• 제목/요약/키워드: Rehabilitation Facilities

검색결과 262건 처리시간 0.029초

직업성 요통환자에서 재활 프로그램(Back School Program) 도입의 비용-편익분석 (Cost-Benefit Analysis of Back School Program for Occupational Low Back Pain Patients)

  • 주영수;하미나;한상환;권호장;조수헌;김창엽;김선민
    • Journal of Preventive Medicine and Public Health
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    • 제29권2호
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    • pp.347-357
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    • 1996
  • Although occupational low back pain accounts for $20\sim40%$ of all occupational illness and injury, there are limited numbers of studies regarding the effectiveness of back school program. The objective of this study was to evaluate the economic benefit of back school program for early return to work of occupational low back pain patients in the current occupational injury compensation and management system. The cost-benefit analysis in this study was conducted to evaluate the relative magnitude of benefit to cost. The total cost was estimated by calculating the value of components in back school program according to governmental budget protocol. The back school program was consisted of three major approaches, pain center, work-hardening program and funcional restoration program and each of components had various facilities and experts. The total amount of cost was estimated as 250,866,220 won per year. The most promising type of back school program were quite intensive (a 3 to 5-week stay in a specialized center), therefore, if we adopted the 5-week stay course, 10 courses could be held in a year. Following to the medical act, 20 patients per doctor could participate in a each course, ie, total 200 patients in a year. As a result, we could estimate the cost of 1,254,331 won a patient. We estimated the benefit by using data of a few local labor offices about average medical treatment beneficiary and off-duty beneficiary of 46 occupational low back pain patients in 1994. Ullman and Larsson (1977) mentioned that the group of chronic low back pain patients who participated in back school program needed less time to recover by 48.4% of beneficiary duration. And in the trying to estimate the benefit, we asked 10 rehabilitation board certificate doctors about reduction proportion of treatment cost by introducing back school program. The answered reduction proportions were in the range of $30\sim45%$, average 39%. As a final result, we could see that the introduction of back school program in treatment of chronic occupational low back pain patients could produce the benefit to cost ratio as 3.90 and 6.28. And we could conclude that the introduction of back school program was beneficial to current occupational injury compensation and management system.

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뇌성마비 취학아동 어머니의 양육체험 (The Lived Experience of Mothers about Rearing of School Children With Cerebral palsy)

  • 백경선
    • Child Health Nursing Research
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    • 제7권4호
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    • pp.434-450
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    • 2001
  • This study is designed to understand the meaning and nature of raising children with cerebral palsy. It researches the experience of mothers of schoolchildren with cerebral palsy by the research method of hermeneutic phenomenology. The study was conducted from November 10, 1999 to December 20, 2000. When children with cerebral palsy usually show symptoms in the early stage of cerebral palsy, mothers do not take children to a doctor for diagnosis. And, most of mothers have a difficult time to accept the reality; they usually respond to the initial diagnosis with shock, reproach, and deny. When mothers start recognizing the reality, they consider that their children have cerebral palsy due to the their mismanagement during pregnancy, delivery, nursing, and initial treatment. They shelter their children from view and feel guilty that they cannot afford to try folk remedies for their children. As time passes, mothers face conflicts between families in diverse ways. Families put the blame on genetic effects. Mothers-in-law give their daughters-in-law a hard time, husbands shift the responsibility of raising children onto their wives, and trouble arises between families-in-law and mothers native families. When children grow up, it is physically difficult for mothers to take care their children. In addition, they suffer from all the troubles in family due to childrens handicap. Mothers try the diverse methods of bringing up children. However, they start getting tired of raising children as they experience failures and financial difficulties. Mothers feel collapsed recalling the ways of raising children. They feel anxiety, miserable, lonely, and worrying when they think how children would attend school, make friends, and live in the future. In this stage, mothers do their best to raise their children with hope. They tend to compare their children with others without handicap and spend money and time in attempting all the treatments. When mothers and children join the society at school, they find that the society does not understand disabled people, teachers show inconsiderate attitude, friends avoid them, and children hardly follow classes. Such experiences make mothers feel angry and frustrated. However, when children adapt to school, mothers see the possibility that children could accomplish schoolwork. They appreciate teachers help and others consideration. Mothers place appropriate expectations on their children and help them to prepare for the future. I would make following suggestions based on the results. 1. As a primary basic course of rehabilitation nursing intervention, solution-centered nursing intervention system should be developed. The intervention needs to be based on the understanding of mothers, who raise children with cerebral palsy, through in-depth interview. 2. Advance researches on the development of individual nursing intervention should be conducted. Individual nursing intervention needs to prevent and release actual pain focusing on mothers raising children with cerebral palsy. 3. Integrated curriculum that help children with cerebral palsy lead a normal school life with ordinary children should be developed. 4. Basic research on using of facilities and effective application of service volunteer to help children with cerebral palsy in school needs to be conducted.

