• 한국화재소방학회논문지
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• 제33권3호
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• pp.143-153
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• 2019

본 연구는 영유아 교사의 소방안전의식을 제고하여 어린이집에서 발생하는 안전사고를 감소시키려는 목적으로 수행되었다. 이를 위해, 대전·충남 지역이라는 한정된 연구 범위를 적용하고, 국공립 어린이집에 근무하고 있는 영유아 교사 242명을 대상으로 설문을 실시하였다. 설문지는 인구사회학적 특징, 직무만족도, 효능감 그리고 소방안전의식으로 구성하였다. 조사된 자료는 SPSS 20.0 win 통계프로그램을 이용하여 전산통계로 처리하였다. 설문 분석결과, 영유아 교사의 직무만족도과 효능감은 소방안전의식에 유의미한 관계가 있는 것으로 나타났으며, 교사의 효능감은 직무만족도와 소방안전의식으로 관계에서 부분 매개하는 것으로 나타났다. 결과적으로 교사의 직무만족도와 효능감이 높을 때 교사의 소방안전의식이 높은 것으로 나타났다. 이 연구는 교사의 소방안전의식을 제고시키는데 기초연구가 될 것으로 기대된다.

• Journal of Preventive Medicine and Public Health
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• 제10권1호
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• pp.34-43
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• 1977

This study attempts to examine the performances of Myun Health Workers-the frontline workers in the Korean rural health care delivery system. The time-activity approach was mainly utilized as a measuring tool. This study was undertaken in September 1976 with 35 Myun Health Workers at the Kang Wha County. The pretested time-activity approach sheets were filled out daily for one month by those Myun Health Workers themselves. Statistical means and variances of analysis were utilized for statistical method in comparing some activities and functions converged into time distribution Findings: 1. The workers's average working hours derived in this study is 8 hours and 48 minutes per day, which takes half an hour longer than normal schedule. 2. They spend 56% working hour for direct services, in other words, the main function, 22% for supportive function, and 22% for other activities, the unrelated health services. 3. Considering the total working hours of main function, out-center activity is far more than in-center services with the ratio of 70% to 30% respectively, which proves, therefore, that the main activity of the workers is home visiting. 4. It takes 20 minutes purely for home visiting and takes 14 minutes for transportation. 5. This research also indicates that such factors as characteristics of the health workers and myun influence in shaping the structures of the worker's function and activity: a. The workers whose working site is located in myun office spend 15% among total working hours in carring out official myun activities, which is incidentally unrelated to health services, while the health subcenter have no rooms for administrative jobs for myun office. b. The workers whose office is in health subcenter contribute much time in doing main function and those working in special project distribute more time in performing supportive function. c. The types of workers are another dominant factor to influence the components of worker's functions and activities. MCH workers and MPW I spend much time for manipulating main function. d. MPW II, whose function is reorganized by special project in 2 myuns shows different pattern of time distribution compared to the TB worker orFP worker in the ordinary area. MPW II distributes their time evenly in performing MCH program, T.B. Program, F.P. program and education activity, while the unipurpose workers engage in carring out only their dominant role. e. Another variables which involve the variation of the worker's activity can be illustrated with the variables like target population, size of myun and convenience for transportation, among which the latter two are remarkable factors in determining the time for out-center service.

• 재활치료과학
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• 제2권1호
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• pp.66-76
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• 2013

목적 : 본 연구는 주간보호시설을 이용하는 치매노인의 욕구 및 제한점을 파악하고 목표 설정을 하고자 함이다. 연구방법 : 주간보호시설 이용 치매노인 1명을 대상으로 2012년 5월 1일부터 5주에 걸쳐 주 2회 정기적으로 30여 분간 심층 면담 및 평가를 실시하였다. 인간작업모델을 기반으로 한 작업질문지(Occupational Questionnaire; OQ)와 여가활동평가(Interest checklist; IC), 의욕조사표(Volitional Questionnaire; VQ), 의사소통과 상호작용기술평가(The Assessment of Communication and Interaction Skills ACIS), 작업수행 일생 면담II(Occupational Performance History Interview-II OPHI-II), 자가작업평가(Occupational Self Assessment OSA), 작업환경 평가면담과 등급화(The Occupational Circumstances Assessment Interview and Rating; OCAIR)를 대상자에게 실시하였다. 또한 대상자의 사례관리자와 보호자 각 1명씩을 대상으로 직 간접적인 면담을 시행하였다. 결과 : 인간작업모델을 적용하여 면담 및 평가를 실시한 결과 사회와 가족관계형성과 재 정 문제, 전반적인 행복에 제한이 있는 것으로 파악되었다. 결론 : 본 연구의 결과를 통해 치매노인을 대상으로 인간작업모델을 적용하여 전인적으로 판단 할 수 있었으며 대상자를 바라보는 새로운 관점과 해결방안을 제시가능 하였다. 이를 통해 작업치료의 질 향상과 서비스의 영역을 확대하는데 기여할 것이다.

