• 기본간호학회지
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• 제17권4호
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• pp.478-486
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• 2010

Purpose: To explore nurses' compliance with standards for critical care nursing practice in intensive care units (ICUs) and to provide basic data for high quality of critical care nursing. Method: A total of 616 participants from 61 ICUs which are graded from 1 to 7 throughout the nation were surveyed. Data were collected from February 9 to February 27, 2009 using a questionnaire consisting of 58 questions including 50 nursing activities as indicators. Results: The rate of ICU nurses' compliance with standards for critical care nursing practice was high. As for individual standards, compliance with the standard of assessment was the highest, followed by implementation, diagnosis, and planning in that order. There were differences in compliance according to nurses' ICU experience, work place (unit), and ICU grade. A shortage of manpower was considered as a main cause for noncompliance. Conclusion: The present compliance rate with standards for critical care nursing practice by ICU nurses was identified. Therefore, compliance rate can be used to promote quality of critical care nursing and development of educational programs for ICU nurses.

• 보건행정학회지
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• 제4권1호
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• pp.25-48
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• 1994

Noncompliance with treatment is a serious problem in the management of hypertension. We explored self-reported medication taking compliance behavior of 194 high blood pressure patients using modified health belief model hypothesizing interaction between model components. Data were collected from patients resistered hwachon community hypertension control program during February, 1993. Bivariate analysis showed perceived severity of complication, present symptom experience(p<0.05), perceived severity of hypertension and education leve(p<0.01) were significantly related to treatment experience. Logit analysis revealed that perceived severity of hypertension, perceived benefits of treatment, perceived barriers to treatment and interaction term between perceived severity of hypertension and perceived benefits of treatment contributed treatment experience. Health education from mass media was siglificantly related to continuity of treatment. We also concluded that the inclusion of interaction effects between health belief model components and the use of patient group as analysis unit lead to better study results.

• Journal of Periodontal and Implant Science
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• 제44권2호
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• pp.65-70
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• 2014

Purpose: The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults. Methods: The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out $11.0{{\pm}}0.8$ years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs. Results: The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups. Conclusions: Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.

• 재활간호학회지
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• 제6권2호
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• pp.226-238
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• 2003

This study was started for the purpose of providing the basic data for continous managment of kidney transplantation patients after discharge. This study was conducted on 180 patients who received renal transplants at three hospital( B, M, P) pusan, korea. The data collection was done for june 1, to August 31, 2002. General characteristics, renal transplantaton characteristics, physical characteristics, the level of compliance and the degree of educational demand were done by the number and percentage, the mean, standard deviation. The level of compliance and educational demand followed by the characteristics of general and kidney transplantation were analyzed by t-test and ANOVA. The result were as fallows; 1. Man was higher than woman such as 60.0%, Mean age was 42.5 years old, Average total duration of after operation was 5.5 years. 2. Cases of systolic blood pressure over 140mmHg were 10.0%, cases of diastolic blood pressure over 90mmHg were 22.8% and obesity factor in BMI was 15.6%. The person who daily water intake amount is 5000cc was 0.6%, the case that daily urine output is below 1000cc was 8.9%, and the case that urine output is zero was 0.6%. 3. The mean score of compliance was 77.47 point, The score in medication part was highest such as 4.67 point, that in stress situation was lowest such as 3.50 point. 4. The average score of educational demand was 154.02 point, and physical state part was 4.36 points highest, activation part was 3.48 points lowest. As a role of nurse Confirmation of compliance is very important encourage to make good through regular hospital visitation, point out the noncompliance part and then increase compliance of renal transplantation patient As well there will be maintain the normal kidney function to satisfy educational demand through continous education.

• 한국식품저장유통학회지
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• 제30권3호
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• pp.459-471
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• 2023

