• Safety and Health at Work
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• 제10권3호
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• pp.305-313
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• 2019

Background: The oil and gas industry is one of the riskiest industries for confined space injuries. This study aimed to understand an overall picture of the causal factors of confined space accidents through analyzing accident reports and the use of a qualitative approach. Methods: Twenty-one fatal occupational accidents were analyzed according to the Human Factors Analysis and Classification System approach. Furthermore, thirty-three semistructured interviews were conducted with employees in different roles to capture their experiences regarding the contributory factors. The content analyses of the interview transcripts were conducted using MAXQDA software. Results: Based on accident reports, the largest proportions of causal factors (77%) were attributed to the organizational and supervisory levels, with the predominant influence of the organizational process. We identified 25 contributory factors in confined space accidents that were causal factors outside of the original Human Factors Analysis and Classification System framework. Therefore, modifications were made to deal with factors outside the organization and newly explored causal factors at the organizational level. External Influences as the fifth level considered contributory factors beyond the organization including Laws, Regulations and Standards, Government Policies, Political Influences, and Economic Status categories. Moreover, Contracting/Contract Management and Emergency Management were two extra categories identified at the organizational level. Conclusions: Preventing confined space accidents requires addressing issues from the organizational to operator level and external influences beyond the organization. The recommended modifications provide a basis for accident investigation and risk analysis, which may be applicable across a broad range of industries and accident types.

• 가정과삶의질연구
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• 제14권4호
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• pp.191-202
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• 1996

This research applied an attachment theory to the study of three generations of women. Questionnaire and semistructured interview techniques were employed to collect the data on intergenerational mother-daughter relationships from 140 triads of adolescent daughters middle-aged mothers an old-aged grandmothers. The focus of the study had been on the characteristics of attachment patterns which is measured by sense of attachment and autonomy across and within generations and their effects on personal well-being. Women in each their three generations perceived a high and seminilar level of attachment across and within the generations. On the other hand the level of autonomy differed by the generations with middle-aged mothers showing a higher level of perceived sense of autonomy than other two generations. Although the levels of attachment and autonomy were related to psychological well-being the level of autonomy was slightly more related to it. The results also showed that not nly one's own attachment toward mother/daughter but attachment of others toward herself were associated with the personal well-being. Overall this study reflects and supports the basis concepts of mother-daughter attachment: its continuity reciprocity and personal development in adulthood.

• 대한가정학회지
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• 제40권1호
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• pp.195-208
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• 2002

This study examines how marital dissatisfaction is connected with extramarital relations among married women. To explore this subject,1 am using in-depth interview techniques. The data from 16 married women who involved (and are involving) extramarital relations are collected in semistructured interviews. In this article, I describe four specific types of extramarital relations with particular relevance to marital dissatisfaction: (1) temporary extramarital relations caused by marital dissatisfaction, (2) positive extramarital relations as maintaining dissatisfied marriage, (3) unavoidable extramarital relations as breaking dissatisfied marriage, and (4) extramarital relations as a part of life with satisfied marriage. With these results, I believe that equity theory could be applicable in explaining the relationships between marital satisfaction and extramarital relations. There are limitations when the qualitative research is analyzed. One problem is measurement. It is difficult to measure equality (or equity), life dissatisfaction, and other concepts. furthermore, this study is not abbe to explain causal relationships among equality, life dissatisfaction, actual extramarital relations. The future study should perhaps be in quantitative research focused on the causal model in which all exchange variables are conceptualized and properly measured for the intimate relationship.

• 성인간호학회지
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• 제22권5호
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• pp.537-551
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• 2010

Purpose: This study was designed to identify meaningful themes related to the recognition of lifestyle risk factors and barriers in seeking treatment following an acute event of first-time acute myocardial infarction. Methods: A methodological mixed method of thematic content analysis and a quantitative analysis was used. The sample consisted of 120 male patients < 65 years of age who agreed to be in the study were interviewed using a semistructured during 2008-2009. Data were analyzed according to the procedure of thematic content analysis and the meaningful themes were coded into SPSS data for quantitative analysis. Results: Pre-hospital delay greater than three hours reported by 58.3% (n=70) of the sample and similarly 63.3% had no recognition about their symptoms as cardiac in origin. The mean number of risk factors was $3.9{\pm}1.8$ out of 11 when lifestyle and psychosocial factors were included. From the interview data among the 70 patients delayed greater than three hours, thirty-five themes categorized into 12 main themes influenced the delayed decision which was identified according to personal-cognitive, socio-cultural, and contextual factors. Conclusion: Health care providers should consider these themes in designing individual interventions to make lifestyle changes and to facilitate more prompt decisions to seek care.

