• 한국콘텐츠학회논문지
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• 제16권11호
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• pp.346-357
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• 2016

본 연구는 정신요양시설 종사자가 강점관점을 반영한 사례관리를 실천할 수 있도록 사례관리 교육 프로그램을 개발하고 그 효과성을 분석하는 데 목적이 있다. 사례관리 교육 프로그램은 권한강화를 기반으로한 강점관점 사례관리모델을 토대로 개발되었다. 연구 참여자는 서울 경기 지역 소재 정신요양시설 2곳의 종사자 30명으로 기관별 15명이 할당되어 프로그램의 효과성이 검증되었다, 교육 프로그램은 월1회, 3시간씩 총 13회기에 걸쳐 실시되었으며, 사례관리 교육의 효과성을 검증하기 위한 측정도구는 클라이언트에 대한 인식(사회적 거리감, 정신장애인에 대한 태도)과 종사자의 역량(소진, 임파워먼트)이 사용되었으며, 자료분석은 기술통계, t-test를 사용하였다. 연구결과 첫째, 클라이언트에 대한 인식 관련하여 사례관리 교육에 참여한 정신요양시설 종사자의 클라이언트와의 사회적 거리감이 줄어들었고, 클라이언트에 대한 태도가 향상되었다. 둘째, 정신요양시설 종사자 역량과 관련하여 소진이 감소되었으며, 임파워먼트가 향상된 것이 검증되었다. 본 연구 결과를 토대로 정신요양시설 종사자를 위한 사례관리교육 프로그램의 개발과 효과성 연구에 대한 후속 과제를 제시하였다.

• 한국항공우주학회지
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• 제33권9호
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• pp.73-80
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• 2005

본 논문은 피치 바이어스 모멘텀 방식을 사용하는 HAUSAT-2 위성의 모멘텀 휠 초기구동(Start-up)을 위한 방안을 연구 분석하고 초소형위성 HAUSAT-2에 적합한 새로운 초기구동 방법을 제안하였다. HAUSAT-2는 25kg급의 나노 위성으로 모멘텀 휠과 마그네틱 토커를 사용하여 3축 제어를 수행한다. 자세제어를 위해 모멘텀 휠은 공칭 속도로 회전하거나 회전속도가 변하게 된다. 모멘텀 휠을 장착한 위성에서 휠의 초기구동방법은 휠을 발사 전에 미리 일정한 속도로 회전하게 하거나, 궤도상에서 추력기와 같은 구동기로 자세를 안정화 시킨 이후에 휠을 공칭속도에 도달하게 하는 방법이 있다. 하지만 HAUSAT-2와 같은 초소형위성의 경우 전력제한으로 발사 전 휠을 구동하기 힘들며, 궤도상에서 자세 안정화 이후 휠을 구동하기 위해서는 자기토커만으로 자세를 안정화 해야 하는데 이 경우 시간이 오래 걸리는 단점이 있다. 따라서 본 논문에서는 좀더 빠르고 효율적으로 휠의 초기구동과 자세안정화를 하기 위해서 모멘텀 휠 구동 방안을 제안하였다. 이 방법은 위성이 발사체에서 분리된 후 초기 각속도 제어를 할 때 일정한 속도 증가율로 모멘텀 휠의 속도를 올려주어 공칭 속도에 도달하게 하며, 이 후 자세 안정화를 수행하게 된다. 이 방식을 사용하면 약 4 궤도 이내에 휠 초기구동과 자세 안정화를 성공적으로 이룰 수 있음을 확인 할 수 있었다.

• 간호행정학회지
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• 제1권2호
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• pp.349-371
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• 1995

