• 대한간호학회지
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• 제27권4호
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• pp.765-776
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• 1997

Hospitals accomodate patients who have a high risk of infection due to reduced immunity as well as people who require surgical, medical or other treatments. Consequently, the role of clinical nurses, who come into close contact with these patients is very important in the control of nosocomial infection. This study was done to investigate and compare the level of perception of the importance of the control of nosocomial infections as well as the level of actual performance, and the level of satisfaction with the control of nosocomial infection by the clinical nurses. Thus, the purpose of this study is to contribute basic data for improving policies and educational programs to control nosocomial infection. A summary of the survey results is as follows. 1) The means of scores on all categories of the inquiry were 4. 51 for awareness 4.42 for actual performance, and 3.20 for satisfaction, of a possible high score of 5.00. 2) Correlations of the level of perception of importance between characteristics of nurses and hospital control of nosocomial infection differed significantly according to the type of hospital establishment type (p=.005), age(p=.000), career(p=.000), position (p=.002), and regular conferences on infection control in working departments(p=.003), Correlation of the level of actual performance between characteristics of nurses and hospital control of nosocomial infection diffesed significantly according to type of hospital(p=.000), hospital size (p=.009), working department(p=.000), age(p=.000), career (p=.000), school career(p=.040), position (p=.000), education experience on nosocomial infection(p=.020), and regular conferences on infection control in working department(p=.000). Correlation of degree of satisfaction between characteristics of nurses and hospital control of nosocomial infection also differed significantly according to the type of hospital establishment (p=.003), working department(p=.000), age (p=.000), and regular conferences on infection control in working department (p=.000). 3) Correlation between clinical nurses, level of perception of importance and actual level of performance for the control of nosocomial infection was relatively positive (r=.57, p=.000). Correlation between clinical nurses degree of satisfaction and level of actual performance for control of nosocomial infection was relatively positive (r=.47, p=.000). Correlation between clinical nurses, level of perception of importance and degree of satisfaction degree with the control of nosocomial infection was also relatively positive (r=.27, p=.000).

• 한국직업건강간호학회지
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• 제11권2호
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• pp.91-107
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• 2002

In order to evaluate the factors related to therapeutic compliance of hypertensive patients in small and medium scale industry, the questionnaire survey and the blood pressure measurement were performed on 138 hypertensive patients who were reported to have C or $D_2$ result of hypertension at the workers' periodic health examination from March to November 2001. The contents of questionnaire included the informations of factors related to therapeutic compliance of hypertensive patients such as, age, sex, marital status, income, education levels, scale, occupation, work duration, smoking and drinking habits, exercise, family history, stress and A type personality, employer's concern, organizational culture, health status, awareness, knowledge and attitude toward the needs of hypertension treatment, and experience of health education. The results of the study were as follows: 1. The proportion of those who were compliant to the treatment of hypertension was 41.3% of subjects. Among small scale industry less than 50 employees, the rate of therapeutic compliance group was 27.5% and therapeutic noncompliance group was 72.5%. Among medium scale industry more than 50 employees, the rate of therapeutic compliance group was 60.3% and therapeutic noncompliance group was 39.7%. 2. Among therapeutic noncompliance group, 95.1% of patients were aware of the fact that workers have hypertension, and 77.8% of patients got 6-10 marks of hypertension related knowledge. For health education, 27.2% were experienced and 34.6% said no intention to participate. And for hypertension treatment, 9.9% said no need to get the treatment and 44.4% said have no idea whether get treatment or not. 3. The significant factors related to therapeutic compliance of hypertensive patients in small scale industry were work duration, A type personality(anger), health status, attitude toward the needs of hypertension treatment, and experience of health education. 4. The significant factors related to therapeutic compliance of hypertensive patients in medium scale industry were age, occupation, subjective symptom, attitude toward the needs of hypertension treatment, and experience of health education. In consideration of above findings, it was suggested that in order to improve the therapeutic compliance in small and medium scale industry hypertensives, it be necessary to change attitude, perception, knowledge and treatment of hypertension by various methods such as effective health education and individually consulting programs by occupational health professional.

