• 종양간호연구
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• 제1권1호
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• pp.65-74
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• 2001

This study was to investigate the degree of the nurses' burden and the attitude on the terminal cancer patients, as well as the relationship between two variables using questionnaire. The non-randomized convenient samples were 252 nurses with the experiences in caring the terminal cancer patients more than 1year in 5 university hospitals in Seoul and Inchon city. The cross-sectional one time survey was conduced by using the modified questionnaires on the burden and the attitude on the terminal cancer patients at October, 2000. n SPSS for Window, the demographic information and the degree of the burden and the attitude of subjects were analyzed with descriptive statistics. Pearson correlation coefficiency was used to investigate the relationship between the degree of the burden and the attitude from subjects. The additional analysis were performed to examine the differences the degree of the burden and the attitude by the general characteristics of the nurses using t-test and ANOVA. The result was as follow: 1) The degree of the nurses' burden on the terminal cancer patients was the mean of 2.91 ranged from 2.08 to 3.96. 2) The degree of the nurses' attitude on the terminal cancer patients was the mean of 3.52 ranged from 1.83 to 4.68. 3) There was no significant relationship between the degree of the burden and the attitude on the terminal cancer patients(r=.08, p=.23). However, the burden and. the nursing environment among 4 aspects of the attitude showed a significantly positive relationship each other (r=.16, p=.01). 4) The degree of the nurses' burden was different by the nursing specialties (F=2.79, p=.03) and the professional perspectives on nursing(F=3.52, p=.02). 5) The degree of the nurses' attitude was different by the age(F=5.33, p=.01), the married status(t=3.93, p=.05), nursing specialties (F=7.42, p=.00), the amount clinical experience(F=2.85, p=.04), the job satisfaction (F=10.58, p=.00) and, the professional perspectives on nursing (F=6.30, p=.01).

• Journal of Hospice and Palliative Care
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• 제12권1호
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• pp.5-13
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• 2009

목적: 본 연구는 국가암정보센터의 전화상담을 통해 말기 암 환자가족의 정보요구와 만족도 조사를 통해 말기 암 환자 간호의 질을 향상하고자 시도되었다. 방법: 2007년 6월부터 2008년 3월까지 국가암정보센터를 통해 문의한 말기 암 환자 가족 중 만족도 조사에 동의하고 실제 통화된 113명을 대상하였다. 결과: 1. 정보를 요구한 말기 암 환자 가족은 113명으로 가족 중 자녀(82명)와 배우자(8명)가 주로 이용하였고, 연령은 40대(40명)와 30대(36명)의 이용이 많았다. 가장 많은 질문은 치료방법 117건, 말기 암 환자의 관리 46건, 말기 암 환자의 생활은 27건, 임종과 수명예측 18건, 입원기관에 관한 정보 16건, 경제적 지원은 15건 으로 나타났다. 전화상담 서비스에 대해 전반적으로 높은 만족을 보였다. 전화상담 서비스를 알게 된 경위는 인터넷이 69%로 가장 많았고 상담 후 개선사항을 묻는 질문에 홍보가 부족하다는 대답이 10.6%로 가장 많았다. 결론: 이 연구의 결과를 통해 말기 암 환자 가족은 치료방법에 매여 있어 남은 삶의 질을 높일 수 있는 호스피스에 대한 인식이 적은 만큼 국가적 차원에서 매스미디어를 활용한 호스피스 홍보방안을 모색해야 한다.

• 경영과학
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• 제31권2호
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• pp.87-103
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• 2014

This study looks for the service factors influencing to conversion among the domestic telecommunication companies and finds out the effect which the switching benefit affect the customer satisfaction and the switching intention. Eight service factors of the telecommunication company such as usability, call quality, terminal quality, auxiliary service, rates, after service, application and brand image are selected and verified using the structural equation model. Auxiliary service, rates and brand image give positive (+) effects to the customer's satisfaction, but the application gives negative (-) effects to the customer's satisfaction. Switching benefit affects significantly to the switching intention, but not to the customer satisfaction. The customer satisfaction gives a positive effect to the switching intention. The telecommunication service factors influence to customer satisfaction and switching intention, and switching benefit also influences to switching intention. It was analyzed that the significant influencing service factors were a little different among the telecommunication companies.

