• 대한수의학회지
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• 제54권2호
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• pp.101-105
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• 2014

This study was conducted to investigate actual conditions associated with veterinary anesthetic drug use in Korea, and to obtain responses from Korean veterinarians and researchers pertaining to the use of anesthetic drugs. To accomplish this, a nationwide survey was issued to veterinarians working at animal hospitals and to researchers in the Korean Association for Laboratory Animal Science (KALAS). A self-administered questionnaire-based survey was then conducted in which respondents were asked questions about actual conditions associated with the use of animal anesthetic drugs. The survey revealed that the distribution and management of animal medicines in Korea was quite vulnerable to misuse or abuse due to a variety of factors. Therefore, a relevant regulatory system should be strictly enforced to protect vulnerable individuals from abuse or misuse.

• Journal of Nutrition and Health
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• 제33권3호
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• pp.332-342
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• 2000

Vitamin mineral supplement usage by self-prescription is popular behavior among adolescents. This study was conducted to investigate the behaviors of vitamin·mineral supplement usage and the relationship between demographic variables and supplement usage by healthy adolescents. Nine hundred seventy two boys and girls, aged 13-18 years, attending general middle or high schools were chosen from various cities and rural communities in Korea. As a result, vitamin·]mineral supplements were taken by 31.3% of subjects. Users tended to take vitamin·mineral supplements more frequently when they were healthy than when they suffered from disease. The taking period of supplements was different according to school type such as middle or high school(p<.05), sex(p<.001) and residence of subjects(p<.01). The main information source of supplements was newspaper/magazine/TV, and it was affected by sex(p<.05) and residence(p<.01). Vitamin·mineral supplements were generally recommended by their mothers instead of health professionals. The commonly cited taking reason of supplements was affected by sex(p<.01)and socioeconomic status of family(p<.05). The frequently responded effect obtained from supplement use was recovery from fatigue and it was different according to sex(p<.01). The major mentioned reason of not taking vitamin·mineral supplements by non-users was 'I eat a balanced diet'. The most frequently consumed supplements were vitamin C, followed by multi-vitamins supplements, and this pattern was different according to school type(p<.001), sex(p<.01) and residence(p<.05). These findings show that the behaviors of vitamin·mineral supplement usage by subjects are not resonable, and their supplement usage tends to be affected by demographic variables. Therefore, nutritional understanding and education that are intended to form the resonable behaviors toward vitamin·mineral supplement usage of adolescents should be provided with considering the relationship between demographic variables and supplement usage.

• 한국보건간호학회지
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• 제18권2호
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• pp.243-257
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• 2004

Surveys were carried out from April to December of 2003 to collect the information on hypertension patients for the detailed analysis. Totally, 1,423 patients, who have been registered to the public health center or its branch located in a small city with both urban and countryside characteristics in Kyungsangbuk-Do area, were the subjects of this investigation. The purpose of this research was to examine the health situation of the hypertension patients and to understand the official state of their management program and their own efforts to control the blood pressure, so that we could develop the better program to protect the patients more efficiently and systematically. Eventual purpose was to provide the patients at high risk with the essential informations to prevent the onset of the disease and to promote their health conditions by early diagnosis. Most patients, registered to the public health center, were relatively obedient to the prescription, however, the incidence of being checked up regularly was low. It was turned out that the patients showed a low tendency to practice to maintain the healthy life style such as the proper eating habit or the effort to control the stress. So. it is necessary to develop the strategy and the management program to enhance the self-nursing activities to control the patients' blood pressure at the proper level. In addition, multidisciplinary approaches should to be done for efficient and effective care for hypertension patients. Finally, systematic management of hypertension patients is required to classify the duty and role for caring patients among those health care system.

• 한국병원경영학회지
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• 제15권3호
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• pp.1-16
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• 2010

