• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권4호
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• pp.27-36
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• 2015

Purpose: Of late, the focus of service design is moving toward emphasizing customer satisfaction and taking users' experience more seriously. In addition to the change in perspective in service design, scholars in this area are paying more attention to service design methodology and process, as well as its theory and real-world case studies. In the case of medical space, there have been few studies in attempting to apply service design methods useful for deriving user-focused results. The author of this paper believes, however, case study-oriented approaches are more needed in this area rather than ones focusing on theoretical aspects. The author hopes thereby to expand the horizon to practical application of spatial design beyond service design methodology. Methods: In order to incorporate the strengths of service design methodology that can reflect a variety of user opinions, this study will introduce diverse tools in the framework of double diamond process. In addition, it will present field cases that successfully brought about best results in medical space design. It will end with summarizing the ideal process of medical space design which is reasonable and comprehensive. Results: Medical service encompasses preventive medicine as well as treatment of existing medical conditions. A study in establishing the platform of medical service design consists of a wide range of trend research, followed by the summary of two-matrix design classification based on results of the trend research. The draft of design process is divided into five stages composed of basic tools for establishing spatial flow lines created by matching service design tools with each stage of space design processes. In all this, most important elements to consider are communication and empathy. When service design is actually applied to space design, one can see that output has reflected the users' needs very well. The service design process for user-oriented medical space can thus be established by interactions on the final outcome and feedback on the results. Implications: One can see that the service design with the hospital at its center produces the result that encompasses the user's needs best. If the user-focused service design process for medical space can be extended to other space designs, the author believes that it would enhance the level of satisfaction for users and minimize trials and errors.

• Journal of Hospice and Palliative Care
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• 제7권1호
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• pp.64-72
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• 2004

목적: 본 연구는 3차 의료기관에서 진행암 및 말기암 환자와 가족을 대상으로 집단 교육을 실시하여 그 효과성을 보고자 하였다. 방법: 집단교육에 참석한 환자와 가족을 대상으로 설문지를 실시했다. 응답한 설문지를 SAS 분석하고 CHISQ를 통해 유의성 검증을 하였다. 설문지 조사내용은 1) 참석자의 일반적인 특성, 2) 환자의 일반적인 특성, 3) 환자를 돌보는 어려움, 4) 교육에 대한 평가였다. 결과: 교육에 참석한 환자와 가족은 211명이었고, 이 중 응답한 설문지는 89명이었다. 응답한 설문지 결과를 보만 참석자 중 환자가 37.5%, 가족이 56.2% 참석했다. 참석자의 나이는 60대, 50대, 40대, 30대 순이었고, 가족관계는 배우자가 가장 많고, 부모, 자녀, 형제 순으로 참석했다. 환자의 진단은 위암, 폐암, 유방암, 대장암 순이었고, 진행암 환자가 48.8%, 말기가 17.4%를 차지했다. 환자와 가족이 호소하는 주된 어려움은 치료와 관련된 문제가 대부분이었고, 정서적인 문제, 식사문제, 증상관리, 통증조절, 의료문제의 어려움을 호소했다. 교육에 대한 평가는 95%가 도움이 되었다고 하였다. 특히 식사, 의료문제에 대한 교육 만족도가 높았다. 주목할 점은 환자와 가족은 치료와 관련된 문제뿐만 아니라 호스피스와 관련된 구체적인 정보를 알고 싶어했다. 결론: 이 프로그램은 진행암 및 말기암 환자와 가족을 대상으로 집단 교육을 실시하여 필요한 정보를 제공함으로써 교육이 도움이 되었다는 결과를 얻었다. 향후 프로그램은 환자와 가족이 필요로 하는 구체적인 정보와 충분한 교육시간의 확보와 보다 많은 교육의 기회의 제공이 요구된다.

