• 제목/요약/키워드: mental and physical health

검색결과 1,440건 처리시간 0.035초

사무 자동화에 따른 사무직 근로자의 건강과 연관된 자각 증상에 대한 조사연구 (An Investigation on the self-consciousness Symptoms of the Clerical Workers attendant upon Office Automation)

  • 정미화
    • 한국직업건강간호학회지
    • /
    • 제3권호
    • /
    • pp.54-70
    • /
    • 1993
  • According as the automation of clerical work(OA ; Office Automation) develops, the use of VDT(Visual or Video Display Terminal) is increasing suddenly. But, in proportion to the spread of office automation(OA tendency), the self-conciousness syptom attendant upon the work is appearing also (Kim, Jung Tae, Lee, Young Ook, 1990). The apparatuses of office enable the clerical workers to be convenient and perform mass businesses. But, they are increasing the opportunity to be exposed to VDT syndrom, techno stress, computer terminal disease, pain by muscle strain(RSI), bradycausia of noise nature, and electromagnetic waves, etc. which are referred to as the new type of occupational diseases to the workers. It is the real situation that the workers to use VDT is complaining of the physical inconvenience sense in the recent newspaper and literature, it is the point of time that the sydrome to come from VDT use and computer terminal disease, etc. must be classified into the occupational disease(Lee, Kwang Young 1990, Lee, Kyoo Hak 1990, Lee, Won Ho 1991, Lee, Si Young 1991, Lee, Joon 1991, Choi, Young Tae 1991, Heo, Seung Ho 1989). In addition, it is the real situation that the scientifitic study result about the scope that electromagnetic waves has influence on the human body has not been suggested yet, and criticism on the stable exposure permission standard about electromagnetic waves to be emitted from VDT and on the problem in the health about electromagnetic waves is continuing. (IEEE Spectrum, 1990). In addition according to the experience of nursery business of industry field, it is the real situation that the patients who consult complaining of physical and mental inconvenience sence, among the users of apparatus of office automation, are reaching 10% of the patients coming to doctor's room. Therefore, it is necessary to confirm the self-consciousness symptom that the clerical workers complain of multilaterally with the actual state examination about the use of the apparatuses of offices automaton. Thus, this study was tried as th basic data for the cosultation and education for the maintenance and furtherance of the health of workers as the nurse of industry field, by confirming the contents of self-consciousness symptom attendant upon the use of the apparatus for office outomation making the financial institution in which the spparatus for office automation in most frequently used as the subject, and by examining whether there is the difference according to the subject of study, the data were collected, by using the questionnaire method, making 200 workers who consented to the study participation as the subject, among the persons who have spent over 3 months since they used the apparatuses for office automation and didn't receive the treatment in hospital due to the clerical disease for recent 3 years. The period of data collection was from Oct. 9, 1991 to Oct. 12. As for the measurement instrument about the complaint if self-consciousness symptom attendant upon the use of apparatuses fo office automation, the question item on the complaint symptom of health problem attendant upon the treatment of VDT that Kim(1991) developed and on CMI health problem and the question items on the fatigue degree due to industry were used by previous examination to 25 persons. Collected data were analyzed with the statistical method such as percentage, arithmetic mean, Person correlation coeffient, Kai square verfication, t-test, ANOVA, etc. by using SPSS/PC+ program, and the result is as follows : 1. The self-consciousness symptom that the clerical workers complained of most frequetly appeared high in 'My eyes are tired'(99.4%), 'I feel fatigue and weariness'(99.4%), 'I feel that my head is heavy5(90.0%), 'eyesight fell'(88.8%), 'I have a stiff neck'(88.8%), 'I fell pain in the shoulder'(85.0%), 'I feel cold and painful in the eyes'(76.9%), 'I feel the dry sense of eyeball'(76.2%), 'My nerves are edgy, and I an fretful, (75.6%), 'I feel pain in the waist'(73.2%) and 'I fell pain in the back'(72.8%). It emerged that the subject use the apparatuses for office automation complained of self-consciousness symptoms related to visual symptoms and musculoskeletal symptoms. 2. As for the general feature of examination subjects, the result to see the distribution by classifying into sex, age, school career, use career of apparatuses for office automation, skillfulness degree of the use of apparatus for office automation, use hours of the apparatuses for office automation per 1 day, type of business of the apparatus for office automation, rest hours during the use of apparatus for office automation, satifaction degree of business of office automation, and work circumstance, etc. emerged as follows : As for the sex of subjects, the distribution showed that men were 58.8% and women were 41.3%, Age was average 26.9. As the distribution of school career, the distribution showed that4below the graduation of high school' was 58.8%, 'graduation from junior college-university' was 35.0%, and 'over graduate school' was 6.3%. In the question to ask the existence or non-existence of experience of health consultation in connection with the work of office automation, the response that I had the consultation exprience and I feel the necessity emergerd as 90.1% And, the case that the subject who didn't wear the glasses or lens before using the OA apparatus wear glasses or lens after using OA apparatus emerged as 28.3% of whole. As for the existence or non-existence of use career of OA apparatus, the case under 3 years was highest as 52. 7%. As for the skillfulnness degree about the use of apparatus for office automation, most of them are skillful with the fact that 'common' was 44.4%, 'skill' was 42.5%, and 'unskillful' was 13.1% As for the use average hours of the apparatus for office automation per 1 day, the distribution showed that the case under 3-6 hours was 33.1%, the case under 6-9 hours was 28.1%, the case under 3 hours was 30.6%, and the case over 9 hours was 8.1% Main OA business and the use hours for 1 day showed in the order of keeping and retrieval, business of information transmission(162min), business of information transmission(79.3 min), business of document framing(55.5 min), and business of duplication and printing(25.4min). as for the rest during the use of apparatus for affice automation, that I take rest occasion demands the major portion, but that I take after completing the work emerged as 33.8%. Though the subiness gets to be convenient by the use of the apparatus for of office automation, respondents who showed the dissatisfaction about the present OA business emergd high as 78.1%. The work circumstances of each office was good with the fact that the temperature of office was 21.8, noise was average 42.7db, and the illumination was average 364.4 lx, in the light of ANSi/HFS 100 Standard. 3. Sight syptom, musculoskeletal symptom, skin and other symptoms showed the significant difference according to the extent of skillfulness of the apparatus for office automation. All the symptoms exept skin symptom showed the difference according to the use hours of the apparatus for office automation. All the question items exept the sytoms of digestive organs and the rest hours during the apparatus for office automation showed the signicant difference. The question item which showed the signicant difference from the satisfaction degree of present OA business showed the significant difference from all the question item classified into 6 groups. But, age and school career didn't significant difference from the complaint of any self-consciousness symptoms.

