• 제목/요약/키워드: descriptive research

검색결과 4,500건 처리시간 0.037초

말기암환자 정보시스템을 이용한 우리나라 암환자 완화의료기관의 이용현황 (The Current Status of Utilization of Palliative Care Units in Korea: 6 Month Results of 2009 Korean Terminal Cancer Patient Information System)

  • 신동욱;최진영;남병호;서원석;김효영;황은주;강진아;김소희;김양혁;박은철
    • Journal of Hospice and Palliative Care
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    • 제13권3호
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    • pp.181-189
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    • 2010
  • 목적: 최근 보건의료 정책 결정은 근거에 기반하여 이루어지는 추세에 있으며, 말기암환자 정보시스템은 이러한 필요에 부응하기 위하여 개발되었다. 본 고에서는 말기암환자 정보시스템의 개발과정 및 6개월 데이터로부터의 통계 결과를 보고하고자 한다. 방법: 말기암환자 정보시스템의 입력항목은 실무 전문가들의 자문을 받아 개발되었으며, 이벨로스 임상연구관리시스템을 기반으로 구축하였다. 2009년 보건복지가족부에서 지정된 34개 암환자완화의료 기관에 2009년 1월 1일부터 6월 30일까지 등록된 환자들에 대한 정보가 수집되었다. 분석은 기술적 통계를 이용하였다. 결과: 총 2,940명의 전국적으로 대표성 있는 데이터로부터 아래와 같은 결과를 얻었다. 평균연령은 $64.8{\pm}12.9$ 세였고, 56.6%가 남자였다. 폐암(18.0%)이 가장 많았다. 2인 이상의 의사에 의하여 말기진단을 받은 경우는 50.3% 였으며, 입원 당시 말기라는 사실을 알고 있는 환자는 69.7%였고, 거의 절반에 가까운 환자가 특별한 의뢰 없이 입원하였다. 평균 통증 및 최고 통증은 입원 1주 후에 통계적으로 유의하게 감소하였다. 사망 퇴원한 환자가 73.4%였으며, 집으로 퇴원하는 경우는 13.3%에 불과했다. 1회당 평균 입원일수는 $20.2{\pm}21.2$일이었으며, 중위값은 13일이었다. 결론: 말기암환자 정보시스템의 운영을 통하여 완화의료 기관 이용 환자 및 가족의 특성, 서비스 제공에 관한 현황 등에 관한 전국적으로 대표성 있는 자료를 얻을 수 있었다.

의약품 임상시험 종사자 교육 이수자의 지식 수준, 태도, 교육 선택 요인 분석 (An Analysis on the Knowledge Levels, Attitudes, and Factors Affecting the Choices of Those Who Completed the Education of Persons Conducting Clinical Trial Workers)