• 대한간호학회지
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• 제7권1호
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• pp.39-46
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• 1977

Despite the fact that it is not a fatal symptom. the lower back pain of human species is considered a health problem of modern society: 80% of world population experience it and the distress and dysfunction caused by interferes daily life as well as the general productivity. This study was performed to investigate the general tendency of lower back Pain on nurses: influence of nursing activities, working condition and the physical characteristics of nurses on the pain in order to provide data for prevention and treatment. 386 nurses working at 16 general hospitals throughout the country were sampled. Questionaries developed by the researcher was used for data gathering. Results are as follows : 1. Lower back pain was experienced by most(72.3%) of the nurses: the highest rate of -Pain experience was revealed to be the a9e group of 35-39 (80.8%) followed by 25-29 group (74.2%). 2. In almost all instances (91.4%), the first pain attack occurred before the age of 29, and in 73.1%. the attack occurred between the age of 15-24. 3. In 10.1%, the pain was almost persistent or occurred every other day frequency. In 9%, the pain was relieved by the administration of analgesics or "unable to move". 4. More than 6 days′sick leave due to the pain revealed to be in 2.2%. No significant difference was revealed between specialities of service. 5. Pain experience and the over or under weight revealed not to have significant relations. (X$^2$=0.55224, p〉0.7587) 6. The length of working hour of I. C. U. and O. R, revealed to be longer than that of nurses general ward, however. no significant difference on the rate of pain occurrence apparent. (X$^2$=0.4952, p〉0.8239) No significant difference on the rate of pain occurrence between nurses working over 46 hours/week and under 45 hours/week. (X$^2$=3.86241, p〉0.078318) 7. The most frequent Pain related movement revealed to be "lifting patient or heavy object" (24. 7%, N=68) followed by "the sameness of position, either standing or sitting"(16.8%) 8. Regular physical exercise revealed to have no significant influence on the rate of Pain occurrence. 9. Higher raft of pain experience was revealed in the group of nurses wearing eye glasses. Uncomfortable shoes revealed to have influenced the pain. 10. The most frequent pain relieving treatment revealed to be "rest" (54.2%, N= 151) followed by "analgesics" (12.6%, N=35) and "hot compress/fomentation"(10.5%, N=29). In 13.7% (N=38) no special care was given.

• Tuberculosis and Respiratory Diseases
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• 제78권4호
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• pp.326-335
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• 2015

Background: Asian dust is known to have harmful effects on the respiratory system. Respiratory conditions are also influenced by environmental conditions regardless of the presence of pollutants. The same pollutant can have different effects on the airway when the air is dry compared with when it is humid. We investigated hospital visits for chronic obstructive pulmonary disease (COPD) and asthma in relation to the environmental conditions. Methods: We conducted a retrospective study using the Korean National Health Insurance Service claims database of patients who visited hospitals in Chuncheon between January 2006 and April 2012. Asian dust, haze, mist, and fog days were determined using reports from the Korea Meteorological Administration. Hospital visits for asthma or COPD on the index days were compared with the comparison days. We used two-way case-crossover techniques with one to two matching. Results: The mean hospital visits for asthma and COPD were $59.37{\pm}34.01$ and $10.04{\pm}6.18$ per day, respectively. Hospital visits for asthma significantly increased at lag0 and lag1 for Asian dust (relative risk [RR], 1.10; 95% confidence interval [CI], 1.01-1.19; p<0.05) and haze (RR, 1.13; 95% CI, 1.06-1.22; p<0.05), but were significantly lower on misty (RR, 0.89; 95% CI, 0.80-0.99; p<0.05) and foggy (RR, 0.89; 95% CI, 0.84-0.93; p<0.05) days than on control days. The hospital visits for COPD also significantly increased on days with Asian dust (RR, 1.29; 95% CI, 1.05-1.59; p<0.05), and were significantly lower at lag4 for foggy days, compared with days without fog (RR, 0.85; 95% CI, 0.75-0.97; p<0.05). Conclusion: Asian dust showed an association with airway diseases and had effects for several days after the exposure. In contrast to Asian dust, mist and fog, which occur in humid air conditions, showed the opposite effects on airway diseases, after adjusting to the pollutants. It would require more research to investigate the effects of various air conditions on airway diseases.

