• Title/Summary/Keyword: Resilience index

검색결과 101건 처리시간 0.029초

대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과 (The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers)

  • 최경숙;박정애;이주현
    • 종양간호연구
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    • 제12권1호
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    • pp.61-68
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    • 2012
  • Purpose: This study aimed to investigate the influence of resilience and symptom experience on quality of life. Methods: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. Results: The level of FACT-C was 86.61 (${\pm}18.91$), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (${\beta}$=.373), symptom experience (${\beta}$=-.292), and perceived health status (${\beta}$=-3.961). Conclusion: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

지류 중소하천의 물관리 탄력성 평가지수 개발 및 평가 (Development and assessment of water management resilience of mid-small scale tributaries)

  • 박정은;이을래;임광섭
    • 한국수자원학회논문집
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    • 제49권2호
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    • pp.95-106
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    • 2016
  • 지류 중소하천의 미래 물관리 정책방향을 수립하기 위한 자료로, 물관리 탄력성 지수를 개발하고 이를 117개 중권역에 적용하였다. 물관리 탄력성 지수는 취약성, 견고성, 다양성의 부지수로 구성하였으며, 각 부지수는 다시 이수, 치수, 하천환경 분야의 지표들로 총 31개의 지표항목으로 구성하였다. 중권역은 다목적댐 하류 본류유역(범주 1), 용수공급 및 유량조절이 불가능한 지류(범주 2)와 가능한 지류(범주 3)로 분류하여 적용한 결과, 지류 중소하천에서의 물관리 탄력성, 특히 이수 및 치수분야의 다양성이 본류에 비해 낮은 것으로 나타났다. 또한 취약성과 견고성에 있어서는 본류와 지류가 큰 차이를 보이지 않았으나 다양성에서 지류가 낮은 값을 나타내었다. 따라서 지류 중소하천의 다양성을 높이는 방향으로 물관리 정책의 수립이 필요하다. 본 연구에서 개발된 물관리 탄력성 지수는 내외부 충격에 대한 안정성을 종합적으로 제시하여 수자원 정책 및 계획의 우선지역 선정 등에 활용할 수 있을 것이다.

상수도관망 수원-절점 최소거리와 에너지 지표 상관성 분석 (Correlation analysis between energy indices and source-to-node shortest pathway of water distribution network)

  • 이승엽;정동휘
    • 한국수자원학회논문집
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    • 제51권11호
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    • pp.989-998
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    • 2018
  • 수원과 수용가 간 연결성은 비정상상황 시 상수도관망의 기능 유지 정도를 나타내는 시스템 특성 중 하나이다. 상수도관망은 점과 선으로 구성된 그래프로 간략화 될 수 있기 때문에, 연결성 평가를 위해 주로 그래프 이론이 적용되었다. 하지만, 대부분의 연구는 상수도관망에 적합하지 않은 무향-비가중 그래프 이론을 적용하였다. 본 연구에서는 유향-가중 그래프 이론을 상수도관망에 적용하였으며, 이를 기반으로 복잡한 수리해석 없이 상수도관망 연결성을 평가할 수 있는 지표인 SNSP (Source to Node Shortest Pathway)와 이의 역수인 SNSP-Degree (SNSP-D)를 제안하였다. 국내 J시 42개의 상수도관망을 이용하여 개발된 SNSP와 기존 상수도관망 성능평가지표 사이의 상관성 분석을 수행 및 검증하였다. 기존 상수도관망 성능평가지표는 수리해석 결과를 지표 계산에 이용하는 3개의 회복력(Resilience) 지표와 에너지 효율 지표이다. 분석 결과, SNSP의 역수인 SNSP-D의 합과 기존 상수도관망 성능지표 사이에 평균적으로 0.87 이상의 높은 피어슨 상관계수(Pearson Correlation Coefficient, PCC) 값이 도출되었다. 특히, 회복력 지표 중 하나인 Modified Resilience Index (MRI)와 에너지 효율 지표의 경우 PCC 0.93 이상의 높은 상관관계를 가지는 것으로 나타났다. 또한 다중 회귀 분석을 통해 SNSP-D와 회복력 및 에너지 효율 간의 상관성에 영향을 미치는 수리학적 변인을 확인하였다. 본 연구에서 제안한 SNSP 지표가 상수도관망의 대략적인 회복력 및 에너지 효율 수준을 알려줄 수 있는 지표로 실무에서 널리 활용될 것으로 기대된다.