  • 이윤진;장혜윤;이유미
    • 대한기관윤리심의기구협의회지
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    • 제3권2호
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    • pp.19-27
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    • 2021
  • Purpose: This study aimed to analyze the knowledge levels, attitudes, and factors affecting the choices on the education of the participants who completed their education of persons conducting clinical trial workers, and to assess the problems of the current education system for clinical trial workers, leading to improvements. Methods: Clinical trial workers (including principal investigators/subinvestigators, members of the Institutional Review Board [IRB], clinical research coordinators) who were affiliated to one of the 4 university hospitals running their own clinical trial center and IRB in Daegu and completed their education of persons conducting clinical trial workers were the subjects of this study. One hundred seven online questionnaires were answered from 2021-04-02 to 2021-04-17. Descriptive statistics and Pearson correlation analysis were used to analyze the acquired data. Independent t-test and 1-way analysis of variance were used to analyze the differences in the knowledge levels and attitudes following the characteristics of the education participants. Results: The baseline characteristics of the 107 participants were as follows: the majority of the participants were female (72.0%), were in their 30s (36.4%), had a nursing major (29.0%), were clinical research coordinators (63.6%), had never experienced a principal investigator (79.4%), had participated 3 or more educations (58.9%), had completed their maintenance course (55.1%), had 5 or more years of clinical trial experiences (34.6%). The fields on which participants had low levels of objective knowledge were "types and preparations on audits of clinical trials," "regulations on clinical trials (Pharmaceutical Affairs Act, Korea Good Clinical Practice)." The difficulties that the participants faced were on "annual educations" and "lack of information regarding the educations." Factors that showed significant differences in objective knowledge were sex (p=0.02), number of educations (p=0.004), the curriculum of 2020 (p=0.001). Age (p=0.004), having experienced a principal investigator (p=0.006), number of educations (p<0.001), the curriculum of 2020 (p<0.001), clinical trial career (p=0.001) were factors that significantly affected subjective knowledge. Attitudes toward the education were positively correlated with objective knowledge (r=0.20, p=0.04) and subjective knowledge (r=0.32, p=0.001). Major sources through which information on educations was acquired were "institutional notices," and major factors affecting the choices on the education were "when the education took place" and "where the education took place." "Within the affiliated institution," "Online classes (recorded)" and "IRB and review processes" were each the most preferred place, mode, and content of the education. Conclusion: Knowledge levels varied largely among participants who completed their education of persons conducting clinical trial workers, depending on their characteristics such as the number of educations. Participants also complained about their lack of information on educations. The quality of education may be improved if clinical trial organizations are designated as education facilities. Education programs must be developed considering the knowledge level and demand of the participants. Furthermore, as offline classes may be impossible due to pandemics such as the coronavirus disease 2019, the development of diverse and sophisticated online classes is looked forward to.

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서울시 세대별 창업 분포와 영향 요인에 대한 연구: 청년층과 중년층의 비교를 중심으로 (A Study on the Distribution of Startups and Influencing Factors by Generation in Seoul: Focusing on the Comparison of Young and Middle-aged)

  • 홍성표;임한려
    • 벤처창업연구
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    • 제16권3호
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    • pp.13-29
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    • 2021
  • 이 연구는 서울시 세대별(청년층, 중년층) 창업의 공간적 분포와 영향 요인을 분석하는데 목적이 있었다. 이를 위해 창업가의 연령대 자료를 포함하고 있는 서울시 사업체조사(2018) 데이터를 활용하여 서울시 424개 행정동의 세대별 창업 분포를 분석했으며, 산업, 인구구조 및 창업지원 기관 관련 변인이 포함된 연구모형을 설정하여 세대별 창업의 영향 요인을 분석하였다. 분석 방법은 서울시 행정동의 세대별 창업과 주요 변인들의 빈도, 평균 및 표준편차를 확인하기 위해 기술통계를 활용했으며, 전역적, 국지적 공간자기상관 분석을 통해 세대별 창업의 공간적 분포를 분석하였다. 특히 세대별 전체 창업과 주요 산업별 창업을 구분하여 분석함으로써 서울시 창업의 공간 분포를 심층적으로 확인하였다. 이후 라그랑주 검정을 통해 공간회귀분석 모형을 선택하였으며, 이를 바탕으로 세대별 창업에 미치는 지역적 영향 요인을 분석하였다. 연구결과를 통해 도출한 주요 결과는 다음과 같다. 첫째, 청년층과 중년층 창업의 공간적 분포에 유의미한 차이가 있었다. 청년층은 서초·강남-용산-마포-강서구로 이어지는 벨트 지역에서 창업이 활발하게 이루어졌지만, 중년층은 서초·강남·송파·강동으로 대표되는 동남권 지역의 창업이 활발한 편이었다. 둘째, 서울시 세대별 창업은 업종에 따라 다양한 공간적 분포를 보였다. 지식첨단산업(정보통신, 전문서비스)은 세대 공통적으로 서초, 강남, 마포, 구로, 금천구가 중심지역이었으며, 제조업은 기존 집적지를 중심으로 창업이 집중되어 있었다. 반면 생활서비스업의 경우 청년층은 용산, 마포, 관악 등 대학과 문화 중심지역에서 창업이 활발했으며, 중년층은 신시가지 중심으로 창업이 집중되었다. 셋째, 서울시의 세대별 창업 입지에 대한 영향 요인에 차이가 있었다. 청년층은 첨단산업, 대학, 문화자본 및 인구 밀집이 창업에 유의미한 영향 요인이었으며, 중년층은 전문서비스 특화도, 낮은 평균연령, 창업지원 기관 밀집 수준이 창업에 유의미한 영향을 미쳤다. 또한 이러한 입지요인은 산업별로 차별적인 영향이 있었다. 연구를 통해 제시한 제언은 다음과 같다. 첫째, 서울시 지역, 산업 및 세대별 특성을 고려한 체계적인 창업지원이 필요하다. 세대별 창업 지역과 산업에 상당한 차이가 있는 만큼 지역 및 산업적 특성을 고려한 맞춤형 창업지원 체계를 강화할 필요가 있다. 둘째, 연구 방법적 측면에서 데이터 축적을 통해 자치구 단위에서 문화, 재정 등을 종합적으로 고려한 후속 연구가 필요하다.

