• 한국의료질향상학회지
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• 제17권1호
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• pp.69-78
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• 2011

Objectives : The purpose of this study was to determine whether the published AMI report card could reduce in-patient mortality, 7-day after discharge mortality, and length of stay (LOS). Methods : Interrupted time-series intervention analysis was used to evaluate the impact of the report card for AMI care quality in November 2005 in terms of risk-adjusted in-patient mortality, risk-adjusted 7-day after discharge mortality, and DRGs case-mix LOS using the claim data of Health Insurance Review and Assessment Service. Results : Public disclosure of AMI care quality decreased risk-adjusted in-patient mortality and DRGs case-mix LOS by 0.00050% per month and 0.042 days per month respectively, however there was no effect on risk-adjusted 7-day after discharge mortality. Patterns of effect of public disclosure on AMI outcomes were a fluctuating pattern on risk-adjusted mortalities and a pulse impact for 1 month on DRGs case-mix LOS. Conclusions : We found the public disclosure of AMI care quality had decreasing effects on risk-adjusted in-patient mortality and DRGs case-mix LOS, but the size of the effect was marginal.

• 가정∙방문간호학회지
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• 제16권2호
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• pp.123-134
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• 2009

Purpose: This study was designed to compare physical symptoms and fatigue of hemodialysis patients on dialysis day and non-dialysis day. Methods: Data were collected from 63 outpatients undergoing hemodialysis at a hospital in A university hospital in August and September, 2008 using structured questionnaires. The data were analyzed with SPSS WIN 12.0 program with Paired t-test and Pearson's correlation. Results: Physical symptoms in patients between dialysis day and non-dialysis day were not different statistically (t=1.76, p=.08). Fatigue on dialysis day was higher than on non-dialysis day (t=3.27, p=.00). Physical symptoms and fatigue positively correlated with dialysis day (r=.42, p=.00) and non-dialysis day (r=.52, p=.00). Conclusion: Intervention to decrease physical symptoms and fatigue in dialysis day and non-dialysis day should be developed.

• 지역사회간호학회지
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• 제15권3호
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• pp.450-459
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• 2004

Purpose: The purpose of this study is to grasp the welfare service for the demented people staying at home and the service that caregivers want to use. Therefore, we are going to develop a Korean senile dementia-care management model. Method; It analyzed the data of 185 demented people and caregivers, who registered in 16 public dementia care centers in B city since June 2002. Results: 1) The types of services used by the aged people with dementia staying at home were, in the order of frequency of use, the day-care center(26.5%), and home-help service (21.6%). 2). The types of services according to the degree of dementia were as follows; mild cases: home care service (5.4%), moderate cases: day-care service (40.0%) and severe cases: day-care service (26.0%). 3). The caregivers who want to use senile welfare institutions accounted for 23.3%, and the major reason they could not use the institutions was due to their economic situation. 4) The Korean senile dementia care management system must be excuted, considering caregivers' economic state and severity of dementia. Since the system was actively operated, many small sized welfare service institutions showed development. Conclusion: The welfare services appropriate to the severity of dementia should be provided. With the model developed in this study, the dementia management requires sufficient care and should be achieved to reduce the caregivers burden.

• 한국보건간호학회지
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• 제34권1호
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• pp.99-111
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• 2020

Purpose: This study was conducted to verify model for predicting health promotion behavior and the health status of child care teachers based on Pender's health promotion model and Dahlgren and Whitehead's health determinants model. Methods: The data was collected from January to February 2018 from 205 child care teachers in day care centers in Seoul. Results: This model was suitable to explain the health status and health promotion behavior of child care teachers. In this study, health promotion behavior had the most direct affect on the health status of child care teachers. Health promotion behavior was directly affected by social support, self-efficacy, and depression. Job stress had an indirect affect on health promotion behavior. Conclusion: Considering the factors identified in this study that influence the health promotion behavior of child care teachers, we propose the development of interventions to improve the health status of child care teachers.