    . In conclusion, the self-consciousness symptoms of the subjects to use OA apparatus appeared differently, according to sex distiction, skillfull degree of OA apparatus, use hours of OA apparatus, the rest hours during th use of OA apparatus, and the satiafaction degree of persent business. Therefore, it is necessary that the nurse in the inuctry field must recognize to receive the education about the human technological physical condition which is most proper for te use of OA apparatus and about the proper rest method until they get accustomed to the use of OA apparatus. In addition, the simple exercise relax the tention of muscle due to the repetitive simple movement, and the education for the protection of eyesight are necessary.

  • PDF
  • 유테이블을 활용한 노인용 게임 (Games for Elderly People using u-Table)

    • 황태두;노영태;이준;박성준;신혜원;김지인
      • 한국컴퓨터그래픽스학회논문지
      • /
      • 제13권4호
      • /
      • pp.13-19
      • /
      • 2007
    • 최근 의료기술의 발전으로 노인의 인구는 범세계적으로 매우 빠른 속도로 증가하고 있다. 이에 따라 그들의 건강과 여가생활을 위한 컴퓨터 게임을 개발할 필요성이 증가되고 있다. 노인들에게는 이미 그들에게 친숙한 전통놀이를 게임화 하는 것이 다른 일반적인 컴퓨터 게임들 보다 더 자연스럽고 친숙하여 접근이 용이할 것이다. 만약 노인들이 컴퓨터 게임에 보다 쉽게 접근하여, 그들의 여가를 즐길 수 있게 되면, 여가 활동을 통한 노화 지연 및 질병 예방 등의 효과가 있을 것으로 기대된다. 그러나 마우스와 키보드를 주로 사용하는 오늘날의 컴퓨터 인터페이스는 노인들이 사용하기에는 복잡하고 어렵다. 본 연구에서는 테이블탑 인터페이스(TableTop Interface)인 유테이블을 이용하여 노인들이 쉽게 즐길 수 있는 전통놀이 게임을 개발하고자 한다. 노인들이 유테이블 위에서 직관적이고 쉬운 동작으로 즐겁고 재미있게 게임을 할 수 있는 환경을 제공하는 것이다. 본 논문에서는 노인용 게임을 개발하고 적용시켜 봄으로써 게임의 타당성을 검증하도록 하겠다.

