• 대한간호학회지
• /
• 제30권3호
• /
• pp.659-669
• /
• 2000

Many patients of acute myocardial infarction showed delay time before seeking treatment although they needed immediate thrombolytic therapy once they perceived their symptoms. The objectives of this study were to identify the relationship between clinical symptoms and the delay, and to find the time spent before seeking the treatment. This study was a retrospective research. The delay time for the treatment consisted of the length of delay from symptom onset to patients' decision (T1), from patients' decision making to finding transportation (T2), and from taking transportation to the first hospital arrival(T3). The subjects were 89 patients who were admitted in the ICU and Cardiac Ward at Chonnam University Hospital with the first attack of acute myocardial infarction. Center, USA The data was collected for three months from March 1st to May 31st of 1998 through questionnaires and reviewing patients' charts: The chart information was suppled by two nurses working at the ICU and Cardiac Ward. The data was analyzed by using frequency, mean and ANOVA through the SAS program. The results of study summarized as follows: 1. Sixty two patients (69.7%) were male and twenty seven patients (30.3%) were female, the ratio of male to female was 2.3 : 1. 2. In daily life, the 70.8% of the patients felt chest pain and discomfort fatigue in 67.4%, dyspnea in 57.3%, and pain in arm, neck, and jaw in 52.8%. During the attack, 97.8% of the patients felt chest pain and discomfort dyspnea in 82.1%, pain in arm, neck, jaw in 67.4% and perspiration in 51.7%. 3. The length of time a patient spent seeking time for treatment (T1+T2+T3) was 94.6 minutes, in which the time for patients' decision making for treatment (T1) was 70.3 minutes, time for finding transportation (T2) was 8.2 minutes, and time for the transportation of the patient to the first hospital (T3) was 16.1 minutes. Time for patients' decision making to go to a hospital(T1) was 74.2% of the total time sought for treatment. 4. The differences of time sought for treatment between perceptions about the seriousness of the symptoms were significant (F= 6.5, p< .01). The more serious the heart symptoms they felt, the shorter the seeking time for treatment. 5. The differences of the time delay before treatment between the degree of the symptoms were significant (F= 2.9, p< .05). The patients with the typical chest pain and discomfort spent shorter the seeking time for treatment than those with the atypical symptoms of acute myocardial infarction. 6. The differences of transportation time to the first hospital between the types of cars that the patients used, were significant (F= 4.3, p< .01). When the patients used 119 or 129 they spent the least time (5.3 minutes) for transportation, and followed by way of an ambulance (15.6 minutes), private car (20.6 minutes), and taxi (24.8 minutes).

• 한국문헌정보학회지
• /
• 제54권2호
• /
• pp.5-28
• /
• 2020

도서관에 디지털 자원 및 IT자원을 적극적으로 적용하고 활용함으로써 지구의 지속가능성에 기여할 수 있는 구체적인 방법에 대해서 논의하기 위해 본 연구가 수행되었다. 이를 위해 공공도서관 사서들을 대상으로 설문조사를 하였으며, 그 결과는 다음과 같다. 첫째, 사서들의 환경문제의 심각성에 대한 인식 및 친환경활동 실천정도는 매우 높게 나타났으나, 도서관 그린 IT에 대한 인식이나 친환경관련 용어에 대한 친숙도는 매우 낮게 나타났다. 그럼에도 불구하고 도서관에 그린 IT를 적용하는 것의 중요성에 대해서는 높은 동의도를 보여주었다. 둘째, 친환경성 및 도서관의 녹색화에 가장 높은 기여도가 있다고 평가된 영역은 장비 및 제품 운영 영역으로 나타났으며, 다음으로 서비스 영역, 네트워크 및 시스템 영역 순으로 나타났다. 셋째, 도서관 그린 IT화가 사회적으로 어떤 영향력이 있을 것이라 생각하는지에 대해 사회적 기반시설로서 도서관의 사회적 책임에 대한 인식을 증진할 수 있다는 의견이 가장 높게 나타났다. 결론적으로 도서관의 그린 IT화는 도서관이 사회적 기반시설로서 사회적 책임을 지고 있는 기관으로 국민들이 인식되게 함으로써 도서관에 대한 인식을 개선하는데 기여할 수 있을 것으로 보인다.

