• 근관절건강학회지
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• 제27권2호
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• pp.160-168
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• 2020

Purpose: This study aimed to provide basic data for the development of an education program on diabetic foot prevention care for care helpers in long term care facilities. Additionally, it sought to determine care helpers' knowledge and practice regarding diabetic foot prevention care, and to identify the correlation between such knowledge and practice. Methods: This cross-sectional study employed a structured questionnaire. Participants consisted of 90 care helpers who were working in three long term care facilities in Jeju city. Data collection was conducted from September to November 2016. Results: The mean knowledge and practice scores were 8.77±1.28 (range 0~10) and 28.17±2.44 (range 10~30), respectively. Practice regarding diabetic foot prevention care was significantly different by care helpers' gender (t=-2.28, p=.024), period of career in the long term care facility (F=3.29, p=.025), and received education on diabetic foot prevention care (t=3.08, p=.005). A positive correlation was observed between knowledge and practice (r=.35, p<.001). Conclusion: To improve the practice of diabetic foot prevention care, specialized education programs that consider gender and period of career in the long term care facility as well as the improvement of the level of knowledge of care helpers on diabetic foot prevention care are needed.

• 한국치위생학회지
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• 제22권1호
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• pp.63-72
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• 2022

Objectives: This study was conducted to prepare basic data to propose the necessity and utilization of oral welfare products in the welfare services of the long-term care insurance system, focusing on facility workers working in elderly facilities. Methods: The analysis was conducted on 144 workers working at some local elderly facilities. The questionnaire was constructed by classifying the use of oral welfare tools into 6 questions and the necessity and demand for oral welfare devices into 13 questions. Frequency analysis and technical analysis were performed for data analysis, and one-way ANOVA was performed for differences in the necessity and demand for oral welfare equipment. The statistical significance level was p<0.05. Results: As a result of examining the awareness of the necessity and demand for oral welfare equipment among workers in elderly facilities, the awareness of the necessity of including oral welfare equipment in the items of welfare equipment in the current long-term care insurance system was high at 4.15 points. As a result of analyzing the correlation between awareness of care products and the need and demand for oral welfare equipment, it was confirmed that there was a statistically significant positive correlation (p<0.01). Conclusions: In the long-term care insurance system for the elderly, oral welfare products need to be considered for welfare equipment services. The provision of oral welfare products within the long-term care insurance system for the elderly can provide opportunities and services to select various self-care tools. In addition, it is expected that it will be possible to promote changes in the long-term care insurance system for the elderly and to improve the system in a variety of positive ways.

• 한국직업건강간호학회지
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• 제31권4호
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• pp.157-166
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• 2022

Purpose: The purpose of this study was to identify factors influencing fall-prevention behaviors of nurses working in long-term care hospitals. Methods: Participants included 147 nurses working in 10 long-term care hospitals in B city. Data were collected from September 20-October 12, 2016. SPSS/WIN 21.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression. Results: It was found that attitude toward fall (r=.29, p<.001) and patient safety culture (r=.25, p=.002) had a significant positive correlation with fall-prevention behaviors of nurses working in long-term care hospitals. The factors influencing fall-prevention behaviors in participants were clinical career and patient safety culture (β=.21, p=.012), contributing to 19% of the total variance in fall- prevention behaviors. Conclusion: The findings showed that systematic delivery of differentiated fall prevention education is preferred to nurse's clinical career as a private factor to improve fall-prevention behaviors of nurses in long term care hospital. Particularly, it is imperative to conduct periodical and practical fall-prevention education for nurses to prevent career discontinuity. An independent report system and open communication system as well as a scheme that can disseminate patient safety culture in individual departments to implement patient direct nursing are required to encourage patient safety culture in organizations.

• 한국건설순환자원학회논문집
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• 제2권4호
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• pp.307-313
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• 2014

부식촉진시험의 가장 확실하고 신뢰성이 높은 방법은 해양폭로 시험장에 직접 폭로시켜 철근부식모니터링을 실시하는 방법이지만 장기간이 소요되는 단점이 있다. 그래서 이를 대체하는 수단으로 많은 연구들이 진행되어 왔다. 하지만 부식촉진시험이 폭로환경의 어느 정도 기간에 상응하느냐는 상관성에 대한 규정은 정해져 있지 않은 상황이다. 본 논문에서는 간만대, 침지내 환경을 재현한 철근부식촉진시험과 장기폭로시험을 실시하였다. 환경조건을 변수로 시험을 실시하였으며, 반전지전위법을 통한 철근부식 모니터링을 실시하였다. 부식촉진 시험결과 시험조건 별 상대부식개시시점 도출을 할 수 있었으며, 내구성 해석 프로그램인 Life365와 염화물적정시험을 통해 염화물침투해석을 실시하였다.

