• 대한간호
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• 제33권5호
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• pp.63-75
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• 1995

The need of oriental nursing role is recently increasing. The implication of this trend is enormous not only for the need of independent of independent oriental nursing intervention. Hence, this study was designed to describe the characteristics of oriental nursing activity and identify the meaning of nursing activity in oriental hospital. A total of 24 nurses were selected by convenience sampling from eight units at one oriental hospital. A total of 168 data were collected using minute-by-minute recording during nurse s work shift. The data were analyzed using nova and scheffe method as post-hoc test The results of this study are as follows; 1. the category of nursing activity in oriental hospital 74.4% of nursing activity was the patient-oriented nursing care. The nursing activity included others (18.28%), the function-oriented nursing care (7.07%), and staff-oriented care (0.2%). 29.1 % of the patient-oriented nursing care was the direct care, and 24. 5 % of the patient-oriented nursing care was the indirect care. There was a lack of patient education and the communication patient. 2. Nursing activity in oriental hospital by characteristics 1) Nursing activity by unit For patient-oriented nursing care, there was a statistically significant difference among 8 units. In the critical care unit, the patient-oriented nursing care was mostly performed. For function-oriented nursing care, there was statistically significant difference among 8 units. In the physical therapy unit, the function-oriented nursing care was mostly performed. 2) Nursing activity in oriental hospital For all kinds of nursing activity, there was a statistically significant difference between shifts. In night shift patient-oriented nursing care, function-oriented nursing care, and other kinds of nursing care was mostly performed. Patient-oriented nursing care included indirect care, treatment set management, and the breaktime. In day shift, staff-oriented nursing care was performed. 3) Nursing activity in oriental hospital For all kinds of nursing activity, there was not a statistically significant difference by day. The day has not impact on nursing activity. 3. the meaning of activity in oriental hospital The results of this study show that the patient-oriented care was vital check, input! output check, medication, bedsore prevention, nasogastric feeding, oral care, catheterization care, perinatal care, nursing care associated with acupuncture and moxacautery, observation (fever, sweating), heat and cold application communication with patent and family, and patient room management In conclusion, two issues associated with the findings of the research appeated to be involved in the difficulty of nursing activity in hospital. The first issue was the nursing care in oriental hospital provided by nurses who have a limited understading of the principles of oriental medicine. The second issue was the deficiency of systematic guideling for oriental nursing activity. The findings suggest the need to develop the systematic guideline for oriental nursing activity. The need of continuing education for nurses who work in the oriental hospital, and the need of nursing education including oriental nursing are critical.

• 한국보건간호학회지
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• 제4권1호
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• pp.5-16
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• 1990

'What is nursing' this question could always be arised and such a question could bring forth the new possibility to definete the nursing concept more clearly. At the middle of 19th Centry, Mrs. Nightingale defined the concept of nursing as follows; 'Nursing is a kind of treatment act to aid the patient so that the health of patients may be recovered naturally, as keeping the most comfortable circumstances.' But after then, the role and function of nurses about purpose and method of nursing has continuously been studied, as the social circumstance has been changed. The fact that care provider and client have the same concept about nursing is very important at the first step of assessment. But at the present time, the care provider and client have not same concept yet, so the difference of unrsing concept between care provider and client is analyzed in this study. This study would be belived to be helpful for the advance of nursing in the future. In this study, 20 questionare from nursing objectives developed by Abdellah(basic care needs, sustenal care needs, remedial care needs and restorative care needs) are used for adult. The data of this study by the 6 point rating scale are analyzed by SAS as follows; 1. Respondent's view is that nursing is necessary in case of group(school or company) rather than private and in case of abnormal conditions rather than normal conditions. 2. Every questionares of nursing objectives are divided into 4 points of view such as basic care needs, sustenal care needs, remedial care needs and restorative care needs are examined. The evaluation by 6 point rating scale revealed that $5.08\pm0.65$ point in basic care needs $4.93\pm0.68$ point in sustenal care needs $4.91\pm0.80$ point in remedial care needs and $4.61\pm0.91$ point in restorative care needs. While basic care needs and substenal care needs that need more physical care show high points, remedial care needs and restorative care needs that need more psychological, social and spiritual care show low points. 3. It was checked whether there is any significant difference between above 4 point of views in nursing objectives and qeneral characteristics or not. As a result, there is significant difference between 4 point of view and ages, educational level, marriage, composition of children. And also there is significant difference between religion and basic care needs, remedial care needs and restorative care needs. But there is no significant difference between any point of view and sex, occupation, experience of admission and experience of family admission. As this study is based on the data gethered from a restricted area, the result can not represent the opinion of all the clients. Therefore the same kind of study should be carried out on many areas repeatedly and also it should be tried to extract objective concept. And also periodical study is needed to observe the changing process of nursing concept.

