• 한국의료질향상학회지
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• 제3권2호
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• pp.52-59
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• 1997

Background : In many Nursing Delivery System, Nursing Department at D Hospital had used to traditional nursing practice model what is called functional activities based system. It has a lot of merit that carried out specialized and rapid works but tend to ignore indivisual professional responsibility and task-based work assignments. In addition this system showed high turnover rates due to heavy workload, timesum of handing over duties, lack of support from peers and interstaff communication. So we performed conversion of Nursing Delivery System to My Patients Nursing Care System for providing comprehensive nursing to patient and reducing turnover rates and increasing job satisfaction to nurse. Method : 1. 1st step(96.4.9): Detected the problem of Nursing delivery System and estabilished improving planning 2. 2nd step(96.4.26): Visited other hospital on job training 3. 3th step(96.4.29): Discussed to premonitoring problem after conversion Nursing Delivery System and prepared structure 4. 4th step(96.5.6): My Patients Nursing Care System practical application 5. 5th step(96.7.20): Held complementary meeting 6. 6th step(96. 7): The other ward application 7. 7th step(96. 10): Extended application to whole wards Results: 1. Workload: (1) reduction(55.6%) (2) addition(44.4%) 2. Strong points after conversion: (1) decreased timesum of handing overduties (35.2%) (2) increased responsibility(33%) (3) broaden nurse's outlook to duties(14.8%) 3. Shortcoming after conversion: (1) understanding difficulties except my patient(57.8%) (2) weak teamwork(23.3%) (3) intensive stress to low grade nurse(12.2%) 4. Effective complemental way: (1) manpower(76.7%) (2) conversion of though (8.9%) (3) education(14.4%) 5. Patient's satisfaction: (1) satisfaction(64%) (2) no effect(36%) 6. Physician and peer's satisfaction: (1) satisfaction(12.5%) (2) dissatisfaction(21.6%) (3) no interest(44.3%) 7. Nurse's satisfaction: (1) satisfaction(74.7%) (2) dissatisfaction(5.5%) (3) unknown(20.5%) 8. Want to continued: (1) want(76.4%) (2) try to any other system(18%) Conclusion : Even though Nursing Delivery System conversion still has many problem, we gained more merits than traditional nursing delivery system. So we suggest that My Patients Nursing Care System should be encouraged for comprehensive nursing care and satisfaction to nurses.

• 유통과학연구
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• 제11권12호
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• pp.51-62
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• 2013

Purpose - A pre-study on service quality-based customer value is conducted with the path structure (perceived value of service quality→customer satisfaction→behavior intention) based on the hierarchical model of service quality including interaction and outcome quality, physical environment quality and the SERVQUAL model of process quality, namely, reliability, responsiveness, assurance, empathy, and tangibles. In addition, customer value in the service industry is studied by dividing into the two-way structure of utilitarian and emotional values. This study classifies customer values of family restaurants through the customer value model based on the 4×4 matrix needs system of Jeon and Kim (2009). It illustrates the path structure of customer value→customer satisfaction→behavior intention targeting college students in order to generalize the customer value system of family restaurants. Research design, data, and methodology - This study established seven hypotheses based on the relationship between each type of customer value (food quality, convenience, social, emotional, interior quality, service encounter, and purchasing) and customer satisfaction, and the relationship between customer satisfaction and behavior intention. The study data were collected from students in the Department of Business and Tourism at Kimpo University. In all, 294 survey papers were returned of the 300 distributed: 253 pieces were used in the final analysis excluding 41 with insufficient and less effective answers. For statistical analysis, the statistics software package SPSS 15.0 was used. Results - The results of the analysis are as follows: first, the customer values of family restaurants are classified by seven customer values: goods quality value, emotional value, convenience value, social value, purchasing value, service encounter value, and inner quality value. Second, emotional value, purchasing value, service encounter value, and inner quality value had positive impact on customer satisfaction. In particular, purchasing value through being included in functional value was not classified in the previous study; however, this study could classify and generalize this value in a new way. Finally, customer satisfaction had a positive impact on behavior intention. This showed that college students had behavior intention - repurchase intention and word-of-mouth - because they could be content with the food items on the menu and the service provided by employees. Conclusions - The main points based on the above-mentioned results are as follows. This study with college students as study subjects could be classified into four dimensions, namely, generic value, usage value, purchasing value, and physical value and seven sub-dimensions on customer values of family restaurants based on a 4×4 matrix needs system. Then, to confirm its generalization, the path structure of customer value→customer satisfaction→behavior intention was verified. While existing pre-studies used simplified values by classifying restaurant values largely as utilitarian value and hedonic value, this study classified various forms of customer value, and that customer value especially could be expanded by adding purchasing value. As a result, it is shown that marketers need to diversify their customer services because this study proved that customer values can be classified in various ways based on customer needs.

