• 지능정보연구
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• 제29권4호
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• pp.207-228
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• 2023

코로나 이후 기업들이 온라인 플랫폼에서 협업 또는 회의하는 방식이 일상화되고 있으며, 독자적인 온라인 실시간 시스템을 개발하여 원격 근무에 적극적으로 활용하기도 한다. 또한 회의 및 홍보를 위해 메타버스를 도입하려는 시도가 코로나 이후에도 지속적으로 이루어지고 있다. 이때문에 메타버스 환경에서 아바타 사용자 정의, 확장된 가상 환경, 지난 가상 경험 등이 참여자 만족도에 미치는 영향을 연구하는 연구가 진행 중이지만, 메타버스를 전용 작업 공간으로 활용하는 것에 대한 효과성 연구는 여전히 필요한 상황이다. 특히 업무 수행을 목적으로 하는 작업형 메타버스의 성과에 영향을 미치는 요소에 관한 연구는 아직 부족하다. 따라서 본 연구의 목적은 메타버스 작업 공간에서 개인 성과에 영향을 미치는 요소를 분석하고 결과에서 함의를 도출하는 것이다. 이를 위해 본 연구는 이론적 기반으로 Embodied Social Presence(ESP) 이론을 채택하고, 비몰입적 메타버스 작업 공간에 특화된 수정모형을 사용한다. 모형 및 가설 검증을 위해 비몰입적 메타버스 작업장에 참여한 참가자들과의 인터뷰 이후에 Gather Town 및 IFland와 같은 비몰입적 메타버스 작업장에서 참여자들을 대상으로 설문조사를 수행하였다. 그 결과 작업 참여 및 업무 참여에 미치는 영향이 메타버스 플랫폼에 따라 조절효과를 나타낸다는 것을 확인했다.

• 벤처창업연구
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• 제18권6호
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• pp.71-86
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• 2023

창업은 국가경쟁력 강화와 일자리 창출에 핵심적인 역할을 하지만, 위험한 선택으로 인식되고 있다. 창업의 실패는 개인의 재산 손실 뿐만 아니라 국가의 경쟁력 악화와 같은 광범위한 부정적 효과를 초래할 수 있다. 본 연구는 코스닥 상장 요건의 수익성·매출액 최소기준 이상의 성과를 달성하여 지속가능한 성장의 수준에 도달하거나, 매각 또는 상장으로 EXIT을 달성한 창업기업을 성공한 창업기업으로 보고 23명의 성공한 창업가들의 실질적인 경험과 지각을 기반으로 계층화 분석(Analytic Hierarchy Process, AHP)을 통해 창업 성공요인의 중요도와 우선순위를 도출하고, 인터뷰를 실시하였다. 특히, ERIS 모델을 활용하여 창업가, 자원, 산업, 전략의 4개 요소를 통합적으로 고려, 창업의 다양한 변수들을 종합적으로 분석하고, 창업의 성장단계별 특성에 따른 성공요인의 변화와 중요도를 살펴보는 것을 목표로 하여 각 단계별로 창업가들이 직면하는 도전과 기회를 구체적으로 파악하였다. 연구 결과, 창업기 성공요인의 상위요인의 중요도 순서는 창업가, 자원, 산업, 전략 순으로 나타났으며, 특히 창업가의 창업가정신과 특수 역량, 일반역량 그리고 인적자원의 중요성이 강조되었다. 성장기 성공요인의 상위요인의 중요도 순서는 창업가, 자원, 산업, 전략 순으로 나타났으며, 특히 일반역량과 창업가정신, 그리고 인적자원과 조직자원의 중요성이 강조되었다. 본 연구는 성공한 창업가의 관점에서 창업 성공요인을 분석하여, 창업자들과 정책 입안자들에게 유용한 통찰과 방향성을 제시한다는 점에서 의의가 있다.

