• 보건의료산업학회지
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• 제5권4호
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• pp.127-136
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• 2011

The improving in physical activity of Disability elder is the most important and effective way of prevent and treatment. Especially, It improves ADL(Activities Daily of Living) by decreasing restrictive function and dependence. This study was researched on change by comparing before and after about ADL of Women elders who were instructed self rehabilitation exercise in bedside and have been take that. The whole subjects are 92 persons. Elders aged 65 to 69 are 32 persons. elders aged 70 to 74 are 22 persons 38 persons are over the age of 75. This study shows that the whole subjects have been improved ADL. especially, "Take a bath" in detail items of ADL comes to the most improvement rate. Next, "Sit to stand on the bed and transfer" comes to the second highest rate. According to findings upon the age group. "Take a bath" is also the highest improvement rate. Elders aged 60 to 65 show "Sit to stand on the bed and transfer" is the second highest rate of improvement" and elders aged 70 to 74 show that "control urine" is the second highest rate of improvement. and elders over the age of 75 shows that "sit to stand on the bed and transfer" is the second highest rate of improvement. This study have some problems on having possibilities of results because hospitalized persons have answered imperfect statement and being compare progressed for short term with rehabilitation exercise. so, There are some causes that is early to be generalized.

• 보건의료산업학회지
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• 제5권4호
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• pp.137-147
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• 2011

본 연구는 일부지역 장애아동 양육자의 정신과적 문제를 알아보기 위해 우울증 지수를 검사하고 분석함으로서 그 심각성을 확인하고 장애아동 양육자의 정신보건의 필요성을 알리기 위한 기초자료를 제공하는 데 목적이 있다. 본 연구는 2011년 8월부터 9월까지 경주 및 인근지역에서 지적장애아동과 지체장애아동을 둔 전업주부의 정신과적 문제를 알아보기 위해 양육 스트레스로 인한 우울증 정도를 알아보았다. 연구대상자는 3개의 치료기관 및 치료 관련기관에서 지적장애 또는 지체장애 아동을 양육하고 있는 부모 각 20명씩을 대상으로 하였다. 우울증 평가도구는 한국형 우울증 검사(Korean Depression Scale; KDS)를 이용하였다. 결과는 첫째, 지적장애아동과 지체장애아동 양육자 모두 우울증이 있는 것으로 나타났고 각각의 차이 비교에는 유의성이 없었다. 둘째, 지적장애아동과 지체장애아동 양육자의 우울증 세부항목에서는 의욕상실 부분에서만 유의성이 있었다. 셋째, 지적장애아동 양육자의 우울증 세부항목간의 비교에서는 유의성이 있었다. 넷째, 지체장애아동 양육자의 우울증 세부항목간의 비교에서는 유의성이 있었다. 다섯째, 지적장애아동 양육자의 우울증과 세부항목의 상관관계에서는 의욕상실에서 유의한 상관성이 있었다. 여섯째, 지체장애아동 양육자의 우울증과 세부항목의 상관관계에서는 의욕상실에서 유의한 상관성이 있었다. 본 연구에서는 두 장애아동의 양육자간 차이는 없었으며 우울증은 장애유형에 상관없이 모두 나타났다. 그리고 세부항목과 우울증의 상관성에서는 의욕상실에서 유의한 상관성을 보였다. 이것은 장애아동의 양육에서 치료의 지연으로 인한 의욕상실에서 우울증이 많이 유발됨을 알 수 있다.

• 보건의료산업학회지
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• 제5권4호
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• pp.113-126
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• 2011

The purposes of this study were to investigate nursing students' Knowledge, attitudes and behavior toward the elderly and to identify the predictors of nursing student's knowledge, attitudes and behavior toward the elderly. The data were collected from 513 nursing students enrolled in ADN(Associate Degree in Nursing) program in Daegu by using structured questionnaire. The research producted following results: 1) The average score of the participants' knowledge of the elderly was $12.3{\pm}2.7$ out of 25. The average attitude score was $86{\pm}11.7$ out of 140. This score was classified as a neural range. The average behavior score was $57.5{\pm}6.9$ out of 68. 2) Among general characteristic of the participants level of knowledge was statistically significant for age, religion, educational level. 3) Participants' knowledge toward the elderly was difference significantly present not living conditions, the degree of preference for offering the nursing care of the elderly. 4) Participants' attitude toward the elderly were statistically the significant difference in the degree of the familiar interaction with the elderly, the interest in the elderly and problems of the aged. 5) Participants' behavior toward the elderly were statistically the significant difference in the degree of a current relationship with the elderly, the familiar interaction with the elderly. 6) The correlation, coefficients of participants' knowledge, attitude and behavior toward the elderly were positively correlated. In conclusion, It is necessary to develop a program for continuous teaching and education that will help increase student nurse's knowledge of the elderly and thereby positively change attitude and behavior toward the elderly.