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한양방 협진에 대한 한의대생들의 인식도 (A Study on the Recognition of Students of Oriental Medical School on Cooperative System between Oriental and Western Medicine)

  • 유왕근;김경숙
    • 대한예방한의학회지
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    • 제9권2호
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    • pp.77-91
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    • 2005
  • The purpose of this study is to examine the recognition of the student of oriental medical school on cooperative system between Oriental and Western medicine and to provide basic information for the development of oriental medicine. In order to look at the level of recognition on cooperative system between Oriental and Western medicine, from September 1st to 15th of 2005, this study had been conducted through personal interview and questionnaires to 600 students who were attending the Department of Oriental Medicine (in both prep and regular courses) in D University, located in the City of Daegu. The data has been analyzed using statistic program, the SPSS WIN 12.0. Statistical analysis tools used for this study were frequency analysis, cross-over analysis and the t-test. The results are as follows; The students of oriental medical school had relatively high level of recognition on the basic concept, interests, necessity and potential for cooperative system between Oriental and Western medicine. However, they had negative understandings on the issue of unification of the two medical systems and it's possibility in the future. The students were optimistic about possible merits of cooperative system between Oriental and Western medicine, especially in the field of rehabilitation. On the reasons for lack of development of cooperative system between Oriental and Western medicine, the students listed prejudices existing on both sides firstly, followed by their contrasting approach on human illness, lack of legal and institutional support system, the indifferences of doctors and indifferences of oriental medical doctors. In addition, students understood that the dualism existing in our current medical system is aggravating mutual distrust between the two sides, causing the confusion of patients on the choice of medical facilities, and raising their medical bills. Therefore, in order to vitalize collaboration between Oriental and Western medicine in new health care environment, the following measures should be needed decreasing the prejudices between the two medical spheres with open mind improving educational programs in Western and Oriental medical schools; promoting joint academic research or exchange programs between the schools, and increasing government effort to minimize legal and institutional restrictions cooperative system between Oriental and Western medicine.

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Goodman 씨 분류에 따른 청력장애도에 대한 임상적 고찰 (The clinical study for hearing handicaps by Goodman classification)