무극도 관련 문헌 연구 - 비교 및 고증을 중심으로 - (A Study on the Documentation Related to Mugeuk-do: Focusing on Its Comparison and Historical Evidence)

  • 박상규
    • 대순사상논총
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    • 제41집
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    • pp.27-61
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    • 2022
  • 무극도를 기술한 문헌은 다른 근대 한국 신종교에 비해 희소하며 외부에 본격적으로 공개되고 번역된 시점도 1970년대 이후이다. 이 문헌들은 그 희소성으로 인해 비교나 고증 없이 연구에 활용되었는데, 이들 문헌이 지닌 왜곡과 오류가 무극도와 이를 계승한 교단인 대순진리회를 정확하게 이해하는 데 적지 않은 문제를 초래한 것은 부인할 수 없다. 본 연구는 이를 해결하기 위해 무극도 관련 주요 문헌인 1920~30년대의 관변 기록과 1970~80년대의 교단 기록을 비교 고증하여 문헌이 지닌 성격과 한계를 비판적으로 규명하고자 하였다. 해당 문헌에 관한 해제와 비교 고증을 통해 무극도 연구에 기본 텍스트로 활용할 수 있는 관변 기록은 『무극대도교개황(無極大道敎槪況)』, 『조선의 유사종교(朝鮮の類似宗敎)』임을 알 수 있다. 특히 『무극대도교개황』의 제6~8항은 교단 기록일 가능성이 크고, 1925년까지의 무극도 실상을 잘 반영하고 있다. 『조선의 유사종교(朝鮮の類似宗敎)』의 경우 유사종교라는 기술 관점을 제거한다면 1925년 이후의 기사는 신빙성이 있다. 기본 텍스트로 활용할 수 있는 교단 기록은 『전경』의 교운 2장이었다. 후대의 신앙체계 변동에 따른 왜곡에서 가장 자유롭고, 종파적 편향성이 적으며, 기사의 수집 시기가 가장 앞선다는 점에서 당대의 실상을 가장 정확하게 반영한 기록이기 때문이다. 따라서 무극도 연구에 있어서는 『무극대도교개황(無極大道敎槪況)』의 제6~8항과 『조선의 유사종교(朝鮮の類似宗敎)』의 1925년 이후 기사, 『전경』 교운 2장을 기본 텍스트로 활용하는 것이 적절할 것이다. 『보천교일반(普天敎一般)』, 『증산교사』, 「태극진경」의 경우 기본 텍스트와 관련된 내용은 비교를 통해 왜곡과 오류를 포착하여 무극도 연구에 참고자료로 활용할 수 있다. 추후로도 무극도 연구 인프라 구축을 위해서는 관련 문헌 전체가 비교와 고증을 통해 종합 정리될 필요가 있다.

