95학년도 신입생 인성검사 결과

진주교육대학교 조사연구부 진주교육대학교 학생생활연구소 1995 학생생활연구 Vol.4 No.-

The Effect of Copayment on Medical Aid Beneficiaries in Korea

오진주,최정명,이현주 한국지역사회간호학회 2015 지역사회간호학회지 Vol.26 No.1

Purpose: This study was to ascertain whether there are differences in health care utilization and expenditure forType I Medical Aid Beneficiaries before and after applying Copayment. Methods: This study was one-group pretestposttest design study using secondary data analysis. Data for pretest group were collected from claims data ofthe Korea National Health Insurance Corporation and data for posttest group were collected through door to-doorinterviews using a structured questionnaire. A total of 1,364 subjects were sampled systematically from medicalaid beneficiaries who had applied for copayment during the period from December 12, 2007 to September 25,2008. Results: There was no negative effect of copayment on accessibility to medical services, medication adherence(p=.94), and quality of life (p=.25). Some of the subjects’ health behaviors even increased preferably afterapplying for copayment including flu prevention (p<.001), health care examination (p=.035), and cancer screening(p=.002). However, significant suppressive effects of copayment were found on outpatient hospital visitingdays (p<.001) and outpatient medical expenditure (p<.001). Conclusion: Copayment does not seem to be a greatinfluencing factor on beneficiaries’accessibility to medical services and their health behavior even though it hassuppressive effects on outpatients’ use of health care.

의료급여관리사의 업무경험

오진주 한국직업건강간호학회 2009 한국직업건강간호학회지 Vol.18 No.1

수도권 대기오염측정망의 시간평균 데이터를 이용한 대기질 개선여부 평가

오진주,선우영,우정헌,김수향,이우근,홍지형 한국대기환경학회 2008 한국대기환경학회 학술대회논문집 Vol.- No.-

요양보호사 감정노동과 직무스트레스가 이직의도에 미치는 영향

오진주,김영선,김선희,고현민 사단법인 대한보건협회 2019 대한보건연구 Vol.45 No.2

Objective: The purpose of this study is to establish and test a hypothetical model that explains the factors affecting the turnover intention of the elderly nursing home care workers and explains the turnover intention of the nursing home care workers Methods: structured questionnaires including emotional labor, job stress, job satisfaction, and turnover intentions were distributed to 231 caregivers working in six elderly care facilities in Seoul, Gyeonggi do and directly filled out. The collected data were analyzed using SPSS 23.0 and AMOS 21.0 programs. Results: The fit index of the hypothesis model satisfied the recommended level and job satisfaction had a direct effect on turnover (r = -0.255, p <0.01). Job stress had a direct effect on turnover intention (r = 0.966, p <0.01) and it was also found to indirectly affect turnover intention through job satisfaction. These emotional labor, job stress, and job satisfaction explained 18.1% of turnover intention. Conclusion: In order to enhance job satisfaction of caregivers, role recognition and systematic support for enhancing psychological satisfaction and self-esteem according to profession roles should be provided, and various external factors causing additional job stress should be actively improved. Objective: 본 연구는 노인요양시설 요양보호사 이직의도에 영향을 주는 요인을 규명하고 이를 토대로 요양보호사 이직의도를 설명하는 가설적 모형을 구축하고 검정하고자 한다. Methods: 서울, 경기 소재의 6개 노인요양기관에 근무하는 요양보호사 231명을 대상으로 감정노동, 직무스트레스, 직무만족, 이직의도를 포함한 구조화된 설문지를 배부하고 직접 기입하였다. 수집된 자료는 SPSS 23.0과 AMOS 21.0프로그램을 이용 분석하였다. Results: 가설모형의 적합지수는 권장수준을 만족하였고 직무만족은 이직의도에 대해 직접영향을 미치는 것으로 나타났다(r=-0.255, p<0.01), 직무스트레스는 이직의도에 직접영향(r=0.966, p<0.01)을 미치며 동시에 직무만족을 통해 간접적으로 이직의도에 영향을 미치는 것으로 확인되었다. 감정노동은 오히려 직무만족을 높이는 요인으로(r=0.427, P<0.01) 이직의도를 감소시켰으나 유의하지는 않았다. 이들 감정노동, 직무스트레스 및 직무만족이 이직의도를 설명하는 정도는 18.1%였다. Conclusion: 요양보호사의 직무만족을 높이기 위해서 전문직 역할수행에 따른 심리적 만족감과 자부심을 고양시키기 위한 역할 인정 및 체계적인 지지를 제공하고, 추가적으로 직무스트레스를 초래하는 다양한 외적 요인들에 대한 적극적 개선이 추진되어야 할 것이다

