• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5927-5936
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• 2014

Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

• 대한간호학회지
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• 제29권4호
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• pp.880-891
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• 1999

The purpose of this study was to describe nursing decision tasks, their characteristics, and problems associated with decision making. The subjects were 32 nurses who had at least one-year nursing experience and worked on medical-surgical units or intensive care units(ICU). They were asked to describe their decision making experiences in patient care situations and to identify the characteristics of each decisions. They were also asked to describe perceived problems associated with decision making in nursing. The responses on nursing decision tasks and problems were analyzed with content analysis and the decision characteristics were identified by statistical analysis of variance. It was found that there were 16 nursing decisions which are as follows : decisions related to interpreting and selecting appropriate strategies for pain management(6.6%) ; decisions related to providing emotional support (0.7%) ; decisions related to explaining the patient's condition and rationale for procedures(1.1%) ; decisions related to assisting patients to integrate the implications of illness and recovering into their lifestyles(2.9%) ; decisions related to detecting significant changes In patients and selecting appropriate intervention strategies (17.2%) ; decisions related to anticipating problems and selecting preventive measures(4.2%) ; decisions related to identifying emergency situations(0.4%) ; decisions related to effective management of patient crisis until physician assistance becomes available(2.8%) ; decisions related to starting and maintaining intravenous therapy(2.6%) ; decisions related to administering medications(8.1%) ; decisions related to combating the hazards of immobility(7.3%) : decisions related to treating wound management strategies(5.5%) ; decisions related to relieving patient discomfort(13.9) ; decisions related to selecting appropriate strategy according to the changing situation of the patient(18.2%) ; decisions related to selecting the best strategy for patient management(5.3%) ; and decisions related to coordinating, ordering, and meeting the various needs of the patient (3.1%). The nurses reported the fellowing problems in decision making : difficulties due to lack of knowledge and experience (18.6%) ; uncertainty and complexity of decision tasks(15.2%) ; lack of time to make decisions(2.9%) ; personal values which conflict with other staff(15.7%) ; lack of selection autonomy(30.0%) ; and organizational barriers(7.6%). Continuing education programs and decision support systems for frequent nursing decision tasks can be established on the basis of these results. Then decision ability in nurses will increase through the education programs and decision support systems, and then quality of nursing service will be better.

• 유통과학연구
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• 제13권5호
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• pp.91-102
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• 2015

Purpose - This study aims to build a systematic frame for effective marketing performances by prioritizing product type and pertinent channel that are appropriate for digital channel characteristics. FCB grid model was used to define a product type, and Internet communication satisfaction index was considered as a marketing performance measuring tool for digital channel. Research design, data, and methodology - As systematic understanding for Digital marketing is still unfamiliar to even professional marketer, the hypothesis was established based on preliminary research by conducting a qualitative survey of marketing experts who already experienced digital marketing in the fields as well as existing related study literature. Through a preliminary research, the degree for understanding for digital marketing, current digital marketing (including product/channel mix) execution status, and difficulties for marketers who had experienced digital marketing were figured out. Based on preliminary research, the main part of survey was designed to examine which type of product would be effective for digital marketing and which digital channel would be effective to achieve marketing performance in line with marketing objectives. To collect data, the questionnaire survey was conducted for professional marketers who had experienced digital marketing in 10 different fields including FMCG, cosmetics, distribution industry for one month (July, 10, 2014~Aug, 10, 2014). A total of 90 questionnaire were distributed and 66 questionnaires were used for the analysis, excluding the unanswered and insincere questionnaires. The data were analysed using SPSS ver.18.0. Results - The analysis for product type which is pertinent to digital marketing and prioritization for digital channel per digital marketing performance type could be summarized as followings. First, high involvement buying decision type of product and rational purchasing decision type of product in FCB grid are more effective for digital marketing in terms of marketing performance. Therefore, marketers in field would prioritize considering product type before executing digital marketing. Second, factor for sales increase, potential consumer creation and brand awareness was represented respectively 31.25%, 21.9%, and 20.8% as a result of factor analysis in terms of digital marketing channel performance. Third, effective major digital channel per digital marketing performance factor was differently identified as each digital channel has its own peculiarity. For instance, search engine is more effective for increasing sales while social media such as facebook and Kakaotalk is more effective for encouraging consumer participation. Conclusions - As a result of this study, product type and peculiarity which were pertinently fit to digital marketing were identified by using FCB grid model, and also suggested framework for decision making of digital channel selection in line with marketing objectives for effective marketing performance. It also provided insight to professional marketer which type of product could be effective for digital marketing execution as well as which factors should be measured for digital marketing performance.