노인의 연명의료에 대한 찬반 의견에 영향을 미치는 요인: 자녀동거와 노후생활비에 대한 가치관을 중심으로 (Factors Influencing the Pros and Opposite of Life-Sustaining Treatment in the Elderly: Focusing on the Values of Cohabitation with Children and the Cost of Living in Old Age)

  • 이미애
    • 산업융합연구
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    • 제21권3호
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    • pp.159-169
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    • 2023
  • 본 연구는 우리나라 노인들의 연명의료에 대한 의견에 영향을 미치는 요인들을 분석하였다. 연구대상자는 노인실태조사(2020)에 응답한 10,097명이며, SPSS 25.0 프로그램을 이용하여 첫째, 기술통계를 통해 연구대상자의 인구사회학적 특성 파악과 주요변수들의 평균 및 정규성을 파악하였다. 둘째, 노인의 특성에 따른 연명의료 의견에 대한 교차분석을 실시하여 카이제곱을 분석하였다. 셋째, 상관관계분석을 실행하여 주요변수 간의 상관관계를 분석하였다. 넷째, 다중회귀분석을 통해서 노인의 연명의료에 미치는 상대적 영향력을 파악하였다. 이러한 분석을 통해 밝혀진 주요 연구결과는 다음과 같다. 첫째, 노인은 의식불명 또는 살기 어려운 데도 살리려는 의료행위(연명의료)에 대해 8,565명(84.8%)이 반대하는 것으로 나타났다. 둘째, 노인의 연명의료에 대한 교차분석결과 교육수준, 건강상태, 자녀동거, 노후생활비 등의 𝑥2 값이 유의미하게 나타났다. 셋째, 노인의 교육수준, 자녀동거, 노후생활비 등이 연명의료에 통계적 유의수준의 부적 영향을 파악하였다. 이와 같은 연구 결과는 노인의 교육수준이 높은 경우가 낮은 경우에 비해 연명의료에 대해 반대한다는 것을 알려주었다. 또한 자녀 중 한 명은 노인(부모)과 동거해야 한다고 응답한 전통적 가치관을 가진 노인의 경우에는 연명의료 찬성비율이 높았고, 굳이 동거하지 않아도 된다고 응답한 현대적 가치관을 가진 노인의 경우에는 연명의료 반대비율이 높은 것으로 나타났다. 그리고 노후생활비 부담을 국가·사회와 자녀가 나누어 부담하여야 한다고 응답한 전통적 가치관을 가진 노인의 경우 연명의료 찬성비율이 높았고, 노후생활비는 스스로 마련해야 한다고 응답한 현대적 가치관을 가진 노인의 경우 연명의료 반대비율이 높게 나타났다. 이러한 연구결과를 바탕으로 연명의료에 대한 노인의 의견에 영향을 미치는 요인으로 가치관을 재조명하고 노인복지정책에 대한 기초자료를 제공하였다.

요양보호사의 직업의식과 영향요인 (The Factors Influencing of Professional Consciousness of Long-term Care Workers)

  • 김향수;김희경;박연숙
    • 한국노년학
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    • 제31권3호
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    • pp.591-606
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    • 2011
  • 본 연구의 목적은 노인장기요양보험제도로 신설된 요양보호사의 직업의식 정도와 영향요인을 파악하여 요양보호사의 직업의식을 높이기 위한 간호중재 개발에 기초자료를 제공하는데 있다. 서술적 연구로써 D시, C도 G시, C도 C시, K도 O시에 소재하고 있는 요양원 3곳, 재가복지센터 3곳, 요양병원 3곳의 요양보호사 185명을 대상으로 2009년 11월 12일에서 4주 동안 설문지를 이용하여 자료수집 하였고, 서술적 통계, t-test, ANOVA, Pearson's correlation coefficients, Multiple regression으로 분석하였다. 연구결과, 요양보호사의 평균연령은 48.1세, 대다수 여성(95.1%)이며, 기혼자로서 배우자가 있고(79.5%), 고등학교 이상 졸업자(76.8%)가 많았다. 요양보호사의 자기효능 정도는 평균점수 3.68점, 소명의식 3.41점, 외적 통제위 성격 3.23점으로 보통 이상이며, 내적 통제위 성격은 4.12점으로 내적 통제위 성격이 강한 것으로, 교육훈련 유효성은 3.71점, 직업의식은 3.97점으로 다소 높은 것으로 나타났다. 직업의식과 관련 요인들의 관계에서, 직업의식과 내적 통제위 성격은 낮은 정 상관관계(r=.378, p=.000)를, 외적 통제위 성격은 낮은 역 상관관계(r=-.356, p=.000), 자기효능(r=.420, p=.000), 소명의식(r=.636, p=.000), 교육훈련 유효성(r=.441, p=.000)은 보통 정도의 정 상관관계를 보였다. 요양보호사의 직업의식에 영향을 미치는 요인으로는 소명의식(B=.329, p=.000)이 가장 높은 영향을 주는 것으로 나타났으며 교육훈련 유효성(B=.250, p=.000), 내적 통제위 성격(B=.216, p=.000), 외적 통제위 성격(B=-.165, p=.002), 요양보호사 선택시 자기 특성 고려(B=.207, p=.004) 순으로 전체 설명력은 57.5%로 나타났다. 추후 요양보호사에게 소명의식 제고 교육을 위한 체계적인 교육과 내적 통제위 성격 강화훈련, 요양보호사의 역할과 업무를 정확히 규명 하는 것이 필요하며 이러한 요인들을 활용하여 직업의식을 높일 수 있는 교육과 연구를 제언한다.

