• 제목/요약/키워드: Discharge Analysis Program

검색결과 186건 처리시간 0.022초

지반침하 메커니즘 분석 및 평가 프로그램 개발 (Analysis of Subsidence Mechanism and Development of Evaluation Program)

  • 최성웅;전양수;박의섭;정용복;천대성
    • 터널과지하공간
    • /
    • 제15권3호
    • /
    • pp.195-212
    • /
    • 2005
  • 지하채굴적의 함몰, 지하수의 무분별한 양수, 연약지반의 압밀 및 얕은 심도에서의 지하굴착 등의 원인으로 기인하는 지반침하는 국가 기간망에 심각한 안전문제를 야기하고 있다. 특히 인구밀집 지역에서는 가옥 및 기타 시설물의 붕괴요인으로 작용함에 따라 국민의 생활권을 위협하고 있는 실정이다. 따라서 본 연구에서는 지반침하가 발생한 이후 조사와 보강작업이 실시되는 기존의 수동적인 접근법을 탈피하고 지반침하를 예측하여 피해발생을 최소화하기 위해 사례분석을 통해 국내 지질조건에 부합하는 지반침하의 메커니즘을 규명하였으며, 지반침하에 영향을 미치는 제반 요인들을 수치해석적으로 분석하였다. 또한 이를 통해 각 요인들의 가중치를 점검, 합리적인 판단 기준을 제시코자 하였으며, 지반침하 발생여부를 파악할 수 있는 프로그램을 제작하여 이러한 가중치를 접목시킴으로써 지반침하 발생가능성에 대한 객관적인 판단과 정량적인 기준을 제시할 수 있도록 하였다. 이러한 연구결과를 통해, 지질학적 분포 현황과 같은 자연적인 조건과 지하채굴적 및 양수 현황 등과 같은 인공적인 조건들을 결부시켜 추후 전 국토에 대한 지반침하 재해 위험지도를 작성함으로써 지반침하 발생 가능성을 억제하고 그 피해규모를 최소화할 수 있는 근간을 마련하였다.

개심술을 받은 심기형 환아모의 교육프로그램 개발을 위한 조사연구 (Descriptive Study on the Development of Educational Program for Mothers with Children who have had Open Heart Surgery in Congenital Heart Disease)

  • 이군자;조현숙
    • 재활간호학회지
    • /
    • 제4권1호
    • /
    • pp.73-83
    • /
    • 2001
  • The aims of this study were to identify the mothers educational needs when they have children who have had open heart surgery in congenital heart disease, to identify the children's characteristics with this problem, and also to provide the basic information on the development of the educational program for the mothers. The subjects of the study were 101 mothers of children and their children hospitalized with congenital heart disease in pediatric wards of G. University Hospital in Inchon and S. Hospital in Puch on from June to November 2000. The study used a Likert-type questionnaire with 39 questions which was based on a previous questionnaire developed by Lee Mi-ryun(1989) for adult open heart surgery patients. The reliability of the questionnaire was Cronbach' ${\alpha}$=.9375. The data were collected directly from mothers of the patients in wards. The t-test, ANOVA was adopted for the data analysis. The key results of the study are as follows : 1) The average age of the children was 32.90 months. The majority of the children are male and weighted 3.0-3.5Kg at birth. Most of the children had VSD(29.7%), and 10.9% of children had a family history of heart disease. 2) An average score of 4.62 out of a maximum of 5.00 was recorded for the educational needs of the children's mother. The highest score of 4.69 was for home care after discharge followed by a score of 4.67 for diagnosis and prognosis on congenital heart disease. And pre-post operation care scored 4.51. The mean scores of single-question items of educational need were, in order, 4.81 for immunization after operation, 4.80 for recovery process, and 4.77 for prognosis of the disease. The score of 4.18 for measurement of intake and output was the lowest. 3) The analysis on the children's mothers educational needs by social-demographic characteristics such as sex, age of patient and mother, economical status, educational status, number of child, hospitalization times, and hospitalization cause showed no significant difference statistically, but there was a significant difference between mothers with jobs and with out jobs.

  • PDF

Rasch 모형을 이용한 한국어판 중환자실경험 측정도구의 문항 분석 (Item analysis of the Korean version of the Intensive Care Experience Questionnaire: Using the Rasch Model based on Item Response Theory)

  • 강지연;김민희
    • 중환자간호학회지
    • /
    • 제15권3호
    • /
    • pp.37-50
    • /
    • 2022
  • Purpose : This study aimed to examine the item characteristics of the Korean version of the intensive care experience questionnaire (K-ICEQ) using the Rasch analysis model of the item response theory. Methods : In this methodological study, the validity of the scale was examined, and a secondary analysis was conducted using cohort data of patients who were discharged from the intensive care units (ICU). Data from 891 patients who responded to the K-ICEQ upon ICU discharge were analyzed. The WINSTEP program was used to analyze item characteristics, including item difficulty, fit indices, appropriateness scale, and separation reliability. Results : The difficulty level of all 26 items of the K-ICEQ was appropriate, and the fit indices of the 25 items, except for item 18, were good. The 5-point scale of the K-ICEQ was not appropriate in the three subscales. The item separation reliability was good in all subscales, but did not meet the criteria in terms of respondents. Conclusion : The results of examining the item characteristics of the K-ICEQ revealed a good degree of difficulty, fitness, and item separation reliability. To increase the validity of the K-ICEQ, we suggest the rearrangement of the overall item order, modification of the item description of the "recall of experience" subscale, and reduction of the scale response level.

