• 제목/요약/키워드: History of Nursing

검색결과 475건 처리시간 0.028초

관상동맥중재술 대상자의 신체적 기능상태, 적대성향, 사회적지지에 관한 연구 (Functional Status, Hostility, and Social Support in Patients with Percutaneous Coronary Intervention)

  • 김지영;김옥수
    • 한국산학기술학회논문지
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    • 제17권8호
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    • pp.226-235
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    • 2016
  • 본 논문은 관상동맥중재술 대상자의 신체적 기능상태, 적대성향, 사회적지지의 관계를 규명하여 간호 중재 개발의 기초자료를 제공하고자 하였다. 서울시 2개 상급종합병원에서 관상동맥중재술을 받고 관리를 위해 외래에 내원한 환자 135명을 대상으로 구조화된 설문지를 이용하여 자료를 수집하였다. 신체적 기능상태는 성별(t=5.880, p<.001), 연령(F=23.620, p<.001), 교육정도(F=17.718, p<.001), 직업(t=-6.498, p<.001), 월수입(F=7.237, p<.001), 흡연여부(t=2.327, p=.025)에 따라 유의한 차이를 보였다. 적대성향은 연령(F=6.150, p=.001), 시술 후 경과기간(F=6.141, p=.001), 가족력(t=2.514, p=.013)에 따라 유의한 차이를 보였다. 사회적지지는 연령(F=2.866, p=.039), 교육정도(F=5.136, p=.002)에 따라 유의한 차이를 보였다. 신체적 기능상태는 사회적지지(r=.20, p=.025), 친구지지(r=.22, p=.010)와 각각 통계적으로 유의한 정적 상관관계가 있었으며, 적대성향(r=-.24, p=.005)과 유의한 부적 상관관계가 있는 것으로 나타났다. 적대성향은 친구지지(r=-.17, p=.046)와 유의한 부적 상관관계가 있었다. 따라서 간호사는 관상동맥중재술 대상자의 특성을 고려하고, 신체적 기능상태, 적대성향, 사회적지지를 향상시킬 수 있는 간호중재 개발할 필요가 있다.

1개 종합병원 환자의 낙상에 관한 조사 (A Study on Fall Accident)

  • 이현숙;김매자
    • 대한간호
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    • 제36권5호
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    • pp.45-62
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    • 1998
  • The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis, spss/pc+ program was utilized for descriptive statistics, adjusted standardized $X^2$-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245(59.5%) were men and 167(40.5%) were women. Age were 0-14 years 79(19.2%), 15-44 years 125(30.4%), 45-64 years 104(25.2%), over 65 years 104(25.2%). 2) There was significant association between age and the sexes ($X^2$=39.17, P=0.00). 3) There was significant association between age and history of falls ($X^2$=44.41. P= .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis ($X^2$=140.66, P= .00), chief medical diagnosis were hypertension(34), diabetis mellitus(22), arthritis(11), stroke(8), fracture(7), pulmonary tuberculosis(6), dementia(5) and cataract(5), 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives , antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness ($X^2$=2.87, P=.41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips(35.2%), trips (9.5%) and collision(4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1pm to 6pm and 7am to 12am. 9) The places of fall accident were roads(22.6%), house-stairs 06.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows(10.9%), hospital(7.5%), ice or snowy ways(5.8%), bathroom(4.9%), playground, park(4.9%), subway-stairs(4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking(37.6%), turning around or reaching for something(20.9%), going up or down stairs09.2%), exereise, working07.4%), up or down from a bed(2.7%), using wheelchair or walking aids, standing up or down from a chair(2.2%) and standing still(2.2%). 11) Anatomical locations of injuries by falls were head, face, neck(31.3%), lower extremities (29.9%). upper extremities(20.6%), spine, thorax, abdomen or pelvic contents(l1.4%) and unspecified(2.9%). 12) Types of injures were fracture(47.6%), bruises03.8%), laceration (13.3%), sprains(9.0%), headache(6.6%), abrasions(2.9%), intracranial hemorrage(2.4%) and burns(0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers(1.46%) died from fall injuries. The two fallers died from intracranial hemorrage and the four fallers died of secondary infection; pneumonia(2), sepsis(1) and cell lulitis(1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention.

