• 대한간호학회지
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• 제30권1호
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• pp.84-97
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• 2000

The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

• 한국가정과교육학회지
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• 제24권3호
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• pp.57-72
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• 2012

본 연구는 청소년들의 학업스트레스가 건강관련 생활습관 및 정신건강에 미치는 영향을 알아보고자 서울 및 경기도 소재 8개 지역 중학교에 재학 중인 중학생 842명을 대상으로 설문조사를 실시하였다. 본 조사결과 여학생이 남학생들에 비해 학업스트레스 점수가 높았으며 특히, 하위 요인 중 교사 및 수업시간, 친구와의 경쟁 관련 학업스트레스 점수가 유의하게 높았다. 남학생들의 경우 학업스트레스 수준이 높은 학생들이 낮은 학생들에 비해 흡연 및 음주 경험 과 흡입제 사용 경험이 유의적으로 많았으며 학업스트레스 수준이 높은 학생들은 컴퓨터나 온라인 게임 등의 놀이오락 위주로 여가활동 시간을 보내는 것으로 나타났다. 또한 정신건강상태 조사 결과, 남녀학생 모두 학업스트레스 수준이 높은 학생들이 낮은 학생들에 비해 정신건강진단 점수가 유의하게 높아 정신건강 위험도가 높음을 알 수 있었다. 특히, 우을증상의 점수가 유의적으로 높았다. 따라서 청소년들이 학업 스트레스에 적절히 대응하고 관리할 수 있도록 학교교육과정에서 지속적인 교육이 이루어져야 한다.

• 한국간호교육학회지
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• 제6권2호
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• pp.287-302
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• 2000

The purpose of the study are to examine the perception of the importance and performance of patient education of the clinical nurse and find out the interfering factors in practicing patient education. The data were collected from convenient sample of 256 clinical nurses working in the nursing units of adult patients except the psychiatric unit, obstetric unit, dental surgical unit and intensive care unit of one University Hospital in Seoul from September 29 to October 2, 1998. Three measurement tools of self-report- questionnaires developed by researcher used. For the content validity of the questionnaires, two sessions of panel discussion and a pilot test were done and finally factor analysis was done with Varimax method. Analysis of data was done with SAS program using frequency, percentage, means, standard deviation, Pearson's Correlation Coefficients, t-test and ANOVA. The obtained results were as follows : 1. The surveyed nurses perceived the importance of patient education at higher level with mean score of 4.08 among 5 point than their perception of practice( mean score : 3.42). 2. There was positive significant correlation(r=.29, p=0.0001)between nurses' perception of the importance of patient education and it's practice 3. Among the teaching contents for patients, 'information of diagnostic procedure and operation' and 'orientation of hospitalization' were perceived most important. And 'preparation for discharge' and 'understanding of disease and health promotion' were perceived least important 4. Among the teaching contents for patients, 'orientation of hospitalization' and 'information of diagnostic procedure and operation' were perceived highly performable. And 'understanding of disease and health promotion' and 'preparation for discharge' were perceived least performable. 5. Three types of interfering factors were identified as patient-factor, situational factor, nurse-factor. The mean degree of impediment with the interfering factors was at average level(3.09 among 5). The patient and situational factors of impediments were more interfering than nurse- factor for teaching patients. 6. In older age(p<.05), married state (p<.05), higher educational status (p<.01), higher clinical experience (p<.01) and higher position(p<.01), the score of perceived importance of patients education was more high. 7. In older age(p<.01), higher clinical experience(p<.001) and surgical unit (p<.01), the score of perceived performance of patients education was more high. In conclusion, in order to activate patient education practice in the clinical setting, the continuing education for patients education should be more emphasized and the effective teaching methods and materials should be developed to help patient teaching. And an organizational support such as budgeting for patient education and reimbursement system should be administrated.

