앤더슨모형을 이용한 아동의 예방목적 구강보건진료기관이용에 영향을 미치는 요인에 관한 연구 : an application of the Andersen model

정기천,이홍수,김수남 대한구강보건학회 1999 大韓口腔保健學會誌 Vol.23 No.3

To examine the factors influencing children's visit to a dental clinic for the purpose of oral health protection, the present study was conducted by applying the Andersen Model. One thousand nine hundred seven children were selected for the study. The children were forth grade to sixth grade in elementary schools in Iksan city, Korea. Data was collected by using a questionnaire, The independent variables were composed of 31 predisposing components, eg the oral health belief of mother and child and the socioeconomic factor; 6 enabling components, eg the family income; and 1 need component measured based on the number of movement-restricted and unworkable days due to oral illness. The dependent variable was the frequency of visits to a dental clinic for the purpose of oral health protection until the survey day. For statistical analyses of collected data, the stepwise multiple regression and the path analysis were adopted. Survey results were as follows: 1. The amount of variance of the Andersen model for children's preventive dental visits was 16%. 2. Of predisposing, enabling and need factors, which are components of the Andersen model, the predisposing factors showed the largest amount of variance for children's preventive dental visits. 3. Susceptibility among the factors with regard to the child's oral health belief showed the largest correlation with the children's preventive dental visits. 4. The results of the statistical analyses of the present study confirmed that the mother's belief, attitude and behavior and the socioeconomic factor have significant effects on the children's preventive dental visits.

하대정맥과 우심방의 종양혈전을 동반한 신평활근육종 -1예 보고-

정기천,이철범,전순호,김상헌,김혁,정원상,김영학,강정호 대한흉부외과학회 2003 Journal of Chest Surgery (J Chest Surg) Vol.36 No.12

하대정맥과 우심방의 종양혈전을 동반한 신세포암종은 지난 10년 동안 근치적 신절제술과 함께 체외순환을 이용한 종양혈전 제거술로 예후가 많이 증진되었다. 우리는 30세 여자에서 우신평활근육종과 종양혈전이 신정맥 상부의 하대정맥과 우심방까지 성장하고 혈액혈전으로 신정맥 하부의 하대정맥과 양측 장골정맥이 폐쇄된 1예를 진단하고 근치적 우신절개술 후 체외순환을 이용한 초저체온 순환정지하에서 하대정맥과 우심방을 절개하여 종양혈전과 혈액 혈전 모두를 제거하였다. 수술 12개월 후 후복막강과 하대정맥의 국소적 재발로 우심방까지 성장한 종양을 다시 제거하였다. 환자는 두 번째 수술 11개월 후 폐 전이 및 간정맥에서 종양이 재발하여 우심방과 우심실까지 성장하여 사망하였다.

세균성 폐렴과 동반되어 진단된 한랭응집소병을 Rituximab으로 치료한 1예

정기천,김미나,박준범,박정경,이승태,유종하,김선혜,맹호영 대한수혈학회 2009 大韓輸血學會誌 Vol.20 No.3

Cold agglutinin disease (CAD) is a small group of disorders that is characterized by cold-reactive autoantibodies that bind to erythrocyte carbohydrate antigens, and this causes hemagglutination and complement-mediated hemolysis. Autoimmune hemolytic anemia (AIHA) is an immune disorder that is mediated via auto-antibodies produced by lymphoid B cells against red blood cells. The disorder may be a primary (idiopathic) or secondary disease with an underlying autoimmune disease, a lymphoproliferative disorder or infection. The mainstay of initial treatment is immunosuppression with glucocorticosteroids. For those who do not have satisfactory response to initial glucocorticosteroids or they have a relapse after initially successful treatment, splenectomy or other immunosuppressive agents such as azathioprine, cyclosporine and intravenous immunoglobulin (IVIG) could be the next available options. More recently, rituximab, which is a human-murine chimeric monoclonal antibody specific for the CD20 antigen found on the surface of B lymphocytes, is also available. We report here on the successful use of rituximab for the treatment of a Korean elderly patient with CAD and the patient presented with recurrent AIHA. 한랭응집소병(cold agglutinin disease, CAD)은 적혈구 당 항원에 결합하는 저온반응성 자가항체에 의하여 적혈구 응집과 보체매개용혈이 나타나는 질환이다. 자가면역성 용혈성빈혈(autoimmune hemolytic anemia, AIHA)은 B 림프구에 의해 만들어진 적혈구 자가항체에 의하여 매개되는 면역질환이며 특발성이거나 혹은 자가면역질환, 림프증식성질환(lymphoproliferative disorder), 감염 등의 기저질환에 의하여 2차적으로 발생할 수 있다. 보존적인 치료로는 부신피질호르몬제를 포함한 면역억제제가 근간이 된다. 이러한 치료에 반응이 좋지 않거나 재발하는 경우 비장절제술 혹은 azathioprine, cyclosporine과 같은 면역억제약물이나 정주용 사람 면역글로불린 등이 2차 치료로 사용될 수 있다. 최근 들어 B 림프구의 표면에 발현되는 CD20 항원에 특이적인 인간-생쥐 키메라 단클론항체인 Rituximab이 사용되고 있다. 이에 저자 등은 한국인 노인 환자에서 Rituximab을 투여하여 특별한 부작용 없이 재발성 AIHA의 증상을 나타낸 CAD 치료에 탁월한 효과를 보였던 증례를 보고하는 바이다.

