• 한국생활과학회지
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• 제18권3호
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• pp.675-687
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• 2009

The purpose of this study is to investigate the difficulties and needs for adaptation program of married immigrant women raising children in Korea. Data were collected from 27 Day care centers in Guemsan County, Chungnam Province. 20 senior teachers of day care centers and 58 mothers who had immigrated into Korea by international marriage were asked to complete a packet of questionnaire designed by researchers for this study, and in-depth interviews were conducted to 20 senior teachers and 6 mothers who could communicate in Korean. Data were analyzed by using frequency analysis, one way ANOVA, and cross-section analysis. The outcome of this study showed as follows: 1) The number of entire married immigrant women's children attending day care centers at Guemsan area was 102 persons. 2) Immigrant mothers felt that the lack of their understanding Korean culture makes them difficult in raising children in Korea, whereas the day care teachers felt that children's language development was delayed. 3) According to the survey of adaptation program a for married immigrant women's children, there was few program at the time of survey, only two daycare centers conducted multi-cultural education and Korean language education once or twice a year. Teachers required Korean language education, grievance counseling (?) for the mothers. Immigrant mothers required multi-cultural education and Korean language education.

• 간호행정학회지
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• 제7권2호
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• pp.205-221
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• 2001

It will become more and more popular to use the long-term care facilities and home health care services with the chronic disease increasing. It depends on how much the consumers would pay and purchase the services. They might get more benefits from that kind of services than from ordinary hospitalization. So far, the study of determining the medical service price has focused most often on the efforts from the providers' view. But it must be reasonable to include the consumers' value for the service. This study was performed to assess WTP(Willingness to Pay) for home health care service in order to apply to the determination of nursing price in a reasonable manner. In this study, respondents were asked if they would pay for the service's intangible benefits under the four different types(open-ended minimum WTP, open-ended maximum WTP, bidding WTP, referendum WTP). The contingent valuation method is a potentially useful tool in understanding how people value the benefits of the service. As a result, average open-ended minimum WTP was W16,015 per day among 65 respondents. Average open-ended maximum WTP was W29,154 per day among 65 respondents. Average bidding WTP was W26,300 per day among 65 respondents. Average referendum WTP was W22,200 per day among 70 respondents. The results of regression analyses were also consistent with theoretical prediction, e.g., increasing WTP with consumers' value for the service, state of patients, and household income. This study demonstrated that it was more reasonable to consider the consumers' value in determining the services' price. In addition, a further study is needed to test the validity of this CV method and to determine a proper nursing price based on the consumers' view.

• 산업진흥연구
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• 제1권2호
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• pp.79-86
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• 2016

본 연구는 회상요법을 적용한 집단미술치료가 주간보호시설 거주 경증 치매 노인의 삶의 질과 정서에 어떠한 영향을 미치는가를 검증하고자 하였다. 연구 대상은 전라북도 I시에 소재한 노인전문 주간보호시설의 노인 중 75세에서 96세 까지 MMSE-K 점수가 15 ~ 23점의 경증치매노인이며, 실험집단에게는 6개월간 주 1회 60분씩 사전 사후 포함하여 30회기로 구성하여 집단미술치료 프로그램을 실시하였고 처치기간 동안 통제집단은 무 처치하였다. 연구결과 회상요법을 적용한 집단미술치료가 경증치매노인의 삶의 질, 정서, 질적분석 바디이미지에 긍정적 효과가 있는 것으로 나타났다. 집단 간 정서측정도구에 대한 시간의 경과에서는 유의한 차이가 있는 것으로 나타났다. 본 연구의 회상요법을 적용한 집단미술치료가 주간보호시설 거주 경증치매노인의 삶을 보다 적극적으로 받아들이고 좀 더 안정적인 정서를 표현하며 생을 살아갈 수 있도록 하는데 의의가 있다고 본다.

