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병원 간호사의 중동호흡기증후군 격리 지침에 대한 지식과 수행도 (Knowledge and Practice of Middle East Respiratory Syndrome Isolation Precaution among Hospital Nurses)

  • 김선주;송라윤
    • 기본간호학회지
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    • 제25권1호
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    • pp.46-57
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    • 2018
  • Purpose: The purposes of the study were to examine the knowledge and practice about Middle East Respiratory Syndrome (MERS) isolation precaution, and to explore influencing factors of the isolation practice among hospital nurses. Methods: A total of 182 nurses were recruited from four general hospitals where MERS patients had been treated. The knowledge and practice of MERS isolation precaution were measured by the scales developed based on the CDC guidelines. The collected data were analyzed by SPSS/WIN 22 with descriptive statistics, T-test, One-way ANOVA, Pearson correlation coefficients, and hierachical multiple regression analysis. Results: The nurses were 30 years old in average, and half of them had less than 5 years of clinical experience. and knowledge on droplet precautions (${\beta}=.171$, p=.019) were the significant predictors, explaining 19.6% of variance in the MERS isolation guideline practice. Clinical experience (${\beta}=.225$, p=.002), working at infection unit (${\beta}=-.203$, p=.011). Conclusion: The knowledge on droplet precaution and general knowledge on MERS were the important modifiable factor to improve the MERS isolation guideline practice among hospital nurses, even after adjusting clinical experience and demographic variables. It is necessary to develop an efficient education program on specific guidelines for prevention and management of infection by improving the knowledge on infectious disease such as MERS as well as droplet precaution which are modifiable factors.

우울과 불안의 변별적 진단을 위한 다차원 정서 척도의 개발 (Development of an Multi-dimentional Affect Scale for Distinguishing between Depression and Anxiety)

  • 이창묵
    • 한국융합학회논문지
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    • 제9권10호
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    • pp.393-406
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    • 2018
  • 우울과 불안은 진단 기준, 관련 이론, 증상 등에서 유사한 점이 많아 기존의 척도로는 서로를 변별하기 어렵다는 문제가 있다. 본 연구에서는 정적 정서와 부적 정서가 우울, 불안과 높은 관련성을 가지고 있다는 선행 연구를 근거로 우울과 불안의 변별적 진단을 목적으로 하는 진단 척도를 개발하였다. 먼저 우울과 불안의 공통분을 제거한 편상관 계수를 기준으로, 한 쪽에만 높은 상관을 나타내는 문항들을 찾아서 우울 및 불안에 대한 씨앗 척도를 구성하였다. 이 두 씨앗 척도를 독립변수로, 각 정서 문항을 종속변수로 하는 다중 회귀를 시행하여 회귀 계수를 구했으며, 이것을 우울과 불안 점수의 배점으로 사용하였다. 이렇게 개발된 정서 척도는 좋은 내적 일치도를 나타냈으며, 기존 척도와는 높은 상관을 가지면서도 서로에 대한 상관은 더 낮았기 때문에, 기존 척도만큼 잘 측정하면서도 우울과 불안을 좀 더 잘 변별할 것으로 기대되었다. 실제 활용을 위해서 정서에 대한 문화적 특성을 보완하고, 보다 정교한 통계적 방법을 적용해야 할 것이며, 임상집단을 대상으로 하는 타당화 연구를 제안하였다.

경찰공무원에서 외상후스트레스장애와 기질 및 성격 특성의 관계 (Relationship between Temperament and Character Dimensions and Post-Traumatic Stress Disorder in Police Officers)