• Clinical Psychopharmacology and Neuroscience
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• 제16권4호
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• pp.398-406
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• 2018

Objective: Hospitalization of patients with delirium after visiting the emergency department (ED) is often required. However, the readmission risk after discharge from the ED should also be considered. This study aimed to explore whether (i) immediate hospitalization influences the readmission risk of patients with delirium; (ii) the readmission risk is affected by various risk factors; and (iii) the healthcare cost differs between groups within 28 days of the first ED visit. Methods: Using the National Health Insurance Research Database, the data of 2,780 subjects presenting with delirium at an ED visit from 2000 to 2008 were examined. The readmission risks of the groups of patients (i.e., patients who were and were not admitted within 24 hours of an ED visit) within 28 days were compared, and the effects of the severities of different comorbidities (using Charlson's comorbidity index, CCI), age, gender, diagnosis and differences in medical healthcare cost were analyzed. Results: Patients without immediate hospitalization had a higher risk of readmission within 3, 7, 14, or 28 days of discharge from the ED, especially subjects with more severe comorbidities ($CCI{\geq}3$) or older patients (${\geq}65years$). Subjects with more severe comorbidities or older subjects who were not admitted immediately also incurred a greater healthcare cost for re-hospitalization within the 28-day follow-up period. Conclusion: Patients with delirium with a higher CCI or of a greater age should be carefully considered for immediate hospitalization from ED for further examination in order to reduce the risk of re-hospitalization and cost of healthcare.

• 농촌계획
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• 제25권1호
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• pp.113-125
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• 2019

The purpose of this study is to provide the demand information about services (S/W) and infrastructure (H/W) for rural welfare and culture. The survey was conducted on the overall satisfaction level, the condition change, the importance-satisfaction level of each field and the top priority items for administrative agencies and rural residents. In the overall satisfaction level, administrative agencies responded more than 'normal' to all fields, but the overall satisfaction level was lower than 'normal' in the fields excluding the healthcare field in the case of rural residents. In terms of condition changes compared to the past five years, both administrative institutions and local residents evaluated the improvement. IPA analysis was conducted to identify the priority ranking of each field and it was found that emergency medical facilities in the healthcare field, infant day care facilities in the social welfare field, movie theaters in the culture field, lifelong education institutions and academy facilities in the education field and private sports facilities in the leisure and sports field were most needed, respectively. The results of this study are expected to be helpful in increasing the efficiency and presenting the improvement direction about the development policy of the rural culture and welfare.

• 여성건강간호학회지
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• 제25권3호
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• pp.329-344
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• 2019

Purpose: This study aimed to identify utilization of the work-family support policy (WFSP) and factors affecting retention intention among Korean female military officers. Methods: This cross-sectional survey recruited 103 married female officers from the Korean Army, Navy, and Air force with preschool-aged children through convenience and snowball sampling. Via online surveys from June to November, 2018, the participants self-reported retention intention, work-family conflict, job satisfaction, and utilization of the WFSP. The data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson's correlation coefficient, and multiple linear regression. Results: Retention intention ($22.29{\pm}5.98$) was reported at the mid-level, lower than scores reported in the literature for female workers. Work-family conflict ($32.51{\pm}5.29$) and job satisfaction ($63.10{\pm}7.45$) were above the midpoint levels. Use of maternity leave (100.0%) and parental leave (92.2%) was high, especially compared to the rates of child-care day off (20.4%) and parenting time (20.4%). 'Noticeable increases in childcare services within the army' (22.8%) was reported as the supportive measure needed the most by female military officers. Job satisfaction (${\beta}=.43$, $p{\leq}.001$), the use of parenting time (${\beta}=-0.29$, p=.002), living type (${\beta}=-.18$, p=.043), and service type (${\beta}=-.16$, p=.035) significantly influenced retention intention. Conclusions: The findings highlight the priority areas of importance within the WFSP and suggest that a family-friendly culture can improve female officers' retention intention. Accordingly, policy changes at the Ministry of National Defense improving the system to enhance a family-friendly culture in the military is expected to strengthen the retention intention of female officers and contribute to excellence in the military workforce.