• 한국노년학
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• 제39권4호
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• pp.903-920
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• 2019

본 연구는 요양병원 간호사의 간호행위 위임정도, 간호전문직관 및 이직의도를 파악하고 이들간의 관계를 확인함으로써 향후 간호행위 위임에 필요한 정책적 지침 및 절차에 관한 기초자료를 제공하고자 시도되었다. 본 연구는 서술적 조사연구로 구조화된 설문지를 이용하여 2개 광역도 소재 6개 요양병원의 간호사 146명을 대상으로 실시하였으며, 자료수집기간은 2016년 7월부터 8월까지이었다. 수집된 자료는 SPSS 22.0을 이용하여 기술통계, t-test, ANOVA, Pearson 상관분석을 실시하였다. 연구결과, 요양병원 간호사의 간호행위는 위임에 대한 명확한 지침이나 법적 절차가 없는 상태에서 7개 행위를 제외한 대부분의 간호행위가 간호보조인력에게 위임되고 있었다. 요양병원 간호사의 간호행위 위임정도와 간호전문직관, 이직의도와의 유의한 관련성은 없었으나 간호전문직관과 이직의도는 유의한 음의 상관관계를 보였다. 따라서, 요양병원 간호사의 이직의도를 낮추기 위해서는 개인적인 측면으로 긍정적인 간호전문직관을 확고히 하는 방안이 모색되어야 하며, 정책적인 측면에서는 요양병원의 적절한 간호인력배치 기준을 마련하여 간호행위 위임지침을 개발해야 한다.

• 한국치위생학회지
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• 제9권1호
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• pp.169-180
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• 2009

This study grasped recognition on a system of long-term care insurance for the elderly targeting dental professionals who are working at dental hospitals and clinics where are located in Daejeon Metropolitan City. It developed and utilized materials available for educating the care staff in a system of long-term care insurance for the elderly and the dental professionals who participate in the oral hygiene service. It carried out the effective duty performance for the elderly in a situation of long-term care protection. Thus, the purpose of this study was to contribute to the early settlement in a system of long-term care insurance for the elderly. The following conclusions were obtained as a result of having carried out self-administered questionnaire research targeting 238 people from August 1 to August 30 in 2008. 1. In the general characteristics of the research subject, the present working place was indicated to be 22.7% for dental hospital, 71.8% for dental clinic, and 5.5% for others. As for the main duty field, the medical treatment & cooperative duty was indicated to be the highest with 61.8%, and was statistically significant(p=0.000). 2. The necessity for a system of long-term care insurance for the elderly was indicated to be 77.7% for 'necessary' and 1.7% for 'unnecessary,' and was statistically significant(p=0.016). 3. In the item of dividing the service of long-term care insurance for the elderly, the dental hygienists showed higher recognition than non-dental hygienists, and indicated significant difference(p=0.010). 4. As for recognition on a system of long-term care insurance for the elderly in dental professionals who responded as saying of 'knowing name and contents' about a system of long-term care insurance for the elderly, the recognition level was high in recognition of subjects' age(p=0.000), division in services(p=0.012), contents in at-home care service(p=0.000), execution in oral-hygiene service(p=0.004), procedure of using the long-term care insurance for the elderly(p=0.016), item of judging grade of long-term care insurance for the elderly(p=0.013), medical charge by service according to judging grade of long-term care insurance for the elderly(p=0.015), burden of cost for a system of long-term care insurance for the elderly(p=0.011), qualification of care staff(p=0.002), and contents of oral-hygiene service(p=0.027), and showed significant difference. 5. The service of long-term care insurance for the elderly and the oral-hygiene service indicated the statistically significant correlation. Accordingly, all of dental professionals need to make a desperate effort to improve dental professionals' knowledge on a system of long-term care insurance for the elderly enough to be required a system of long-term care insurance for the elderly. The more systematic and standardized professional education and materials are thought to be needed to be developed aiming at the success in oral-hygiene service within a system of long-term care insurance for the elderly, by strengthening professionalism in dentists and dental hygienists.

• 한국병원경영학회지
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• 제11권4호
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• pp.19-36
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• 2006

This study aims to examine the influence of growth rate, profitability and current ratio, which are confronted with static trade-off theory and pecking order theory, on capital structure of superior hospital and bankrupt hospital. Firstly, superior hospitals show positive correlation between growth rate and short-term loans, long-term loans, and short-term liabilities while bankrupt hospitals represent negative correlation. Superiority hospital and bankruptcy hospital show different financing behaviors, especially, short-term loan is the significant characteristic that discriminates between superior hospital and bankrupt hospital. Secondly, this paper studied the correlation between profitability and short-term loan, which the superior hospitals shows negative correlation, to contrast, bankrupt hospital have positive correlation. Consequently, the short-term loan is the most distinguishable factor between the superior hospital and bankrupt hospitals in terms of profitability. To conclude, this study shows that excess short-term loans can be the most important cause for hospital's bankrupt. Accordingly, strategic and effective policy about the short-term loan will be required in order to protect hospital's bankrupt.

