• 제목/요약/키워드: Health Care Program

검색결과 3,004건 처리시간 0.03초

간호협회지를 통해 본 보수교육의 역사적 경향 1962년 ~ 1995년 (A Study of Trends in Continuing Education Published in the Korean Nurse)

  • 신성례;김경선;이숙
    • 대한간호
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    • 제35권2호
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    • pp.52-70
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    • 1996
  • This historical research was conducted to analyze and categorize the titles which were presented in the journal, The Korean Nurse, from August 1962 to October 1995. Titles which were published with the purpose of educating graduate nurses and to update 0 their nursing knowledge to improve professional practice were included. There were 348 articles published from the beginning of publication in August, 1962 to October, 1995. All of the journals were reviewed except nine missing journals which were not available in any library. According to the characteristics of the articles in the periodical, the articles were divided into three periods. In each of the three peroids there were five categories: Subject, Clinical Practice, Fundamentals of Nursing Science, Nursing Administration, Others. These categories were adopted from Kim's(1994) division system which was developed to analyze nurse's insurance education program. The special feature peroid was from August, 1962 to December, 1974. In this period the articles were presented in an unorganized manner in the area of special feature or main issue. The largest area was the subject category(44%). The second largest area wes the fundamental of nursing science category(31%). From May, 1975 to December, 1977, the articles with the educational purposes were published in a designated area called continuing education. This period was labelled as the continuing education period. Among the published articles in this period, 45% focused on the subject category and 45% on the fundamentals of nursing science category. In this period the articles were focusing on nurses 'work in specific areas such as industry, nurses' aid schools, and nursing administration, articles on physical assessment first started to appear. The written continuing education period was from January 1978 to October, 1995. All the educational articles published in this area were analyzed and categorized into five areas as for the other periods. 48% of the articles focused on the subject category. In the mid-eighties, the term nurse specialist first.appeared and ten years later in 1990, the titles were subdivided into more specific titles, such as, home nursing, industrial nursing, emergency nursing, 23% were in the fundamental nursing science category and they dealt with nursing process, nursing theories, theory development. For the content analysis, three articles, one from each period, dealing with cardiovscular diseases were selected for comparsion. First, the special feature period, the title of the article was on diet therapy for cardiovascular disease patients, but instead the content was about rest, hygiene, medication, observation. They recommended rings to prevent bed sores, which is now considered as a cause for bed sores. In the continuing education period, the content was more focused on rehabilitation rather than general nursing .care. It became more specific, systematic, and organized compared with the special feature period. In the written continuing education period, the focus was on rehabilitation, not broadly, but very specifically on exercise. The further research on the content analysis is recommended along with a comparison of the trends in the Journal of Nurses Academic Society.

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교정과영역의 의료사고 및 분쟁의 성격분석 (Analysis of Characteristics of Medical Accidents and Disputes in Orthodontic Area)

  • 황충주
    • 대한치과교정학회지
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    • 제29권1호
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    • pp.1-22
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    • 1999
  • 건강과 의료에 관심 이 높아지면서 의료수요는 날로 증가하게 되었고 이에 따르는 의료분쟁 또한 증가하는 추세이다. 교정치료와 관련하여 현재 급증하고 있는 의료사고 및 의료분쟁 사항을 조사하여 예방 및 대응책을 마련하고자 대한 치과교정학회주관으로 인정의위원회에서는 30항의 설문지를 작성하였고 1998년 7월에 교정학회 회원 2,200명을 대상으로 교정치료시 의료사고 유형 파악 및 예방을 위한 설문조사를 시행하였다. 그 내용은 의료사고나 분쟁을 경험한 회원들의 인적사항을 포함한 관련사항, 의료사고와 관련된 환자의 인적사항 및 의료사고 원인 및 해결방법, 회원들의 교정치료와 관련된 주의사항, 의무기록 작성 및 보관 등에 관한 사항이었으며 그 결과를 바탕으로 교정과 영역에서의 의료사고 및 의료분쟁의 성격 분석을 하였다. 현재의 상황에서 언제 어디서 일어날지 모르는 의료사고나 의료분쟁을 예방하거나 방지하는 것이 의료분쟁이 발생한 후 해결하는 것보다 더 중요하다. 이를 위해서는 환자와 의사간의 신뢰를 바탕으로 진료기술의 숙련도를 높이고 발전하는 새로운 의학 정보를 얻는데 게으르지 말아야하며 진단, 치료과정, 치료의 후유증, 위험성에 관한 자세한 설명을 통하여 환자 스스로 치료여부를 결정할 수 있는 의료환경을 만들어 나가야할것이며 환자를 대하는데 주의를 기울이며 가장 기본적인 진료기록부 작성과 관리에 관심을 가져야 할 것이다. 교정학회차원에서도 의료사고와 분쟁의 예방과 대응책에 관한 교육프로그램과 의료사고와 분쟁이 발생할 경우 도움을 줄 수 있는 대책이나 기구 등을 마련하여야할 것이다.

