수술 예방적 항생제의 사용 현황 및 관리전후 효과

양지연,김문숙,김유정,이은봉,Yang, Jiyeon,Kim, Moon-Sook,Kim, Yu-Jeong,Lee, Eun-Bong 한국의료질향상학회 2012 한국의료질향상학회지 Vol.18 No.1

Background : The objective of this study was to examine the effect of management system for the appropriate prophylactic use of antibiotics in surgical patients at a tertiary hospital from 2007 to 2010. Methods : We collected clinical data of three different surgical procedures(colectomy, heart surgery, hysterectomy) for three months of 2007 and 2010, respectively. The number of total cases was 245(137, 54, 54) in 2007, 240(133, 42, 65) in 2010. We measured the rate of use of inappropriate prophylactic antibiotics, administration within 1 hour prior to the incision and the antibiotics prescription days after surgery. To evaluate the effectiveness of the management system, the results of the two groups(Group1=2007, Group2=2010) were compared by t-test, chi-square test or Fisher's exact test. Result : The rate of Aminoglycoside uses decreased drastically from 11.4% to 0.8%(P<.001). The selection of 3rd/4th Cephalosporin dropped from 11.8% to 5.8%(P=.020). The combination of antibiotics decreased from 27.8% to 11.7%(P<.001). The antibiotic prescription rate on discharge declined from 11.8% to 2.5%(P<.001) and the number of antibiotics prescription days after surgery was shortened from 4.2 days to 2.3 days(P<.001). No significant difference in the rate of administration within 1 hour between two groups was found. Through 3-year management, 5 out of 6 measures were significantly improved(except the administration within 1 hour). The rate of surgical site infection decreased from 2.4% to 1.3%(P=.504). Conclusion : The findings demonstrate that the management system for the prophylactic use of antibiotics in surgical patients was effective in decreasing the rate of surgical site infection during 3 years.

The evaluation of cost-of-illness due to use of cost-of-illness-based chemicals

양지연,Yongjin Lee,Geonwoo Lee,Hanseul Lee,Jiyeon Yang 환경독성보건학회 2015 환경독성보건학회지 Vol.30 No.-

Objectives This study is conducted to estimate the cost paid by the public suffering from disease possibly caused by chemical and to examine the effect on public health. Methods Cost-benefit analysis is an important factor in analysis and decision-making and is an important policy decision tool in many countries. Cost-of-illness (COI), a kind of scale-based analysis method, estimates the potential value lost as a result of illness as a monetary unit and calculates the cost in terms of direct, indirect and psychological costs. This study estimates direct medical costs, transportation fees for hospitalization and outpatient treatment, and nursing fees through a number of patients suffering from disease caused by chemicals in order to analyze COI, taking into account the cost of productivity loss as an indirect cost. Results The total yearly cost of the diseases studied in 2012 is calculated as 77 million Korean won (KRW) per person. The direct and indirect costs being 52 million KRW and 23 million KRW, respectively. Within the total cost of illness, mental and behavioral disability costs amounted to 16 million KRW, relevant blood immunological parameters costs were 7.4 million KRW, and disease of the nervous system costs were 6.7 million KRW. Conclusions This study reports on a survey conducted by experts regarding diseases possibly caused by chemicals and estimates the cost for the general public. The results can be used to formulate a basic report for a social-economic evaluation of the permitted use of chemicals and limits of usage.

