• 부모자녀건강학회지
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• 제11권1호
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• pp.49-60
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• 2008

This is an underlying study for expanding child growth and developmental screening program, which had been implemented as a part of maternal child health service in a certain public health center located in P City. This study attempted to develop system model to discover, consult and follow-up developmental disabilities in children in early stage. For the purpose of providing groundwork for further development of screening program, the system model was analyzed and evaluated. One of the focuses of this study was developing practical tool that can aid small number staffs of public health center to handle large number of patients. 9 types of developmental checklist by key month was developed to support understaffed public health center. These checklists were also supplied to other public health centers, greatly improving qualitative and quantitative development of screening project. Also, the 4-step program of operating and managing child growth and developmental screening was proved to be quite effective. Total 632 children were evaluated and 21 of them were suspected to have developmental problem. Among these children, 8 children were determined to receive regular supervision of public health center. Other 13 children were recommended to visit professional institution, but only 7 of them actually visited institution. Four of these children who visited professional institution are currently receiving treatment, while the other 3 children were determined to require close observation. Five times of screening education were provided to the staffs in public health center and personnel in charge of children in every district public center in P City. The purpose of this training was to improve individuals' capability to implement project and to establish basis for expanding child growth and developmental screening program. The participants were guided to have continuous attention for the project, and their knowledge, skill and recognition were greatly improved through educational training. Also, professional child consulting and education, including lecture for baby food and baby food menu exhibition, were given to parents. Through this opportunity, parents acquired higher understanding about baby food while the local residents' recognition for maternal child health service was greatly improved.

• 디지털융복합연구
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• 제13권7호
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• pp.381-391
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• 2015

현대사회에서 개인들은 건강에 대한 내적 생각을 수동적 형태에서 역동적, 적극적 상태로 생각의 전황을 이루고 있다. 이에 웰니스(wellness)에 대한 관심이 매우 높아지고 있다. 하지만 웰니스에 대한 연구는 개인의 웰니스 상태를 측정하는 지수(index)개발 정도로 한정되어 왔다. 이에 본 연구에서는 웰니스의 주요 구성요소인 신체적, 정서적, 인지적, 사회적, 직업적 웰니스가 직장인들의 웰니스 상태에 어떤 영향을 미치는지 실증적으로 검증하였다. 총 494명으로부터 수집된 자료로 Partial Least Square(PLS) 접근방법을 사용하여 분석하였다. 연구결과 총 5가지 웰니스 구성요소 모두 웰니스 상태에 중요한 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 웰니스 융복합 시스템을 개발하는데 필요한 이론적, 실무적 시사점을 제시하였다.

• 디지털융복합연구
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• 제15권12호
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• pp.1-11
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• 2017

본 연구의 목적은 대학생의 성지식 및 성태도와 생식건강 증진 행위 간의 관계를 파악하고, 성지식가 생식건강 증진 행위에 미치는 영향을 분석하는 것이었다. 연구방법은 서술적 조사연구로서 연구대상은 4년제 대학생 357명이었으며, 연구도구는 성 지식, 성 태도 및 생식건강 증진 행위를 측정하는 구조화된 설문지를 이용하였다. 연구결과, 첫째, 대학생의 성지식은 생식건강 증진 행위와 유의한 정적 상관관계가 있었으며, 성태도와 생식건강 증진 행위 간에는 어떠한 관계도 없는 것으로 나타났다. 둘째, 대학생의 성지식은 생식건강 증진 행위에 유의한 영향을 미쳤으며, 12.0%를 설명하였다. 결론적으로 대학생의 건전한 생식건강 증진 행위의 실천을 높이기 위해 대학교육과정을 통한 체계적이고 실제적인 교육프로그램의 개발 및 적용이 필요하다는 것을 제안한다. 본 연구결과는 대학생의 생식건강 증진 행위의 중재 프로그램 개발에 기초자료로 활용될 수 있을 것이다.

• 한국병원경영학회지
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• 제25권3호
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• pp.29-37
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• 2020

Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features. Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis. Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups. Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.

