• 제목/요약/키워드: 4P's strategies

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임상간호사의 심리적 안녕감, 지각된 건강상태, 건강증진행위에 관한 연구 (Psychological Well-being, Perceived Health Status, and Health Promoting Behavior of Clinical Nurses)

  • 최윤정;성영희
    • 간호행정학회지
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    • 제19권5호
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    • pp.589-598
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    • 2013
  • Purpose: This study was designed to assess the degree of psychological well-being, perceived health status, and health promoting behavior of clinical nurses, and to identify correlations between variables. Methods: Participants were 194 nurses working at S hospital, Seoul and data were analyzed using descriptive statistics, ANOVA, Duncan's test, Pearson correlation coefficient, and multiple regressions. Results: Mean scores were 3.45 (5 point scale) for psychological well-being, 2.82(4 point scale) for perceived health status, and 2.30(4 point scale) for health promoting behavior. Psychological well-being correlated positively with perceived health status (r=.34, p<.001). Perceived health status showed a positive correlation with health promoting behavior (r=.30, p<.001). There was a positive correlation between psychological well-being and health promoting behavior (r=.52, p<.001). Personal growth(t=2.85, p=.005), purpose in life (t=2.30, p=.023) among subscales of psychological well-being, and perceived health status (t=2.13, p=.034) had a significant influence on health promoting behavior. These combinations explained 32.1% of health promoting behavior (F=12.58, p<.001). Conclusion: The results of this study suggest strategies to improve health promoting behavior by enhancing psychological well-being of nurses. Furthermore, a study to identify the effects of developed and applied psychological well-being promotion program should be conducted.

미국, 일본, 인도 증권시장 통합에 관한 연구 - 정보전달 메카니즘을 중심으로 - (A Study on USA, Japan and India Stock Market Integration - Focused on Transmission Mechanism -)

  • 이동욱
    • 국제지역연구
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    • 제13권2호
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    • pp.255-276
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    • 2009
  • 본 연구는 미국, 일본 및 인도 증권시장에서의 수익률 및 변동성 간의 동태적인 상호작용에 관한 실증분석을 실시하였다. 이를 위하여 VAR모형에 기초를 둔 Granger 인과관계 분석 및 분산분해 분석을 실시하였으며 주요 실증분석 결과는 다음과 같다. 첫째, Granger인과관계 분석 결과 미국, 일본 및 인도 증권시장 사이에는 피드백적인 영향력을 미치고 있는 것으로 나타났으나, 미국 증시의 일본 및 인도 증시에 대한 영향력이 지배적인 것으로 나타났다. 둘째, 분산분해 분석 결과 인도 증시는 일본 보다 미국 증시로부터 상대적으로 더 많은 영향을 받는 것으로 나타났다. 각 증권시장이 해외증시로부터 받은 영향력의 크기는 일본 35%, 미국 16%, 인도 13%로 나타남에 따라 일본 증시의 해외변수에 대한 의존성이 매우 높은 것으로 나타났다. 이는 인도 증시가 인도 정부의 경제개방 및 자본 자유화 등으로 국제 증권시장과 점진적으로 통합화되어가고 있는 증거를 제시해 주고 있다. 또한 동 실증분석 결과는 국제 투자자들의 포트폴리오 관리 및 투자전략 수립, 위험관리전략 수립 등에 다소나마 도움을 줄 수 있을 것으로 보여 진다.

온라인 토론학습에서 스캐폴딩과 자기규제가 참여와 수행에 미치는 효과 (Facilitating Adult Learning : The Effects of Scaffolding Strategies and Self-Regulation on Discussion Participation and Performance in Online Learning)

