• Title/Summary/Keyword: Post Management

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Development and Analysis of the Effects of Caregiver Training Program on Aggressive Behavior m Elders with Cognitive Impairment

  • Oh Heeyaung;Hur Myung-Haeng;Eom Miran
    • 대한간호학회지
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    • 제35권4호
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    • pp.745-753
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    • 2005
  • Purpose. The purposes of this study were to 1) describe the type and frequency of aggressive behavior of cognitively impaired nursing home resident, 2) develop a caregiver training program on prevention and management of aggressive behavior, 3) examine the effects of caregiver training program on the incidence of aggressive behavior of cognitively impaired nursing home resident, and 4) examine the effects of caregiver training program on nursing staff's aggressive behavior management skills. Methods. One-group, time series, quasi-experimental design with a pre-test and two post- tests was used. Data were collected from cognitively impaired home residents (N = 32) and nursing staff (N = 36) in a proprietary nursing home using Ryden Aggression Scale I, II, and Aggressive Behavior Management Scale. Data were entered and analyzed by descriptive statistics and repeated measures ANOVA. Results. Incidence of aggressive behavior was high with a mean score of 3.09 (SD = 3.11) at baseline. Caregiver training program was developed based on Progressively Lowered Stress Threshold (PLST) model and gerontological and psychiatric literature. The mean scores of aggressive behavior at baseline, Post I, and II did not differ significantly although the difference approached to the significant level (F = 2.925, p = .066). Nursing staff's aggressive behavior management skills increased at Post I, and at Post II when compared to baseline, and the difference was significant (F=12.736, p=<.00l). Conclusion. Caregiver training program showed potential impact on reduction of aggressive behavior in elders with cognitive impairment and was effective in increasing nursing staff's aggressive behavior management skills.

Post-Coronavirus Disease 2019 Pulmonary Fibrosis: Wait or Needs Intervention

  • Yoon, Hee-Young;Uh, Soo-Taek
    • Tuberculosis and Respiratory Diseases
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    • 제85권4호
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    • pp.320-331
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    • 2022
  • Coronavirus disease 2019 (COVID-19) has become a major health burden worldwide, with over 450 million confirmed cases and 6 million deaths. Although the acute phase of COVID-19 management has been established, there is still a long way to go to evaluate the long-term clinical course or manage complications due to the relatively short outbreak of the virus. Pulmonary fibrosis is one of the most common respiratory complications associated with COVID-19. Scarring throughout the lungs after viral or bacterial pulmonary infection have been commonly observed, but the prevalence of post-COVID-19 pulmonary fibrosis is rapidly increasing. However, there is limited information available about post-COVID-19 pulmonary fibrosis, and there is also a lack of consensus on what condition should be defined as post-COVID-19 pulmonary fibrosis. During a relatively short follow-up period of approximately 1 year, lesions considered related to pulmonary fibrosis often showed gradual improvement; therefore, it is questionable at what time point fibrosis should be evaluated. In this review, we investigated the epidemiology, risk factors, pathogenesis, and management of post-COVID-19 pulmonary fibrosis.

건설공사 사후평가 수행결과 활용도 개선 방안 (Improvement scheme of utilization of the results of the post-construction evaluation system)

  • 이두헌;박재우
    • 한국건설관리학회논문집
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    • 제14권6호
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    • pp.78-89
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    • 2013
  • 건설공사 사후평가 제도는 공공건설사업 수행결과를 반영하여 향후 유사한 공공건설사업의 계획 수립 시 활용되어져야 하나, 현행 제도는 당초 기획 계획 당시에 추정한 수요, B/C비율, 공사비, 공사기간 등 예측치와 건설공사 완공후 일정기간(3년 내지 5년) 경과후에 측정한 실제 결과치를 단순히 비교하여 제시하는 수준에 그치고 있다. 또한 대부분 공공발주기관에서는 수동적인 사후평가 업무수행에 그치고 있어 제대로 환류가 이루어지않고 있다. 이에 본 연구에서는 공공발주기관을 대상으로 설문조사를 실시하여 건설공사 사후평가 제도의 수행현황을 파악하였으며, 국내 사후평가 제도와 유사한 미국과 일본의 건설사업 평가체계를 벤치마킹하였다. 또한, 건설공사 사후평가 제도와 관련된 국토부 실무담당자와의 수차례 업무회의를 실시하여 사후평가 수행의 적시성 확보 및 활용성 강화방안을 제시하였다. 이와 같이 건설공사 사후평가 제도 개선을 통해 건설사업 수행과정에서의 목표 및 성과에 대한 확인 점검 분석 체계를 내실화하고, 건설공사 특성별로 평가내용 및 방법을 차등화함으로써 발주청의 사후평가 수행에 대한 실천력이 제고될 것으로 기대된다.

