• 제목/요약/키워드: compliance/noncompliance

검색결과 24건 처리시간 0.031초

산업보건연구에서의 통계학적 분석 (Statistical analyses in an occupational health study)

  • 백도명;최정근;손미아
    • 응용통계연구
    • /
    • 제6권2호
    • /
    • pp.201-215
    • /
    • 1993
  • 산업보건연구의 통계학적 분석은 작업환경측정에 대한 평가방법과 산업보건에 특유한 혼란 변수의 통제 등 건강상태와의 연관성을 분석하는 평가방법에 있어 다른 보건통계분야와 구 별되는 특성을 지니고 있다. 본 논문에서는 주물공장 근로자들의 호흡기 건강상태와 작업환 경에서 폭로되는 유해물질에 대한 조사를 통하여 산업보건연구에 사용되는 통계학적 분석에 대한 기술을 하였다. 조사된 환경측정결과의 일부는 허용폭로기준을 초과하고 있었는 바, 폭 로기준의 준수여부를 판정하기 위하여 작업환경측정결과와 그들의 대수변환치들로부터 얻은 산술평균과 대수평균들이 폭로기준과 다른지에 대한 t-검정을 실시하였다. 환경측정을 비롯 한 위험요인들과 그들로 인한 건강상태와의 관계 분석을 위해, 범주적 건강측정 변수인 경 우에는 $\chi$-square 검정과 다변량 logistic분석을 시행하였고, 연속적 변수인 경우에는 다 변량 회귀분석을 시행하였다. 작업환경내의 오염물질의 농도는 그 측정장소와 측정시점에 따라 매우 가변적이다. 이러한 작업환경의 측정결과를 평가하는데 있어 사용될 수 있는 서 로 다른 여러 지수들의 장단점과 가변적 측정결과들로 인한 오차를 보정할 수 있는 통계학 적 분석방법에 대한 논의를 하였다. 본 조사의 폐기능검사 결과는 직업에서 폭로되는 정도 와 아무 연관성을 보이고 있지 않은 바, 이는 “건강한 그로자 효과”에 기인한 것으로 추정되고 있다.

  • PDF

간호사의 업무수행상의 권한과 행사전략 (Nurse's Power and Tactics in Nursing Practice)

  • 한혜자
    • 간호행정학회지
    • /
    • 제5권1호
    • /
    • pp.23-37
    • /
    • 1999
  • This study is to understand and to describe the power that a nurse experiences on nursing practice and then. to present a basic data for nurse's power-development, power improving and empowering. Ethnography was used to understand and to describe experience on exercising various powers occurred on nursing practice. and to analyze and to understand the meaning of a nurse's power. The objects was nurses. Ten nurses who have more than three year's experience were selected as objects from Cuniversity's hospital in Seoul from May of 1996 to August of 1997 through in-depth interview. participant observation, and phone interview. Instruments werw a portable recorder and field notes. I described a case appeared in a data using Agar's 'Pencil and scissors' method right after collecting materials. Then, Idescribed a theme discovered commonly. Followings are the results of the study. 1. There were three categories of relationships with main objects when nurses exercised their power on their practices: a therapeutic caring relationship with patients, a relationship of companion, vertical cooperation, and a constituent person with a doctor, and a relationship of cooperation, and a constituent person with administrative workers and medical technicians. 2. There were many types of nurse's power, tactics and various patient's responses about them. 1) Types of nurse's power to patients were giving information, controling environment, helping for cure, emotional support, and performing discretion. 2) Nurse's tatics for performing power were positive tactics neutral tactics, and negative tactics. 3) Patient's responses were appeared as compliance and noncompliance. Compliance were agreeing. taking nurse's advice, trusting, understanding, being admitted, exposuring himself, and appreciating. 3. There were types of nurse's power and performing tactics. 1) Types of power to a doctor were advice, informing, demanding and mediation. 2) Performings of tactics to a doctor were positive tactics, neutral tactics, and negative tactics. 3) Doctor's responses were appeared as accepting and unaccepting. Acceptings were taking in and appreciating, and unacceptings were denying nurse's advice and authoritative. 4. There were types of nurse's power and tactics about administrative workers and medical technicians and responses about them. 1) Types of power about administrative workers and medical technicians were suggestions and demands. 2) Power performings tactics were positive tactics.neutral tactics, and negative tactics. 3) Responses of administrative workers and medical technicians about nurse's power performing were appeared appeared as accepting and unacce pting. Acceptings were taking in, and unacceptings were denying. Therefore, it can be said that types of nurse's power and performing tactics on nursing practice and nurse's power based on responses of a patient, a doctor, an administrative worker, and a medical technicians are power or influence for agreeing, taking advice, trusting, understanding, exposuring himself, appreciating, and taking in to objects. The results of this study helped to understand nurse's power. I expect that this study will improve nure's power by using expert power, referent power, and legitimate power effectively among powers acmpanied with the origin and that nurses make ef-ort to improve professional knowledge and human nature so that they use this study as a chance to develope expert nursing practice.

