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      • 병원중심 가정간호사업 관리대상범위 확대를 위한 기초연구

        이숙자,이진경,유호신,Lee, Sook-Ja,Lee, Jin-Kyung,Ryu, Ho-Sihn 한국가정간호학회 1999 가정간호학회지 Vol.6 No.-

        This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health ca

      • 의사, 간호사 국가시험의 문항반응이론에 의한 CAT시스템 개발에 관한 연구

        이창규(ChangKyou Lee),이은일(E.I. Lee),이숙자(S.J. Lee),박은숙(E.S. Park),박영주(E.S. Park),박종성(J.S. Park),이승관(SeungGwan Lee),조경진(KyungJin Cho) 고려대학교 보건과학연구소 2005 보건과학논집 Vol.31 No.2

          Tests are divided into two major groups by their objectives, a normal referenced test for entrance examinations and a criterion reference test for licenses and certifications. The license examinations for health and medical fields have been developed. The classical item analysis, however, has been used for the test system and most of the tests are paper and pencil test so far. The relative difficulty of the test depends on intellectual levels of candidates and few solutions for the changes of the relative difficulty of the test often lead to various test contingencies.<BR>  From the beginning of 21st century, advanced countries have adopted the Computer Adaptive Test (CAT) for license and certification in the field of health and medical specialist as well as in other fields. The Item Response Theory (IRT) was a basic theory for the CAT.<BR>  The data for relative difficulty, discrimination, guessing were calculated by IRT and Item Bank was made from the calculated data. Computer Based Test using the item bank was carried into effect and more items are banked and calculated continuously. Computerized Adaptive Test using information communication network, e.g. internet and computer lab, was developed. The CAT system using information communication network is able to use license examination as well as education for the students in medical, nursing, and health sciences.

      • KCI등재

        CAT(Computer Adaptive Test) 시스템 구축을 위한 문항반응이론(IRT)의 문항분석 비교연구(1)

        이창규 ( Chang Kyou Lee ),이승관 ( S. G. Lee ),조경진 ( K. J. Cho ),이은일 ( E. I. Lee ),이숙자 ( S. J. Lee ),박은숙 ( E. S. Park ),박영주 ( Y. J. Park ) 대한임상검사과학회 2000 대한임상검사과학회지(KJCLS) Vol.32 No.3

        Prior to CAT, the parameter estimation on executed items should be accomplished by IRT.and the item banking must be build up on the basis of the parameter of difficu1ty. A program developed by Korea ETS, Bilog and Bigsteps were all found to be very powerful to understand the attributes of items. Though multiple true-false type K items have some merits, the items should be examined quantitative1y if they are appropriate or not by IRT. Through the study we have fmally confmned that the new program developed by Korea ETS has its abi1ity to check the validities of items from preparing or scoring to item analysis.

      • 유아의 기초체력 증진을 위한 전래놀이 통합적 체험활동 프로그램 개발

        이숙자 ( Suk Ja Lee ),오연주 ( Yeon Joo Oh ) 한국유아체육학회 2009 한국유아체육학회지 Vol.10 No.2

        본 연구에서는 유아의 기초체력 증진을 위한 놀이 프로그램을 개발하고, 개발된 프로그램을 유아를 대상으로 실시하여 유아의 기초체력 증진에 대한 효과를 검증하였다. 놀이프로그램은 우리에게 익숙한 전래놀이로 구성하였으며, 신체발달 뿐 아니라 다른 영역을 포함하는 통합적 체험 위주, 생활주제 중심으로 구성하였고, 가정과 연계한 활동으로 확장이 가능토록 하였다. 프로그램의 효과 검증을 위해 서울 소재 유치원에 재학 중인 3세아 20명, 4세아 32명, 5세아 63명에게 적용하였다. 적용 결과 프로그램에 참여한 유아의 협응력과 지구력 증진에 효과가 있었다. 연령에 따른 기초체력 증진 효과는 3세아의 경우 지구력에서, 4세아는 근력과 협응력, 5세아는 평형성과 지구력에서 특별히 높은 증진을 보였다. 본 연구에서 제시한 전래놀이의 통합적 체험을 위한 실내·외 환경은 다른 유아교육기관에 기초적 모델로 이용될 수 있을 것이다. In this study, we proposed an integrated experiential activity program based on traditional plays for improving young children`s basic athletic abilities. To investigate the effectiveness of the program, it was applied to subjects composed of 20 3-year old children, 32 4-year old children, and 63 5-year old children in a preschool, Seoul. The results showed that experience of the proposed program was effective to improve young children`s problem solving capabilities, collaborative attitudes, creativities, as well as basic athletic abilities. The level of the effectiveness was different according to children`s ages: 3-year old children showed significant improvement at endurance, 4-year old children at physical strength, and 5-year old children at balance and endurance.