뱀장어 생산단계 안전성조사 부적합여부에 영향을 미치는 특성변수를 베이지안 네트워크(BN) 모델을 적용하여 분석하였다. 2012년부터 2021년까지의 통합식품안전정보망(IFSIN)의 뱀장어 생산단계 안전성조사 데이터에 양식장의 HACCP 정보, 지리적 정보 및 용수환경 데이터를 연계하여 BN 모델을 수립하였다. 뱀장어의 부적합여부에 영향을 주는 특성변수로 양식장의 HACCP 인증여부, 양식장의 이전 5년간 검사대상 유해물질의 검출여부, 해당 양식장의 이전 5년간 부적합적발이력, 사용되는 용수환경의 적정성이 제안되었으며, 이때 용수환경의 적정성은 총대장균군과 총유기탄소량으로부터 산출되었다. 뱀장어 부적합이 발생할 확률이 가장 높은 경우는 지난 5년간 검사대상 유해물질의 검출이력이 있으면서 동시에 부적합 적발 이력이 있는 HACCP 인증을 받지 않은 양식장으로서, 용수환경도 총대장균군 또는 총유기탄소가 높아 오염이 의심되는 용수를 사용하는 경우로 이때 부적합이 발생할 확률은 24.5%로 뱀장어 생산단계 안전성 조사 시 부적합률인 0.26%의 94배 높았다. 2022년 1월부터 8월까지 뱀장어 양식장 안전성조사 결과를 시험용 데이터세트(6,785건 중 부적합 15건)로 하여 BN 모델의 적정성을 검토하였다. 영향강도가 높았던 설명변수인 HACCP, 검출이력, 부적합이력으로 구성한 BN 모델을 시험용 데이터세트에 적용한 결과 부적합일 확률이 15.8%로 시험용데이터의 부적합률인 0.22%의 약 71.4배 개선할 수 있었다. 그러나 이 모델의 재현율은 0.2에 머물렀는데, 이는 특히 부적합항목인 유해물질의 기준·규격이 신설되어 해당 양식장에서 검사기록이 없는 경우와, 매우 드물게 발생하여 10년 동안 검출이력이 없어 학습데이터세트에는 없는 경우이었다. 베이지안 네트워크를 적용하여 부적합확률이 높은 생산단계 안전성 조사대상을 선정하게 되면 설명변수별로 시나리오에 따라 부적합확률을 설명가능하게 되어 다른 머신러닝 알고리즘을 적용하는 경우 지적되어온 설명불가능이라는 문제점을 해소할 수 있으며, 향후 안전성조사 데이터 축적 시 용이하게 모델 업데이트가 가능하며 이를 통해 모델의 예측성능개선도 기대할 수 있다는 장점이 있다.

• 대한간호학회지
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• 제39권2호
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• pp.186-197
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• 2009

Purpose: This study was done to investigate nurses' knowledge of, and compliance with the multidrug-resistant organism (MDRO) infection control guidelines. Methods: A survey questionnaire was developed based on the institutional and national guidelines and was administered to a convenience sample of 306 nurses in a university hospital. Results: The mean score for knowledge was 33.87 (percentage of correct answers: 82.61%). The percentages of correct answers for basic concepts, route of transmission, hand washing/protective devices and environment management were 74.27%, 94.29%, 92.90% and 75.54% respectively. The mean compliance score was 4.15 (range: 1-5). The compliance scores for education, communication, contact precaution, disinfection, surveillance culture, and hand washing were 3.29, 4.05, 4.20, 4.50, 4.40 and 4.48 respectively. Nurses indicated "lack of time (30.06%)", "lack of means (10.78%)" and "lack of knowledge (9.48%)" as reasons for noncompliance. Conclusion: While most educational programs have focused on hand washing or use of protective devices to prevent transmission of MDRO in acute care settings, hospital nurses' knowledge of the basic concepts of MDRO and environmental management has remained insufficient. Nurses are relatively non-compliant to the guidelines in the areas of education (staff, patient, family) and communication. Comprehensive educational programs are needed to decrease hospital infection rates and to improve the health of patients.

• 한국지반공학회논문집
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• 제23권12호
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• pp.117-124
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• 2007

지진으로 인해 사면에 발생한 영구적 변형 계산시 고려된 공간평균과 유연도의 영향을 조사하였다. 현재 변위계산에는 Newmark이 제안한 강체블럭해석기법이 이 기법의 효율적인 계산능력으로 인해 광범하게 사용되고 있다. 그러나 이 해석기법은 지진응답해석과 변위해석을 별도로 수행하는 소위 분리해석법을 채택하고 있다. 당초의 Newmark 해석기법은 활동토사를 강성체로 가정했으며 이로 인하여 비보수적 결과가 도출될 수 있다는 비판을 받아왔다. 본 논문은 Newmark-형식의 해석에서 강성체 가정의 영향을 검토하였다. 활동토사에 작용하는 지진하중의 전체 효과를 공간평균기법을 사용하여 평가하였으며 그 결과를 주파수 영역에서 분석하였다. 해석결과로부터 활동토사의 유연도 수준을 결정하는 경우 사용할 수 있는 단순한 지표를 제시하였다.