  • 이정현;김옥주;남윤영;신정하;이희봉;김지애;심민영
    • 대한불안의학회지
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    • 제11권1호
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    • pp.61-68
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    • 2015
  • Objective : Police officers are exposed to job-related traumatic events and have a high prevalence of post-traumatic stress disorder (PTSD). This study examined the relationship between PTSD symptoms and dimensions of temperament and character in police officers. Method : Thirty-six police officers participating in a psychological support program were enrolled. All subjects were asked to complete a demographic questionnaire, the Impact of Event Scale-Revised (IES-R), the Temperament and Character Inventory (TCI) and other self-reported symptoms scales. Results : Among all participants (age $40.8{\pm}10.2$, men 94.4%), the rate of 'post-traumatic stress symptoms group' was 47.2%. After controlling for confounding factors, lower self-directedness scores were significantly associated with higher PTSD symptoms (${\beta}=0.6$, p=0.03) in multiple regression analysis. Conclusion : Character traits, especially self-directedness, were associated with the severity of PTSD symptoms severity. These findings may provide useful information regarding personality factors related to PTSD in police officers.

한글판 우울증 관해 질문지의 표준화 예비 연구 (A Preliminary Study for the Standardization of Korean Version of the Remission from Depression Questionnaire (K-RDQ))

  • 신예니;김희철;조현주;김민경;김정범
    • 대한불안의학회지
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    • 제10권2호
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    • pp.115-127
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    • 2014
  • Objective : Existing depression rating scales do not fully reflect depressed patients' perspective of remission, which goes beyond symptom resolution. The Remission from Depression Questionnaire (RDQ) captures a broader array of domains, and the present study examines the reliability and validity of the Korean Version of the RDQ (K-RDQ). Methods : The test-retest reliability of the K-RDQ was studied in 60 depressed patients and 30 normal subjects working at a university hospital. Subjects were evaluated at baseline and again 1-2 weeks later. The validity of the K-RDQ was studied in 200 depressed patients who were rated on the 17-item HDRS and the CGI-S ; each patient also completed the QIDS-SR, STAI-S, GHQ/QL-12, and SDS. Results : The K-RDQ demonstrated excellent internal consistency, with a Cronbach's ${\alpha}$ of 0.965 for the total scale and above 0.80 for each of the 7 subscales. The test-retest reliability of the total scale was 0.951. Mean K-RDQ scores ($45.79{\pm}18.65$) of the depressed patients were significantly higher than those ($15.87{\pm}10.60$) of the mentally healthy subjects (t=12.8, p<0.001). Five factors from the K-RDQ were extracted by principal axis factoring with equimax rotation. Conclusion : These results indicate that the K-RDQ is a reliable and valid measure that evaluates multiple domains that depressed patients consider important in determining remission. Thus, the K-RDQ maybe considered an appropriate tool for use in the clinical setting.

임상간호사의 공감피로, 신체화 증상 및 침묵반응의 관계: 침묵반응에 대한 매개효과를 중심으로 (A Study of the Relationship between Compassion Fatigue, Somatization and Silencing Response among Hospital Nurses: Focusing on the Mediating Effects of Silencing Response)

  • 김선화;이태화
    • 성인간호학회지
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    • 제26권3호
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    • pp.362-371
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    • 2014
  • Purpose: The purpose of this study was to identify Compassion Fatigue (CF), Somatization, and Silencing Response (SR) among nurses and understand intermediate effects between the variables. Methods: The sample of 240 nurses who were working three shifts in medical and surgical wards, and emergency room were recruited in three hospitals with over 700 beds. A structured questionnaire was used which included CF, Somatization and SR scales. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Results: There were statistically significant differences in CF, Somatization and SR depending on perceived personal health condition, experience of turnover, co-worker support. There were significant correlations between those study variables. The result also indicated that burnout (${\beta}$=.81, p<.001) which is a part of Secondary Traumatic Stress and Somatization (${\beta}$=.79, p<.001) have the role of partial mediator in the relationship between Secondary Traumatic Stress and Silencing response. Conclusion: The results of study show that an intermediary role by Burnout and Somatization in Silencing response of nurses is important for effective human resource management in hospital nursing staffs. Effective human resource management which includes mentoring and social support system can enhance the professional quality of life of nurses, which will eventually contribute to the quality of care by those care providers and counselors.