• 한국수학교육학회지시리즈E:수학교육논문집
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• 제38권1호
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• pp.1-26
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• 2024

수학 수업의 질적 향상을 도모하기 위한 교사 연수 및 개별적인 노력의 한계가 보고되며, 대안적인 교사 전문성 체제로 학습공동체가 주목받고 있다. 학습공동체는 공동 목표를 바탕으로 상호 참여를 통해 수학 교과 내용, 교육학, 교육과정에 대한 레퍼토리를 형성하는 하나의 실천공동체(Community of Practice, CoP)이고, 따라서 교사들의 학습은 실천공동체 이론으로 해석할 수 있다. 이에 본 연구는 고등학교 교사 학습공동체에 참여한 수학교사들의 정체성 형성 과정을 실천공동체 이론을 중심으로 탐색하였다. 성찰 저널, 협의록, 수업 영상 전사본의 귀납적 분석을 통해 수학교사들의 학습공동체 참여 경험을 도출하였고, 참여 관찰 기록지를 토대로 개별 인터뷰를 진행한 후 이를 유형적으로 분석하여 각 수학교사의 정체성 형성 과정을 탐색하였다. 연구 결과 수학교사는 학습공동체 참여를 통해 수학 교수·학습에 관한 실천 형성, 지속적인 반성과 성찰을 통한 교수 실행 개선, 공동체 몰입을 통한 함께의 가치 인식을 경험했고, 이 경험을 바탕으로 주변적 궤적, 내부지향 궤적, 내부자 궤적, 경계적 궤적, 외부지향 궤적 등을 보이며 다양하게 정체성을 형성하였다. 이를 바탕으로 학습공동체의 효과적 운영을 위한 시사점이 논의되었고 후속 연구가 제안되었다.

• 경영정보학연구
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• 제18권3호
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• pp.155-183
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• 2016

방대한 콘텐츠가 생산되고 소비되면서 빅데이터를 활용한 개인 추천 서비스가 최근 주목 받고 있다. 개인 추천 서비스를 위하여 개인 정보나 콘텐츠 평가 정보를 수집하는 것은 서비스 제공자 입장에서 중요해지고 있다. 기존 연구들은 적은 평점 정보로 더 나은 추천을 제공할 수 있는 알고리즘을 제안하거나, 평점의 양을 늘리기 위한 서비스 디자인을 제시하였다. 그러나 추천서비스 사용자가 어떤 동기로 평점을 입력하고, 서비스를 지속적으로 사용하는지에 대한 연구는 거의 없었다. 본 논문에서는 추천 서비스를 사용하고 있는 사용자들을 심층 인터뷰하여 평점 입력의 동기와 평점의 의미에 대하여 탐구하였다. 그 결과, 서비스를 경험 하면서 평점의 의미와 활용 정도가 달라짐을 알 수 있었다. 초기 평점을 입력할 때에는 과거 경험에 대한 데이터베이스를 구축하는 의미로 활용하였고, 초기 평점 단계를 지나면 현재의 느낌과 생각을 반영하는 도구로 활용하였다. 이 과정에서 자신의 평점 체계를 정교하게 다듬으며 자신만의 의미를 부여하는 모습을 보였다. 마지막 단계에서는 자신의 평점 체계뿐만 아니라 다른 사람의 평점 체계나 평점의 의미를 읽어내고 적극적으로 활용하는 모습을 보인다. 서비스에서 제공하는 알고리즘의 한계를 파악하고 있기 때문에 서비스의 추천을 불신하기도 하였다. 연구 결과를 바탕으로 추천 서비스에 대한 실무적 시사점을 도출하였다.

• 지역사회간호학회지
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• 제13권2호
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• pp.205-215
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• 2002

