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한국여성의 Pap 도말검사 지속적 참여행위에 관한 설명모델
박소미 한국간호과학회 2000 Journal of Korean Academy of Nursing Vol.12 No.2
The purpose of this study was to develop an explanatory model to predict factors related to continuous participation in the Pap smear screening among Korean women. A hypothetical model was constructed on the basis of Health Belief Model and extensive review of literature on the Pap smear screening. Exogeneous variables included in this model were knowledge, perceived sensitivity, perceived severity, negative and positive emotional responses and professional support from physicians and nurses. Endogeneous variables were threat to cervical cancer, perceived benefit of the Pap smear screening, perceived barrier, and the final outcome variable was continuous participation in the Pap smear screening. The hypothetical model was tested with an empirical study. The data was collected from 623 married women whose age range was 24 - 83 using a self-reported survey questionnaire which was developed by the researcher. It's Cronbach's alpha score ranged from .6478 to .9118. Data was collected at different locations in Seoul; a university hospital, a local health center, and apartment complexes. Data analysis was done using SPSS 7.5 WIN Program for descriptive statistics and LISREL 8.12a WIN Program for covariance structural analysis. In conclusion, threat, perceived benefit, perceived barrier, positive emotion and professional support had a significant direct effect on continuous participation in the Pap smear screening among Korean women. The results of this study also showed that perceived barrier had the most significant direct effect on continuous participation in the Pap smear screening while negative emotional response had the most significant direct effect on perceived barrier. It can be suggested that decreasing perceived barrier by reducing negative emotional responses may be the most effective strategies for increasing continuous participation in the Pap smear screening among married Korean women.
Pap 도말검진에 대한 기혼여성들의 인지·정서적 속성 내용분석
박소미,장순복,정재원 한국모자보건학회 2004 한국모자보건학회지 Vol.8 No.1
Objectives : To explore the cognitive and affective responses that women experienced during a Pap smear test. Methods : A qualitative method was used in which 54 women participated in focus groups. For the content analysis meaningful words, phrases, and sentences were first extracted from the data. These extractions were collected into categories and themes reflecting women's affective and cognitive responses to the experience of Pap testing. Results : There were three categories reflecting women's affective responses to the Pap test; test process, relationship with doctors, and test results. Shame, embarrassment, and anxiety were the main responses to the test process. For relationship with doctors affective responses were poor communication, male physician, and lack of respect. Women's cognitive categories included correct, confused, and wrong knowledge and information regarding cervical cancer and Pap test. Conclusions : Women's privacy and respect from doctors should be guaranteed in practice. Availability of female doctors, improvement of service systems and environments in Korea, as well as educational support would contribute to increase women's in Pap testing and service satisfaction.
잠재적 이용자의 재택건강관리 서비스에 대한 요구도 조사
박소미,황성오,윤성로 대한의료정보학회 2005 Healthcare Informatics Research Vol.11 No.1
Objective: This study was undertaken to assess the potential users' needs for a tele-health surveillance system and to develop a program that reflects the clients' needs. Methods: A descriptive study was conducted using interviews with a questionnaire during home visitations. Four hundred subjects from residences two affluent areas of Korea were selected by convenience sampling. Results: Through the tele-health surveillance system, they wanted to manage diseases such as heart disease(23.0%), cancers(20.5%) and endocrine diseases(17.5%). The highest score for areas of the tele-health surveillance system was cancer screening. The most highly preferred reporting system was immediate reporting of the screening results by a personal digital assistant with a tailored health management system that reflects their own bio-signals. Conclusion: Potential users want to manage their health in disease prevention and health promotion as well as treating diseases. These aspects should be considered in the development and utilization of a tele-health surveillance system.
대량 공급형 재택건강관리 서비스 모델 개발을 위한 생체신호 알고리즘 검증- 혈압 · 혈당을 중심으로 -
박소미,김현,윤영로,황성오,박미정,김오현 대한의료정보학회 2009 Healthcare Informatics Research Vol.15 No.1
Objective: The purpose of this study was to verify the algorithm on bio-signals for a home-health management system. Methods: A methodological study was done to verify the blood pressure and blood sugar algorithm to deliver tailored patient information. The verifying process was as follows: Step 1; development of the algorithm through a literature review, Step 2; programming the algorithm using Microsoft SQL Server 2005 and Visual Studio 2005, Step 3; Reviewing of the algorithm by examining results from the home-health management system and experts' evaluation Step 4; evaluating the agreement of the algorithm by comparison between results from the home-health management system and intended results using bio-signal data set, and completion of the algorithm. Results: Discordance rate between results from the home-health management system and intended results for blood pressure and blood sugar were 5.72% and 2.04%, respectively. Also, discordance rate between results from the home-health management system and experts' evaluation of blood pressure and blood sugar were 30.38% and 20.41%, respectively. All discordance were revised until all the researchers reached agreement. Conclusion: The home-health management system with an accurate algorithm on bio-signals can contribute to promote clients' health and reduce the cost of medical services.