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만3세와 만4세 누리과정 교사용 지도서에 나타난 유아 '안전교육' 활동의 내용 비교 분석 (A Comparison Analysis on the Contents of Child 'Safety Education' Activities in 3~4 Year Old Nuri Curriculum Manual for Teachers)

  • 조숙영
    • 한국보육지원학회지
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    • 제11권6호
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    • pp.177-198
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    • 2015
  • 본 연구는 만3세와 만4세 누리과정 교사용 지도서에 나타난 유아 '안전교육' 관련 내용을 분석준거에 의해 활동유형 및 활동형태별, 생활주제별로 비교 분석하는데 목적이 있다. 분석결과 첫째, 만3세 유아 '안전교육' 내용은 총 136개였으며 그 가운데 대 소집단활동에서 71개(52.2%)를 나타내었고 만4세는 총 124개를 보인 가운데 대 소집단 활동에서 58개(46.8%)를 나타내었다. 둘째, 만3세는 '생활도구'에서 25개의 활동을 포함하고 있었으며 그 중 '물건, 도구, 기구에 대한 안전'의 내용에서 21개의 활동을 포함하고 있는 것으로 나타났다. 만4세는 '건강과 안전'에서 33개의 활동을 포함하고 있었으며 그 중 '질병에 대한 안전'의 내용에서 12개의 활동을 나타내었다. 연구결과를 통해 교육현장에서 만3, 4세 연령에 따른 유아 '안전교육' 활동을 전개하는데 도움을 주고자하며 유아 '안전교육'과 관련된 각종 연수를 계획하고 방향을 제시하는데 기초자료를 제공하고자 한다. 더 나아가 유아 '안전교육'에 필요한 매뉴얼과 프로그램을 구성하는데 기초정보를 제공할 뿐만 아니라 안전체험시설을 확충하는데 필요한 기초자료를 제공하는 데에도 시사점을 줄 수 있을 것으로 여긴다.

한국인의 치주조직상태에 관한 역학조사 (EPIDEMIOLOGICAL EVALUATION OF PERIODONTAL STATUS IN KOREAN ADULTS)

  • 한경윤;박준봉;정진형;정종평
    • Journal of Periodontal and Implant Science
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    • 제24권3호
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    • pp.458-471
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    • 1994
  • To evaluate the periodontal status of Korean adults, 3,988 adults(20-69 years old) who lived in Kwangju, Chonnam, Taegu, and Kyungbuk districts were periodontally examined by plaque index(PI), calculus index(CI), gingival index(GI), periodontal disease index (PDI), and papillary bleeding index(PBI). The periodontal examination charts were grouped according to age and sex. And subsequently 200 periodontal examination charts in each age group were randomly selected according to sex. The differences of the indices among age groups and those between male and female in each age group were statistically analyzed by Chi-Square test. In PI, CI, GI, PDI, and PBI, there was no statistical significance in the difference between male and female in each age group(p>0.05). In male, PI of 60s age group($1.44{\pm}0.68$) was significantly higher than that of any age group(p<0.05), and in female PI of 20s age group($0.86{\pm}0.39$) was significantly lower than that of any other age group(p<0.05). CI of 60s age group in both male($1.67{\pm}0.70$) and female($1.63{\pm}0.91$) was significantly higher than that of any age group(p<0.05). GI of 20s age group in both male($0.85{\pm}0.66$) and female($0.67{\pm}0.60$) was significantly lower and GI of 60s age group in both male($1.37{\pm}0.60$) and female($1.44{\pm}0.84$) was higher than that of any age group(p<0.05). PDI in male was the lowest in 20s age group($0.70{\pm}0.73$), and was the highest in 60s age group($4.93{\pm}1.96$) (p<0.05). In female PDI of 20s age group($0.71{\pm}0.74$) was significantly lower than that of any age group(p<0.05). In male PBI of 20s age group($0.38{\pm}0.31$) was significantly lower than that of any age group(p<0.001). PBI in female was the lowest in 20s age group($0.35{\pm}0.30$) (p<0.001), and was the highest in 60s age group($1.09{\pm}0.76$) (p<0.05). The data insist that all the young populations of 20s age group should be interested in routine check for early diagnosis and prevention of periodontal disease, and a special education program of periodontal health care for young generation must be prepared, and the periodic recall check system for periodontal examination of middle age group must be supported by government.

