• 대한감각통합치료학회지
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• 제21권1호
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• pp.47-58
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• 2023

목적 : 본 연구는 국내 아동 작업치료영역에서 기관별 사용하고 있는 평가도구 사용 현황 및 실태에 대하여 조사하고자 하였다. 연구방법 : 본 연구는 국내 아동작업치료사 67명을 대상으로 진행하였다. 설문지구성은 Lee, Hong과 Park(2018)와 Kim(2015)의 연구에서 사용된 설문문항을 아동평가도구 내용에 맞추어 수정·보완하여 사용하였다. 데이터 수집은 편의표본추출방법을 사용하여 3주 동안 Google 설문지를 배포하였다. 연구 분석은 일반적 특성, 평가관련정보, 평가도구 사용현황, 지식수준 및 교육 참여 욕구를 검증하기 위해 기술통계와 빈도분석을 사용하였으며, 평가도구 현황은 t-test를 사용하였다. 기관별 평가도구 사용은 Excel을 통해 분석하였다. 결과 : 기관별 사용하는 평가도구 수는 복지관이 11.1개로 가장 많았고 기관별 평가도구 사용 현황의 경우 대학병원이 Jebsen-Taylor hand function test를 재활병원은 Functional Independence Measure for children을 가장 많이 사용하였으며 의원, 센터, 복지관, 어린이집은 순서 간의 차이는 있으나 Sensory Profile과 임상관찰 사용빈도가 많았다. 평가도구에 대한 지식수준과 교육참여 욕구에 대한 문항에서는 응답자의 30명(44.8%)이 교육을 이수하지 않았으며, 42명(62.7%)이 대체로 자신의 지식수준을 낮게 평가하고 있었다. 매뉴얼 기반에 평가도구 사용의 중요성 질문에 66명(98.6%)이 긍정적인 답변에 응하였고, 66명(98.6%)이 평가도구 전문교육이 필요하다고 응답하였다. 결론 : 본 연구를 통하여 국내 아동작업치료영역 기관별 사용되고 있는 평가도구의 사용 현황 및 실태를 파악할 수 있었으며 이를 통해 기관별 다양한 평가도구 도입 및 다양한 평가도구 교육 마련을 위한 기초적인 근거자료가 될 것으로 기대된다.

• 의료법학
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• 제25권1호
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• pp.87-115
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• 2024

우리나라는 급격한 발전과 더불어 많은 성장을 이루는 과정에서 스트레스에 노출이 정신적 고통을 수반하게 되었고 다양한 사회문제로 나타나며, 응급입원의 빈도가 높아지고 있다. 정신질환자의 경우 '비자의 입원'이 문제가 되며, 경찰, 119구급대원이 정신질환자의 신체억제를 시도하며, 많은 문제점이 노출되고 있다. 이는 정신건강복지법 상 응급입원의 조항의 구성요건이 현실을 반영하지 못해 하나의 정신질환자를 두고 각 기관이 다른 입장을 내며, 응급입원이 원활하게 진행되지 않거나, 관계기관의 마찰로 이어지며 정신질환자의 안전이나, 타인의 안전이 확보되지 못하는 경우가 발생하고 있다. 응급입원은 주체가 '정신질환자로 추정되는 사람으로 자신의 건강 또는 안전이나 다른 사람에게 해를 끼칠 위험이 큰 사람을 발견한 사람'으로 정하고 있으며, 그 상황이 매우 급박하여 스스로 입원을 결정하는 입원절차를 거칠 시간적 여유가 없는 경우 의사와 경찰관의 동의를 얻어 응급입원을 의뢰할 수 있다고 규정하고, 이 경우 119구급대원이 정신의료기관까지의 호송하도록 하고 있다. 이러한 응급입원의 조항은 정신의료기관까지 이송하는 과정에 많은 문제를 내포하고 있다. 실무를 담당하는 경찰관이나 119구급대원이 응급입원과정 중 '물리력'을 사용하게 되면, 필연적으로 부작용이 발생하게 되는데, 업무상과실이 문제가 될 수 있으며, 구체적으로는 물리력을 행사할 때 법령에 근거하고 비례원칙에 따른 필요최소한도의 신체억제가 필요하게 되는데, 법령상 119구급대원이나 경찰관의 주의의무의 부재가 결국 다른 법령을 적용하여 해결하게 된다는 것이다. 이에 정신건강복지법 상 응급입원 조항의 주체를 경찰, 소방기관의 장점을 살려 주체를 변경하고, 정신보건법의 시행규칙으로 신체보호대 사용을 정의하고, 규정함으로써 119구급대원과 경찰관의 주의의무를 설정하고 정신질환자가 안전하게 치료받을 수 있도록 이송에 대한 환경을 조성함으로써 자기 또는 타인의 위험을 내포하고 있는 정신질환자 또한 안전한 환경에서 정신의료기관으로 이송될 수 있는 계기가 될 것이다.

