• 부모자녀건강학회지
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• 제18권2호
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• pp.47-57
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• 2015

Purpose: The purpose of this study is to discover the nature from the life experience of a person with unilateral acquired blindness and his/her family after losing the eyesight and adapting in the environment and to find the meaning of life and how to solve the problem in psychosocial aspect. Methods: This study uses one of the qualitative research methods which explains how families with the unilateral acquired blind perceive blindness after experiencing it and observes how they signify it. starts with interest in lifestyles of individuals and their families and tries to understand the subjective existences of participants in accessible ways and draw the experiences after becoming one-side blind. It cyclically uses deductive verification process through inductive method and establishing hypothesis using materials. Results: According to the results of this study, unilateral acquired blindness studies, due to shattered life, they did not know what to do. Also, discomfort from struggling in a big tunnel and even will to live were found. trying to go out to the world, seeing the new world, and trying to encourage myself, strong attachment to life was shown to by saying, appeared. Each includes sub-topics such as feeling abandoned after confirmed the blindness, feeling disappointed to doctors, family, and friends, trying to live with hope, struggling in a tunnel with thinking how to live, closing the mind from the world, seeing outside the world in the midst of struggling, trying to forget the past with the will of life, having hope to live with care of family, and trying to keep the rest vision. Conclusion: Firstly, in nursing aspect for their adaptation, programs for disable people and nursing intervention focused on their families should be developed. Secondly, since it can be economic and psychological burden for their families and acquaintances, it is necessary to support the blind so that they can find fitted rehabilitation programs and come back to society. Thirdly, active participation of health care providers may influence social interest the improvement of national welfare policy for the unilateral acquired blind.

• 한국의료질향상학회지
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• 제3권1호
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• pp.94-103
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• 1996

Background : Blood pressure is an important indicator in diagnosis and assessing treatment of a patient. Clinical staffs use blood pressure on the assumption that measured value is accurate and reliable. However, whether measured blood pressure is accurate has been rarely investigated in Korea. Objectives : The aims of this study are to evaluate clinical staffs' knowledge and technique as well as accuracy of sphygmomanometer. Also the program to improve the measurement is developed. Methods : Seventy-three registered nurses were asked nine multiple choice questions including Korotkoff sound, cuff size, and deflation rate. Simultaneously characteristics of nurses were examined, age, working place, duration of employment and academic degree. A testing videotape(Standardizing Measurement Video-Tutored Course) was used for evaluating the accuracy of measurement. Testees were to read and record the 12 cases of blood pressure measurement, watching a falling mercury column and hearing Korotkoff sounds. After 10 minutes' education, they were again tested with the same cases. Additionally, 83 mercury sphygmomanometers were checked to find defects such as inaccurate calibration and zero setting, leaky bladder, etc. Results: For the knowledge testing correct response rate was 41.1%. They were the lowest in selecting the proper cuff size and Korotkoff sound. In examining accuracy of blood pressure with videotape, nurses had 67.7% correct response rate. The correct response rate was significantly improved by a session of education. About 23% of sphygmomanometers was without discernable defects. Conclusion : The knowledge and skill of clinical staffs along with the accuracy of equipment have to be improved. A properly designed education program would contribute to the accuracy improvement of blood pressure measurement. Also, more concerns should be given to the precision and maintenance of equipment.

• 한국의료질향상학회지
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• 제3권1호
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• pp.78-93
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• 1996

Background : The goal of this study was to establish the QA items and guidelines for preventing and improving of safety management. Therefore we investigated the nurses' recognition and knowledge of the safety and risk procedures and policies, and the agreement between the nurses beliefs on the degree of importance of those procedures and policies, with actual implementation in hospitals. Method : The subjects of this study were 201 nurses who participated in a program called continuing education for nurses, which held in December, 1993. Result: The results of this study were as follows: 1. Among 18 types of hospital risks, the items that scored highest or the need of closer attention in safety management was the needle stick, medication errors, falling, and bed sores. 2. In most questions of the 18 incidences, the nurses showed that the estimated result would have positive signs except for hospital infections, burns, and bed sores. 3. Even though the survey shows that incidences and types of occurences varies according to the person's age and the time of incident, they mostly occur between midnight to 6AM. Falls and bed sores can be seen more in the elderly. Medications errors, hospital infections and burns are frequently found between the ages of one through twenty. 4. There was a higher mean score for recognizing the importance of those items than the importance of implementing them. Conclusion : In summary, nurses did perceive the need of safety management but the hospital policy for proper safety management was not established. So we recommended that the hospital administration would undertake an early detection and proper management system for hospital precautions, based on QA items & guidelines presented in this study.