  • 김기령;김영명;정진선;이정권
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1977년도 제11차 학술대회연제 순서 및 초록
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    • pp.5.2-5
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    • 1977
  • 언어는 사람의 의사전달에 중요한 역할을 할 뿐 아니라 행복한 일상생활을 영위해 나가는데 있어서 기본적이고도 필수적이며, 상호간의 문화교류면에서 중요한 수단이 된다함은 물론이 다. 이러한 언어의 정상발육은 사람의 정상적인 청각기능을 통해서 형성되며, 만일 성장도중에 어떠한 원인으로 청력을 상설하게 되면 언어습득에 장애를 입게됨은 물론. 정서 및 인격형성에도 장애를 초래함으로서 결국에는 주위환경이나 일상생활에 적응하기 어려운 경우를 맞게 된다. 더욱이 오늘날의 사회구조가 고도로 복잡해짐에 따라서 청력장애자들에 대한 치료와 특수교육문제 및 그들의 취업분야 선택이나 사회적인 보상문제, 혹은 이를 판정하기 위한 신체검사기준치등을 정하는데 있어서 청력장애도의 설정과 적절한 분류가 절실히 요구되고 있다. 청력장애에 대한 분류는 1940년에 Beasley가 3등급으로 분류한 것을 비롯하여, 1950년에 A.M.A. (American medical association)에서 음의 주파수에 따른 언어청취범위를 백분율로 조사한 바 있고, 1959년에 A.A.O.O. (American academy of ophthalmology and otolayngology)에서, Huzing (1959), Silverman(1963)등이 분류한 것을 기준으로 삼아오다가 그 후로 보청기의 성능 및 청력검사계기의 발달을 바탕으로, 1965년 (I.S.O 기준)에는 Goodman 씨가 좀 더 체계적으로 청력장애의 정도를 분류함과 동시에 그에 따른 치료 및 사회적 대책에 대해기재한 것을 사용하고 있으나 아직까지 우리나라에서는 이에 대한 연구보고가 없는 터에 본 교실에서는 최근 1년간 난청을 주소로 본 이비인후과 외래를 방문한 환자중 180명을 대상으로 하여 Goodman 씨 분류법에 따라 청력장애정도를 분류함과 동시에 우리 일상생활 가운데서 청력과 비교적 밀접한 관계가 있다고 생각되는 몇 가지 기준사항(대화, 방송, 학교 및 교회, 전화, 집단토의, 음원의 방향)을 지표로 하여 청력장애도와 각 사항의 응답재료를 검토한 바 있기에 보고하는 바이다.

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정신장애인을 돌보는 어머니의 돌봄만족감에 영향을 미치는 요인 연구 (Factors Influencing to the Caregiving Satisfaction of Mothers of a Person with Mental Disorder)

  • 김연수
    • 한국사회복지학
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    • 제58권3호
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    • pp.371-398
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    • 2006
  • 본 연구는 돌봄경험의 긍정적 측면을 조명하기 위한 목적으로 지역사회에서 정신장애인을 돌보는 어머니를 대상으로 돌봄만족감의 수준이 어느 정도이며, 어떤 요인들이 이에 영향을 미치는지에 관해 알아보았다. 연구대상자는 서울 및 경인지역의 지역정신보건센터, 사회복귀시설 및 낮병원을 이용하는 정신장애인을 돌보는 어머니이며, 총 231명이다. 돌봄만족감에 영향을 미치는 요인에는 정신장애 관련 요인으로 정신장애인의 유병기간, 입원횟수 및 사회기능이, 어머니의 개인적 요인으로 연령, 결혼상태, 가족수입, 신체적 건강이, 그리고 관계적 요인으로 정신장애인과 어머니관계의 질과 어머니가 가족, 친구 및 의미 있는 타자와의 관계를 통해 받는 사회적 지지가 포함되었다. 자료분석을 위해 t-test, Oneway-ANOVA, 상관관계분석, 그리고 위계적 다중회귀분석(hierachical multiple regression analysis) 등이 사용되었다. 연구결과 어머니의 돌봄만족감은 5점 척도에서 평균 3.06점으로 중간보다 약간 높게 나타났다. 최종 회귀분석모델에서 어머니의 돌봄만족감에 유의미한 영향을 미치는 요인은 어머니의 결혼상태, 가족수입, 정신장애인과의 관계의 질, 그리고 사회적 지지였으며, 정신장애인의 사회기능 등 정신장애 관련 요인은 돌봄만족감에 유의미한 영향을 미치지 않았다. 본 연구의 결과를 통해 돌봄경험의 긍정적 측면으로 실재하는 돌봄만족감에 대한 실천적 관심이 필요함과 더불어 이를 증진하기 위한 사회복지실천적 개입 방안이 연구의 함의로 제시되었다.