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Characteristics of Patients with Surgical Closure of an Atrial Septal Defect during Infancy

  • Byeong A Yoo;Su Jin Kwon;Yu-Mi Im;Dong-Hee Kim;Eun Seok Choi;Bo Sang Kwon;Chun Soo Park;Tae-Jin Yun
    • Journal of Chest Surgery
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    • 제56권3호
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    • pp.155-161
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    • 2023
  • Background: Surgical closure of an atrial septal defect (ASD) is infrequently indicated during infancy. We evaluated the clinical characteristics and outcomes of patients who underwent surgical ASD closure during infancy. Methods: A single-center retrospective review was performed for 39 patients (19 males) who underwent surgical ASD closure during infancy between 1993 and 2020. The median body weight percentile at the time of operation was 9.3. Results: During a median follow-up of 60.9 months, 4 late deaths occurred due to chronic respiratory failure. A preoperative history of bronchopulmonary dysplasia (BPD) was the only risk factor for late mortality identified in Cox regression (hazard ratio, 3.54; 95% confidence interval [CI], 1.75-163.04; p=0.015). The 5-year survival rate was significantly lower in patients with preoperative history of BPD (97.0% vs. 50.0%, p<0.001) and preoperative ventilatory support (97.1% vs. 40.4%, p<0.001). There were significant postoperative increases in left ventricular end-diastolic (p=0.017), end-systolic (p=0.014), and stroke volume (p=0.013) indices. A generalized estimated equation model showed significantly better postoperative improvement in body weight percentiles in patients with lower weight percentiles at the time of operation (<10th percentile, p=0.01) and larger indexed ASD diameter (≥45 mm/m2, p=0.025). Conclusion: Patients with ASD necessitating surgical closure during infancy are extremely small preoperatively and remain small even after surgical closure. However, postoperative somatic growth was more prominent in smaller patients with larger defects, which may be attributable to an increase in postoperative cardiac output due to changes in ventricular septal configuration. The benefits of ASD closure in patients with BPD are undetermined.

대구지역 성인 여성의 요실금 유병률에 관한 연구 (The Prevalence of Urinary Incontinence of The Women in Daegu)

  • 박성철;고민환;이태형;윤현숙
    • Journal of Yeungnam Medical Science
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    • 제21권1호
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    • pp.60-66
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    • 2004
  • 2001년 5월에서 11월까지 영남대학교 병원 산부인과 외래를 방문한 20세 이상의 환자 중 무작위로 선택한 412명을 대상으로 설문 조사를 하였고 이를 분석하여 다음과 같은 결과를 얻었다. 1. 대구지역 여성들의 요실금 유병률 조사대상자의 평균 연령은 45.5세이었으며 유병률은 46.84%로 조사되었다. 2. 대상환자의 연령이 증가할수록 요실금의 유병률이 높게 나타났다(p=0.00001). 3. 분만횟수가 증가할수록 요실금의 유병률이 증가하였다(p=0.007). 4. 제왕절개술에 비하여 질식분만시 요실금의 유병률이 높게 나타났다(p=0.001). 5. BMI, 유산, 폐경, 호르몬 요법, 당뇨병, 갑상선 질환, 만성 호흡기 질환은 요실금과 유의한 관계가 없는 것으로 나타났다(p=0.117, p=0.145, p=0.546, p=0.256, p=0.241, p=0.343, p=0.185).

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가임기 여성의 유방암 검진행위 영향요인 (Factors Affecting Breast Cancer Screening Behavior among Women of Childbearing Age)

  • 단현주;정희자
    • 문화기술의 융합
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    • 제8권2호
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    • pp.265-272
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    • 2022
  • 본 연구는 가임기 여성의 유방암 검진행위 영향요인을 규명하기 위해 시행된 서술적 조사연구이다. 연구대상자는 19-40세의 가임기 여성 2,000명으로, 자료수집은 2020년 9월부터 2021년 8월까지 온라인 및 모바일로 설문조사로 진행되었다. 유방암 검진행위 영향요인을 규명하기 위해 시행된 다중 순서형 로지스틱 회귀분석 결과, 나이가 20-29세 (OR=.2.145, CI=1.219-3.777), 30세 이상(OR=5.663, CI=2.784-11.521), 연소득이 1000만원 미만(OR=1.606, CI=1.070-2.413), 3,000만원 이상(OR=2.422, CI=1.550-3.785), 유방암 가족력(OR=2.421, CI=1.154-5.080), 난소암 가족력(OR=4.321, CI=1.382-13.516), 주관적 건강상태 인식이 '보통'(OR=1.466, CI=1.064-2.020), '건강하지 않음'(OR=1.854, CI=1.188-2.895)인 경우 가임기 여성의 유방암 검진행위가 증가한 것으로 나타났다. 따라서 본 연구를 바탕으로 가임기의 젊은 여성군의 유방암 검진행위를 강화시킬 수 있는 방안이 마련되어야 할 것으로 생각된다.

