• 한국지역사회생활과학회지
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• 제18권1호
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• pp.3-20
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• 2007

The purpose of this study was diagnosed to grasp the needs for the elderly-elderly care activity in rural areas. The research was conducted in questions and case studies in 7 farming villages. The major findings of this study as follows: First, the senior citizens in rural areas were not in good health, and the illnesses were revealed to be arthritis, high blood pressure, and diabetes. At the occurrence of an illness, they complained about the discomfort in doing daily life routines and expected eir spouses or offsprings to te care of them. Elders in the rural community responded that they had difficulty and financial problems in family maintenance. Leisure activities included watching TV, playing card/board games, or spending time without any specific activities. Second, recipients of elderly-elderly care expected to receive services from a woman in her 50s $1{\sim}2$ hours, once to twice a week. Third, the service providers wanted to be elderly-elderly care takers, hoping to work once a week for $2{\sim}3$ hours. They wanted the education for the elderly-elderly care to be once a week for 3 hours, with understanding the elderly, consultation, preventing senile dementia, and health as the contents.

• 대한영양사협회학술지
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• 제21권2호
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• pp.123-139
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• 2015

The objective of this study was to document how clinical dietitians working at tertiary hospitals spend their time based on several categories of activities using a time measurement study. The questionnaires were distributed to 14 tertiary hospitals, and dietitians answered by classifying their work activities into several categories such as general care, indirect care, direct care, outpatient care, and food service management. A total of 129 clinical dietitians replied and their answers were analyzed according to the categories of activities. The times spent on the categories are as follows: general care (76.7 mins/day, 14%), indirect care (228.4 mins/day, 35%), direct care (120.1 mins/day, 22%), outpatient care (61.5 mins/day, 11%), and food service management (99.0 mins/day, 18%). The total working hours for dietitians was 590.0 mins, which exceeds the standard working hours of 540.0 mins (9 hrs) a day. From this study, we found that clinical dietitians spent very limited time on direct care. Times spent on activities were different according to type of employment and food service. Internship dietitians spent their more time on general care (P<0.001) while irregular dietitians spent more time on outpatient care (P<0.05). In contracted managed food service hospitals, clinical dietitians spent significantly less time on food service management (P<0.001). Regardless of doctors' order and consultation fees, clinical dietitians performed more than 95 percent of free consultation to patients. Entry-level knowledge and skills of dietitians working at hospitals are very important for quality service, but it is equally important to create an administrative and social environment that encourages clinical dietitian to spend more time on direct patient care.

• Nutrition Research and Practice
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• 제3권4호
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• pp.315-322
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• 2009

This study was designed to evaluate the effect of individualized diabetes nutrition education. The nutrition education program was open to all type 2 diabetes patients visiting the clinic center and finally 67 patients agreed to join the program. To compare with 67 education group subjects, 34 subjects were selected by medical record review. The education program consisted of one class session for 1-2 hours long in a small group of 4~5 patients. A meal planning using the food exchange system was provided according to the diet prescription and food habits of each subject. Measurements of clinical outcomes and dietary intakes were performed at baseline and 3 months after the education session. After 3 months, subjects in education group showed improvement in dietary behavior and food exchange knowledge. In education group, intakes of protein, calcium, phosphorus, vitamin $B_2$, and folate per 1,000 kcal/day were significantly increased and cholesterol intake was significantly decreased. They also showed significant reductions in body weight, body mass index (BMI), and fasting blood concentrations of glucose (FBS), HbA1c, total cholesterol, and triglyceride. However, no such improvements were observed in control group. To evaluate telephone consultation effect, after the nutrition education session, 34 subjects of the 67 education group received telephone follow-up consultation once a month for 3 months. The others (33 subjects) had no further contact after the nutrition education session. Subjects in the telephone follow-up group showed a decrease in BMI, FBS, and HbA1c. Moreover, the subjects who did not receive telephone follow-up also showed significant decreases in BMI and FBS. These results indicated that our individually planned education program for one session was effective in rectifying dietary behavior problems and improving food exchange knowledge, and quality of diet, leading to an improvement in the clinical outcomes. In conclusion, our individualized nutrition education was effective in adherence to diet recommendation and in improving glycemic control and lipid concentrations, while follow-up by telephone helped to encourage the adherence to diet prescription.