Objectives: This study was designed to develop and evaluate a stage matched exercise intervention program to effectively increase exercise behaviors in urban elders. Methods: The study included three phases: preliminary descriptive data collection, program development, and program evaluation. The data for the preliminary descriptive phase were collected between May and June 2001. The study participants were 89 urban elders who responded a questionnaire that included general characteristics, exercise related experiences, stage, and process of change in exercise behaviors. Data were analyzed using descriptive statistics, $x^2$-test, and content analysis. Development of the program was based on the preliminary data. and a literature review, and was guided by the tran theoretical model. It consisted of strategies to facilitate the process of changes used in each stage. Evaluation of the program was achieved from October to December 2001, using a case study method, in which eight urban female elders participated. Interviews were conducted on a weekly basis in the form of either an individual interview, or group discussion. Each elder subject received education in accordance with the program strategies and education materials. In the case that a subject's stage of change moved into another one, the scores for the process of change were re-measured. The data were analyzed using the content analysis technique. Results: The results were as follows: 1. Elders who participated in the preliminary data collection phase were over 75 years of age, and the majority of them were women. They had a higher educational level, and fewer number of illnesses than the subjects in other studies. Their stage of change was divided into pre-contemplation and maintenance. The social liberation scores were the highest across all stages of change. There was no difference between men and women on scores for processes of change in each stage. 2. The stage matched exercise intervention program that was developed in this study consisted of one counseling type program and three distinguished educational booklet materials. 3. The results of the case studies are as follows: 1) The study participants were 8 women between 75 and 87 years of age. At the first interviews, all of them were in the pre-contemplation stage. All of them reached the action stage before the 7th week. The scores for processes of change that were the focus in each stage increased more than the scores for other processes of change. During the early stages of change, experimental processes increased more than behavioral processes. However. this pattern was reversed during later stages of change. 2) Characteristics of the subjects in each stage were identical as presented at the tran theoretical model. The intervention strategies were effective in the transition occurred in any stage. 3) Barriers for exercise included unwillingness to exercise, fatigue, shortness of breath, and pain. Ways to overcome these barriers were 'learning an alternative exercise method that can be done at home', 'self-promising/ exercise-promising', and 'use of cues to exercise'. 4) The factors that affected the application of the program were consideration of age and personal preference in selecting an exercise pattern, individualized intervention, and use of education materials appropriate to elders. Women over 80 years of age preferred muscle strengthening and stretching exercise, because they can be easily done at home. They also preferred individualized interventions, materials that were easy to read, and education contents appropriate for elders. Conclusion: In conclusion, the stage matched exercise intervention program that considered the characteristics of the elders was effective to facilitate exercise behaviors of the elders.

• 근관절건강학회지
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• 제2권1호
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• pp.17-40
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• 1995

Rheumatoid arthritis is the one of the chronic diseases, one of its major symptoms is a chronic pain. Despite developing medical treatment and surgical techniques, it is suggested that to control the pain is the goal of the treatment. But pain is an inner experience and even those closest to the patient cannot truly observe its progress or share in its suffering. The National Academy of Sciences Institute of Medicine's report on Pain and Disability concluded that there is no objective measure of pain-(exactly) no pain thermometer-nor can there ever be one, because the experience of pain is inseparable from personal perception and social influence such as culture. To explore chronic pain experience is to understand the process and property of the patient's perception of pain through the response to pain, the coping with pain, and the adaptation to pain. Therefore a qualitative study was conducted in order to gain an understanding of pain experience of patients with RA in korea. I used naturalistic inquiry as a research methodology, which had 5 axioms, the first is that realities are multiple, constructed, and holistic, the second is that knower and known are interactive, inseparable, the third is only time and context bound working hypotheses(idiographic statements) are possible, the forth is all entities are in a state of mutual simultaneous shaping, so that it is impossible to distinguish causes from effects and the last is that inquiry is value-bound. Purposive sampling was conducted as a sampling. 20 subjects who experienced pain over 10 years, lived in middle-sized city and big city in Korea, and 17 women and 3 men. The subject's age was from 32 to 62 (average 48.8), all were married, living with their spouse and children, except two-one divorced and the other widow before they became ill. I collected data using In depth structured interview. I had interviews two or three times with each subject, and the interviews were conducted at each subject's home. Each interview lasted about two hours an average. A recording was taken with the consent of the subject. I used inductive data analysis-such as unitizing and categorizing. unitizing is a process of coding, whereby raw data are systematically transformed and aggregated into units. Categorizing is a process wherby previously unitized data are organized into categories that provide descriptive or inferential information about the context or setting from which the units were derived. This process is used constant comparative method. The pain controlling process is composed of behavior of pain control. The behaviors of pain control are rearranging of ADL, hiddening role conflict, balancing treatment, and changing social relation. Rearranging of ADL includes diet management, sleep management, and the adjustment of daily life activities. The subjects try to rearrange their daily activities by modified style of motions, rearranging time span & range of activities, using auxillary facilities, and getting help in order to keep on the pace of daily life. Hiddening role conflict means to reduce conflicts between sick role and their role as a family member. In this process, the subjects use two modes, one is to control the pain complaints, and the other is to internalize the value which is to stay home is good for caring her children and being a good mother. To control pain complaints is done by 'enduring', 'understanding' the other family members, or making them undersood in order to reduce pain. Balancing treatment is composed of two aspects. One is to keep the pain within the endurable level, the other is to keep in touch with medical personnel in order to get the information of treatment and emotional support. Changing social relation is made by information seeking and sharing, formation of mutual support relation, and finally simplification of social relationships. The subjects simplify their social relationships by refraining from relations with someone who makes them physically and psychologically strained. In particular the subjects are apt to avoid contact with in-laws, and the change of relation to in-laws results in lessening the family boundary. In the course of this process, they confront the crisis of family confict result in family dissolution. This crisis is related to the threat of self-existence. Findings from this study contribute to understanding the chronic pain experience. To advance this study, we should compare this result with other cases in different cultural contexts. I think to interpret these results, korean cultural background should be considered. Especially the different family concept, more broader family members and kinship network, and the traditional medical knowledge influences patients' behavior.