• 치위생과학회지
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• 제4권1호
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• pp.39-44
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• 2004

본 연구는 정신지체아동, 뇌성마비아동, 자폐아동의 치아우식 경험과 구강위생상태를 알아보기 위한 것으로, 3개의 특수학교(정신지체특수학교, 지체장애특수학교, 정서장애특수학교)에 재학 중인 만 8-13세의 99명 학생을 대상으로 조사하여 통계처리하였고, 장애유형별로 유의한 차이가 있는지도 조사하였다. 1. 장애유형별 치아우식경험을 조사한 결과 장애유형별로 치아우식경험에서는 통계적으로 유의미한 차이는 없었으나, 집단간 평균의 차이는 나타났다. 치아우식경험의 평균은 정신지체아동집단이 4.70, 뇌성마비아동집단이 4.58, 자폐아동집단이 3.67으로 정신지체아동집단이 가장 심한 치아우식경험을 나타냈고, 자폐아동집단이 가장 적은 것으로 나타났다. 2. 장애유형별 구강위생상태를 조사한 결과 장애유형별로 구강위생상태가 통계적으로 유의미한 차이가 나타났다(p<0.05). 장애유형별 평균을 비교해 보면 정신지체아동집단이 32.30, 뇌성마비아동집단이 35.00, 자폐아동집단이 27.79로 뇌성마비아동이 구강위생상태가 가장 좋지 않으며, 그 다음으로 정신지체아동, 그리고 자폐아동의 구강위생상태가 가장 좋은 것으로 나타났다. 구강위생상태는 구강위생 관리능력지수와 유두변역부착치은염지수로 측정하였다. 지금까지 결과를 통해 볼 때 장애유형별로 공통적으로 치과 질환이 계속적으로 발생하는 질환이며 치과질환이 발생하면 치료받는 것이 비장애 아동에 비해 많은 인력과 시간과 경제적 부담과 노력이 요구됨에 따라, 근본적인 대책으로 장애아동의 정기적인 치아관리를 위해 학교에서의 구강건강관리프로그램을 도입시키고 지원하여 예방적 처치와 초기치료와 계속관리의 시행으로 치과질환의 치료처치보다 예방처치로 치아우식증발생을 억제하는 것이 강조되어야 할 것이다. 본 연구가 일부지역의 3개의 특수학교를 대상으로 하였기에 장애유형별에 따른 구강건강상태로 확대하기에는 한계가 있다고 본다. 이후 이를 보완하여 후속 연구에서는 장애유형별에 따른 성별, 연령, 장애정도에 따른 심도 있는 구강건강상태에 대한 연구가 필요하리라 본다.

• 산업융합연구
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• 제18권2호
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• pp.59-67
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• 2020

본 연구는 장애인활동지원사의 직무스트레스와 자기효능감이 이직의도에 영향을 미치고 직무몰입이 매개효과가 있는지를 통해 장애인활동지원사의 위기와 역경을 극복할 수 있는 문제해결에 기여함을 목적으로 한다. 이에 서울.경기 장애인활동지원사업 수행기관에서 재직 중인 활동지원사 290명을 대상으로 2019.5.1.-6.30.까지 설문조사하여 SPSS 24.0 통계프로그램으로 분석한 결과는 다음과 같다. 첫째, 장애인활동지원사의 직무스트레스와 자기효능감이 직무몰입에 영향을 미치는 것으로 나타났다. 즉 관계갈등이 높을수록, 직장문화에 대한 부적응이 심할수록 직무몰입에 악영향을 미치고 정서적지지, 평가적지지, 정보적지지가 높을수록 직무에 몰입하는 것으로 나타났다. 둘째, 직무스트레스와 자기효능감이 이직의도에 영향을 미치는 것으로 분석되었다. 이는 관계갈등이 많을수록, 직장이 불안정할수록 직장문화에 적응이 힘들수록 이직의도는 더 많은 것으로 확인되었다. 셋째, 직무스트레스와 이직의도와의 관계에서 직무몰입은 매개역할을 하는 것으로 나타났다. 넷째 자기효능감은 이직의도와의 관계에서 직무몰입은 매개역할을 하지 않는 것으로 나타났다. 이러한 연구결과를 토대로 장애인활동지원사의 직무스트레스 감소와 직무몰입을 향상시키며 이직의도를 줄이기 위한 실천적, 정책적 방안을 제안하고자 한다.

