• Journal of Hospice and Palliative Care
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• 제19권4호
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• pp.310-321
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• 2016

목적: 본 연구의 목적은 중년기 성인의 호스피스 완화의료와 공유의사결정에 대한 인식 및 요구도를 파악하는 것이다. 방법: 대상자는 D광역시에 거주하는 40세 이상 65세 미만의 중년기 성인 중 연구의 목적을 이해하고 동의한 90명이었다. 자료는 자가 보고식 설문지로 수집하였으며, SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 결과: 대상자 중 76.7%가 호스피스 완화의료에 대해 인식하였으나 공유의사결정에 대해서는 82.2%가 인식하지 못하였다. 대상자들은 호스피스 완화의료와 공유의사결정에 대하여 각각 85.6%, 77.8% 필요하다고 하였다. 호스피스 완화의료에 대한 인식은 기독교나 천주교인 경우, 소득이 높을 때, 현재 질병이 있을 때 인식률이 높았으며, 의료진의 체계적인 상담 및 설명을 들을 수 있는 간호 및 치료방법에 대한 요구도가 가장 높았다. 성별, 소득수준, 현재 건강상태 및 질병상태에 따라 치료결정 항목의 중요도에 차이가 있었다. 소득수준이 높을 때 공유의사결정에 대한 인식은 높았으며, 전문직업이 있거나 현재 질병이 있을 때 공유의사결정에 대한 요구도가 높았다. 결론: 향후 국내에서 호스피스 완화의료와 공유의사결정에 대한 논의가 지속적으로 진행되기 위해서는 의료진 및 일반인들을 대상으로 한 다양한 교육프로그램의 시행과 홍보가 필요하다.

• 대한임상검사과학회지
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• 제53권1호
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• pp.96-104
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• 2021

병원은 전문적인 기술을 가진 사람들이 모여서 구성된 특수한 조직이다. 다양한 직무 분야와 사회적 관심 분야의 변화로 직업의식 및 직무만족에도 많은 변화가 있을 것이고, 조직이 지속적인 성장을 하기 위해서는 이를 효율적으로 잘 관리할 필요가 있다. 직종별 직무만족에 미치는 영향요인을 분석함으로써 효율적인 운영방안에 필요한 자료를 제공하고자 한다. 2015년 4월 1일부터 4월 15일까지 서울 소재 일개 S상급종합병원에 근무하고 있는 직원(할당표본 400명)을 대상으로 하였다. 영향요인별 타당도와 신뢰도 분석을 실시하였고, 전반적인 직무만족과 영향요인에서 보건직이 가장 만족 수준이 높은 것으로 나타났다. 직무만족 영향요인 분석에서 의사직은 성취감, 보수, 근무환경, 간호직은 성취감, 보수, 직무안정성, 보건직은 성취감, 근무환경, 행정직은 성취감, 대인관계, 근무환경, 직무안정성이 영향을 미치는 것으로 나타났다. 이는 동기요인뿐만 아니라 위생요인에서도 직무만족에 영향을 미치는 유의미한 관계임을 확인할 수 있다. 본 연구결과를 토대로 직무에 대한 만족도를 높이기 위해서는 동기요인과 위생요인 모두를 고려해서 체계적인 관리가 필요하다고 판단된다.

• 한국직업건강간호학회지
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• 제3권호
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• pp.54-70
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• 1993