• 한국환경교육학회지:환경교육
• /
• 제4권1호
• /
• pp.89-211
• /
• 1993

The Korean government embarked upon ambitious economic development plans in the 1960's the goals of development policy at that time were the elimination of absolute poverty and the alleviation of unemployment. With scant natural resources, the government had to push for industrialization based upon borrowed foreign raw materials with surplus local labor. Preoccupation with the economic goals of industrialization and export expansion left little room for considering environmental protection. It is evident that Korea's exported industrialization strategy of the past three decades has been a success in terms of income, production, and other macroeconomic indicators, but it cannot be denied that a host of undesirable side-effects have been created. These include environmental problems. congestion in several large cities, poor wealth distribution, and regional disparities. The environmental problems were recognized even in the early stage of development, but preoccupation with the pending economic goals of industrialization and export expansion left little room for considering environment protection. The perceived and actual seriousness of the problems, however, has reached such a level that further negligence may imperil political stability and developmental problems facing the world arise from a world economic order characterized by ever expanding consumption and production, which exhausts and contaminates natural resources and creates and perpetuates gross inequalities between and within nations. It will be necessary to develop new culture and ethical values, transform economic structures, and reorient, our lifestyles. Changing lifestyles can not be promoted by government policy initiative alone but through self=generated educational efforts and mutual training by people themselves. The citizens group for environment (NGOs) should assume these educational and training responsibilities starting from grass-root level of people. It must be reawakened to the reality that the environmental preservation for better quality of life is based on the development of human relationships, creativity, spirituality, reverance for the natural world and celebration of life, and is not dependent upon increased consumption of non-basic material goods. To carry on such environment education social movements and NGOs should (1) provides educational methodologies, which focus on values clarification and moving beyond clarification and moving beyond blame to constructive action. (2) provide training for leaders of business and industry, government, union and others on consumption and production. (3) initiate and support the training and work of environmental counselor who encourage responsible consumption. (4) cooperative with media to initiate and strengthen educational programs on the social environmental programs on the social environmental impacts of consumption and production and to build awareness of consumer responsibility and potential. Economic and social development can be compatible with environment protection : both can be achieved simultaneously. Effective environmental management depends on the various factors : political will, institutional arrangements, appropriate legislation, and availability of the requistite financial and technological resources, which is possible with a strong public awareness of the importance of environmental preservation.

• 농촌의학ㆍ지역보건
• /
• 제11권1호
• /
• pp.44-54
• /
• 1986

This study was aimed at investigating the health seeking behaviors of patients; For the purpose of analyzing the research theme we classified the study into two phase. First, the types of patients' health seeking behavior were categorized into a scheme according to what medical care resources were utilized in patients' coping process. Second, from patients' first visits to third visits to medical resources, we analyzed variations of factors which noted as crucial elements in constituting the patients' sickness career. To grasp the generalized characteristics from complicated empirical data, we limited the scope of our analysis to third stage of health seeking. A total of 121 persons who had beer suffering from chronic diseases more than 3 months was sampled among the residents of Banwol-Eup, the target Area of Korea University Health Project. The findings are as follows ; 1) In the course of visiting medical care resources, 34 different types of health seeking Behavior were found. From this result we inferred the idea that patients in Banwol-Eup had not any stable norms to cope with their pains. Clinics, hospital, pharmacy, Herb-doctors', folkways (self-treatment) were accessed by patients in orders. But more than half of patients who had utilized clinics or hospitals from their first to third visits, changed medical care resources to others, for example herb doctors or folkways, which had fundamentally different treatment models. Upon these two facts, the diversified types and capricious patterns in the health seeking behavior of Banwol patients, we observed a typical Shopping-Around phenomenon. 2) Factors which influenced patients' to their sickness career were changed along the courses of health seeking, from first to third visits as follows ; $\cdot$ Perceived seriousness of diseases were tended to decrease. $\cdot$ Professional medical personnel tended to be influencial in the patients' sickness career, (5.0%, 25.0% and 65.7%). The influence of the primary interaction groups such as parents, friends, neighbours, tended to decrease ; (90.9%, 71.2% and 30.0%). $\cdot$ The subjective reasons why to choose such a medical care resource were related to economic affordability and disease-itself as main motives. Credibility of health resources tended to increase 14.9%, 24.0% and 31.4 sequently. $\cdot$ Geographic accessibility factors did not change significantly. Most of patients had utilized health resources in Banwol and Anyang area. 3) Cultural inclination in the shopping-around phenomenon has shown difference among age groups. The age group' over 50 years' preferred traditional health resources to modern health resources. 4) Consistency of health seeking behavior on the shopping around phenomenon has shown difference according to the degrees of patients' economic affordability and those of psychological satisfaction toward modern health services. However, there were some restrictions in this thesis ; a) the study was limited to the 3rd health seeking career so it did not allow us to collect more informations after that, b) the study was not able to carry out causal analysis on patients health behavior determinated by explanatory model of health resources, and c) the study was not able to take into consideration of factors connected with social structural circumstances. Despite of restrictions described above, we are sure that this thesis would promote health providers' understanding toward patients' inclinations, through which they could provide efficient and accurate medical service.