• 한국기록관리학회지
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• 제15권1호
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• pp.89-125
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• 2015

본 연구의 목적은 도큐멘테이션 전략을 활용하여 역대 대통령기록물의 부족한 부분을 보완하고 대통령이 국정을 운영하는데 있어 참고자료가 될 수 있도록 장기적으로 대통령기록물 수집이 가능한 방안을 마련하는 것이다. 이를 위해 문헌연구, 국외 사례분석, 미국과 한국 대통령기록물 수집 사례를 살펴보았으며 국내 대통령기록물 수집과 관련하여 심층면담을 실시하였다. 심층면담은 반구조화 질문지로 구성하였고, 대상기관은 기관별로 재단 및 기념 사업회, 중앙행정기관, 대학부설기관 등 15개 기관으로 구분하여 선정하였다. 인터뷰 참여자는 총 15개 기관 17명(100%) 중에서 12개 기관 14명(82%)이며 인터뷰 결과는 질적 연구방법론의 근거이론방법에 따라 분석하였다. 이러한 인터뷰 결과를 바탕으로 대통령기록물을 수집하는 방안으로 도큐멘테이션 전략을 활용하여 수집 전략을 설계하고, 운영하며, 홍보하는 모형을 제안하였다.

• Safety and Health at Work
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• 제12권3호
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• pp.339-345
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• 2021

Background: Some researchers state that they are not yet able to provide a deep understanding of the underlying causes of unsafe behaviors (UBs). Therefore, the present study was conducted to investigate the attitudes and experiences of Iranian workers of UBs. Methods: This present study was conducted in 35 industries using a semistructured interview based on grounded theory. Forty participants were interviewed, including 13 industrial safety and health experts and 27 workers and supervisors. The analysis of the present study consisted of a three-step coding process including open, axial, and selective coding. Results: The results showed that the factors affecting UBs could be classified into three categories: organizational, individual, and socioeconomic factors. Organizational factors were divided into 6 parts: procedure and environmental conditions, communications, monitoring, organizational safety culture, resource allocation, and human resources. Socioeconomic factors had three subcategories: community safety culture, type of organizational ownership, and economic problems. Finally, the individual factors were classified into two categories of personality traits and individual competence. Conclusion: The results showed that organizational factors were the most categorized, and it is estimated that this factor has a more important role in the UBs. Of course, to better understand the close relationship between these factors and find the weight and importance of each factor, it needs to measure it with multicriteria decision systems.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제15권2호
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• pp.178-184
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• 2004