• Safety and Health at Work
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• 제12권1호
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• pp.119-126
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• 2021

Background: During the period 2001 to 2016, the maximum temperatures in Thailand rose from 38-41℃ to 42-44℃. The current occupational heat exposure standard of Thailand issued in 2006 is based on wet bulb globe temperature (WBGT) defined for three workload levels without a work-rest regimen. This study examined whether the present standard still protects most workers. Methods: The sample comprised 168 heat acclimatized workers (90 in construction sites, 78 in foundries). Heart rate and auditory canal temperature were recorded continuously for 2 hours. Workplace WBGT, relative humidity, and wind velocity were monitored, and the participants' workloads were estimated. Heat-related symptoms and signs were collected by a questionnaire. Results: Only 55% of the participants worked in workplaces complying with the heat standard. Of them, 79% had auditory canal temperature ≤ 38.5℃, compared with only 58% in noncompliant workplaces. 18% and 43% of the workers in compliant and noncompliant workplaces, respectively, had symptoms from heat stress, the trend being similar across all workload levels. An increase of one degree (C) in WBGT was associated with a 1.85-fold increase (95% confidence interval: 1.44-2.48) in odds for having symptoms. Conclusion: Compliance with the current occupational heat standard protects 4/5 of the workers, whereas noncompliance reduces this proportion to one half. The reasons for noncompliance include the gaps and ambiguities in the law. The law should specify work/rest schedules; outdoor work should be identified as an occupational heat hazard; and the staff should include occupational personnel to manage heat stress in establishments involving heat exposure.

• 한국콘텐츠학회논문지
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• 제15권6호
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• pp.215-226
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• 2015

본 연구에서는 합리적 행동이론을 적용하여 주차규제정책에 대한 태도, 주관적 규범, 집행기관에 대한 신뢰가 직접적으로 주차규제정책에 대한 행동의도와 행동에 어떠한 영향을 미치는지와 간접적으로 행동의도를 매개로 하여 행동에 어떠한 영향을 미치는지를 분석하고, 거주지역과 주택종류에 따른 조절효과를 검증하고자 하였다. 이를 위해 주차규제정책이 적용되고 있는 지역의 정책대상집단을 대상으로 설문조사하고 실증분석하였다. 구조방정식모형에 의한 가설검정결과, 주차규제정책에 대한 태도와 주관적 규범 요인이 행동의도에 각각 정(+)의 영향을 미치는 것으로 나타났으며, 행동에는 태도와 집행기관 요인이 정(+)의 영향을 미치는 것으로 나타났다. 그리고 행동의도를 매개로 하여 행동에도 각각 유의한 영향을 미치는 것으로 나타났다. 주거지역과 주택종류에 따른 조절효과를 검증한 결과, 주거지역에서는 태도와 행동의도 간의 관계에, 주택종류에서는 집행기관과 행동간에 관계에 따른 조절효과는 유의한 것으로 나타났다. 이러한 분석 결과를 토대로 본 연구에서는 주차규제정책에 대한 순응과 불응을 위한 실천적 방향을 제시하였다.

• Perspectives in Nursing Science
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• 제9권1호
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• pp.45-50
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• 2012

Purpose: Despite poor cognitive function in heart failure (HF), few studies have examined cognition and its probable implication in self-care among Korean HF patients. The purposes of this study were (1) to describe cognition in the domains of global, memory, and executive functions, (2) to explore the relationship between cognition and self-care, and (3) to determine the amount of dietary sodium intake among Korean HF patients. Methods: A pilot study was conducted: 7 HF patients (3 men, mean age 68 years) completed face-to-face interviews for neuropsychological tests of cognition and self-care including dietary sodium intake. Results: More than half of the patients had impaired global cognition, memory, or executive function; patients with more severe HF were at higher risk of poor cognitive function. Korean HF patients exhibited poor self-care, with a high dietary sodium intake (5.6 g/day), approximately twice more than the suggested guideline of 2~3 g/day for patients with stable HF. Conclusion: Cognitive dysfunction and inadequate self-care with noncompliance with dietary sodium restriction were evident in Korean HF patients. More studies are warranted that examine the prevalence of cognitive impairment and areas of deficit using neuropsychological tests in a larger sample and that examine how cognition affects self-care and compliance in salt-intake.