• 치위생과학회지
• /
• 제1권1호
• /
• pp.28-38
• /
• 2001

본 연구는 모친의 사회 경제적 요인과 구강건강신념이 유치우식증에 미치는 원인을 분석, 유아의 구강건강을 효과적으로 증진시키고자 전라북도 군산시에 거주하는 어린이집의 5, 6세 아동과 그 모친 174명을 대상으로 연구를 시행하였다. 조사 방법은 아동의 구강검진과 그 모친의 사회 경제적인 요인과 구강건강신념모형이었으며, 그 결과는 다음과 같다. 1. 유치우식증 실태는 우식경험유치지수의 경우 5세 남아가 3.39개, 여아는 2.76개였으며, 6세 남자는 3.86개, 여아는 3.27개 였다. 또한 유치우식경험율은 5세 남아에서 가장 높게 나타났으며(81.8%), 우식유치율이 처치유치율보다 높게 나타났다. 그러나 6세 여아에서는 치료된 치아가 우식보다 높게 나타났다. 5세 유아의 처치유치율은 남아가 여아보다 높게 나타나 통계학적으로 유의하게 나타났다(p<0.05). 2. 사회경제적인 요인에 따른 유치우식증 실태는 모친의 취업 여부와 세대주의 연령에서 통계학적으로 유의하게 나타났다. 모친이 취업한 경우(84.7%)가 미취업(66.7%)보다 유치우식경험율에서 높게 나타나 유의한 차이를 나타냈으며(p<0.05), 또한 세대주의 연령이 40세 이상일 때 우식경험유치지수가 가장 높게 나타났으며(4.07개), 그 다음은 35~39세에서 3.83개, 25~29세에서 3.33개, 30~34세에서 2.15개로 유의한 차이를 보였다(p<0.05). 3. 모친의 사회 경제적 요인에 따른 모친의 구강건강신념과의 통계학적으로 유의하게 나타난 것은 세대주의 학력, 시부모나 부모와의 동거 여부였다. 세대주의 학력은 구강질환에 때한 감수성과 심각성이 보통 정도 수준으로 고졸 하보다 대졸 이상에서 높게 나타났다(p<0.01)(p<0.05). 또한 시부모 또는 부모와의 동거 여부는 중요성이 낮았고 동거가 비동거보다 높게 나타났다(p<0.05). 4. 유아의 우식경험유치지수가 모친의 구강건강신념과 연관성이 있었으며, 모친의 구강건강신념에 대한 유익성이 높을수록 아동의 우식경험유치지수가 낮게 나타났다.

• 치위생과학회지
• /
• 제15권2호
• /
• pp.138-144
• /
• 2015

본 연구는 치위생과 학생을 대상으로 B형간염에 대한 건강신념의 차이를 파악하고 HBV 예방접종에 영향을 미치는 요인을 규명함으로써 B형간염 예방에 대한 보건교육의 기초자료를 제공하고자 한다. 경상도 지역에 소재한 3개 대학에서 재학 중인 임상현장 실습을 앞 둔 2 3학년 281명을 대상으로 2013년 4월 22일부터 5월 3일까지 자기기입식 설문조사를 실시하여 수집한 자료를 분석하여 다음과 같은 결론을 얻었다. 일반적 특성 및 B형간염 관련특성에 따른 예방접종 상태를 알아본 결과 학년에 따라 예방접종주사를 맞은 경우는 3학년 129명(71.3%), 2학년 45명(45.0%)으로 3학년의 예방접종률이 높게 나타나는 것을 확인할 수 있었다(p<0.001). 과거 B형간염에 대한 교육경험에 따라 예방접종주사를 맞은 경우는 경험이 있는 경우 87명(71.3%), 경험이 없는 경우 87명(54.7%)으로 교육경험이 있는 경우 예방접종률이 높게 나타났다(p=0.017). 학년에 따른 B형간염에 걸릴 가능성이 있다고 믿는 감수성은 3학년이 2.54로 높았고, B형간염에 관한 장애감은 2학년이 3.50으로 3학년 2.88 보다 통계적으로 유의하게 높게 나타났다(p<0.05). 건강신념 중 심각성과 예방접종 간에는 유의한 양의 상관이 있었고(r=0.179, p=0.003), 장애감과 예방접종 간에도 통계적으로 유의한 음의 상관이 있어(r=-0.183, p=0.002) B형간염에 대한 심각성을 많이 느낄수록 그리고 장애감을 적게 느낄수록 예방접종 이행이 많은 경향이 있었다. B형간염 예방접종에 영향을 미치는 요인을 분석한 결과 학년에 따라서는 2학년이 3학년에 비해 예방접종 이행이 0.39배(95% CI=0.21, 0.71) 낮은 것으로 나타났다. B형간염에 대한 심각성이 1단위 높아질수록 예방접종 이행률은 1.80배(95% CI=1.29, 2.52) 증가하였으며 장애감은 1단위 높아질수록 0.61배(95% CI=0.41, 0.90) 감소하는 것으로 나타났다(p<0.05). 따라서 치위생과 학생들이 의무적으로 B형간염 예방접종을 실천하기 위해서는 1학년 때부터 교육할 수 있는 교육과정 안에 프로그램 개발이 시급하다 할 수 있으며 구체적인 교육이 필요할 것으로 생각된다. 또한 일회성 교육이 아닌 지속적인 교육으로 학년별로 매회 교육해야 할 것이며, 정확하고 철저한 교육이 되어 의무적인 B형간염 예방접종이 이루어 질 수 있도록 구체적인 방안이 모색되어야 할 것으로 생각된다.