도로비탈면 녹화공사의 사후환경평가 항목 제언 (Suggestion of the Post-Environmental Evaluation of Road-side Cut Slope after Revegetation Works)

  • 김태국;김남춘;김은범;구민규
    • 한국환경복원기술학회지
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    • 제21권4호
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    • pp.75-86
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    • 2018
  • This research was thereby made to study and analysis ecological, landscape, and stability qualities of roadside cut Slopes in expressways and national highways that went through revegetation works. Also, evaluation items and framework for integrated assessment of plant structure and restored state for the maintenance were suggested. Following is the summary of the result. firstly, for stabilization of introduced native plant species on roadside cut slops, assessment on the post-project environmental management through long-term monitoring and maintenance works must be made. It signifies a form of authentic recovery and restoration by the native plants. second, current evaluation framework on the test beds is well managed with clear evaluation standards and table while its method of assessing the post management with only test bed results lacks conformity with this study site. Newly developed evaluation framework on the post construction sites is estimated to be used as assessment standards on any roadside construction sites. Third, after site investigation distinction was observed among different revegetating construction types in the long-term perspective. Due to the different duration time of vegetation state between seed-spray measures(degraded in time) and layer-spray measure(maintained), the use of coarse straw-mat mulching work or Coir net was suggested in long term maintenance of cut slopes. forth, segmentation of post environmental assessment is organized into three large categories of "ecological", "stabile", and "landscape" qualities regarding post restoration quality and stability of slope through native plants with which categories marks 50, 30, 20 points of rates. fifth, components of the post environmental assessment were segmented in twelve categories driving results from former experimental construction and newly focused items on site. In the future, it is possible to propose a customized assessment method considering the location and location of construction work if the research on the application of post-environment assessment methods for road construction surface recording is conducted systematically.

외과계 수술환자의 수술 후 통증관리에 대한 지식과 태도 (Post Operative Patient's Knowledge and Attitude about Pain-Management)

  • 서영승;강영숙;조규영
    • 보건의료산업학회지
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    • 제6권3호
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    • pp.209-218
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    • 2012
  • The purpose of this study was to provide the effective pain management care for post operative patients through understanding patient's knowledge and attitude about pain-management. The data was collected by distributing structured questionnaires to 200 inpatients in 2 secondary hospitals located in Ulsan, beginning June 28, 2010 to August 11, 2010, and analyzed by t-test, ANOVA, Pearson correlation coefficient. The level of Knowledge about pain management postperations was $6.44{\pm}2.03$. The level of attitude about pain management postperations was $6.92{\pm}1.78$. The significant differences were founded within the inpatient's knowledge about pain management according to the inpatient's demographic data:Age(F=5.55, p=.01), Marital status(t=-2.17, p=.03). The significant differences were founded within the inpatient's attitude about pain management according to the inpatient's demographic data:Job(F=3.45, p=.03). Developing educational material and guidebooks is needed to form more positive about pain-control after operations. This study researched only inpatient's knowledge and attitude about pain-management, but researching nurses, doctors, inpatients and family member's knowledge and attitude should be included in following studies.

Effects of a Face-to-face Self-management Program on Knowledge, Self-care Practice and Kidney Function in Patients with Chronic Kidney Disease before the Renal Replacement Therapy

  • Choi, Eun Sung;Lee, Jia
    • 대한간호학회지
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    • 제42권7호
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    • pp.1070-1078
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    • 2012
  • Purpose: The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy. Methods: This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n=31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n=30) took the pre-test and post-tests at 4 and 8 weeks. Results: Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group. Conclusion: Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.

Examining Customers' Intention of Continued Use and Cross-Buying on Internet-Only Banks

  • Annie Tsui;Kyung Young Lee;Paola Gonzalez;Bo Yu
    • Asia pacific journal of information systems
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    • 제34권1호
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    • pp.114-149
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    • 2024
  • Internet-only banks (IOB) refer to financial institutions which provide services entirely through online digital platforms without physical branches. Although IOBs have been around for over 26 years, there is still room for investigating what factors motivate customers to use them continuously and extensively. Therefore, this study aims to examine what factors lead to customers' intention of continued use and cross-buying on IOBs by extending the Post-Acceptance Model of IS Continuance (PAMISC). The result shows that perceived economic benefit and ongoing trust have significant relationships with the intention of continued use and that ongoing trust has significant direct and mediating (via intention of continued use) relationships with the intention of cross-buying. Also, personal innovativeness positively moderates the relationship between ongoing trust and the intention of cross-buying. This study sheds light on the literature on branchless financial services and PAMISC. IOB practitioners should revisit the effectiveness of customers' economic benefits to establish ongoing trust with customers.

