• 성인간호학회지
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• 제17권5호
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• pp.783-792
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• 2005

Purpose: This study was conducted to meta-analyze the effects of hardiness on health-related variables. Method: After review of 19 studies performed by Korean nurses, research variables, statistical data(r or F), and other methodological data were extracted and coded. Research variables were categorized under 5 groups such as health-related behavior, well-being, adaptation, stress, and support according to conceptual similarity. Using SAS program, 20 research variables and 34 effect sizes were calculated after eliminating heterogeneous data by Q-test, Results: Effects of hardiness on whole research variables was .512 and ranged from .322 to .643 by categories. The greatest effect was obtained from well-being category, whereas the smallest effect from stress category. All effect sizes were statistically significant. But fail-safe numbers were small and failed to achieve reasonable tolerance level. Conclusion: Results of meta-analysis indicated that hardiness has a moderate effect on health-related variables. But for improving the reliability of the results by minimizing publication bias, the more hardiness studies should be done.

• 시큐리티연구
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• 제28호
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• pp.33-56
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• 2011

상본 연구는 광주 전남 지역에서 근무하고 있는 현직경찰관의 견해를 경찰경호 관련학과 전공교과목에 대한 Q방법론적 선호도 분석을 실시하였다. 구체적으로 광주 전남 대학의 경찰행정 및 경호관련학과 전공교과목을 조합하여 27문항을 최종 진술문으로 추출하였으며 교과명이 유사하거나 중복된 교과목은 통합하고 다른 의미를 가진 교과목 간에는 분리 과정을 통해 질문지를 작성한 후 2011년 04월 현재 광주 전남지역에서 경찰관으로 재직 중인 20명을 최초 P-Sample로 선정하였다. 이 과정에서 불성실하게 응답한 6명의 자료를 제외한 14명의 자료를 최종 유효 표본으로 선정하였으며, QUANL. PC 프로그램을 적용 및 주 요인분석(principal component analysis)을 실시하였다. 본 연구에서 경찰경호 2개 영역 모두 분석대상으로 삼는 것은 표본특성 및 전공영역이 다소 상이하므로 이 연구에서는 제1차 연구로서 경찰관만을 대상으로 한 경찰전공 영역 교과목에 국한하여 분석연구를 실시하였다. 따라서 경호영역은 후속연구로서 세밀한 분석을 추가 실시할 계획이다. 이러한 연구절차와 연구과정을 통해 제I, II, III유형의 경찰경호 관련학과 전공교과목 선호도 분석을 실시하였다. 구체적인 결과는 다음과 같다. 제I유형은 형법, 형사소송법, 형사특별법 등의 교과목이 긍정적인 동의를 보였다. 제II유형은 범죄수사학, 구급 및 응급처치, 호신술, 형법, 형사소송법 등이 긍정적인 동의를 보였다. 제III유형은 범죄학개론, 범죄수사학, 형사소송법, 경찰학개론, 경찰윤리 등이 긍정적인 동의를 보였다. 이를 토대로 각 유형 간의 일치항목 즉, 공통된 의견을 다음과 같은 결론으로 도출하였다. 우선 긍정적인 공통된 전공교과목으로는 범죄수사학, 범죄학개론, 경찰윤리, 형사특별법, 형사사법실무, 경찰행정론, 경찰법규실습, 구급 및 응급처치, 호신술, 민법총칙, 행정법 등의 교과목이 현장근무시 경찰관들이 느끼는 현실적이고 실증적인 교과목임을 알 수 있었다.

• 한국콘텐츠학회논문지
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• 제18권12호
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• pp.309-318
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• 2018

본 연구는 대형유통업체 가정간편식 PB상품에 대한 1인가구의 주관적 인식에 관한 연구로 가정간편식 PB상품을 구입하여 경험해 본 1인가구 소비자를 대상으로 주관적인 경향을 알아보기 위해 Q방법론을 적용하여 분석하였다. 본 연구에서는 사회구조적으로 변화하는 인구구조에 따라 대형유통업체가 개발 및 출시하는 HMR형태의 PB상품이 1인가구에 어떠한 의미와 주관적인 수용의 모습을 나타내는지 Q방법론적 연구를 통해 살펴봄으로써 그 함의를 분석하며, 앞으로의 대형유통업체의 1인가구를 위한 외식상품개발 및 출시의 다양한 방향성과 그 개선책에 대해서 제안하는데 목적을 두고자 한다. 이러한 연구문제를 기반으로 하여 유형 분석결과 5가지 유형으로 도출되었다. 구체적으로, 제 1유형(N=5) : 브랜드 이미지 신뢰형(Brand image trust type), 제 2유형(N=5) : NB상품 선호형(NB product preference type), 제 3유형(N=2) : 간편조리 추구형(Easy cooking preference type), 제 4유형(N=2) : 가격대비 맛 추구형(Pursuing taste for price type), 제 5유형(N=2) : 가격대비 양적 추구형(Quantitative pursuit for price type)으로 각각 분석되었다.

