• 한국실내디자인학회논문집
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• 제18권5호
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• pp.183-190
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• 2009

Increase in the elderly population has given rise to various social problems throughout Korean society, and what is more, although the greater demand of medical treatment, its development is still in its early stages. Given that Specialized Geriatrics Hospital has stood amid a range of spatial complication and it should faithfully reflect the needs of elderly population, we need a better understanding of Specialized Geriatrics Hospital. This study suggested the foundation to plan of Specialized Geriatrics Hospital through analyzing and evaluating spatial configuration of Specialized Geriatrics Hospital by "Space Syntax" and "J-Graph" The study focused on Specialized Geriatric Hospitals existing in Korea which owned more than 100 beds. The result of this study is summarized as follows; First, the rate of separated convex showed that the portions of the Treatment of outpatients and Supply have increased, but onthe other hand the portion of the The ward has been on the decrease. Second, in the case of Treatment of outpatients, it was structured Tree-shaped and the Tree-shaped could be separated with two types: waiting room and wailing room with lounge. in the case of The ward, it was structured Tree-shaped and also Ring-shaped. The more recently opened Geriatrics Hospital, the closer to Ring-shaped. Third, the access to the Ccentral treatment was low though the access to the core of the each floor was high. Fourth, in the progress of intelligibility, the fact that its value has decreased is becoming a serious problem of medical development for the elderly population finally, according to J-graph's analysis, the hallway made the spatial depth of rooms and public space more deepened. This caused by scattered arrangement of public spaces. As the only planning were considered in this study, It therefore needs more diversified approaches considering physical factors such like real distance and area.

• 한국산학기술학회논문지
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• 제13권9호
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• pp.4082-4089
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• 2012

본 연구는 병원을 이용하는 외래환자들의 불만족요인과 만족요인들을 조사하여 보다 높은 고객만족경영을 위한 기초자료를 제시하고자 하였다. 연구대상은 대전에 소재하는 일개의 종합병원 외래환자를 대상으로 2011년 10월 24일 1일간 설문조사를 실시하였다. 자료 수집은 총 160부의 설문지를 배포하여 144부를 통계분석자료로 이용하였다. 연구결과 행정지원부문의 특성 중 전반적 만족도와 타인추천 의향에 대하여 가장 많은 영향을 미치는 요인은 접수 수납 절차의 신속 간편성인 편리성으로 나타났으며 검사실 외래 진료대기실의 쾌적성도 공통으로 영향을 주는 것으로 나타났다. 이상과 같은 결과 고객을 만족시킬 수 있는 고객지향적 병원경영시스템을 구축 운영한다면 병원의 경쟁력은 향상되고 병원의 지속가능성은 높아질 것이며 고객만족경영이라는 경영목표도 달성될 수 있을 것이라 사료된다.

• 기본간호학회지
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• 제17권4호
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• pp.520-530
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• 2010

Purpose: In this study influenza A (H1N1) infection control performance and stress in nurses were surveyed, to identify factors influencing stress for the nurses, and to provide basic materials for promoting infectious disease control by nurses. Method: The participants were 447 nurses who had worked at isolation clinics and/or isolation rooms in hub hospitals in the Honam region during the period of the outbreak of 2009 pandemic influenza A (H1N1) virus. Data were collected in February 2010 using self-report questionnaires. Results: The performance of participants from clinics was high for 'helping patients wearing masks', but low for 'maintaining distance over 1 meter among waiting patients'. The performance of participants from hospital rooms was high for 'putting a surgical mask on a patient going out of the room', but low for 'keeping patients' family out of the room'. The participants' stress was higher in those younger and less experienced nurses, those working at a hospital with 500-999 beds, those working at both isolation clinics and rooms, and those working at a clinic longer. Conclusion: In order to lower nurses' stress from working at isolation clinics/rooms for infectious diseases, we may need to deploy experienced nurses and limit their working days to five or less.

