• 보건교육건강증진학회지
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• 제17권2호
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• pp.165-181
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• 2000

Even though enormous governmental expenses and scientists' efforts to find out definite causes and treatment methods of senile dementia have been investigated, little has been known in this area. Along with knowledge development of the etiology and treatment of the dementia, researchers have started to focus on improving the quality of life of the older adults with dementia through psychosocial intervention. This study was designed to propose a theoretical framework for establishing therapeutic environment for the older adults with dementia and for developing principles and strategies of caring. The results of this study were expected to help family members of the older adults with dementia to understand behavioral problems of the demented persons. The results can be utilized for health professionals to provide nursing interventions to reduce family caregivers' burden and to improve the quality of life of the older adults with dementia and their family. Caring principles developed from this study were as follows: 1. To minimize the stressors that can stimulate older adults with dementia. 2. To assess demented person's needs for safety and provide intervention based on the assessment. 3. To provide therapeutic environment for older adults with dementia to reduce confusion and to improve orientation. 4. To organize simple regular daily activities that older adults can anticipate. 5. To enhance demented person's self-esteem and self-confidence by providing supportive care. 6. To promote social interaction of the older adults with dementia by utilizing adequate activity programs.

• 대한의용생체공학회:의공학회지
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• 제24권6호
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• pp.543-548
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• 2003

Injuries of wrist in upper extremity is common onset in industrialized world. The development of joint arthroplasty and mechanical joint is area of research for biomechanical engineer and surgeon for a decade. Therefore. the knowledge of characteristic of joint motion is essential to develop the artificial wrist joint. In this study. the joint motions of wrist required for activities of daily living (ADLs). including personal hygiene and care. and general home activity were measured using flexible electrogoniometer. Total of 25 different daily activities were separated into four groups and tested on 15 subjects who did not show any abnormality of their joint functions. The maximum functional range of motion required for ADLs were obtained and standardized for analysis and comparison. Also. a least functional range of motion for ADLs were investigated. Results revealed that any significant differences were not found in least functional range of motion between left and right wrist to perform ADLs. However. a significant difference was found in different ADLs. Therefore. least range of motion obtained in this study can be used as basic data to design artificial joint and set a goal for surgeon to achieve appropriate treatment from patients.

• 대한안전경영과학회지
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• 제16권4호
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• pp.71-80
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• 2014

This study is performed to determine the priorites of the evaluation factors for the improvement of fire emergency medical service by increasing it's efficiency to protect the people's lives effectively, and by recognizing it's mid-long term development. Based on the output of the analysis, the critical evaluation factors of the fire emergency medical services to be improved shall be identified, and shall be intended to use strategically for increasing the efficiency of all the activity in the EMT service, and also for providing the basic date to product and manage the good quality services. To calculate the priority of the evaluation factor for each level as shown on this study, AHP(anaysis hierarchy process) with pairwise comparison method is applied. According to the priority analysis for the evaluation factors in main category (evaluation zone), 'medical service professional aspect' is recognized as highest one, and 'service infrastructure aspect', 'service management aspect' are indicated in order. According to the priority analysis for the evaluation factors in evaluation index, 'professional personal arrangement' in the service infrastructure aspect, 'appropriateness and timeliness of emergency medical care' in the medical service professional aspect, and 'clinical training' in the service management aspect are respectively recognized as most important factors.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9767-9771
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• 2014