• Journal of Preventive Medicine and Public Health
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• 제32권4호
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• pp.427-434
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• 1999

Objectives: This study was conducted to determine, by reviewing the literature, whether treatment of Helicobacter pylori infection in patients with non-ulcer dyspepsia affects symptoms. Methods: We retrieved the literature using MEDLINE search, with nonulcer dyspepsia and Hericobacter pylori and treatment as key words, which were reported from 1984 to 1998, and manual literature search. The criteria for inclusion was as follows; 1) The paper should have confirmed nonulcer dyspepsia as case definition. 2) The paper should have peformed a randomized, blind trial. 3) Confirmation of Helicobacter pylori eradication should be done 4 weeks after treatment. 4) studies with no information on measurement of symptoms after treatment were not accepted. The percentage of patients with symptom improvement after eradication therapy for Helicobacter pylori infection was calculated. Cumulative odds ratio was compared by fixed effect model and random effect model as sensitivity and funnel plot was used to evaluate publication bias. Results: The overall effect size of symptom improvement was calculated by cumulative odds ratio. Cumulative odds ratio of random effect model was 4.16(95% CI: 1.55-11.19). Before integrating each effect sizes into common effect size, the homogeneity test was conducted and random effect model was selected(Cochran's Q=41.08 (d.f=10, p<0.001)). The heterogeneity across studies was evaluated and the different methodological aspects of studies led to differences between study results Conclusions: The results suggest that the eradication of Helicobacter pylori in patients with non-ulcer dyspepsia results more symptom improvement. In studios that shows the opposite results there are methodological aspects explaining the heterogeneity.

• 한국콘텐츠학회논문지
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• 제18권9호
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• pp.648-660
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• 2018

본 연구는 전문대학 학사학위 전공심화 교육과정 만족도의 주관적 인식을 파악하고자 전공심화과정 호텔 조리학과 재학생을 대상으로 Q방법론을 적용하였다. 연구의 목적은 전공심화 교육과정 만족도의 구조를 유형화 하며, 전공심화 교육과정 만족도에 관한 유형들 간의 특성을 기술하고 분석하여 향후 시사점을 제시하고자 한다. 유형분석 결과, 총 6가지로 도출되었다. 제 1유형(N=5) : 전공심화과정 교수법 만족형(In-depth major curriculum teaching method satisfaction type), 제 2유형(N=4) : 실기중심 수업 만족형(Practical learning class satisfaction type), 제 3유형(N=3) : 현장 중심 수업 만족형(Place centered class satisfaction type), 제 4유형(N=3) : 취 창업 중심 수업 만족형(Employment Establishment centered class satisfaction type), 제 5유형(N=3) : 이론중심 수업 만족형(Theory centered class satisfaction type), 제 6유형(N=2) : 일 학습 병행 수업 만족형 (Work learning concurrent class Satisfying type)으로 각각의 유형마다 다양한 특징이 있는 것으로 분석되었다. 향후 전문대학 학사학위 전공심화 교육과정에 관한 연구에서는 많은 문헌과 실증연구를 바탕으로 보다 세밀한 Q방법론적인 질문과 분석기법으로 수정 보완하여, 응답자들의 다양한 의견을 보다 구체적이며 객관적으로 분석하고자 한다.