Depression and the Risk of Breast Cancer: A Meta-Analysis of Cohort Studies

  • Sun, Hui-Lian;Dong, Xiao-Xin;Cong, Ying-Jie;Gan, Yong;Deng, Jian;Cao, Shi-Yi;Lu, Zu-Xun
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3233-3239
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    • 2015
  • Background: Whether depression causes increased risk of the development of breast cancer has long been debated. We conducted an updated meta-analysis of cohort studies to assess the association between depression and risk of breast cancer. Materials and Methods: Relevant literature was searched from Medline, Embase, Web of Science (up to April 2014) as well as manual searches of reference lists of selected publications. Cohort studies on the association between depression and breast cancer were included. Data abstraction and quality assessment were conducted independently by two authors. Random-effect model was used to compute the pooled risk estimate. Visual inspection of a funnel plot, Begg rank correlation test and Egger linear regression test were used to evaluate the publication bias. Results: We identified eleven cohort studies (182,241 participants, 2,353 cases) with a follow-up duration ranging from 5 to 38 years. The pooled adjusted RR was 1.13(95% CI: 0.94 to 1.36; $I^2=67.2%$, p=0.001). The association between the risk of breast cancer and depression was consistent across subgroups. Visual inspection of funnel plot and Begg's and Egger's tests indicated no evidence of publication bias. Regarding limitations, a one-time assessment of depression with no measure of duration weakens the test of hypothesis. In addition, 8 different scales were used for the measurement of depression, potentially adding to the multiple conceptual problems concerned with the definition of depression. Conclusions: Available epidemiological evidence is insufficient to support a positive association between depression and breast cancer.

도시공원의 지역적 정체성 평가와 유용성 - 수도권 신도시를 중심으로 - (An Evaluation for Regional Identity of Urban Parks and It's Utility -focused on the new towns in the Capital Region-)

  • 오정학;고동완;김유일
    • 한국조경학회지
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    • 제27권1호
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    • pp.79-89
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    • 1999
  • Recent expansion of urban parks has been partly successful in terms of providing urban outdoor recreation space. Unfortunately we paid very little attention to the importance of providing regional identity to urban parks until recently. Thus one of the most important tasks of the contemporary landscape architects of Korea is to investigate ways to improve regional identity of urban parks. This study is aimed at evaluating how well the current urban parks have realized their own regional identity. To test the effectiveness of the concept of 'identity', the identity items were created, while a research model was developed by using such variables as in urban park identity, park satisfaction, belongingness to the region, and residential satisfaction. In order to test the model, the causations were analyzed. Meanwhile, the scales to evaluating identity were reviewed by means of the unstructures group interview, and were finally determined as 10 items; culture, uniqueness, symbolic, historic nature, homogeneity, harmony, difference, public benefit, nativeness and traditionality. Data from three new towns in the capital region-Bundang, Ilsan and Sanbon-were collected, and their central parks were referred to a questionnaire survey. The data were processed using descriptive statistics, correlation analysis, multiple regression analysis and path analysis. It was found through this survey that subjects 'sentiments regarding the sample towns' regional identity differed slightly. Residents of Bundang felt the strongest amount of regional identity, followed by those of Ilsan and Sanbon. In addition, the most important scale on regional identity is 'park satisfaction', followed by 'belongingness to the region' and 'residental satisfaction'. The path analysis was conducted to interpret the causations in a more detailed and comprehensive way than correlation analysis. As a result, it was proven that the regional identity affects 'belingingness to region' through the intermediated variable 'park satisfaction', while affecting ' residential satisfaction' through the intermediate variables 'park satisfaction' and 'beligningness to region'. In other words, although the regional identity of a park does not directly affect 'belongingness to region' or 'residental satisfaction', it has indirect effects on them through intermediate variables.