Background: Social support is an important factor in psycho-social well-being of cancer survivors. There is little information about level of social support and its predictors among cancer survivors in Iran or other Middle Eastern countries. The aims of present study were to determine the social support and its prediction factors among Iranian cancer survivors. Materials and Methods: In this descriptive-correlational study 187 cancer patients in one educational center and one private oncology office in northwest of Iran participated using a convenient sampling method. The data collection tool consisted of a researcher-prepared checklist and the Multidimensional Scale of Perceived Social Support Assessment (MSPSS). Data analysis was performed using SPSS statistical software with descriptive statistics and multiple linear regression analysis. Results: The total score of MSPSS was 68 from a possible score between 7 and 84. Participants believed that they received a high level of support from their family members and significant others. Multiple linear regression analysis showed that single and depressed cancer survivors and participants with lower levels of physical activity believed that they received lower levels of social support. Conclusions: Iranian cancer survivors receive high levels of social support and family members are the most important source of this support. In planning any supportive care program for Iranian cancer survivors this strength should be considered. Especially, single and depressed and patients with lower levels of physical activity need more attention.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.154-165
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• 2020

COVID-19 팬데믹의 장기화로 인해 우리는 유례없는 사회경제적 위협에 직면해 있다. 인적 교류의 통제로 보건의료 측면에서의 위협 뿐 아니라 경제 활동 위축에 따른 부담에까지 동시에 노출되어 있다. 이러한 상황은 우리가 그간 위기상황에 대비해 마련해 놓았던 사회안전망에 대해 재점검해 볼 기회를 마련해 주었다. 본 연구는 이러한 맥락에서 사회안전망에 대한 평가가 정부의 신뢰도 및 정부 주도의 증세 정책에 대한 수용에 미치는 영향력을 살펴보고자 하였다. 이를 위해 본 연구는 COVID-19가 팬데믹 국면으로 접어든 이후인 2020년 5월, 전국의 성인남녀 1000명을 대상으로 시행한 설문조사의 자료를 토대로 분석을 시행하였다. 분석 결과, COVID-19 발발 이후 우리나라의 사회안전망에 대한 평가는 정부에 대한 신뢰에 정(+)의 영향력을 미치고 있었으며, 이는 개인의 증세 정책에 대한 수용을 보다 증진시키는 것으로 나타났다. 아울러, 정부 신뢰의 증세 수용에 대한 정(+)의 영향력은 소득 수준이 높아질 때 보다 증폭되는 것으로 확인되었다. 이러한 일련의 결과는 향후 코로나 이후를 대비한 정책과 시스템의 재정비에 있어 이론적 기틀을 마련하는데 도움을 줄 수 있을 것이다.

• 간호행정학회지
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• 제6권3호
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• pp.357-374
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• 2000

The purpose of this study was to validate knowledge outcomes included Nursing Outcomes Classification(NOC) developed by Johnson and Maas at the University of Iowa. A sample of 71 nurse experts working in university affiliated hospitals participated in this study. They were asked to rate indicators that examplified the outcomes on a scale of 1(indicator is not all characteristic) to 5(indicator is very characteristic). A questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of outcomes. The results were as follow: 1. All indicators were considered to be 'supporting' and no indicators were considered to be 'nonsupporting'. 2. 'Knowledge: Treatment Regimen' attained and OCV score of 0.816 and was the highest OCV score among outcomes. 3. 'Knowledge: Energy Conservation' attained an OCV score of 0.748 and was the lowest OCV score among abuse outcomes. 4. 'Knowledge: Breastfeeding' attained an OCV score of 0.790 and was the highest indicator was 'description of benefits of breastfeeding'. 5. 'Knowledge: Child Safety' attained an OCV score of 0.778 and was the highest indicator was 'demonstration of first aids techniques'. 6. 'Knowledge: Diet' attained an OCV score of 0.779 and was the highest indicator was 'performance of self-monitoring activities'. 7. 'Knowledge: Disease Process' attained an OCV score of 0.815 and was the highest indicator was 'description of signs and symptoms'. 8. 'Knowledge: Health Behaviors' attained an OCV score of 0.800 and was the highest indicator was 'description of safe use of prescription drugs'. 9. 'Knowledge: Health Resources' attained an OCV score of 0.794 and was the highest indicator was 'description of need for follow-up care'. 10. 'Knowledge: Infection Control' attained an OCV score of 0.793 and was the highest indicator was 'description of signs and symptoms'. 11. 'Knowledge: Medication' attained an OCV score of 0.789 and was the highest indicator was 'description of correct administration of medication'. 12. 'Knowledge: Personal Safety' attained an OCV score of 0.804 and was the highest indicator was 'description of measures to reduce risk of accidental injury'. 13. 'Knowledge: Prescribed Activity' attained an OCV score of 0.810 and was the highest indicator was 'proper performance of exercise'. 14. 'Knowledge: Substance Use Control' attained an OCV score of 0.809 and was the highest indicator was 'description of signs of dependence during substance withdrawl'. 15. 'Knowledge: Treatment Procedure(s)' attained an OCV score of 0.795 and was the highest indicator was 'description of appropriate action for complications'. 16. 'Knowledge: Treatment Regimen' attained an OCV score of 0.816 and was the highest indicator was 'description of self-care responsibilities for emergency situations'. More outcomes need to be validated and outcomes sensitive to Korean culture need to be developed.