농촌지역 노인에서 대사증후군 위험인자의 2년 후 변화 (Changes of Risk factors of Metabolic Syndrome among the Elderly in the Rural Area after Two Years)

  • 오숙희;김하정;손석준;심정신
    • 농촌의학ㆍ지역보건
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    • 제35권1호
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    • pp.36-45
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    • 2010
  • 대사증후군으로 확진된 65세 이상 농촌지역 노인의 2년 후 대사증후군 위험인자와 건강생활습관행태의 변화를 보고자 2006년 7월 1일부터 8월31일까지 J군 보건소에서 건강검진을 받았던 134명 중에서 대사증후군에 해당된 65명을 선정하여 이 가운데 2년 후 재방문한 62명의 노인을 최종분석 대상으로 하였다. 본 연구 결과 2006년 대사증후군 62명이 2008년에는 53명으로 감소되어 대사증후군 유병률은 전체적으로 14.5%가 감소하였다. 2년 동안 대상자의 대사증후군 변화 양상을 보면 1차 조사 시 비정상 기준치에서 2차 조사 시 정상으로 변화된 대상자는 허리둘레 8.1%, 수축기혈압 6.5%, 공복혈당 4.8%, 총콜레스테롤 3.2%, 이완기혈압 1.5%순이었다. 이에 반해 2년 전 정상 기준치이었으나 2년 후 비정상 기준치를 보인 대상자는 공복혈당6.4%, 허리둘레 4.8%, 총콜레스테롤 1.6% 순이었다. 교육수준($X^2$=12.691, p=.002), 흡연($X^2$=9.074, p=.001), 운동습관($X^2$=8.880, p=.012), 과거병력($X^2$=7.669, p=.010)에 따라 대사증후군의 차이가 있는 것으로 나타났다. 따라서 대사증후군 예방을 위해서는 향후 교육수준이 낮은 그룹의 행동위험인자를 규명할 것을 제안하며, 대상자의 학력수준별 맞춤식 교육 및 상담이 필요할 것으로 판단된다. 또한 흡연군, 비운동군, 과거병력이 있는 군에게 집중적으로 대사증후군 예방을 위한 정기검진을 강화하고, 스스로 관심을 갖도록 교육과 개별상담이 필요할 것으로 여겨진다.

보건진료원 직무수행에 영향을 미치는 요인에 관한 연구 - 경기도 관내 보건진료원을 중심으로 - (A Study on the Factors which influenced the Performance of Community Health Practitioners' Function -Around the CHPs in Kyonggi-province Area-)