• 부모자녀건강학회지
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• 제4권2호
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• pp.1-15
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• 2002

The purpose of this study is to identify the characteristics and influencing factors of the attachment-oriented caretaking behaviors among the mothers with infants. The total number of 204 mothers participated in this survey as subjects. They all were breast-feeding mothers who had their infants joining in the semi-final round of a healthy breast-feeding infant contest. The data were collected from July 14, 1999 to May 19, 2000. And the data were analyzed by SPSSWIN 10.0 version. The result of this study was as follows ; 1. The mean ages of the subjects were 29.5 and 95.6 percents of them were no-job housewives. 57.8% of them were normal delivery. And the mean months of the infants were 6.2 and the male infants were 57.4%. The first born babies were 62.3%. 2. The mothers are affirmative enough with their attachment-oriented caretaking behaviors (the total mean was $3.58{\pm}.631$). In general, the mothers showed very attachment-oriented caretaking behaviors, but the points that indicated "recording the development characteristics of the infant and discussing them with husband" were very low(score $2.79{\pm}.982$). 3. There are Significant differences in caretaking behaviors of the mothers according to their ages(F=3.497, p=.017), the degree of morning sickness(F=2.633, p=.050) and the birth order of their infants(F=4.854, p=.003). The older mothers and mothers who experienced the less morning sickness showed the higher scores of the attachment-oriented behaviors. The mothers who experienced the more deliveries showed the higher scores of the attachment-oriented behaviors. Accordingly, the above result suggests that the systematic and practical nursing intervention to encourage the attachment-oriented behaviors is essential to the younger, primipara mother.

• 한국병원경영학회지
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• 제22권4호
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• pp.74-86
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• 2017

Purposes: This study was performed to understand the recognition about accreditation motives, support within the hospital and accreditation survey process for the hospitals that participated in the accreditation program and to find out whether these factors are related to hospital management performances, so that the study can suggest plans for activation and development of the accreditation program. Methodology: This study was performed targeting 98 hospitals answered th the survey among 189 acute care hospitals that acquired accreditation from December 2010 to February 2014. For data analysis, frequency analysis, ${\chi}^2$-test, reliability analysis, ANOVA, Kruskal-Wallis H test and multiple regression analysis with SPSS 21.0 were used. Findings: The hospitals that had staff in charge of patient safety had bigger hospital culture change than those that didn't have(p<.05). In addition, the hospital culture change was bigger as internal motives were bigger, and as CEO's will was bigger(p<.05). Meanwhile, as maintenance rate of internal management after accreditation was higher, and as CEO's will was bigger, process improvement level was higher(p<.05). The quality improvement and patient satisfaction level were higher as CEO's will was bigger, and as suitability of survey process was recognized to be high(p<.05). As a result of analyzing the factors that affect hospital management performances with hospital culture change, process improvement and quality improvement combined, as internal management maintenance rate was higher, as CEO's will was bigger, and as suitability of survey process was higher, performances were higher(p<.05). Practical Implications: Hospitals need to reinforce internal motives to improve internal competences such as the whole system maintenance opportunity and staff training. In addition, the will of hospital director is most important, and if there is hospital director's interest in quality improvement and improvement intention definitely, employees voluntarily participate in and cooperate with the accreditation program, so that prompt medical service provision and high quality of medical services can be guaranteed, leading to hospitals' management performances.

• 한국게임학회 논문지
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• 제18권5호
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• pp.103-112
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• 2018

게임을 통해 순차, 반복문, 조건문 개념 학습이 가능하도록 개발된 유아교육용 코딩게임 "Ito2"를 소개하였다. 개발된 게임은 실제 어린이집 아동을 대상으로 모의수업과 실습수업의 두 단계의 과정을 거쳐서 코딩교육을 실시하여 그 실효성을 검증하였다. 코딩 교육을 실시함에 따라 공간, 관찰, 도형 및 측정, 분류, 비교 및 서열화, 부분과 전체의 총 6개 분야에 대한 유아 인지발달 능력 성취도의 추이를 관찰하여 그 변화 정도를 기술하였다. 본 논문은 재미 요소에 학습 요소를 더한 유아 기능성 코딩게임을 개발하고 개발된 게임을 어린이집 아이들이 학습게임으로 체험하면서 인지발달과 공간지각능력에 있어서 능력 향상이 이루어짐을 확인하였다.