• 한국사회복지학
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• 제55권
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• pp.155-179
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• 2003

본 논문은 국가간 사회복지수준을 비교하는 기준으로서 경제수준과 사회수준 중 후자가 보다 적절한 기준임을 밝혀냈다. 또한 사회복지지출이 많은 나라들일수록 사회수준이 경제수준보다 높은 경향을 보였는데 이는 경제성장 위주의 정책보다는 사회 각 부문의 균형적 발전을 통한 보편적 삶의 질, 즉 사회수준 향상이 사회복지수준 향상에 중요한 요인임을 제시하는 결과였다. 한국의 사회복지수준은 우리의 경제, 사회수준을 고려한 기대수준보다 현저히 낮다는 기존의 사실을 다시 한번 확인하였다. 이러한 결과를 근거로 보편적 삶의 질과 빈곤층의 삶의 질 수준과의 격차를 해소하여 권리로서의 사회복지를 실현하는 것이 시급한 과제라는 것과 사회수준 자체의 향상을 통해 사회복지에 대한 국민적 관심을 증가시키고, 사회복지부문간 격차, 즉 사회보험과 공공부조와의 현격한 차이를 줄이는 정책이 필요하다는 점을 제시하였다.

• 한국조경학회지
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• 제37권6호
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• pp.28-38
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• 2010

우리나라 농촌마을의 마을회관, 노인정, 쉼터 등은 농촌마을의 대표적인 커뮤니티시설로서 공동생활이 일상화된 농촌 주민들의 생활에 직 간접적으로 중요한 영향을 끼치며, 생활환경의 질적 향상과 주민들의 문화 의식이 높아짐에 따라 그 중요성은 더욱 높아지고 있는 실정 이다. 그러나, 현재 농촌마을 커뮤니티시설의 현황은 양적인 측면과 질적인 측면에서 모두 열악한 실정이다. 특히 커뮤니티공간의 협소함과 프로그램의 획일화에 대한 문제점은 우리나라 농촌마을이 갖고 있는 공통적인 문제점이라고 할 수 있으며, 이를 해결하기 위한 구체적인 대응방안 모색에 미흡하다. 따라서 농촌마을 주민들의 생활환경 개선과 계절별 연령별로 즐길 수 있는 다양한 커뮤니티활동을 수용하기 위하여 농촌마을 커뮤니티공간의 적정면적 제안을 위한 연구가 필요한 시점이다. 이에 본 연구에서는 농촌마을 대표적인 5가지 유형의 커뮤니티시설인 마을회관, 노인정, 쉼터, 마을마당, 운동공간 및 놀이공간의 적정 면적기준을 제시하는 것을 목표로 하며, 향후 농촌마을 커뮤니티시설 계획에 활용될 수 있는 기초자료를 마련하고자 하였다. 이를 위해 농촌마을 커뮤니티시설 공간 면적 산정에 관한 기존연구 조사, 전국5개도 25개 농촌마을 지역 현황조사, 만족도조사를 통하여 커뮤니티시설별 적정한 면적기준을 산출하였다. 연구 결과 도출된 커뮤니티시설별 적정기준은 현재 대표적 커뮤니티시설별 평균 면적을 상회하는 결과로서 농촌마을 커뮤니티시설 환경 개선과 주민들의 커뮤니티활동 및 의식 성장에 기여할 수 있을 것으로 기대한다.

• 보건교육건강증진학회지
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• 제16권1호
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• pp.31-43
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• 1999