갑상선암 수술 환자들의 삶의 질에 영향을 미치는 요인

양지연(Yang, Jiyeon),이명선(Yi, Myungsun) 대한종양간호학회 2015 Asian Oncology Nursing Vol.15 No.2

Purpose: The purpose of the study was to examine the relationships among anxiety, depression, self-esteem, and quality of life in thyroid cancer patients with thyroidectomy and to identify factors influencing their quality of life. Methods: A cross-sectional survey was conducted to measure anxiety, depression, self-esteem, and quality of life of 129 thyroid cancer patients between 2011 and 2012. The data were analyzed with t-test, one-way ANOVA, post-hoc comparison (Duncan), Pearson’s correlation coefficients, and multiple regression analysis. Results: The mean age of the participants was 49.8, and most of them were female and married. The mean time since diagnosis of the participants was two years. The mean score for quality of life was 74 out of 108. Quality of life was significantly different by gender, employment and the stage of cancer at diagnosis. Anxiety, depression and self-esteem were all correlated to quality of life. As a result of stepwise multiple regression analysis, depression, self-esteem, and gender were discovered to account for 58.1% of the variance in quality of life. Depression was the most influential factor. Conclusion: The results of the study indicate that depression and self-esteem should be integrated when developing psychosocial intervention to promote quality of life among thyroid cancer patients.

미술관 관람객 연구의 성과와 과제: 20세기 이후 미국의 연구를 중심으로

양지연(Yang Jiyeon) 한국예술경영학회 2003 예술경영연구 Vol.3 No.-

An exhibition could not and should not be evaluated only by the intrinsic value of art objects and the exhibition itself. Rather its values and meanings are completed by the responses and experiences of the visitors. Then, efforts to systematically understand how visitors interact with the museums and exhibitions should be of primary concern in art museums. In this study, the visitor studies published in the United States since the 20th century were analyzed with a focus on the art museums. Through the historical and conceptual analysis of the significant articles selected by the researcher, this study seeks to provide a comprehensive understanding of art museum visitors and meaningful implications for Korea art museums that recently began to study their visitors. The main areas of discussions are categorized as follows: 1) visitor behavior and exhibition science, 2) time and exhibition evaluation, 3) nature and effect of museum-based learning, 4) demographic characteristics of visitors, and 5) psychographic characteristics of visitors. First, the visitor studies which investigated the influence of the methods and design of an exhibition on the visitor behaviors were reviewed. In the earlystudies of the 1920’s and 30’s, such psychologists as Robinson and Melton experimented and observed how visitor behavior changed according to the physical environment of exhibitions, to enhance educational capacity of exhibitions. In their tracking study method, the concepts of “holding power” and “attracting power” of an exhibition (or an exhibit) were employed to access the interests and behavioral patterns of visitors. Also, psychological aspects of the “museum fatigue” were suggested. The concepts and methods devised by these early pioneers have been employed to date in numerous visitor studies. Secondly, visitor studies that utilized ‘time’ as an indicator to evaluate and define the effectiveness of exhibitions were examined. Being objective and easy to measure, time has been considered as an important variablethat could explain and predict the success of exhibitions, the amount of learning, as well as visitor satisfaction in museums. The general findings from many time studies, however, were that unlike the expectations from curators and exhibit designers, most visitors spent very short time at an exhibition (less than 30 minutes), and did not view every element of an exhibition. A recent report published in 1998 by the American Association of Museums which carried out a meta-analysis of tracking studies at 110 exhibitions of various types reaffirmed the facts. Therefore, the methods to maximize visitor attention and learning in the museum were suggested as the problems needed to be solved. The studies to prove educational results and to understand the nature of museum learning were discussed in the third area of museum visitor studies. Influenced by the recent learning theory called ‘constructivism’, many researchers have concentrated on the personal, long-term, and complex context of learning rather than short-term and outcome-oriented tests of the museum’s educational effect. For instance, Falk’s research on the long-term memory of museum visits and nature of museum experience were examined. Fourthly, demographic studies of art museum visitors provide another aspect in understanding the museum audiences. Profiles of art museum visitors known through a number of visitor surveys appear to be universal and homogeneous. That is, visitors to art museums tend to be in the upper education, income, and occupation groups than the population in general. However, it is not desirable to typify the art museum audience, as the demographic nature visitors could change and vary according to the types of art museums, exhibitions, seasons, and other elements. In this respect, the visitor survey that compared demographics and reactions of summer vs. winter audience at the Museum of Fine Arts in Boston was discussed. Meanw