앤더슨 모형을 이용한 우리나라 일부 대학생의 구강진료이용행태에 관한 연구

정기천,김수남 원광대학교 치의학연구소 2003 圓光齒醫學 Vol.12 No.2

The purpose of this study is to provide framework for understanding university students' dental services utilization. In this paper Andersen model is applied to the analysis of dental services utilization. This model consists of predisposing, enabling, and need components that describe a person's decision to use dental health services. Questionnaire surveys were conducted for 521 university students. The number of independent variables used in the analysis was 36 in total, ie 25 predisposing components, 8 enabling components, and 3 need components. For statistical analyses of collected data, the multiple regression and the path analysis were adopted. The results obtained were as follows: 1. The proportion of students' dental visits was 41.5%, and the average of the dental visits was 2.33. 2. The purpose of most important recent utilization was dental caries treatment in university student. Also 4.4% of student visited dental clinic for oral disease prevention. 3. The amount of variance of the Andersen model for university student's dental visits was 16%. And of predisposing, enabling and need factors, which are components of the Andersen model, the need factors showed the largest amount of variance for university student's dental visits. 4. Number of restricted activity days caused by oral disease, having a regular dental care, socioeconomic status and perception on oral disease prevention were found to have significant major effects on dental services utilization of university student. Number of restricted activity days was most important factor affecting dental services utilization of student.

앤더슨 모형을 이용한 우리나라 일부 대학생의 구강진료이용행태에 관한 연구

정기천,이흥수,김수남 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.3

The purpose of this study is to provide framework for understanding university students' dental services utilization. In this paper Andersen model is applied to the analysis of dental services utilization. This model consists of predisposing, enabling, and need components that describe a person's decision to use dental health services. Questionnaire surveys were conducted for 521 university students. The number of independent variables used in the analysis was 36 in total, ie 25 predisposing components, 8 enabling components, and 3 need components. For statistical analyses of collected data, the multiple regression and the path analysis were adopted, The results obtained were as follows; 1. The proportion of student' dental visits was 41.5%, and the average of the dental visits was 2.33. 2. The purpose of most important recent utilization was dental caries treatment in university student. Also 4.4% of student visited dental clinic for oral disease prevention. 3. The amount of variance of the Andersen model for university student's dental visits was 16%. And of predisposing, enabling and need factors, which are components of the Andersen model, the need factors showed the largest amount of variance for university student's dental visits. 4. Number of restricted activity days caused by oral disease, having a regular dental care, socioeconomic status and perception on oral disease prevention were found to have significant major effects on dental services utilization of university student. Number of restricted activity days was most important factor affecting dental services utilization of student.

앤더슨모형을 이용한 아동의 예방목적 구강보건진료 기관이용에 영향을 미치는 요인에 관한 연구

정기천,김수남 원광대학교 치의학연구소 1999 圓光齒醫學 Vol.9 No.1

To examine the factors influencing children's visit to a dental clinic for the purpose of oral health protection, the present study was conducted by applying the Andersen Model. One thousand nine hundred seven children were selected for the study. The children were forth grade to sixth grade in elementary schools in Iksan city, Korea. Data was collected by using a questionnaire. The independent variables were composed of 31 predisposing components, eg the oral health belief of mother and child and the socioeconomic factor; 6 enabling components, eg the family income; and 1 need component measured based on the number of movement-restricted and unworkable days due to oral illness. The dependent variable was the frequency of visits to a dental clinic for the purpose of oral health protection until the survey day. For statistical analyses of collected data, the stepwise multiple regression and the path analysis were adopted. Survey results were as follows: 1. The amount of variance of the Andersen Model for children's preventive dental visits was 16%. 2. Of predisposing, enabling and need factors, which are components of the Andersen Model, the predisposing factors showed the largest amount of variance for children's preventive dental visits . 3. Susceptibility among the factors with regard to the child's oral health belief showed the largest correlation with the children's preventive dental visits. 4. The results of the statistical analyses of the present study confirmed that the mother's belief, attitude and behavior and the socioeconomic factor have significant effects on the children's preventive dental visits.