연구목적：본 연구는 한국인에 있어서의 뚜렛 장애 환아 가족에서 COMT유전자의 유전적 다형성과 뚜렛 장애와의 연관성에 대해 고찰하기 위해 수행되었다. 위험 대립 유전자와 특정 임상 양상(틱 증상의 중증도, 공존 질환, 약물 반응)과의 관련성에 대한 것도 함께 연구하였다. 방 법：환아군은 서울대학교 병원 소아 청소년 분과의 틱 장애 클리닉에서 모집하였고, 두 단계의 평가를 거쳐 선별되었다. 우선 모든 환아와 부모는 Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version(이하 K-SADS-PL)한국어판을 이용한 반구조적 면담을 받았고, 다음으로 모든 부모에게 임상적 면담을 시행하고 YGTSS한국어 판을 이용하여 틱 증상의 중증도에 대한 평가를 하였다. 대조군은 본 병원의 건강증진센터로부터 모집하였고 Symptom CheckList-90(이하 SCL-90)과 Structured Clinical Interview for DSM-IV(이하 SCID-IV)를 이용하여 평가하였다. 위 과정을 모두 거쳐 뚜렛 장애가 있는 총 42명의 소아, 청소년과 그들의 84명의 부모, 86명의 대조군이 최종적으로 선별되었다. 표준화된 방법을 이용하여 catecholamine-O-methyltransferase(이하 COMT)유전자의 Val158Met 다형성을 알아보기 위한 유전자형 채취를 시행하였다. 모든 환아와 부모, 대조군의 유전적 정보를 수집한 후 환아-대조군 비교와 TDT를 시행하였다. 결 과 : 환아-대조군 연구로부터 L대립 유전자와 LL유전형의 빈도가 뚜렛 장애 환아군에서 유의하게 높음이 관찰되었다. 그러나 TDT에서는 유의한 차이가 관찰되지 않았다. 또 뚜렛 장애 환아군의 세 가지 서로 다른 유전형 사이에 틱 장애의 가족력, 주의력결핍 과잉행동장애, 강박증, 약물에 대한 반응, 공존 질환 여부 등에 있어서 유의한 차이는 없었다. 결 론：본 연구에 있어 사례 수가 적고 TDT에서 유의한 결과가 발견되지 않았기 때문에 해석에 조심을 기할 필요는 있겠으나, 본 연구는 COMT유전자의 기능적 다형성과 뚜렛 장애 간에 연관 관계가 있음을 밝혀 낸 최초의 보고라 하겠다.

• 한국과학교육학회지
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• 제24권6호
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• pp.1143-1157
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• 2004

이 연구의 목적은 STS에 대해서 우리 나라 고등학생들이 가지는 견해를 알아보기 위한 평가 도구인 HS-VOSTS(Korean Students' Views on STS)를 개발하는 것이다. HS-VOSTS 문항을 개발하기 위해서 다음과 같은 연구과정을 수행하였다. 우선, 문헌과 선행 연구 고찰을 통해 4가지 범주의 10가지 하위 범주와 관련하여 23개의 논제를 포함하는 STS 범주 체계를 설정하였다. STS 범주 체계는 정의 과학의 외적 사회학 과학의 내적 사회학 인식론의 네 가지의 커다란 범주로 구성되어 있다. 다음은 STS 범주 체계를 기초로 4단계에 걸쳐 문항을 개발하였다. 1단계에서는 각 논제에 대한 짝진술문을 기초로 학생진술 문항지를 작성하여 772명의 고등학생들(16.3세)에게 투입하였다. 2단계에서는 짝진술문 중 하나를 제거하여 문항의 진술문으로하고, 분류된 공통견해를 답지로 하여 1차 다지선다형 문항지를 구성하였다. 3단계에서는 고등학생 28명(16.5세)을 대상으로 반구조화 면담을 실시하여 그 결과 분석을 통해 2차 다지선다형 문항지를 구성하였다. 4단계에서는 2차 다지선다형 문항지를 고등학생 306명에게 적용하여 낮은 반응비율을 보인 답지들을 제거하여 최종 검사도구를 완성하였다. HS-VOSTS는 학생들의 STS에 대한 신념 및 견해를 알아볼 수 있는 유용한 도구로서, 그 결과는 교사뿐만 아니라 교육과정 개발자, 교과서 저자, 교육정책 입안자들에게 많은 시사점을 줄 수 있을 것이라 생각한다.

• 정신신체의학
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• 제10권2호
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• pp.154-165
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• 2002