소아승낙 현황조사와 소아청소년과/소아신경과 전문의를 대상으로 면담조사를 통한 소아승낙서 공통기준 수립 연구 (Research to Establish a Common Standard for Assent by Assessing the Current State of the Assent Process and Conducting Interviews with Pediatrician/Pediatric Neurologist)

  • 이윤진;이선주;강수진;이대호;배균섭;정종우;김병수;김진석;이명아
    • 대한기관윤리심의기구협의회지
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    • 제6권1호
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    • pp.5-16
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    • 2024
  • Purpose: The purpose of this study is to investigate the current status of pediatric assent in nationwide hospitals and to assess the children's comprehension for pediatric assent by interviewing pediatricians/pediatric neurologists to determine whether children of the age (elementary and middle school students) can understand the purpose, risks, benefits, and concepts of voluntary participation in clinical research described in the assent form, and to help improve the administrative efficiency of multicenter clinical trials. Methods: The status of pediatric assent was surveyed online using Google Forms at 141 university hospitals with administrative staff who are members of the Institutional Review Board (IRB) administrative staff subcommittee with in Korean Association of Institutional Review Boards (KAIRB). Additionally, face-to-face interviews were conducted with 7 pediatricians/pediatric neurologists. Survey and interview responses were summarized using descriptive statistics. Results: Out of the 141 institutions surveyed, 35 institutions (24.8%) responded. Among them, 30 institutions (85.7%) reported having age criteria for acquiring pediatric assent forms in the case of children. The age range for pediatric assent acquisition have been from 7 years old to 12 years old (15 institutions, 50%), and from 7 years old to 15 years old (7 institutions, 23.3%). Nine institutions (25.7%) have had criteria for obtaining both parents' consent in cases involving the participation of children. Nineteen institutions (54.3%) have had checklists or guidelines available for use by IRB members in study protocols involving vulnerable research subjects. Three pediatricians/pediatric neurologists have believed that upper-grade elementary school students (5th-6th grade) could comprehensively understand informed consent forms. Two have believed that middle school students would be able to understand them if they included personal information. Two pediatricians/pediatric neurologists have believed that even lower-grade elementary school students (1st-4th grade) could understand the explanations if they were made simpler. Conclusion: It is suggested that not only elementary school students (7-12 years old) but also middle school students (13-15 years old) should receive pediatric assent forms, as it would facilitate a comprehensive understanding of the forms. To enhance the comprehension of assent form content, it is necessary to use age-appropriate words, language, and expressions in the forms hospital. It is also recommended to create comics or videos to make the content of the assent forms more accessible for children.