• 복식
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• 제4권
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• pp.39-59
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• 1981

This article briefly researched the Picture of Welcoming the Governor of Pyongan Province painted by Kim Hong-do, penname Danwon(1745-1818?). The Picture was composed of three parts and its historical and pictorial back-ground were reviewed firstly. And later the dress and its ornament appearing on the Picture were studied. In the historical viewpoint of dress and its ornament, the Picture shown all sorts of dress from lower class maids and servants to higher officials-dignatories and governor, and dealt with nearly all dresses. In order to support and to make better understand the dresses of that age, some Korean literary works of the same period depicting the dress and its ornament were also selected. This article dealt with the dress and its ornament. especially that of 18th century of the Yi Dynasty, and comparatively studied for our folk painting with literary works. Also the picture enabled to make this study was an important data of our old dress and its ornament. This painting was considered as one of our cultural treasures. Several conclusions drawn out from this study as followings: 1) In male and female dress of lower class people; male dress was consist of trouser and coat, and coat, and over the coat SOCHANGYI were used. Female dress was basically consist of skirt and these were white color of their favourite. Mainly simple color was used for clothing and its dress style were CHAKSOO-HYONG (narrow sleeve style) which convenient for a work. 2) Yangban's dress was consist of trouser, coat and over the coat, usually DOPO(over-coat) were used and some case JICKRYONGPO (a sort of over-coat) or CHANGYI were also used. These were GWANGSOO-HYONG (wide sleeve style) of inconvenient for a work. 3) In head-gear, there was no difference of the higher and the lower. They usually used HEUC-KRIP (black Korean hat). The OCKJUNGJA, GONJAKMI (peacock tail), HOSOO (tiger beard), and YOUNGJA (chin strip) were used according to officials ranks as head-gear's oraments. 4) Local petty officials used ordinary dress and CHUPRI (warn-dress) were also used by them, and military officials used war-dress of tight sleeve. 5) The belting of over-coat are different in color according to official grade. The higher grade wore red-wide belt, but generally black narrow belt for ordinary officials. 6) All KISAING girl wore SAMHYEOIJANG upper coat. And their head ornament were black KARIMA for grown KISAING. SAYANG hair for DONGKI or maiden KISAING and BINYEO (an ornamental rod of women's hair) were inserted into the hair of rear down part of head. The water carring maid wore BANHYEOIJANG upper coat and no KARIMA were on head and their coat were gloomy color. Above mentioned are several conclusions, and there migh be a false or erroneous explanations of 18th century dress and its ornament, however I considered they were data for blank period of quite unknown.

• 정보처리학회논문지D
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• 제12D권1호
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• pp.165-178
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• 2005

상품 분류체계는 상품 데이터베이스를 설계하는 토대이며 전자상거래에서 상품 정보의 관리 및 활용에 관한 거의 모든 면에서 중심적 역할을 한다. 상품 정보의 효율적이고 편리한 활용을 위해 각 사용자의 관점에 따른 다양한 뷰를 제공할 필요가 있다. 새로운 상품이 출현하고 기존 상품이 사라짐에 따라 분류체계도 이에 따라 일관성을 유지하면서 변경 및 진화해야 한다. 또한 이질적인 다른 분류체계와 매핑되거나 병합될 필요가 있으며, 이 때 정보의 손실을 줄이는 것이 중요하다. 이들 요구사항에 대해, 분류체계는 제한된 시간 및 비용 내에서 수용할 수 있도록 충분히 동적이어야 한다. 그러나, UNSPSC 및 eCl@ss와 같이 현재 널리 사용중인 분류체계는 이러한 동적인 특성에 대한 요구사항을 만족시키지 못한다. 상품 정보는 재료, 시간, 장소 통의 속성과 무결성 조건과 같은 많은 의미를 지니고 있다. 이 논문에서는 상품 데이터베이스의 동적 특성 및 이에 대한 기존 코드 기반 분류 체계의 한계점을 분석하고, [1]에서 제안된 의미적 분류 모형이 상품 데이터베이스의 동적 특성에 관한 요구사항을 만족시킨다는 것을 설명한다. 이 모형은 상품 클래스를 명시적이고 형식적으로 정의할 수 있는 수단을 제공하며, 상품 클래스 간의 관계를 그래프로 구성한다.

• 환경영향평가
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• 제25권1호
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• pp.63-76
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• 2016