• 한국산학기술학회논문지
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• 제18권10호
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• pp.642-651
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• 2017

본 연구는 수발 경험에 따른 수발자의 건강상태 변화를 살펴보고, 수발 경험이 수발자의 건강에 미치는 영향에 대해 사회적 관계망과 만족도가 매개변수로서 어떻게 작용하는지를 검증하는데 목적이 있다. 소기의 목적을 달성하기 위해 고령화연구패널자료를 활용하여 구조방정식모형을 활용하여 분석을 시도하였다. 분석 결과 수발 이후 남녀 모두 우울감이 증가하고 주관적 건강상태나 낮아졌다. 사회적 관계망과 만족도 변화 양상에는 성별에 따른 차이가 있는 것으로 나타났다. 여성의 경우 수발이 주관적 건강상태와 우울감에 영향을 미쳤으며, 매개효과는 발견되지 않았다. 남성의 경우 수발 경험이 우울감에 미치는 총 효과는 1.087(p<.05), 간접효과는 0.546(p<.05)이었으며, 직접효과는 유의미하지 않은 것으로 나타났다. 남성의 수발 경험은 기능적 가족망의 감소(0.42, p<.01)를 완전매개로 주관적 건강상태에 영향을 미쳤다. 이러한 연구 결과를 통해 수발 이후 수발자들의 건강 취약성이 확인되었다. 또한, 수발자의 건강과 이를 매개하는 요인을 탐색하는 데 있어 성별에 따라 그 양상이 따르게 나타나는 것으로 나타났다. 특히 남녀 모두 기능적 가족망이 유의미하게 감소하였음에도 남성에게서만 기능적 가족망의 매개효과가 확인되어 남성의 기능적 가족망 강화의 필요성을 제기하였다.

• Journal of Digestive Cancer Research
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• 제5권2호
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• pp.73-85
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• 2017

Background: To compare the quality of life (QoL), the convenience of chemotherapy and satisfaction between colon cancer patients treated with FOLFOX4 and XELOX. Methods: The study was conducted in 26 patients with stage III colon cancer. Patients were received FOLFOX4 (n=17) or XELOX (n=9). QoL, convenience, and satisfaction were assessed using the Quality of Life Questionnaire-C30 (QLQ-C30), Quality of Life Questionnaire-Chemotherapy Induced Peripheral neuropathy (QLQ-CIPN) and Functional Assessment of Chronic Illness Therapy Chemotherapy Convenience and Satisfaction Questionnaire (FACIT-CCSQ), respectively. Patients completed questionnaires at baseline, at cycle 4 (C4) and cycle 8 (C8) (FOLFOX4) or at cycle 3 (C3) and cycle 6 (C6) visits (XELOX) and at their final visit. Results: In the QLQ-C30, at the final visit, XELOX patients had better functional scores than FOLFOX4 patients (physical: 85.7 vs.60.4, p=0.03; role: 83.3 vs. 57.5, p=0.04) as well as better symptom scores (constipation: 9.5 vs. 40.4, p=0.01). In CIPN, at the C6/C8 visit, XELOX patients had lower motor scale scores than FOLFOX4 patients (3.8 vs. 21.6, p=0.02). Moreover, at the C6/C8 visit, XELOX was more convenient than FOLFOX4 in FACIT-CCSQ (79.7 vs. 55.5, p=0.04). Male patients were especially likely to consider XELOX to be more convenient (90.0 vs. 55.0, p=0.01) and satisfactory (55.4 vs. 26.2, p=0.03) and fewer concern (91.0 vs. 65.0, p=0.03) than FOLFOX4. XELOX patients spent fewer days on hospital visits at C3/C4, C6/C8 and final visit (2.8 vs. 4.2, p=0.01; 2.7 vs. 4.1, p=0.01; 3.0 vs. 4.5, p=0.01). Conclusion: XELOX may be a better adjuvant chemotherapy choice for patients with colon cancer than FOLFOX4 in terms of QoL, convenience, and satisfaction.