• 한국보육학회지
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• 제18권3호
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• pp.1-20
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• 2018

본 연구는 민간어린이집 교사의 개인변인에 따른 임파워먼트, 직무만족도, 영유아 권리존중보육의 차이와 임파워먼트, 직무만족도, 영유아 권리존중보육 간의 관계를 분석하고 임파워먼트와 직무만족도가 영유아 권리존중보육에 미치는 영향을 알아봄으로써 어린이집에서 영유아의 권리를 존중하는 보육을 효과적으로 실행 하는데 필요한 실제적인 자료를 제공하는데 그 목적이 있다. 연구대상은 서울, 경기 지역에 위치한 민간어린이집에 근무하는 보육교사 228명으로 설문 조사를 통해 자료수집이 이루어졌다. 본 연구에 사용된 연구도구는 김선희(2012)의 임파워먼트와 신현주 (2016)의 직무만족도, 김진숙(2009)의 영유아 권리존중 보육등이다. 연구결과 첫째, 민간어린이집 교사의 개인변인에 따른 임파워먼트 수준은 교사의 경력, 월 급여, 결혼유무, 이직의도 여부에 따라 차이가 있었다. 개인변인에 따른 직무만족도는 연령, 경력, 결혼유무, 근무기관 유형, 교사수, 학급수에 따라 차이를 보였다. 영유아 권리존중보육의 차이에서는 교사의 연령, 결혼 상태에 따라 유의차가 있었다. 둘째, 임파워먼트와 직무만족도, 임파워먼트와 영유아 권리존중보육 간의 관계에서는 모든 하위 요인 간에 서로 유의미한 정적 상관이 있었다. 직무만족도와 영유아 권리존중보육 간의 관계에서는 직무만족도의 보수와 승진 요인을 제외한 다른 요인 모두에서 영유아 권리존중보육과 유의미한 정적 상관을 보였다. 셋째, 민간어린이집 교사의 임파워먼트와 직무만족도가 영유아 권리존중보육 전체에 미치는 영향에 있어서는 임파워먼트의 하위요인 중 전문성신장과 자율성 요인이, 직무만족도 하위요인 중 동료관계와 직무자체 요인이 영유아 권리존중보육에 유의미한 정적 영향을 미치는 것으로 나타났다.

• 한국실내디자인학회논문집
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• 제19권6호
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• pp.224-232
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• 2010

This paper aims to identify the characteristics and the current situation of the architectural characteristics, children's characters using facilities, and status of management and utilization by surveying 'Day Service for Children' in Tokyo-do. First, About the status of management and utilization, 'Day Service for Children' is operated by a local government, NPO corporate group and social welfare corporate. There are not big differences of the care program or running hours depending on operating principals but there are differences depending on staff organization, number of children and space constitution. Also, infants ratio at 'Day Service for Children' is high for the purpose of detecting disability early and supporting their development early. They have diverse disabilities but developmental disabilities' ratios high and most children are using both this facility and normal nursery centers together. Samples for proper child care based on status of space constitutions were installing lock, raising door knobs and using softer floor materials which are for children's safety. For the problem of space utilization, most comments were about lack of space which is not enough for teaching and training materials. Therefore, as an example, observation rooms for parents and teachers were sometimes used as storages and it changes teachers' moving direction, staying area and behavior zone. The programs of 'Day Service for Children' are divided to group teaching and private one. It will be the best if they have separate spaces such as group class room, private class room and play room. When they were operated by NPO corporate group or Social welfare corporate, there are many cases that their space was not properly zoned for each activity.

• Tuberculosis and Respiratory Diseases
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• 제81권4호
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• pp.305-310
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• 2018

Background: Mannose-binding lectin (MBL) deficiency leads to increased susceptibility to infection. We investigated whether serial changes in MBL levels are associated with the prognosis of patients diagnosed with septic shock, and correlated with cytokine levels. Methods: We enrolled 131 patients with septic shock in the study. We analyzed the serum samples for MBL and cytokine levels at baseline and 7 days later. Samples on day 7 were available in 73 patients. Results: We divided the patients with septic shock into four groups according to serum MBL levels (< $1.3{\mu}g/mL$ or ${\geq}1.3{\mu}g/mL$) on days 1 and 7. Patients with low MBL levels on day 1 and high MBL levels on day 7 showed a favorable prognosis for 28-day survival (odds ratio, 1.96, 95% confidence interval, 1.10-2.87; p=0.087). The high MBL group on day 7 showed a significant decrease in monocyte chemoattractant protein 1, interleukin (IL)-$1{\beta}$, IL-6, IL-8, interferon-${\gamma}$, and granulocyte macrophage colony-stimulating factor levels compared with the low MBL group on day 7. Conclusion: The increase in MBL levels of patients with septic shock may suggest a favorable prognosis and attenuate pro-inflammatory and anti-inflammatory responses.