출연연구기관 기관평가의 책임성 요소 변화 분석 (Accountability Trend for Government Supported Research Institutes : Evidence from the Institute Evaluation 1991-2005)

  • 이민형
    • 기술혁신학회지
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    • 제10권3호
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    • pp.580-603
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    • 2007
  • 본 연구는 출연연구기관의 기관평가요소 분석을 통해 최근까지 출연연구기관에 대한 책임성(accountability)이 어떻게 변화 및 발전되어 왔는가를 분석하고자 한다. 구체적으로 1991년부터 2005까지 기관평가요소를 연구회 설립 이전과 연구회 설립 이후 기간으로 구분하여 분석하였다. 출연연구기관에 요구되는 책임성을 법규준수 책임성, 관리적 책임성, 재무적 책임성, 사업성과 책임성, 사회적 책임성 등 다섯 가지 책임성으로 구분하여 분석한 결과, 연구회 설립이전에는 법규준수 책임성, 관리적 책임성 등이 강조되었으며, 연구회 설립 이후에는 사업성과 책임성, 관리적 책임성이 강조되었다. 법규준수 책임성과 관리적 책임성은 시간이 흐름에 따라 요구하는 구체적인 책임내용이 상당히 변화되었다. 최근에는 사업성과 책임성이 가장 중요한 책임성으로 강조되고 있으며 재무적 책임성도 연구회 설립 이후 새롭게 등장하였다.

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인수.합병 이후 성공적인 정보시스템 통합 결정요인에 대한 통합적 모델 연구: 국내 금융기관 비교사례분석 중심으로 (An Integrated Model on the Determinants of Successful Post-M&A Information Systems Integration: A Comparative Case Study of Two Financial Firms in Korea)

  • 이창진;이정훈
    • 경영정보학연구
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    • 제11권2호
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    • pp.45-66
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    • 2009
  • 수 많은 기업들이 기업 성장 및 생존 전략의 일환으로 인수 합병 (M&A, merger and acquisition)을 선택하고 있다. 그러나 상당수의 기업들이 본래 의도했던 시너지 효과를 창출하지 못하고 인수 합병 실패로 인해 생산성 저하, 시장 점유율 하락, 수익 감소, 유능한 직원의 이직 등 많은 부작용을 경험하고 있다. 이에 따라 인수 합병 성공 및 실패 원인을 분석하고자 하는 많은 연구가 진행되었고, 정보시스템에 대한 기업들의 의존도 증가와 더불어 인수 합병 이후 정보시스템 통합(post-M&A information systems integration)이 인수 합병 성공에 결정적인 영향을 미치는 것으로 확인되었다. 그러나 인수 합병 이후 정보시스템 통합 성공에 대한 연구가 매우 부족하며, 대부분의 선행연구가 정보시스템 조직 통합 또는 물리적인 정보시스템의 통합 등과 같이 단편적으로 이루어져 왔다. 본 연구에서는 인수 합병 이후 정보시스템 통합 성공에 영향을 미치는 요인들에 대한 포괄적인 연구를 위하여 정보시스템뿐만 아니라 전략 경영, 경제학, 재무학, 인사관리, 조직관리 분야의 선행연구를 조사하였다 이를 기반으로 인수 합병 이후 정보시스템 통합 영향요인에 대한 통합 모델을 제시하였다. 제시된 모형에서는 영향요인들을 인수 합병 관점, 전략 관점, 조직 관점, 인사관리 관점, 정보시스템 관점으로 재 분류하고, 사례연구를 통하여 각 요인들이 정보시스템 통합 성공에 미치는 영향을 실증적으로 검증하였다.

참전 국가유공자들의 외상 후 스트레스와 불안과의 관계에서 자아탄력성의 조절효과 (The Moderating Effect of Ego Resilience on the Relationship between Post-Traumatic Stress and Anxiety of National Merits of War)

  • 김태열;김윤영
    • 디지털융복합연구
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    • 제16권3호
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    • pp.477-485
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    • 2018
  • 본 연구는 참전 국가유공자들을 대상으로 외상 후 스트레스가 불안에 미치는 영향을 파악하고 변수 간의 관계에서 자아탄력성의 조절효과를 파악하기 위해 시도되었다. 자료 수집을 위해 2017년 8월부터 2017년 10월까지 참전 국가유공자 200명의 일반적 특성을 비롯한 외상 후 스트레스, 불안, 자아탄력성을 조사하여 SPSS 24.0 Statistics Program을 이용하여 분석하였다. 연구결과 외상 후 스트레스는 불안(r=.426, p<.001)과 정적 상관관계, 자아탄력성(r=-.297, p<.001)과는 부적 상관관계를 보였으며, 불안은 자아탄력성(r=-.656, p<.001)과 부적 상관관계가 있는 것으로 나타났다. 또한 자아탄력성은 외상 후 스트레스와 불안과의 관계에서 조절효과가 있는 것으로 확인되었다(F=45.796, p<.001). 본 연구결과를 바탕으로 참전 국가유공자들의 외상 후 스트레스 관리를 위한 국가적인 대책마련과 대상자 특성을 고려한 교육 및 관리 프로그램 개발 및 운영이 요구된다.