화단형 침투시설의 단위설계침투량 산정 및 효과분석 (Estimation of Appropriate Infiltration Rate and the Effects of the Flowerbed Type Infiltration System)

  • 한영해;이태구
    • 한국조경학회지
    • /
    • 제40권5호
    • /
    • pp.140-147
    • /
    • 2012
  • 본 연구에서는 우수 유출량을 일정수준 이하로 제어할 수 있는 화단형 침투시설을 개발하여 이의 적정 설계침투량을 산정하고 적용효과를 분석하였다. 침투시설의 설계침투량을 산정하고 성능을 분석하는 것은 지구단위계획과 같은 공간계획에 구체적으로 빗물침투시설을 계획할 경우에 적용 후 효과를 예측하는데 있어 반드시 검토되어야 할 사항이다. 이에 본 연구에서는 한국건설기술연구원 실험동 옆 주차장을 대상으로 본 시설의 단위설계침투량에 변화를 주어 물수지 분석 프로그램을 이용, 유출량 감소효과를 분석하였다. 침투시설의 설계침투량을 $0.1{\sim}3m^3/m^2.day$로 각각 변화를 주어 유출율 변화를 분석한 결과, $1.0m^3/m^2.day$에서 유출량 80%를 침투시키는 것으로 분석되었으며, 이때의 단위설계침투량이 0.0416($m^3/m^2.hr$)이었다. 또한 개발한 시스템을 현장침투실험한 결과, 단위설계침투량이 약 $0.045m^3/m^2.hr$으로 나타났다. 이 값은 시뮬레이션한 단위설계침투량과 유사한 것으로 분석되었다. 본 연구결과를 토대로 경제적인 규모와 환경적 효과를 최대한 고려한 침투량 산정이 가능하였으며, 또한 도시에서의 녹색인프라로서 빗물침투시설을 공간계획에 적용할 때 고려할 수 있는 근거를 마련했다는 데 의의를 갖는다.

견인요법(牽引療法)을 병용한 요통(腰痛) 및 요각통(腰脚痛) 환자 40례(例)의 임상적 고찰 (The clinical effects of Low Back Pain and Sciatica with Traction treatment)

  • 이동현;박은주;신정철;나건호;위통순;이삼로;류충열;조명래;채우석;윤여충
    • Journal of Acupuncture Research
    • /
    • 제21권5호
    • /
    • pp.163-177
    • /
    • 2004
  • Objectives : The purpose of this report is to use more Traction treatment clinically by comparing th Improvement of Low Back Pain and Sciatica between Common treatment Group and Common treatment with Traction treatment. Methods : This study was carried out on 40 patients with Low Back Pain and Sciatica who were hospitalized in Dongshin Univ. Oriental Hospital from January, 2003 to May, 2004. Group A of 20 patients were taken both common treatment and Traction treatment. And Group B of 20 patients were only taken common treatment. And at discharge day, we checked and compared VAS(Visual Analogue Scale) and ODI(Oswestry disability index) out of these two groups. SPSS(Statistical Program for Social Science) for Window was used for a statistical analysis and the independent T-test was performed to gauge the improvement of VAS(Visual Analogue Scale) and ODI(Oswestry disability index) out of these two groups, in which case, value of P below 0.05 is considered as useful. Results : The result of the VAS(Visual Analogue Scale) and ODI(Oswestry disability index) of comparison analysis between two groups at discharge day, shows that the improvement of Low Back Pain and Sciatica in cmmon treatment with Traction treatment Group is more effective than that in Common treatment.

  • PDF

종합병원 간호사가 인식하는 환자교육 중요도와 수행도의 관계연구 (A Study on the Perception of the Importance and Performance of Patient Education of the Clinical Nurses)

  • 유은경;서문자
    • 한국간호교육학회지
    • /
    • 제6권2호
    • /
    • pp.287-302
    • /
    • 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.