• 한국보건간호학회지
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• 제36권2호
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• pp.253-264
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• 2022

Purpose: This study aimed to identify the activities of daily living of the elderly in day and night care facilities and the nursing needs of the elderly and caregivers. Methods: The subjects of this study were 90 elderly people and their caregivers, who lived in B and G cities used day and night care facilities. The collected data were analyzed using frequency analysis, descriptive statistics, independent t-test, and Pearson's correlation coefficient using the SPSS 25.0 program. Results: Caregivers have a higher awareness of nursing needs than the elderly. Both the elderly and their caregivers had the highest informational nursing requirements. There was a positive correlation between the activities of daily living of the elderly and physical nursing needs of caregivers, and there was also a positive correlation among the nursing needs in each area. Conclusion: These results suggest that day and night care facilities should provide customized nursing services by assessing the activities of daily living of the elderly and the nursing needs of the elderly and caregivers by area before establishing a nursing plan. This will enable them to provide effective nursing services for elderly people. In addition, we propose research to develop a nursing information program for the elderly and caregivers.

• 한국노년학
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• 제31권3호
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• pp.691-709
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• 2011

본 연구는 주·야간보호서비스의 이용실태와 SERVQUAL 모형으로 서비스품질을 측정하고, 이를 바탕으로 시사점을 논의하는 데 목적이 있다. 대전광역시 및 충남북 군단위 농촌지역의 주·야간보호시설 이용자 208명을 대상으로 자료를 분석하였다. 분석결과는 다음과 같다. 첫째, 유형성, 신뢰성, 응답성, 확신성, 공감성 모든 범주에서 기대수준보다 지각수준이 더 높아서 양의 값을 나타내고 있다. 대부분의 이용노인이 서비스를 이용하기전 기대수준보다 서비스를 이용하고 느끼는 지각수준에서 높게 평가하고 있다. 둘째, 인구사회학적 특성에 따라 서비스품질을 살펴보았으나, 통계적으로 유의미한 차이는 나타나지 않았다. 셋째, 기관특성의 차원에서 서비스품질을 살펴보면, 지각수준에서는 지역과 시설의 운영형태에 따라, 기대수준에서는 설립주체, 주당 프로그램 제공횟수, 시설규모에 따라 통계적으로 유의하게 차이가 있는 것으로 나타났다. 넷째, 서비스이용자의 특성에 따라 서비스품질을 살펴보았으나, 통계적으로 유의미한 차이는 나타나지 않았다.

• 한국응급구조학회지
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• 제12권1호
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• pp.69-80
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• 2008

During New year's day and Thanksgiving holiday, the 1339 Information Center in Gwangju and Jeonnam received an emergency medical situation and carried out the analysis as follows ; 1. The reason for the higher phone guidance(72%) of the hospital was based on the simple query for the pain control rather than emergency care. This was explained by the unfamiliar environment of the holiday movers. Pharmaceutical guidance(12.6%) in rural area was also given during the holidays. 2. The disease counselling(2.4%) and emergency treatment instruction(First Aid)(1.6%) decreased because of the small number of request for the diseases. This explained the decrease of the disease counselling. 3. The phone calls increased 8-13 times more than usual. Five-day holidays could have more emergency patients than three-day holidays. During New year's day and Thanksgiving day, the number of received phone calls was 6,444(25.7%) and this accounted for one fourth of the total number in 2007. 4. The number of the patients increased on New year's day and Thanksgiving day because most of the medical institutions and pharmacy were off duty. 5. The patients were centered in Internal medicine and pediatrics. This showed the food-borne diseases and air-borne infection such as common cold. 6. During Thanksgiving day, ophthalmologic patients having viral keratoconjunctivitis(Apollo eye disease) increased 8 folds than in New year's day. It was estimated from the continuous epidemic of Apollo eye disease. 7. There broke out the traffic accidents, food poisoning, infectious diseases, dermatological diseases due to seasonal and environmental changes during the holiday move.