미술관 전문인력의 전문성 개발을 위한 연구: 교육훈련을 중심으로

양지연(Yang Jiyeon) 한국예술경영학회 2005 예술경영연구 Vol.8 No.-

This study examined directions and framework for professional development of art museum professionals in Korea in light of education and training. Education and training of art museum professionals have been the critical issues of museum world since the 1980s, and the curriculums and support system have been sporadically discussed. Current practice of museum training, however, is unsystematic and very limited to meet the needs of both practicing professionals and future museum workers. In this context, the nature of professionalism of art museum workers was examined in light of core and specialized competencies of practicing professionals presented by such representative museum communities as the International Council of Museums and the American Association of Museums. The analysis of the competencies of art museum professionals, which include comprehensive abilities, knowledge, skills, and attitude, would be especially useful to develop curriculums and system of art museum training. Next, the current state of education and training for art museum professionals in Korea was analyzed in terms of university education, non-degree training programs, internships, and education and training policy for art museums. Finally, the directions and solutions for systemize education and training of art museum professionals were presented in four aspects. Above all, the human resource management policy for art museums including education and training should be developed on national level as well as institutional level. Secondly, sustained education and training programs and opportunities should be developed according to the life cycle of people. Three levels of prospective professionals in schools, school-work transition, and practicing professionals presents the unique training needs. Also, entry-level employees would have different training needs from those of mid-level and senior-level personnels. Third, development of database and guidelines of education and training programs for individual professionals and institutions is needed. Fourth, it is important that the competencies required for future museum professionals should be reflected in the development of education and training programs. Finally, diverse types of partnership between university and art museums should be developed to strengthen the effectiveness of museum training.

박물관의 시장조사와 활용 전략: 애니메이션박물관을 중심으로

양지연(Yang Jiyeon) 한국예술경영학회 2004 예술경영연구 Vol.5 No.-

This study examines the meanings, methods, and uses of market research in museums with an emphasis on the Animation Museum in Chunchon City, Korea. Established in 2003 as the first and only animation museum In the world, the Animation Museum would serve as a meaningful case to explore the interrelationship among local cultural industry, popular culture and museum management. Even though an increasing number of cultural institutions in Korea is conducting research on their visitors, most of them are hardly used or reflected in the decision-making of the management system. Thus, on the premise that market research could be ‘utilized’ only when a museum IS highly market-oriented(responsive) In its mission, philosophy and operational system, a model for market-oriented museum management was proposed. Then, the current market of the museum including both visitors and potential visitors was analyzed, based in large part on the attendance figures by the ticket category of the museum. The final chapter presents the purposes and roles of future market research at the Animation Museum and the types and methods of market research that the museum could utilize for studying both visitors and potential visitors. For the study of current visitors, the museum needs to develop a more effective attendance record system geared to the information needs of the museum. Attendance records, if properly maintained, could yield most accurate and reliable data on various aspects of the visitors. Periodic surveys of both entire visitors and specific groups of visitors are also needed. On-line users are also important audience of the museum. Analysis of the members of the museum homepage and web log, and surveys of homepage users would be useful tool for developing online audiences. Program evaluation are needed in the areas of exhibitions and museum shop and cafeteria to assess the visitor satisfactions and needs. To study potential visitors, the museum first needs to determine whom to define as potential visitors. In that decision, the museum could take two different approaches. One of them is to determine the potential visitors based on the research and analysis of the current visitors. The other approach is a random survey of people outside of the museums. Market-orientedness is not the concept contradictory to or independent of the traditional functions of preservation and research of museums. Rather, it should be recognized as a process through which museums persistently communicate with their communities.

