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작업치료사의 직무스트레스가 소진 및 이직 의도에 미치는 영향
김우람(Woo-Ram Kim),박주영(Joo-Young Park),윤예지(Ye-Ji Yun),최원호(Won-Ho Choi),이인경(In-Kyung Lee),정상미(Sang-Mi Jung) 한국엔터테인먼트산업학회 2018 한국엔터테인먼트산업학회논문지 Vol.12 No.3
본 연구는 현재 임상에서 근무하고 있는 작업치료사의 직무스트레스가 소진 및 이직 의도에 미치는 영향을 알아보고자 하며, 이를 통해 작업치료사의 효율적인 직무스트레스 관리방법을 마련하고, 이에 대한 처우 개선책을 마련하고 더 나은 근무환경을 위한 대처 방안을 위한 기초자료로 활용하고자 한다. 본 연구는 2017년 5월 1일부터 5월 20일까지 현장에서 근무하고 있는 작업치료사 177명을 대상으로 구조화된 자기기입식 설문지를 이용하여 조사하였다. 수집된 자료의 데이터 분석은 SPSS (win ver 20.0) 프로그램을 이용하여 빈도분석과 백분율, 스피어만 상관관계 분석, 다중회귀분석을 사용하여 처리했다. 연구결과에 의하면 작업치료사 직무스트레스 하위영역 중 고유 업무, 행정, 구성원과의 관계 순으로 스트레스가 높았으며 직무 스트레스 전체와 소진 하부영역과의 상관관계에서 신체(r=0.616), 정서(r=0.505), 정신(r=0.509)로 통계적으로 유의 하였다(p<.01). 또한 직무스트레스 하부요인과 이직 의도의 상관관계를 살펴보면, 고유 업무와 이직 의도(r=0.439)과 구성원과의 관계와 이직 의도(r=0.503)이며, 행정과 이직 의도(r=0.533)의 상관관계는 통계적으로 유의하다(p<.01). 다중회귀분석 결과 작업치료사의 소진에는 행정에 대한 스트레스가(β=0.405, p<.01) 가장 큰 영향을 미쳤고, 작업치료사의 이직 의도에는 행정에 대한 스트레스가(β=0.309, p<.01) 가장 큰 영향을 미쳤다. 따라서 작업치료사들의 직무 스트레스 감소시킬 수 있도록 관련 프로그램 개발, 치료 스케줄의 적절한 관리 및 팀 구성원과의 관계형성 등 합리적인 행정적 관리를 통한 근무여건개선과 작업치료업무의 질 향상 한다면 소진과 이직 의도를 감소시킬 것으로 생각된다. This research examines the effects of occupational stress on occupational fatigue caused by occupational stress relief work, and uses it as a basis for Coping way for finding efficient job stress management measures and improving the effectiveness of occupational stress management. This study was conducted on 177 occupational therapists working in the field from May 1, 2017 to May 20, 2017 using a structured self-report questionnaire. Data analysis of collected data was performed using frequency analysis, percentage, Spearman correlation analysis and multiple regression analysis using SPSS (win ver 20.0) program. According to the results of the study, occupational stressor sub-factors of occupational therapist showed higher stress in the order of work, administration and teamwork. In the correlation between total occupational stress and depressed sub-factors, physical(r=0.616), sentiment(r=0.505) mental(r=0.509, p<.01). In addition, the relationship between job stress sub-factors of work and turnover intentions(r=0.439), teamwork and turnover intention(r=0.503), administration and turnover intention(r=0.523) was statistically significant(p<.01). Regression analysis showed that the stress on the administration (β=0.405, p<.01) had the greatest influence on exhaustion of the occupational therapist, the stress on the administration (β=0.309, p<.01) had the greatest influence on the turnover intention of the occupational therapist. Therefore, it is necessary to improved working conditions through rational administrative management such as develop related programs to reduce occupational stress of occupational therapists, to manage treatment schedules properly and to form relationships with team members, Improving the quality of occupational therapy tasks is thought to reduce burnout and turnover intention.
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김지훈,김현영,정성은,박귀원,김우기,Kim, Ji-Hoon,Kim, Hyun-Young,Jung, Sung-Eun,Park, Kwi-Won,Kim, Woo-Ki 대한소아외과학회 2005 소아외과 Vol.11 No.2
Ulcerative colitis, an inflammatory bowel disease, is primarily managed medically with a combination of 5-ASA and steroids. However, this chronic disease requires surgical management if symptoms persist or complications develop despite medical management. The clinical course, indications and outcome of surgical management of 21 patients under the age of 15 who were endoscopically diagnosed with ulcerative colitis at the Seoul National University Children's Hospital between January, 1988 and January, 2003 were reviewed. Mean follow up period was 3 years and 10 months. The mean age was 10.3 years old. All patients received medical management after diagnosis and 8 patients (38 %) eventually required surgical management. Of 13 patients who received medical management only, 7 patients (53 %) showed remission, 4 patients are still on medical management, and 2 patients expired due to congenital immune deficiency and hepatic failure as a result of sclerosing cholangitis. In 8 patients who received surgical management, the indications for operation were, 1 patient sigmoid colon perforation and 7 patients intractability despite medical management. The perforated case had a segmental colon resection and the other 7 patients underwent total colectomy with ileal pouch-anal anastomosis. One patient expired postoperatively due to pneumonia and sepsis. and 1 is still on medical management because of mild persistent hematochezia after surgery. Six other operated patients are doing well without medical therapy. Pediatric ulcerative colitis patients can be surgically managed if the patient is intractable to medical management or if complications such as perforation are present. Total colectomy & ileal pouch-anal anastomosis is thought to be the adequate surgical method.
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Realtime PCR법에 의한 청소년의 치아우식 유발세균 감염률 조사
문예림 ( Ye-rim Mun ),박지현 ( Ji-hyeon Park ),조자원 ( Ja-won Cho ),김우람 ( Woo-ram Kim ) 대한예방치과·구강보건학회 2020 大韓口腔保健學會誌 Vol.44 No.2
Objectives: The aim of this study was to investigate the infection rates of bacteria associated with dental caries among children and adolescents in Korea. Methods: Oral examinations were conducted in 146 students. The numbers of bacteria associated with dental caries, such as Streptococcus mitis, Streptococcus mutans, Streptococcus sobrinus, and Lactobacillus casei, in the subjects’ oral cavity were counted by real-time PCR, and infection rates for those bacteria were additionally investigated. Results: The infection rate of Streptococcus mitis, Streptococcus mutans, Streptococcus sobrinus, and Lactobacillus casei was 99.3% (145/146), 63.0% (92/146), 1.4% (2/146), and 25.3% (37/146), respectively. The amounts of Streptococcus sobrinus and Lactobacillus casei did not differ with the participants’ age. However, the number of Streptococcus mutans was 537.6 for primary school students, 5698.2 for middle school students, and 19037.5 for high school students. The mean number of oral bacteria increased with age (P<0.05). The mean bacterial numbers of the infected subjects indicated significant differences in the numbers of Streptococcus mitis and Streptococcus mutans (P<0.05). Conclusions: The infection rates of Streptococcus mitis and Streptococcus mutans were distinct in children and adolescents. Efforts to control the bacteria associated with dental caries are needed to prevent dental caries.
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