• Tuberculosis and Respiratory Diseases
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• 제80권3호
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• pp.296-303
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• 2017

Background: Acute respiratory distress syndrome (ARDS) is related to high mortality and morbidity. There are no proven therapeutic measures however, to improve the clinical course of ARDS, except using low tidal volume ventilation. Metformin is known to have pleiotropic effects including anti-inflammatory activity. We hypothesized that pre-admission metformin might alter the progress of ARDS among intensive care unit (ICU) patients with diabetes mellitus (DM). Methods: We performed a retrospective cohort study from January 1, 2005, to April 30, 2005 of patients who were admitted to the medical ICU at Seoul National University Hospital because of ARDS, and reviewed ARDS patients with DM. Metformin use was defined as prescribed within 3-month pre-admission. Results: Of 558 patients diagnosed with ARDS, 128 (23.3%) patients had diabetes and 33 patients were treated with metformin monotherapy or in combination with other antidiabetic medications. Demographic characteristics, cause of ARDS, and comorbid conditions (except chronic kidney disease) were not different between metformin users and nonusers. Several severity indexes of ARDS were similar in both groups. The 30-day mortality was 42.42% in metformin users and 55.32% in metformin nonusers. On multivariable regression analysis, use of metformin was not significantly related to a reduced 30-day mortality (adjusted ${\beta}-coefficient$, -0.19; 95% confidence interval, -1.76 to 1.39; p=0.816). Propensity score-matched analyses showed similar results. Conclusion: Pre-admission metformin use was not associated with reduced 30-day mortality among ARDS patients with DM in our medical ICU.

• 한국생활과학회지
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• 제22권5호
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• pp.407-417
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• 2013

The purpose of this study was to investigate and analyze how teachers' recognition of professionalism and the child's gender and term care affect child's social interaction behavior. Participants were three-year-old 61 children and their 20 teachers. Each child was observed by the time sampling method of 20 sec-observation followed by 10 sec-recording for a total of 14 minutes. The teachers completed the rating scales to measure the teachers' recognition of professionalism. The study results show that, children engaged more frequently in individual behavior than in interactions with peers or with teachers in day care centers. And those children had more interaction behavior with their teachers than with their peers. Correlation between teachers' recognition of professionalism and children's social interaction behavior were as following: the more the teachers recognized professionalism, the more the children showed positive interaction behavior toward their teachers. Also, the more the teachers recognized the professionalism related to the job satisfaction, the more the children showed positive interaction behavior toward their peers. Boys interacted more negatively with peers and teachers than girls did. Children who attended the day care center more than two years showed less individual behaviors than others.

• 한국보육지원학회지
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• 제12권3호
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• pp.211-238
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• 2016

This study examines indicators and factors for identification of ASD(Autism Spectrum Disorder) characteristics of infants and toddlers and early screening of children with ASD by day care teachers. Focus group interviews were conducted with 11 teachers by a semi-structured questionnaire developed by the authors. The findings are: 1) key problems and indicators of behavioral characteristics of children with ASD included problems with social communication and interactions, restricted and unusual interests, outstanding ability in specific areas, insistence on sameness and ritualized patterns, problems with language development and communication, sensory abnormalities; 2) counseling with parents of children with ASD revealed a lack of recognition of parents, negative expressions of emotions and resistance, and difficulties in referral to and association with experts; 3) needs for ASD in the child care field included visiting by experts, provision of test scales, training of child care teachers and parents, and building cooperative systems; and 4) demands of development and execution of a Korean-style scale for early screening of children with ASD.

• 한국치위생학회지
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• 제20권5호
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• pp.645-653
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• 2020

Objectives: The purpose of this study is to identify the difference between the awareness and reuser rate of infection control t for disposable dental care supplies (DDCS) according to general characteristics and infection management-related characteristics. Methods: A questionnaire was used for 277 dental hygienists to check the general characteristics, infection management-related characteristics, awareness of infection control disposable dental care products, syringe needle, prophylaxis cup, prophylaxis brush, plastic saliva ejector, orthodontic bracket, and gloves reuse rate. Results: The awareness of infection control for DDCS differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Reuser rates of disposable dental care products differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Conclusions: In order to manage infection of DDCS, the level of infection control system in the workplace is improved and support for related education is needed. In addition, guidelines and regulations on prohibition of reuse and classification criteria for various DDCS should be prepared.