Increase of automobiles become today's environmental problem decreasing space for our children's playground. The traffic situation around us shows automobiles over filled the public roads and started to intrude even on the side walks. Children's traffic safety education for the awareness of the danger from traffic mishaps, and for the behavior to cope with preventives measure by continual learning programs in systematized method is very important need in current health education. For this research, the subject was represented by 243 students from 4th grade in D Elementary School located at Daechi-dong, Seoul. During total of 5 weeks (September 4, 1997 to September 30, 1997), lessons were taught to the subject. Lessons consist of traffic safety education and customized education program that were designed and developed specificially for the subject level. In this research, Case group of 3 classes and control group of 3classes were predetermined before subject's degree of knowledge, attitude, and practice was analized. The difference before and after the training of this education was observed to verify the effectively and to find the influential factors of this education program. On September 2-3, survey study was performed after the training. the results of this study were as follows: 1. The knowledge analysis from the comparison between before and after of the training shows case group and control group scored(8.36, 8.86) before the traning, but scored(10.36, 8.52) after the traning. the difference from the result of the case group is statistically significant(p〈0.001). 2. The attitude analysis from the comparison between before and after of the training shows case group and control group scored(48.23, 49.87) before the training, but scored (51.05, 48.45) after the traning. the difference from the result of the case group is statistically significant(p〈0.001) 3. The practice analysis from the comparison between before and after of the training shows case group and control group scored (27.42, 28.08) before the training, but scored(30.49, 28.25) after the training. The differece from the result of the case group is statistically significant (p〈0.001). 4. The correlation analysis of traffic safety education's influence on traffic safety knowledge, attitude, and practice before training shows the relationship between attitude and practice was satistically significant(p〈0.05). The result after the training shows the relationship between knowledge and attitude, attitude and practice, and knowledge and practice was all statistically significant(p〈0.001).

• 환경영향평가
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• 제16권6호
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• pp.511-524
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• 2007

Korea has 30 years of experiences in environmental impact assessment (EIA). Although EIA includes sanitation-public health factor, considering health impacts, among 74 unit projects of 17 sections, health impacts haven't been properly considered or have been ignored in many cases. The increasing awareness on the importance of health impacts has triggered this study to seek an optimal introduction scheme of health impact assessment (HIA). The processes of EIA already include screening, scoping, analysis, impact assessment, consultation, document review, decision making and monitoring, in which they would be the essential parts of HIA. In this context, integrating HIA into the existing EIA process could be the most effective way to use the benefits in both legal and procedural processes existed and to avoid the confusion and overlapping since the close relationships between environment and health impacts might be. Furthermore, it is desirable that the existing sanitation-public health factor should be substituted by and extended to environment-health factor with sufficient determinants to properly consider health impacts. When considering the first step of HIA, the prospective and qualitative approach is suitable more than the retrospective and quantitative one due to the lack of database accumulated. Similarly, an approach based on epidemiology and toxicology could analyze the limited evidences and impacts related to human disease, whereas one based on socio-science and psychology could provide the effective means available for predicting how the people and community will act by the change of surroundings. Checklist approach with various and comprehensive health determinants focused on prospective and qualitative methods will be very useful for more convenient and progressive dissemination of HIA. Various checklist approaches of toolkits could be found from HIA documents elsewhere, for example Westminster Toolkit, and they would be helpful to figure out how to develop common procedures and health determinants for checklist, in which the unique characteristics on korean cultural and political context compared to abroad should be carefully considered since checklist would be the most basic and essential part of HIA. After the establishment of checklist and procedural processes, the pilot projects should be conducted. Main purpose of pilot projects is to apparently prove the effectiveness and profitability of HIA. Pilot projects should be implemented to decide the effectiveness and suitability of HIA for future projects, programs and policies, and should be provided as the positive cases that can be achieved through the proper implementation and progress.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.75-87
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• 2020

본 연구에서는 초등교사의 SW교육에 대한 관심도 및 실행수준을 관심중심수용모형(Concerns-Based Adoption Model)을 통해 분석하여 SW교육의 지속적인 현장 적용을 위한 교사교육에서의 시사점을 도출하고자 하였다. 이를 위해 현직 초등학교 교사 152명을 대상으로 설문을 실시하였고, 수집된 데이터를 분석하였다. 연구 결과, 초등교사의 SW교육에 대한 관심도는 0단계(지각)부터 2단계(개인) 측면의 관심이 높은 초기 관심 단계를 보이고 있었다. 현재 SW교육을 실행하고 있는 교사는 현장에서 SW교육을 단기적으로 시행하는 것에 집중하는 기계적 실행과 일상화 수준에 있는 것으로 나타났으며, 실행하고 있지 않은 교사의 과반수는 SW교육을 실행하기 위한 의도가 없는 것으로 나타났다. 교사의 성별, 교직경력, SW연수경험, SW교수경험에 따라 교사의 SW교육 관심단계에 유의미한 차이가 나타났으며, 담당학년, SW연수경험, SW교수경험에 따라 SW교육 실행수준에 유의미한 차이가 있었다. 이러한 결과를 바탕으로 현직 초등학교 교사들의 SW교육 관심 변화를 촉진하기 위한 방안을 교사를 대상으로 한 다양한 SW교육 제공 및 교수경험 확대의 측면에서 제안하였다.