      • KCI우수등재

        탈냉전기 북한의 대미 외교정책 결정요인 분석

        이숙자(Lee Sookja) 한국정치학회 1996 한국정치학회보 Vol.29 No.4

        북한 외교정책의 변화에 대한 연구는 통일을 위한 대전제이기 때문에 매우 중요하다. 본 논문의 목적은 북한이 탈냉전기에 미국과 정부간 접촉을 적극적으로 전개하게 된 결정요인을 브레쳐 모델에 적용하여 분석코자 하는 데 있었다. 논문의 분석 결과, 조작적 환경의 외적 환경요인으로는 사회주의권의 대변혁으로 인한 냉전체제의 붕괴와 국제정치경제의 역학관계로 표출되는 신국제질서의 등장, 동북아에서의 ‘북방 3각관계’의 변질, 그리고 남북한 국력의 차이가 대미 접근의 주요 결정요인으로 파악되었다. 내적 환경요인은 북한 동맹체제의 변질에 따른 안보위기의 심화가 북한체제의 정치적, 경제적 취약성을 더욱 악화시킨 요인으로 보였다. 북한은 생존을 위해 핵무기를 개발하려 했으나, 미국을 위시한 전세계의 압력에 부딪치자 핵무기를 협상카드로 활용하여 미국과의 단독회담을 이끌어 내었다. 북한은 미국과의 관계개선이 북한의 3대난(難)을 동시에 해결해 주는 중심 고리로 생각한 것 같다. 심리적 환경요인으로 북한지도자들에게 프리즘의 역할을 하는 것은 주체사상에서 연유된 배타주의, 사회주의의 우월성과 불패성, 그리고 자본주의의 필연적인 멸망에 대한 믿음 등이다. 이러한 주체이념으로 무장된 북한지도자들의 미국에 대한 호전적 이미지는 북한의 대미 관계개선 과정에서 부정적인 영향을 주는 요인으로 분석되었다. 이러한 분석 결과를 기반으로 하여 향후 북한의 대미 외교정책을 전망하면서, 대외개방이 북한에게 미칠 영향과 문제점에 대해 지적하였다.

      • KCI등재

        경력단절여성의 사회적 지지에 대한 인식이 진로준비행동에 미치는 영향 : 진로결정자기효능감의 매개효과를 중심으로

        이숙자(Sook-Ja Lee) 한국컴퓨터정보학회 2019 韓國컴퓨터情報學會論文誌 Vol.24 No.12

        본 연구는 경력단절여성들의 인식을 바탕으로 진로에 영향을 미칠 수 있는 사회적 지지와 진로결정자기효능감이 진로준비행동에 미치는 영향과 진로결정자기효능감의 매개효과를 분석하였다. 여성취업지원기관에서 직업훈련에 참여하고 있거나 구직등록을 한 경력단절여성 227명을 대상으로 자기보고식 설문조사법을 이용하였다. 연구결과는 다음과 같다. 첫째, 경력단절여성들이 인식한 사회적 지지는 진로결정자기효능감과 진로준비행동에 유의미한 상관관계로 나타났다. 둘째, 사회적 지지의 하위요인 중 정서적 지지가 진로준비행동에 유의미한 영향을 미쳤다. 셋째, 진로결정자기효능감의 하위요인 중 목표설정과 직업정보는 진로준비행동에 유의미한 영향을 미쳤다. 넷째, 사회적 지지와 진로준비행동의 관계에서 진로결정자기효능감의 부분매개효과가 확인되었다. 본 연구결과는 경력단절여성들을 대상으로 진로지도 시 기술적인 측면보다 심리적 측면을 더 중요하게 다루어야 함을 시사해 준다. This study analyzed the effects of social support and career decision self-efficacy that can have effects on career based on career-interrupted women"s perception on career preparation behaviors and mediating effects of the career decision self-efficacy. This study surveyed 227 career-interrupted women who participated in job training or registered for job searching in woman employment support organizations using a self-reported type questionnaire. The results are presented: First, social support was found to have a significant correlation with career decision self-efficacy and career preparation behavior. Second, discovered that emotional support as sub-factors of social support had a significant effect on career preparation behaviors. Third, discovered that goal setting and job information as sub-factors of career decision self-efficacy had a significant effect on career preparation behaviors. Fourth, career decision self-efficacy, there was a partial mediating effect between social support and career preparation behaviors. The results presented above suggested that in respect to career guidance for career-interrupted women, a focus should be given to psychological aspects than technological.

      • KCI등재

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