• 한국산학기술학회논문지
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• 제10권10호
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• pp.2900-2906
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• 2009

e-health 시스템은 의료부문에 관련된 이해당사자들에게 의료서비스와 정보를 정보통신기술을 이용하여 제공하는 것이다. 이런 상황에서 보건의료 분야에서 'e-Health' 시스템의 구축을 통해서 보건의료부문의 효율성 증진, 서비스질의 향상, 의료비용의 감소 그리고 관련 산업 발전에 따른 대외경쟁력 강화를 위한 돌파구를 마련하고 있다. 의료분야가 다른 산업분야에 비해서 매우 전문적이고 폐쇄적이어서, 인터넷 기술을 적용하는데 어려움이 많다. 그래서 인터넷의 사용자 중심적인 속성을 의료분야에 활성화시켜야 소정의 목적을 이룰 수 있을 것이다. 본 연구에서는 의료 부문에서의 인터넷을 이용한 e-Health 시스템의 개념과 특성 그리고 유형을 고찰하고, 한국의 의료부문을 위한 e-Health 시스템의 구축을 위한 보다 진보된 새로운 개념의 설계 방법론을 연구하기로 한다. 본 연구자에 의해 제안된 발전된 모형의 방법론을 AHP 기법을 이용하여 그 타당성과 적용가능성을 검증해보도록 한다. 본 연구는 e-Health 시스템의 발전 및 활성화를 위한 정책개발 및 실현에 기초자료가 될 수 있을 것으로 기대한다.

• 종양간호연구
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• 제9권1호
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• pp.43-51
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• 2009

Purpose: The purpose of the study was to develop an educational program reflecting the educational needs of Hospice Smart Patient service providers. Method: The description, goal, curriculum, method, and process evaluation of the educational program were constructed based on Modified Tyler-type Ends-Means Model followed by the analysis of current curriculum and needs of service providers. Results: The curriculum was constructed based on hospice volunteer program currently offered in Korea and the recommendations of hospice service volunteers and experts. A total of 90 hr was required to complete the curriculum that was composed of 'Introduction to cancer', 'Treatment and treatment complications of cancer', 'Post-treatment nutritional care', 'Helpful information', 'Introduction to hospice and palliative care', 'Comprehension of life and death', 'Holistic hospice and palliative care', 'How to communicate as a smart patient', 'Hospice and ethics', 'Pediatric hospice', 'Bereavement management', and 'Clinical practicum'. Conclusion: It is necessary to implement the developed educational program and evaluate its effectiveness, as well as making the service available to a greater number of cancer patients.

• 디지털융복합연구
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• 제15권2호
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• pp.519-525
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• 2017

본 연구는 고령친화 요양산업을 대상으로 정책의 활성화시킬 수 있는 요인과 전략방안들을 도출하는 것이 연구의 목적이다. 분석방법은 DEMATEL기법을 통해 주요 요인들 간의 인과성을 분석하였다. 이는 고령친화 요양산업을 구성하는 활성화 요인 및 그 요인 간의 관련이 복잡 불명확한 것을 정책강화의 우선순위 도출을 통해 보다 명확하게 확인하고자 하였다. 분석결과 종합강도가 가장 높게 나타난 활성화 요인으로는 식사서비스(22.095)가 가장 종합강도가 높은 것으로 분석되었다. 그리고 다음으로 건강증진시설(19.97), 건강관리(17.726) 등의 순으로 높게 나타났다. 가장 낮은 요인은 스포츠(15.896)이다. 따라서, 이러한 요인의 개선 및 증진을 위해서 시설요양서비스, 재가요양서비스, 예방지원서비스와 밀접한 연관성을 가지고 지속적인 정책방안을 모색하여야 할 것이다.

• 한국컴퓨터정보학회논문지
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• 제18권6호
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• pp.91-99
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• 2013

이 연구는 노인의료복지서비스의 질적 제고를 위해 노인의료복지시설 소속 종사자들을 대상으로 관리의 변수들 간의 구조적인 관계를 살펴보기 이전에 시설유형에 따른 자기효능감과 직무만족에 대한 요양보호사들의 주관적 인식의 차이를 분석해 보고자 하였다. 실증분석결과 요양보호사들이 근무하는 노인의료복지시설 유형에 따른 인식의 차이는 없었지만 전체적으로 요양보호사들의 자기효능감과 직무만족의 충족이 노인의료서비스 제공에 있어서 중요하다는 것을 강조하였다. 따라서 이 연구는 노인의료복지시설 종사자 관리의 효율화 방안을 위한 이론적 기초를 제공하였다는데 그 의의가 있다.