• Journal of Hospice and Palliative Care
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• 제15권1호
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• pp.18-29
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• 2012

목적: 본 연구는 말기환자의 의료적 의사결정에 대한 임상간호사의 인식 구조와 유형을 분류하고 파악하여 향후 실무현장에서 말기 의료적 의사결정 수행능력 향상과 공유된 의료적 의사결정 체계를 구축하기 위해 기초자료를 제공하기 위한 Q 방법론을 적용한 조사연구이다. 방법: 관련 문헌고찰과 개방형 질문지 그리고 개별 면담을 통해 Q 모집단을 추출하여 167개의 Q 진술문을 표집하여 내용의 중복과 표현의 명확성 등을 고려하여 수정한 후 Q 모집단을 의미와 주제별로 6개의 범주로 분류한 다음 각 범주에서 대표적이거나 상이한 의미의 Q 진술문 34항목을 선정하였다. P 표본은 대학병원에서 근무하고 있는 2년 이상의 임상간호사 37명을 편의표집방법으로 선정하였으며 34개의 진술문은 Q 카드에 인쇄하여 연구대상자들로 하여금 강제 정상분포가 되도록 각자 의견의 중요도에 따라 9점 척도 상에 Q 분류하도록 하였고, 양극단에 분류한 진술문과 관련하여 대상자와 면담을 시행하였다. 수집된 자료는 PC-QUANL Program으로 요인분석 하였다. 결과: 분류된 말기환자의 의료적 의사결정에 대한 대상자의 유형은 모두 4가지로 나타났으며 이들 유형에 의해 설명된 전체 변량은 52.7%였다. 제1유형은 '환자 참여형'으로 의료적 의사결정에 대한 환자의 자율성 보장과 이와 관련된 규율이나 법적 장치의 정비와 가이드 라인 마련에 중점을 두었다. 제2유형은 '의료인 역할중시형'으로 환자의 자율성 존중이 실현되기 위한 의료인간의 공유된 의사결정에 중점을 두었다. 제3유형은 '개방적 죽음문화형'으로 평소 죽음에 대해 환자, 가족, 의료인과의 개방적이고 솔직한 대화의 분위기 조성을 효율적인 말기 의료적 의사결정의 실천적 행위로 인식하였다. 제4유형은 '가족의사결정 참여형'으로 말기 의료적 의사결정에 가족의 현존과 역할이 갖는 의미에 강조점을 두었다. 결론: 이상의 결과를 통하여 임상에서 말기환자의 의료적 의사결정에 대한 교육프로그램을 계획하고 수행할 때에는 각 유형에서 나타난 임상간호사의 인식을 반영한 통합적이고 다 학제적인 교육내용이 반영되어야 할 것으로 본다. 본 연구는 임상간호사를 대상으로 오늘날 우리 사회에서 중요시 되고 있는 말기환자의 의료적 의사결정과 연관된 다양한 관점들을 문화적 측면에서 조명했다는 점에서 의의가 있다. 따라서 성숙하고 통합적인 말기 의료적 의사결정 교육프로그램을 위한 기초자료로 유용하게 활용될 것으로 기대된다. 본 연구 결과를 바탕으로 제언을 하면, 첫째, 말기환자의 의료적 의사결정과 관련된 의학과 간호학 분야의 통합적이고 다 학문적인 공통교육과정 개발을 제언한다. 둘째, 본연구를 토대로 한국인의 말기 의료적 의사결정에 대한 태도 측정도구 개발을 제언한다.

• 기본간호학회지
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• 제3권2호
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• pp.153-169
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• 1996

This study was designed to identify, describe and classify orientations of cancer patient's family members to death and to identify factors related to their attitudes on death. Death to the male is understood as a comprehensive system and believed to be highly subjective experience. Therefore attitude on death is affected by personalities. As an attempt to measure the subjective meaning toward death, the unstructured Q-methodology was used. Korean Death Orientation Questonaire prepared by Kim was used. Item-reliability and Sorting-reliability were tested. Forty five cancer patients' family members hospitalized in one university medical center in Seoul were sampled. Sorting the 65 Q-itmes according to the level of personal agreement ; A forced normal distribution into the 11 levels, were carried out by the 45 P-samples. The demographic data and information related to death orientation of the P-sample was collected through face to face in depth interviews. Data was gathered from August 30 till September 22, 1995. The Z-scores of the Q-items were computed and principal component factor analysis was carried out by PC-QUANL Program. Three unique types of the death orientation were identified and labeled. Type I consists of twenty P-samples. Life and death was accepted as people's destiny, They firmly believed the existence of life after life. They kept aloof from death and their concern was facing the and of the life with dignity, They were in favor of organ donation. Type II consists of Nine P-Samples. They considered that death was the end of everything and did not believed the life after life. They were very concerned about the present life. Type III consists of Sixteen P-samples. They regarded the death as a natural phenomena. And they considered that the man is just a traveller and is bound to head for the next life which is believed to be free of agony, pain or darkness. They neither feared death nor its process. Their conserns were on the activities to prepare themselves for the eternal-life after death. Thus, it was concluded that there were three distinctiven type of attitudes on death among cancer patient family members, and their death attitudes were affected by demographic and socio-cultural factors such as sex, education, and religion.