  • 권선아;김성아;이재경;이현정
    • 한국IT서비스학회지
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    • 제14권1호
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    • pp.115-128
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    • 2015
  • As the life expectancy of human beings gets longer and our society changes into highly competitive arena, the implementation of online adult learning is growing, and therefore the learners in self-regulated scaffolding learning environments is becoming an important topic. This study is to investigate the main effects of scaffolding and self-regulation and the interaction effect on discussion participation and comprehension in online learning environments. To do this, ninety-nine adults taking online learning courses with the open university in Korea were investigated. Adult learners were divided into one of the four groups (no scaffolding, conceptual, strategic, and conceptual and strategic scaffoldings). Regarding self-regulation, learners were divided into two groups (low and high self-regulated) based on the mean score of subjective report of self-regulated learning. The results are as follows : First, 'strategic scaffolding' is more effective than 'conceptual scaffolding' in discussion participation (F=2.772, p < .05) and comprehension test (F=7.156, p < .05). Second, high self-regulated learners more actively participate than low self-regulated learners in discussion (F=6.230, p < .05), and achieve higher scores (F=4.863, p < .05). Third, there is no interaction effect between scaffolding strategies and the level of self-regulation. The theoretical and practical implications of these findings are discussed.

Mutational Analysis of Korean Patients with Phenylketonuria

  • Koo, Soo Kyung;Lee, Kwang-Soo;Jung, Sung-Chul;Lee, Jong-Eun;Lee, Dong Hwan
    • 대한유전성대사질환학회지
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    • 제4권1호
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    • pp.5-12
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    • 2004
  • Purpose Phenylketonuria is an inborn error of metabolism, which is inherited as an autosomal recessive trait. PKU is resulting from deficiency of phenylalanine hydroxylase. PAH gene spans about 90 kb on chromosome 12q and comprises 13 exons. In order to define the genetic basis of PKU and the frequencies and distribution of PAH mutations in the Korean population, we analyzed PAH gene in independent 80 patients with PKU. Methods All 13 exons including exon-intron boundaries and 2 kb of 5' upstream region of the PAH gene were analyzed by PCR-direct sequencing methods. Results PAH gene analysis revealed 39 different mutations including 10 novel mutations. The novel mutations consisted of 9 missense mutations (P69S, G103S, N207D, T278S, P281A, L293M, G332V, S391I and A447P) and a novel splice site variant (IVS10-3C>G). R243Q, IVS4-1G>A, and E6-96A>G were the most relevant mutations and they accounted in the whole for 38% of the mutant alleles identified in this study. We also observed that. $BH_4$ responsibility was. associated with genotype of R241C, R53H and R408Q. Conc1ustion Our present study with 80 participants extends the previous results to more comprehensive understanding of PAH allele distribution and frequency in Koreans. Although Korean mutation profile of PAH is similar to those of the nearest oriental populations (Japanese, Chinese, and Taiwanese), several different characteristic features are revealed. The characterization of the genotype-phenotype relationship was also performed. Our data would be very useful information for diagnosis, genetic counseling and planning of dietary and therapeutic strategies in Korean PAH patients.

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Beliefs, self-efficacy, subjective norms, and eating behaviors according to the breakfast frequency among female university students in South Korea

  • Hye Jin Kim;Kyung Won Kim
    • Nutrition Research and Practice
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    • 제17권6호
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    • pp.1170-1184
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    • 2023
  • BACKGROUND/OBJECTIVES: Skipping breakfast is prevalent in young adult women. This study examined the psychosocial factors and eating behaviors according to the breakfast frequency among female university students. SUBJECTS/METHODS: The subjects were female university students in Seoul, South Korea. A survey was done, and the data from 291 students were analyzed. The subjects were categorized into a high breakfast group (HBG) and low breakfast group (LBG). Analysis of covariance and multiple linear regression were mainly used in data analysis. RESULTS: The subjects had breakfast 3.6 days/week on average. The HBG (47.4%) and the LBG (52.6%) differed significantly in breakfast status, including place, people eating together, breakfast menu, and breakfast preparers (P < 0.001). The HBG agreed more strongly with the advantages of breakfast than the LBG (P < 0.001). The disadvantages/barriers of breakfast were stronger in the LBG (P < 0.001). The HBG felt more confidence in having breakfast (P < 0.001) and confidence in general eating behaviors (P < 0.05). The two groups also differed in the subjective norms from parents/professionals (P < 0.001) and siblings/friends (P < 0.01). The HBG showed desirable eating behaviors more frequently (P < 0.001) and undesirable eating behaviors less frequently (P < 0.001). Multiple regression showed that the following were significantly related to the breakfast frequency, explaining 57.3% of the variance: self-efficacy regarding having breakfast (P < 0.001), perceived barriers of breakfast (no appetite/habit/indigestion, P < 0.001), desirable and undesirable eating behaviors (P < 0.01), subjective norms from parents/professionals (P < 0.05), and perceived barriers due to lack of time/preparation difficulties (P < 0.05). CONCLUSIONS: Psychosocial factors and eating behaviors were significantly related to the breakfast frequency. Nutrition education might include strategies to increase self-efficacy for breakfast, modify the beliefs, particularly the disadvantages/barriers of breakfast, adopt desirable eating behaviors, and elicit support from significant others.