  • 이명숙
    • 한국보건간호학회지
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    • 제3권1호
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    • pp.18-37
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    • 1989
  • This study was done in order to analyze the factors which influenced the performance level of community health practitioners' task. Interview survey was done during the period from August to October, 1986. Interviewee were 166 CHPs among total of 217 CHPs in Kyonggi province area. Multiple stepwise regression and canonical correlation analysis were used to identify major factors influenced to perform community health practitioners' task. The results of this study were summarized as follows: 1. General characteristics of CHPs 1) Personal characteristics The average age of CHPs was 37.8 years and their marital status was $77.6\%$ of married, educational back-ground was $65.3\%$ of junior college graduation. Their job career was $38.6\%$ of between 1-3 years, $33.3\%$ of between 3-5 years, $22.2\%$ of less than 1 years. Most of CHPs$(62.8\%)$ were fully satisfied with their job, $33.3\%$ were moderately, and $3.8\%$ were not satisfied. 2) Working environmental condition Only $31.7%$ of CHPs were satisfied with their working condition of primary health post, $26.6\%$ were not satisfied. Half of CHPs$(52.5\%)$ replied having good cooperation with health center, $10.1\%$ replied bad. Cooperation with health subcenter was good in $32.9\%$, and bad in $21.9%$. Cooperation with private health institutions was good in $34.2\%$, bad in $21.6%$. 2. Performance level of community health practitioners' task Among a total of 52 contents of their functions medical history taking. physical examination, referral of diagnostic laboratory work-up($(86.4\%)$, health assessment of pregnant women$(82.1\%)$, development of health information system$(79.4\%)$, supervision of health workers $(78.4\%)$, follow-up of family planning acceptors$(77.3\%)$, and follow-up of family planning acceptors' side effects$(77.3\%)$ were actively performed. Diagnosis of pregnancy$(62.1\%)$, sampling of drinking water for quality test$(52.5\%)$, making list of equipment' & supplies $(51.5\%)$, evaluation of primary health post activities $(37.6\%)$, organization of village health workers$(32.4\%)$ and management of village health workers $(30.1\%)$ were poorly performed. 3. Stepwise multiple regression analysis of job function The factors which influenced the performance level of community health practitioners' function were age, marital status, educational level, job career, job satisfaction, satisfaction of working environment of primary health post, cooperation of health center, cooperation of health center, cooperation of private health instiutions in orders. These 9 variables were able to explain job function from $25.7\%$ of program planning to $6.7\%$ of management of common disease. 4. Canonical correlation analysis between the performance of function and general characteristics of CHPs. Cooperation of private health institutions was found to be the factor influencing task performance of community organization, management of primary health post, technical supervision of health personnels. Job satisfaction of CHPs was also found to be the factor influencing task performance of family planning, management of common disease and maintenance of health information system.

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연희 영세지역 주민의 먹는 피임약 복용상태에 관한 조사연구 (A Study of the Use of Oral Contraceptive Among Women Rescinding in the Yonhee Dong Blum Area)

  • 최인숙
    • 대한간호학회지
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    • 제4권1호
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    • pp.121-134
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    • 1974
  • This study is an attempt to evaluate the use of an oral contraceptive by: 1. Deforming the acceptance rate of the oral contraceptive according to socio-demographic characteristics 5. Estimating the duration of the use of the contraceptive f. Discovering reasons why the contraceptive was discontinued 4. Computing the cumulative continuation and discontinuation rate according to socio-demographic characteristics, history of pregnancies, and attitude of husband at the time of selection of the contraceptive. One hundred sixty-eight women of child bearing age (14-49 years), residing in Yonhee Dong, Seoul, Korea and registered as oral contraceptive accepters at Yonsei Community Health Center, were interviewed during a three week period in 1973. The questionnaire was designed to determine the socio-demographic characteristics of the oral contraceptive accepters, the current status of their family planning practice, medical reactions if any, discontinuation practice, and the duration of the use of the contraceptive. The major findings of the study were as follows; 1. The acceptance rate was highest for women between 30 and 34 years of age, the mean age being 34.4 years. 2. Fifty six point five percent of all respondents said that thirty years of age was the ideal age to stop having children. 3. The average number of living children was 3.5 and fifty four point eight percent of respondents felt 2 boys and I girl was the ideal number of children. 4. The average number of pregnancies was 5.2 and the average number of induced abortion was I. 4. 5. Fifty eight point eight percent of the respondents had experience in the use of contraceptive methods in the past. 6. Forty one point seven percent of the respondents replied that they chose the oral contraceptive because, "it was not complicated to use." 7. Sixty four point eight percent of the women said their husband approved of their taking the pill. 8. The cumulative discontinuation rate was sixty point five percent of the total respondents for one year in first segment. 9. Sixty six point nine percent of the respondents had experienced side-effect while using the pill. The side effects for 68.9 percent of these women were castro-intestinal upsets. Twenty point eight percent of the women who had side effects consulted with medical personnel about them. Women who had more education had more side effects. 10. Seventy three point two percent of the women who discontinued the pill did so because of medical reasons. Women who were younger discontinued the pill for personal reasons more-often than older women. Among personal reasons listed for discontinuing the pill was the attitude of the husband. 11. The average duration of continuance of the contraceptive was 5.3 cycles under 29 years of age; 7.4 cycles between 30 and 34 years of age; and 8.4 cycles over 40 years of age. 12. The discontinuation rate was seem to increase sharply in the early cycle and increase more slowly in later cycle. Conclusions and suggestions: Since the attitude of the husband was shown to be important, the current family planning program should be expended to include approach to husband. For women who must use the oral contraceptive, education and support must be enhanced so that the discontinuation rate due to side effects will be decreased.