• Child Health Nursing Research
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• 제8권1호
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• pp.20-31
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• 2002

The purpose of this study was to understand and analyze the subjective structure of attitude, opinion of infant and todder's mother, regarding the massage intervention in order to yield fundamental data for the activation scheme of the massage intervention. This research was based on a Q-Methodological approach. According to the results of this study, there were four categories of mothers' opinion about the massage intervention. The first type accepts the wholistic effect of massage intervention very positively that it improves infant's health in various aspects: prevention of diseases, promotion of the growth, settlement of sentiments, etc. The second type describes the effect of the intervention in the emotional aspect, such that the intimacy plays a very significant role in the intervention. The third type explains the complementary effect of the intervention that it eases symptoms rather than actually cures diseases. The fourth type emphasizes the healing effect of the intervention that it is required to go through professional training to utilize the effect. For example, a Kyongrak massage is very effective for curing diseases. In consideration of various types of massage intervention, it is very necessary to have a specialty for the massage intervention and develop unique mothers education programs depending upon different applications of the massage intervention in order to reorganize and activate the massage intervention as a nursing intervention for infant and toddlers.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9879-9884
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• 2014

Aim: The purpose of the current study was to conduct a systematic review of the published literature to evaluate the diagnostic accuracy of FDG-PET, PTE/CT, MRI and scintigraphy for multiple myeloma related bone disease. Methods: Through a search of PubMed, EMBASE, and the Cochrane Library, two reviewers independently assessed the methodological quality of each study. We estimated pooled sensitivity, specificity, positive and negative likelihood ratios (PLR and NLR), and two sample Z-tests were conducted to evaluate for differences in sensitivity, specificity, area under the curve (AUC), and the $Q^*$ index between any two diagnostic modalities. Results: A total of 17 studies were reviewed. The MRI had a pooled sensitivity of 0.88, specificity of 0.68, AUC of 0.897, and $Q^*$ index of 0.828, whereas for MIBI, the corresponding values were 0.98, 0.90, 0.991, and 0.962, respectively, and for bone scan, they were 066, 0.83, 0.805, and 0.740, respectively. The corresponding values of MIBI were 0.98, 0.90, 0.991, and 0.962, respectively. For PET and PET/CT, the values were 0.91, 0.69, 0.927 and 0.861, respectively. Statistically significant differences were not found in the sensitivity, specificity, AUC, and $Q^*$ index between MRI, scintigraphy, FDG-PET and PET/CT. Conclusions: On the condition that X ray is taken as a reference in our study, we suggested that FDG-PET, PTE/CT, MRI and scintigraphy are all associated with high detection rate of bone disease in patients with MM. Thus, in clinical practice, it is recommended that we could choose these tests according to the condition of the patient.

• 기본간호학회지
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• 제9권2호
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• pp.300-310
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• 2002

Purpose: This study describes the perception of comfort by hospital nurses. Q-methodological was used. Method: The participants completed a 37-item a sort made up of statements which could be ranked in terms of their relevance to the subjective meaning of comfort Result: Three interpretable types of comfort were identified. They are as follows : Type I, emotional and spiritual well-being style: The nurses perceived that patients feel comfortable when they feel emotional support from others and spiritual easiness. The nurses felt that the patients put worth in hope for a healthy life. free from pain and fear of death. Type II, acceptive medical environment style: The nurses perceived that patients have a secure and satisfied attitude towards prompt responses, exact information and skilled Intervention techniques. They also perceived that patients feel safe and secure when they feel free of pain and medical staff are kind. Type III, physical well-being style; The nurses perceived that patients feel safe and comfortable when they feel free of pain and have a good sleep and are able to maintain a comfortable position. They perceived that patients put a high value on meeting the basic needs of safety, such pain, sleep and positioning. Conclusion: The result of this study can be used as a basis to develop nursing measures for promoting comfort. Further studies are recommended on factors which influence nurses' perception of comfort and strategies to promote comfort according to the style of the patients.