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Factors Affecting Savings Deposit Decision of Individual Customers: Empirical Evidence from Vietnamese Commercial Banks

  • VUONG, Bui Nhat;TUNG, Dao Duy;GIAO, Ha Nam Khanh;DAT, Ngo Tan;QUAN, Tran Nhu
    • The Journal of Asian Finance, Economics and Business
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    • 제7권7호
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    • pp.293-302
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    • 2020
  • Capital mobilization is a traditional business of commercial banks and is one of the core foundations for the development of a bank. Capital mobilization is the main input in the operation of a bank, and this is also the basis for generating output for credit activities as well as other banking activities. This study aims to determine the main factors that affect the decisions of individual customers to put savings deposit in Vietnamese commercial banks. Survey data collected from 403 individual customers were analyzed to provide evidence. The results from the multiple regression analysis by using SPSS software revealed that all scales in this study were reliable, and there were six components impacting the savings deposit decision of individual customers from the strongest to the weakest in the following order: the form of promotion, bank brand, service quality, interest rate policy, and employee knowledge and attitude. Besides, the finding showed customers who have high income tend to have a stronger decision on savings deposits in commercial banks. The main findings of this article provide some empirical implications for marketers in banks and serve as a suggestion to improve these factors in order to retain and attract individual customers' savings deposit decisions.

일부 농촌 지역 치매노인 가족의 부양부담에 관한 연구 (A Study of the Family Caregiver's Burden for the Senile Dementia in a Rural Area)

  • 장인순
    • 가정∙방문간호학회지
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    • 제2권
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    • pp.60-76
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    • 1995
  • The purpose of this study was to analysis level on family caregiver's burden for the elderly with senile dementia in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales (1982), ADL by Lawton (1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 60 family caregiver of senile dementia in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows : 1. Total burden was evaluated over average, the mean of family burden was 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the severity of dementia(F=30.52, p<0.001), ADL(F=5.43, p<0.01), PADL(F=6.14, p<0.01), caregiver's health status(F=6.05, p<0.01), a view of patient's prognosis(F=4.08, p<0.05), the number of hours per day spent on caregiving(F=19.64, p<0.001), level of intimacy of caregiver and patients(F=7.16, p<0.001), the frequency of caregiving activity(F=5.31, p<0.01). 3. ADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, the severity of dementia, level of intimacy of caregiver and patient, relationship with the patient accounted for 79% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the the severity of dementia, number of priority care group, mild dementia was 10(43.4%), moderate dementia 23 (92.0%), sever dementia 12(100.0%).

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남자 중$\cdot$고등학생의 의복행동과 지각향성과의 상관연구 -의복의 동조성을 중심으로- (The Relationship between Clothing Behavior and Perceptual Orientation of Korean High School Boys)

  • 정미실;강혜원
    • 한국의류학회지
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    • 제8권1호
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    • pp.21-27
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    • 1984
  • The purpose of this study was to investigate the relationship between perceptual orientation and four aspects of clothing behavior. Perceptual orientation was measured with Choi's Perceptual Orientation Scale, and clothing satisfaction was assessed with Lim and Lee questionnaire. Clothing importance was measured with some items of Kirby's Clothing Attitudes and additional items prepared for this study, Clothing comfort was measured Ivith some items of Creekmore Scales of Eight Clothing Variables and additional items prepared for this study. Clothing conformity was measured by some items of Selker's The Clothing Conformity Inventory and Carpenter's Clothing Opinion Scale and the Kim questionnaire, along with additional items for this study. Altogether 43 items were used. The questionnaire was completed by 480 second year junior and senior high school boys in Seoul. Statistical analysis was performed using the correlation coefficient, t-tests, multiple regression analysis, and analysis of variance. The results were : 1) Perceptual orientation was positively related to clothing satisfaction. 2) Perceptual orientation was negatively related to clothing conformity. 3) Scores of senior high school boys on self-perception and total perception were significantly higher than these of junior high school boys. 4) Clothing satisfaction, clothing conformity and clothing importance were different according to the grade level. That is, junior high school boys had a higher clothing satisfaction ana senior high school boys had a higher clothing conformity and clothing importance score.

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