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추심경호적지방(追寻更好的地方): 유포장적소비품적산업적가지속발전(有包装的消费品的产业的可持续发展) (Seeking a Better Place: Sustainability in the CPG Industry)

  • Rapert, Molly Inhofe;Newman, Christopher;Park, Seong-Yeon;Lee, Eun-Mi
    • 마케팅과학연구
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    • 제20권2호
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    • pp.199-207
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    • 2010
  • "对我们而言, 成为一名负责的公民和一份成功的事业之间没有区别.....他们对今天的沃尔玛是完全一样的." Lee Scott, 沃尔玛的CEO在2005年卡崔琳娜飓风灾难之后(Esty and Winston 2006) Lee Scott的声明标志着可持续发展的一个新的时代. 作为一个被全球生产商和零售商所关注的全世界最大规模的经销商确认了他们的可持续发展的意图. 近十年来, 环保运动不断增长, 并扩展到全世界. 公司已经诞生, 产品已被创造, 学术期刊 已经展开, 政府已经承诺—所有这一切都在追求可持续发展(Peattie and Crane 2005). 虽然进展的确比一些人渴望的慢了一些, 但是很多大规模的经销商已经为环保做出了可持续发展的努力. 为了更好的理解这个运动我们同时提供高管和消费者参与的有包装的消费品产业的角度. 该研究依赖于三个潜在主题: (1)概念和证据表明,公司为很多理由进行可持续发展 (2)在有包装的消费品行业中, 可持续发展活动的数量在持续增长 (3), 因此, 必须探索可持续发展在消费者意识中起的作用. 根据这些主题, 143名大学生和101名企业高管参加了调查来评估一系列的有关可持续发展的变量包括愿意支付, 行为意图, 态度和偏好. 结果显示高层管理者相信可持续发展的三个最主要的原因是(1)盈利能力的机会; (2)以实现对环境的义务; (3)对顾客和股东负责. 大学生的三大原因: (1)对环境的责任; (2)为子孙后代负责, 和(3):一种有效的管理资源. 虽然企业高管和大学生对支持可持续发展的理由不同, 但是企业高管和消费者的报告显示了对剩下大部分的可持续发展问题的相似性. 另外, 当我们要求消费者去评估6个关键问题的重要性时(医疗保健, 经济, 教育, 犯罪, 政府支出, 和环境), 保护环境仅排在第四位(Carlson 2005). 这6个问题都被认为是重要的, 三个最重要的是(1)改善教育;(2)本地区的经济发展,以及(3)卫生保健. 为了可持续发展的持续性, 我们也将预期结果. 反映社会, 企业利益表现的新定义和执行期的延长同样被揭示出来(Ehrenfeld 2005; Hitchcock and Willard 2006). 基于文献我们发现了三个基本范畴的结果:(1)改进组成的满意度, (2)分化的机会, 以及(3)金融奖励. 在每一种分类中, 我们发现从可持续发展活动中导致11种不同结果的几个特定的结果. 我们的调查结果表明,最有可能的结果最高的前五项依序为公司的可持续发展追求的是:(1)绿色的消费者将会更令人满意;(2)公司形象会更好, (3)公司的责任将得到加强, (4)会降低能源成本;(5)产品将会更多的创新. 另外, 为更好的理解消费者的环境 "身份" 和在市场购买中愿意显示出这个 "身份" 的有趣的交集, 我们扩展了以前Experian Research(2008) 的研究. 因此,受访者分为四个不同类型的绿色消费者(行为绿色,想法绿色, 潜在绿色, 或真正褐色)来获得更好的理解绿色消费者. 我们评估这些消费者愿意从事环保行为评估三种选择. (1)购物零售商支持环保措施;(2)支付更多来保护环境, 以及(3)支付更高的税收,政府可以支持环保措施. 想法绿色消费者表示最愿意改变, 紧随其后的是行为绿色消费者, 潜在绿色消费者和褐色消费者. 这些差异都是显著的(p<.01). 结论和启示我们采用描述性研究, 旨在促进我们理解战略领域的可持续性. 确切地说, 该研究以特定的偏好, 意图, 愿意支付, 行为和态度填补了进行比较与对比的持续性的商业管理者和消费者意见的文献的空白, 对从业人员, 能获得一个战略观点. 此外, 许多结果已经说明, 受访者愿意为产品付出更多来保护环境. 其他特定的结果表明, 女性受访者始终比男性强愿意交流, 为这些产品付更多的钱, 在环保的零售商. 了解这些额外的信息, 实践者现在有了更多的特定市场, 对目标和交流他们为可持续发展所做出的努力. 虽然这项研究仅仅是最初的一步了解实践者和消费者对于可持续发展的异同, 我们的结果对实践与研究都有帮助. 未来的研究应向测试其他变量的影响关系, 以及其他特殊行业.