Professional nurse shall possess the firm nursing idea and ethical nursing philosophy based on the professional knowledge and technology but due to the rapid social situations has changed the value to man thus the nurse's sense of value in the nursing secenes has been confused and changed bringing the new ethical problems and discord due to the ethically difficult problems. This study is aimed to know about the discord between the ruling ethical sense of value and the ethical discord exeriencing in the clinical scenes of the nurse and to help them establish affirmative ethical sense of value and provide them with the materials which can effectively meet the ethical discord. The study research has been conducted by selecting 515 clinical nurses in 8 general hospitals as the subject from Mar. 13, 1995 to Apr. 3. The tool measuring the ethical sense of value disigned by Lee, Young Sook has been used and supplemented and the tool measuring the ethical discord was the question papers about the ethical dillemma of Han, Sung Sook. The collected materials have been analyzed by the statistical methods of arithmetical everage, t-test, ANOVA, Pearson's Correlation Coefficient and etc. The result of the study is as the below ; 1) The average point of the ethical sense of value of the nurse was 3.62(maximum point : 5) which showed that the ethical level was so high and the highest question item in the ethical level of the whole items of the ethical sense of value was "They conduct as directed by the doctor in case the disposition of the doctor looks mistaken"(4.56 point), "They keep the secret of the patients while serving them."(4.56) and the lowest item was "using placobo for the patients is not allowed" : (1.85 point). 2) Statistical variation which showed the significant difference in the relation with the ethical sense of value according to the general characters of the nurse has shown as scholarly years(F=3.47, p=.016), religion(F=1.66, p=.004), interest degree of ethical education(F=4.18, p=.006),attitude to the job of nursing(F=6.76, p=.006), ethical standard(F=3.28, p=.021), and recognition degree on ethical principles(F=4.53, p=.001). 3) The average point of the ethical discord of the nurse was 0.54(The maximum-1 point) point and the ethical discord in the clinical scenes : "the problems arising from the lack of manpower of the nurse"(0.86), "the discord from the uncooperative relation between them and the medical staff and"(0.75) and indifference of the doctor about the report of the nurse(0.73). 4) The variation which showed the significant difference statistically in the ethical discord according to the general characters of the nurse was that Age(F=19.88, p=.000), schooling(F=5.32, p=.001), Experience(F=15.77, p=.000), position(F=13.58, p=.000) and ethical standard(F=2.63, p=.049). 5) The results of the analysis of correlation between ethical sense of value and discord(r=0.519, p=.239) showed no significant correlation statistically.

• 대한불안의학회지
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• 제13권2호
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• pp.132-140
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• 2017

Objective : The Working Alliance Inventory-Short Revised (WAI-SR) has been reported as a reliable, valid and widely used tool for measuring therapeutic alliance. The aim of this study was to assess the reliability and validity of the Korean version of WAI-SR (WAI-SR-K). Methods : A sample of 196 outpatients completed the WAI-SR-K and the data were analyzed for internal consistency and factor structure. Additionally 51 outpatients re-filled WAI-SR-K after two weeks for the test-retest reliability. To test for the validity, questionnaires of treatment satisfaction, and scales including the Korean version of Drug attitude inventory-10 (K-DAI-10) and Hospital anxiety and depression scale (KHADS) were administered. Results : Internal consistency of WAI-SR-K was good (Cronbach's alpha=0.928) and an exploratory factor analysis revealed a two-factor structure. The WAI-SR-K showed a reasonable test-retest reliability (r= 0.810, p<0.01). The total score of WAI-SR-K was positively correlated with K-DAI-10 (r=0.276, p<0.01), and negatively correlated with scores of K-HADS-D (r=-0.217, p<0.01) and K-HADS-A (r=-0.159, p<0.05). Conclusion : The Korean version of Working Alliance Inventory-Short Revised proved to be a reliable and valid instrument for measuring therapeutic alliance in Korean patients with depressive symptoms.

• 정보화정책
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• 제27권3호
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• pp.39-55
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• 2020

본 연구는 중고령자의 디지털기기 이용동기, 디지털기기 이용태도, 디지털기기 이용성과의 요인 간 관계를 검증하기 위해 경로분석을 진행하였다. 실증분석을 위해, National Information Society Agency의 2018 디지털정보격차 실태조사를 사용하였으며 55세 이상 전체 조사 대상자 2,303명 중 결측치를 제거하여 1,664명을 최종분석 하였다. 구조모형의 경로계수를 살펴본 결과, 디지털기기 이용동기는 디지털기기 이용태도(표준요인 부하랑=0.847)에, 디지털기기 이용태도는 디지털기기 이용성과(표준요인 부하랑=0.745)에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 본 연구는 디지털기기 이용동기가 바로 디지털기기 이용성과를 높이지는 않으나, 디지털기기 이용태도를 높이고, 디지털기기 이용태도는 디지털기기 이용성과를 높일 수 있음을 시사하였으며 중고령자의 디지털기기 이용을 활성화하기 위한 실천적·정책적 함의를 제시하였다는 점에 의의가 있다.