• 벤처혁신연구
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• 제5권3호
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• pp.57-70
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• 2022

현대의 산업자본주의는 근로의 제공과 임금의 수령이라는 관계가 사회를 규율하는 중요한 원리로 자리 잡고 있다. 근로계약에 따라 자신의 노동력에 대한 처분권을 사용자에게 맡기고 제공받는 임금은 직접적인 보상이 되고 있으며, 적절한 휴식의 보장으로 인간다운 삶의 보장과 재생산을 할 수 있어야 한다. 자유계약에 의한 근로관계의 구축은 근로자 보호에 문제점을 나타내고 있으며, 이에 따라 근로자에 대한 최소한의 권리로 근로시간의 최대치를 정하고 최소휴식의 기준을 설정·부여하고 있다. 근로시간의 단축은 근로자의 삶의 질이라는 측면에서 매우 중요하지만 효율적인 기업활동에 있어서도 중요한 문제이다. 우리나라는 2020년 기준 연간 근로시간이 1,908시간으로 장시간 근로를 하고 있으며, UN산하 자문기구인 지속가능발전해법네트워크(SDSN)가 조사한 행복지수에서 OECD 37개국 중에서 하위 3번째로 나타나고 있다. 이에 따라 근로시간 단축의 필요성은 인정되어, 2018년부터 1주의 최대 근로시간이 52시간으로 제한하고 있다. 이러한 상황에서 기업의 부가가치 창출력을 유지하고, 근로자의 다양한 니즈에 부응하기 위한 방안으로 법적으로 다양한 근로시간의 예외를 두고 있으며, 우리나라 근로기준법은 3개월 이내의 탄력적 근로시간제와 3개월을 초과하는 탄력적 근로시간제, 선택적 근로시간제와 근로시간의 연장을 허용하는 연장근로의 제한을 두어 이를 허용하고 있다. 하지만 2021년 개정된 탄력적 근로시간제를 적용하는 것과 최근 논의되고 있는 정산 단위기간의 확대에 대한 논의에서 탄력적 근로시간제의 문제점이 있어 이에 대한 개선이 필요하다. 따라서 본 논문은 탄력적 근로시간제의 문제점과 이에 때한 개선방안을 살펴보고자 한다. 탄력적 근로시간제는 미리정한 기준에 따라 특정일 또는 특정주에 법정근로시간을 초과하더라도 근로기준법에서 정하고 있는 근로시간에 위배되는 것이 아님과 동시에 초과한 연장근로에 대한 가산임금을 지급하지 않아도 되는 제도로 주로 계절별 시기별 업무량 편차가 심한 제조업, 판매서비스업, 연속사업이나 장기간 조업을 위한 전기·가스·수도, 운수업 등에 있어 교대근무형태로 유용하게 활용되고 있으며, 운용에 따라 보다 짧은 근무일 설정을 통한 휴일 확대 등 근로시간 단축의 방편으로 활용되기도 한다. 하지만 정산 단위기간을 확대할 경우 근로자가 수령할 수 있는 가산임금을 수령하지 못하게 되어 근로자에게 불리하다. 따라서 첫째, 현재 논의되고 있는 정산 단위기간 확대를 하려면 현행 기준에서 확대되는 기간에 대하여 추가임금 지급을 하도록 하여야 한다. 둘째, 탄력적 근로시간제의 개별근로자에 대한 적용을 개선하여 근로자대표와의 서면합의에 있어 개별근로자와 충분한 협의를 하도록 하는 조치가 필요하고, 셋째, 정산 단위기간 동안 연장 근로의 허용시간을 명확히 하여야 하며, 넷째, 1일 최대근로시간이 정해지지 않고 있어 근로시간의 한도를 최대 근로시간으로 제한하거나 연속휴식에 대한 적용이 필요하며, 추가적으로 근로자대표의 서면합의가 탄력적 근로시간제의 적용에 있어 중요한 문제이므로 근로자대표의 대표성을 확보하여야 할 것이다.

• Journal of Trauma and Injury
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• 제35권4호
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• pp.248-254
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• 2022

Purpose: To analyze the data of trauma patients with undetected injuries at the time of initial resuscitation during the primary and secondary surveys. Methods: We retrospectively reviewed the medical records of 807 patients who were hospitalized at the National Trauma Center, Seoul, Korea from June 1, 2019 to June 30, 2021. Results: In trauma patients with an Injury Severity Score ≥16 accounted for 27.5% in the non-missed injury group (non-MIG), but this rate was considerably higher at 71.2% in MIG. The mean hospitalization longer in MIG (50.90±39.56) than in non-MIG (24.74±26.11). The proportion of patients with missed injuries detected through tertiary trauma survey (TTS) was 28 patients (23.5%) within 24 hours, 90 patients (75.6%) after 24 hours to before discharge. The majority of missed injuries were fractures (82.4%) and ligament tears (8.4%), which required consultation with the orthopedic department. The final diagnoses of missed injuries were confirmed by computed tomography (44.5%), magnetic resonance imaging (19.3%), X-ray (19.3%), bone scan (11.8%), and physical examination (5.0%). Conclusions: TTS is considered a useful process for detecting missed injuries that were not identified at the time of initial resuscitation in the primary and secondary surveys. In the future, to detect missed injuries quickly, it is necessary to develop a suitable TTS program for each trauma center. In addition, further research is needed to verify the effectiveness of the protocolized TTS and survey chart to improve the effectiveness of TTS.

