chinju in Western Kyungnam with Special Reference to the Commuting Areas)

  • 곽철홍;이전
    • 한국지역지리학회지
    • /
    • 제3권1호
    • /
    • pp.13-34
    • /
    • 1997
  • 도시세력권은 도시의 인구와 경제규모, 교육 문화 의료시설을 비롯한 제반 서비스기능의 정도 등에 따라 결정되는데, 통근권은 도시세력권을 결정하는 가장 좋은 지표에 속한다. 왜냐하면 통근권은 지역 주민들의 규칙적인 일상생활과 직접적으로 관계되며 매일의 유동량을 정확하게 표현해 주기 때문이다. 본 연구는 경남 서부지역의 중심지 세력권 변화와 이에 따른 주민 통근행태의 성격을 구명하는 것을 목적으로 한다. 진주시는 전국 차원에서 보면 지방 중소도시에 지나지 않지만 경남 서부지역에서는 절대적인 중심지 역할을 수행하고 있으며 매우 넓은 세력권을 갖는다. 본 연구에서는 경남 서부지역 중심지들의 세력권을 인구와 산업의 변화를 통하여 고찰하고, 주민들의 통근행태를 주택-인구센서스의 통근-통학자료와 진주시 의료기관의 환자 동계자료 및 초 중등학교 교사들의 통근자료를 통하여 분석한다. 특히 교사들의 통근율에 따른 진주 도시세력권은 진주시로부터의 거리조락성과 도시간의 세력권 경합관계에 따라 결정된다. 경남 서부지역 교사들의 역통근 행태는 학교가 입지한 지역사회의 입장에서는 부정적 영향이 보다 크게 작용하고 있는 것으로 확인된다. 따라서 농어촌의 소규모 중심지들에 대한 각종 서비스시설을 확충함으로써 지역간 균형개발을 도모하여야 할 것이다.

  • PDF

사람 위선암과 HeLa 세포에 관한 저에너지 마이크로파 고정효과의 조직화학 및 전자현미경적 연구 (The Fixation Effects in Immunohistochemistry and Electron Microscopy Using Low Energy of Microwave (LEM) in Human Gastric Adenocarcinoma and HeLa Cell)

  • 양승하;손태호;신길상
    • Applied Microscopy
    • /
    • 제31권2호
    • /
    • pp.185-197
    • /
    • 2001
  • 여러 가지 장점이 있음에도 일정성이 유지되지 않는 다는 단점이 있는 마이크로파 고정 효과를 "저에너지 마이크로파"를 사용하여 보완하고자 하였다. 이를 위해 사람 위선암(gastric adenocarcinoma)을 저 에너지 마이크로파(low energy of microwave, LEM)로 고정하여 미세구조와 항원-항체반응 수준에서 그 효과를 관찰하고자 하였다. LEM으로 고정한 시료에서 항원-항체반응은 monoclonal 생쥐-항-사람-p53 (IgG2b, kappa)과 토끼-항-사람-c-erbB-2로 처리하여 결과를 냉동 절편과 비교하였다. 암세포 특이 항원은 LEM으로 처리한 시료에서 발색반응 산물의 확산이 적은 것으로 관찰되었고 보다 쉽게 인지될 수 있었다. LEM으로 고정한 위선암 조직의 미세구조는 보존된 것으로 보였으나 그 고정효과는 2차 원인에 의해 손상되는 것으로 보였으므로 이를 보상하기 위해서 LEM 고정 후 저농도 화학 고정액으로 재차 처리하여 다소의 일정성을 유지할 수 있었으나 위선암 조직은 더 낮은 마이크로파 에너지 요구성이 있는 것으로 생각할 수 있었다. 따라서 암세포가 요구하는 "최소 마이크로파 요구 범위"를 밝히기 위해서 배양 HeLa 세포를 더 낮은 에너지의 마이크로파와 저농도 화학고정액으로 처리한 결과 HeLa세포 미세구조가 보존되는 등 비교적 좋은 효과를 볼 수 있었다. 이 결과로 보면 LEM 조사(照射)로서 생체 저분자 및 수용성 단백질이 crosslink되는 효과가 있는 것으로 보았고 이를 저농도 화학 고정액으로 재차 고정하는 방법으로서 미세구조 및 항원성 보존 효과가 있는 것으로 사료되었으므로 이에 대하여 논의하고자 하였다.

  • PDF

사과 저장(貯藏)에 관한 연구(硏究) -무기영양(無機營養)이 사과의 저장(貯藏)에 미치는 영향- (Studies on the Preservation of Apple -Effect of Inorganic Compounds Applied in the Field on the Shelf-life of Apples-)