미술관 관람자의 미적인지 단계적 특성

양지연(Jiyeon Yang),김혜인(Hyein Kim) 한국미술교육학회 2011 美術敎育論叢 Vol.25 No.2

본 연구는 미술작품에 대한 반응을 통한 미적인지 단계 특성 분석을 통해 인간의 미술 이해 방식을 보여준 선행 미적인지 단계 이론들을 우리의 상황에 맞게 이론의 틀과 인터뷰 방식을 재검토하여 실증적으로 파악하는데 목적이 있다. 한국 성인 미술관의 미적인지 단계 특성을 살펴봄으로써 그들의 미술 접근 메커니즘을 탐색하고, 미술관 교육을 위한 시사점을 도출하고자 한 본 연구는 국립현대미술관을 찾은 총 40명에 대한 인터뷰 및 설문조사 분석을 실시하였다. 그 결과, 관찰을 통한 묘사, 연관, 해석, 평가 등의 사고 범주의 틀은 선행연구의 결과와 흡사했으나, 연관의 종류, 해석의 정도, 평가를 드러내는 방식 등이 다르게 나타났다. 또한 미적인지 단계는 즉자적 반응, 개인적 틀 구성, 주관과 객관의 구분 시도, 해석, 자율적 재구성의 총 5단계로 나타났다. 이러한 결과를 바탕으로 본 논문에서는 한국의 미술관 교육을 위한 시사점을 제시하였다. This paper purports to examine the aesthetic development research which explores the nature of art understanding for investigating the process and the way of art understanding of adult art museum visitors in Korea. With the re-constructed research frame and methods, this study explored 40 adult art museum visitors who visited the exhibition of National Museum of Contemporary Art. The results of the study are analyzed in two aspects. First, the domains of aesthetic stages were presented similarly with previous research although the issue areas were different which may show the socio-cultural contextual differences. Second, the aesthetic cognitive stages were presented in 5 stages: distinct response, construction of personal frame, attempt on distinction of subjectivity and objectivity, interpretation, and autonomic re-creation. Based on these results, the study suggests implications for Korean museum professionals and academics.

환경유래 식품오염물질의 우선순위 선정 기법 (Food-CRS-Korea)의 개발과 적용

양지연(Jiyeon Yang),장지영(Jiyoung Jang),김수환(Soohwaun Kim),김윤관(Yoonkwan Kim),이효민(Hyomin Lee),신동천(Dong-Chun Shin),임영욱(Youngwook Lim) 환경독성보건학회 2010 환경독성보건학회지 Vol.25 No.1

The aims of this study were to develop the suitable system software in chemical ranking and scoring (CRS) for the food hazardous chemicals associated with environmental emission and to suggest the priority lists of food contamination by environmental-origined pollutants. Study materials were selected with reference to the priority pollutants list for environment and food management from domestic and foreign research and the number of study materials is 103 pollutants (18 heavy metals, 10 PBTs, 10 EDs, and 65 organic compounds). The Food-CRS-Korea system consisted of the environmental fate model via multimedia, transfer environment to food model, and health risk assessment by contaminated food intake. We have established that health risks of excess cancer risks, hazard quotients (HQs) by chronic toxicity and HQs by reproductive toxicity convert to score, respectively. The creditable scoring system was designed to consider uncertainty of quantitative risk assessment based on VOl (Value-Of-Information). The predictability of the Food-CRS-Korea model was evaluated by comparing the presumable values and the measured ones of the environmental media and foodstuffs. The priority lists based on emissions with background-level-correction are 15 pollutants such as arsenic, cadmium, and etc. The priority lists based on environmental monitoring date are 17 pollutants including DEHP, TCDD, and so on. Consequently, we suggested the priority lists of 13 pollutants by considering the several emis-sion and exposure scenarios. According to the Food-CRS-Korea system, arsenics, cadmium, chromes, DEHP, leads, and nickels have high health risk rates and reliable grades.