• 보건의료산업학회지
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• 제6권1호
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• pp.117-128
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• 2012

This study purports to investigate the difference between upward and downward feedback and to find out the strategy to enhance the validity and reliability of the multi-source feedback system. Data were collected from 88 middle-level managers working at divisions of nursing, administration, and clinical technology at a university hospital located in north-eastern part of South Korea. Data about multi-source feedback of the year 2008 and 2009 were obtained from the department of personnel management under the permission of hospital top management. The collected data were analyzed using t-test, and correlation analysis. The major findings of the study were as follows: First, the scores of downward feedback were always higher than those of the upward feedback. Second, the scores of downward feedback were always higher than those of the upward feedback in both nursing and administrative staff, while no significant difference was found in technological staff. Third, the upward and downward feedback scores were significantly different in terms of the evaluation factors. Fourth, there were significant correlations between total scores of downward and upward feedback, and evaluation factor scores. In conclusion, the composition and weight of measurement items of multi-source feedback needs to be designed differently in terms of each job characteristics.

• 보건의료산업학회지
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• 제6권1호
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• pp.105-116
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• 2012

Some radiology majors at three-year colleges in Daegu and Gyeongsangbuk-Do Province were selected for the research. The survey was conducted by explaining its objectives and distributing the self-administered questionnaires from March 7 to 30, 2011; then, the final analysis was carried out on 122 copies, drawing the following conclusions : 1) 31.1% of the radiology majors were motivated to enter their department by good employment after graduation, and 37.7% were getting information from their parents or relatives in selecting their major. 2) The majority of the respondents wanted to get a job in a big city after graduation on the basis of good pay. 3) Department selection was significantly affected by transportation, department and school image, and school facilities, and the effects were higher among females. 4) Department satisfaction was significantly affected by professor satisfaction, prospects for the department, and support for employment activities, and the effects were higher among females. 5) School satisfaction was significantly affected by satisfaction with school selection decision, good selection, and school environment, and the effects were higher among females. 6) Females were found to have higher professional consciousness as a radiologist, showing statistically significant differences: "the occupation as a radiologist will continue to be developed" at $3.97{\pm}.837$ for males and at $4.55{\pm}.663$ for females and "the occupation as a radiologist is stable and will be help get a life-long job" at $3.82{\pm}.9.08$ for males and at $4.41{\pm}.787$ for females.

• 보건의료산업학회지
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• 제6권1호
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• pp.87-103
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• 2012

The purpose of this study is to investigate the determinants of intent to leave among workers at long-term care institutions in South Korea. The model represents a revision of the Price(2001) model which extends previous research by providing a comprehensive review of the economic, psychological, sociological literature. This study also examined the moderating effects of values toward independent variables on the job satisfaction and organizational commitment. The sample used in this study consisted of 400 workers from 9 long-term care hospitals and facilities nationwide. Data were collected with self-administered questionnaires and analysed using multiple regression analysis and path analysis. The main results of the study were as follows. The variance of job satisfaction and organizational commitment explained by the independent variables used in the study are 74.5% and 76.3% respectively. The results of this study revealed that the following variables have significant negative effects on intent to leave among workers; organizational commitment, job satisfaction, positive affectivity, supervisor support, job significance, job security, job growth. And the following variables have significant positive effects on intent to leave among workers; job opportunity, negative affectivity. This result is same when the moderating role of values were considered in the analysis. Among demographic variables, only age was found to have a significant positive effect on the intent to leave among workers.