  • 박노풍;김연진;김성기;이종욱
    • 한국식품과학회지
    • /
    • 제9권1호
    • /
    • pp.13-18
    • /
    • 1977
  • Spur Red Delicious의 저장성(貯藏性)을 높이기 위하여 재배(栽培) 관리기간(管理其間)중 calcium물질(物質)을 시용(施用)하고 수확후 그 저장성(貯藏性)을 조사(調査)하였던 바 결과(結果)는 다음과 같다. 1. 사과의 저장성(貯藏性)은 calcium을 시용(施用)하지 않은 표준구(標準區)와 질소다비구(窒素多肥區)는 저장말기(貯藏末期)에 68%정도의 건전과율(健全果率)을 보였으나 calcium처리구(處理區)는 $73{\sim}78%$의 건전과율(健全果率)을 나타냈다. 2. 질소다비구(窒素多肥區)는 표준구(標準區)에 비하여 호흡(呼吸)이 증가되었으나 calcium처리구(處理區)는 저장중 계속 호흡억제효과(呼吸抑制?果)를 나타내었다. 3. 수확후 사과를 calcium용액(溶液)에 침지(浸漬)한 것보다 직접 과실(果實)에 엽면살포(葉面撒布)한 것이 더 좋은 결과(結果)를 보였다. 4. calcium처리구(處理區)는 무처리구(無處理區)보다 경도(硬度)가 높아 연화현상(軟化現象)이 적었다.

  • PDF

Determinants for further wishes for cosmetic and reconstructive interventions in 1652 patients with surgical treated carcinomas of the oral cavity

  • Holtmann, Henrik;Spalthoff, Simon;Gellrich, Nils-Claudius;Handschel, Jorg;Lommen, Julian;Kubler, Norbert R.;Kruskemper, Gertrud;Rana, Majeed;Sander, Karoline
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제39권
    • /
    • pp.26.1-26.10
    • /
    • 2017
  • Background: The impairment of the appearance is a major problem for patients with carcinomas of the oral cavity. These patients want to recover their preoperative facial appearance. Some do not realize that this is not always possible and hence develop a desire for further cosmetic and reconstructive surgery (CRS) which often causes psychological problems. Method: The desire of patients for CRS (N = 410; 26%) has been acquired in this $D{\ddot{O}}SAK$ rehab study including multiple reasons such as medical, functional, aesthetic and psychosocial aspects. They relate to the parameters of diagnosis, treatment and postoperative rehabilitation. Patients without the wish for CRS (N = 1155; 74%) served as control group. For the surgeons, knowledge of the patient's views is relevant in the wish for CRS. Nevertheless, it has hardly been investigated for patients postoperatively to complete resection of oral cancer. In this retrospective cross-sectional study, questionnaires with 147 variables were completed during control appointments. Thirty-eight departments of Oral and Maxillofacial Surgery took part, and 1652 German patients at least 6 months after complete cancer resection answered the questions. Additionally, a physician's questionnaire (N = 1489) was available. Statistical analysis was performed with SPSS vers. 22. Results: The patient's assessment of their appearance and scarring are the most important criteria resulting in wishes for CRS. Furthermore, functional limitations such as eating/swallowing, pain of the facial muscles, numb regions in the operating field, dealing with the social environment, return to work, tumour size and location, removal and reconstruction are closely related. Conclusion: The wish for CRS depends on diverse functional psychosocial and psychological parameters. Hence, it has to be issued during conversation to improve rehabilitation. A decision on the medical treatment can be of greater satisfaction if the surgeon knows the patients' needs and is able to compare them with the medical capabilities. The informed consent between doctor and patient in regard to these findings is necessary.

입원환자의 비공식적 의료비용 부담에 관한 연구 (A Study on the Informal Cost Burden of the Patients Admitted to the Hospital)

  • 한미현
    • 간호행정학회지
    • /
    • 제7권1호
    • /
    • pp.5-14
    • /
    • 2001
  • To estimate total burden of hospital admission over patient of gamily, we need to know the unofficial private expenses in addition to explicit hospital admission fees. This study was conducted from June 29, 2,000 to August 10, 2,000. Subjects were 104 patient at university hospital located at chungnam province. After thorough explanation of purpose and procedures, notebooks are given to each patient or guardian. They are requested to recorded all relevant expenditures occurred during hospital stay. Incomplete records were filled-up by direct personal contact or phones. Datas were summarized and analyzed using SAS statistical package. P-value less than 0.05 was considered significant. The results of the study are as follows: 1. In 96.1% of the patient, guardians stayed at hospital to take care of patients. In 38,8% one of the family members get work-leave or temporary resting from job. Average date of leave was 7.5days. 2. Average informal cost burden per patient was 204,467 won (14,330 won${\sim}$1,594,870 won). Average hospital cost paid by the patient was 1,061,807 won. The ratio of informal cost burden to hospital cost paid by the patient was 0.327. 3. According to the regression analysis, the relevant factors affection informal cost burdens were distance from home to hospital(p=0.018), and duration of hospitalization(p=0.0001). 4. Informal cost burden was composed of expenses for personal expense of care giver (126, 720 won/patient), meal (86,924 won/patient), transportation (77,648 won/patient), necessaries of life (18,789 won/patient), tests and treatments not covered by insurance (17,289 won/patient), medical supplies not covered by insurance (15,280 won/patient), treat for visitors (14,757 won/patient), TV coin (8,247 won/patient), and others (7,582 won/patient). In addition to the hospital cost paid by the patient for hospital admission, the informal cost burdens should be recognised explicitly because it is not small. Significant proportion of informal cost burden is composed of care-giver's personal expense, transportation, meal. It is suggested that some polices are to be devised and implemented enabling that this portion of informal expenses be directed to formal professional nursing care. Thus we can improve the quality of care and decrease discomfort of patient's relatives.

  • PDF