• 한국응용과학기술학회지
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• 제34권4호
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• pp.1104-1111
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• 2017

본 연구는 호흡마사지법으로 생체에너지(기) 순환을 고찰하고자 하였다. 수 천 년 전부터 자연과의 조화를 통해 깨달음을 얻은 선조들은 자연호흡법으로 기에너지의 생성과 승강운동조절을 통하여 무병장수 하였으며, 춥고 배고픈 시절에 복부의 소중함을 체험한 할머니는 부드러운 약손으로 생명의 바다인 복부를 통해 질병을 치유해 주셨다. 이처럼 자연호흡과 할머니의 부드러운 약손의 감성인식 및 동양의학의 핵심내용인 기일원론(氣一元論)의 바탕으로 배꼽호흡테라피가 형성되었다. 자연호흡과 약손 마사지로 기에너지의 생성과 승강운동을 통하여 복부를 다스려 자연계와 인체내 외의 동태적 평형상태를 유지시킴으로써 몸과 마음의 변화를 가져와 자연스럽게 질병을 치유하여 신체의 항상성을 유지시켜주는 자연치유법이라 할 수 있다. 배꼽호흡테라피를 적극 활용될 수 있는 실무 확산의 계기를 마련하고, 이를 통해 과학적인 임상연구 실무적용에 널리 활용될 것으로 기대한다.

• 한국융합학회논문지
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• 제12권12호
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• pp.563-572
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• 2021

본 연구의 목적은 네트워크 메타분석 방법을 활용하여 중환자실 환자들의 욕창예방 중재의 비교효과와 순위를 평가하기 위하여 수행하였다. 네트워크 메타 분석은 R software의 "netmeta": 패키지를 이용한 빈도주의 방법을 이용하였다. 최종적으로 10편의 논문이 선정되었으며. 네트워크 메타 분석에 결과에 따른 욕창예방의 프로그램의 중재 간 비교우위는 욕창 표준중재와 비교하여 순위는 피부보호 용품 사용이(P-Score 85.3.%: OR=0.12, 95% CI: 0.03, 0.49) 가장 효과적일 확률이 높았으며 두 번째는 실리콘 폼 드레싱(P-Score 84.5%: OR=0.14, 95% CI: 0.05, 0.38)으로 나타났다. 그 다음으로는 통합중재 (P-Score 60.0%: OR=0.29, 95% CI: 0.07, 1.25), 체위변경 (P-Score 32.3%: OR=0.66, 95% CI: 0.21, 2.09) 그리고 마찰을 감소시킬 수 있는 직물의 사용(P-Score 23.8%: OR=0.85, 95% CI: 0.20, 3.65) 순이었다. 본 연구의 결과는 중환자실 욕창예방 프로그램의 효과적인 적용을 위한 정보를 제공 할 수 있을 것으로 생각된다.

• 한국병원경영학회지
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• 제23권4호
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• pp.81-86
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• 2018

Purposes: The purpose of this study is to argue that the taxation system for non-for-profit medical institution in Korea should be revised and that the basic direction should be to expand tax exemption like the US. Methods: We analyzed the US context of taxation policy for non-for-profit medical institutions and compared the US and Korean situation. Findings: In the United States, for-profit or non-for-profit medical institutions eternities are the most important criteria for hospital classification. Basically, full tax-exemption has been applied for non-for-profit medical institutions. The reason why many hospitals maintain their status as non-for-profit are following. First, the American society places great importance on the social responsibility and role of non-for-profit hospitals. Second, maintaining the status of non-for profit medical institutions is financially beneficial while maintaining good social reputation. The most powerful financial incentives are tax deductions and tax deductions for donations. Practical Implications: How will the taxation system for medical institutions in Korea be reformed in the future? First, if Korean government do not allow for-profit medical institutions, Korean government should consider implementing a full tax exemption system suitable for non-profit medical institutions like the US. Second, there are many variation in taxation for non-for-profit medical institution according to their legal positions. Therefore, current taxation system should be revised. Third, the reorganization of such taxation system should be in a direction that can finally encourage community benefit activities of medical institutions of nonprofit hospitals.