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중년층의 일반적 특성에 따른 치매정책인식, 치매지식, 치매태도 및 치매예방행위 차이분석 (Analysis of the Difference between Dementia Policy Perception, Dementia Knowledge, Dementia Attitude and Dementia Prevention Behavior according to the General Characteristics of Middle-aged)

  • 최희정;김지숙
    • 문화기술의 융합
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    • 제6권3호
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    • pp.125-133
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    • 2020
  • 본 연구는 중년층의 일반적 특성에 따른 치매정책인식, 치매지식, 치매태도 및 치매예방행위 차이분석을 위한 것이다. D시와 G시에 거주하는 40세에서 64세까지 중년층 217명을 대상으로 하였고, 구조화된 설문지로 자가설문조사를 수행하였다. 연구결과 대상자의 치매정책인식 정도는 75.42±8.52, 치매지식은 8.71±1.90, 치매태도는 28.55±5.10, 치매예방행위는 27.04±3.35이었다. 대상자의 일반적 특성에 따른 치매정책인식은 유의한 차이가 없었고, 치매지식은 성별, 질환 수, 치매정보 원천에서 유의한 차이가 있었으며, 치매태도는 성별, 나이, 학력, 가족 중 치매, 치매가족 동거, 직업상태, 조기검진, 치매정보 원천에서 유의한 차이가 있었다. 또한 치매예방행위는 치매가족 동거, 조기검진에서 유의한 차이가 있었다. 치매예방행위의 세부항목 순위는 '당신은 담배를 피우십니까?(역문항)'가 가장 높았고, '당신은 평상시 혈압이나 당뇨관리 등 질환관리를 하십니까?'는 가장 낮은 것으로 나타났다. 따라서 중년층의 치매정책인식을 높이고 올바른 치매지식, 긍정적 치매태도를 형성할 수 있는 전문적이고 체계적인 치매교육 프로그램 개발과 인지활동, 사회활동, 올바른 식생활 습관, 건강관리 등을 형성 및 유지할 수 있는 맞춤형 치매예방행위 프로그램 개발이 필요하다.

자원봉사자가 경험한 저소득층 복지시설 거주노인의 문제행동 (Elderly Residents' Behavior Problems as Experienced by Volunteers Working in Low-Income Welfare Facilities)

  • 이인수
    • 가정과삶의질연구
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    • 제25권1호
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    • pp.127-144
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    • 2007
  • This study was conducted for the purpose of analyzing volunteer workers' perceptions of and attitudes toward the behavior problems of the elderly residents after caring for the residents voluntarily at low-income nursing homes. Eleven male and female volunteers ranging from age 19 to 52 were asked how they felt about the elderly residents' behavior problems and what kind of behavioral problems they had experienced after doing volunteer works in the three chosen facilities. In particular, they were expected to explain what emotional changes they experienced during their volunteer service. In this study, it was observed that most of the elderly subjects experienced three categories of behavior problems: habitual, repetitious and unreasonable activities caused by the elderly residents' life span backgrounds, unexpected and/or abrupt behaviors resulting from gradual cognitive impairments, and physiological, awkward activities caused from gradual senility. The volunteers tend to believe that the elderly residents are naturally expected to act positively, since they have been provided with well- planned, regular care services such as bathing, counseling, activity programs, and religious guidances. On the other hand, some respondents stated that their experiences at the nursing homes caused them to form negative images of the elderly; they feel that the elderly are not helpful for giving advices on critical decisions, guiding and encouraging their daily lives, and offering any positive influences toward their own lives. Rather, they find themselves getting too much stressed as a result of their intimate contacts with demented or senile residents. Overall, in this study, it is proposed that education for confronting sudden abrupt behavior problems should be intensified more for female volunteers, since they tend to be more susceptible to emotional harassment resulting from the problem behaviors. It is also proposed that young volunteers who have not been systematically trained for confronting aggressive behaviors need to be separately assigned their roles in order to minimize the potential of confronting unseemly situations resulting from male residents whose mental health has deteriorated. Furthermore, it is also suggested that the combination of leisure-related activities for healthy residents and stressful intimate services for the frail residents be systematically planned and implanted for the volunteer program so that the volunteers can lessen the chances of suddenly finding themselves confronted with extremely abrupt agitations.