중장년기 여성의 연령군별 유방자가검진 실천에 대한 영향변수 비교 (The Comparison of Factors related to Performance of Breast Self-examination by Age Group in the Middle and Mature Aged Woman)

  • 박경연;김소희
    • 여성건강간호학회지
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    • 제16권1호
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    • pp.37-46
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    • 2010
  • Purpose: This study aims to identify differences in breast self-examination (BSE) performance and influencing factors between woman-groups under and over 45 years old. Methods: The subjects were 152 women aged from 35 to 65, who were recruited through convenient sampling in a metropolitan city. They were divided into two groups: under and over 45 years old. The data were collected using self-reporting questionnaires and analyzed by $x^2$ test, t-test, Pearson's correlation coefficient, and stepwise multiple regression. Results: Experience of BSE education ($x^2$=4.68, p=.030), BSE performance ($x^2$=20.12, p<.001), confidence (t=-2.97, p=.003), and self-efficacy (t=-2.44, p=.016) were significantly higher in the group over 45 years (the older group) than the one under 45 years (the younger group). Self-efficacy (${\beta}$=.346, p=.004) and susceptibility (${\beta}$=.238, p=.002) were 17.6% of the variance in the younger group's BSE performance. On the other hand, significantly influencing factors on the older group's BSE performance were self-efficacy (${\beta}$=.500, p<.001) and BSE education (${\beta}$=.217, p<.001), which accounted for 25% of the variance in the BSE performance. Conclusion: We conclude that differentiated strategies of considering age should be established in nursing intervention to detect breast cancer early.

난임 여성의 난임관련 삶의 질 영향요인 (Factors influencing infertility-related quality of life in infertile women)

  • 김윤미;노주희
    • 여성건강간호학회지
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    • 제26권1호
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    • pp.49-60
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    • 2020
  • Purpose: Infertile women experience various physical, psychological, and relational problems that affect their infertility-related quality of life (QoL). This study investigated infertile women's infertility-related QoL with the goal of identifying how it is influenced by fatigue, depression, and marital intimacy. Methods: A sample of 140 infertile women was surveyed in a cross-sectional study. Data were collected from February to April 2018 using self-report structured questionnaires at three infertility clinics located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression analysis in SPSS for Windows version 25.0. The subjects agreed to complete a face-to-face interview, including administration of the Fatigue Severity Scale, Depression Anxiety Stress Scale-21, Marital Intimacy Scale, and the Fertility Quality of Life tool. Results: The mean age of the participants was 35.6±4.3 years. Infertility-related QoL was negatively correlated with fatigue (r=-.42, p<.001) and depression (r=-.56, p<.001), and positively correlated with marital intimacy (r=.30, p<.001). Multiple regression analysis showed that depression (β=-0.44, p<.001), fatigue (β=-0.27, p<.001), and husband's attitude (β=-0.19, p=.007) had significant effects on the QoL of infertile women, accounting for 40.5% of the variance in infertility-related QoL. Conclusion: The study provides insights into how infertile women's infertility-related QoL was influenced by depression, fatigue, and their husbands' attitudes regarding infertility treatment. To improve infertile women's infertility-related QoL, healthcare providers should consider developing strategies to decrease depression and fatigue in infertile women and to address their husbands' attitudes.