• 한국구조물진단유지관리공학회 논문집
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• 제20권4호
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• pp.136-143
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• 2016

염해에 의한 철근콘크리트 구조물의 내구수명을 평가하는 방법에는 여러 가지가 있지만, 가장 확실한 방법은 염해환경에 노출된 시편에 대한 철근 부식시험을 시행하는 것이다. 그러나 이러한 방법은 장기간이 소요된다는 단점이 있으며 이를 보완한 촉진부식시험 결과는 장기시험과의 상관성이 규명되지 않아 적용에 한계가 따른다. 따라서 본 연구에서는 부식촉진시험과 장기폭로시험간의 상관성을 분석하는 것을 연구의 목표로 한다. 부식속도가 가장 빠른 간만대 환경을 모사한 최적 건습반복시험방법을 찾고 해양환경폭로시험장의 간만대에 장기간 노출된 시편의 철근부식모니터링 시험결과와의 비교를 통해 촉진부식시험과 장기폭로시험간의 상관계수를 도출하였다. 또한 재료의 배합별 특성을 파악하기 위해 물,결합재비 60%를 기준으로 플라이애시를 20% 치환한 배합과 고로슬래그 미분말을 30% 치환한 배합을 비교하였으며, 물-결합재비가 35%인 고강도 배합에 대해서도 시험을 실시하였다. 반전지전위법에 의한 부식 모니터링 결과 일정기간의 건조와 습윤의 반복 조건보다는 염수를 시편 상부에 침지시켜 염수 및 산소의 공급이 계속되는 염수 ponding 시험법이 24~36% 정도 부식을 촉진시키는 것으로 나타났다. 각 배합별로는 모든 시험법에서 OPC60, FA, BS, OPC35 순으로 부식이 발생하였다. 간만대의 장기폭로시험과의 상관성 분석 결과 건습반복 부식촉진시험의 경우 4.23~5.52의 상관계수를 가지고 있었으며, 염수 ponding 시험법의 경우 6.54~7.82의 상관계수를 나타내었다.

• 간호행정학회지
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• 제18권4호
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• pp.402-413
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• 2012

Purpose: This study was done to explore factors related to amount of service use for elders with long-term care needs. Methods: A descriptive-correlation design was used. The sample included 259 elders and their primary caregivers who had cared for the elders for at least 6 months. Data on long-term care need assessment, service use and interviews with primary caregivers were analyzed. Results: There was no significant relationship between the sociodemographic characteristics and the amount of services use. Amount of service use differed significantly by Long-term care classification. The mean scores for class 1, 2 and 3 were 22.68, 21.47 and 17.87 days respectively. Primary caregiver relationship with the elders and the number of family-friend helpers were also significant. Multivariate regression analysis showed that gender, marital status, activities of daily living, cognitive impairment, and secondary caregiver support explained 17% of the total variance of service use among these elders (F=3.50, p<.001). Conclusion: The results of this study indicate that critical factors including secondary caregiver support and individual background, and other functional dependencies except for physical function should be considered in accurately predicting the amount of service use for community dwelling elders with long-term care needs.

• 성인간호학회지
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• 제29권3호
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• pp.290-301
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• 2017

Purpose: This study was aimed to identify the level of emotional labor, job stress and professional quality of life and to identify the factors affecting on professional quality of life among nurses in long-term care hospitals. Methods: 136 nurses working at eight different long-term care hospitals were recruited from May 1 to June 30, 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS/WIN 22.0. Results: Professional quality of life is consisted of three subcategories as compassion satisfaction, secondary traumatic stress and burn-out. As for the factors affecting on compassion satisfaction, age, satisfaction on working ward and shift pattern of duties were significant factors. The three variables' explanation power on compassion satisfaction was 25.0%. As for factors affecting on secondary traumatic stress, emotional labor was a significant factor. The emotional labor's explanation power on secondary traumatic stress was 13.0%. Factors affecting on burn-out, emotional labor, age, and health condition were significant factors. The three variables' explanation power on burnout is 31.0%. Conclusion: On the basis of results, program development are required to relieve emotional labor and job stress for nurses at long-term care hospitals and to improve their professional quality of life.