• 동서간호학연구지
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• 제5권1호
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• pp.90-101
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• 2000

The study attempts to examine the degree of cognition and demand on health promotion center of oriental nursing. It puts unique nursing intervention using traditional health promotion connected with oriental medicine to practical use for residents' health promotion and prevention of disease. With the study design of cross-sectional descriptive study, 516 residents who live in 26 Dongs, Dongdaemoon-gu were selected. The tool of study consists of 30 questions which the study team made for the degree of cognition and demand on health promotion center of oriental nursing. Cronbach's $\alpha$ in the degree of cognition was .8028. Collection of research data had been done from October 1 to October 30, 1999 with help of Dongdaemoon-gu office after pretest from 20 residents. Collected data were analyzed into the number and percentage in the characteristic of a subject and connected with demand on the establishment of center, the mean and the standard deviation in the degree of cognition and F-tests in the difference of the degree of cognition by characteristics. The results were as follow; 1) The characteristic of subject of this study was male 50.6%, and average age was 38.5 years old and 30-39 years old occupied the highest percentage with 31.6%. The married were 71.8%, over high school graduates was 85.6%, monthly income from 500 thousand won to 2 million won was 86.1%. 50.8% was the type living with parents, children and sibling. 2) When they were sick, the institution which residents used at first was a pharmacy(69.2%) and hospital(27.5%), but oriental medicine hospital was just 1.4%. As for subjective health condition, 82.5% answered over average, and 28.7% answered that they had chronic illness such as arthritis, chronic digestion problem, hypertension and so on. As for information collection on health, mass communication(34.9%) and medically concerned people(28.1%) occupied relatively high rate. Free health diagnosis system(36.8%) and establishment of health promotion center(31.5%) among welfare programs that residents want to enjoy were high ranked. The rate using a special institution for health was 17.8%, and among these institutions, the rate using aerobic exercises, health center(7.0%) and steamed room(5.4%) was high. Besides, other institutions such as breathing at the abdomen, finger-pressure therapy, meridian massage, foot massage, and so on were being used. 3) As the average of the degree of cognition on health promotion center of oriental medicine was 2.92, the degree of cognition was medium. The description, "health promotion center of oriental medicine is necessary for health keeping of healthy people, including people who have a problem in health" showed the highest degree of cognition(3.04, ${\pm}0.64$). 4) As for the intention on using health promotion center of oriental nursing, 61.4% said "yes", "no" was just 1.4%. The services that people relatively high wanted to be served from the center were measures reducing stress(68.0%) (relaxation therapy, meditation, breathing at the abdomen and so on), acupuncture(66.5%), finger-pressure(61.6%), moxibustion(57.6%), meridian massage(44.2%), postpartum care(40.3%) and so on. 5) As for the degree of cognition on the establishment of health promotion center of oriental nursing by characteristics of subject, there was significant difference(F=4.03, p=.046) between male(3.01) and female(2.91). But there was no significant difference by age, marital status, level of educational achievement and monthly income. As the above result, cognition on the establishment of health promotion center of oriental nursing was relatively low because people were not familiar with about the health promotion center of oriental nursing yet. However once the center will be established, the degree of demand on the center will be relatively high. So positive advertisement will be necessary, and the management of useful programs will be also required in order to make people recognize the advantage when they actually will use the center. On the other hand, as the subject of the study consists of many young people of below 30, the health problem came to be low. And in the case of sampling, the study using random sampling that can represent population will be required.

• 한국항해항만학회지
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• 제38권4호
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• pp.409-419
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• 2014

국제화 시대에 발맞추어 세계 각국은 국가 간 빈익빈 부익부 현상을 해결하고 개발도상국의 경제발전 및 복지수준 향상을 위해, 공적개발원조(ODA; Official Development Assistance)를 통한 그들 간의 협력에 힘쓰고 있다. 과거 수원국에서 공여국의 입장으로 위상이 변화된 우리나라 역시 아직 초기단계에 머물러 있지만, OECD의 회원국으로서 ODA 사업에 적극 동참하고 있다. 특히 최근 들어 우리나라에서는 항만과 관련된 분야에서 ODA의 중요성이 부각되고 있다. 따라서 본 연구는 신제도주의와 사마리아인의 딜레마 게임의 관점에서, 우리나라 항만분야 ODA의 현황 및 관련 제도를 분석하여 사마리아인의 딜레마 상황을 발생시킬 수 있는 구조를 찾아내고, 이러한 딜레마를 해소하기 위한 제도적 방안을 모색하는 것을 연구목적으로 하였다. 분석을 통해서 항만분야 ODA 제도와 관련된 딜레마 구조를 확인하였다. 그리고 분석결과는 현장 중심 원조체제의 강화, 수원국의 협력을 유도하는 보상체제 확립, 신뢰할 수 있는 협박의 제도화 등과 같은 제도개선방안들을 제안하였다. 이와 같은 연구의 분석결과는 ODA 연구의 이론적 모형을 개발하고 항만분야 ODA의 효과성을 제고시키는데 기여할 수 있을 것이다.