• 디지털융복합연구
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• 제14권12호
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• pp.537-544
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• 2016

본 연구의 목적은 기초 수급자들을 대상으로 실시하고 있는 노인들의 불소도포 및 스켈링 사업을 통하여 그들의 구강건강 상태와 구강건강 관련 행태를 살펴보고 잔존 치아 수와의 관련성에 대하여 조사하고자 한다. 65세이상 기초 수급자 노인 660명을 대상으로 자기기입식 설문조사를 시행하였고, 구강검진을 통하여 틀니사용 유무와 잔존 치아 수 등을 조사하였다. 연령이 증가함에 따라 잔존 치아 수는 줄어들었으며, 성별, 연령, 구강위생용품의 사용, 자가 구강상태 진단, 점심 식사 후 칫솔질 유무에 따라서 잔존 치아 수에 차이가 나타났고 통계적으로도 유의하였다(p<0.05). 잔존 치아 수는 대상자 개인의 구강 예방에 대한 관심과 노력으로 예방이 가능하다. 따라서 노인들의 구강건강 행태가 잔존 치아 수에 미치는 융복합적 용인을 샆펴보고, 취약계층에 대한 예방 진료의 확대와 보건관리의 제공을 유지하기 위한 구강관리 프로그램이 지속적으로 제공되었으면 한다.

• 디지털융복합연구
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• 제16권10호
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• pp.59-67
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• 2018

고령자들에 국한된 M-Health 관련 서비스는 많지 않다. 치매발병 위험성이 있는 고령자의 다수가 스마트 기기에 익숙하지 않은 것이 현실이므로 직관적으로 사용하기 쉽고 터치버튼의 크기를 최대화한 사용자 맞춤형 앱설계가 요구된다. 따라서 본 연구에서는 고령자들의 접근성을 높이고자 음성입력이 가능한 모바일 음성알리미 통합앱을 설계, 구현하여 치매 등 인지기능 저하에 따른 질병을 예방하고자 한다. 경북 H지역의 평생교육원 수강생들에게 앱을 배포 후 개별 인터뷰와 설문검사를 실시 후 분석한 결과 만족도가 높게 나타났다. 음성 헬스케어 알리미 앱을 통해 치매예방을 할 수 있어서 고령자들의 M-Health 서비스를 위한 핵심적인 역할을 수행할 수 있을 것으로 기대된다. 향후 웹 DB에 저장된 자료를 딥러닝을 통해 학습하여 고령자들의 생활패턴과 치매가능성 여부를 예측하고자 한다.

• Human Ecology Research
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• 제55권4호
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• pp.441-450
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• 2017

Childcare related studies have focused on the characteristics of care work, policy aspects, user family satisfaction, and job satisfaction of childcare helpers. But there have been few studies on family system characteristics that support childcare givers. Thus, this study conducted on the topic, "How to characterize the family resilience of long-term childcare givers?" The subjects belong to a healthy family support center in U. City, who belong to a group with an income in the top 20 % of about 20 persons working for more than 3 years. In an interview, qualitative questions were used Walsh's family resilience. The results are as follows. First, they had economic hardship, but their family would stand together and build up a family's power based on the couple's faith. They had a family role model based on their parents' family that included inherited maternity qualities from their mother. Second, the flexibility of the family organization changed to autonomous or co-role type and the connectivity. Especially, they appear as a family's leader. Third, their family communication was active, shared-care, responsible and passionate with family affection and understanding. The conclusions results are as follows. Participants were high school graduates as well as had work experience. They were characterized by positive family energy, a family belief system, family-based resources, flexibility, connectivity, open family communication and expression skills. Therefore, it can be suggested that it is necessary to check the family's resilience during an interview for the reliable, long-term supply of human resources for childcare activities.