• 성인간호학회지
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• 제13권1호
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• pp.108-122
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• 2001

The cause of essential hypertension is yet unknown, but in general is caused by interaction of hereditary factors, diet, obesity, lack of exercise and stress. The aging process influences various physiological mechanism related to regulation of blood pressure. So elderly hypertensives have a tendancy to consider the disease as a result of the physiological aging process. This attitude causes many complications, worsening of the disease and even early death because of inappropriate care. In order to improve self-management of elderly hypertensives in this study the researcher examined the effect of blood pressure regulation by an education program that improves self-care behavior, through increasing self-efficacy. The education program consisted of group education on hypertension and self-care strategies, and encouraging and reinforcing self-efficacy resources such as verbal persuation, performance accomplishment and vicarious experiences. A quasi-experimental pre-and post-test design was used. Thirty-two elderly hypertensives participated in the study. Eighteen in the education group and fourteen in the control group. The education program consisted of eight sessions twice a week for four weeks. There was no intervention for the control group. Data were analysed using SPSS for Windows(Version 8.0). The results were as follows. 1. There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2. There was no significant difference in the level of self-care behavior between the experimental group and control group over three different times, and interaction by groups and over time. 3. There was significant difference in selfefficacy of experimental and control group, depending on the measuring period, but there was no difference between these groups on interaction by groups and over time. 4. There was positive correlation between self efficacy and self care behavior depending on the measuring period. There was negative correlation between diastolic blood pressure and self-care behavior on the posttest of the program, and between systolic blood pressure and self-care behavior on the follow-up test of the program. Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.

• 한국유통학회지:유통연구
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• 제12권4호
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• pp.79-108
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• 2007

본 연구에서는 기업의 성과를 향상시키는 중요한 요소로 알려진 종업원의 조직시민행동을 고객관점에서 측정하고, 그 영향을 검토하기 위하여 관련 변수들인 서비스품질, 고객만족, 신뢰, 호의적 구전과의 경로관계를 실증적으로 규명해보았다. 그동안 조직시민행동(OCB)에 관한 연구들은 대부분 조직 관점에서 종업원의 OCB를 측정하였다. 반면, 본 연구는 고객의 시각으로 이를 평가했다는 점에서 기존 연구를 확장하였다고 할 수 있다. 자료 수집에 있어서는 보다 다양한 고객접점 상황을 고려하기 위해 미용실과 주점 두 업종의 이용고객을 대상으로 실시하였다. 연구결과는 다음과 같다. 첫째, 고객이 지각하는 종업원의 OCB는 고객의 지각된 서비스품질과 신뢰에는 직접효과, 고객만족에는 간접효과가 있는 것으로 나타났다. 이는 고객이 관찰하기에 종업원이 규정된 역할을 초월하여 동료들을 도와주고 고객의 편의를 지향하며 자신이 속해 있는 조직에 대해 긍정적인 자세를 보이면, 고객들은 종업원을 신뢰하고 그들에게서 제공받는 서비스품질을 높게 지각할 뿐만 아니라 결과적으로 만족도가 높아진다는 것을 의미한다. 둘째, 조직시민행동은 서비스품질과 만족, 신뢰를 통해 호의적 구전에 간접적인 영향력을 나타내었다. 셋째, OCB의 세 가지 구성차원인 고객편의 지향성, 조직관여도, 스포츠맨십이 고객태도에 미치는 효과를 검토한 결과 고객편의지향성의 영향력이 가장 큰 것으로 나타났다. 본 연구를 통해서 고객이 지각하는 접점종업원의 OCB와 고객태도 사이의 관련성을 이해할 수 있었으며 고객관점의 OCB를 측정함에 있어 다차원적인 접근의 필요성을 파악할 수 있었다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권4호
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• pp.295-304
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• 2022