대학생의 성교육 효과측정을 위한 기초 연구 (A preliminary study for the evaluation of the effects of sex education program on college students)

  • 장순복;최연순;강희선;박소미
    • 대한간호
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    • 제36권2호
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    • pp.49-63
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    • 1997
  • This study was performed to provide preliminary data for the development of a useful instrument to measure the effect of sex education. The study was conducted with the voluntary participation of 155 college students enrolled in the course "Sexuality and Relationship" at Y university in Seoul. At the end of that course, they were asked to write freely about the change they had experienced on sexuality. All meaningful statements were elicited and classified into 7 categories; "Change of Knowledge", "Enlightenment", "Change of Attitude on Sexuality", "Buildup of Ability", "Buildup of. Identity", "Change of Emotion", "Change of Behavior:' There were significant changes in the areas of knowledge(28. 6%), enlightenment(27.4%), and attitudes(20.3%) about sexuality among these 7 categories. The Change of Knowledge category consists of 3 areas: "concretion of knowledge", "increase of information", and "correction of misunderstanding." In the category of Enlightenment, total 12 areas are included: "sex role", "erception of lack of knowledge", "importance of family", "life plan", "parent role", "value of life", "equality", "sexual autonomy", "importance of sexuality", "freedom of sexuality", "perception of sexual problem", and "meaning of love." The Attitude Change category consists of 8 areas. These are "being natural", "being progressive", "being sensitive", "being truthful", "being expressive", "being cautious", "being responsible", and "being confident". The category of Buildup of Ability includes 4 areas: "problem solving", "sex education", "relationship", and "communication". The category of Buildup of Identity includes "sexual identity", and "value of sexuality". The Emotional Change category includes 3 areas: "positive feeling", "negative feeling", and "breaking from negative feeling on sexuality". The Behavior Change category includes "sex-related behavioral change". In conclusion, up to now most researches on sex education effect measures only changes of knowledge, attitude, and behavior. But we believe the changes in "Enlightenment", "Buildup of Ability", "Buildup of Identity", "Change of Emotion", should be included in addition to knowledge, attitude, and behavior in the development of an instrument to measure the sex education effects. And the effect of sex education should measure the degree of learning of autonomy, enlightenment, and ability of behavior and so on rather than studying the simple changes in sexuality.enment", "Buildup of Ability", "Buildup of Identity", "Change of Emotion", should be included in addition to knowledge, attitude, and behavior in the development of an instrument to measure the sex education effects. And the effect of sex education should measure the degree of learning of autonomy, enlightenment, and ability of behavior and so on rather than studying the simple changes in sexuality.ng the simple changes in sexuality.

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재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인 (Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers)

  • 김남희;태영숙;최윤숙;배주희
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.188-201
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    • 2016
  • 본 연구의 목적은 재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인을 파악하기 위하여 시도된 설명적 상관관계 연구이다. B시에 소재한 3개의 재활전문병원 주 돌봄 제공자 200명에 대한 자료를 2015년 9월 1일부터 9월 30일까지 수집하여 SPSS Win 18.0 프로그램을 이용하여 분석하였다. 연구도구는 Connor-Davidson Resilience Scale, Caregiving Mastery Subscale, MOS(Medical Outcomes Study), Burden Interview(BI)를 사용하여 측정하였다. 스트레스에 가장 큰 영향을 미치는 요인은 사회적지지로 전체의 9.3%의 설명력을 보였고, 다음으로 환자를 돌봄 기간, 종교 유무, 경제적 상태, 주 돌봄 제공자 연령, 회복 탄력성, 주 돌봄 제공자 건강상태, 환자 의식상태, 환자연령을 포함하여 주 돌봄 제공자의 스트레스는 총 30%의 설명력을 나타냈다. 따라서 이러한 결과를 바탕으로 재활전문병원에 입원중인 주 돌봄 제공자의 스트레스를 감소시킬 수 있는 사회적지지 프로그램의 개발이 필요하며, 스트레스에 영향을 준 제 특성요인들을 고려하여 스트레스 중재프로그램을 개발할 필요가 있을 것이다.