• 대한예방한의학회지
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• 제19권3호
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• pp.91-102
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• 2015

Objective : The purpose of this study is to find out the possibility of application to herbal medicine's report form for adverse drug reaction (ADR) by reviewing and analyzing Asian countries's ADR report forms. Method : We investigated, compared, and analyzed ADR report forms (ADR-RF) of Asian countries's ADR institutions (ACAI), such as, Korea institute of drug safety & risk management and Dongguk university Ilsan oriental hospital (DUIOH) in Korea, national center for ADR monintoring (NCAM) in China, pharmaceuticals and medical devices agency (PMDA) in Japan, Ministry of Health and Welfare (MOHW) in Taiwan, and drug office, department of health, the government of the Hong Kong special administrative region (GHKSAR) in Hong Kong. Results : ADR-RF for ACAI included common contents, such as, patients information (name(initial), gender, age, weight), adverse event (AE)'s report information (Recognition and report for AE occurrence, first or follow up report, Severe AE), the detailed information of AE (the title of AE, onset & closing date of AE symptoms, the progress & results detailed test of AE), the information of AE's medicine (the types of medicine, product name, ingredient name, suspected or combination drug, single dose & frequency, dosage form, administration route, dealing for AE-suspected medicine), and AE reporter's information (reporter's information, institution's information). Taiwan had ADR-RF and the department exclusively for herbal medicine (HM), but others (except DUIOH) had not only no ADR report form but also contents for HM. Conclusion : ADR-RF for HM have to include the common contents of ACAI at least, as well as HM information related to ADR, such as the title, composition and types of HM, history related to HM's ADR, and the contents of drug-induced liver injury and so on. In addition, the main department of government for HM's ADR will be needed.

• The Journal of Korean Physical Therapy
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• 제17권1호
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• pp.80-95
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• 2005

The purpose of this study was to research the work condition and the degree of job satisfaction of the physical therapist in Jeonnam East area. This study consisted of 120 physical therapists who were working in hospital located in Jeonnam East area from May, 19 to June 16, 2004. The data for analysis were collected by questionnaire survey. The major statistical methods used for the analysis were factor analysis, $x^2-test$, multiple regression analysis. The summarized result are as follows; 1. As for the general characteristics of the surveyed physical therapists was male 61($50.83\%$) and female 59($49.16\%$), majority was 26-30 in age. Most of the respondent worked in local clinics($62.5\%$). Also most of the respondent educated college graduation($68\%$). While the service period less than 12 months accounted for $41.7\%$. 2. The average marks by their job satisfaction factors indicated $56.7\%$ for duty importance, the relation with the patient accounted for $53.3\%$, the mending education for $18.3\%$, the equipment & institution for $20.9\%$. The average job satisfaction score was 3.04. 3. The comparative analysis of job satisfaction and general characteristics among different characteristics of the respondents revealed that there was significant difference between male and female, between 31-40years and 41years or more in ability knowledge & technique satisfaction. 4. The comparative analysis of job satisfaction and work conditions among different characteristics of the respondents revealed that there was significant difference between local clinics and hospital, between yosu&goheung and beolgyo in the mending education satisfaction. 5. Contributing factors for the job satisfaction in Physical therapist were welfare system, the relation with the patient, the service time per patient, mending education, the number of the patient.

• 한국보건간호학회지
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• 제10권2호
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• pp.74-89
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• 1996