As a cross-sectional study, this study was aimed to investigate and compare the job efficiency and satisfaction of nurses according to the hospital grade. Survey was conducted by mail on June 2009, and the respondents were 1,016 nurses working in 15 hospitals which are 9 high-grade general hospitals and 6 general hospitals. The percent of nurses acknowledging their hospital grades is 34.5%, and that is 20.5% at high-grade general hospitals. As the result of review of studies, it is concluded that under the circumstance that differential rates are contracted to calculate fees for hospital services and copayment of patients are according to nursing grades and hospital grades, the degree of nurses' awareness of insurance fees impact on their performance like recording of care and prescription. In order to improve nurses' performance, they need to be educated about the national insurance fee system. In hospitals with higher nursing grade and more beds, the levels of nursing quality and faithfulnes and their job satisfaction were higher. Nurses' awareness of their hospital nursing grade was related to the quality of nursing but not the faithfulness. Nurses working in higher nursing-grade hospital are more self-respect and satisfied at their jobs, and their job efficiencies are not significantly different. The current nursing fees based on the proper number of nurses per beds of nursing units should be changed to be based on the amount of job per nurse by their nursing protocol, and the nurse staffing standard should be differentiated between nursing grades. As the aspect of nursing, 24-hours patient care, it is difficult to improve nurses' job satisfaction, and in the other hand, that tends to depend on their income level. In the current circumstance, comprehensive research is required to investigate the propriety of 25% of the inpatient fees as the nursing management charge.

• 한국융합학회논문지
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• 제11권5호
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• pp.381-389
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• 2020

환자 특히 노인환자들은 자신의 특성과 속도에 적합한 간호를 필요로 하는 데 비해, 우리나라 현실에서는 '빠른 간호'가 강조되는 실정이다. 이에 본 연구는 한국에서의 '느린 간호'의 속성을 파악하고자 한다. Walker & Avant의 방법을 사용하여 문헌고찰을 통해 '느린 간호'에 대한 개념분석을 실시하였다. 2000~2019년 Pubmed, Riss, NDSL, DBPIA, Google scholar에서 '느린', '느림', '느린 간호', '느린 처방'을 핵심단어로 하여 문헌을 찾고 개념분석을 실시한 결과, '느린 간호'의 속성으로 '대상자의 속도 존중', '주의 깊음', '과정 중 안위', '참여', 그리고 '삶의 의미 숙고'가 나타났다. 이러한 '느린 간호'의 속성을 중심으로 모델사례를 도출하였다. '느린 간호'의 선행 요인은 환자의 기능 저하, 심리적 처짐, 무관심, 치료에 대한 두려움, 삶의 의지 부족으로 나타났으며, 느린 간호로 인해 나타나는 결과로는 잠재 능력 발견, 자신감 회복, 건강증진, 의료진과의 의사소통 향상, 신뢰감 및 자아통합감이 도출되었다. 향후 '느린 간호'의 속성을 이용한 측정도구를 개발하여 대상자 간호와 연구에 이바지하기를 기대한다.

• 한국콘텐츠학회논문지
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• 제19권1호
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• pp.598-607
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• 2019

현재 한국의 약사 연수 교육은 연간 8시간으로 대한약사회와 그 산하 지부 및 분회에서 주로 실시하고 있다. 정해진 시간에 다수의 약사들을 대상으로 진행되는 교육은 학습효과가 제한적이며 적극적인 학습 참여를 유도하기 어렵다. 본 연구에서는 약사 제도의 역사가 긴 미국의 약사 연수 교육을 문헌 연구 하여 한국의 약사 연수 교육의 발전 방안을 찾아보았다. 연구의 대상은 한국과 미국의 약사 연수 교육 운용 방식, 평가제도, 교과목 등이었다. 연구 결과 미국의 약사연수 교육은 다양한 방식이었으며 이수 시간이 길며 약사 면허 갱신 제도와 연계되어 있었다. 한국의 약사 연수 교육이 교육 시간의 연장, 교육 내용의 다양화, 자기 주도적 학습 및 현장 실습 교육을 도입 한다면 현재보다 더 발전할 것이다.

• 한국임상약학회지
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• 제33권1호
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• pp.35-42
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• 2023

Objective: There is a growing interest in the safe use of medications in pregnant and breastfeeding women. Therefore, the purpose of this study is to find ways to improve education about safe medication use by investigating the status of medication use of pregnant and breastfeeding women, and by evaluating their knowledge, attitudes, and practices toward safe medication use. Methods: In this study, a self-report questionnaire was conducted on pregnant or breastfeeding women in Seoul and Gyeonggi Province. The questionnaire consisted of the following four sections; 1) sociodemographic characteristics of participants, 2) experience of medication use, 3) experience of being educated on safe medication use, and 4) knowledge, attitudes, and practices about medication use during pregnancy/breastfeeding. Results: A total of 203 participants were included in the analysis. Of these, 38.4% reported to take prescription medications during pregnancy and breastfeeding. Regarding education on safe medication use, nearly 90% of the participants answered that they were not educated or were unsure whether they had it. In the knowledge-attitude-practice evaluation on safe medication use, the knowledge level was the highest (mean, 4.45), followed by the attitude level (mean, 3.58) and the practice level (mean, 3.33). The preferred education method of the participants was online education using a computer or mobile phone application, etc. Conclusions: This study suggests that there is a need for systematic and effective education that can link knowledge of safe medication use with attitudes and practices in pregnant and breastfeeding women.