• 대한간호학회지
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• 제52권5호
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• pp.535-549
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• 2022

Purpose: The study aimed to design and develop an automated personalized self-care (APSC) program for patients with type 2 diabetes mellitus. The secondary aim was to present a clinical protocol as a mixed-method research to test the program effects. Methods: The APSC program was developed in the order of analysis, design, implementation, and evaluation according to the software development life cycle, and was guided by the self-regulatory theory. The content validity, heuristics, and usability of the program were verified by experts and patients with type 2 diabetes mellitus. Results: The APSC program was developed based on goal setting, education, monitoring, and feedback components corresponding to the phases of forethought, performance/volitional control, and self-reflection of self-regulatory theory. Using the mobile application, the participants are able to learn from educational materials, monitor their health behaviors, receive weekly-automated personalized goals and feedback messages, and use an automated conversation system to solve the problems related to self-care. The ongoing two-year study utilizes a mixed method design, with 180 patients having type 2 diabetes mellitus randomized to receive either the intervention or usual care. The participants will be reviewed for self-care self-efficacy, health behaviors, and health outcomes at 6, 12, 18, and 24 months. Participants in the intervention group will be interviewed about their experiences. Conclusion: The APSC program can serve as an effective tool for facilitating diabetes health behaviors by improving patients' self-care self-efficacy and self-regulation for self-care. However, the clinical effectiveness of this program requires further investigation.

• 사회복지연구
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• 제40권2호
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• pp.89-122
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• 2009

본 연구는 사회복지실천현장의 사례관리자들의 직무세계를 분석하기 위해서 그들이 수행하는 사례관리 직무의 빈도, 가장 중요하다고 생각하는 직무군의 유형과 그 이유, 가장 어렵게 생각하는 직무의 유형과 그 이유를 질적사례연구방법을 통해 살펴보았다. 사례관리 직무범주는 데이컴 방법으로 도출했으며 도출된 9개의 직무영역을 사례관리 수행빈도, 중요도, 난이도로 분석하였다. 연구참여자는 사례관리를 주 업무로 하는 3년 이상의 사회복지사 10명이 세평적사례선택을 통해 선택되었으며 자료분석은 매몰된 분석(embedded analysis) 유형을 따라 이루어졌다. 연구결과에 대한 함의에서 연구자들은 본 연구 참여자들의 사례관리실천 경험을 "이용자 중심의 서비스와 제도적 압력 사이에서 긴장을 유지하며 균형점을 찾는 과정"으로 기술했다. 연구결과를 근거로 지역사회복지네트워크 구성, 사례관리자들의 직무권한을 보장하는 제도적 장치 마련, 균형과 상향평준화를 위한 표준매뉴얼의 개발을 제안했다.

• 한국산학기술학회논문지
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• 제15권1호
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• pp.157-164
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• 2014

본 연구 목적은 호스피스 케어인식도, 이용에 대한 만족도, 호스피스인식도의 차이를 파악하고자 한다. 연구대상은 수도권에 소재하는 호스피스 요양시설에 입원한 중증질환자와 가족 160명을 대상으로 2013년 3월 10일부터 7월 31일까지 설문조사를 실시하였다. 분석방법은 SPSSWIN 18.0프로그램을 이용하여 평균, 표준편차, 빈도분석, 카이스케어 분석을 하였다. 연구결과는 호스피스 케어인식도에서 연령과 종교, 결혼 상태에 따른 케어인식도가 유의미하게 파악되었다. 그리고 중증질환자의 호스피스 시설이용만족도에 대한 결과는 호스피스 시설이 도시보다 농촌을 선호하는 것으로 파악되었으며 병실선호 형태는 침대가 온돌방 보다 만족도가 높았다. 본 논문의 시사점은 향후 시설이용 의향이 있다는 응답이 높게 나타난 결과로 볼 때 호스피스 제도개선 정책의 기초자료가 될 것으로 사료된다.

• 호스피스학술지
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• 제3권2호
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• pp.1-11
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• 2003

Purpose: The purpose of this study was to find out the effect of hospice home care on the pain relief and quality of life of terminal cancer patients. Method: Experimental pre and post tests were provided to a single group to see the changes of quality of life of patients who were referred to a hospice home care department after having cancer treatment. They were visited at least 8 times for the duration of 4~6 weeks and were provided a 24 hour phone call service. 41 subjects were transferred to a hospice home care department after being discharged from hospital were selected. Result: 1)The first hypothesis that "the pain score of the subjects after receiving hospice home care would be different from before receiving hospice home care would be different from before receiving hospice home care" which scored 4.06 point at the first test and 3.41 at the second did not statistically show a significant difference(t=1.421 p=1.66), even though the pain score is decreased. 2)The 2nd hypotheses that "the quality of life score of the subjects after receiving hospice home care would be different from before receiving hospice home care" which scored 2.88 point at the first test and 3.39 at the second showed a significant difference(t=-6.759, p=.000) and was supported. Regarding the changes of quality of life score, social aspect(t=-5.745, p=.000), emotional aspect(t=-5.684, p=.000), and spiritual aspect(t=-6.889, p=.000) has significantly been increased, while physical aspect has been more decreased significantly than before the hospice home care is provided(t=4.282, p=.000). Conclusion: It was effective to provide hospice home care in relieving the terminal cancer patients' pain and in improving their quality of life, even though a short term hospice home care for 4-6 weeks was provided.