According as the automation of clerical work(OA ; Office Automation) develops, the use of VDT(Visual or Video Display Terminal) is increasing suddenly. But, in proportion to the spread of office automation(OA tendency), the self-conciousness syptom attendant upon the work is appearing also (Kim, Jung Tae, Lee, Young Ook, 1990). The apparatuses of office enable the clerical workers to be convenient and perform mass businesses. But, they are increasing the opportunity to be exposed to VDT syndrom, techno stress, computer terminal disease, pain by muscle strain(RSI), bradycausia of noise nature, and electromagnetic waves, etc. which are referred to as the new type of occupational diseases to the workers. It is the real situation that the workers to use VDT is complaining of the physical inconvenience sense in the recent newspaper and literature, it is the point of time that the sydrome to come from VDT use and computer terminal disease, etc. must be classified into the occupational disease(Lee, Kwang Young 1990, Lee, Kyoo Hak 1990, Lee, Won Ho 1991, Lee, Si Young 1991, Lee, Joon 1991, Choi, Young Tae 1991, Heo, Seung Ho 1989). In addition, it is the real situation that the scientifitic study result about the scope that electromagnetic waves has influence on the human body has not been suggested yet, and criticism on the stable exposure permission standard about electromagnetic waves to be emitted from VDT and on the problem in the health about electromagnetic waves is continuing. (IEEE Spectrum, 1990). In addition according to the experience of nursery business of industry field, it is the real situation that the patients who consult complaining of physical and mental inconvenience sence, among the users of apparatus of office automation, are reaching 10% of the patients coming to doctor's room. Therefore, it is necessary to confirm the self-consciousness symptom that the clerical workers complain of multilaterally with the actual state examination about the use of the apparatuses of offices automaton. Thus, this study was tried as th basic data for the cosultation and education for the maintenance and furtherance of the health of workers as the nurse of industry field, by confirming the contents of self-consciousness symptom attendant upon the use of the apparatus for office outomation making the financial institution in which the spparatus for office automation in most frequently used as the subject, and by examining whether there is the difference according to the subject of study, the data were collected, by using the questionnaire method, making 200 workers who consented to the study participation as the subject, among the persons who have spent over 3 months since they used the apparatuses for office automation and didn't receive the treatment in hospital due to the clerical disease for recent 3 years. The period of data collection was from Oct. 9, 1991 to Oct. 12. As for the measurement instrument about the complaint if self-consciousness symptom attendant upon the use of apparatuses fo office automation, the question item on the complaint symptom of health problem attendant upon the treatment of VDT that Kim(1991) developed and on CMI health problem and the question items on the fatigue degree due to industry were used by previous examination to 25 persons. Collected data were analyzed with the statistical method such as percentage, arithmetic mean, Person correlation coeffient, Kai square verfication, t-test, ANOVA, etc. by using SPSS/PC+ program, and the result is as follows : 1. The self-consciousness symptom that the clerical workers complained of most frequetly appeared high in 'My eyes are tired'(99.4%), 'I feel fatigue and weariness'(99.4%), 'I feel that my head is heavy5(90.0%), 'eyesight fell'(88.8%), 'I have a stiff neck'(88.8%), 'I fell pain in the shoulder'(85.0%), 'I feel cold and painful in the eyes'(76.9%), 'I feel the dry sense of eyeball'(76.2%), 'My nerves are edgy, and I an fretful, (75.6%), 'I feel pain in the waist'(73.2%) and 'I fell pain in the back'(72.8%). It emerged that the subject use the apparatuses for office automation complained of self-consciousness symptoms related to visual symptoms and musculoskeletal symptoms. 2. As for the general feature of examination subjects, the result to see the distribution by classifying into sex, age, school career, use career of apparatuses for office automation, skillfulness degree of the use of apparatus for office automation, use hours of the apparatuses for office automation per 1 day, type of business of the apparatus for office automation, rest hours during the use of apparatus for office automation, satifaction degree of business of office automation, and work circumstance, etc. emerged as follows : As for the sex of subjects, the distribution showed that men were 58.8% and women were 41.3%, Age was average 26.9. As the distribution of school career, the distribution showed that4below the graduation of high school' was 58.8%, 'graduation from junior college-university' was 35.0%, and 'over graduate school' was 6.3%. In the question to ask the existence or non-existence of experience of health consultation in connection with the work of office automation, the response that I had the consultation exprience and I feel the necessity emergerd as 90.1% And, the case that the subject who didn't wear the glasses or lens before using the OA apparatus wear glasses or lens after using OA apparatus emerged as 28.3% of whole. As for the existence or non-existence of use career of OA apparatus, the case under 3 years was highest as 52. 7%. As for the skillfulnness degree about the use of apparatus for office automation, most of them are skillful with the fact that 'common' was 44.4%, 'skill' was 42.5%, and 'unskillful' was 13.1% As for the use average hours of the apparatus for office automation per 1 day, the distribution showed that the case under 3-6 hours was 33.1%, the case under 6-9 hours was 28.1%, the case under 3 hours was 30.6%, and the case over 9 hours was 8.1% Main OA business and the use hours for 1 day showed in the order of keeping and retrieval, business of information transmission(162min), business of information transmission(79.3 min), business of document framing(55.5 min), and business of duplication and printing(25.4min). as for the rest during the use of apparatus for affice automation, that I take rest occasion demands the major portion, but that I take after completing the work emerged as 33.8%. Though the subiness gets to be convenient by the use of the apparatus for of office automation, respondents who showed the dissatisfaction about the present OA business emergd high as 78.1%. The work circumstances of each office was good with the fact that the temperature of office was 21.8, noise was average 42.7db, and the illumination was average 364.4 lx, in the light of ANSi/HFS 100 Standard. 3. Sight syptom, musculoskeletal symptom, skin and other symptoms showed the significant difference according to the extent of skillfulness of the apparatus for office automation. All the symptoms exept skin symptom showed the difference according to the use hours of the apparatus for office automation. All the question items exept the sytoms of digestive organs and the rest hours during the apparatus for office automation showed the signicant difference. The question item which showed the signicant difference from the satisfaction degree of present OA business showed the significant difference from all the question item classified into 6 groups. But, age and school career didn't significant difference from the complaint of any self-consciousness symptoms.