    • PDF

    청각장애인 재난대응 욕구에 관한 연구 (A Study on the Special Needs of the Hearing-Impaired Person for Disaster Response)

    • 김승완;김회성;노성민
      • 재활복지
      • /
      • 제21권2호
      • /
      • pp.63-88
      • /
      • 2017
    • 본 연구는 재난취약계층인 청각장애인의 재난관리 및 지원체계에 관한 연구가 상당부문 공백으로 남아있다는 문제의식 하에, 청각장애인을 대상으로 재난대응 욕구 전반에 대한 실태를 조사해 양적으로 분석하고, 재난 구조과정 최일선에 있는 소방공무원들과의 심층인터뷰를 통한 질적 분석을 함께 제시함으로써 청각장애인의 재난대응 욕구에 대한 이해를 높이고 정책방안을 모색해 보고자 했다. 분석결과, 위험상황에서의 도움을 요청하는 수단 확보 및 구조 과정에서의 정보전달과 관련된 의사소통 욕구, 재난 발생 시 효과적인 대피능력 및 훈련정도를 의미하는 이동(이송) 욕구, 신체적 정신적 응급조치에 대한 사전준비 정도 및 구조 구급과정에서의 건강정보의 전달과 관련된 의료적 돌봄 욕구, 재난 발생 시 발생되는 피해를 스스로 최소화하기 위해 준비된 정도를 의미하는 자립성 유지 욕구, 재난취약계층에게 제공되는 공식화된 맞춤형 지원체계에 해당하는 슈퍼비전 욕구 등 5대 재난대응욕구 전반에서 청각장애인의 재난대응 욕구충족 수준은 상당히 미흡한 것으로 분석되었다. 청각장애인의 재난관리 보장을 강화하기 위해 시각경보장치의 확대설치 지원 확충 및 화상수화통역서비스 활용 강화, 재난대응 교육 훈련 프로그램의 내실화, 건강정보카드 보유 장려 및 장애인지정병원제도 신설, 맞춤형 재난지원체계와 재난관리 거버넌스 활성화를 위한 예산 및 정책 확대 등을 제안했다.

    컴퓨터 및 스마트폰 사용이 근골격계질환으로 인한 업무능력 저하에 미치는 영향 : 근골격계 질환의 매개효과 (The Effect of using Computer & Smart-phone on Decreased Work Efficiency due to Musculoskeletal Disorders ; Mediating Effect of Perceived Musculoskeletal Disorders)

    • 박종호
      • 유통과학연구
      • /
      • 제14권3호
      • /
      • pp.55-62
      • /
      • 2016
    • Purpose - Average using time of smart-phone for Korean people is 3 hours 39 minutes and most people who are using a computer at home and their workplace can be affected over force to neck and shoulder due to unstable body posture. musculoskeletal disorders which caused by unstable body posture can affect strongly to decrease work efficiency. So this research is designed to measure the effect of using computer & smart-phone on decreased work efficiency due to musculoskeletal disorders and mediating effect between decreased work efficiency and musculoskeletal disorders. Research Design, Data, and Methodology - The author has developed a questionnaire with 6 hypothesis on the basis of previous research result with 5 constructs. The questionnaires were also made by interview and E-mail. 300 copies of questionnaires were distributed and 282 questionnaire were used for the analysis as valid data responses. SPSS ver.21.0 were used and made Cronbach's α and reliability test, correlation, Baron & Kenny 3 step mediated regression analysis. Result - Cronbach's α shows 0.770~0.954 and C.R. is 0.963~0.997 which is higher than 0.7. and AVE was 0.867~0.933. So the data are all acceptable condition. Using for a long time of a computer & smart-phone has a positive effect on musculoskeletal disorders. This means, it can cause musculoskeletal disorders if people use a computer & smart-phone for a long time due to unstable body posture. And musculoskeletal disorders can effect strongly decrease work efficiency. This study also found out that a long time of using computer can cause musculoskeletal disorders rather than using smart-phone a long time. To check mediate effect of musculoskeletal disorders between using a computer & smart-phone and Decreased Work Efficiency, author used 3-step mediated regression analysis of Baron & Kenny (1986). Using a computer for a long time mediate partially and using a smart-phone for a long time mediate completely. This means that using a smart-phone a long time is not the actual reason to decrease work efficiency. But using level of smart-phone is increasing rapidly day by day. So we need to make additional research about this matter seriously. Conclusion - Nowadays, people can not live on without a computer & smart-phone even a moment. But, using a computer for a long time will affect to cause musculoskeletal disorders and it will effect strongly to decrease work efficiency. Before, we thought over that musculoskeletal disorders were diseases of elder people. But, we found out from this study that musculoskeletal disorders can be happen to any people, even children, or workers in heavy industry or engaged in brain work. So we need to be careful when we use a computer for a long time. People also need to be careful to keep correct body posture when using both a computer and smart-phone since a smart-phone became more popular and using time level became longer. Due to increased income and living standard of people, physical growth of young people is so rapid. But the physical environment of society is not suitable for them since it can not follow up the speed of growth. Suitable work table is very important to prevent musculoskeletal disorder which can affect decrease work efficiency. For a person, a society or country, increased productivity is very important since it can directly connected to the job satisfaction. Education and reeducation for the people is also important, but to teach them how to keep good condition of health will be more important since it can increase the quality of work efficiency and quality of life. Computer and Smart-phone is one the best invention of modern society, but it can cause mental and physical disease which can affect decrease work efficiency and productivity. So it is necessary to observe attentively for the situation continually.