• 대한기관윤리심의기구협의회지
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• 제6권1호
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• pp.5-16
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• 2024

Purpose: The purpose of this study is to investigate the current status of pediatric assent in nationwide hospitals and to assess the children's comprehension for pediatric assent by interviewing pediatricians/pediatric neurologists to determine whether children of the age (elementary and middle school students) can understand the purpose, risks, benefits, and concepts of voluntary participation in clinical research described in the assent form, and to help improve the administrative efficiency of multicenter clinical trials. Methods: The status of pediatric assent was surveyed online using Google Forms at 141 university hospitals with administrative staff who are members of the Institutional Review Board (IRB) administrative staff subcommittee with in Korean Association of Institutional Review Boards (KAIRB). Additionally, face-to-face interviews were conducted with 7 pediatricians/pediatric neurologists. Survey and interview responses were summarized using descriptive statistics. Results: Out of the 141 institutions surveyed, 35 institutions (24.8%) responded. Among them, 30 institutions (85.7%) reported having age criteria for acquiring pediatric assent forms in the case of children. The age range for pediatric assent acquisition have been from 7 years old to 12 years old (15 institutions, 50%), and from 7 years old to 15 years old (7 institutions, 23.3%). Nine institutions (25.7%) have had criteria for obtaining both parents' consent in cases involving the participation of children. Nineteen institutions (54.3%) have had checklists or guidelines available for use by IRB members in study protocols involving vulnerable research subjects. Three pediatricians/pediatric neurologists have believed that upper-grade elementary school students (5th-6th grade) could comprehensively understand informed consent forms. Two have believed that middle school students would be able to understand them if they included personal information. Two pediatricians/pediatric neurologists have believed that even lower-grade elementary school students (1st-4th grade) could understand the explanations if they were made simpler. Conclusion: It is suggested that not only elementary school students (7-12 years old) but also middle school students (13-15 years old) should receive pediatric assent forms, as it would facilitate a comprehensive understanding of the forms. To enhance the comprehension of assent form content, it is necessary to use age-appropriate words, language, and expressions in the forms hospital. It is also recommended to create comics or videos to make the content of the assent forms more accessible for children.

• 보건교육건강증진학회지
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• 제2권1호
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• pp.3-50
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• 1984