SWMM 모델을 이용한 우수 관리 홍수 탄력성 분석 (Analysis of Flood Resilience of the Stormwater Management Using SWMM Model)

  • Hwang, Soonho;Kim, Jaekyoung;Kang, Junsuk
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2021년도 학술발표회
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    • pp.126-126
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    • 2021
  • Stormwater reduction plays an important role in the safety and resilience to flooding in urban areas. Due to rapid climate change, the world is experiencing abnormal climate phenomena, and sudden floods and concentrated torrential rains are frequently occurring in urban basins and the amount of outflow due to stormwater increases. In addition, the damage caused by urban flooding and inundation due to extreme rainfall exceeding the events that occurred in the past increases. To solve this problem, water supply, drainage, and water supply for sustainable urban development, the water management paradigm is shifting from sewage maintenance to water circulation and water-sensitive cities. So, in this study, The purpose of this study is to examine measures to increase the resilience of urban ecosystem systems for urban excellence reduction by analyzing the effects of green infra structures and LID techniques and evaluating changes in resilience. In this study, for simulating and analysis of runoff for various stormwater patterns and LID applications, Storm Water Management Model (SWMM) was used.

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이행이론을 기반으로 한 폐경이행모형 (A menopausal transition model based on transition theory)

  • 김지순;안숙희
    • 여성건강간호학회지
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    • 제28권3호
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    • pp.210-221
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    • 2022
  • Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women's menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results: The model fit indices were considered acceptable: 𝛘2/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths-from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life-were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.

여성 류마티스 관절염 환자의 건강관련 삶의 질 구조모형 (Health-related quality of life in female patients with reumatoid arthritis: a structural equation model)

  • 김부경;성미혜
    • 여성건강간호학회지
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    • 제29권2호
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    • pp.91-103
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    • 2023
  • Purpose: This study aimed to construct a structural equation model to explain and predict factors affecting the health-related quality of life (QoL) in female rheumatoid arthritis (RA) patients based on the health-related QoL model by Ferrans et al. (2005) and a literature review. Methods: Patients (N=243) who were either registered members of an internet cafe composed of patients with RA or rheumatology outpatients at two tertiary general hospitals in Busan, Korea, were recruited via convenience sampling. Data were collected from July 2 to September 9, 2021, and the survey was conducted using a web-based questionnaire. The data were analyzed by SPSS and AMOS 26.0. Results: The goodness-of-fit statistics of the final model exhibited good results (χ2/degree of freedom=2.68, Turker-Lewis index=.94, comparative fit index=.96, standardized root mean-squared residual=.04, root mean- square error of approximation=.08), and 11 out of 14 paths of the model were supported. The squared multiple correlation, which reflected the explanatory power of the environmental characteristics, symptoms, functional status, and perceived health status on health-related QoL, was 80%. In the hypothesis model, 10 paths had significant direct effects, 6 paths had significant indirect effects, and 12 paths had significant total (direct and indirect) effects. Conclusion: Considering that factors directly affecting the health-related QoL of female patients with RA were social support, symptoms (fatigue and depression), resilience, and perceived health status, and that resilience was the most influential factor, clinicians can encourage resilience. Hence, to improve the health-related QoL of female patients with RA, continuing management is necessary, using various intervention methods that focus on enhancing resilience from the early stage to the end of treatment for RA.

Analysis of Drought Characteristics in Gyeongbuk Based on the Duration of Standard Precipitation Index

  • Ahn, Seung Seop;Park, Ki bum;Yim, Dong Hee
    • 한국환경과학회지
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    • 제28권10호
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    • pp.863-872
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    • 2019
  • Using the Standard Precipitation Index (SPI), this study analyzed the drought characteristics of ten weather stations in Gyeongbuk, South Korea, that precipitation data over a period of 30 years. For the number of months that had a SPI of -1.0 or less, the drought occurrence index was calculated and a maximum shortage months, resilience and vulnerability in each weather station were analyzed. According to the analysis, in terms of vulnerability, the weather stations with acute short-term drought were Andong, Bonghwa, Moongyeong, and Gumi. The weather stations with acute medium-term drought were Daegu and Uljin. Finally the weather stations with acute long-term drought were Pohang, Youngdeok, and Youngju. In terms of severe drought frequency, the stations with relatively high frequency of mid-term droughts were Andong, Bonghwa, Daegu, Uiseong, Uljin, and Youngju. Gumi station had high frequency of short-term droughts. Pohang station had severe short-term ad long-term droughts. Youngdeok had severe droughts during all the terms. Based on the analysis results, it is inferred that the size of the drought should be evaluated depending on how serious vulnerability, resilience, and drought index are. Through proper evaluation of drought, it is possible to take systematic measures for the duration of the drought.