• 한국의류학회지
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• 제23권3호
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• pp.459-470
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• 1999

The objectives of this study were to investigate the difference the clothing shopping orientation and clothing satisfaction according to satisfaction·dissatisfaction group to examine how the clothing satisfaction was influenced by consumer values demographic variable clothing shopping orientation. The subject were 457 women in Seoul Korea The results of the study were as follows. 1. five factors of clothing shopping orientation (SO) derived by factor analysis : F.1. conspicious SO : F,2 search SO: F,3 recreational SO : F,4 addictive SO :F,5 independent SO . Two factors of terminal value derived by factor analysis : F,1 responsible : F.2 ambitious. 2. Satisfaction group had high levels of search SO, dissatisfaction group had high levels of addictive SO. Satisfaction group was satisfied with color style appropriateness for wearer in order dissatisfaction group was dissatisfied with care price size in order. 3. Conspicious SO were influenced bysocial stratification social recognition and happiness. Search SO were influenced by dwelling area and age. Recreational SO were influenced by social stratification social recognition and responsible value. Addictive SO influenced by responsible value social recognition and happiness. independent SO were influenced by marital status and ambitious value. 4. Clothing satisfaction was influenced by addictive conspicious SO happiness and recreational SO(R2=24.6)

• 보건의료산업학회지
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• 제13권4호
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• pp.163-177
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• 2019

Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables. Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program. Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL. Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.

• 한국항해항만학회지
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• 제40권4호
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• pp.223-230
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• 2016

해상운송화물이 꾸준하게 증가하면서 화물을 처리하는 터미널에 대한 관심도 증가하고 있다. 그러나 터미널과 관련된 대부분의 국내연구는 컨테이너터미널에 국한되어 있다. 본 연구는 벌크터미널의 서비스품질 관점에서 수행하였다. 벌크터미널 서비스 이용자를 크게 선사와 화주로 구분하여 제공받는 서비스에 대한 차이를 비교분석하였다. 또한 본 연구에서 제안한 속성 가운데 유형성은 선석 수나 수심, 장비 등의 변수들이 반영되어 설명되기 때문에 형성지표로 분석하는 것이 적합하다고 판단하였다. 따라서 일반적인 구조방정식모델에서 활용되는 반영적 측정모델뿐만 아니라 형성적 측정모델을 결합한 분석을 시도하였다. 전체 측정모델의 분석결과 공감성과 성과 만족도 간의 관계를 제외한 모든 항목이 유의한 것으로 나타났다. 이용주체별 차이 분석 결과는 화주가 선주보다 신뢰 반응성이 만족 성과에 미치는 영향에 대해 더 중요하게 평가하고 있는 것으로 나타났다. 이러한 연구결과는 향후 벌크터미널의 경쟁력 확대를 위한 전략적 자료로 활용될 수 있을 것이라 기대된다.

• 한국항만경제학회지
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• 제25권4호
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• pp.225-250
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• 2009

본 논문에서는 컨테이너 터미널을 중심으로 부산항의 고객만족요인을 항만공사가 통제 가능한 요인으로 선정하고, 서비스만족요인이 항만시설과 비용에서 고객지원 서비스나 마케팅활동과 같은 요인으로 변화되고 있음을 밝히고, 이에 따른 전략적인 시사점을 제공하는 것을 목적으로 하였다. 선행연구를 통하여 고객만족과 서비스 품질의 관계를 정리하고, 부산항의 주요 고객인 선사와 터미널운영사를 중심으로 고객만족 조사를 실시한 결과, 고객만족요인에 대한 중요도 측정에서 상위 5개 요소는 예정된 시간의 입출항, 하역생산성, 위기관리능력, 고충처리에 대한 대응, 하역요율 등의 순으로 나타났다. 만족도 측정에서 하위 5개 요소는 하역요율이 가장 낮고, 그다음으로 항만요율, 항만관련 유관기관들의 협력, 터미널 운영사의 실적에 다른 볼륨 할인, 위기관리 능력 순으로 조사되었다. 전반적인 만족도는 리커트 7점 척도에 4.62로 나와 보통 수준을 조금 넘는 것으로 나타났다. 고객만족의 측정요인을 항만시설과 항만비용, 마케팅활동 및 고객지원서비스로 설정하고, 그 하부요인에 20개를 설정하여, 구조방정식으로 검증한 결과 설문지와 연구모형이 전반적으로 부합되는 것으로 나타났다. 또한 가설검증의 결과에 따르면 항만시설이나 항만비용이 마케팅활동과 고객지원서비스와 비교하여 고객만족에 영향을 미치지 않는 것으로 나타났다. 그러므로 항만당국은 고객만족에 대한 만족도와 중요도 조사 결과와 고객만족에 영향을 미치는 서비스 요인을 중심으로 새로운 전략을 설립해야 할 필요가 있다.