• 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.

• 보건행정학회지
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• 제16권1호
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• pp.1-16
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• 2006

Recently, there has been prevailing of the combined utilization (CU) with herbs and prescribed drugs in medical therapies in the world. But the information about frequency, efficacy and safety of this CU has not well known in Korea, yet. This study aimed to identify the status of CU by Koreans, and to inquire which side effects of CU represent to those people. A self-completed questionnaire survey was performed through each health examination center in twenty general hospitals and one oriental hospital. Of the initial 2,100 health examinees, 1,851 were participated in this survey, resulting in a response rate of 88.1%. The proportion of CD was 26.3%. The most commonly mentioned reason of CD was 'to promote general health and well-being' (17l persons, 35.5%). The main route of taking CD was self-purchase at drugstore or at herbs market, followed by the prescription of (oriental)physicians. 33.0% (151 persons) of those who took the CD rated it as effective. 93 respondents (19.8%) were experienced several adverse effects including nausea, fatigue, and dizziness. The growing simultaneous use of herbal products and pharmaceutical drugs by Korean consumers may be continuously increased the risk of herb-drug interactions. The medical professionals should be provided with comprehensive and up-to-date information about potential benefits and risks of herbs and prescribed drugs. In the future studies it may be recommended to deal common cold, health promotion, indigestion, headache, and hypertension for the effect and safety of the CD by well-organized prospective study design.

• 대한방사선치료학회지
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• 제30권1_2호
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• pp.139-151
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• 2018

목 적 : "Yaw방향의 보정이 가능한 Tomotherapy couch device"를 자체 제작하였고, 그 유용성을 평가하였다. 대상 및 방법 : 휨 강도가 $200kg/cm^2$의 경질 섬유판 재질로 Yaw방향의 회전 가능한 Tomotherapy couch device를 제작하고, 제작된 device의 물리적 정확성을 판단하기 위해 Varian사의 Novalis Tx의 CBCT Image와 MED-TEC사의 Iso-Align Phantom을 사용하여 device의 Yaw방향의 보정각도의 정확성을 측정하였고, Tomotherapy HDA에서의 치료를 위해 치료계획은 Accuray PrecisionTM를 이용하여 In House Head and Phantom 위에 치료계획을 설계하였고 제작한 device의 보정각도마다 치료 전 후의 MVCT의 adaptive plan을 Accuray PrecisionARTTM and PrecisionTM을 사용하여 선량을 평가하였다. 결 과 : Yaw방향의 보정이 가능한 Tomotherapy couch device를 자체 제작하였으며, 물리적 정확성의 측면에서 모든 각도별 vertical, lateral, longitudinal의 보정값은 약 1 mm 내외였고, 최대 보정값이 1.5 mm를 넘지 않았으며 Yaw방향의 보정은 최대 0.12도 오차 이내의 범위 안에 들어왔다. 치료후의 MVCT촬영 영상을 이용한 adaptive plan을 이용한 선량 평가에서도 모든 각도실험에서 target은 D95=Prescription dose를 만족하고, target내 선량이 95 %~107 % 이내에 들어왔으며, OAR 또한 본원에서 평가한 SMC Head and Neck tolerance dose 영역 내에 모두 들어왔다. 결 론 : 자체 제작한 "Yaw방향의 보정이 가능한 Tomotherapy couch device는 Tomotherapy의 치료에서 Yaw방향의 set-up 오차를 정확히 보정해준다. 비용적인 측면에서도 효과대비 저비용으로 장치를 만들 수 있을 뿐만 아니라 재촬영에 대한 환자가 받는 MVCT image dose를 방지하고 시간적으로도 환자의 회전율을 상승시킬 수 있으며, Yaw방향의 set up 오차를 보정하므로 더 정확한 방사선치료를 시행할 수 있다고 판단된다.