• 동서간호학연구지
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• 제22권1호
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• pp.51-59
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• 2016

Purpose: This phenomenological study aimed to identify breast cancer patients' experience of unkindness of healthcare providers. Methods: Ten participants who were diagnosed with breast cancer were recruited to participate in the study and asked to share their experience related to healthcare providers. Data were analyzed using the phenomenological method of Colaizzi. In-depth interviews were conducted from November, 2014 to March, 2015. Results: Seven consistent categories and fourteen theme clusters emerged from collected data. The seven themes were 'being treated thoughtlessly', 'not giving special services for breast cancer patients', 'cold and authoritative manner', 'incomplete explanation', 'not accepting an appeal', 'being sorry for having short consultation hours', and 'unskilled and careless treatment'. Conclusions: It is needed to develop health care services in the view of beneficiaries. This may reduce the patients' experience of unkindness of the healthcare providers and improve the satisfaction of health care service.

• 한국정보통신학회논문지
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• 제19권3호
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• pp.537-542
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• 2015

종합적 표준 임상 의학용어 체계인 SNOMED CT는 용어의 방대함 및 구조의 복잡성 때문에 환자 상태를 표현하는 가장 적합한 용어를 짧은 진료 시간 내에 선택하기가 어려운 용어 선택의 모호성 문제를 내포하고 있다. 본 논문에서는 용어 검색 과정에서 발생하는 동일하거나 유사한 용어를 분석하고 이를 효과적으로 구분하기 위한 용어 비교 검색 기법을 제시한다. 제안하는 기법은 용어의 계층 구조 분석을 통해 용어 간 "is-not-a" 관계를 새로 정의함으로써 두 비교 대상 용어의 차이점을 명확하게 하는 특징이 있다. 이를 통해 진료 과정에서 유사한 이름을 가진 용어들 중 환자의 상태를 가장 적합하게 표현하는 용어를 빠르게 선택함으로써 SNOMED CT의 활용성을 개선한다.

• 대한간호학회지
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• 제34권5호
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• pp.781-790
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• 2004

Purpose: The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center. Method: The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by $x^2$-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS. Result: The social support program in the elderly was very effective on all dependent variables of physical health (t=4.68, p=.001), health knowledge (t=3.60, p=.001), life satisfaction (t=8.65, p=.001), and health promoting behaviors (t=5.23, p=.001). Conclusion: The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.

• 대한방사선기술학회지:방사선기술과학
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• 제20권1호
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• pp.43-49
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• 1997

Purpose of this paper is to extend help for clinical application in balloon cholangiography on patients who have undergone endoscopic sphincterotomy, impacted stones of intrahepatic duct, and missed bile duct because of other diseases in operating endoscopic retrograde cholangiopancreatography. This study was done for the patients who had clinical signs of biliary diseases from January to December In 1996. We studied 45 patients who had endoscopic sphincterotomy, re-examination after interventional treatment of the endoscopic retrograde cholangiopancreatography, and uncertain diagnosis due to common bile duct and intrahepatic duct those are not filled with contrast media. Balloon cholangiography was performed in case of uncertain diagnosis while operating endoscopic retrograde cholangiopancreatography. First of all, we insert balloon catheter Into the working channel of treatment jejunofiberscope and remove treatment Jejunofiberscope after ballooning, and lastly take biliary tract X-ray after Injection and changing position of patient. The results of this study were as follows. (1) In classification of diseases, stones of gall bladder, those of common bile duct, and those of intrahepatic duct were 30 cases, fistula was 1 case. (2) In total cases of 45, only diagnosis were 25 cases, interventional treatment were 20 cases. (3) In case of interventional treatment, endoscopic sphincterotomy and endoscopic nasobiliary drainage, and stone removal were about the same, 7, 7, 6 respectively. Balloon cholangiography will be useful to prevent patients from having repeated and unnecessary studies for the cases above explained. It is considered that this study will be useful for clinical application in terms of reducing medical expenses, pain while examination, and consultation hours.

• 한국실내디자인학회논문집
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• 제15권2호
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• pp.37-47
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• 2006

The purpose of this study was to provide basic data for better design of Pharmacy after introducing the new system of separation of dispensing from prescribing medicine. To analyze characteristics of interior design in pharmacy and to measure worker satisfaction, a survey was conducted with 255 workers who serve at any Pharmacies located in Busan, Korea. For data analysis, descriptive statistics, t-test, One-way ANOV A were performed with the SPSS Win program(Ver. 10.0). The major findings were as follows: 1) As a result of analyzing the role and functions of the pharmacist is to be classified into many items such as entrance, a waiting room, a dispensary, a medication & consultation area, a drug storage and a worker's room. 2) Natural substances should be used more widely instead of using chemical substances for the pharmacy interior design as finishing materials 3) Pharmacy worker's satisfaction with dispensary is specially low among the total satisfaction which is :slightly higher than the average. 4) The degree of satisfaction between pharmacy workers from different groups varied depending on work hours, and especially long time(over 10hrs) workers showed dissatisfaction. Pharmacy managers need to consider the option of expanding convenience facilities. 5) According to the satisfaction analysis for each pharmacy conditions, the group who worked in 30-pyeong spaces were most satisfied. Since the 30-pyeong space is most standardized space research should be conducted.