성적활동성을 보이는 노인에 대한 간호학생들의 태도

오진주 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.2

Purpose : The purpose of this study was to assess the level of activitis of daily living (ADL)in a group of community dwelling elderly. Methods : The subjects were 100 low-income elderly registered in a public health center. The data were analyzed using the SPSS/PC program. Results : The results were as follws: 1. The basic ADLs of the subjects were scored at 7 levels, and the mean score was 6.24 out of 7 points. The subjects did not necessarily require help from others, but might have needed more times or instrumental assists to perform ADLs. The lowest ADL score was reported on walking up to the stairs (5.05), for which the needed a certain degree of supervision. The highest score was reported on self eating(6.74), followed by bowel management(6.60). 2. The mean IADL score of the subjects was 1.77 out of 4 points, indicating that the subjects were very independent in performing IADLs, without help from others. 3. In relation to general characteristics, the level of ADLs of the subjects was significantly different by age (F=6.36,P=.000), main activities (F=4.66,P=.012), educational background(F=4.64,P=.03), marital status(F=4.62,P= .005), and major household income (F=4.15,P=.002). 4. The subjects' level of IADLs in relation to their general characteristics was significantly different by perceived health status (F=8.08, P=.001), major activities (F=7.33,P=.000), age (F=6.18,P=.000), family context (F=3.53, P=.018), religion (F=3.10,P=.019), marital status(F=2.62,P=.049).

재가 산재장애자들의 지역사회 재활서비스 이용 실태 및 요구도

오진주,이현주,최정명,현혜진,윤순녕 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.2

Objectives: This study described the features of home-bound industrial accident victims and their needs for rehabilitation services. This study was also aimed to find a future direction of development of community rehabilitation programs that are suitable for their needs and demands Methods: This study is a descriptive study. Data were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home visiting. Subjects in the first stage included 2203 industrial injured victims staying at home, of whom, 368 individuals complaining of post-traumatic complications became the subjects of the second stage. Results: This study showed that the home-bound industrial accident patients were complaining of complications from the injuryeven after receiving treatment by IACI. However, they were neglecting their health problems without any intervention. Even if they use health care services, the treatment is mainly focused on acute medical care, which may not effective for them. Furthermore, they had unstable employment status and suffered from financial burden for health care costs. The Labor Welfare Organization has established a plan to remove barriers of industrial accident victims in reinstatement, and has been preparing various programs in order to establish an all-embracing service system for industrial accident victims from accident occurrence to reinstatement. However, these rehabilitation services can be truly helpful only when the injured are able to obtain enough information about them. The current restrictive system is also not appropriate for solving health problems of the industrial accident victims. Therefore, it is necessary to develop a plan that can provide industrial accident victims high-quality rehabilitation services so that they can use those services in the community without being dependent on hospitals. This study proposes visit nursing services as a way to provide various health services within community for the industrial accident victims.