뇌졸중 환자의 재활과정에 따른 스트레스 변화 양상 (A Study of a Pattern of the Stress Perceived by Stroke Patients through the Rehabilitative Process)

  • 이정민
    • 동서간호학연구지
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    • 제1권1호
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    • pp.82-98
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    • 1997
  • The purpose of this study was to determine pattern of the stress perceived by stroke patients over time. The ultimate goal of the research is to provide data to help nurses to design the plan of nursing care of the stroke patients both in the hospital and at home. A total of 57 admitted stroke patients were collected from one general hospital in Seoul from June, 12 to September, la, 1993. The data were collected for three phases(within one week after leaving the hospital). The tools for this study, three scales were used ; Stress scale developed by the investigator. Constitution classifing scale designed by Kho(1984), and Self-care measuring scale by Kang(1984). Data were analyzed in four steps using statistical analysis. First, demographic data were determined by descriptive statistics. Second. the pattern of stress perceived by stroke patients across three phases was measured using repeated measures ANOVA. Third, stress of stroke patients classified by constitution, paralyzed area. and attack frequency were measured using ANOVA or t-test, and the pattern of stress by group over time was determined using paired t-test in post hoc test. Fourth. Pearson correlation coefficients were calculated to determine the relationship between the stress and self-care activities. The results of this study are ; 1. The pattern of stress across three phases ; There was a decrease of the stress across three phases. In general. psychological stress as the highest among three phases(F=36.92. P=.000). There was a statistically significant difference of the physical stress(F=34.55, p=.000), the psychological stress (F=15.49, p=.0005) and the social stress (F=24.71. p=.000) among three phases. There was a statistically significant difference of the stress between the first phase (on admission) and the second phase(before leaving the hospital) and was a decrease of the stress (t =6.36. p=.000). 2. The pattern of stress of stroke patients classified by constitution across three phases ; Stroke patients classified as So-Eum perceived the highest stress among three groups(Tae-Eum, So-Eum. So-Yang). There was no statistically significant difference of stress according to the constitution of stroke patients among three phases. Hence. stress was not influenced by the constitution of stroke patients, but there was a statistically significant difference of stress over time. 3. The pattern of stress of stroke patients classified by the paralyzed area across three phases ; Right paralyzed stroke patients perceived higher stress than left paralyzed stroke patients. There was, however, no statistically significant difference of stress between two groups except 2nd phase. There was no statistically significant difference of the perception of stress bet ween the right and left paralyzed stroke patients. 4. The pattern of stress of stroke patients classified by the frequency of the relapse of the disease across three phases ; Stress was higher in stroke patients who had the relapse of the disease twice more than the first time. There was, however, no statistically significant difference of stress between two groups. There was no statistically significant difference of stress of stroke patients according to the relapse of the disease among three phases. Hence, stress was no influenced by the relapse of the disease. 5. The relationship between the stress and self-care activities ; There was a negative relationship between the stress and self-care activities each phase(on admission, r= -.1563 ; before leaving the hospital, r= -.4030 ; after leaving the hospital, r= -.5291). Hence, the higher the self-care activities, the lower the stress. This study has three important findings. First finding was that psychological stress perceived by stroke patients was the highest among three phases. The second finding was that factors such as the constitution, the paralyzed area, and the relapse of the disease did not have an influence on the stress perceived by stroke patients across three phases(on admission, before leaving the hospital, after leaving the hospital). There was a statistically significant decrease of the stress perceived by stroke patients across three phases. The third finding was that there was a negative relationship between the self-care ability and stress. In this study, these findings have implications for nursing care for the rehabilitation of stroke patients and suggest the need of nursing intervention to promote the self-care ability and to support the psychological self-esteem of stroke patients.