회복탄력성을 고려한 기상 시나리오별 가뭄 용수 공급방안: 나주호를 중심으로 (Water Supply Alternatives for Drought by Weather Scenarios Considering Resilience: Focusing on Naju Reservoir)

  • 박진현;고재한;조영준;정경훈;성무홍;정형모;박현규;유승환;윤광식
    • 한국농공학회논문집
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    • 제60권5호
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    • pp.115-124
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    • 2018
  • Resilience has been widely used in various fields including design and operation of infrastructures. The resilient infrastructures not only reduce the damage scale of various disasters but also reduce the time and cost required for restoration. However, resilience rarely applied to promote efficient management of agricultural infrastructures. Recently, drought is an aggravating disaster by climate change and need countermeasures. Therefore, we tried to demonstrate evaluating measures in case of drought under consideration of resilience. This study applied the robustness-cost index (RCI) to evaluate alternative solution of the supply problem of a large agricultural reservoir under drought conditions. Four structural alternatives were selected to estimate the robustness index (RI) and the cost index (CI) to obtain the RCI values. Structural alternatives are classified into temporary measures and permanent measures. Temporary measures include the development of a tube wells and the installation of the portable pump, while the permanent measures include the installation of a pumping stations and the pumping water to the reservoir (Yeongsan River-Naju reservoir). RCI values were higher in permanent measures than those of temporary measures. Initial storage of the reservoir also affected RCI values of the drought measures. Permanent measures installation and management of early stage of the reservoir storage shortage was identified as the most resilient system.

주성분 분석을 이용한 농업생산기반의 재해 취약성 평가에 관한 연구 (A Study on the Vulnerability Assessment for Agricultural Infrastructure using Principal Component Analysis)

  • 김성재;김성민;김상민
    • 한국농공학회논문집
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    • 제55권1호
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    • pp.31-38
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    • 2013
  • The purpose of this study was to evaluate climate change vulnerability over the agricultural infrastructure in terms of flood and drought using principal component analysis. Vulnerability was assessed using vulnerability resilience index (VRI) which combines climate exposure, sensitivity, and adaptive capacity. Ten flood proxy variables and six drought proxy variables for the vulnerability assessment were selected by opinions of researchers and experts. The statistical data on 16 proxy variables for the local governments (Si, Do) were collected. To identify major variables and to explain the trend in whole data set, principal component analysis (PCA) was conducted. The result of PCA showed that the first 3 principal components explained approximately 83 % and 89 % of the total variance for the flood and drought, respectively. VRI assessment for the local governments based on the PCA results indicated that provinces where having the relatively large cultivation areas were categorized as vulnerable to climate change.

간호대학생의 사회적 지지, 자아탄력성, 주관적 안녕감이 자살생각에 미치는 영향 (Effects of Social Support, Ego-resilience, and Subjective Wellbeing on Suicidal Ideation in Nursing Students)

  • 박순주;박은영;이송이;장아현;조서원
    • 기본간호학회지
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    • 제23권3호
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    • pp.310-319
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    • 2016
  • Purpose: This study was done to examine whether risk of suicidal ideation in nursing students as related to social support and ego-resilience, and whether subjective wellbeing mediated the relationships. Methods: Structural equation modeling was applied to test the model in which ego-resilience and social support from family, friends, and others were considered as exogenous variables and subjective wellbeing as a mediating variable. The participants were 285 nursing students who completed self-report measures including the Suicidal Ideation Questionnaire, the Multidimensional Scale of Perceived Social Support, the Ego-Resiliency Scale, and the Index of Wellbeing. Results: Results show that higher scores on family support and ego-resilience were positively associated with subjective wellbeing and negatively with suicidal ideation. Subjective wellbeing mediated the relationships between family support and suicidal ideation, and also ego-resilience and suicidal ideation. Among the three social supports, only family social support had both direct and indirect effects on suicidal ideation. Conclusion: Findings suggest that family support is a useful resource in the prevention of suicidal ideation in nursing students and building supportive relationship with family should be considered as the first step in suicide prevention strategies. Also enhancing ego-resilience could play an important role to reduce suicide risk through promoting well-being.