• 디지털융복합연구
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• 제18권5호
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• pp.505-512
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• 2020

본 연구는 S시 25개 자치구에 소재하는 치매안심센터 서비스에 대해 치매노인의 이용만족도를 조사함으로써 새로운 정책이 효과적으로 운영되고 있는지에 대한 기초자료를 제공하기 위한 것이다. 절차는 2019년 7월 1일부터 9월 30일까지 치매안심센터를 이용하는 217명의 치매노인에게 설문지를 통한 자가기입식 설문조사이다. 이용만족도 도구는 일직선 양끝에 부정-긍정표현을 표시한 도표평점척도이다. 연구결과, 이용만족도는 기관 신뢰가 불신보다(t=9.74, p<.001), 치매진단은 인지장애가 치매보다(t=0.13, p=.034), 우울은 경증이 중증에 비해(t=2.31, p=.022) 유의하게 높았다. 로지스틱 회귀분석으로 분석한 만족도 비(比)는 성별, 연령, 교육, 걷기 요인에서 유의한 차이를 보였다. 결론적으로 새로 도입된 치매안심센터의 만족도 개선을 위해 이용자의 특성을 고려한 건강지원 프로그램을 운영하는 것이 중요하다.

• 한국병원경영학회지
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• 제19권2호
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• pp.73-88
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• 2014

Objective: This research investigates how to increase the quality of medical service and supply high quality of medical service to patients. By using Kano Model theory we examines what medical service attributes the hospital would be conducted preferentially for patient's satisfaction and provides informations of management strategies for hospitals. Method: To study patients' perception of medical service quality, first we performed pilot test to derive 30 medical service attributes. With 30 medical service attributes, we conducted survey of 300 subjects who have experienced medical services in 6 months. To examine patients' conception of medical services, a modified Kano's questionnaire using 5 scale is applied. Finally we calculated SI(Satisfaction index) and DI(Dissatisfaction index) and PCSI(Potential Customer Satisfaction Improvement) index with Kano's Model analysis results. Key Findings: We found that the quality of medical service categorized in 15 one-dimensional elements, 9 must-be elements and 6 indifferent elements. Moreover the attribute of gives prompt services and have patient's best interest at heart scored the highest SI, whereas the attributes of accurate and precise medical service, exact records, enough explanation and polite attitudes are the highest score of DI. And also good explanation of the bill scored the highest PCSI. In this study findings indicate that while medical service providers try to increase patients' satisfaction by improving hospital's environments, patients' perception of trust and good interpersonal relationships with medical service providers have strong and positive impact on patients' satisfaction.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3105-3109
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• 2016

Background: Patients' spiritual needs increase drastically after a diagnosis of cancer because of its threatening nature. It is very important to recognize any spiritual crisis. This study aimed to determine needs among Iranian patients with cancer. Materials and Methods: This cross-sectional study was undertaken among 200 patients with cancer referred to Alinasab and Shahid Ghazi Tabatabaie hospitals of Tabriz, Iran. The Spiritual Needs Scale was used for data collection. Results: The mean age of participants was $45.9{\pm}16.4$ years. The majority expressed their main spiritual wishes as "think to God", "trust to God", "see others happy", "try for life beside the disease", "to be prayed for by others', and "need for kindness and help others". Regarding the relationship between demographic characteristics, factors related to disease and the total score of spiritual needs, the results of chi-square tests showed a significant statistical correlations with occupation (p=0.01) and number of children (p=0.03). Also the results of Pearson correlation showed that there is a significant statistical correlation between hospitalization frequency and patients' spiritual needs (p<0.01, r=-0.24). Conclusions: Determination of spiritual needs of patients with cancer in this study can help health carers and especially nurses to design appropriate spiritual care programs based on individual preferences.

• 한국보건간호학회지
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• 제8권2호
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• pp.83-100
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• 1994

This study was conducted to investigate a shift in retirement of nursing personnel periodically. The periods surveyed in this study were 1977-78. 1982-83. 1987-88 and 1992-93. The data were obtained from personal records of nurses and aid nurses who had retired from a general hospital in Seoul during the above periods. The number of the data analyzed in this study was 429 in all 284 nurses and 145 aid nurses. The obained results were as follows: 1. The average age of the retirements of the nurses was raised to 27. 1 during the period of 1987-88 and fell to 26. 1 during the period of 1992-93. The average tenure of office of the nurses has become longer recently; It lengthened from 2.1 years in the year of 1977-78. to 3.8 years in the year of 1992-93. The average number of the previous employment before entering the hospital was 0.3 during the period of 1977-78. and 0.0 during the period of 1992-93. As for the aid nurses the average age of retirement. the average tenure of office' and the average number of the previous employoment were 25.0, 3.6 years and 0.5 respectively in the order above-mentioned. 2. As for the evaluation items in the final nurse evaluation sheet. such items as good appearance. health. job ability. trust and calmness were highly estimated throughout the periods. The items of the highest score were 'professional knowledge' and 'professional skil' in the year of 1982-83. and 'professional skill' and 'interpersonal relationship' in the year of 1987­88. 3. Private and public environments related to working variables decisive to the retirement of nursing personnel.

