• 국토계획
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• 제54권4호
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• pp.109-121
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• 2019

The purpose of this study is to understand the perceptions of stakeholders in environmental conflicts. The private rental housing project in Busan Sasang-gu Jurye 3 District, which took place in 2017 is one of many cases of environmental conflicts between developers and local residents. The case is considered as a typical failure of collaborative governance that has consequently caused negative impacts to both local residents and government. To understand why local residents could not come to consensus even though the majority of them were against the development project, we analyzed residents' perceptions and subjective opinions towards environmental conflicts. This study adopted 'Q methodology' to investigate human subjectivity. The results showed three distinguished types of subjectivity structures. Each type was named as 'collaborative governance advocates', 'public administration distrusters', and 'current local government supporters' based on their characteristics. Participants in all three types showed opposition to environmental damages that can be caused by the private rental housing development, but they revealed different perspectives on the importance of public participation and institutional responsibility in the process of decision-making. This study makes better understand what makes it difficult to build collaborative governance as a means of overcoming environmental conflicts.

• 대한간호학회지
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• 제52권2호
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• pp.187-201
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• 2022

Purpose: This study discovered a substantive theory of the experience and process of peer support work among people with mental illness. Methods: The participants were members of community-based mental health facilities and had been working as peer supporters for more than six months. The data were collected through in-depth interviews with twelve participants and analyzed using Corbin and Strauss's grounded theory approach. Results: The core category was "becoming a healer going with patients in the journey of recovery," and the core phenomenon was "identity confusion as a peer supporter." The causal conditions were "starting peer support work without certainty" and "standing at the boundary between the therapist and patient." The intervening conditions were "willingness to become a successful peer supporter," "feeling a sense of homogeneity with the patient," "accepting the mental illness," and "support from people around." The action and interaction strategies were "letting go of greed," "being open about oneself," "developing professional skills," "maintaining wellness in the body and mind," and "being with the patient." The consequences were "becoming a useful person," "changing attitude toward life," "expansion of the sense of self-existence," "recovering from mental illness," and "discovering a role as peer supporter." Finally, the substantive theory of "becoming a healer going with patients in the journey of recovery" was derived. Conclusion: This study provides a holistic understanding of peer support work and the implications of interventions to help people with mental illness in a person-centered recovery process.

• 한국융합학회논문지
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• 제13권1호
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• pp.313-323
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• 2022

본 연구에서는 COVID-19시대에 비대면 서비스가 확대되고 있는 상황에서 마비말장애의 재활을 위한 디지털 치료제 기반의 커뮤니티케어 방안을 모색하고자 하였다. 이를 위하여 병원, 언어치료기관, 사회복지기관에서 근무하는 전문가들을 대상으로 질적연구를 수행하였고, 연구 결과 3개의 주제와 9개의 하위주제, 18개의 의미단위가 도출되었다. 분석결과에 근거한 디지털 치료제 기반의 커뮤니티케어 모델은 원격진단, 원격치료, 재활훈련 프로그램 제공, 동료지원가들의 지지, 임상적 지원, 의사소통 지원, 심리사회적 중재, 케어플랜 서비스 등 9가지 유형으로구성되었다. 본 연구는 디지털 치료제를 활용한 보건-복지 연계서비스를 위한 기초자료와 다학제간 협력에 기반한 공유케어 계획 수립의 가이드라인을 제공할 수 있을 것이다.

• 한국체육학회지인문사회과학편
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• 제55권2호
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• pp.81-93
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• 2016

본 연구는 보수적인 스포츠인 야구에 도전하는 여성들이 야구 참여로 인해 직면하는 갈등 경험을 분석하고 이러한 갈등을 어떻게 대처하고 있는지를 파악하는데 그 목적이 있다. 이를 위해 여자야구연맹에 등록된 팀에 1년 이상 참가한 동호인 18명을 대상으로 심층면담을 실시하였다. 면담자료는 의미의 범주화, 개념화의 분석과정을 통해 다음과 같은 결론을 도출하였다. 첫째, 여성들의 야구활동 참여로 인한 갈등은 직장과 여가활동의 갈등, 중요타자와 여가활동의 갈등(가족의 반대와 대인관계활동의 단절), 사회문화적 편견과 여가활동의 갈등으로 나타났다. 둘째, 여성 야구 참여자들의 갈등상황의 대처방법은 설득과 타협을 통한 지지세력 만들기, 적극적 대처(나만의 길 및 삶의 우선순위), 회피적 대처(거짓말 및 갈등의 회피)로 구분되었다.