종합병원 행정직원의 조직시민행동 영향요인 (Factors Affecting the Organizational Citizenship Behaviors of Administrative Hospital Staff Members)

  • 박정훈
    • 한국산학기술학회논문지
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    • 제18권12호
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    • pp.539-547
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    • 2017
  • 본 연구는 병원 행정직원의 조직기반자긍심, 직무열의가 조직시민행동에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 대상자는 B시 200병상이상 종합병원에서 행정직원으로 근무하는 200명을 대상으로 하였고, 자료 수집기간은 2017년 3월 15일에서 3월 30일까지였다. 수집된 자료는 SPSS2/WIN 22 program 으로 t-test, ANOVA, Pearson's correlation coefficient and multiple regression으로 분석하였다. 연구결과 대상자의 조직시민행동은 이직경험 유무(t=-4.260, p=.000)와 현 직장근무연수(t=3.297, p=.039)에 따라 통계적으로 유의한 차이가 있었다. 조직시민행동은 조직기반 자긍심 (r=.454, p=<.000), 직무열의에 높은 정도의 양의 상관관계((r=.595, p<.000)가 있는 것으로 나타났으며, 통계적으로 유의하였다. 조직시민행동을 설명하는 유의한 변수는 직무열의, 조직기반 자긍심, 현 직장 근무 경력 순이었고, 전체 설명력은 41%였다. 이직경험유무는 조직시민행동에 영향을 미치지 않았다. 따라서 병원행정 직원이 자신이 소속된 조직에 자긍심을 가질 수 있도록 내부마케팅이나 복리후생을 높이고, 자신의 업무가 중요한 부분이며 자신의 업무를 스스로 즐기고 자신의 업무처리에 자율성을 부여하는 등의 조직 문화를 조성하여 병원경영의 발전을 도모할 필요성이 있다.

치과 방사선 발생기의 성능평가에 관한 연구 (Study on Performance Evaluation of Dental X-ray Equipment)

  • 정재은;정재호;강희두;이종웅;나극환
    • 대한디지털의료영상학회논문지
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    • 제11권2호
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    • pp.115-119
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    • 2009
  • I think this will be valuable reference for assuring consistency and homogeneity of clarity and managing dental radiation equipment by experimentation of dental radiation equipment permanent which based on KS C IEC 61223-3-4 standard and KS C IEC 61223-2-7. Put a dental radiation generator and experiment equipment as source and film(sensor) length within 30 em, place the step-wedge above the film(sensor). Tie up tube voltage 60 kVp, tube current 7 mA and then get an each image through CCD sensor and film by changing the exposure time as 0.12sec, 0.25sec, 0.4sec. Repeat the test 5times as a same method. Measure the concentration of each stage of film image, which gained by experiment, using photometer. And the image that gained by CCD sensor, analyze the pixel value's change by using image J, which is analyzing image program provided by NIH(National Institutes of Health). In case of film, while 0.12sec and 0.25sec show regular rising pattern of density gap as exposure time's increase, 0.4sec shows low rather than 0.12sec and 0.25sec. In case of CCD sensor density test, the result shows opposite pattern of film. This makes me think that pixels of CCD's sensor can have 0~255 value but it becomes saturation if the value is over 255. The way that getting clear reception during decreasing human's exposed radiation is one of maintaining an equipment as a best condition. So we should keeping a dental radiation equipment's condition steadily through cyclic permanent test after factor examination. Even digital equipment doesn't maintain a permanent, it can maintain a clarity by post processing of image so that hard to set it as standard of permanent test. Therefore it would be more increase the accuracy that compare a film as standard image. Thus I consider it will be an important measurement to care for dental radiation equipment and warrant homogeneity, consistency of dental image's clarity through comparing pattern which is the result from factor test against cyclic permanent test.

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