• 의료커뮤니케이션
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• 제13권2호
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• pp.223-231
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• 2018

Background: Many nursing university students were stressed during clinical practice. The purpose of this study was to identify the difference between stress of clinical practice and mental health according to behavioral styles in nursing university students. Methods: The participants of this study were 233 junior and senior nursing students who had experienced clinical practice. Data were collected by self-report questionnaires in online from November 2017 to March 2018. Collected data were analyzed with SPSS/WIN 25.0 using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients. Results: The most frequent DISC behavior style of the subjects was conscientiousness (43.8%), follewed by steadiness (19.7%), influence (18.9%), and dominance (17.6%). The participants'scores for stress of clinical practice and mental health were $3.35{\pm}0.55$ and $1.13{\pm}0.65$. The stress of clinical practice of the subjects was different according to DISC behavior styles(F=2.86, p=.038). The results show that the higher the score of stress of clinical practice was the higher the score of mental health(r=.51, p<.001). Conclusion: This study found that the difference of DISC behavioral styles can be attributed to stress of clinical practice. Therefore, nursing intervention program considering with the subjects'DISC behavior styles needs to be developed to reduce their stress of clinical practice.

• 의료커뮤니케이션
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• 제13권2호
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• pp.159-166
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• 2018

Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

• 의료커뮤니케이션
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• 제13권2호
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• pp.149-158
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• 2018

Background: This study was to survey the effect of the degree of spiritual nursing care performance on the spiritual nursing care ability of the nursing students Methods: The researcher sampled 130 nursing students for a questionnaire survey conducted from September 17 until September 27, 2018. The data of analysis used SPSS 23.0 program. Results: The spiritual nursing care ability was $4.4{\pm}0.8$(total score 6) and the degree of spiritual nursing care performance was $2.9{\pm}1.8$(total score 4). The spiritual nursing care ability differed significantly depending on religion(F=7.570, p<.001), the level of spiritual nursing knowledge(F=19.873, p<.001), education type(F=14.626, p<.001), necessity of hospice(t=2.280, p=.024). The degree of spiritual nursing care performance differed significantly depending on spiritual nursing education time(F=2.932, p=.036). The correlation of two variable was statistically significant difference(r=.206, p=.019). The influencing factors on the spiritual nursing care ability was religion, the level of spiritual nursing knowledge, education type, dying experience($R^2=0.378$, Adj $R^2=0.353$), the degree of spiritual nursing care performance was spiritual nursing education time($R^2=0.065$, Adj $R^2=0.043$). Conclusion: These results show that nursing students are not able to perform spiritual nursing care properly to subjects who need spiritual nursing care. Therefore, it is necessary to develope programs to meet the spiritual nursing care needs of nursing students and to provide practical education in accordance with the program by cooperating with the nursing education staff, clergy and clinical nurse etc. And spiritual nursing care should be taught as a required subjects in the curriculum.

• 의료커뮤니케이션
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• 제13권2호
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• pp.233-241
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• 2018

Purpose: The purpose of this study was to investigate effects of providing written information for coronary artery disease on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction depending on patients' health literacy. Methods: The participants in this study were 40 patients who underwent coronary angiography or coronary intervention, and depending on the level of health literacy 30 patients were high group and 10 patients were low group. Each group was evaluated on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction with providing written information. Results: By providing written information in the group with high health literacy, there was a significant difference in health behavior compliance related self-efficacy, knowledge of disease, but there was no significant difference in anxiety variable. On the other hand, there was no significant difference in health behavior compliance related self-efficacy, knowledge of disease, and anxiety by providing written information in the group with low health literacy. Also, there was no significant difference in the educational satisfaction between high and low group of health literacy after providing written information. Conclusion: It is necessary to develop educational materials that can be applied to clinical nursing field with considering health literacy of patients with coronary artery disease. In addition to providing written information, it is also necessary to develop other educational intervention programs such as video and personalized counseling that may be helpful for coronary patients with low health literacy and investigate their effectiveness.

• 커뮤니케이션디자인학연구
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• 제57권
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• pp.256-271
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• 2016

사용자 중심 디자인을 실행하기 위하여 사용자의 니즈를 도출하고 도출된 니즈를 기반으로 아이데이션을 실시하고 아이디어 수렴을 통해 디자인 컨셉을 개발하고 있다. 이 중 사용자 및 전문가에 대한 리서치는 상당한 시간과 비용이 소요되는 과정으로 리서치 결과에 대한 타당성은 디자인컨셉을 도출하기 이전 단계에서 자체점검 할 수 있는 방법이 부재한 상태이다. 이 논문은 사용성 테스트 방식을 확장하여 맥락사용성 테스트 방법에 대한 과정을 설계하여 적용해 본 것에 의의가 있다. 이 논문에선 의료기기 중 웨어러블자동제세동기(WCD) 개발에 적용되어 테스트를 실시하였으며 개발기간이 비교적 오래 걸리는 의료기기 분야의 케이스가 다양하게 확장된다면 평가항목 및 평가결과에 대한 레퍼런스를 축적하여 체계화 할 수 있을 것이라 판단된다. 또한 이 경우 더욱 효과적인 방법으로 발전할 수 있을 것으로 기대되며 그에 따른 많은 후속연구가 필요한 것으로 판단된다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권3호
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• pp.47-55
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• 2015

Purpose: While medical standard is rapidly improved, welfare of users and employees in hospitals is not treated correspondingly. Intercommunication of hospital users is thought to be very important for their welfare, and provision of conversation spaces within hospital environment needs to be expanded by architectural design. Space organization methods for the design of conversation space is to be embellished. Methods: Literature and hospital designs are analysed in order to develop the basis of argumentation for the hospital conversation space. 15 hospitals are reviewed and designed spaces for the intercommunication of the users are examined, Space organization efforts and design experiments are identified, and 6 organizational methods are proposed such as: 1) reducing territoriality 2) flowing space 3) categorizing and separating spaces 4) height variation 5) contact with outside and 6) Sun-lighted space. Results: 6 organization methods are confirmed in precedent hospital cases, and these proposed methods are applied in a new hospital design project to verify their usefulness. Implications: A hospital design project is presented based on these proposed methods of organization for the conversation space. Outcomes of this study can be applied for the formulation of human intercommunication spaces in other facilities.

• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2007년도 한국컴퓨터종합학술대회논문집 Vol.34 No.1 (D)
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• pp.453-457
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• 2007

응급환자의 생존 가능성은 응급의료체계가 얼마나 잘 갖추어져 있느냐에 따라 결정된다. 과거의 응급체계가 가장 빠른 시간에 환자의 이송함으로서 치료를 받게 하는데 초점을 두었다면 최근은 RFID등의 기술을 이용하여 환자의 상태를 빨리 파악하여 최적의 치료를 받을 수 있는 병원으로 이송할 수 있는 시스템 도입에 초점을 두고 있다. 따라서 응급 환자의 기본적인 정보를 수집한 후 최적의 병원 전 단계(pre-hospital phase)를 수립하기 위해서는 다양하고 이질적인 정보 자원들을 접근할 수 있어야 한다. 또한 응급환자의 기본적인 사고정보를 가지고 최적의 치료를 받을 수 있는 정책을 수립하기 위해 자율적으로 서로 커뮤니케이션을 할 수 있는 시스템이 필요하다. 본 논문에서는 멀티에이전트 기반의 응급 의료 시스템 모델링을 제시하고, 응급환자에 대한 최적의 병원 전 단계를 수립하기 위한 시퀀스를 설명한다.

• 한국콘텐츠학회논문지
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• 제13권11호
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• pp.807-814
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• 2013

건강관리 및 만성질환관리에 강점을 보이는 한의학의 중요성이 커지고 헬스 커뮤니케이션의 패러다임 변화를 수용한 새로운 한의정보 서비스에 대한 수요가 증대하고 있다. 이러한 변화를 한의학 분야에 확대 적용할 수 있는 방안을 도출하기 위해서 선행연구를 수집하여 헬스2.0의 개념과 서비스의 특징을 분석하고 국내의 한의정보 서비스의 장단점을 파악하였다. 이를 기반으로 인증된 의료정보를 유통하여 의료사고를 미연에 방지하고 의료정보의 가치를 높이며 개별적으로 생산되는 정보를 빅데이터 분석 기술을 활용하여 통합하고 새로운 정보를 추출하고 콘텐츠를 재생산할 수 있는 한의 헬스2.0 프레임워크를 설계하였다.

• 디지털융복합연구
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• 제15권1호
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• pp.301-309
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• 2017

본 연구는 군 간부에게 매년 적용되는 건강검진 서비스품질요인이 건강검진 서비스 가치 및 만족과 수요자가 느끼는 행동의도에 미치는 영향 등을 분석하여 군 간부건강검진에 대한 체계적이고 현실적인 건강검진제도가 실현되도록 대안을 제시하는데 그 의의가 있다. 2016년 9월 27일부터 10월 4일까지 자료를 수집하였고, 총 300명 중 294명을 최종조사 대상으로 선정하였으며, 분석방법은 빈도분석, ANOVA분석, Pearson's상관관계분석, 다중회귀분석을 시행하였다. 결론에서는 연령(p<0.05), 검진횟수(p<0.01), 의료커뮤니케이션(p<0.01), 의료서비스 품질(p<0.001), 의료서비스 가치(p<0.001)가 건강검진 서비스품질과 고객만족, 행동의도에 있어서 분야별 특징적인 결과가 도출되었다. 향후 군은 건강검진 제도 인지도 향상을 위한 교육, 홍보 프로그램 개발과 함께 질병을 조기에 발견하기 위한 건강검진서비스 품질의 질을 높여야 할 것이다.

• 사물인터넷융복합논문지
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• 제2권2호
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• pp.15-20
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• 2016

MicroSoft에서 2015년 8월부터 배포하기 시작한 윈도우10 IoT버전은 익숙한 Window를 IoT 시장에 끌어내어 소비자의 흥미를 끄는 데에 성공했고, IoT에서 웹서버등을 더 손쉽게 구축 할 수 있도록 도왔다. 최근 의료계에서는 과잉진료문제가 대두되고 있다. IoT 서버와 의료장비간의 통신 수립은 사용자에게 의료결과를 전송하고 병원간 커뮤니케이션을 원활히 하여 과잉진료문제를 크게 줄일 수 있을 것이다. 자원이 한정되어있는 IoT 서버에서는 트래픽을 유발하지 않으면서 사용이 수월한 경량화 프로토콜들이 많이 사용된다. 이러한 상황에서 한정적 자원에 무리를 주지않고 사용 할 수 있는 SSDP(Simple Service Discovery Protocol), 보안성이 높은 XMPP(Extensible Messaging and Presence Protocol) 프로토콜을 사용해 의료기기가 손쉽게 사용자에게 유비쿼터스 환경을 제공할 수 있는 IoT 네트워크를 제안하고자 한다.