• 한국응급구조학회지
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• 제1권1호
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• pp.42-53
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• 1997

To offer basic data about the influential factors on patient's Satisfaction level for emergency medical services the authors were performed this study in 60 patients visited to emergency room of third stage general hospital in Taejeon city. Data were collected through interview with patients by using a 15 items' questionaire according to care subscale, teaching subscale of Likert's five stage quantitative scale and the tools developed by Barbara Davis. The data were analyzed by using the SPSS/PC computerized program for mean, standard deviation, percentage, ANOVA, t-test, and pearson correlation. The results are as followings ; 1. Satisfaction of emergency medical service were showed in care area, but not showed in teaching and total area 2. Satisfaction of sociodemographic characteristics were a statistically significant difference only marriage, that were the higher in marriaged than single(P<.0.05). 3. In the emergency situation characteristics the satisfaction accordings to the visit cause were lower in accident than disease group, the reason of hospital selection were in order trust, introduction group, distance, traffic, kinds, and score of satisfaction were showed each of 43.47, 51.27(P<.001), the transportation vehicle was the 119, hospital ambulance group. but were not a satistically significant difference. 4. The negative correlation was observed between satisfaction and the length of stay at ER and the longer length of stay at ER was showed the lower satisfaction. But the positive correlation was observed between satisfacton and the arrival time, patients who arrived ER from 6:00P.M. to midnight were more satisfied than patients who arrived other time. 5. The length of stay at ER was significantly different according to the reason of hospital selection, the reason of ER selection, the visitant cause and hopital decisioner. Especially the length of stay was much longer in accident group and unconscious group.

• 정보보호학회논문지
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• 제29권3호
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• pp.579-588
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• 2019

산업제어시스템은 센서, 액추에이터 등의 다양한 물리적인 장치들로 구성된다. 과거에 미국에서 발생했던 상수도 시설 원격 접속 사고, 전력 제어시스템 감염 등 대규모 피해를 가져온 보안 사고는 산업제어시스템 접근 제어의 취약점으로 인해 발생했다. 물리적 장치에 대한 접근제어는 신뢰할 수 있는 시스템을 통해 이뤄져야한다. 그러나 폐쇄망으로 구성된 산업제어시스템 내부에 단일 접근 제어 시스템을 구축하는 것은 신뢰성을 보장받을 수 없다. 또 단일 접근제어 시스템은 장애나 사고 발생시 접근 제어 시스템이 작동 불가능해지므로 다른 접근 제어 방법이나 시스템이 필요하다. 본 논문에서는 신뢰성과 안정적인 운영을 제공하기 위해 운영 계층에 블록체인을 이용하고, 스마트 컨트랙트 배포를 통한 접근제어 메커니즘을 제안한다. 또한, 무결성, 기밀성보다 가용성이 우선시 되는 산업제어시스템을 고려하여 각 산업 환경에 맞게 소모할 컴퓨팅 자원을 설정할 수 있도록 신뢰 점수를 이용했다. 본 논문에서 제안하는 시스템은 기 제안된 블록체인 기반의 접근제어 시스템과 달리 현재 운영중인 산업제어시스템의 특성에 맞게 구성했다.

• 대한지역사회영양학회지
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• 제24권4호
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• pp.290-299
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• 2019

Objectives: This study examined the nutrition teachers' and parents' recognition of environmentally-friendly agricultural products (EAPs) used in school foodservice. Methods: A questionnaire survey was given to 128 school foodservice nutrition teachers in Seongnam and 189 parents from Oct. 16 to Oct. 31, 2018 at Seongnam in Gyeonggi province. The survey included information on the recognition, satisfaction, and improvement of EAPs, and the results of the two groups were compared. Results: A comparison of the recognition of EAPs showed that nutrition teachers knew more about the EAPs and local government support in school foodservice than the parents. On the other hand, the parents were more aware than the nutrition teachers in that children have a higher affinity for EAPs than for general agricultural products in the school foodservice. A comparison of the level of satisfaction with the EAPs by nutrition teachers and parents revealed the nutrition teachers to be significantly more satisfied than parents in terms of the color, taste and nutrition of EAPs. Among the items that should be provided with EAPs, more than 50% of each group of nutrition teachers and parents answered that vegetables must be provided first. Some 70.9% of nutrition teachers and 84.5% of parents were aware of the certification standards of EAPs. The nutrition teachers had showed a slightly higher score than the parents in the certification system (3.51 vs. 3.25). In terms of improving the EAPs, 36.2% of nutrition teachers answered a reasonable price preferentially, whereas 56.4% of parents answered maintaining quality. In the expected effects of using EAPs, 57.9% of nutrition teachers answered an improvement of parents' satisfaction on the school foodservice. On the other hand, 38.0% of parents answered an improvement of children' satisfaction on school foodservice. Conclusions: Nutrition teachers and parents need to be educated on the certification systems that would enhance the trust in EAPs.