• Journal of Acupuncture Research
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• 제19권4호
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• pp.208-224
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• 2002

Objective : Gastic cancer has become major cancers which cause nausea, vomiting. Especially patients with terminal stage of gastric cancer may suffer from nausea, vomiting and other symptoms that can keep patients from taking medicine or food. In those cases, there may be no use of taking herbal medicine to treat or palliate symptoms. So we wanted to know the potential efficiency of Acupuncture and Moxibustion whether they could control the symptoms of terminal stage of Gastric cancer without herbal medicine. Methods : Under the assumption that Acupuncture and Moxibustion may be effective for palliating nausea, vomiting on terminal stage of Gastric cancer, the following points were administrated SaGwan(Hapkok($LI_4$), Taechung($LR_3$)), Chok-Samli($ST_{36}$), Kongson($SP_4$), Naegwan($PC_6$) for Acupuncture, Chungwan($CV_{12}$) for Moxibustion. This observation was carried out on 11 patients with terminal stage of Gastric cancer. We reviewed medical records, specifically intake/output check with vomiting, nausea. Results : After therapy of Acupunture and Moxibustion, there were 22% of complete responses, 46% of major responses and 32% of failures. Therapy resulted in 2 cases of goodness, 4 cases of fairness, 5 cases of badness as satisfaction degree. Unfortunately 2 cases of badness expired. Conclusion : We have concluded that Acupunture and Moxibusiton therapy were effective to palliate the nasea, vomiting of terminal Gastric cancer. So if Gastric cancer develop difficulties of taking medicine with patients, to consider using the methods of Acupunture and Moxibution is worthy to palliate the nausea, vomiting and so on.

• The Korean Journal of Pain
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• 제13권1호
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• pp.60-66
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• 2000

Background: For terminal cancer pain management, controlled-release oral morphine (morphine sulfate tablet, MST) is a simple and convenient regimen. Recently, fentanyl transdermal therapeutic system (F-TTS, transdermal fentanyl) has been developed and became one of the alternative ways of providing adequate pain relief. This open prospective study was designed to compare the analgesic efficacy and safety of MST and transdermal fentanyl in the management of terminal cancer pain. Methods: In this open comparative and randomized study, 64 terminal cancer patients received one treatment for 15 days, controlled-release oral morphine (MST group) or fentanyl transdermal therapeutic system (F-TTS group). Daily diaries about the vital sign, visual analogue scale (VAS) for pain, opioids requirement, co-anagesics, adjuvant drugs and adverse effects were completed with 24 patients in MST group, 18 patients in F-TTS group. Results: The majority of patients in both treatment groups were late-stage cancer and their distribution was not different in both groups. Daily opioids requirement was 126.4 mg in MST uced in F-TTS group (P<0.05). The incidence of nausea, vomiting and constipation was lower in F-TTS group (P<0.05). Patients satisfaction was similar, but F-TTS patient group favored continous use of same treatment compared with MST group after the study was finished. Conclusions: Transdermal fentanyl seems to be safe and similar analgesic effect to controlled-release oral morphine for the control of the terminal cancer patients. However, transdermal fentanyl provides a simpler and more convenient especially in respect to constipation, nausea & vomiting. To determine the exact analgesic effect, cost-effectiveness and complications, controlled trials should be followed.

• 종양간호연구
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• 제2권1호
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• pp.36-49
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• 2002

The purpose of this study was to evaluate the effects of the pain management education on pain of the terminal cancer patients at home. For evaluating the effectiveness of the intervention modified Patient Outcome Questionnaire (APS, 1995) including patients concerns with cancer pain management, pain intensity, and interference of daily activities related to pain were measured before and after the education in control group and experimental group and the differences were compared with each other. Satisfaction with pain management was measured after the intervention. Pain management education was delivered to 16 experimental group patients by home care nurses, who were provided with 3-hour education on cancer pain management by one of the researchers. Pain management education included common misconceptions about cancer pain control and pharmacological and non-pharmacological interventions and emphasis was put on the importance of pain reports and patients' active participation in pain management. The results of the study were as follows. Patients concerns with pain management were decreased more greatly in the experimental group than those of the control group. The worst, average, and present pain intensities during the last 24 hours were decreased more greatly in the experimental group, and total score and each subcategory of the interference of daily living, except walking, were decreased more greatly in the experimental group. And satisfaction score with total pain management and nurses response to the pain reports were higher in the experimental group. The results of this study suggest that pain management education given to the patients by home care nurses is a very useful intervention to improve pain of the cancer patients at home. This positive result is thought to derive from patients' active pain report and participation in pain control and the use of powder form sustained release morphine for breakthrough pain control in part. Further studies with increased sample size from more institutions are recommended and early introduction of short acting morphine is strongly suggested for effective cancer pain control.