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국내 감각통합치료실 구성을 위한 가이드라인 개발: 델파이 연구 (Development of Guidelines for Setting Up Sensory Integration Rooms in Korea Using the Delphi Method)

  • 이찬화;황선미;박서율;채송은;김정란
    • 대한감각통합치료학회지
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    • 제18권2호
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    • pp.1-14
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    • 2020
  • 목적 : 본 연구는 델파이 방법을 적용하여 국내 감각통합치료실 구성을 위한 가이드라인을 개발하고자 하였다. 연구방법 : 2020년 5월부터 6월까지 감각통합치료 관련된 전문가 패널 22명을 대상으로 델파이 방법을 적용하여 전문가의 의견을 수집하였다. 델파이 조사는 2차에 걸쳐 진행 되었으며, 1차 델파이 설문에는 선행연구를 근거로 하여 평가도구 40개와 치료도구 23개의 폐쇄형 질문과 안전을 위한 물리적 환경 10개의 항목과 개방형 질문을 혼합하여 의견을 수렴하였다. 2차 델파이 설문은 1차 설문의 결과를 바탕으로 항목 삭제 및 수정과정을 거쳐 최종 수렴하였다. 결과 : 1차 델파이 결과에서는 총 59개 항목이 선정되었다. 최종 2차 델파이 결과에서는 59개의 모든 항목의 내용타당도 비율이 .42 이상으로 분석되어 삭제한 항목은 없었으며, 안정도 또한 모든 항목 0.5 이하로 분석되어 추가적인 설문이 필요 없음으로 판단하였다. 최종 델파이 조사의 평균 내용타당도 비율은 .92, 안정도 .15, 수렴도 .36, 합의도 .80으로 높은 일치도를 보였다. 결론 : 본 연구에서는 감각통합치료실의 물리적 환경과 치료 도구 및 평가 도구를 조사하고, 감각통합치료자들에게 임상 현장에서 얻어진 감각통합치료실 환경에 대한 견해를 파악함으로써 앞으로 감각통합치료실을 개설하기 원하는 기관들과 임상 치료사에게 도움이 될 것으로 기대된다.

우리나라 산림정책에 대한 국민의식 변화와 정책적 제언 (Changes in Public Consciousness and Policy Suggestions on Korean Forest Policy)

  • 심상택;김보미;전덕하;박주원
    • 한국산림과학회지
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    • 제112권4호
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    • pp.530-543
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    • 2023
  • 기후변화 대응과 탄소중립 사회로의 이행과정에서 중요한 역할을 담당한 산림이 제공하는 혜택의 사회적 가치는 점증해 왔다. 경제적·공익적 가치를 매개로 산림 부문 체계는 산주·임업인의 범주를 넘어 전체로서의 사회와 상호작용한다. 따라서 전체 사회의 관점에서 산림과 산림정책에 대한 공공 인식과 선호를 파악하는 것은 앞으로 산림정책 방향 설정에 있어서 중요하다. 이를 위해 본 연구는 산림청에서 설문조사 전문기관을 통해 1991년부터 2023년까지 7차례에 걸쳐 수행한 '산림에 관한 국민의식조사' 결과를 바탕으로 지난 32년간 의식변화를 시계열적 비교를 통해 분석하였다. 연구 결과 전반적인 산림정책에 대한 국민의 만족도는 높아졌으며, 산림녹화, 숲길·숲교육, 산림휴양시설 설치·운영 순으로 만족도가 높았고, 산지이용·관리, 산림재해 예방, 국제산림협력 순으로 만족도가 다소 낮은 것으로 나타났다. 또한, 국민은 숲가꾸기, 임도, 해외조림 정책은 지금보다 더 확대가 필요한 것으로 판단했다.

퇴원환자의 가정간호 이용의사와 관련 요인 (A Study on the Expressed Desire at Discharge of Patients to Use Home Nursing and Affecting Factors of the Desire)

  • 이지현;이영은;이명화;손수경
    • 재활간호학회지
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    • 제2권2호
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    • pp.257-270
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    • 1999
  • The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

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간호교육 철학정립 및 교육과정 개발을 위한 기초조사 (A Preliminary Study on Setting Philosophy and Curriculum Development in Nursing Education)