• Journal of Radiation Protection and Research
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• 제31권4호
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• pp.203-210
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• 2006

목적 : 전뇌 방사선 치료를 받는 임산부의 태아가 받을 선량을 측정하고, 태아의 제한 선량을 적합하게 만족시키기 위한 방사선 차폐 구조물을 설계하고자 한다. 재료 및 방법 : 먼저 4개의 바퀴가 부착된 폭 0.9 m, 높이 1.55 m, 두께 3 cm의 남 차폐 벽을 이용하였다. 남 차폐 벽을 환자와 선형가속기의 갠트리 상부 사이에서, 치료 조사야 경계로부터 1 cm 정도 떨어진 부분에 설치하여, 선형가속기의 갠트리 상부에서 방출되는 누설방사선과, 방사선 조사야 경계부근의 산란 방사선을 효과적으로 차폐하도록 하였다. 환자의 조사야 내의 치료부위로부터 산란되어 전달되는 산란 방사선을 최소로 하기 위하여, 약 2 cm 두께의 세로 벤드(cerrobend)를 이용하여 특수한 구조의 목 차폐대(anti-patient scattering neck supporters)를 성형하였다. 목 차폐대는 목에서부터 어깨와 가슴 상부 전체를 포함하여 차폐할 수 있는 크기로 제작되었으며, 목 부분을 기준으로 두 개로 분리되어 설치 및 운반이 용이하게 제작되었다. 마지막으로 치료실 내부의 구조물에서 산란되어서 들어오는 누설 방사선이 태아에 도달하는 것을 최소한으로 하기 위하여, 환자의 흥부와 복부 전체를 덮어씌우기 위한 3 mm 두께의 납 판 2장을 이용하였으며, 남 판의 무게를 지지하기 위하여 특수하게 고안된 차폐용 교각구조물이 아크릴로 제작되었다. 차폐의 효과를 검증하기 위하여, 먼저 실제 치료상황과 같은 조건에서 인간형 팬톰과 전리함(ionization chamber), 열형광선량계(TLD)를 이용하여 방사선량을 측정하였다. 각 측정은 우선차폐 구조물들이 있는 경우와 없는 경우 각각에 대하여 수행되었고, 각각의 경우는 다시 빌드업캡(build-up cap)이 있는 경우와 없는 경우로 분류하여 측정이 수행되었다. 실제 환자 치료시에는 최종 검증을 위하여 차폐구조물을 설치한 후에 전리함과 서베이메터(Survey meter)를 이용하여 태아선량을 측정하였다. 결과 : 차폐 구조물들을 설치하지 않았을 경우, 조사야로부터 30 cm, 40 cm, 50 cm, 60 cm 떨어진 지점의 방사선량은 전리함의 경우 각각 3.20, 3.21, 1.44, 0.90 cGy로 측정되었다. 차폐 구조물들을 설치하였을 경우에는 각 지점의 방사선량은 0.88, 0.60, 0.35, 0.25 cGy로 감소하였으며, 감쇄효율은 약 $70%\sim80%$로 계산되었다. 열형광선량계로 측정된 방사선량은 각각 1.8, 1.2, 0.8, 1.2, 0.8 (70 cm 거리) cGy로 측정되었으며, 환자의 복부 표면에서의 서베이메터를 이용한 측정량은 10.9 mR/h였다. 차폐구조물의 사용 시 전체 치료 동안에 태아선량은 약 1 cGy 정도로 평가되었다. 결론 : AAPM Report No.50의 자료에 따르면, 임산부의 방사선 치료 시 태아의 방사선 피폭선량은 5 cGy 이하일 경우에 방사선 피폭에 따른 태아의 위험이 거의 없는 것으로 제시되고 있다. 본원에서 차폐 구조물을 설치하였을 경우에 측정된 태아선량은 약 1 cGy로 측정되었고, 고안된 차폐구조물은 태아에 도달하는 방사선량을 감소시키기에 적합한 설계임이 입증되었다.