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한.중 간호교육제도 및 교육과정 비교연구 (Comparative Study on Nursing Education System of Korea and China)

  • 문희자;김광주;박신애;김일원;박화순
    • 동서간호학연구지
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    • 제7권1호
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    • pp.32-47
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    • 2002
  • This study is a descriptive comparative investigated one to analyze nursing education system and curriculum of Korea and China trans-culturally. 1) Education System The basic level of nursing education in Korea consisted of 65 3-year- junior college of nursing (7379 students) and 48 4-year-bachelor of nursing college (2345 students) in 2000 showing more 3-year-junior college of nursing and its students. In China, western nursing as well as Chinese nursing education system were operating. In 2000, 501 western school of middle technical nursing, 29 school of middle technical nursing of middle level education, and 89 3-year western and 24 Chinese junior college of nursing, and 42 4-year western bachelor of nursing college and 10 Chinese of high level education have been established. The presence of Chinese school of middle technical nursing system seemed to be in slower development in nursing than Korea, but that of Chinese nursing education seemed to be advanced with its national identification prior to Korea. Post graduate continuous education for RN-Diploma and RN-BSN program has been opened as in Korea. The Hosa(護士) system in school of middle technical nursing in China reflects lower level of education than Korea. But it can be a merit, other than in Korea, without nurses aids, when they are acting under supervision of nurses and led by them, and there presents a special course for promotion up to high level education. Graduate school in Korea is divided into general type opening a curriculum for MS in 1960 and as of 2000, 21 general types for majoring in nursing. The PhD course in Korea was established in 1978, and after that the PhD courses have been opening in 14 universities at present. China established master degree course in 1991 and as of 7 colleges are ongoing, and the doctoral course is now under planning, resulting slower development than Korea. 2) Education of theory and clinical practice in Korea and Chine (1) Korea's 3-year junior nursing college have 51 subjects, 49 subjects in China, which was not different. China was following education of ideology and medical. 4-year Bachelor of Science College has 92 subjects in Korea with cultural subjects and essential major studies/elective in theory education in Korea, while 63 subjects in China, showed wider selection in Korea's education. (2) Korea's 3-year and 4-year nursing colleges performed clinical practice education parallel with theoretical education for a certain period, block or theory/practice system. While China's 3-year and 4 or 5-year-colleges educated the theory first and then practice for one year in the last grade, integrating each situation of the departments and the theory. (3) Korea's oriental nursing theory in nursing education was performed in 28 colleges of 65 nationwide ones of 3-year junior nursing colleges, but only one school was educating clinical practice. In 4-year bachelor of nursing colleges, the oriental nursing theory was done in 14 among 48 investigated. And 1-4 subjects of them were doing, and 4 schools performed of clinical practice, showing more reinforced than the junior colleges. China's 3-year and 4-5-year western nursing colleges taught two subjects of Chinese medicine nursing. China's 3-year & 4-5-year College of Chinese medicine nursing, theory of Chines medicine nursing education taught eight subjects. (4) 5-year colleges of Chinese medicine western integrated nursing, theory of Chinese medicine nursing education consisted of twelve Chinese medicine nursing subjects and two of Chinese medicine western integrated nursing subjects. China was tempting a new development of a pattern of Chinese medicine nursing subjects reinforced. 3) The verification of Korean and Chinese nurse's license. The verification test of Chinese nurses license is differentiated at the level of education other than in Korea. Expire date is 2 years and a qualified test must be done to a renewal. And the continuing education hours are 72 per year, which is more enforced than Korean nurses (10 hours a year). In accordance with WTO regulations, we should prepare for opening foreign hospital, educating oriental nursing subjects. And on this, it is recommendable to settle a basic frame research to run the oriental nursing practice ongoing. 1. It is desirable to develop the oriental nursing subjects to apply its idea to the western nursing and differentiate Korean nursing. 2. It is desirable to certify oriental nurse's characters, to expand and develop the nursing areas to practice it, and to establish the oriental nursing system. 3. It is expectable to promote Korean nursing specialization to develop the oriental nursing as a professional and to create its demand.

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