자기효능감, 긍정적 사고가 간호대학생의 주관적 행복감에 미치는 영향 (The Effect of Self-Efficacy and Positive Thinking on Subjective Happiness of Nursing Students)

  • 김수올
    • 디지털융복합연구
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    • 제15권12호
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    • pp.435-444
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    • 2017
  • 본 연구는 간호대학생의 자기효능감, 긍정적 사고, 주관적 행복감 정도를 파악하고, 자기효능감, 긍정적 사고가 간호대학생의 주관적 행복감에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 2016년 4월 4일부터 2016년 4월 22일까지 D 시에 위치한 4년제 간호학과 학생을 대상으로 연구에 동의한 265명의 자료를 수집하였으며, 수집된 자료는 SPSS/WIN 21.0 프로그램을 이용하여 실수, 백분율, 평균과 표준편차, t-test와 ANOVA, Pearson 상관계수(correlation coefficients, multiple regression)으로 분석하였다. 연구결과, 주관적 행복감은 자기효능감(r=.448, p<.001), 긍정적 사고(r=.677, p<.001)와 통계적으로 유의한 양의 상관관계가 있었고, 간호대학생의 주관적 행복감에 영향 미치는 요인은 자기효능감(${\beta}=.023$, p<.01), 긍정적 사고(${\beta}=.610$, p<.001) 이었으며, 이들 요인들은 주관적 행복감을 48.7% 설명하였다. 결론적으로 간호대학생의 주관적 행복감에 큰 영향을 미치는 요인은 긍정적 사고로 나타났으며, 이러한 연구결과는 간호대학생의 주관적 행복감을 증진시키는 전략을 개발하는데 유용하게 활용될 것이다. 향후 대상자를 확대하여 간호대학생의 주관적 행복감을 설명할 수 있는 후속연구를 제언한다.

선원보험 유형에 따른 진료비발생 및 미수금실태 (Accrual Medical Expenses and Actual Situation of Medical Receivable According to The Type of Seamen's Insurance)

  • 박은하;황병덕
    • 한국병원경영학회지
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    • 제19권3호
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    • pp.1-10
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    • 2014
  • The purpose of this study was to present base data for an efficient management of medical expenses at the hospital management by doing grasp of status of medical expenses from seamen's insurance by voluntary agreements. A Object of study is analyzing the data of medical expenses occurred from the total number of 2,699(inpatients 507, outpatients 2,192)cases who were covered by seamen's insurance at a general hospital which is located in Pusan Metropolitan City during 48 months from January 1, 2009 to Dec 31, 2012. The main results of this study are as follows: accrual medical expenses are the ship management companies member of P&I insurance is the most highest but share of receivables are the Korean ocean-going companies member of P&I insurance is the most highest, therefore, Korean ocean-going companies focus strictly than the payments from accounts receivable management should be considered to reduce the occurrence and concerning the turn around period of medical receivables are 4 months to 6 months during a research period. Therefore, it will be needed for managers of hospitals to prepare differentiated management based on the characteristics of each in insurer and to have recovery strategies of uncollected medical expenses.

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우울증상이 있는 기혼여성의 우울 감소 영향요인: 여성가족패널 5, 6차 조사자료를 이용하여 (Factors Influencing the Decrease in Depression among Married Women with Depression: Using the Fifth and Sixth Wave Data of Korean Longitudinal Survey of Women and Families)

  • 서지민;이혜진
    • 정신간호학회지
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    • 제27권4호
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    • pp.321-331
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    • 2018
  • Purpose: The purpose of this study was to identify factors influencing decreasing depressive mood of married women with depression. Methods: Data that integrate the Korean longitudinal survey of women and families in 2014 and 2016 were used. Subjects for this study were 974 people who participated in the fifth survey in 2014 and the sixth survey in 2016, and married women were included in the depression group in the fifth survey. The data was analyzed with $x^2$ test, t-test, and logistic multiple regression analysis using the SPSS 23.0 program. Results: The decreased-depression group's depression decreased from 11.78 points in the fifth survey to 6.31 points in the sixth survey. This study showed that main factors such as age (OR=0.96, p=.002), educational level (OR=0.54, p=.007), economical status (OR=0.62, p=.037), satisfaction with marriage life (OR=1.15, p<.001), use of medical services (OR=1.65, p=.002), and physical activity (OR=1.08, p=.019) help decrease married women's depression. Conclusion: This study findings indicate a need to develop the strategies to increase satisfaction for marriage life and physical activity and to enhance health promotion to decrease depression among depressed married women.