    사용자 중심의 유산소 운동기구 디자인 개발에 관한 연구 -Elliptical Cross Trainer를 중심으로- (A Study on the Development of Aerobic Exercise Equipment Design for User-Centered -Focusing on Elliptical Cross Trainer-)

    • 정경렬;송복희;윤세균;박일우
      • 디자인학연구
      • /
      • 제19권5호
      • /
      • pp.129-138
      • /
      • 2006
    • 오늘날 가계소득의 향상과 근로시간 단축으로 인해 삶의 질이 향상되어감에 따라 보다 풍요롭고 여유있는 생활문화로의 변화가 예상되고 있다. 반면 생활이 윤택해지면서 영양섭취 과다와 노동여건의 변화(육체적 노동$\rightarrow$정신적 노동)로 인해 비만과 운동부족을 야기하여 많은 신체적 부작용을 유발시키고 있다. 이로 인해 오늘날 대다수 국민의 관심은 건강에 집중되고 있으며 운동에 대한 인식이 날로 증대되고 있다. 이러한 현상은 매년 20%이상의 높은 헬스기구 시장의 성장률로 대변된다. 최근 주목받고 있는 Elliptical Cross Trainer(이하, ECT) 스키의 상체운동과 달리기의 하체운동을 결합한 논임팩트 운동기구로써, 토탈 전신 유산소 운동을목적으로 개발된 크로스 트레이닝 운동기구이다. 이미 유럽과 미주 등의 해외 시장에서 트레드밀과 대등한 시장을 형성하고 있고 근래 한국을 비롯한 동북아시아 시장에서 그 성장이 급격히 확대되고 있다. 이러한 수요확대에도 불구하고 대부분의 고가 ECT는 몇몇 선진국이 독점하고 있어 한국기업의 시장 경쟁력 제고와 시장 확대 측면에서 ECT의 국산화는 시급히 요구되고 있다. ECT 디자인 개발은 세계 일류 상품만이 시장경쟁력을 가질 수 있다는 배경아래 디자인을 전략적으로 특화하여 사용자 관찰과 인간공학에 입각한 사용자 중심 디자인, 첨단 공학기술과 디자인 융합을 중점적으로 실행하였다. 이를 위해 참여 디자이너들은 개념설계, 기본설계, 상세설계에 이르는 전 과정에서 엔지니어들과 협력하며 연구하였다. 본 논문은 ECT개발을 위한 디자인과 공학의 협업적 연구개발과정과 결과를 소개하였다.$-37.83%{\sim}44.36%$로 큰 차이를 보였다._d)$의 비$(L_d/D)$에 따른 전면교각에서의 수류변화의 영향이 후면교각에 작용하여 상호 복합적인 흐름 및 세굴특성을 나타내므로 이와 같은 복렬형 원주군의 세굴특성을 파상형 원주교각에 적용하여 국부세굴의 크기 변화를 해석하였다. 따라서, 교각주위에서의 수류특성 및 세굴의 변동은 원주군 및 교각파상의 크기와 간격 등과 같은 구조물의 배열조건과 Froude 수, 수심 등의 수리학적 조건에 따라 달라지므로 이의 조건을 체계적으로 변화시켜 가면서 교각주위에서의 국부세굴 및 세굴 감소특성을 검토하였다. 실험결과 오목 및 볼록 파상형 원주 주위에서의 세굴크기는 원형원주와 비교하여 전체적으로 감소하는 것으로 확인되었으며 특히 오목형 $B/\acute{h}=3$에서는 세굴경감효과가 탁월하여 70%이상 감소하는 것으로 확인되었으나 볼록형 $B/\acute{h}=5$에서는 세굴촉진특성이 나타나고 있는 것으로 나타났다. 따라서, 파상형 원주에서는 하강류나 와류를 파상형의 내부로 유도하여 세굴의 크기를 조절할 수 있는 최적의 파상이 존재하고 있는 것으로 예측되었다.원 분야 소프트웨어의 개발에 기본 토대를 제공할 것으로 판단된다.았다. 또한 저자들의 임상병리학적 연구결과가 다른 문헌에서 보고된 소아 신증후군의 연구결과와 큰 차이를 보이지 않음을 알 수 있었다. 자극에 차이가 있지 않나 추측되며 이에 관한 추후 연구가 요망된다. 총대장통과시간의 단축은 결장 분절 모두에서 줄어들어 나타났으나 좌측결장 통과시간의 감소 및 이로 인한