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수술환자의 진통제 사용 및 회복에 관한 연구 (Study on Use of Analgesics and Recovery Operation)

  • 장윤희;이은옥
    • 대한간호학회지
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    • 제2권1호
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    • pp.49-61
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    • 1971
  • The purpose of this study is to observe the administering of analgesics and sedatives to cases of surgery, the influence of the patients'situational variables on the use of these drugs, and the required number of recovery days in relation to the patients'situational variables and general conditions. Fifty patients in the age range of 15 through 65 who had undergone general surgery at Seoul national University Hospital. Woo Sok University Hospital and Koryo Hospital between May and August of 1971 were chosen for this study. They were observed with regard to the frequency of postoperative uses of analgesics and sedatives age, the required period of recovery in comparison with the situational variables of patients such as sex, age, marital status, the type and duration of anesthesia, experience of previous operation, history of other diseases, preoperative period of hospitalizations and the general conditions of patients such as sleep, stomach condition, bowel condition, urination, interest in surroundings, strength and energy, self-assistance and appetite. The study results were reviewed in a statistical method to obtain the following findings: 1. There was a significant decrease in the frequency of analgesic uses according to the number of days passed after operation. 2. The mean postoperative recovery days were 5.31 days and mote than half of the patients have never used analgesics until recovery. 3. There was a significant decrease in the frequency of sedative uses according to the number of days passed after operation. 4. The rank-order correlation between the frequency of analgesic use and that of sedative use following surgery observes in relation to the number of postoperative days was a low and negative one. 5. All of the patients except one hate used sedatives only once a day for the whole recovery period. 6. The longer they stayed in the hospital before surgery, the less have they used analgesics after surgery. 7. There were significant differences in use of analgesics after surgery by age groups; the 25-44 age group used more analgesics than the 15-24 and 45-65 age groups. 8. There were no significant differences in use of analgesics after surgery by all situational variables except the number of days of hospitalization and age. 9. The longer they stayed in the hospital before surgery, the earlier have they recovered from the surgery. 10. There were no significant differences in the number of required recovery days by all situational variables except the length of preoperative hospitalization. 11. There were no significant differences in the number of required postoperative recordedly days by the general conditions of patients.

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보건관리자의 직능별 직업 및 조직 헌신도에 대한 비교 연구 (A Comparative Study on the Commitment of Health Manager Between Industrial Health Nurse and Industrial Hygienist)

  • 이경용;이기범;;조영숙
    • 한국직업건강간호학회지
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    • 제7권1호
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    • pp.65-82
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    • 1998
  • This study was carried out in order to confirm the reliability and validity of the commitment inventory developed by Meyer and Allen, and to investigate commitment level of health manager, to compare two different professionals of health manager such as industrial health nurse and industrial hygienist to find out some characteristics that have effect on commitment. This survey was done by self-administered questionnaire to 227 respondents as the trainees of Industrial Safety Training Center, KISCO from June to December 1996. Authors classified commitment into two categories ; professional commitment and organizational commitment, and these two types of commitments have three different aspects ; affective, continuance, and normative commitment based on Meyer's inventory. The results were as follows; 1. Items of whole scales of the both type of commitments have three factors that represent three aspects of commitment ; affective, continuance, and normative commitment. This means that each type of commitment was reliable to use as measurement tool of three different aspects of commitment. Classification of items by factor analysis was more consistent in professional commitment than organizational commitment. Among 16 items of organizational commitment, four items were classified into different aspects of commitment with similar factor loading. 2. Commitment level of industrial health nurse was higher than that of industrial hygienist in affective, continuance professional commitment controlled by other characteristics. These differences can be due to other characteristics of specific task and background of health managers that were not used in this study. 3. The level of affective professional commitment was statistically different in age, sex, educational level, and that of organizational commitment was statistically different in only two variables such as age, and job tenure. The level of continuance professional and organizational commitments were different in sex group, but past history of employment have effect on continuance organizational commitment. The level of normative organizational commitment was affected by only age. As the above results, the tools of measurement of commitment developed by Meyer and Allen can be useful to measure the level of commitment of health manager. Three aspects of two types of commitments were influenced by different characteristics of health manager. Authors suggested future study on the affecting variables to the commitment such as background, task of health manager and organizational characteristics.

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