Nurse Case Managers’ Experiences on Case Management for Long-term Hospitalization in Korea

오진주,오세은 한국간호과학회 2017 Asian Nursing Research Vol.11 No.4

Purpose: The implementation of case management for long-term hospitalization use has been approved for controlling medical cost increases in other countries. But, introduction of the case management in Korea has created issues that hinder its effective operation. This qualitative study aimed to obtain further understanding of the issues surrounding the management of Medical Aid beneficiaries' use of long-term hospitalization from the case managers' perspectives and to provide suggestions for successful case management. Methods: Thematic analysis was employed to analyze the data. Medical Aid case managers with 3 or more years of case management experience were recruited from urban, suburban, and rural regions. Data were collected through in-depth interviews: 12 nurse case managers participated in focus group interviews and 11 participated in individual one-on-one interviews. Results: Four major themes emerged: on-site obstacles that hinder work progress; going in an opposite direction; ambiguous position of case managers; and work-related emotions. Eleven subthemes were discovered: chasing potential candidates; becoming an enemy; discharging patients who have nowhere to go; welfare-centered national policies increasing medical costs; Medical Aid Program that encourages hospitalization; misuse of hospitalization; feeling limited; working without authority; fulfilling the expected role; fretting about social criticism; and feeling neglected and unprotected. Conclusion: The findings highlight the complexity and ambiguity of the issues faced by case managers. Successful management of Medical Aid resources requires the orchestrated efforts and collaboration of multiple stakeholders. More systematized support and resources for nurse case managers are essential to fully implement this nursing innovation in Korea.

우리나라 일반성인의 연령별 건강행위 및 관련요인에 대한 비교연구

오진주 성인간호학회 1997 성인간호학회지 Vol.9 No.2

The aim of this study is to help understanding of the health behaviour of elderly and to promote the development of nursing intervention enhancing health behaviour. This study trys to accomplish this goal by narrating and comparing health behaviours of several age groups and investigating related factors of health behaviour. Concrete Objects are as follows : first, to investigate whether elderly do active health behaviour, and what is the content of health behaviour. second, to compare factors influencing health behaviour of each age group. Subjects are 409 adult community residents. A group(20∼39) are 123. B group (40∼59) are 117. C group(60∼) are 169. The results of this study are as belows. 1. The health state of elderly (C) is worse than other age groups. Health fear and health concern of C is less than A and B. But the rate of practicing health behaviour of C is higher than A and B. 2. The question of what is the most important health factor.: (1) [Regular life and diet] is considered the most important by all age groups(A-30.1%, B-27.4%, C-40.7%). Next is [exercise and rest]. And all age groups thnk that [happy mind] is among health factors. (2) [Frequent outgoing](5.7%), [hard working], [economic stability], [disease control] is also mentioned by elderly. 3. Ⅲ-health behaviour : [smoking], [drinking], [stress], [irregular life and diet] are mentioned by all age groups. Elderly considers [confining at home] (7.0%), [having nothing to do](5.6%), [motionless lying]as Ⅲ-health behaviour. 4. The rate of practicing health behaviour : A is 73.2%, B is 74.4%, and C is 78.1%. Health behaviour is mainly made up of the items reflecting physical health concept. 5. The rate of people eating food or medicine in last 6 months to promote health : A is 30.3%, B is 45.4%, and C is 54.2%. 6. (1) The rate of health fear is highest at B(80.3%) (2) [Disease contract and worsening] is first item of health fear. A and B mention [can't live healthy], [declining of physical strength], [being fatty], [smoking], [stress], [loss of mobility]. C mention [loss of mobility], [deterioration of vision and hearing], [declining of cognitive function]. (3) The reasons of health fear are [maintenance of living], [cases of other people], [hardship of children](A and B group), [confining of activity], [hardship of children](C). 7. [Sex(p=.05)], [health concern(p=.04)] are significant variables in health behavior in all respondents. But they are different among each age groups. [Economic activity(p=.02)], [health concern(p=.05)](B group), [education level(0=.05)], [having disease or not(p=.05)](C group) are significant variables. In B group, [the more educated(p=.8)], [the healthier(p=.03)] and [having person to discuss with(p=.05)] were more concerned about health. This study shows the necessity of another detail study to compare health concept and behavior of different age groups, and the variables affecting health behavior. And it is suggested that the results of the study may be applied in planning health program, and in promoting participation of community residents in the program.

미국의 미세먼지 저감 정책 사례 조사

오진주,우정헌,김용표,한진석,선우영 한국대기환경학회 2008 한국대기환경학회 학술대회논문집 Vol.- No.-