• 가정과삶의질연구
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• 제32권3호
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• pp.157-177
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• 2014

The purpose of this study was to investigate the contexts in which employed mothers with young children consider leaving the labor force. We used a mixed methods design, which integrates the findings of quantitative and qualitative analyses, to better understand the dynamics underlying employed mothers' intentions to leave the labor force. The participants of both quantitative (N = 324) and qualitative (N = 16) data were married mothers who were employed full-time and had at least one child younger than elementary-school age at the time of data collection. Both the quantitative analysis of logistic regression and the qualitative thematic analysis revealed that the child's age, the husband's income, the utilization of child care by relatives, the mother's job involvement, family-to-work role conflict, and other costs and rewards of participation in the work force were the important contexts where employed mothers considered leaving the labor force. The quantitative analysis uniquely found that being employed at a workplace with flexible work hours were associated with lower odds of considering exit from the labor market. The qualitative analysis highlighted that the decision to leave the labor force or to stay in it is a complicated issue that almost all employed mothers potentially face at some point in their careers. These findings suggest that policy support is warranted to help employed mothers with young children remain in the workforce when they wish to.

• 디지털융복합연구
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• 제12권3호
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• pp.309-316
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• 2014

이 연구는 종합병원들이 마케팅 컨셉트를 적극적으로 도입하고 있는 상황에서 그 구성개념인 전략 지향성이 성과에 어떻게 영향을 미치는지, 또한 종합병원의 조직구조와 규모가 독립변수와 종속변수 사이에서 어떻게 조절효과를 보이는지를 분석했다. 전략 지향성과 성과 관련 선행연구들을 살펴보았으며, 전략 지향성 개념을 고객, 경쟁, 진료기술 지향성 등의 세 차원으로 세분화하고 이들이 각각 성과에 어떤 영향을 미치는지를 분석하고자 했다. 이러한 연구목적을 달성하기 위해 5개의 연구가설을 설정하였으며, 20313년 7월 1일부터 8월 13일까지 5개 종합병원에 근무하는 176명의 직원들을 대상으로 설문조사를 실시했다. 실증분석 결과 전략 지향성을 구성하는 세 차원 모두가 종합병원의 경영성과에 유의하게 정(+)의 영향을 미치는 것으로 나타났다. 또한 종합병원의 조직구조와 규모의 조절효과 분석에 있어서는 부분적으로 지지되는 것으로 조사되었다. 종합병원의 조직구조 및 규모 변수 모두 경쟁 지향성에 대한 조절효과는 유의하게 도출되었으나 고객 지향성과 진료기술 지향성에 대한 조절효과는 통계적으로 유의한 결과가 없는 것으로 나타났다.

• 디지털융복합연구
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• 제13권5호
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• pp.297-307
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• 2015

본 연구는 접근성과 의료서비스 품질, 대외적 이미지를 높임으로써 향후 지방의료원이 지역 내 대표의료기관으로서 경쟁력을 확보하고 경영효율성을 향상시키는데 그 목적이 있다. 조사대상은 604명으로 하였으며, 분석방법은 ANOVA, 공분산 구조방정식을 실시하였다. 결론을 보면, 의료기관 선택요인에 대한 고객들의 만족도나 선호도가 인구통계학적 특성별로 유의한 차이가 있다는 결과는 앞으로 지방의료원이 의료서비스 전문화 전략을 수립할 때 주요 고객집단의 욕구에 대한 면밀한 검토가 이루어져야 할 필요가 있음을 시사하고 있다. 또한 지방의료원이 진료비 수준에 대한 치료효과와 타 의료기관에 비해 저렴한 진료비가 경쟁우위를 확보할 수 있는 중요요인으로 이에 따른 이미지 부각과 의료서비스의 질의 향상을 극대화하여 의료소비자들을 유인하는 전략이 필요하다.

• 디지털융복합연구
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• 제13권1호
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• pp.275-281
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• 2015

최근 헬스케어는 다양한 의료 서비스를 제공받으려는 사용자가 급격하게 증가하고 있으며, 환자의 정보가 제3자에게 쉽게 노출되어 악용될 수 있어 환자에 따라 병원 관계자(의사, 간호사, 약사 등)의 역할이 명확하게 분류될 필요가 있다. 본 논문에서는 헬스케어 환경에서 환자의 정보가 제3자로부터 안전하게 사용하기 위해서 환자의 속성정보를 분류하고, 병원 관계자는 역할에 따라 권한을 분류하여 계층적 다중 속성을 이용한 환자의 프라이버시 보호기법을 제안한다. 제안 기법은 환자의 프라이버시 속성정보(데이터 소비자, 시간, 센서, 목적, 의무, 위임 그리고 상황 등)를 수학적 모델로 표현하고, 제 3자로부터 환자 정보가 불법적으로 악용되는 것을 예방하기 위해서 환자와 병원관계자 사이의 속성정보를 동기화하여 환자의 프라이버시 정보의 유출을 예방한다.