  • 정연강;김윤회;양광희;한경자;한상임
    • 대한간호학회지
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    • 제18권2호
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    • pp.162-188
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    • 1988
  • The purpose of this study is to guide the direction of the Korean nursing education to analysize ⑴ the philosophy and objectives ⑵ curriculum, and ⑶ educational environment. This analysis is based on the data from 50 nursing schools (14 4-year colleges and 35 3-year colleges) The survey was conducted from Dec. 1986 through Jan. 1987 by mail. 1) Educational philosophy and objectives 10 4-year colleges and 8 3-year college program have curricular philosoph. Most popular curricular philosophies are human beings, health, nursing, nursology, nursing education, nurses role in the present and in the future. 10 nursing schools mentioned that human being is the subject to interact with : environment physically, mentally and socially. 2 schools mentioned that health is the state of functioning well physically, mentally and socially. 13 schools mentioned that the nursing is the dynamic act to maintain and to promote the highest possible level of health. 4 schools mentioned that the nursology is an applied science. 4 schools mentioned that nursing education is the process to induce the behavioural changes based on the individual ability. There is different opinion about the nurses' role between 4-year college and 3-year college. In the responses from 4-year colleges they focus on the leadership in effective changes, self-regulating and self-determining responsibilities, applying the new technology, continuing education, and participation in research to further nursing knowledge. In the responses from 3-year colleges, they focus on the education in college, primary health care nursing, direct care provider and public health education. Among 50 respondents 40 schools have educational goals which can be divided into two categories. One is to establish the moral and the other is to develop the professionalism. 2) Curriculm The analsis of curriculum is only based on the data from the 4-year colleges because the most of 3-year colleges follow the curriculum guideline set by the Ministry of Education. a) Comparison of the credits in cultural subject and in nursing major. The average required credit for graduation is 154.6 and the median credit is the range of 140-149. The average credit of cultural subjects is 43.4. In detail, the average number of credit of required course and elective courses are 24.1 and 19.3 respectively. The average credit for major subject is 111.2. In detail, the average credit for required courses and electives course are 100.9 and 10.4 respectively. In 5 colleges, students are offered even on elective course b) Comparison of the credit by class. The average earned credits are as follows : 41.1 in freshman, 400 in sophormore 38.3 in junior and 32.4 in senior. Cultural subjects are studied in early phases. c) Comparison of the compulsory and elective cultural subject by institute. The range of credit is 7-43 in compulsory cultural subjects and there are lot of differences among institutions. While all respondents require liberal arts as compulsary subjects, few respondents lists social science, natural science and behavioral science as required subjects. Social science-related subjects are frequently chosen as cultural subjects d) Distribution of creditsin cultural subjects by institute. The liberal art subjects are taught in 20 institute. English and physical education courses are taught in all instituions. The social science subjects are taught in 15 colleges and the basic Psycology and the Basic sociology are the most popular subjects. The natural science subjects are taught in 7 colleges and Biology and Chemistry are the most popular subjects among them. e) Distribution of credits in major basic courses by institute. Most of the institutes select Anatomy, Microbiology, Physiology, biochemistry and Pathology as basic major courses. f) Comparison of the required and elective courses for nursing major by institutions. Subjects and credit ranges in major are varing by institute. More than half of the respondents select the following subjects as required major subjects. (1) Adults Health Nursing and Practice (19.5 credits) (2) Mother and Child Care and Practice (8.9 credits) (3) Community Health Care and Practice (8.5 credits) (4) Psychiatric Nursing Care and Practice (8.1 credits) (5) Nursing Management and Practice (3.9 credits) (6) Fundamental of Nursing, Nursing Research and Health Assessment and Practice. Three institutions select Introduction to nursing, Rehabilitation Nursing, School Nursing, Public Health Nursing, Nursing English, Communication, Human Development as electives in nursing major. 3) Educational environment a) Nursing institution There are forty-three 3-year colleges and seventeen 4-year colleges and 81.4% of which are private b) Number of students and faculty 19.2% of the students are in 4-year colleges and 80.8% of the students are in 3-year colleges. In 4-year colleges, the number of nursing faculty members is in the other of assistant professor, instructor and professor. In 3-year colleges, the orderiis lecturer, associate professor, full time instructor and assistant professor. In 4-year colleges, 18.8 students are allocated per nursing faculty and in 3-year colleges, 33.1 students are allocated per nursing faculty. c) Clinical practices 66.7% of the 4-year colleges practice over 1201 hours in clinic and 28.5% of 3-year colleges practice over 1201 hours in clinic. In 4-year colleges, 11.5 students are allocated per nursing faculty and in 3-year colleges,17 students are allocated per nursing faculty The survey shows no difference in the procedure between 4-year colleges and 3-year colleges but 3-year colleges choose the more variety practicing site such as special hospital and community health clinic. d) Audiovisual facilities The survey shows a lot of difference in audiovisual facilities among institution and 3-year colleges are less equipped than 4-year colleges.