• 한국식생활문화학회지
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• 제25권2호
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• pp.198-206
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• 2010

In recent years consumers have become used to products geared toward a more convenient lifestyle, thus, the demand for salted-cabbage, for use in preparing Kimchi is increasing. This study aims to investigate purchasing factors, the satisfaction and demands of salted-cabbage, and to ascertain a marketing strategy for expanding the use of salted cabbage in food-service departments of schools. Self-administered questionnaires were collected from 131 buying agents who manage food materials for schools, and statistical data analysis was completed using the SPSS V.14.0 program. 46.9% of the participating respondents were from elementary schools, 27.7% from middle schools, and 25.4% were from high schools.. Most of the subjects (67.9%) recognized the salted cabbage retailed for foodservice, but 62.3% of these had not purchased them, due to both their lack of trust in the sanitation and raw material handling of the food product, and the high price. Respondents considered different factors when deciding whether or not to purchase: the origin (local or imported) of the cabbage, hygiene, and taste, as well as characteristics such as the cabbage weight, package weight, and package materials. The score of post-behavior intentions as well as overall satisfaction was rather high. Also, they perceived the need of strategic promotion for enlarging the market portion of salted-cabbage. These results will done the guidelines for diversifying the salted-cabbage market and for creating an added value of agricultural products in rural areas.

• 대한간호학회지
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• 제27권1호
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• pp.178-188
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• 1997

As a descriptive survey, this study was attempted to get basic data necessary to recognize the factors that disturb the therapeutic atmosphere of hospital wards as perceived by nurses and hospitalized patients, to identify differences between the perceptions of the nurses and of patients. The subjects, 159 patients in Pusan National Hospital and 68 nurses working there were sampled between March 18 and April 13, 1996. The tool used to measure the disturbing factors was an amended form of the one developed by Kim, Mae Ja(1983). The differences between each subject's score for each factor were analyzed using means & SD. and the highest 3 items above the mean score for each factor were collected and compared. The results are described below : 1. Subject's perception of main disturbing factors : patients reported that the main factors were 'loss of role & economic trouble', 'the prognosis of disease', 'the change of daily life' but nurses replied that the main factors were' the prognosis of disease', 'the communication trouble with the medical team & interpersonal relationships'. 'The change of daily life' was not a perceved factor by nurses, but ranked third by the patients. 2. Subject's perception degree of each disturbing factor : (1) among the items related to interpersonal relationship. the patient group reported that the worst disturbance was dur to severely ill patients in the same room' but the nurse group regarded 'greed to monopolize wheelchairs or other supplies' as the worst disturbance. (2) among the items related to physical factors. the patient group regarded 'limitations to wash their body, physical pain and limitations in physical activity' as the worst disturbance, but the nurse group regarded' physical pain', and 'limitations to activity or change of appearance' as the worst disturbance. (3) among the items related to the change of daily activity, the patient group regarded 'the boredom of hospitalization or infavorable diet' as the worst disturbance, but the nurse group regarded 'too much noise or unclean room' as the worst disturbance. (4) among the items related to the communication trouble with medical team, the patient group regarded 'the ignorance of their disease due to poor information. the inability to understand the language of the medical team or the difficulty in seeing physician in time' as the worst disturbance, but the nurse group regarded 'the inability to trust physicians and physician's poor attention to patients' as the worst disturbance.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제11권5호
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• pp.147-156
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• 2022

다양한 산업을 관리하고 유지하는 산업제어시스템은 주로 외부와의 연결 없이 폐쇄적으로 운영됐지만 최근 인터넷의 발전과 ICT 기술의 도입으로 외부나 공격자의 산업제어시스템에 접근이 쉬워졌다. 잘못된 접근이나 공격은 산업제어시스템의 주요 속성인 가용성을 해칠 수 있으며, 가용성이 침해될 경우 큰 피해가 발생할 수 있다. 본 논문에서는 산업제어시스템에서 명령을 내릴 때 랜덤리스트를 생성해 검증그룹을 구성하여 명령을 검증 후 실행하며, 명령 실행 결과를 이용해 검증을 진행한 검증그룹에 피드백을 적용하는 신뢰 점수 기법을 도입한다. 이를 통해 명령 검증 요청과정에서 랜덤 생성에 발생하는 오버헤드를 줄일 수 있으며, 검증 과정에 유연성을 부여하고 시스템의 가용성을 보장할 수 있다. 시스템의 성능 분석을 위해 스마트 계약 배포 시 걸리는 시간과 가스 사용량, 명령 검증 시 가스 사용량을 측정했다. 그 결과, 기존시스템과 비교해 랜덤리스트를 생성하지만, 스마트 계약 배포에 걸리는 시간은 거의 차이가 없음을 확인했고 스마트 계약 배포에 사용되는 가스는 랜덤리스트 생성과정에서 약 1.4배 증가함을 확인했다. 하지만, 명령 검증 과정에서 명령 검증과 신뢰 점수 기법의 연산을 함께 진행함에도 랜덤 연산을 하지 않아 검증 1회당 약 9% 적은 가스를 사용해 검증 과정에 가용성을 보장한다.