2015년 9월에 세계 각국의 정상이 UN 총회에 모여 지속가능한 발전을 위한 2030 Agenda를 구축하기로 합의하였다. 2030 Agenda에는 사회적 안전성, 경제적 효율성 및 환경적 건전성이라는 3대축을 달성하기 위한 17개의 지속가능한 발전목표(SDG)가 채택되었다. UN 지속가능 발전 구축연합(UN SDSN)에서는 SDG 실행 정도를 측정하기 위한 지속가능 발전지표(SDI)를 개발하여 빈곤퇴치, 사회적 통합, 환경관리 같은 총체적 접근을 통하여 지속가능성의 달성 정도를 확인할 수 있는 지속가능성평가(SA)에 적용할 수 있도록 하였다. 우리나라에서는 전략환경영향평가(SEIA)를 PPP(정책, 계획, 프로그램)에 환경부가 시행하는 반면에, 전략환경평가(SEA)의 일종인 국토계획평가(NLPA)는 국토교통부 자체의 계획에 적용되고 있다. SEIA와 NLPA가 고위 정책당국자를 포함한 이해당사자들에게 의사결정 지원도구로 활용되어 왔지만, 이들 SEA 제도의 핵심원리인 최적 대안 선정의 평가기준은 구체성이 미흡한 실정이다. 우리나라 실정에 적합하게 고안된 SDI를 SEIA에 반영하면 지속가능성을 비교적 간략하게 평가하여 SDG 실행의 실효성을 향상시키는데 기여할 수 있을 것으로 판단된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제4권1호
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• pp.71-76
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• 2001

목 적: 신생아 담즙울체를 진단하는 데 도움이 되는 많은 방법들이 있지만 아직까지 담관폐쇄증을 확실히 진단할 수 있는 방법은 없는 실정이다. 저자들은 담즙울체에 의한 황달을 보이는 영아에서 담즙폐쇄를 효과적으로 진단하고자 전향적 연구를 시행하였다. 방 법: 담즙울체에 의한 황달을 보이는 영아 27명을 대상으로 위십이지장 내시경을 시행하였다. 모든 환아에서 검사 전 4시간 이상 금식시켰으며 검사 직전에 10% 포도당용액을 20 ml 먹게 하였다. 5분 동안 관찰하여 담즙분비의 증거가 없는 경우에는 내시경을 제거한 후 다시 포도당용액을 20ml 먹인 후 내시경을 삽입하여 5분간 관찰하였다. 결 과: 모든 담도폐쇄 환아에서는 담즙분비의 증거가 없었으나 비담도폐쇄가 있었던 10명의 환아 중 8명에서 첫 번째 시도시 담즙의 배설이 관찰되었고 또 두 번째 시도시 두 명 중 한 명(Alagille syndrome)에서도 답즙의 배설이 관찰되어 모두 10명 중 9명에서 담즙의 배설을 관찰할 수 있었다. 이상의 결과로 내시경을 이용한 담도폐쇄 진단의 정확도는 96.3%였으며 진단적 민감도는 100.0%, 특이도는 90.0%였다. 결 론: 비록 연구된 증례수가 많지 않아 일반화하는 데는 다소 어려움이 있겠지만 내시경을 이용하여 담도폐쇄를 감별하는 방법은 비교적 쉽고 빠르게 수행할 수 있는 좋은 검사법으로 생각된다.

• 한국간호교육학회지
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• 제8권1호
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• pp.155-166
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• 2002

This study was performed to figure out the level of anxiety and relating factors of ICU patients as the hospitalization in ICU grows more recently. Data collection was conducted from July 1st to August 31st, 2001. The subjects of this study were consisted of 101 ICU patients who were selected according to the criteria in S hospital, C city. The instruments of the research were consisted of 14 questions of general characteristics, 20 items of STAI, VAS, 24 questions for the anxiety relating factors. And data were analyzed by t-test, ANOVA, and pearson correlation for group difference and correlation with SPSS Win 10.0 program. The followings were the results of the study: 1. In the anxiety level, mean score on STAI was 53.7(item mean $2.69{\pm}.83$), and mean score on VAS was 5.23. It means that the anxiety level of ICU patients was moderate. 2. Among the relating factors of anxiety, the most highest scores were 'by seeing other patient's emergency situation' and 'by seeing other patient's death' figured 3.85 and 3.79 each. And the lowest marks were 'by the unkind behavior of doctors and nurses'(2.13) and 'nurses' or doctors' indifferent actions'(2.21). And the anxiety according to the environmental factor was the highest (3.17) and the anxiety regarding to the human relationship was the lowest (2.53). 3. In the anxiety level STAI according to the general characteristics, the patients who didn't have to take care of their family showed more anxiety than who had to take care of their family(t=-2.38, p=.02). And the variables that shows a significant difference on VAS was sex and women's anxiety was higher than men's level (t=-2.56, p=.01). 4. When the physical anxiety level was compared, the patients who had to take care of their family showed more anxiety than the people who didn't have to take care of their family(t=-1.95, p=.05). In the level of anxiety relating the human relationship, the patients who had religion showed more anxiety than patients who didn't(t=2.43 p=.02). And the married patients(t=2.43, p=.01) and more educated people(F=3.77, p=.01) showed more anxiety. Even though environmental anxiety was the highest factor, it was not significant with general characteristics. 5. The anxiety and relating factors showed positive significant relationship, and physical anxiety factor showed the strongest relation with STAI(r=.21, p<.01). And VAS level showed stronger relation with every factor of the anxiety than STAI. When the VAS level became higher, the anxiety relating to physical factor(r=.72, p<.01), human relationship(r=.63, P<.01), and environment became higher. According to the above result, the environmental anxiety was the highest level than other factors in ICU patient and thus the environmental nursing intervention becomes very important in ICU. Also nurses in ICU have to support the patients who showed higher level of anxiety in this study and try to develop the nursing intervention to relieve the anxiety of patients. And it is recommended that VAS is convenient and practical instrument for measuring the anxiety level in ICU patients.