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도시보건소 직원의 보건소 업무에 대한 인식 및 견해 (A Study on Perception and Attitudes of Health Workers Towards the Organization and Activities of Urban Health Centers)

  • 이재무;강복수;이경수;김천태
    • Journal of Yeungnam Medical Science
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    • 제12권2호
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    • pp.347-365
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    • 1995
  • 도시 보건소 직원의 보건소 업무에 대한 인식 및 태도를 파악하기 위하여 대구직할시 7개 보건소 직원 310명을 대상으로 1994년 8월 15일부터 9월 30일까지 설문조사를 실시하여 252명(회수율 81.3%)의 자료를 분석하여 다음과 같은 결과를 얻었다. 조사대상은 남자가 95명(37.3%), 여자가 157명(62.3%)이고, 60.3%가 대졸이상자였다. 현재 근무부서의 시설이 보건사업을 수행하는데 적합하다고 한 의견이 28.6%, 적합하지 않다가 51.1%였고, 보유 기자재가 사업수행에 적합하다가 19.4%, 적합하지 않다가 39.0%였으며, 보건소의 인력수가 적정하다가 28.6%, 적합하지 않다가 44.8%였다. 근무부서의 예산이 보건사업 수행에 적합하다고 한 의견이 13.1%, 적합하지 않다가 38.5%였다. 지방자치제 실시후 사업내용이 바뀌어야 한다고 한 의견이 51.9%, 지방자치제의 실시가 자신의 근무부서의 업무에 도움이 된다고 한 의견이 25.4%, 도움되지 않는다가 24.6%였다. 지방자치제 실시에 따라 보건소의 조직과 기능이 개선되어야 한다는 의견은 78.6%였다. 사업 목표량의 설정이 해당 부서나 지역의 실정에 비추어 맞게 책정되어 있다는 의견이 11.1%, '그렇지 않다'가 43.3%였다. 업무 수행을 위한 전문적인 지식이나 기술에 대한 교육을 더 받아야 한다고 한 의견이 57.5%, 더 받을 필요없다가 20.6%였고, 자신의 업무수행에 자율성이 있다고 생각하는 견해가 35.7%, 자율성이 없다가 25.8%였으며, 현재 하고 일에 만족한다가 39.3%, 만족하지 못한다가 16.3%였다. 보건소의 인사관리에 대해서는 11.5% 합리적이라고 하였고, 47.3%가 불합리적 이라고 하였으며, 보건소가 주민들로부터 신뢰를 받고 있다는 의견이 41.3%, '그렇지 않다'는 의견이 13.1%였다. 보건소에서 지역주민에게 제공하는 서비스 중에서 잘 시행되고 있는 사업은 결핵관리, 일반진료, 모자보건사업의 순이었으며, 부족한 사업은 보건교육, 치과진료, 위생, 통합보건사업의 순이었다. 향후 보건소에서 주민에게 제공해야 할 서비스로는 노인보건사업, 가정의료사업, 재활보건사업, 당뇨병관리, 고혈압관리, 학교보건사업, 정신보건사업의 순으로 지적하였다. 보건소 근무자들은 시설, 기자재, 인력, 예산, 인사관리, 사업목표량의 설정 및 평가, 인사관리 등에 대해서는 부정적인 의견이 많았으며, 업무수행을 위한 보수교육, 지방자치제 실시를 통한 업무의 변화, 업무의 자율성, 업무의 만족도 면에서는 대체로 긍정적인 의견을 가진 것으로 나타났다.

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