• 한국가족관계학회지
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• 제22권4호
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• pp.181-204
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• 2018

Objectives: The aim of this study is to integrate the results of the previous studies from 1900 to 2016 according to the types of dependent variables individually and statistically to obtain the results of the overall level of the marital education program I need to figure it out. In other words, the general and valid study on the overall effectiveness of the marriage education program will lead to more concluded conclusions and draw up an integrated and holistic conclusion about the effectiveness of the marriage education program. Method: The purpose of this study was to investigate the effect of married couples' education program on married couples' education program. The results of this study are as follows. First, Comprehensive Meta-Analysis. In other words, funnel plot, forest plot, and trim & fill were used to analyze all the variables related to the education of the couple, and homogeneity test After choosing an analytical model for the analysis, we calculated the 'standardized mean difference' effect size (d) that can compare different individual studies through the analytical model. The results of this study are as follows. Results: The purpose of this study was to investigate the overall effect size of domestic couples education programs after 1990, and to investigate the effect sizes of dependent variable types and program - related variables. First, the total effect size of the domestic marriage education program was close to the level of the large effect size and had a substantial and preventive effect. Self-esteem, communication, marital adjustment, emotion, and self control have a substantial and prophylactically significant change depending on the type of subordinate variables related to the marital education program But there was no change in origin family and life satisfaction. Third, as a result of the categorization of the dependent variable categorization of the Korean couple education program, it was found that the marital relations of the participant in the individual inner and the marital relations The effect was significant enough to change. Fourth, Korean couple education program was most effective when mixed age couples were participated in various family life cycle. Conclusions: Based on the results of this study, it is necessary to study more deeply about marital education program effect of marriage education for various special groups such as married couples who are in a crisis of divorce, . It also means that the results of the research for the last 30 years from 1900 to 2016 were comprehensively and systematically summarized through meta - analysis. The results of this study provide information on how to provide the most effective couples education programs for practitioners in the field. The result of this study will be the data of judgment about how to organize the marital education program for people of any ages and characteristics in the future.

• Journal of Yeungnam Medical Science
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• 제22권1호
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• pp.27-42
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• 2005

본 연구는 노인의 영적인 안녕 정도를 측정하여 그들의 영적 안녕정도가 불안, 우울 및 삶의 질에 어떠한 영향을 미치고 있는 것인지를 검토하고, 불안 및 우울과 같은 노인의 정신 건강 상태를 평가할 때 영적 안녕이 중요한 요인으로 인정되는지 여부를 평가하기 위하여 활동성 노인 184명을 대상으로 실시하였다. 영적 안녕 정도는 영적 안녕 척도를 사용하였는데 두 개의 하위 척도인 종교적 안녕과 실존적 안녕으로 평가를 하였으며, 불안과 우울은 불안 우울 통합척도를 사용하여 측정하였다. 삶의 질에 대한 평가는 삶의 질에 대한 척도를 이용하여 주관적인 삶에 대한 느낌(QOL1)과 전반적인 삶에 대한 만족도(QOL2)로 나누어 평가하였다. 먼저, 영적 안녕 정도에 유의하게 영향을 미친 정신사회적인 요인들에는 교육을 받은 경우(p<.001), 종교가 있을 때(p<.001), 종교에 대한 만족도가 높을 경우(p<.001), 신체적으로 건강할수록(p<.01), 신체적 병력이 없는 경우(p<.05), 생활에 대한 만족도가 높을 경우(p<.001) 영적안녕척도 점수가 유의하게 높은 것으로 나타났으며, 특히 실존적 안녕척도 점수에서 유의한 차이를 나타내었다. 다음으로, 영적 안녕 정도와 삶의 질을 향상시켜주면서 불안과 우울을 감소시켜준 공통적인 정신사회적 요인으로는 종교의 만족 정도, 신체적 건강 상태 및 생활의 만족 정도 등으로 평가되었다. 마지막으로, 영적안녕척도점수와 불안, 우울 및 삶의 질 간의 관계를 살펴보고자 상관관계 분석을 한 결과, 영적안녕정도와 불안, 우울 및 삶의 질이 유의한 상관관계가 있는 것으로 나타났으며, 중다 회귀분석을 통해 평가한 결과, 영적 안녕 정도 중 특히 실존적 안녕 정도가 높을수록 불안 우울 통합 척도의 불안(p<.001)과 우울(p<.001) 모두가 낮아졌으며, 삶의 질 척도 중 삶에 대한 주관적인 느낌에 대한 척도 점수(QOL1)는 유의하게 감소(p<.001)하였고, 삶에 대한 전반적인 만족도(QOL2)는 유의하게 증가(p<.001)하였다. 따라서 종교적 안녕 정도보다 실존적 안녕 정도가 더 밀접한 영향을 미쳤다. 이상과 같이 활동성 노인에게 있어 영적 안녕 정도와 불안, 우울 및 삶의 질이 유의한 상관관계가 있었으며 노인 정신건강에 대한 평가를 실시할 경우 영적안녕이 중요한 요인이 됨을 검증해 볼 수 있었다.