• 보건의료산업학회지
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• 제6권1호
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• pp.39-51
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• 2012

The purpose of this study is to provide a set of fundamental data for the oral hygiene education for the elderly as a result of the survey on the oral hygiene and subjective oral health of the elderly in an aged society. For this purpose, 269 elders who dwelled in Gyeongsangbuk-do region were randomly selected in an arbitrary selection process, followed by a survey on their oral hygiene and health. The collected data were coded and processed by using SPSS 15.0 software. As for the analysis of the data, the general characteristics and the basic items concerning the management of the oral health were analyzed for their frequency and percentages, while the general characteristics and the awareness on the oral health were processed with Chi-square validation to show a set of results as follows; Firstly, among the items on the oral health, the satisfaction on the current condition of their oral health was below average. Secondly, concerning the oral hygienic behaviors, the majority of the samples answered that they were brushing their teeth twice a day. And, as for the brushing methods, the largest number of the samples answered that they were brushing their teeth in a 'horizontal direction'. Thirdly, they reported they were having difficulties in getting dental treatments. The implications of this study are that it is necessary to provide sound oral health education to them to correct the inappropriate oral hygienic behaviors.

• 보건의료산업학회지
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• 제6권1호
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• pp.27-38
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• 2012

This study is to find out the correlation among the predisposing, enabling, and need factors in Anderson Behavioral Model using the data from Korea Medical Panel Survey conducted in the early part (April 1 - October 31) of 2008. The findings are as follows. It was found that the utilization rate of western medical service was far higher. the influential factor to choose western or oriental medical service taking western medical institutions as the reference group, the influential factor to choose oriental medical institution has significantly increased when the patient who have covered by medical insurance has one accompanied disease and their age was between 45 - 74, compared to the people less than 45 years old. It also increased when the age of the patient was between 45-54 years old, and in the event those who are not covered by medical insurance have accompanied disease and that the disease mobility period is 2-4 years. reviewing the several characteristics of the utilization of western and oriental medical services by the patient with musculoskeletal system disorders, the number of accompanied disease is an influential factor for the utilization of oriental medical services. And, disease mobility period is a significant factor for the utilization of both western and oriental medical services together, though it is not identified in this study. Therefore, it is expected that mutual cooperation between western and oriental medical services is more required for the patient with musculoskeletal system disorders as the aging society rapidly develops. In order to foster oriental medicine, it is required to specialize in competitive disease such as musculoskeletal system disorders.

• 보건의료산업학회지
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• 제6권1호
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• pp.15-25
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• 2012

The purpose of this study is to examine relations among the subjective oral symptoms, masticatory performance and life quality of aged people residing in some regions of a large city, ultimately providing basic information needed to develop and implement programs oral health project and oral health education programs for the oral health promotion of those people. For the above purpose, this researcher conducted a questionnaire survey of people aged 65 or over from July 14th to 30th, 2011. Among the copies of the questionnaire distributed to the subjects, 318 were recollected. Out the recollected forms, 18 which were deemed as in appropriately filled in were excluded, and the remaining 300 were finally analyzed. The results are as follows. Subjective oral symptoms and masticatory performance have correlation(p<0.001) with aged people's life quality. Factors of influencing life quality were indicated to be gender(p=0.046), age(p=0.008), appearance of living together(<0.001), masticatory performance(p<0.001), and temperature reaction(p=0.018). This study has limitation because of being information that was obtained just with questionnaire survey on subjective oral symptoms. It is considered that there is a need of surveying along with objective data on oral symptoms hereafter.

• 보건의료산업학회지
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• 제9권2호
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• pp.89-102
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• 2015

Patients unable to speak are at higher risk for untreated pain. Use of valid behavioral and physiologic measures for pain is highly recommended for uncommunicative patients. This study was performed to compare the reliability and validity of NVPS-K and CPOT-K for pain assessment of nonverbal patients. This study was conducted from July to November 2011. A total of 29 nonverbal adult patients admitted to a university hospital intensive care unit participated in this study. Interrater reliability of the NVPS-K and CPOT-K had intermediate to high intraclass correlation coefficients (NVPS-K 0.680 ~ 0.921, CPOT-K 0.710 ~ 0.896). Discriminant validity was supported with higher instrument scores during turning and endotracheal suctioning than that of NIBP. For criterion validity, the NVPS-K scores were correlated to the self-reported pain of the patients but not the CPOT-K scores. The areas under the ROC curve for the NVPS-K and CPOT-K were 0.748 and 0.696 with cutoff points of 1 and 2, respectively. Thus, the NVPS-K and CPOT-K had a sensitivity and specificity of 94.7% and 45.0%, and 60.5% and 75.0%, respectively. The NVPS-K and CPOT-K are reliable and valid tools to assess pain in nonverbal patient and thus, are recommended for the assessment of the pain in nonverbal patients.