• 치위생과학회지
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• 제13권3호
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• pp.314-320
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• 2013

본 연구는 한림대학교 성심병원과 충남대학교 병원 심혈관센터를 방문한 환자 중 본 연구에 대해 자발적으로 동의한 40대 이상 300명을 대상으로 하여 흡연 여부와 관련된 동기요소를 파악하고자 설문조사를 실시하고 분석하였다. 1. 흡연자율은 성별, 최종학력, 월수입에 따라 유의한 차이가 있었으며, 남자, 고등학교 졸업자, 월수입 200만원대인 대상자의 흡연율이 높았다. 2. 흡연군은 비흡연군이나 금연군에 비해 건강행위에 대한 지각된 유익성은 유의하게 낮고(p=0.021) 지각된 장애성은 더 높았다(p<0.001). 흡연군은 건강행위에 있어서는 생활방식, 건강습관 등을 실천하지 않으며(p<0.001), 변화단계에서는 비흡연군과 금연군이 행동단계 이상이나 흡연군은 준비단계에 위치하였다(p<0.001). 3. 흡연 여부에 따라 주관적 구강건강인식, 치은출혈 여부, 1일 잇솔질 횟수, 치과방문은 차이가 나지 않았다. 4. 건강행위에 대한 지각된 장애가 평균 미만인 군이 OR이 0.378 (p=0.039)이고 변화단계가 평균 미만인 군은 OR이 4.746 (p=0.002)이었다. 남성이 흡연할 OR은 12.743 (p<0.001)이었고, 경제상태에서는 월수입이 200만원대인 군이 300만원 이상인 군에 비해 OR이 3.271 (p=0.045)이었다. 따라서, 금연에 대한 동기요소를 변화시키기 위해 건강행위에 대한 유익성, 장애성, 실천 등을 변화시킬 수 있는 금연교육프로그램이 필요하며 구강보건관련인력도 흡연과 연관된 구강건강 관리뿐 아니라 동기요소를 변화시킬 수 있는 금연 유도 프로그램을 개발하고 이용해야 할 것이다.

• 한국콘텐츠학회논문지
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• 제15권2호
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• pp.151-162
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• 2015

테마파크는 일정한 주제로 재미와 감동을 느낄 수 있도록 만들어진 공연 전시 이벤트가 이루어지는 복합적인 공간이다. 최근 지방자치단체에서는 지역경제 활성화를 목적으로 테마파크를 많이 계획하고 있다. 따라서 본 논문에서는 한국문화테마파크를 사례로 역사 문화 테마파크를 만들기 위한 방안으로 성공요소를 도출한 후 개발모델을 설정하였다. 문헌 연구와 사례조사를 통해 정체성과 일관성 있는 테마 설정, 재미와 감동을 주는 프로그램, 고객의 요구를 반영한 편리한 지원시설, 집객력 향상을 위한 차별화된 마케팅, 주변 문화자원과 연계한 입지 및 메시지를 전하는 공간, 민간주도형 사업추진 및 운영주체, 시장세분화 전략에 따른 타깃설정, 수요예측을 성공요소로 도출하였다. 이와 같은 요소들이 상호 긴밀하게 연결 및 조화가 되어야만 테마파크가 성공적으로 운영되어 지역경제 활성화에 기여할 수 있다. 또한 테마파크가 지속적인 성장을 하기 위해서는 운영단계에서 나타나는 문제점을 끊임없이 개선해나가야 하며 시대적 상황과 관람객의 눈높이에 맞게 콘텐츠 보강이 지속적으로 이루어져야 한다.