• 한국병원경영학회지
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• 제13권4호
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• pp.27-45
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• 2008

This research focused on a total of 378 patients with external injuries under the age of 14 who visited the emergency center at a university hospital in Korea, during the months of January, April, August and November between January and December of 2007. In addition, the survey was conducted only on even number days and ranged across the whole year to reflect the impact of seasonal characteristics on the collected data. The research focused on determining the characteristics and inflicting cause of these patients with external injuries, analyzed the total time spent in the emergency room and obtained the following results. 1. When classifying the patients into different genders, the proportion of males (67.5%) was higher than that of females (32.5%). According to the different age groups, the highest ratio, at 61.1 %, was patients under the age of six. 2. Looking at the total number of minutes spent in the emergency room, the longest amount of time occurred during April with 162.7 minutes, followed by 121.9 minutes in January and 92.4 minutes in November. August had the shortest period of time spent in the emergency room, a significant statistical difference from the other periods of the year (p<0.001). 3. Regarding the amount of time required for each examination, patients required to provide a urine test spent an average of 204.7 minutes while those who did not spent 113.5 minutes on average. This is a 5% statistical difference among the two groups (p>0.05). 4. Looking at the five most commonly diagnosed problems in the emergency room, the total number of people with these top five commonly diagnosed illnesses comprised 55.6%, or 210 patients out of 378. 5. Utilizing the Decision Tree Model to estimate the total number of minutes required per visit, the first classifications were made using a chemical examination factor. People subject to chemical classification spent an average of 177.7 minutes, which was longer than the overall average of 115.2 minutes, and those exempt from chemical examination spent an average of 103.8 minutes, which was shorter than the average Conclusion; Effort to curtail the total time spent in emergency rooms is vital in guaranteeing efficient management of hospitals and providing medical services. The delay experienced by many comprehensive professional medical centers must be resolved through the establishment of effective delivery of medical services, increased supply of patient rooms and other policy oriented implementations. However, for now, this problem must be resolved by increasing the level of patient satisfaction and guaranteeing effective operation of patient rooms, which will significantly contribute to the general management and success of hospitals and institutions.

• 대한지역사회영양학회지
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• 제12권5호
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• pp.519-533
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• 2007