• 보건행정학회지
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• 제9권1호
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.589-598
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• 2017

본 연구의 목적은 종합병원 간호사의 재난대처교육에 대한 인식과 실태, 재난대처능력에 대한 지식과 지식의 정확성에 대한 확실성, 재난대처능력 간의 관계를 규명하는 것이다. 본 연구 방법으로 한 도시에 100병상 이상의 종합병원에서 3개월 이상의 근무 경험을 가진 총 125명의 간호사를 대상으로 하였으며, 자료 수집은 2016년 1월에 진행하였다. 수집된 자료는 SPSS WIN 21.0을 사용하여 t-test, ANOVA, Pearson's correlation coefficient에 의해 분석하였다. 재난대처교육에 대한 인식 평균평점은 5점 만점에 자연재해 $3.69{\pm}0.63$, 대량인명사고 $4.07{\pm}0.60$, 감염병 $4.31{\pm}0.58$로 나타났다. 간호사의 재난대처능력은 원내 재난교육 실시여부(r=.29, p=.001), 최근 1년 이내 재난교육 이수여부(r=.33, p<.001)와 지식의 정확성에 대한 확신정도(r=.23, p=.003)와 유의한 양의 상관관계를 나타낸 반면, 재난에 대한 지식(r=-.27, p=.003)과 유의한 음의 상관관계를 나타내었다. 즉, 소속 기관 내에서 자체적으로 재난대처교육을 실시하는 경우와 그를 이수한 간호사의 경우 재난대처능력이 높아 재난대처에 대한 주기적 교육의 필요성을 확인할 수 있었다. 본 연구의 결과를 바탕으로, 간호사의 재난대처능력 향상을 위해 더 강한 교육적 대처와 실제적 교육이 필요하다고 본다.

• 한국산학기술학회논문지
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• 제15권11호
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• pp.6793-6803
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• 2014

본 연구는 치위생(학)과 학생들의 실습수준을 향상시키고, 개선하여 실습 후에 전공에 대한 만족도를 향상시킬 수 있는 기초자료를 마련하고자 충청지역 소재 대학 치위생(학)과 재학생을 대상으로 자기기입식 설문조사를 실시하였다. 자료 수집은 2012년 12월부터 2013년 4월까지 수행하였고, 수집된 자료 중 응답이 불성실한 13부의 설문지를 제외한 766부를 SPSS/Win18.0을 사용하여 최종 분석하였고, 다음과 같은 결론을 얻었다. 교내 외 실습경험군은 각각 59.7%, 57.4%이었고, 실습 장소는 치과대학 병원, 병(의)원급, 보건소 순이었다. 학제의 경우 4년제가 3년제 보다 실습내용, 실습시간, 실습수행 요인에서 교내 실습만족도가 높았고, 학년이 높을수록 실습시간에 대한 만족도가 높았다. 교외 실습만족도는 4년제가 3년제 보다 모든 요인에서 만족도가 높았고, 학년이 높을수록 실습시간과 실습수행 요인에서 만족도가 높았다. 교내 외 실습경험에서 실습 경험군이 비경험군에 비해 전공만족도가 전반적으로 높았고, 실습수행, 실습시간, 실습환경, 실습내용 모든 요인이 전공만족에 유의한 영향을 미치는 것으로 나타났다. 교내 외 실습교육을 통해 전공에 대한 자부심을 가질 수 있도록 학생들에 대한 이해와 인식을 통해 만족할 수 있는 교육을 계획하고, 실시하여 임상실습이 최적의 학습상황이 될 수 있도록 효율적인 프로그램과 임상실습에 대한 교육지침의 마련이 필요할 것으로 사료된다.