• 한국정보전자통신기술학회논문지
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• 제9권4호
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• pp.428-438
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• 2016

본 연구의 목적은 치매환자 부양자의 부담을 감소시키기 위해 장기요양보험 제도의 틀 안에서 새로운 서비스 개발을 제시하는 것이다. 분석 자료로 선행연구와 2012-2013년에 걸쳐 조사된 Caregivers of Alzheimer's Disease Research(CARE study)를 사용하여 부양자의 특성과 부담을 조사하였다. 치매환자의 주부양자 부담은 신체적, 심리적, 경제적 측면뿐만 아니라 다양한 측면에서 어려움을 겪고 있으며 연령, 경제력, 건강상태, 사회적지지 등 여러 요인이 부양부담에 영향을 미치고 있었다. 또한 부양자가 우울증을 겪을 위험도 높게 나왔다. 이에 부양자에 대한 제도적 지원이 필요한 시점에서 2008년부터 시행된 노인장기요양보험 제도를 활용하여 본 연구에서 추가적인 서비스를 제시하였다. 현 제도의 재가서비스 확장 모델로 소규모 주 야간보호서비스(가칭)를 신설하는 것으로 9인 이내의 규모로 주거지에서 5분 이내 거리에 개설을 하고 치매환자에만 국한시켜 질환에 대한 전문성을 높이고 서비스의 질을 향상시켜 기존의 주 야간보호서비스와 소규모 노인요양공동생활가정과 차별화하는 것이다.

• 가정∙방문간호학회지
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• 제10권1호
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• pp.52-57
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• 2003

The purpose of this study was to evaluate appropriateness of home health care travel cost. For the evaluation, investigated the operating costs of vehicles used by home care nurses and then were components of home care nurses's annual salaries. Travel costs were then calculated based on actual travel expenses of home health care service. Actual data of 23 hospital-based home care agencies between July, 2002 to December, 2002 were collected for the analysis of the travel costs. The results of this study are : 1) For home visit, 65% of home care agencies turned out to be using only hospital owned cars, and 17.1% be depending purely on home care nurses' cars. On average, 1.9 cars used for home visit. 2) Out of 89 agencies, 23 agencies responded to the travel cost survey. Total maintenance cost of a car per month was 381,457 won. 3) Average per visit personal expenses of home care nurses during travel time turned out to be 7,124won assuming 8 working hours per day, 4 visits per day, and 30 minuets of travel time for each visit. 4) Total home health care travel cost per visit was 12,069 won, which was the sum of actually paid travel cost of 4,945 won and personal expenses during travel time of 7,124. In conclusion. we reckon that current compensation price of home care nurses' travel is inappropriate because total home health care travel costs of 12,069 won per visit turned out to be 2.1 times of currently prevailing standard compensation price of 5,830 per visit.

• 한국보육지원학회지
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• 제11권2호
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• pp.331-354
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• 2015

본 연구는 어린이집 초기적응과정에서 영아반 보육교사가 겪는 어려움을 살펴보고, 이를 통해 교사들의 생각과 요구를 실제적으로 파악하며 바람직한 초기적응 운영방식의 기초를 마련하는데 목적이 있다. 이를 위해 P시에 위치한 국공립 S어린이집의 만 1세반 영아 9명과 부모 7명을 관찰하였으며, S어린이집 교사 8명을 심층면담 하였다. 연구에 의하면 교사들은 첫째, 부모와의 관계에서 내 자녀만을 위하는 이기주의, 상호간의 신뢰 부족, 초기적응 프로그램의 학부모 역할 이해 부족, 일과 운영에 대한 이해 부족으로 인해 어려움을 겪고 있었다. 둘째, 영아와의 관계에서는 우는 아이 달래기, 또래들 간의 다툼 중재하기, 재원 영아와 신입 영아간의 균형 맞추기에서 어려움을 나타내고 있었다. 셋째, 동료와의 관계에서는 동료교사와 협력하기, 원장선생님과 대화하기에서 어려움을 겪고 있었다. 이 연구 결과는 영아 초기 적응과정에서 겪는 교사들의 어려움을 실질적으로 이해하고, 교사들의 어려움을 지원할 수 있는 구체적인 운영방안을 마련하는 데 의미 있는 기초자료를 제공할 것이다.