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감정코칭 부모교육이 어머니의 정서반응태도와 양육효능감에 미치는 효과
서숙경,김은경 한국아동심리재활학회 2012 놀이치료연구 Vol.16 No.1
The purpose of this study was to examine the change of emotional reaction attitude of mothers and parenting efficacy according the emotion-coaching parent education program. The subjects of this study were mothers who referred in play therapy session and art therapy session because of their child's emotion control problem, and 3 mothers who scored lowest score at emotional reaction attitude test were participated. The questions of study were as follows. First, is there any effects in emotion-coaching parent education program on mother's emotional reaction attitude toward child's emotion? Second, is there any effects in emotion-coaching parent education program on mother's parentig efficacy? The program conducted once a week, 120minutes, totally, 8 session. To examine the changes of emotional reaction attitude of mothers, Emotional Reaction Attitude Scale in pre/post-test and follow up were used and analyzed for first questions of study. To examine the changes of parentig efficacy of mothers, Parenting Sense of Competence(PSOC) in pre/post-test were used and analyzed for second questions of study. The result of study is as follows: First, emotion-coaching parent education program has changed the mother's emotional reaction attitude to be supportive. Also in Emotional Reaction Attitude Scale, mother's emotional reaction attitude were changed to be supportive and the changes were maintained. Second, emotion-coaching parent education program has raised parentig efficacy. 본 연구는 감정코칭 부모교육 프로그램이 어머니의 정서반응태도와 양육효능감에 미치는 효과를 알아보고자 실시되었다. 연구대상은 D대학 미술치료 및 놀이치료실에서 치료중인 어머니 중 부모교육에 참여하고 싶은 어머니들에게 정서반응태도검사를 실시해서 최하위 점수를 획득한 어머니들 3명이었다. 연구문제는 첫째, 감정코칭 부모교육 프로그램이 자녀의 정서에 대한 어머니의 정서반응태도를 지지적으로 변화시키는가, 둘째, 감정코칭 부모교육 프로그램이 어머니의 양육효능감을 향상시키는가였다. 감정코칭 부모교육 프로그램은 부모의 정서반응태도의 중요성 인식하기, 자녀의 감정 인식하기, 감정적 순간에 대한 인식 변화시키기, 자녀의 감정에 공감하고 경청하기, 자녀가 감정을 표현하도록 돕기, 자녀 스스로 문제를 해결하도록 돕고 한계 정해주기에 중점을 두고, 주 1회, 120분, 총 8회기 실시되었다. 어머니의 정서반응태도의 변화를 살펴보기 위해 프로그램의 사전․사후 및 추후에 정서반응태도 척도의 점수를 비교하였고 양육효능감의 변화를 살펴보기 위해 사전․사후에 양육효능감 척도의 점수를 비교하였다. 연구의 결과는 다음과 같다. 첫째, 감정코칭 부모교육은 어머니의 정서반응태도를 지지적으로 변화시켰고 프로그램이 끝난 이후에도 지지적 정서반응태도가 계속 유지되었다. 둘째, 감정코칭 부모교육은 어머니의 양육효능감을 향상시켰다. 즉, 감정코칭 부모교육 프로그램이 어머니의 정서반응태도를 지지적으로 변화시키고 양육효능감을 향상시키는데 효과적임을 알 수 있었다.
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데이터마이닝 기법을 이용한 건강보험공단의 수술 통계량 근사치 추정 -허니아 수술을 중심으로-
강성홍,서숙경,양영자,이애경,배종면,Kang, Sung-Hong,Seo, Seok-Kyung,Yang, Yeong-Ja,Lee, Ae-Kyung,Bae, Jong-Myon 대한예방의학회 2006 예방의학회지 Vol.39 No.5
Objectives: The aim of this study is to develop a methodology for estimating a nationwide statistic for hernia operations with using the claim database of the Korea Health Insurance Cooperation (KHIC). Methods: According to the insurance claim procedures, the claim database was divided into the electronic data interchange database (EDI_DB) and the sheet database (Paper_DB). Although the EDI_DB has operation and management codes showing the facts and kinds of operations, the Paper_DB doesn't. Using the hernia matched management code in the EDI_DB, the cases of hernia surgery were extracted. For drawing the potential cases from the Paper_DB, which doesn't have the code, the predictive model was developed using the data mining technique called SEMMA. The claim sheets of the cases that showed a predictive probability of an operation over the threshold, as was decided by the ROC curve, were identified in order to get the positive predictive value as an index of usefulness for the predictive model. Results: Of the claim databases in 2004, 14,386 cases had hernia related management codes with using the EDI system. For fitting the models with applying the data mining technique, logistic regression was chosen rather than the neural network method or the decision tree method. From the Paper_DB, 1,019 cases were extracted as potential cases. Direct review of the sheets of the extracted cases showed that the positive predictive value was 95.3%. Conclusions: The results suggested that applying the data mining technique to the claim database in the KHIC for estimating the nationwide surgical statistics would be useful from the aspect of execution and cost-effectiveness.
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Asan Medical Information System for Healthcare Quality Improvement
류현정,김우성,이재호,민성우,김선자,이영수,이영하,남상우,어기승,서숙경,남미현 대한의료정보학회 2010 Healthcare Informatics Research Vol.16 No.3
Objectives: This purpose of this paper is to introduce the status of the Asan Medical Center (AMC) medical information system with respect to healthcare quality improvement. Methods: Asan Medical Information System (AMIS) is projected to become a completely electronic and digital information hospital. AMIS has played a role in improving the health care quality based on the following measures: safety, effectiveness, patient-centeredness, timeliness, efficiency, privacy, and security. Results: AMIS consisted of several distinctive systems: order communication system, electronic medical record, picture archiving communication system, clinical research information system, data warehouse, enterprise resource planning, IT service management system, and disaster recovery system. The most distinctive features of AMIS were the high alert-medication recognition & management system, the integrated and severity stratified alert system, the integrated patient monitoring system, the perioperative diabetic care monitoring and support system, and the clinical indicator management system. Conclusions: AMIS provides IT services for AMC, 7 affiliated hospitals and over 5,000 partners clinics, and was developed to improve healthcare services. The current challenge of AMIS is standard and interoperability. A global health IT strategy is needed to get through the current challenges and to provide new services as needed.
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