Background: The first dental experience is vital in molding a child's attitude towards dentistry and dental outcomes. The cooperation of a child during dental treatment is essential to render successful and high-quality treatment. Dental anxiety is common in children undergoing dental treatment. The success of pediatric dental treatments and patient comfort depends on controlling the levels of patient anxiety in clinical settings. This study aimed to compare the effectiveness of the recorded maternal voice and virtual cognitive tool (Roogies application) in the management of pediatric dental patients. Methods: The study was carried out with children aged of 4-7 years [n = 80, (40 male and 40 female)], without any past dental history, and were randomly allocated into two groups. After informed consent was obtained, the entire procedure was explained to the parents. Anxiety was assessed pre-, during, and post-treatment by measuring pulse rate, and recording Venham Picture Test (VPT) scores. Group A [n = 40; 20 boys and 20 girls)] was provided with a headphone that played a recorded maternal voice. Group B [n = 40; 20 boys and 20 girls)] was administered the virtual cognitive tool. After conditioning the children, oral prophylaxis was performed for both groups. A comparative evaluation was conducted for each treatment session. Results: The intra-group comparison of VPT scores and heart rate for patients assigned to the recorded maternal voice showed a statistically significant difference in dental anxiety (P-value ≤0.001). Conclusion: This study demonstrated that a reduction in dental anxiety with the help of recorded maternal voice forms an important component of non-pharmacological behavior management. Alternatively, the use of a virtual cognitive tool as an anxiety-reducing technique can also be advocated.

• 신경정신의학
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• 제56권2호
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• pp.89-97
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• 2017

Objectives The Behavioral Activation of Depression Scale (BADS) has been reported to be a valid tool for assessing the different behavioral aspects of depression, such as activation, rumination or avoidance, and functional impairment. The aim of this study was to assess the reliability and validity of the Korean version of BADS (K-BADS). Methods A sample of 196 outpatients completed the K-BADS and the data were analyzed for internal consistency and factor structures. An additional 51 outpatients re-filled the K-BADS after two weeks for the test-retest reliability. To test for the validity, the Hospital Anxiety and Depression Scale (HADS), Working Alliance Inventory (WAI), Drug Attitude Inventory-10 (DAI-10), and Mindfulness Attention Awareness Scale (MAAS) were administered. Results Internal consistency of K-BADS was good (Cronbach's alpha=0.843) and principal component factor analysis revealed the four-factor structure. The K-BADS showed a reasonable test-retest reliability (r=0.863, p<0.001). The total score of K-BADS correlated significantly with the total scores of the HADS depression (r=-0.694) and HADS anxiety (r=-0.681). No correlations were found between the K-BADS and the K-WAI (r=0.170) and between the K-BADS and the K-DAI-10 (r=0.311). Conclusion The K-BADS is a reliable and valid instrument for measuring the behavioral activation for depression in Korean patients with depressive symptoms.

• 한국학교보건학회지
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• 제10권2호
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• pp.193-211
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• 1997

The study was designed to gain necessary basic data in order to grasp the health knowledge, attitude, and practice level of students and teachers of elementary, middle and high schools. This study was conducted through interviews of 3,400 students and 1,022 teachers attending 14 different schools large, middle and small cities and rural towns during a period of nine months (from Oct. 2 1995 to Jun. 30 1996). By the results of this study, the recommendations can be summarized as follows: 1. A school health development committee should be established of 10 members: school health related teachers (physical trainers, nurses, and teachers in charge of health), parents, persons related to health administration, local medical doctors, and student reprensentatives in order to support and immplement school health development plans. 2. Like advanced countries, a health class of 2~4 hours should beplaced in middle and high schools. A nurse majoring in health from a university should be the teacher. 3. A curriculum of health should contain the following: education on health, sex, alcohol, tabacco, the misuse of the drugs, the structure and function of human body, the growth of the body, mental health, safety and emergency care, the prevention of disease, proper eating habits and nutrition, daily health life, family health education, society health, community health, environmental pollution and individual responsibility. 4. Create a school health promotion center, with a nurse's office, and a sports center which has health machines (bars, aerobics, training, twist machine, belt massage, running machine, bench press, chest waist, hack hip extension machine) as well as a physical strength measuring machine (muscular strength, alertness, flexibility, endurance, lung functions and so on), so that the teaching staff and students can use them and train their bodies. 5. Through a refresher education program, urge teachers to understand school health promotion services. 6. Regulate a standard and establish a system of monitoring the physical enviroment of the school (the height of desks and chairs, illumination facilities, ventilation facilities, safe drinking water). 7. Create a check list of health to evaluate improvement.