The levels of health knowledge, attitude and practice of housewives considerably effect to the health of households, communities and the nation. This study was designed to grasp the levels of health knowledge, attitude and practice of houswives and analyse the various factors effecting to health in order to provide health education services as well as materials for effective formulation and implementation of health policy to improve the health of the nation. This study has been conducted through interviews by trained surveyers for 4,281 housewives selected from 4,500 households throughout the country for 40 days during July 11-August 20, 1983. The results of survey were analysed by stepwise multiple regression and path analysis are summarized as follows; 1. Based on the measurement instrument applied to this study, the levels of health knowledge, attitude and practice of housewives were extremely low with 54.5 points out of 100 points in full. Higher level with 72 points and above was approximately 21 percent and lower level with 39 points and below was approx. 24 percent. The middle level was approx. 55 percent. In order to implement health programs successively, health education should be more strengthened and to improve the level of health knowledge, attitude and practice (KAP) of the nation, political consideration as a part of spiritual reformation must be concentrated on health. 2. The level of health knowledge indicated the highest points with 57.3 the level of attitude was the second with 55.0 points and the practice level was the lowest with 50.0 point. Therefore, planning and implementation of health education program must be based on the persuasion and motivation that health knowledge turn into practice. 3. Housewives who had higher level of health knowledge, showed their practice level was relatively lower and those who had middle or low level of it practice level was the reverse. 4. Correlations among health knowledge, attitude and practice (KAP) were generally higher and statistically significant at 0.1 percent level. Correlation between total health KAP level and health knowledge was the highest with r=.8092. 5. Health KAP levels showed significant differences according to the age, number of children, marital status, self-assessed health status and concern on health of the housewives interviewed (p<0.001) 6. Health KAP levels also showed significant differences according to the education level, economic status, employment before marriage and grown-up area of the housewives interviewed. (p<0.001) 7. Heath KAP levels showed significant differences according to health insurance benificiary and the existence of patients in the family. (p<0.001). 8. Health KAP levels showed significant differences according to distance to government organizations, schools, distance to health facilities, telephone possession rate, television possession rate, newspaper reading rate and activities of Ban meeting and Women's club. (p<0.001) 9. Health KAP levels showed significant differences according to electric mass communication media such as television, radio and village broadcasting etc. and printed media such as newspaper, magazine and booklets etc., IEC variables such as individual consultation and husband-wife communication, however, there was no significance with group training. 10. Health KAP of the housewives showed close correlation with personal characteristics variables, i.e., education level (r=.5302), age (r=-.3694) grown-up area (r=.3357) and employment before marriage. In general, correlation of health knowledge level was higher than the levels of attitude or practice. In case of health concern and health insurance, correlation of practice level was higher than health knowledge level. 11. Health KAP levels showed higher correlation with community environmental characteristics, Ban meeting and activity of Women's club, however, no correlation with New-village movement. 12. Among IEC variables, husband-wife communication showed the highest correlation with health KAP levels and printed media, electric mas communication media and health consultation in order. Therefore, encouragement of husband-wife communication and development of training program for men should be included in health education program. 13. Mass media such as electric mass com. and printed media were effective for knowledge transmission and husband-wife communication and individual consultation were effective for health practice. Group training was significant for knowledge transmission, however, but not significant for attitude formation or turning to health practice. To improve health KAP levels, health knowledge should be transmitted via mass media and health consultation with health professionals and field health workers should be strengthened. 14. Correlation of health KAP levels showed that knowledge level was generally higher than that of practice and recognized that knowledge was not linked with attitude or practice. 15. The twenty-five variables effecting health KAP levels of housewives had 41 per cent explanation variances among which education level had great contribution (β=.2309) and electric mass com. media (β=.1778), husband-wife communication (β=.1482), printed media, grown-up area, and distance to government organizations in order. Variances explained (R²) of health KAP were 31%, 15%, and 30% respectively. 16. Principal variables contributed to health KAP were education level (β=.12320, β=.1465), electric mass comm. media (β=.1762, β=.1839), printed media, (β=.1383, β=.1420) husband-wife communication (β=.1004, β=.1067), grown-up area and distance to government organizations, in order. Since education level contributes greatly to health KAP of the housewives, health education including curriculum development in primary, middle and high schools must be emphasized and health science must be selected as one of the basic liberal arts subject in universities. 17. Variences explained of IEC variables to health KAP were 19% in total, 14% in knowledge, 9% in attitude, and 10% in health practice. Contributions of IEC variables to health KAP levels were printed media (β=.3882), electric mass comm media (β=.3165), husb-band wife com. (β=.2095,) and consultation on health (β=.0841) in order, however, group training showed negative effect (β=-.0402). National fund must be invested for the development of Health Program through mass media such as TV and radio etc. and for printed materials such as newspaper, magazines, phamplet etc. needed for transmission of health knowledge. 18. Variables contributed to health KAP levels through IEC variables with indirect effects were education level (Ind E=0.0410), health concern (Ind E=.0161), newspaper reading rate (Ind E=.0137), TV possession rate and activity of Ban meeting in order, however, health facility showed negative effect (Ind E=-.0232) and other variables showed direct effect but not indirect effect. 19. Among the variables effecting health KAP level, education level showed the highest in total effect (TE=.2693) then IEC (TE=.1972), grown-up city (TE=.1237), newspaper reading rate (TE=.1020), distance to government organization (TE=.095) in order. 20. Variables indicating indirect effects to health KAP levels were; at knowledge level with R²=30%, education level (Ind E=.0344), newspaper reading rate (Ind E=.0112), TV possession rate (Ind E=.0689), activity of Ban meeting (Ind E=.0079) in order and at attitude level with R²=13%, education level (Ind E=. 0338), activity of Ban meeting (Ind E=.0079), and at practice level with R²=29%. education level (Ind E=.0268), health facility (Ind E=.0830) and concern on health (Ind E=.0105). 21. Total effect to health KAP levels and IEC by variable characteristics, personal characteristics variables indicated larger than community characteristics variables. 22. Multiple Correlation Coefficient (MCC) expressed by the Personal Characteristic Variable was .5049 and explained approximately 25% of variances. MCC expressed by total Community environment variable was .4283 and explained approx. 18% of variances. MCC expressed by IEC Variables was .4380 and explained approx. 19% of variances. The most important variable effected to health KAP levels was personal characteristic and then IEC variable, Community Environment variable in order. When the IEC effected with personal characteristic or community characteristic, the MCC or the variances were relatively higher than effecting alone. Therefore it was identified that the IEC was one of the important intermediate variable.