• 가족자원경영과 정책
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• 제19권2호
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• pp.1-26
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• 2015

The purpose of this study was to analyze the quality of life (QoL) of elderly women and the effect of social support on their QoL. The data were used 'urvey on the Elderly in 2011', which was held from 'Ministry of Health & Welfare' and 'Korea Institute for Health and Social Affairs'. Among the total 15,146 respondents, 3,880 of elderly women whose age was over 65, and who did not live together with their married children were included in the analysis. Multiple regression analysis and path analysis were used to analyze the research model. The findings were as follows. First, from the fact that the elderly women showed the highest mean in 'contact frequency with friends' among social support, it seemed that the elderly women contacted their friends more than their children in their old age. Among the support types from their children, elderly women received emotional support, physical support, instrumental support in order and irregular cash as a way of economic support. Second, from the regression results, the most critical factor that affected the QoL of elderly women was 'subjective physical condition level' and 'subjective standard of living' comes next. Third, the most important factor was 'subjective standard of living' from path analysis results, and 'subjective physical condition level' and 'total amount of annual income' in order. Also, social supports such as 'phone call contact frequency with children', 'emotional support from children', phone call contact frequency with relatives', 'phone call contact frequency with friends' positively affected the QoL of elderly women. Therefore, raising social supports from children, relatives, and friends positively contributes to improve the QoL of elderly women directly and indirectly. The results show that social supporters, which is a part of the structural aspects of social support, and types of social support, which lies in functional aspects, directly affect QoL of the elderly women and turn out to be factors that improve the QoL as mediating variables. It is concluded that the social supports can be the most important resources that make up declining personal and social resources in old age and maintain the QoL of elderly women.

• 호스피스학술지
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• 제3권2호
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• pp.19-33
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• 2003

Cancer causes many crises to cancer patients imcluding physical dysfunction and emotional changes such as anxiety, depression as well as a threat of life, fear of death. As it develops, cancer makes people feel powerlessness due to the losses of their own positions, roles and independence. Although occupying a little proportion among all types of cancer, head and neck cancer may cause a wide range of physical transformation by surgical operation, damage to active functions such as eating and speaking, provoke anxiety and depression after its operation, influencing the quality life of head and neck cancer patients. Thus nursing intervention should be developed to provide supportive nursing for head and neck cancer patients and play roles as competent supporters. This study is a nonequivalent, control group, pretest-posttest, non-synchronized quasi-experimental research design to determine, how nursing intervention has effects on anxiety, depressing of head and neck cancer and operated. They were divided into experimental and comparison groups, each consisting of 20 members. The data were collected during the period from December 1, 1999 to April 11, 2000. Tools of the study included the protocol of supportive nursing intervention which was developed by researcher with reference to a literal review and esperts' advice. The measurement tool of anxiety was consisting of totaled 20 question items which was prepared by Spielberger and translated by Kim et al., the device of depression measurement consisting of total 20 question items which was the output of Song's translation the device of depression self-evaluation from Zung. Data were analyzed using the SPSS/PC 9.0 program. The homogeneity of the subjects were tested using x2-test and t-test. 5 hypoteses were tested using t-test. The results of the study can be summarized as follows. 1.The first hypothesis that the experimental group receiving supportive nursing intervention shows a little anxiety than the control group not receiving supportive nursing intervention was supported(t=3.817, P=.000). 2.The second hypothesis that the experimental group receiving supportive nursing intervention shows a little depression than the control group not receiving supportive nursing intervention was supported(t=8.089, P=.000). Consequently, supportive nursing intervention was found an effective nursing intervention strategy to reduce anxiety and depression of head and neck cancer patients. Providing supportive nursing intervention in nursing practice can enhance the quality of life of those cancer patients.