  • PDF

간호사의 환자참여 간호서비스 수행정도와 필요성 인식 (Nurses' Perception of the Performance and Necessity of Nursing Services for Patients Engagement)

  • 이태화;장연수;지윤정;도현옥;오경환;김창경;천자혜;신혜경;조미영;배정임
    • 임상간호연구
    • /
    • 제25권2호
    • /
    • pp.120-132
    • /
    • 2019
  • Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

HSPF 모형을 이용한 안양천 유역의 물순환 및 BOD 부하량 분석 (Analysis of Hydrologic Cycle and BOD Loads Using HSPF in the Anyancheon Watershed)

  • 이길성;정은성;이준석;홍원표
    • 한국수자원학회논문집
    • /
    • 제40권8호
    • /
    • pp.585-600
    • /
    • 2007
  • 본 연구에서는 안양천 유역에 대해 HSPF 모형을 구축하고 중유역과 전체유역의 물순환 현황 및 BOD 부하량을 정량적으로 파악하였다. 모형을 구축하기 위해 HSPF모형의 수량 및 BOD 농도에 대한 민감도 분석을 수행하여 매개변수를 선택하였다. 또한 다양한 특성을 갖고 있는 안양천 유역을 토지이용, 경사도 및 사용한 기상자료 등에 따라 4개 지역으로 구분하여 검 보정을 실시하여 정확도를 향상시켰다. 물순환 모의 결과 하류로 갈수록 도시화 비율이 높으며 이로 인해 기저유출량은 11.1 % $\rightarrow$ 5.0 %로 줄어들고 직접유출량은 42.5 % $\rightarrow$ 56.9 %로, BOD 농도는 3.3 mg/L $\rightarrow$ 15.0 mg/L로, 단위면적당 원단위는 55.4 kg/ha/year $\rightarrow$ 354.5 kg/ha/year로 늘어났다.

자가발전용 휴대폰 케이스에 관한 연구 (Study on the mobile phone case for self-power generation)

  • 김진호;박창형;한승철
    • 한국산학기술학회논문지
    • /
    • 제18권6호
    • /
    • pp.8-12
    • /
    • 2017
  • 본 논문에서는 휴대폰의 배터리 방전 시에도 비상전화나 문자 메시지의 사용을 가능하게 해주는 자가발전기에 관한 연구를 진행하여 휴대폰 케이스를 통한 휴대폰의 재충전 방법을 제시한다. 사용자가 스마트 폰 케이스를 흔들게 되면 전자기 코일과 발전기의 영구 자석의 상호 작용을 통해 리튬 이온 배터리를 충전 하며 전기 에너지가 생성된다. 이 때 생성된 전기에너지는 사용자가 몇 분의 통화 또는 문자 메시지를 사용할 수 있는 전력을 제공 해준다. 또한 사람이 걸을 때 위상의 변화에 의해 2 ~ 3 Hz 주파수의 진동 에너지가 발생하는데, 이를 획득하는 에너지 하베스팅 과정을 통해 배터리를 충전한다. 그리고 발전량을 분석하는 것은 상용 전자기 해석 프로그램인 MAXWELL을 사용하여 모델링 후 시뮬레이션 하였다. 마지막으로 분석한 결과를 바탕으로 자가 발전을 위한 휴대폰 케이스의 프로토타입을 구축하고 그 측정값과 시뮬레이션 값을 비교함으로써 프로토타입의 성능을 검증하였다.

고관절 전치환술 환자의 Critical pathway적용효과 (Effects of Critical Pathway(CP) on the patients with Primary Total hip replacement(THR))

  • 이미경;도복늠
    • 간호행정학회지
    • /
    • 제8권2호
    • /
    • pp.295-308
    • /
    • 2002
  • Purpose: The purpose of this quasi-experimental research is to develop the CP for primary THR patients and verify its effectiveness. Method: The CP is designed for both patients and medical employees to meet the 14-day-long hospitalization with an expert and clinical validity test, and the standardized orders are also created. 21 eligible subjects for the control group(with common care plan) and 27 subjects for the experimental group(with CP service) were assigned. Data were collected from questionnaires to evaluate patients' satisfaction level of nursing care and CP, investigation of physical complications, inspection of LOS(length of hospital stay) and hospital charges from April 2000 to February 2001 at K-hospital in Daegu. The collected data were analyzed by using the SAS program. Results: After implementation of CP, there was a statistically significant reduction in mean length of stay. The hospital charges have no considerable difference between two groups. Frequency of physical complications is reduced considerably. The experimental group scored much higher than the control group on the satisfaction level toward nursing care. And in the analysis of CP satisfaction questionnaires, many subjects have high satisfaction in items of 'I see the treatment process and hospital life', 'I feel that I am participating in my treatment process with health care staff'. The analysis of variances which cause a prolonged LOS supports that it's necessary to strengthen an evaluation of pre-operative outpatients' condition and link the home nursing care system in discharge for more shortening of LOS. Conclusion: The above results show that CP can have a positive impact on satisfaction level of inpatients with primary THR and the hospital.

  • PDF