• 한국직업건강간호학회지
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• 제3권호
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• pp.71-85
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• 1993

본 연구는 일부 산업장을 대상으로 근로자의 건강증진을 위한 제반 활동의 내용과 수준을 구체적으로 파악하고자 시도되었다. 연구방법은 산업안전교육원 교육 프로그램에 참여했던 안전관리자, 보건관리자등을 임의로 선정하여 648개 산업장에 관하여 설문조사하였다. 자료분석은 산업장 특성별 빈도와 백분율, 각 활동의 업종 및 규모별 실시율, 평균활동수 등을 산출하였다. 연구 결과는 다음과 같다. 첫째, 근로자의 건강증진과 관련된 써클활동이나 교육활동을 지원하고 있는 산업장은 전체의 66.2%를 차지하였고, 업종별로는 제조업과 운수창고업이 높았으며 규모가 클수록 지원율이 높은 경향을 보였다. 그러나, 금연, 스트레스관리, 영양지도, 여성건강관리를 위한 각종 활동에 대한 지원은 매우 적은 것으로 나타났다. 지원내용에 있어서는 주로 운영비를 지원하고, 장소 및 시설을 마련해주는 수준임을 알 수 있다. 둘째, 작업장내에서는 금연을 하도록 하는 정책을 갖고 있는 산업장이 전체의 24.9%였고, 회사 전체에서 금연한도록 하는 경우는 48.3%를 차지하였다. 업종별로는 작업 장내 금연의 경우 제조업, 광업/건설업, 금융보험/서어비스업에서 비교적 높았고, 회사 전체 금연의 경우는 제조업과 운수창고업에서 높았다. 세째, 산업장 내에 근로자를 위하여 운동시설 및 기구를 마련해 두고 있는 산업장은 전체의 98.6%였고, 운동 시설의 평균 수는 $2.96({\pm}1.85)$개였다. 규모에 따라, 업종에 따라 유의한 차이를 보였다(p=.0000, p=.0000). 회사가 지원하는 운동모임의 수는 전체 평균 $3.60({\pm}2.09)$개였으며, 규모와 업종에 따라 유의한 차이를 보였다(p=.0000, p=.0000) 네째, 근로자를 위하여 식사를 제공하는 산업장은 점심식사의 경우 85.8%였고, 저녁식사 37.1%였으며 아침식사, 간식, 야식을 제공하는 산업장의 비율은 비슷한 수준이었다. 이러한 결과를 토대로 우리나라에서 산업장 건강증진 프로그램 개발을 위한 정책과 관련된 제언을 할 수 있었다.