• 한방안이비인후피부과학회지
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• 제34권1호
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• pp.112-135
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• 2021

2020년 7월부터 2020년 12월까지 일개 보건소 건강증진과에서 관할지역 거주 중증 장애인 중 뇌병변 장애와 지체 장애인을 대상으로 한의약 장애인 방문건강관리 표준프로그램을 진행하였고, 이 중 1명의 중증 지체 장애인이 구강 건조증을 앓고 있어, 한의 치료의 개입을 통한 통합적인 관리한 결과는 다음과 같다. 1. 팔물탕(八物湯) 연조엑스제를 포함한 한의 치료는 YDQ에 의해 음허(陰虛)로 변증된 지체 장애인의 약물 유발성 구강 건조를 완화시키고 삶의 질을 호전시켰다. 2. 건강 보험에 포함된 한의 치료를 제공하여 한·양방 통합적 개입으로 양약으로 발생한 구강 건조 증상을 관리할 수 있었다. 3. 6개월간 투약된 팔물탕(八物湯) 연조엑스로 인한 이상 반응은 없었다. 4. 팬데믹 상황에서 한의약 방문 진료와 전화 진료가 혼합된 형태의 공공보건기관의 한의약 건강증진사업으로 장애인의 SHCN를 충족하고 장애인의 만성 질환 관리가 가능한 부분을 확인할 수 있었다. 5. 본 연구는 한방안이비인후피부과 증상 및 질환도 보건소 한의약 건강증진사업으로 포함할 수 있는 가능성을 확인하였으며, 유관 학회의 협력 및 지원과 연구가 필요하다고 생각된다.

• 한국심리학회지 : 문화 및 사회문제
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• 제24권3호
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• pp.473-489
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• 2018

최근 한국 사회는 연일 쏟아져 나오는 아동방임 및 학대 사건으로 충격 속에서 헤어나지 못하고 있다. 이러한 학대를 경험한 피해아동은 정서적, 정신적, 신체적 외상으로 불완전한 아동보호체계 아래 또 다른 사회문제의 중심에 서있을 수밖에 없는 현실 속에 있다. 이러한 아이들을 보호하기 위해서 미국에서는 CASA(Court Appointed Special Advocates: 법원임명특별옹호자) 프로그램이 실시되고 있다. 이 CASA 프로그램의 효과는 수많은 연구를 통해 학대아동을 위한 질높은 옹호 가능성이 증가하였고, 그들을 위한 더 나은 서비스 제공이 가능해졌으며, 아동복지비용을 절감하는 효과를 가져올 수 있었다. 한국에서도 2014년 아동학대 범죄 등의 처벌에 관한 특례법 제정(이하 '아동학대처벌법')으로, 학대아동이 공적체계 보호로 들어온 것은 사실이나, 이들의 안정적인 보호를 위한 지속적인 정서적 지원은 미흡한 현실이다. 하지만, 현재 한국에서도 아동학대에 대한 공적체계의 개입이 증가하고 있고, 또한 아동학대 재발방지를 위한 적극적인 모니터링을 통한 국가의 개입 강화와 아동권리에 대한 인식이 증가되고 있다. 한국사회의 이러한 변화들은 미국의 CASA 프로그램을 적극적으로 검토하여 한국 사회에 국가적인 사업으로 정착시킬 수 있는 가능성을 보여준다. 이것을 통해 아동학대 피해아동의 안전과 권리가 보호받을 수 있는 체계와 학대 피해아동이 방치되어 더 큰 사회적 문제가 발생되지 않도록 사전에 예방할 수 있는 방안이 될 것으로 기대된다.