    • PDF

    장기간에 걸친 DHA 보충이 영아의 신체발육 및 두뇌발달에 미치는 영향 (Long-Term Effects of the DHA Supplementation on Physical and Brain Development in Full-Term Infants)

    • 정현주
      • Journal of Nutrition and Health
      • /
      • 제31권8호
      • /
      • pp.1295-1306
      • /
      • 1998
    • 본 연구에서는 정상으로 출생한 영아를 대상으로 DHA가 첨가된 분유 및 이유식을 섭취시켰을 때 영아의 신체발육 및 두뇌 발달에 미치는 영향을 조사하여 다음과 같은 결과를 얻었다. 1) 영아의 체중, 신장, 체위 , 두위 등 신체 발육은 소 아발육 기준치의 50th percentile에 해당하였으며. 모두 정상범위에 속하였다. 2) 혈중 총 지방질 농도는 470.4~542.9mg/dl,중성 지방은 107.0c-128.8mg/dl,총콜레스테롤 147.6-169.Omg/dl, LDL-콜레스테롤은 74.7~104.9mg/dl로 모 두 정상범위에서 군간의 유의적인 차이를 나타내지 않았다. 3) 영아의 혈중 지방산 수준을 살펴본 결과 식이 섭취 에 따른 군간의 DHA수준의 차이가 있었다. 적혈구내의 D DHA는 Breast十DHA(+) 군에서 5.26%. DHA(+ 군에서 4.20%, Breast +DHA( -) 군에서 3.98%. 그리고 DHA(-) 군에서 2.85%로 섭취에 따라유의적인 차이를 보였다. AA는 7.1O~8.93의 수준으로 군간의 차이는 없었으며. 총 n-3계 지방산은 5.82~7.75%. 총 n-6계 지방산은 27.62~30.29%의 수준으로 역시 군간에 차이가 없었다. 4) 영아의 두뇌 발달 생태를 flash VEP 검사를 통하여 실시한 결과 모든 군간의 차이가 없는 것으로 나타났다. 전기자극에 대해 가장 빨리 반응하는 시간을 나타내는 잠복기 $N_1$ 와 경우, 오른쪽 눈이 82.8~89.8ms, 왼쪽 눈이 84.8~94.4ms의 수준을 나타냈으며, 자극에 반응하는 증폭 $N_1-P_2$의 경우는 오른쪽 눈은 $-11.5~-18.3\mu\textrm{V}$, 왼쪽눈은 $-11.2~-19.1\mu\textrm{V}$, 의 수준을 나타냈다. 5) 생후 48주에 영아와 지능발달과 행동발달을 살펴 본 결과 지능 발달지수는 90.3~96.3로 정상수치라고 할 수 있는 $100\pm16$ 범위에 속하였다. 행동발달지수의 경우에도 93.9~101 수준으로 지능발달지수와 마찬가지로 정상범위에 속하였고 군간의 유의적인 차이를 관찰할 수 없었다.

    • PDF

    '기(氣)' 현상에 대한 철학적 고찰 (Philosophic Investigation of the 'Ghi(氣)' Phenomena)

    • 이현주
      • 동서간호학연구지
      • /
      • 제3권1호
      • /
      • pp.50-67
      • /
      • 1998
    • When recognition of the Ghi(氣) which exist in all things, is changed on the aspects of the science of nursing, the view of health and nursing will be more efficient and can be developed as the proper concept for Korean culture. I think it is nessary to confirm which philosophical basis of the will be applicable to nursing and how to it has to be developed. Therefore I can for the research of the Ghi phenomena to attain the Thoughts of philosophy that is appropriate to expound those phenomena. And I attempt to induct "the fusion of horizons" to unify the view of the I world between Korea and the West. The Ghi is very energetic and omnipresent among the universe, Nature, and the human being. So it can organize all the primary elements of mental and I physical function of human as like life, mind, breath, feeling, energy, etc. A general concept of the Ghi is described as follows ; (1) The Ghi is the origin and essence to organize the universe, Nature, and the human being. (2) It is the perpetually movable thing. (3) And there are continuous transmission between the Ghi of the universe and the human through 'body, mind, and soul. For review on the philosophic basis of the Ghi, I studied out the identity of the doctrine of Li and Ch'i(理氣論) in the field of philosophy of Korea and the West. In Korea, the concept of the Vigor is based on Ch'i monolism(기일원론) and Li Ch'i dualism (이기이원론) of Yul-gok Lee's, Toi-kye Lee's, Hwa-dam's, and/or Hekang's. These are indispensable for the view of the world of Korea as Metaphysical ideology, Concrete science, Materialism, Ontology, and Epistemology. From the viewpoint of the philosophy of the West, the doctrine of Li and Ch'i(이기론) of Korea is identical with the doctrine of Li and Ch'i(이기론) of Joo-ja, Idea of Plato, Metaphysics of Aristotle, World Spirit(Weltgeist) of Hegel, and Existentialism of Heidegger. In the nursing theory of the West, some of them referred to the Ghi as like Energy field theory of Rogers and Energy exchange of Neuman. Though there are different in terminology, "energy" and the "Ghi" are induced comparable therapeutic action between the human and the environments. With the nursing theory of Korea, I have made an attempt to compare the Ghi with metaparadigm of nursing-the human being, the environment, the health, and the nursing. For the most part, the alternative therapy is resonable to the frame of the nursing theory of Korea. It is easy to apply alternative therapy on the every spot of nursing. So this therapy could be a kind of forms as nursing therapy in the nursing centers where take the duties of supporting in local societies. In result, independent nursing intervention will be activated by the nurse who puts up with the major parts. It is available to apply this therapy to palliation of pain, insomnia of infant, Sanhujori (산후조리), pain of menstruation, arthritis. And the alternative therapy makes it possible to propose the nursing model which represent originality, tradition, and history of the nursing of Korea. Additionally, in the field of the nursing, it is indispensable to choose a suitable methodology which is considered whether it is matched with a theory of philosophy in the boundary and object of the research. Because there are many way to get the knowledge of nursing related to the Ghi. In the science of nursing, context of sociocultural background and frame are required to understand the person who need to take care of (nursing client). But the value systems of the West and the East are distinctive each other as well as the behavior of health persuance. Therefore it is the basic research data of great worth to review philosophical the Ghi phenomena which is well known to Korean.