  • PDF

저혈당을 경험한 당뇨병 환자의 치료지시 불이행, 가족지지가 우울에 미치는 영향 (Influence of Non-compliance of Treatment and Family Support on Depression in Diabetic Patients with Hypoglycemia)

  • 손혜경;정경숙
    • 한국콘텐츠학회논문지
    • /
    • 제18권6호
    • /
    • pp.518-528
    • /
    • 2018
  • 본 연구는 저혈당을 경험한 당뇨병 환자의 우울에 미치는 영향요인을 파악하여 대상자의 우울을 감소시키기 위한 기초자료를 마련하고자 2015년 10월 1일부터 2016년 3월 15일까지 B광역시 소재 일 병원의 내분비내과 외래를 방문한 119명을 대상으로 설문지를 배부하여 자료를 수집하였다. 수집된 자료는 SPSS 20.0 프로그램을 이용하여 빈도와 백분율, t-검증, 일원분산분석, 사후검증(Scheffe's-test), Pearson's correlation, 단계적 다중회귀분석을 실시하였다. 본 연구 결과 대상자의 우울은 치료지시불이행(r=.42, p<.001)과는 양의 상관관계를, 가족지지(r=-.38, p<.001)와는 음의 상관관계를 보였다. 대상자의 우울에 영향을 미치는 요인은 가족지지(${\beta}=-.29$, p<.001), 치료지시불이행의 하위영역인 약물요법(${\beta}=.21$, p=.020), 식이요법(${\beta}=.23$, p=.014), 한 달 평균 수입 300만원 이상(${\beta}=-.20$, p=.014), 한 달 평균 수입 200만원 이상-300만원 미만(${\beta}=-.17$, p=.033)으로 확인되었으며, 총 30.0%를 설명하였다(Adj. R2=.30, F=20.06, p<.001). 이를 바탕으로 대상자의 우울을 감소시키기 위하여 가족지지 향상 프로그램을 개발하여 적용할 것을 제안한다.

예방적 건강행위 이행의 예측인자 발견을 위한 연구-자궁암 조기발견을 중심으로- (A Study for Investigating of Predictors of Compliance for Preventive Health Behavior. -centered on early detection of cervical cancer-)

  • 이종경
    • 대한간호학회지
    • /
    • 제12권1호
    • /
    • pp.25-38
    • /
    • 1982
  • As technological civilization and medical science has developed, standards of living have imp-roved and human life expectancy has been extended. But the incidence and mortality rate of cancer have been gradually increasing due to the pollution of the environment. Even though cancer is still a great threat to human beings, the etiology and appropriate cure forcancerhavenotyetbeendiscovered. The early detection and treatment of cancer is urgently needed. This study concentrates on the health behavior of woman regarding the papanicolau smear for early detection of cervical cancer. It was done in order to provide a direction for scientific health education materials by investigating predictors of preventive health behavior. The subjects for this study were made up of 54 woman, who comply with preventive health practices(compliant) who attended the Cervical Cancer Center of Y University Hospital in order to have tests for early detection of cervical cancer and 54 woman who did not comply with preventive health practices (noncompliant) selected from 100 housewives of I apartment, Kang Nam Ku, Seoul. The study method used, was a questionnaire for the compliance group and an interview for the noncompliance group. The period for data collection was from October 13th to October 24th. 1981. Analysis of the data was done using percentages, T-test, Pearson Correlation and Stepwise Multiple Regression. The results of study were as follows: 1. The hypotheses tested were based on the health belief model; 1) The first hypothesis,“The compliant may have more knowledge of the cervical cancer than the noncompliant”was rejected(T=-1.86, p>.05) 2) The second hypothesis,“The compliant may have a higher severity of cervical cancer than the noncompliant”was accepted (T=5.41, p<.001) 3) The third hypothesis, “The compliant may have a higher susceptability to cervical cancer than the noncompliant”was accepted(T=3.51, p<.01). 4) The fourth hypothesis,“The compliant may have more beneHt than cost'from the cervical cancer tests than the noncompliant" was accepted(T=7.46, p<.001). 5) The fifth hypothesis,“The compliant may have more health concern than the noncompliant”. was accepted(T=3.39, p<.01). These results show that severity, susceptability, benefit(over cost) and health concern influence the preventive health behavior in this Study. 2. In the correlation among variables, it was found that the knowledge of cervical cancer and the benefit(over cost) of preventive health behavior were negatively correlated(r=-2.75, p<.01), Severity of cervical cancer and benefit (over cost) of preventive health behavior were positively correlated(r=.280, p<.01), severity and susceptability of cervical cancer were positively correlated(r= .238, p<.01), benefit(over cost) and health concern were positively correlated(r= .299, p<.01). The benefit(over cost) may be raised by increasing the severity and health concern. Therefore the compliance rate of woman may be raised through health education by increasing the benefit(over cost) of the individual. 3. The Stepwise Multiple Regression between health behavior and predictors. 1) The factor“Benefit(over cost)”could account for preventive health behavior in 34.4% of the sample(F=55.6204 P<.01). 2) When the factor“Severity”is added to this, it accounts for 44.3% of preventive health behavior(F=41.679, p<.01). 3) When the factor“Susceptability”is also included, it accounts for 46.7% of preventive health behavior(F=30.373, p<.01). 4) When the factor “Health concern”is included, it accounts for 48.1% of preventive health behavior(F=23859, p<.05). This means that other factors appear to influence preventive health behavior, since the combination of variables explains only 48.1% of the Preventive health behavior. Therefore further study to investigate the predictors of preventive health behavior is necessary.

  • PDF