This study was carried out to investigate the nutrition knowledge, dietary attitudes, and dietary habits of girl's high school students in Kunsan, and to investigate their recognition of food-nutrition labeling. The results are summarized as follows. General nutrition knowledge is relatively low, with an average of 0.57. It was shown that high school female students skipped breakfast rather than lunch or dinner, with a skipping rate of 28.9% for breakfast, 0.7% for lunch, and 8.6% for dinner. Regarding snacks, 35.5% of all the surveyed students had 1 snack per day, with 31.9% having them between lunch and dinner. The most popular snacks include biscuits (22.3%), noodles (18.3%) and bakery (13.3%). The most popular response was that students 'sometimes checked' the food label of processed domestic and imported processed food. The level of satisfaction with food labels is moderate, with an average of 2.96, out of 5. The most satisfactory title about food labels was 'helpful for food selection' with 3.19. On the other hand, the least satisfactory title was 'understands the label' with 2.78. Regarding the identification of the nutrition labeling, the highest response was 'sometimes watched, sometimes not' with 40.5%. Products which were most often checked were milk/milk products (3.44), snacks/bread (3.33), and soft drinks (3.07). Among nutrition labeling items, total calories was the most important, followed by fat, carbohydrate, cholesterol and calcium. The question regarding the knowledge of nutrition labeling rated an average of 0.58 (out of 1). There was a significant positive correlation between the degree of the nutrition label verification and the dietary attitude score, along with the nutrition labeling knowledge and the nutrition knowledge score of the subjects. On the other hand, the degree of the nutrition label verification and the knowledge on nutrition labeling had a significant negative correlation. Hence, it is of the opinion that education on properly reading nutrient information is necessary to enable adolescents to apply that in real life. Furthermore, labeling nutritional information on processed fred through a more comprehensive method is deemed necessary as a supporting measure.

• 가정∙방문간호학회지
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• 제2권
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• pp.5-18
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• 1995

While the socioeonomic status of Koreas has been dramatically increasing in recent years, chronic and geriatric diseases have also been on the rise, bringing about many changes in our health care system. The basic goals of the home health care are to reduce health care costs, to increase the attrition rate in general hospitals, and to care for patients effectively and conveniontly at home. The purpose of this paper is to review and examine the current status of the home health care in Korea throughout the reports, surveys, other informations and education system of home health nurse. We identified the various types of home health care services programs, such as hospital-based home health care operated in public sector(demonstration project) and community-based home health care in health centers or in private sector, that is, Korean Nurse Association. Hospital based home heatlh care model was established as an alternative to traditional in-patiet services. Quality assurance and client satisfaction is an important measure of care received and establishment of payment and reimbursement for home health care services is important in promotng the home health care. We found out a fee-per-visit system composed of three kinds of fees : a basic service fee(16,000 Won), a travel fee(5,000 Won), and per-service fees (variables). Like fees paid for in-patient care, insureds pay 20% and insurers pay 80% of the basic and per-service fee. The travel fee is borne totally by the insured. Home health care continues to be viewed as not only the most preferred way to provide care to clients, but also the most cost effective. Home health care is that component of a continuum of comprehensive health care whereby health services are provided to individuals and families in their places of residence for the purpose of promoting, maintaining, or restoring health, or of maximizing the level of independence, while minimizing illness. Services appropriate to the needs of the individual patient and family should be planned and provided, nursing is to be a force for positive change and enhanced the nursing professionalism. Whatever type of involvement of home health care, it is essential to remember that home health care is highly service-oriented and highly touch health car deilvery system.

• 재활복지공학회논문지
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• 제9권2호
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• pp.89-103
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• 2015

본 연구는 척수손상 환자를 대상으로 병원기반 사회복귀 지원프로그램을 개발하고, 프로그램 시행 전 후를 비교 분석함으로써 프로그램의 효과성을 평가하고자 하였다. 재활병원에 입원해 있는 25명의 척수손상 환자를 대상으로 2~3개월 동안 일주일에 2번 평균 6.1개의 프로그램을 실시하였다. 프로그램 시행 전, 후 COPM, HADS, AD-R, WHOQOL-BREF를 통해 작업 수행도 및 만족도, 불안과 우울, 장애수용, 삶의 질을 비교하였으며, 퇴원 시 CIQ로 지역사회통합 수준과 퇴원 후의 사회복귀여부를 측정하였다. 자료분석은 기술통계와 대응표본 t검정(paired t-test)을 실시하였다. 연구결과 병원기반 사회복귀 지원프로그램 실시 후 작업 수행도 및 만족도, 장애수용, 삶의 질에 향상을 보였다(p<0.05). 또한 퇴원 후 25명의 척수손상 환자 중에서 10명이 가정, 학업, 직업으로 복귀하였다. 이를 통해 병원기반 사회복귀 지원프로그램이 척수손상 환자들이 퇴원 후 그들이 속한 지역사회로 돌아가는데 효과적임을 알 수 있었다. 척수손상 환자들이 가정과 사회로의 빠른 복귀를 위해서는 사회복귀를 위한 다양한 프로그램 개발과 더불어 체계적인 사회복귀 연계시스템이 이루어져야 할 것으로 사료된다.