    • PDF

    "황제내경(黃帝內經)"의 '허(虛)'와 그 철학적 배경에 대한 연구 (Study of Philosophical Background of '虛' Described in "Huang Di Nei Jing")

    • 이정원;홍무창;배현수;신민규
      • 동의생리병리학회지
      • /
      • 제20권4호
      • /
      • pp.766-783
      • /
      • 2006
    • This study describes philosophical background regarding '虛' in oriental medicine in an effort to understand the relationships among some of the Eastern philosophy in accordance with differentiated meanings in several resources by analyzing examples of '虛' in Huang Di Nei Jing. The various usages of '虛' used in Huang Di Nei Jing are as follows: naming; condition of pulse; emptiness; '太虛' which was referred universal space by Chinese ; insufficiency, lack or scarcity, deficiency ; and the description of vitality, mental faculties. 外丹修煉(training by external substances) had the attitude do that withdraw the death by taking external materials. The meaning of '虛'in 外丹修煉 is similar to that in oriental medicine in terms of deficiency. That is, both 外丹修煉 and the oriental medicine consider that the death and disease are caused by the deficiency of something. However, there also exists difference between 外丹修煉 and the oriental medicine. 外丹修煉 supplements through withdrawal prohibition due to the characteristic of unchangeability and stern or immortal while oriental medicine provides concrete object of deficiency. 精(essence of life), 氣(ki, functional activity), and fe(vitality) not only have been considered as basic component of human body, but they also have been an important subject of health preservation for longevity with health in Taoism and oriental medicine. In oriental medicine, 精 and 氣 have been perceived as physical basis of human body and 神 as controller. 內丹修煉(Training of internal active substances) 掠nds to return to '虛', the early state of life through individual training, and attempts to withdraw death through continuous recurrence. The oriental medicine and 內丹修煉 held great value of 神 among health preservation of 精, 氣, and 神. They seek theoretical basis from philosophical Taoism. However, '虛' in Taoism is different from that in training by internal substances and oriental medicine: '虛' in philosophical Taoism has metaphysical concept which refers overcome of life and death, but '虛' in 內丹修煉 and oriental medicine have empirical concept. '太虛' is considered as formless space where it is emp Dut filled with 氣. It is conceptualized with the premise of the relevant adaptation of human body to natural environment theory referring that the interaction between the heaven and the earth makes changes; all creation is originated , and human is affected by the interaction of the heaven and the earth. Furthermore, in $\ulcorner$運氣七篇$\lrcorner$ (Seven chapters described about the five circuit phases and the six atmospheric influences), the expression that the earth is in the center of '太虛' and huge amount of 氣 supports it proves that $\ulcorner$運氣七篇$\lrcorner$ adapts '渾天設'(Chaotic universe thee). In Taoism, '虛' is the grounds where all creation is generated in the optimal condition of Tao. As regards the aspect of mentality, it is the condition in which one can free from the dualistic concepts such as right and wrong, beauty and ugliness, life and death, and so on. Although the ultimate goal of oriental medicine, the achievement of longevity without sickness, might contrast with the Taoist belief that perceives life and death as the natural phenomena or the flowing of the 氣, and eliminates all international, the idea of Taoism that one should live substantial life with naivety, and make Harmony with the nature might be influential to the oriental medicine.