It hasbeen individual and social problems that mattoids, alcohols and old people alienated from their families have wandered about the streets for rapid urbanzation, industrialization and nuclear families. In our country, measures for proper guidance for the tramps under the supports of government in 1982 have been carried out. But it has been difficult that we protected without Welfare Acts for them. According to those the study has aimed to provide for the fundamental data to advance public utilities as needs of an administrative organ with focus on contents of nursing records charts, furthermore general traits of subjects perceived details related to diseases. Medical record service has been a 'D' municipal hospital. All the subjects were a total of 4,855 persons, 2.436 in 1992, 2.419 in 1994. 1. Social Traits They mainly have attended a hospital, especially Thursday and Friday from a week and winter from the seasons. They equally have attended a hospital in the beginning, middle and end of the month. They equally have attended a hospital in the months. Government and public offices such as police stations and district offices have trusted them to a hospital. After they left a hospital. their residence has been their home confirmed in the ratio of $59.2\%$. 2. Controling Characteristics of a Medical Institution The proportion of males to females was 7 to 1. In the ages, the adults at the first of adulthood from 25 years to 44 years were $52.6\%$ mostly entered a hospital. In the observations the percentage of patients should be entered total was $8.8\%$. In general. the proportion of changes by fee was about $4\%$. Then the number of patients were on an average from 30. 76 to 32, 55 persons in 1992. It was from 25. 63 to 26. 87 in 1994. But the numbers were 5 to 6. It showed that the number was decreased. 3. Medical Traits The number of days by measured and the number of days which have been entered to a hospital have not made differences. The kinds of diseases were 1.11 in 1992. but were 1. 16 in 1994. In terms of 17 kinds of international diseases divided. the diseases recorded probably have been accidents. poisoning and violence( XVII). digestive trouble(IX). endoctrin disoders. metabolism and dystrophy(III) in orders, then they have been measured $51.0\%,\; 12.7\%,\; 6.8\%$. All patients who have been entered to a hospital severly have been drinking. As the seriousness of drinking and the kinds of diseases have indicated positively correlated. It have indicated that the more serious drinking have been. the more the number of diseases have been. As we have known according to abover results. the Acts for Homeless People related to special medical problems been have revised. furthemore they need to support the basic medical adds in order to maintaim their lives.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.232-238
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• 2019

본 연구는 계획된 행동이론에 근거하여 문제도박자의 단도박 의도를 예측하는 모형의 적용가능성을 검증하기 위함이다. 지역사회 기관을 이용하는 문제도박자 100명을 대상으로 단도박 태도, 주관적 규범, 지각된 통제력과 단도박 의도를 조사하였다. 그리고 계획된 행동이론에 기반한 모형검증을 위해 단도박 태도, 주관적 규범, 지각된 통제력이 단도박 의도에 영향을 미치는지 구조방정식 모형으로 분석하였다. 연구모형 분석결과 단도박 의도에 가장 강력한 예측요인은 지각된 통제력이고 그다음이 단도박 태도였다. 그러나 주관적 규범은 단도박 의도에 의미 있는 영향력을 가지지 않았다. 이러한 결과를 바탕으로 본 연구자들은 문제도박자의 회복을 위해 단도박 효능감과 단도박 행동에 대한 긍정적 태도를 향상시키기 위한 인지행동적 개입을 제안하였다. 즉, 도박문제로부터 회복할 수 있다는 신념 강화를 위해 지속적인 지지와 대처기술훈련이 필요하고, 긍정적 태도를 향상하기 위한 도박문제 정보제공과 교육 역시 도움이 될 수 있다. 따라서 중독관리기관을 중심으로 도박문제에 대한 치료뿐만 아니라 예방 차원의 개입을 고려해 볼 수 있다.

• 보건행정학회지
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• 제9권1호
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• 한국산학기술학회논문지
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• 제21권2호
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• pp.542-550
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• 2020

하천은 이·치수 및 환경의 기능을 수행하며 국가의 생활과 문화의 발전에 기여한다. 현재 전국에는 5,937개의 하천이 존재하며, 각 부처 및 지자체에서는 하천유역을 개발 및 복원하기 위한 다양한 사업을 추진 중에 있다. 그러나 각 기관별로 사업의 평가절차 및 평가기법이 통일되지 않고 상이하게 이뤄지고 있음으로 인해 효과성 검증 및 사업 간의 비교와 같은 효율적인 평가가 어려운 실정이다. 이는 동일한 구간에 중복된 사업 수행으로 인한 예산의 과잉투자 문제를 불러일으킬 수 있으며, 추후 하천사업 계획 시 실패한 사업의 요소가 반복적으로 사용될 수 있다는 문제를 야기한다. 본 연구에서는 이러한 문제점을 인식하여 하천 관련 사업들을 표준적으로 평가할 수 있는 하천사업 사후 평가 틀을 개발하는 것을 목적으로 한다. 이를 위해 각 기관별 사업평가 기법과 국가R&D사업, 사회복지사업 등 다방면의 사업들을 비교·분석하여 사업 표준화 추진단계를 우선적으로 제시하였다. 또한 표준화 추진단계를 바탕으로 각 단계별 평가지표를 도출하여 하천 관련 사업을 표준적으로 평가할 수 있는 평가기법을 제시하였다. 최종적으로 시행 완료된 하천사업의 성공요인과 실패요인의 비교·분석을 통해 계획 중인 하천사업에 실패요소가 반복적으로 사용되는 것을 막을 수 있으며 사업의 효율성을 제고할 것으로 본다.