• 대한간호학회지
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• 제54권2호
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• pp.237-249
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• 2024

Purpose: This study aimed to examine the adequacy of current nurse staffing levels by identifying nursing activities and workload. Methods: The study used a mixed-method design. A nursing activity survey was conducted using the work sampling method over 2 working days with 119 general ward nurses. A focus group interview was conducted with 12 nurses. Quantitative and qualitative data were analyzed using SPSS 20.0 and content analysis, respectively. Results: The most amount of time was spent on medication (in direct nursing) and electronic medical record documentation (in indirect nursing). The appropriate nurse-to-patient ratio is 1:7.7 for the day shift, 1:9.0 for the evening shift, and 1:11.9 for the night shift. However, the current nurse-to-patient ratio is 1:9.4, 1:11.0, and 1:13.8 for the day, evening, and night shifts, respectively. Therefore, the current nurse staffing level is insufficient for the workload. In the focus group interview, the main reasons cited for being unable to complete tasks within working hours were communication and coordination, and the nursing electronic medical record. The essential nursing activities of basic nursing and emotional support were overlooked owing to a heavy workload. Therefore, an adequate nurse staffing level should be higher than the measured quantitative workload. Conclusion: These results suggest the general wards of tertiary hospitals should evaluate the adequacy of their current nurse staffing and allocate sufficient nurses to improve patient safety and nursing care quality.

• 대한지역사회영양학회지
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• 제20권3호
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• pp.165-177
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• 2015

Objectives: Based on individual and environmental characteristics of low-income children, we developed a nutrition education program for school-aged children from low-income families according to effective use in social welfare centers. Methods: We conducted in-depth group interviews to assess program needs in 28 participants, 10 low-income school-aged children and 9 of their care givers, 9 social workers and 9 care-givers. Theoretical backgrounds of our program were heath belief model and social cognitive theory considering motivation, action and environment characteristics. Results: Based on the findings of this qualitative study, we developed major program themes and contents. Five selected key themes were 'balanced diet', 'processed food', 'food hygiene and safety', 'Korean healthy traditional diet', and 'family cooking' to induce changes in dietary behaviors. Main findings of in-depth group interviews included 'child's active participation', 'simple and easy to understand messages', and 'environmental constraints' such as a lack of child care at home, limited budget of social welfare centers, and less qualified educators for nutrition and health. Each lesson was constructed as a 1-hour program particularly emphasizing activity-based programs, including cooking and teamwork exercises. Program contents in each session consisted of activities that could induce outcome and value expectations, self-efficacy, perceived benefits, and barriers and cues to actions regarding diet behavior. Conclusions: We developed a nutrition education programthat is rarely available for low-income children in Korea, considering theoretical bases. Further studies are needed to validate our program.

• 농촌의학ㆍ지역보건
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• 제40권4호
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• pp.221-227
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• 2015

본 연구는 관절염 환자들의 신체활동에 대한 제한, 이러한 활동에 대한 상대적 의존성 그리고 우울감 사이의 관련성을 매개효과를 밝히고자 연구를 실시하였다. 연구대상자는 지역사회에 거주하는 여성 농업인 중 관절염을 앓고 있다고 응답한 자 중 209명을 임의로 추출하여 설문조사 방식으로 조사하였다. 결과적으로 관절염으로 인한 세 개의 활동영역(개인의 신변활동, 집안일, 거주지에서의 이동성 등)은 활동제한이 우울감에 직접 관련이 있다기 보다는 활동제한으로 인해 의존성이 발생되고 결과적으로 우울감이 발생되는 경로를 보여 의존성을 개선하였을 경우 우울감이 줄어들거나 극복될 수 있으며, 여가생활에 대한 활동제한은 우울감에 직접적인 효과가 있어 관절염환자들의 활동제한 중에서 무엇보다도 여가생활의 제한은 우울감에 직접적인 영향을 주므로 환자들에게서 여가생활을 적극 장려할 수 있는 프로그램 개발이 필요하다. 결론적으로 관절염환자들의 자기관리능력 함양, 보조 기구 지급을 통한 의존성의 개선은 이들 환자들의 우울감 개선이 될 것이다.