• 서비스연구
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• 제13권2호
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• pp.181-203
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• 2023

유튜브는 OTT와 개인방송 플랫폼의 특성을 모두 갖춘 하이브리드적 성격을 띠고 있다. 그러나, 이러한 하이브리드적 특성을, 특히 유료 채널멤버십의 맥락에서 조사한 선행연구는 제한적이다. 따라서, 본 연구에서는 소비가치이론과 선행연구를 바탕으로 유튜브 유료 채널멤버십과 관련된 소비가치 요인이 이용만족도와 지속이용의도에 미치는 영향을 검증하고자 한다. 구체적으로, 본 연구는 유튜브 유료 채널멤버십 맥락에서 인지된 네 가지 소비가치 요인(기능적 가치, 사회적 가치, 감정적 가치, 진귀적 가치)을 도출하고, 각 요인이 이용만족과 지속이용의도에 미치는 영향을 검증한 후, 이러한 관계에서 상황적 가치(유료 유튜브 멤버십 채널에서의 실시간 방송 시청경험)의 조절효과를 추가적으로 살펴보고자 한다. 데이터는 여러 유료 유튜브 채널멤버십에 가입한 한국 성인을 대상으로 온라인 설문조사를 통해 총 274부가 수집되었다. 구조방정식모델링 기법을 활용하여 연구모형을 검증한 결과, 네 가지 소비가치 요인이 모두 이용만족에 유의미한 영향을 미치며, 이용만족은 지속이용의도에 긍정적인 영향을 미치는 것으로 나타났다. 상황적 가치 또한, 기능적/감성적 가치와 이용만족 간의 관계와 이용만족과 지속이용의도 간의 관계를 유의하게 조절하는 것으로 조사되었다. 본 연구는 OTT와 개인방송 플랫폼의 특성을 모두 포괄하는 유튜브 채널 유료 멤버십에 초점을 맞춘 최초의 연구로서, 본 연구의 결과를 통해 개인방송 진행자 및 이해관계자들에게 시청자의 이용만족에 영향을 미치고 채널멤버십 가입 및 지속유지를 유도하는 동기부여 요인에 대한 인사이트를 제공할 수 있을 것으로 기대한다.

• 경영과정보연구
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• 제37권3호
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• pp.115-130
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• 2018

본 연구는 조직특성 및 정보시스템특성의 요인들과 조직구성원들 직무만족 간의 관계를 살펴보고 사회적 자본이론의 비전공유에 따른 조절효과를 파악하고자 하였다. 지금까지 기업성과 및 직무만족 관련 논문들이 주로 인사, 조직, 재무, 생산, MIS 등 각 기능별조직의 관점에서 접근한 개별모형의 분석으로 이루어져 왔다. 따라서 본 논문은 MIS 관점의 접근방식과 더불어 조직관점의 통합연구모형의 제시로 직무만족 및 기업 성과에 미치는 영향요인의 종합적 분석을 시도하였다. 또한 사회적 자본이론 측면에서의 직무만족에 미치는 비전공유의 조절효과를 분석하였다. 조직특성은 혁신성, 신뢰, 인재우대 변수를 사용하였다. 그리고 정보시스템특성은 신속성, CEO 지원, 보상을 변인으로 사용하여 다중회귀분석을 실시하였다. 분석자료는 한국직업능력개발원의 인적자본기업패널(HCCP) 6회차의 데이터를 활용하였다. 분석결과에 의하면, 모든 변수들이 만족도에 유의한 영향을 미쳤으며 특히 CEO 지원 및 신뢰가 큰 영향을 미치는 것으로 나타났다. 직무만족에 대한 비전공유의 조절효과 분석에서는 혁신성만 조절효과가 있는 것으로 분석되었다. 인구 통계학적 변수 중 구성원들의 평균급여에 의한 직무만족의 로지스틱 분석결과만 통계적으로 유의하게 나타났다. 따라서 구성원들의 직무만족 향상에는 무엇보다 급여가 직무만족에 큰 영향을 미친다고 볼 수 있다. 결국 적절한 급여의 책정이 충분한 보상의 개념으로 인식함으로써 전반적인 직무만족이 향상될 것으로 판단할 수 있겠다.