• Journal of Acupuncture Research
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• 제27권1호
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• pp.51-64
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• 2010

Objectives : To introduce and compare various headache measurement tools, in order to provide fundamental information for future clinical trials and development of oriental medicine measurement tools. Methods : Eight headache assessment scales, Migraine-Specific Quality of Life Questionnaire(MQoLQ), Migraine-Specific Quality of Life(MSQOL), Migraine-Specific Quality of Life Questionnaire(MSQ), The Headache Impact Questionnaire(HImQ), Headcahe Needs Assessment Survey(HANA), Henry Ford Headache disability Inventory(HDI), Migraine Disablity Assessment Scale(MIDAS) and Headache Impact Test(HIT-6), were searched through Pubmed. General character, the process of development, verification of reliability, internal consistency, responsiveness to patient's change and validity were reviewed. Results : In assessing the quality of life of migraine patients, MQoLQ can be used to measure the change within 24 hours, MSQ and MSQOL can be used to measure the change during a relatively longer period of time. The frequency and bothersomeness of headache can be easily measured by HANA. HImQ can be used to measure the intensity of headache and the influence on normal daily activities. HDI can measure the emotional difficulties of headache patients. HIT-6 and MIDAS makes measurements possible in a short period of time, and the reliability and validity have been verified numerously. HIT-6 and MIDAS are the most frequently used measurement tools because they are simple and easy for both the assessor and the patient to understand and use. Conclusions : In this study, various headache assessment tools have been reviewed. The assessed tools were widely used after being verified for their reliability and validity. We hope this study provides fundamental information in establishing future clinical trial and clinical practice guidelines. We also hope this study to contribute to the development of an oriental medicine assessment tool for headache.

• 한국수학교육학회지시리즈A:수학교육
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• 제42권3호
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• pp.295-302
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• 2003

The purpose of this study is to make more reliable researches on the tendency of shirking from the mathematics by including those of the students in the other country, and there are a series of researches such as 'math-camp to raise the mathematical tendency of the students who make little progress in the study', 'establishment of factors causing the shirking tendency from the mathematics and development of the analyzing instruments for it' and 'study on the preference to each category of the school mathematics.' For this purpose, I used a test developed by the shirking tendency research team. I compared the average score and standard deviation between the Korean and the Australian students. As for the average score, that of the Australian elementary school students is about one point higher than the Korean students, and there was no remarkable difference in the deviation. Comparing the math-shirking tendency of the two groups, they show higher shirking tendency in the aspects of emotional and mathematical recognition that belong to the psychological and environmental sphere. And, as for an extent of association in difficulties according to each school grades, its degree of the Australian students is comparatively lower than that of the Korean students, therefore, the shirking tendency of the Australian students is intermediate level whereas that of the Korean students is the lowest. They show us a peculiar result in teacher factor. It is noteworthy in that the Korean students show a positive reaction in that factor, however, the Australian students show a comparatively weak reaction. It might be caused by a cultural difference. I also have compared the accumulated percentage according to each shirking tendency factors. It will not only be very efficient for teachers to establish a teaching plan but also a good data to understand the shirking tendency of each student. This will be a very good data for the planners of teaching policy to remedy the causes of shirking tendency. And, it will also be used effectively to write a new textbook. It has been uncommon that a psychological test is used in the research for the improvement of teaching and learning mathematics. In this aspect, I am sure that this study including the preceding research will be a good in studying the shirking tendency factors by using a psychological test. I believe that this research will be a help to grasp the outline of the shirking tendency and I will have to try continuously to make it be a reasonable and reliable study.

• 정보관리연구
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• 제35권4호
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• pp.1-16
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• 2004