    노인요양시설의 산림복지서비스 인프라 및 제공 실태 (An Analysis of Infrastructure and Provision of Forest Welfare Service in Nursing Homes for the Elderly)

    • 이인숙;김성재;방경숙;이윤정;김미주;문효정;연평식;하이얀;진영란
      • 한국산림휴양학회지
      • /
      • 제22권4호
      • /
      • pp.59-69
      • /
      • 2018
    • 우리나라 노인요양시설의 산림복지서비스 인프라 및 서비스 실태, 관련 인식을 조사하여 산림복지서비스 활성화 방안을 제시한 횡단적 조사연구이다. 전국 노인요양시설을 대상으로 2016년 8월 한 달간 우편설문조사를 통해 수집한 123개 기관의 설문지를 분석하였고, 응답자는 대부분 원장 혹은 사무국장이었다(75.0%). 복합건물의 일부 층을 사용 중인 노인요양시설(16.3%)은 시설 내에 산림복지서비스 인프라를 갖추기 힘들 것으로 사료되고, 인근에 숲이 없는 경우(약 30%)와 숲이 있더라도 휠체어나 경사로가 없는 경우가 많아 이용에 제약이 많았다. 노인요양시설 운영자들도 산림복지서비스가 노인에게 긍정적인 효과가 있다고 인식하지만, 장기요양보험 급여의 필수항목은 아니고, 비용과 노력이 많이 소요되면서도 낙상, 이식증 등 사고위험이 있어 수행하지는 못하고 있었다. 국민건강보험공단이 노인요양시설을 평가할 때, 숲 등 산림치유적 요소를 갖추었는지를 평가할 필요가 있다. 시설 내 정원에 화장실 접근성을 높이고, 시설 인근 숲에 휠체어 진입이 가능한 통로와 리프트 이동로, 안전손잡이를 설치하는 등 산림복지서비스가 가능한 환경으로 조성할 필요가 있다. 또한, 정부는 노인요양시설 산림복지서비스 가이드라인을 개발 보급하여 시설 내외부에서 간편하게 따라할 수 있도록 지원할 필요가 있다. 이러한 노력을 통해 생의 마지막 단계에 있는 노인요양시설 입소노인에게 신체적 정신적 편안함과 적절한 인지자극을 줄 수 있을 것이다.

    병원 간호사의 선호근무시간대에 관한 연구 (A Study on Hoslital Nurses' Preferred Duty Shift and Duty Hours)