• 한국콘텐츠학회논문지
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• 제12권7호
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• pp.255-260
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• 2012

흉부 X-선 촬영 시 피사체의 유무, 촬영실내 X선관과 수광계 (image receptor), 환자 보기창 앞, 환자대기실 출입문 외측, 출입문 개폐여부, 방사선 관계 종사자 출입문 외측, 방사선 관계 종사자 출입문 개폐여부 등으로 구분하여 공간산란선발생을 알아보기 위한 연구로 공간산란선발생에 대한 연구 결과 피사체가 있을 때 수광계 (image receptor) 위치; Chest PA: $663{\pm}3.4$ mR/h, Chest Lateral: $2,067{\pm}3.7$ mR/h, X선관 위치; Chest PA: $293{\pm}2.1$ mR/h, Chest Lateral: $927{\pm}1.9$ mR/h, 환자대기실 출입문 외측 열고; Chest PA: $17{\pm}1.6$ mR/h, Chest Lateral: $88{\pm}2.6$ mR/h, 방사선 관계 종사자 촐입문 외측 열고; Chest PA: $3{\pm}1.6$ mR/h, Chest Lateral: $19{\pm}1.6$ mR/h), 피사체의 두께가 두꺼울수록 각 각의 측정지점에서 산란선 발생이 많았고, 출입문을 닫고 측정한 경우 산란선이 더 적었다. 그러므로 방사선 관계종사자는 촬영실내 산란선 분포에 대한 정확한 정보를 인지하여 불필요한 방사선 피폭을 줄일 수 있도록 노력해야 한다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권4호
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• pp.7-14
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• 2021

Purpose: This study summarized architectural planning data for clinical practice spaces for CPX/OSCE and Simulation spaces, through analysis of domestic and foreign literature and a survey of domestic colleges of medicine. Methods: This study analyzed the architectural planning elements of the clinical practice spaces of the college of medicine, through a literature review on the clinical practice space and the survey of four recently established colleges of medicine. Results: ① It is desirable to plan the floor plan type for Simulation and CPX/OSCE spaces as a corridor-separated type that separates the circulations between students and staff (faculty). ② The simulation area arranges their practice rooms around the control space where the circulation of the staff is made. Conversely, it is desirable to arrange the CPX/OSCE rooms around the test waiting room where students enter. ③ It is desirable to separate access to the staff and students to allow student control, and to install various support spaces facing the staff corridor to secure the movement of equipment and the flow of evaluators. ④ In the simulation area, the equipment stored in the storage must be set in each room before the practice according to the setting of delivery or surgery like, and the equipment that has been removed must be back, so the circulation is short and does not intersect with the student circulations. ⑤ Debriefing rooms, seminar rooms, etc. are arranged in the staff area for review and discussion of clinical situations where practice and evaluation have been completed. Implications: It is important to configure an appropriate movement system and spatial zoning for each space for simulation and CPX/OSCE.

• 대한방사선기술학회지:방사선기술과학
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• 제40권3호
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• pp.377-383
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• 2017

건강검진의 증가와 함께 검진 차량을 이용한 건강검진의 수효 또한 증가하는 추세로, 검진 차량에서의 흉부 방사선검사 시 피폭선량에 대해서도 간과할 수 없다. 실제 피사체가 있을 때 피사체의 체질량지수(BMI), 관전류량(mAs)과의 비교를 통해 산란선 발생량을 측정하여 불필요한 피폭을 최소화할 수 있는 방법을 찾고자 한다. 본 연구의 결과 대상자 BMI 전체 평균은 $23.31{\pm}3.12$으로 남자가 여자보다 BMI 값이 높게 나타났다. 전체 평균 mAs값은 $2.92{\pm}1.19$으로 남자가 여자에 비하여 높게 나타났다. 검사실 내부 위치 1의 산란선 전체 평균값은 $771.81{\pm}151.15{\mu}Sv/hr$로 나타났다. 검사실 출입문 외부 위치 2의 산란선 전체 평균값은 $53.86{\pm}25.66{\mu}Sv/hr$로 측정되었다. 이에 BMI나 mAs가 증가할수록 검사실 내부 위치 1과 외부 위치 2에서의 공간산란선량은 증가하는 것으로 나타났다. 건강검진 차량에서의 피폭선량은 거리역자승법칙을 적용하기에 매우 좁은 공간으로 공간산란선의 피폭을 최대한 줄이기 위해 방사선 관계종사자는 영상의 품질을 저해하지 않는 범위 내에서 가능한 낮은 조사조건으로 검사하고, 검사실 출입문 근처에 검사자가 대기하지 않도록 하는 노력이 필요할 것으로 생각된다.