미술관과 공교육의 파트너십을 위한 초중등 교사 연구

양지연(Yang Jiyeon) 한국예술경영학회 2003 예술경영연구 Vol.4 No.-

One of the main themes of the international museum management in recent 20 years has been the community partnership. Strengthening the relevancy of museums with diverse communities is now recognized as the crucial strategy for the improvement and survival of museums. Among the diverse communities of museums, school audiences have been, and still are the major community to be served and to collaborate, both for philosophical and practical reasons. In building partnership between museums and schools, the key role player is the school teachers. As the renowned psychologist Lev Vygotsky stressed the social aspects of learning, teachers tremendously influence the cognitive and affective learning of the students. Also being familiar with the students’ previous experiences and knowledge as well as the school curriculum, teachers are the major link between museums and schools who could connect museum experience with classroom learning. Thus, in recognition of such an importance of teachers, this study examined the teachers’ utilization of museums and their needs toward forming museum and school partnerships. The research was based on the survey of 271 elementary and secondary teachers who participated in the summer teacher training programs at three museums in Korea, including the National Museum of Contemporary Art, the National Museum of Korea, and the Ho-Am Art Museum. The survey explored three areas of questions. Firstly, the utilization patterns and behaviors were examined. The majority of teachers (56.0%) utilized museums 1-2 times a year. Major purposes of utilization were to take field trips that are not closely related to the curricular (35.0%), and to provide or extend lessons closely related to the curricular (26.1%). The main types of utilization were the use of museums’ internet home pages as teaching-leaning resources (25.3%) and the group field trips guided by teachers (25.1%). The sources of information on museums were largely limited to the museums’ internet home pages (35.0%), and mass media (news papers/ T.V.) (30.1%). Secondly, teachers’ perceptions and attitudes toward museums were explored by asking educational effect of museum learning and barriers to utilizing museums. The educational effect of museum utilization perceived by the teachers was generally high (‘very high’ 8.0% + ‘pretty high’ 40.3%). The larger percentage of teachers who perceives the educational effect of museum utilization ‘fair’ or ‘low’, however, gives a significant implication that museum experiences are educational only when they are carefully designed for learning of students. Finally and most importantly, teachers’ needs and recommendations for museum and school partnerships were analyzed. Most teachers needed that museums provide programs closely related to the curricular (30.3%) and museum guides who could teach school groups (24.3%). The development of teacher programs that introduce methods of museum utilization for school lessons was also highly needed (21.9%). Answers to the open-ended question about recommendations for museum and school partnerships revealed similar results to the above question. They mostly recommended in the areas of ‘program development’, ‘teacher training programs’, ‘provision of quality museum guides’, ‘convenience and cost of travel’, and ‘promotion of museum programs for school audiences.’ Thus, in building collaborative relationship, museums and schools should strive to meet the needs of the teachers analyzed above. Governmental support should also be given for those efforts.

난임 여성의 난임 스트레스가 삶의 질에 미치는 영향: 적극적 스트레스 대처를 통한 가족지지의 조절된 매개효과

양지연 ( Yang Jiyeon ),배희분 ( Bae Heeboon ) 한국가족관계학회 2020 한국가족관계학회지 Vol.25 No.3

Objectives: This study is aimed at providing effective intervention strategies to improve the quality of life of women who are experiencing infertility stress. For this purpose, this study evaluated whether the effects of infertility stress on the quality of life can be mediated by active stress coping strategies. In addition, an evaluation was made on whether the mediating effect of active stress coping strategies can be controlled by family support at a statistically significant level. Methods: Data obtained from 365 women who had experienced infertility stress were used in the final analysis. Research tools include the criteria of the stress of infertility, quality of life, active stress coping strategy, and family support. The collected data were analyzed by using SPSS 25.0 Program and SPSS PROCESS Macro. Results: First, active stress coping strategies mediate the effects of infertility stress on the quality of life. Second, family support controls the mediating effects of the active stress coping strategy on the effects of infertility stress on the quality of life. Conclusions: Infertile women perceive that family support can play an important role in active stress coping strategy with the infertility stress they have gone through. This study implies that increasing the ability of active stress coping strategies and facilitating the family support are important intervention strategies for improving the quality of life under infertility stress.