목적: 입원 치료 중인 항암제 투여 환자의 우울 양상을 알아보기 위해 본 연구를 시행하였다. 방법: 2001년 11월부터 12월까지 영남대학교 의과대학 부속병원 종양내과에 입원한 대상으로 Beck's depression inventory(이하 BDI), Zung's depression scale (이하 ZDS), Hamilton depression scale(이하 HDS)을 시행하였고 정신과적 면담을 통해 축 I 질환을 진단하였다. 결과: 대상군에서 각 우울 척도의 평균 접수는 BDI 18.27${\pm}$7.73, ZDS 36.51${\pm}$10.82, HDS 15.14${\pm}$6.60으로 나타났다. 성별, 결혼상태, 종교에 따른 우울척도의 차이는 나타나지 않았다. 대상은 위암 13명, 폐암 11명, 혈액종양 10명, 기타 종양 3명(자궁암 2명, 두경부암 1 명)이었다. 고용량의 항암치료를 받는 기타 종양군의 HDS, ZDS 점수가 다른 종양군에 비해 높았다. 8명(21.6%)은 주요우울장애로, 11명(29.7%)은 적응장애로 진단되었다. 주요우울장애군에서 ZDS의 우울감, 일의 어려움, 불안, 정신활동성 지체 항목의 점수가 다른 진단군에 비해 높았다. 장애군에서 ZDS의 변비, 피로, 식욕 감소, 공허감, 수면장애, 불만족, 체중감소 항목, HDS의 건강염려증, 초조, 피로, 성욕 감소 문항의 점수가 높았다. 결론: 항암제 투여 중인 입원 환자에 있어서 적응장애와 주요우울장애와 같은 정신과적 질환이 동반될 수 있다. 정신의학적 접근이 암환자의 삶의 질을 증가시키고 치료 순응도 측면에 있어서도 중요하다. 항암제 치료중인 환자의 우울 장애 진단시 우울 증상과 혼동될 수 있는 다양한 선체 증상을 감별하기 위하여 암의 부위, 임상 경과, 치료 방법, 항암제의 부작용에 대한 고려가 선행되어야 할 것으로 생각된다.

• 여성건강간호학회지
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• 제4권2호
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• pp.217-230
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• 1998

The purpose of this descriptive correlational study was to define the relationship between the experience of Sanhuujori, Korean traditional non-professional postpartal care after delivery and abortion and present health status of chronic arthritis female patient who visited to outpatient clinic of rheumatic internal medicine at a hospital located in Seoul, Korea. A convenience sample of 64 women who orally agreed to be a participant and data were collected form October 1996 to May, 1997 for sis months by way of interview with semistructured questionnaire. The data were analyzed by the SPSS pc program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; Mean age of participants was 53.2 years and mean number of children was 3.1. Mean frequency of abortion was 2.1 times per woman. Seventy four percentage of respondents did not have Sanhujori after abortion. The mean period of Sanhujori after delivery was 17.7, 15.2, 13.8 days from the first child to third child and shorter than that of general woman such as 20.0, 19.0, 17.3 days in the previous study. On the subjective evaluation of whether the women did Sanhujori well or not, the rate of 'did Sanhujori wrongly' was the highest rank in each child where as general woman 'did Sanhujori well' at the first child, 'moderate' at the second and third child and 'did Sanhujori wrongly' at the 4th and fifth child. The health status implies both subjective health status women perceived and the rate of complaints of physical symptom distress women are experiencing presently. The respondents of 82.5% perceived them as unhealthy or sick and 68.9% of women complained more than two symptoms. Mean number of physical symptom distress women complained was 2.33. The main sites of physical symptom distress were upper & lower extremities 69.1% including knee and hand, whole body 19.1%, neck 3.7%, waist & shoulders 2.7% respectively. The characteristics of the symptoms were mostly pain 60%, swelling 19.8%, rigidity & deformity 7.9% respectively, sensation of heat 6.8% and weakness 1.7%. Women perceived the etiology of the chronic arthritis as stress 25.8%, 'did Sanhujori wrongly' & overwork 23.4% respectively, genetic 12.9%, malnutrition, 4.8%, and aging process 3.2%. There were significant positive correlation between subjective health status and the period of Sanhujori after delivery of the second child(r=-0.22) and negative correlation with the number of child at the level of 5% of significance statistically(r=0.27). There were significant negative correlation between the rate of complaints of physical symptom distress and the subjective evaluation whether she did Sanhujori well or not at the level of 5% of significance statistically(r=-0.23). And the rate of complaints of physical symptom distress in the group of women who experienced abortion was significantly higher than that of women who did not experience it at the level of 5% significance statistically(t=2.00) In conclusion, this finding reconfirmed the possible relationship between health status of chronic arthritis female patient and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers to research further on the effects of Sanhujori on the health status, health recovery after abortion or delivery from the various aspects through the crosssectional and longitudinal research for the refinement of the reality of not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and quality of care for desirable health outcomes.