• 경영과정보연구
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• 제39권3호
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• pp.99-125
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• 2020

본 연구는 계층분석법(Analytic Hierarchy Process, AHP)을 활용하여 우리나라 굴 산업에 있어 정부의 정책 우선순위를 결정하고, 중요도와 만족도를 고려한 굴 산업 발전을 위한 정부정책지원 방안을 제안하고자 한다. 또한 본 연구는 AHP를 활용하여 정부의 굴 산업 지원정책의 중요도에 따른 우선순위를 결정하고, 이를 활용한 직·간접종사자의 만족도를 비교하여 우리나라 굴 산업 발전을 제고할 수 있는 정책지원방향을 제안함으로써 굴 산업 발전에 기여하고자 한다. AHP 분석에 의한 중요도 분석결과는 중요도에 있어 전체 표본을 대상으로 평가한 결과 경쟁력강화의 생산공급의 생산시설, 경쟁력강화의 생산공급의 원료구매, 위험요인해소의 구조적 위험의 노령화 순으로 가장 중요한 것으로 나타났다. 중요도의 순위에 있어서 직접과 간접종사자간 의미 있는 차이를 확인할 수 있었다. 공무원, 수협중앙회 직원, 관련 교수 등으로 구성된 간접종사자의 종합평가 결과를 보면, 경쟁력강화의 생산공급의 원료구매, 생산시설, 고품질화순으로 나타났으나, 생산과 유통에 직접적으로 직접종사자의 경우는 위험요인해소의 환경적 위험의 해양오염, 구조적의 어가인구감소, 위험요인해소의 구조적의 노령화 순으로 나타나 종사자간 차이를 보였다. 종사자간 만족도에 있어서도 생산과 유통에 있는 직접종사자 보다 지원정책을 집행하는 간접종사자의 만족도가 통계적으로 유의한 차이를 보였다.

• 공업화학
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• 제32권2호
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• pp.168-173
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• 2021

본 연구에서는 마이크로웨이브 에너지를 이용하여 항산화성분을 다량 함유하고 있는 레몬그라스로부터 플라보노이드 성분을 추출하였다. 또한 반응표면분석법 중 중심합성계획모델을 이용하여 추출공정을 최적화하였다. 추출공정의 독립변수로는 주정/초순수의 부피비, 마이크로웨이브 조사시간, 마이크로웨이브 조사세기를 설정하였고, 반응치는 추출수율과 플라보노이드 함량을 확인하였다. CCD-RSM 분석 결과 최적조건인 주정/초순수 부피비(56.3 vol.%), 마이크로웨이브 조사시간(6.1 min), 마이크로웨이브 조사세기(574.6 W)에서 추출수율(17.2%)와 플라보노이드 함량(44.7 ㎍ QE/mL dw)의 결과를 얻는 것으로 나타났다. 이때 종합만족도는 D = 0.8562이고, P-value는 추출수율(0.037)과 플라보노이드 함량(0.002)으로 나타났다. 이 조건에서의 실제실험 결과 오차율은 5.0% 이하로 나타나 높은 유의수준의 결과를 얻을 수 있었다.