• 대한간호학회지
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• 제1권1호
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• pp.27-43
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• 1970

This study is designed to find out proper nursing activities for the needs of the colostomy patients, i.e., mental and psychological as well as physical needs for rapid recovery, and to help them build up the follow-up care for proper social adjustment. The study is based on 268 cases out of 381 colostomy patient's records kept in Ewha Womans University Hospital, Yonsei Medical Center, and National Medical Center in between the period from Jan. 1953 to Jan. 1970. The items of study are mainly on etiology, sex, age, duration of hospitalization, mortality rate, seasonal frequency, time from the onset of illness to the admission of the hospital, signs and symptoms. 1. Frequency of onset by etiology: Neoplastic disease 112 cases (42%), Inflammatory disease 33 cases (12%), Congenital malformation 30 cases (11%), Intussusception 25 cases (9.3%), Trauma 24 cases (9%), Volvulus 17 cases (6.3%), and Crohn's disease 6 cases (2.2%). 2. By sex: male 167 cases (62.9%), and female 101 cases (37.1%). So the ratio of portion of male and female 2:1. 3. By age: under 1·year·old 27 cases (10.1%) highest, 41-50 yrs 54 cases (20.2%), 51-60 yrs 42 cases (15.5%), above 71 yrs 5 cases (1.9%). 4. Duration of hospitalization: the shortest is 2-days and the longest is 470 days. 1-20-days 52%, 40-60 days 14%. 5. Mortality rate: Under the 10-days-admission 19.5%, and the beyond 30-days-admission 3.9%. 6. Seasonal frequency: Higher in summer (32% ). 7. Signs and symptoms: abdominal pain (56%), abdominal distention (54%), vomiting (40%), bloody mucoid diarrhea (38%) , pain of anal region (18%), abdominal tenderness, anorexia, indigestion, constipation, disuria, tenesmus, high fever and chilling sensation, bile tingled vomiting. Nursing activities for the patient's physical needs are as follows: Skin care for colostomy region, Prevention of colostomy constriction and depression, Removal of an offensive odor, The use of colostomy bag-selection for, and demonstration of the use of inexpensive colostomy irrigation equipment, Personal hygiene, general skin care, care of hair, finger nails and toe-nails, Oral hygiene, sleep and rest, aquate, Daily activities, etc. Measures for regulation of bowl movement. Keeping the instruction of taking food, Preparing the meal and help for anorexia, Constipation and it's solution, Prevention of diarrhea, helping the removal of mucous, and stretch constricted steam as needed. Nursing activities for pt's socio-psychological needs are as follows; Help the patient to make decision for the operation, Remove pt's anxiety toward operation and anesthesia, To meet the pt's spiritual needs at his death bed, Help to establish family and friends cooperation, Help to reduce anxiety at the time of admission and it's solution, Help to meet religious need, Help to remove pt's anxiety for loosing his job and family maintenance, Follow-up studies for 7 cases have been done to implement the present thesis. The items of the personal interviews with the patients are as follows: Acceptability for artificial anus, The most anxious thing they had in mind at the time of discharge, The most anxious thing they hat·e in mind at present, Their friends and family's attitudes toward the patient after operation, Relations with other colostomy patients, Emotional damage from the operation, Physical problem of enema, irrigation, Control of diet, Skin care, Control of offensive odor, Patient's suggestions to nurses during hospital stay and after discharge. In conclusion, the follow-up care for colostomy patients shares equal weight or perhaps more than the post-operative care. The follow-up care should include the spiritual care for moral support of the patient, to drag him out of isolation and estrangement, and make him fully participate in social activities. It is suggested that the following measures would help to rehabilitate the colostomy patients (1) mutual acquaintance with other colostomy patients if possible form a sort of club for the colostomy patient to exchange their experiences in care (2) through the team work of doctor, nurse and rehabilitation specialists, to have a sort of concerted effort for betterment of the patient.