    • 이경식;정금희
      • 대한간호
      • /
      • 제36권1호
      • /
      • pp.77-96
      • /
      • 1997
    • The duty shifts of hospital nurses not only affect nurses' physical and mental health but also present various personnel management problems which often result in high turnover rates. In this context a study was carried out from October to November 1995 for a period of two months to find out the status of hospital nurses' duty shift patterns, and preferred duty hours and fixed duty shifts. The study population was 867 RNs working in five general hospitals located in Seoul and its vicinity. The questionnaire developed by the writer was used for data collection. The response rate was 85.9 percent or 745 returns. The SAS program was used for data analysis with the computation of frequencies, percentages and Chi square test. The findings of the study are as follows: 1. General characteristics of the study population: 56 percent of respondents was (25 years group and 76.5 percent were "single": the predominant proportion of respondents was junior nursing college graduates(92.2%) and have less than 5 years nursing experience in hospitals(65.5%). For their future working plan in nursing profession, nearly 50% responded as uncertain The reasons given for their career plan was predominantly 'personal growth and development' rather than financial reasons. 2. The interval for rotations of duty stations was found to be mostly irregular(56.4%) while others reported as weekly(16.1%), monthly(12.9%), and fixed terms(4.6%). 3. The main problems related to duty shifts particularly the evening and night duty nurses reported were "not enough time for the family, " "afraid of security problems after the work when returning home late at night." and "lack of leisure time". "problems in physical and physiological adjustment." "problems in family life." "lack of time for interactions with fellow nurses" etc. 4. The forty percent of respondents reported to have '1-2 times' of duty shift rotations while all others reported that '0 time'. '2-3 times'. 'more than 3 times' etc. which suggest the irregularity in duty shift rotations. 5. The majority(62.8%) of study population found to favor the rotating system of duty stations. The reasons for favoring the rotation system were: the opportunity for "learning new things and personal development." "better human relations are possible. "better understanding in various duty stations." "changes in monotonous routine job" etc. The proportion of those disfavor the rotating 'system was 34.7 percent. giving the reasons of"it impedes development of specialization." "poor job performances." "stress factors" etc. Furthermore. respondents made the following comments in relation to the rotation of duty stations: the nurses should be given the opportunity to participate in the. decision making process: personal interest and aptitudes should be considered: regular intervals for the rotations or it should be planned in advance. etc. 6. For the future career plan. the older. married group with longer nursing experiences appeared to think the nursing as their lifetime career more likely than the younger. single group with shorter nursing experiences ($x^2=61.19.{\;}p=.000;{\;}x^2=41.55.{\;}p=.000$). The reason given for their future career plan regardless of length of future service, was predominantly "personal growth and development" rather than financial reasons. For further analysis, the group those with the shorter career plan appeared to claim "financial reasons" for their future career more readily than the group who consider the nursing job as their lifetime career$(x^2$= 11.73, p=.003) did. This finding suggests the need for careful .considerations in personnel management of nursing administration particularly when dealing with the nurses' career development. The majority of respondents preferred the fixed day shift. However, further analysis of those preferred evening shift by age and civil status, "< 25 years group"(15.1%) and "single group"(13.2) were more likely to favor the fixed evening shift than > 25 years(6.4%) and married(4.8%)groups. This differences were statistically significant ($x^2=14.54, {\;}p=.000;{\;}x^2=8.75, {\;}p=.003$). 7. A great majority of respondents(86.9% or n=647) found to prefer the day shifts. When the four different types of duty shifts(Types A. B. C, D) were presented, 55.0 percent of total respondents preferred the A type or the existing one followed by D type(22.7%). B type(12.4%) and C type(8.2%). 8. When the condition of monetary incentives for the evening(20% of salary) and night shifts(40% of. salary) of the existing duty type was presented. again the day shift appeared to be the most preferred one although the rate was slightly lower(66.4% against 86.9%). In the case of evening shift, with the same incentive, the preference rates for evening and night shifts increased from 11.0 to 22.4 percent and from 0.5 to 3.0 percent respectively. When the age variable was controlled. < 25 yrs group showed higher rates(31.6%. 4.8%) than those of > 25 yrs group(15.5%. 1.3%) respectively preferring the evening and night shifts(p=.000). The civil status also seemed to operate on the preferences of the duty shifts as the single group showed lower rate(69.0%) for day duty against 83. 6% of the married group. and higher rates for evening and night duties(27.2%. 15.1%) respectively against those of the married group(3.8%. 1.8%) while a higher proportion of the married group(83. 6%) preferred the day duties than the single group(69.0%). These differences were found to be statistically all significant(p=.001). 9. The findings on preferences of three different types of fixed duty hours namely, B, C. and D(with additional monetary incentives) are as follows in order of preference: B type(12hrs a day, 3days a wk): day shift(64.1%), evening shift(26.1%). night shift(6.5%) C type(12hrs a day. 4days a wk) : evening shift(49.2%). day shift(32.8%), night shift(11.5%) D type(10hrs a day. 4days a wk): showed the similar trend as B type. The findings of higher preferences on the evening and night duties when the incentives are given. as shown above, suggest the need for the introductions of different patterns of duty hours and incentive measures in order to overcome the difficulties in rostering the nursing duties. However, the interpretation of the above data, particularly the C type, needs cautions as the total number of respondents is very small(n=61). It requires further in-depth study. In conclusion. it seemed to suggest that the patterns of nurses duty hours and shifts in the most hospitals in the country have neither been tried for different duty types nor been flexible. The stereotype rostering system of three shifts and insensitiveness for personal life aspect of nurses seemed to be prevailing. This study seems to support that irregular and frequent rotations of duty shifts may be contributing factors for most nurses' maladjustment problems in physical and mental health. personal and family life which eventually may result in high turnover rates. In order to overcome the increasing problems in personnel management of hospital nurses particularly in rostering of evening and night duty shifts, which may related to eventual high turnover rates, the findings of this study strongly suggest the need for an introduction of new rostering systems including fixed duties and appropriate incentive measures for evenings and nights which the most nurses want to avoid, In considering the nursing care of inpatients is the round-the clock business. the practice of the nursing duty shift system is inevitable. In this context, based on the findings of this study. the following are recommended: 1. The further in-depth studies on duty shifts and hours need to be undertaken for the development of appropriate and effective rostering systems for hospital nurses. 2. An introduction of appropriate incentive measures for evening and night duty shifts along with organizational considerations such as the trials for preferred duty time bands, duty hours, and fixed duty shifts should be considered if good quality of care for the patients be maintained for the round the clock. This may require an initiation of systematic research and development activities in the field of hospital nursing administration as a part of permanent system in the hospital. 3. Planned and regular intervals, orientation and training, and professional and personal growth should be considered for the rotation of different duty stations or units. 4. In considering the higher degree of preferences in the duty type of "10hours a day, 4days a week" shown in this study, it would be worthwhile to undertake the R&D type studies in large hospital settings.

    • PDF