• 간호행정학회지
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• 제7권1호
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• pp.127-144
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• 2001

The purpose of this study is to provided a basic administrative data for effective personnel management of nurses' by investigation their assessment and satisfaction with the job rotation and by analyzing the relation between their satisfaction and organizational commitment. Data were collected from Nov. 20 to Nov. 25, 2000 through self-reporting questionnaires taken by 280 nurses working at a university hospitals The 3 structured instruments were used for collecting the data; Questionnaires for measuring the utility and the problem of job rotation, Questionaires for measuring the satisfaction with the job rotation, and Mowday's Organizational Commitment Questionnaires. The data obtained were analyzed using frequency, percentage, average, standard deviation, range, Cronbach's alpha coefficients, Peason's correlation coefficients, t-test, one-way ANOVA, and chi-square test, multiple regression. The Results were as follows : 1. The supporters for regular job rotation account for 67% while the opponents to it account for 33%. The chief reason for endorsing the regular job rotation is quoted ${\lceil}$to attain more diverse job experiences${\rfloor}$, followed in order by ${\lceil}$to improve the job motivation and morale through the realization of personal needs${\rfloor}$, ${\lceil}$to place the right man in the right position${\rfloor}$. The reasons for opposing to the regular job rotation were listed in order ${\lceil}$difficulties to secure the expertise of nursing${\rfloor}$, ${\lceil}$personal needs not fully reflected in the job rotation${\rfloor}$, ${\lceil}$job rotations prompted rather by the administrative needs than by personal aptitude and ability${\rfloor}$. 2. In the assessment of job rotation, the points affirming the utility of the job rotation are $2.60({\pm}.66)$ out of possible 5 points and those admitting the problems the job rotation are $3.58({\pm}.59)$. The satisfaction with the job rotation is rated at $2.98({\pm}.55)$. 3. In the analysis into the relation between the assessment of job rotation and satisfaction with the job rotation, fairly high positive correlation is revealed between the satisfaction and utility of job rotation, whereas, considerably high negative correlation is seen between the satisfaction and problems with the job rotation(p=.000). 4. There is relatively high positive correlation between the satisfaction with the job rotation and organizational commitment(p=.000). In conclusion, the utility of on the job rotation and their satisfaction with the job rotation have positive correlation and the satisfaction with the job rotation and organizational commitment showed the positive correlation, too. Therefore, it is thought desirable to take administrative strategies well as education to improve the recognition of the job rotation's utility and to reduce the recognition of the problems with the job rotation to remain in the direction toward contributing to enhancement of the organizational commitment.

• 한국보건간호학회지
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• 제11권1호
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• pp.138-162
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• 1997

This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

• 한국지반환경공학회 논문집
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• 제17권11호
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• pp.15-21
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• 2016

국내에서는 현장에서 사용되고 있는 록볼트 공법에 대하여 여러가지 연구가 진행 중이다. 대규모 사면이나 터널, 암반구조물의 불안정한 지반을 새로운 평형상태로 유지시키기 위한 지보재로서 그라운드앵커, 록볼트가 있다. 이에 본 연구에서는 현재 가장 널리 이용되고 있는 지보재인 록볼트를 대상으로 원형 모형토조를 이용하여 실내 인발시험을 수행하여 지보재의 특성을 분석하였다. 최대인발하중의 변화 양상을 살펴보기 위해 수행한 록볼트에 대한 인발시험의 결과를 보면 인발시험 횟수에 관계없이 거의 일정함을 보였는데, 이것은 지보재가 최대인발하중에 도달할지라도 록볼트와 충전재 사이에 파괴가 거의 일어나지 않으므로 일정한 최대인발하중을 보이는 것으로 판단되며 금회 실내시험에서 충전재는 콘크리트와 토사로 채워져 있다. 주요 지보재인 록볼트의 충전재를 인공적인 재해를 방지하도록 설치한다. 본 논문에서는 록볼트 충전재인 그라우트재가 흘러내리는 것을 방지하기 위한 밀봉패커를 개발하였으며 그로 인한 터널과 사면에서 시공 시 적용성과 역할을 평가하였다.