• 한국식품영양과학회지
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• 제30권4호
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• pp.747-759
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• 2001

본 연구에서는 창원시에 소재하고 있는 264개 식품접객업소의 위생실태를 조사하였으며 조사결과는 다음과 같다. 조사대상자(조리책임자)들은 40대가 가장 많았고, 여성이 70.1%로 대부분을 차지하였다. 학력을 보면 63.7%가 고졸이었으며, 업종에 있어 경양식 업종이 다른 업종에 비해 연령층이 낮고 학력이 높았다. 위생교육은 전체 업소의 66.5%가 종업원에 대한 위생교육을 실시하고 있었으며 가장 높은 비율을 보인 업종은 한식 업종(83.1%)이며 가장 낮은 비율을 보이는 업종은 경양식 업종(55.6%)이었다. 종업원의 96.6%가 더러운 것을 만진 후에 손을 씻었으며 돈을 만진 후에는 77.5%가, 전화 사용 후에는 51.7%가 손을 씻고 있었다. 또한 58.5%는 주방 내에서 전용신발을 착용하며, 55.4%는 위생복을 착용하지만 모자를 착용하는 비율은 10.6%밖에 되지 않았고, 악세사리의 착용에서 반지는 13.6%, 팔찌는 8.5%, 시계는 14.3%가 착용하고 있었다. 위생점검표는 24.2%만이 보유하고 있었다. 도마는 전체적으로 일주일에 1회 소독이 74.8%로 조사되었다. 경양식 업종은 55.4%로 다른 업종보다 낮게 나타났다(p<0.01). 칼은 조사대상 업소의 71.6%가 매일 소독하고 있었으나 경양식 업종은 59.4%로 낮게 나타났다(p<0.01). 행주는 조사대상 업소의 92.7%가 매일 소독을 수행하고 있으나 경양식 업종이 81.5%로 다른 업소보다 낮게 나타났다(p<0.01). 조사대상 업소의 81.8%는 정기적인 방충 방서 작업을 시행하였고 쓰레기통의 조리실과 옥외용의 분리는 조사업소의 83.1%가 분리하여 사용하고 있었다. 작업종료 후 작업장 바닥의 청소에서 97.3%는 세제를 이용하여 세척하고 있으나 소독은 68.2%만이 실시하고 있어 소독 수행이 잘 이루어지지 않고 있었다. 식품접객업소의 93.3%는 조리된 음식과 조리되지 않은 음식을 분리해서 보관하고 있었다. 한번 해동시킨 식품을 다시 냉동하여 사용하는 업소의 비율도 49.8%로 조사되었다. 19.4%는 배식 후 남은 음식을 다시 사용하고 있었다. 또한 냉동식품을 해동시킬 때는 식중독의 위험이 높은 실온에서 9.4%가 해동시켰으며, 특히 갈비 업종의 경우 66.7%가 실온에서 해동하고 있었다. 이상의 결과를 살펴볼 때, 식품접객업소의 종업원에 대한 위생교육 실시가 낮으므로 정부에서는 이들이 종업원에게 위생교육을 전체적으로, 지속적으로 실시하는 방안에 대한 제도적인 장치를 마련하여야 하겠다. 위생교육 내용에서도 식당시설, 기기 등 취급시의 손세척 실시와 도마소독, 작업장 바닥 소독이 미비하므로 소독의 중요성과 소독방법에 대해서도 강조하여야 하겠다. 식품 취급시 조리된 음식에 대한 온도관리가 미비하고 해동시의 온도관리가 제대로 시행되지 않았고 특히, 위생에서 온도-시간관리의 개념이 매우 부족하므로 식품 접객업소의 경영주와 종업원을 대상으로 이러한 측면에 대한 정기적인 위생 교육이 실시되어야 하겠다.