본 연구는 이용자들이 휴대폰 문자메시지 시스템을 이용할 때 경험하는 인터페이스 상의 문제점을 찾아보고 향상된 인터페이스를 제공하는 휴대폰 문자메시지 시스템을 구현하기 위한 개선방향을 제시하고자 하였다. 휴대폰 문자메시지 시스템의 문제점으로는, 1) 전달받은 메시지의 내용이나 의도를 파악하기 어려움, 2) 문자메시지의 저장, 정렬, 탐색 등의 어려움, 3) 문자메시지의 길이 제한, 4) 문자입력의 어려움, 그리고 5) 비슷한 휴대폰 번호를 이용하기 때문에 종종 다른 수신자에게 잘못 전달되는 오류와 이로 인한 사회적인 문제 등이다. 본 연구의 초기 가정은 문자메시지 시스템을 이용할 때 발생하는 대다수의 문제점이 이용자 인터페이스 상의 이용성과 관련되어 있다는 점을 주목하였다. 75명의 대학생 이용자를 대상으로 일주일 동안 모든 문자메시지를 저장하고 각각의 메시지에 대한 간단한 일지를 기록하도록 하였다. 수집된 데이터 분석을 통하여 발견된 문제점들은 제한된 메시지 길이, 부자연스러운 문자입력방식, 감정 표현의 불충분함, 수신확인 기능의 결여, 보낸 메시지의 자동저장 기능이 제공되지 않는다는 점 등으로 나타났다. 연구의 결과로 나타난 이러한 문제점들은 문자메시지 시스템을 개선할 수 있는 방향을 제공할 것으로 기대된다.

• 기독교교육논총
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• 제67권
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• pp.229-265
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• 2021

본 연구의 목적은 신앙을 가진 어린이들이 코로나19 시기에 경험한 변화와 바람에 관한 이야기를 탐색하여 교육적 방향을 제언하기 위함이다. 이러한 목적을 위해 코로나19 시기의 삶과 신앙생활에 대해 교회에 출석하는 초등학교 3-4학년 어린이 9명과 면담하였다. 분석 결과, 연구참여자 어린이들은 코로나19 시기에 일상의 변화, 학교생활의 변화, 대인관계의 변화, 신앙생활의 변화, 감정의 변화를 경험한 것으로 분석되었다. 일상의 변화에는 감염 예방을 위한 노력, 사라진 놀이, 여유로운 일상과 무기력함이, 그리고 학교생활의 변화에는 비대면 수업 실시와 다양한 규칙을 요구받음이 포함되었다. 친구·선생님·부모님·형제자매와의 어려움이 대인관계 변화에, 비대면 예배 실시와 가정예배 회복이 신앙생활의 변화에 포함되었다. 연구참여자들의 바람을 분석한 결과, 여행과 놀이의 회복을 포함하는 일상적 바람, 대면 예배로의 복귀·수련회의 회복·재미있는 프로그램 개발을 포함하는 신앙에 관한 바람, 그리고 코로나19 이전 학교생활로 복귀가 도출되었다, 이와 같은 어린이들의 경험과 바람을 토대로 본 연구는 교육자들이 코로나19 시기에 보여 준 어린이들의 노력을 인정하고 그들의 마음을 읽어주고 소통·공동체·즐거움의 요소가 포함된 교회 프로그램을 개발할 필요가 있음을 제안한다.

• 디지털융복합연구
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• 제16권12호
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• pp.635-640
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• 2018

본 연구는 대학생을 대상으로 포커스 그룹 인터뷰(FGI)를 실시하여 대학생들이 인식하는 청년 1인 가구와 고독사에 대해 파악하였다. 이는 청년 1인 가구의 문제점과 향후 청년 고독사와 같은 사회적 문제를 해결하기 위한 기본 데이터로 제공될 수 있고 사회 안전망 구축에 기여할 것이다. 본 연구는 사회복지 전공 4학년 5명을 대상으로 FGI를 시행하여 자료를 분석하였다. 연구 참여자들은 청년 취업 문제를 청년 1인 가구 증가의 가장 큰 원인으로 제시했다. 비자발적 독립생활의 경우, 청년 1인 가구의 높은 빈곤과 실업률은 경제적 불안정, 주거 문제 및 감정적인 관계 형성의 원인으로 제시되었다. 대부분의 연구 참가자들은 청년기는 더 이상 원하는 것을 얻을 수 있는 시기가 아니라 처음부터 경제적 압력에 시달리는 시기라고 하였다. 청년 1인 가구의 높은 음주율과 흡연율도 문제로 인식되었고 이는 만성 질환, 우울증 및 자살과 같은 심각한 육체적, 정신적 건강 문제를 발생한다고 인식하였다. 청년 고독사에 대해서는 언론에서 일어나는 사건마다 막연한 두려움을 갖게 되며 본인들에게 일어날 수 있는 일이라고 생각하고 있다고 하였다. 청년 1인가구는 앞으로 증가할 수 밖에 없으며 비자발적인 1인 가구의 경우 경제적 어려움이 가장 큰 문제이며 청년 고독사의 가장 큰 원인이기 때문에 이에 대한 제도 지원이 우선적으로 필요하며 특히 주거비에 대한 실질적인 지원이 필요할 것이다.