• The Journal of Korean Physical Therapy
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• 제9권1호
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• pp.37-50
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• 1997

Low back Pain(LBP) is a common problem, and the resulting disability frequently contains nonorganic, psycho-logical and social elements that are difficult for the physical therapists to manage. The physical therapist-patient relationship is the most important factors in the management of low back pain as chronic disease. The purpose of this study was to evaluate and to identify factors that had influenced low, back pain patients satisfaction with physical therapist The subjects of this study were 223 out-patients(116 males and 107 females) who had been visited to physical therapy room of medical institutions in Seoul and Uijgngbu city. They were examined by the questionaire of Dimatteo and Hays which was amended to serve the purpose of this study by author. The collected data was analyzed by ANOVA according to the purpose of this study. There was no difference with statistic value in LBP patient's satisfaction according to occupation, sex, schooling, religion, marital status, medical security, duration of disease, the tine required, recurrence, but was a difference according to age, income, period of treatment, cost, diagnosis, waiting time, the number of physical therpy's sort, sex ane age of physical therapists (p<.05). LBP patients was satisfied with physical therapist's communicative behavior, but was dissatisfied with physical therapist's competence.

• 대한가정학회지
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• 제38권8호
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• pp.99-110
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• 2000

The purpose of this study was to investigate the differences in traditional baby-delivery practices between young mother and grandmother generations. The subjects were 118 young mothers and 118 their own mothers or mothers-in-law in Tae Gu district. Young mothers had the first baby aged from 2-to 2.5-year-old. The subjects answered the questionnaires on Korean traditional baby-delivery practices developed by the researchers based on literature reviews. The data were analyzed using Frequencies, Percentages, Crosstabs, and t-test. The results of this study were as follows: 1. More grandmothers believed in supernatural being who influenced pregnancy and used to be called as 'grandma Sam Shin', expected to have son, and had charms then young mothers. But less grandmothers had sexual intercourse at the time of ovulation, took physical care, and practiced fetal education than young mothers 2. On the other hand, no generation differences were found in dreaming of foretelling conception(Te Mong), eating a restroative and food to get pregnancy, and washing own's hair or body and avoiding attending a funeral near the time of baby-delivery. 3. Most of young mothers gave birth in hospital with the doctor's heap, whereas most of grandmothers did at their home with the help of the experienced old women. Most of young mothers'husbands were at the waiting room in the hospital, but about half of grandmothers'husbands were at work when their wives grove birth.

• 대한가정학회지
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• 제41권4호
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• pp.157-168
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• 2003

This study was to investigate differences or similarities in pregnant and childbirth practices of Korea, Hong Kong and the United States and of mother-grandmother generations in each culture. The subjects were young mothers(YM) have baby from 2 to 2.5 years and their mothers or mothers-in-law(GM) in Korea(YM=118, GM=118), Hong Kong(YM=126, GM=78) and the United States(YM=105, GM=105). The subjects answered the questionnaires on pregnant and childbirth practices were constructed by specialists of child study in Korea, Hong Kong and the United States. Statistical analyses were by Frequencies, Percentages, Crosstabs, One-wav ANOVA, Scheffe' test, t-test. The results of this study were as follows. 1. Mother and grandmothers of Korea more tended to believe in supernatal being of pregnancy, to expect son, to eat a resortive and a food to help conceive, to inhibit attending a funeral at the time of childbearing, to practice fetal education than of Hong Kong and the United States did. 2. Relating sexual intercourse at the time of ovulation, maternal health care during the pregnancy, childbirth in hospital, husband's being in the hospital waiting room when their wife gave birth were much more prevailant in mothers than grandmothers did in Korea and Hong Kong.

• 임상간호연구
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• 제23권1호
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• pp.30-39
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• 2017

Purpose: The aim of this study was to evaluate the effects of favorite music therapy on the stress response of hysterectomy patients undergoing general anesthesia. Methods: Date were collected from June 29, 2015 to January 18, 2016 and the participants were 79 hysterectomy patients (experimental group 40 and control group 39). The experimental group listened to their favorite music through earphones from the moment they entered the surgical waiting room until they exited from the post anesthesia care unit. Results: There were statistically significant differences in anxiety (F=15.92, p<.001), systolic blood pressure (F=4.23, p=.008), diastolic blood pressure (F=3.07, p=.033), and heart rate (F=19.93, p<.001) between participants in the experimental group and the control group according to measurement times. Conclusion: The study results show that favorite music therapy considering patients' preferences is effective in reducing anxiety among patients undergoing a hysterectomy under general anesthesia, thus leading to a stable change in their blood pressure and heart rate.