• Journal of Nutrition and Health
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• 제39권3호
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• pp.286-298
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• 2006

The study aimed to identify major factors related to global self-rated health of the community-dwelling elderly people in rural areas. Interviews were conducted with 433 persons over 65 years of age. The socio-economic characteristics, chronic disease status, measures of functional and mental health, life satisfaction, health-related behaviors including smoking, drinking, exercise, social activity, dietary habit, and food intakes were analyzed to determine their influence on self-rated health index. Data on food intake were obtained through the 24-hour recall method. The self-rated health of rural elderly was poor or very poor as reported by 42.6% and 52.4% of the men and women, respectively. Poor self-rated health was found to be related to elderly aged $65{\sim}74$, female, absence of work, more chronic diseases, dependence on Instrumental Activity Daily Living (IADL), higher mental unhealthy days, lower current life satisfaction, less social activity, lower dietary habit scores, lower intake of total food, fruit, eggs, fishes & shell fishes, vitamin C (%RDA), and Nutrient Adequacy Ratio (NAR). The results of the multiple regression analysis showed that poor self-rated health index is significantly associated with more chronic diseases, mental unhealthy days, gastrointestinal disease, musculoskeletal disease, less social activity, and lower intake of fruits. The results also suggested that improving the nutritional status and functional ability, and reducing the burden of chronic diseases are beneficial to the self-rated health index of the elderly.

• The Korean Journal of Pain
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• 제18권2호
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• pp.187-191
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• 2005

Background: Discogenic leg pain is a major cause of health problems, often due to herniation of the intervertebral disc, and has traditionally been treated conservatively or with an open surgical discectomy. Conventional open surgery has many complications, such as nerve root injury, discitis and a relatively high mortality rate; failure of conservative treatments is also common. Recently, the $Dekompressor^{(R)}$ Percutaneous Lumbar Discectomy probe was developed. Herein, we present the early results for a percutaneous lumbar discectomy in herniated lumbar disc disease. Methods: Eleven patients, including 8 men and 3 women, with ages ranging from 22 to 78 years, were enrolled in this study. Those patients with a previous history of back surgery were not excluded from the study. All patients were postoperatively evaluated for their clinical outcomes, such as visual analogue scale (VAS) for pain after 1 and 3 months, reduction in analgesics, functional improvement and overall satisfaction. Results: The percutaneous lumbar discectomy was completed in 11 patients (17 levels), with average reductions in pre-VAS of 61.3 and 60.2% at 1 and 3 months, respectively. Also, 72.7% of patients reported functional improvement, with 81.1% expressing overall satisfaction. There were no procedural related complications. Conclusions: We concluded that a percutaneous lumbar discectomy is a safe and effective treatment modality for a herniated lumbar disc.

• 대한치과기공학회지
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• 제20권1호
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• pp.61-89
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• 1998

Having taken as cause of dental technicians separation from their service a variety of individual idiosyncrasies, function-related factors, external environment factors, functional satisfaction, organizational commitment, and intention to remain, the present study conducted a mail questionnaire poll and interviews on those dental technicians who are mow in the service with private dental technical workshops and dental technical workshops in general hospitals and private dental clinics. The resultant findings from analysis of the repondent's general characteristics of cause of separation form service were revealed, as follows : 1) It was shown that the higher the academic career, the considerably higher cause of position commitment among causes of individual idio-syncrasies, reflecting a statistically significant result(P<0.05) 2) The less the number of working hours as viewed from the average number of working hours per day, the higher the positive emotion, reflecting a significant relation(P<0.01) 3) Causes from performing duties among function-related causes diclosed a statistically significant relation among marital status, career, monthly income, and positions(P<0.01) 4) Causes from wages showed a statistically significant relation in the average number of working hours per day(P<0.01), monthly income(P,0.05), and positions(P<0.05) 5) Causes from supervision exposed a significant relation in workplaces(P<0.01) 6) Causes from promotion represented a significant relation in positions(P<0.001) 7) Causes from opportunnities for taking a job as seen from external environment causes also disclosed a statistically significant relation in workplaces(P<0.05) 8) Reponsibility for family sustenace reflected a statistically significant relation in sex, age, marital status, career, monthly income, work fields, term of employment, positions, and experience of separation(P<0.001) 9) Functional satisfaction showed a statistically significant relation in marital status, career, monthly income, and the average number of hours a day(P<0.05) 10) Oraganizational commitment disclosed a statistically significant relation in work experience, monthly income, term of employment, positions(P<0.05) and the average number of working hours a day(P<0.001) 11) The intention to remain indicated a statistically significant relation in age, marital status, work experience, monthly income, positions(P<0.001) and term of employment. the average number of working hours a day(P<0.01), and in the performing work field(P<0.05)

• 대한간호학회지
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• 제41권1호
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• pp.18-25
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• 2011

Purpose: This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis. Methods: A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks. Results: Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035). Conclusion: The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.