지체장애인 체육 지도상황에서의 주의사항과 중요도 산출

정기천 ( Ki Chon Jeong ),곽낙현 ( Nak Hyun Kwak ) 아시아문화학술원 2015 인문사회 21 Vol.6 No.4

본 연구의 목적은 지체장애인 체육 지도상황에서의 주의사항을 도출하고 이에 대한 중요도를 산출하는데 있다. 이와 같은 연구의 목적을 달성하기 위하여 목적적 표집방법을 활용하여 서울, 경기, 충청 등의 지역에서 지체장애인 체육 지도자 및 장애인 체육 전문가 57명을 연구대상자로 선정하였다. 문헌 연구를 토대로 심층 면접, 반 구조화된 개방형 설문을 통한 귀납적 내용분석과 중요도 산출 설문을 통한 계층화분석 과정인 AHP를 활용하여 얻어진 연구의 결과는 다음과 같다. 첫째, 지체장애인 체육 지도상황에서의 주의사항으로 지도언어, 지도표현, 지도행동(행위)로 구성된 ‘외적 주의’, 운동환경, 안전사고, 보조교사 관리로 구성된 ‘환경적 주의’, 학생정보인지, 학생운동능력인지, 학생심리/정서상태인지로 구성된 ‘인지적 주의’, 우선적 라포 형성, 학부모(보호자) 상담, 지도자실수대처로 구성된 ‘관계적 주의’의 12개의 하위 요인과 4개 상위 요인으로 분류되었다. 둘째, 지체장애인 체육 지도상황에서의 주의사항에 대한 중요도로 4개 상위 요인은 환경적주의, 인지적 주의, 외적 주의, 관계적 주의 순으로 우선순위가 결정되었으며, 12개 하위 요인은 안전사고, 학생심리/정서상태인지, 운동환경, 학생정보인지, 지도행동(행위), 학생운동능력인지, 우선적 라포형성, 지도자실수대처, 지도언어, 보조교사관리, 지도표현, 학부모(보호자)상담 순으로 우선순위가 결정되었다. This study aimed to identify the precautions and assess the priorities of the factors affecting physical education targeting people with physical disabilities. Purposive sampling was used to select 57 physical education instructors for the disabled as well as professionals currently living in areas such as Seoul, Gyeonggi and Chungcheong Province. In-depth interviews based on a literature review as well as a semi-structured open-ended survey were conducted. An inductive contents analysis and an Analytic Hierarchy Process (AHP) were also conducted. The results of this study were as follows. First, there were, all in all, 12 precautions concerning physical education sessions for people with physical disabilities. The precautions were divided into four upper-level factors: external, environmental, cognitive and relational factors. External factors included the use of language, expressions, and behavior during lessons while environmental factors comprise the environment for exercising, safety concerns and the management of teaching assistants. Cognitive factors encompassed student information, their ability to exercise and their psychological/emotional state of mind. Relational factors, on the other hand, included forming a rapport, counseling with parents (guardians) and coping with mistakes. Second, this study assessed that the four upper-level factors affect physical education in the following order by priority: environmental factors being the most important, and followed by cognitive factors, external factors and relational factors. Among the 12 sub-factors, safety concerns had the strongest impact, followed by the students’ psychological /emotional state of mind, student information, behavior during lessons, forming a rapport, coping with mistakes, language use during lessons, the management of teaching assistance, expressions during lessons and counseling with the parents (guardians).

DACUM 기법을 이용한 장애인스포츠지도자의 직무분석

정기천 ( Ki Chon Jeong ),조재훈 ( Jae Hoon Cho ),김춘종 ( Chun Jong Kim ) 한국특수체육학회 2014 한국특수체육학회지 Vol.22 No.1

이 연구의 목적은 DACUM(Developing A Curriculum)기법을 통해 장애인스포츠지도자의 직무에 필요한 임무와 업무를 분석하는데 있다. 연구 방법은 장애인 기관에서 근무하는 장애인스포츠지도자의 직무를 분석하고 분석된 직무의 빈도, 중요도 그리고 난이도를 파악하기 위한 서술적 조사연구를 실시하였고, 이를 DACUM 기법으로 분석하였다. DACUM 분석을 위한 1단계는 위원회를 구성하고 직무를 분석한 결과, 임무 5개와 업무 43개로 나타났다. 2단계는 설문지 제작 및 배포하여 수집된 자료를 부호화한 후 SPSS WIN 20.0 Program을 이용하여 장애인스포츠지도자의 임무 업무에 대한 빈도 중요도 난이도를 평균 표준편차 백분율로 분석하였다. 그 결과는 다음과 같다. 임무 5개 중 빈도 중요도 난이도가‘관련전공 공부’가 가장 높게 나왔으며 다음으로 ‘상담 및 지역사회연계’로 나타났다. 그리고 빈도 중요도 난이도가 가장 낮게 나온 항목은 ‘행정’으로 나타났다. 임무 1 ‘상담 및 지역사회 연계’에서 빈도가 가장 높은 업무는 ‘주변체육시설’ 연계였으며, 중요도가 가장 높은 업무는 ‘개인별 병력카드 및 가정환경 기록하기’였고, 난이도가 가장 높은 업무는 ‘후원자 개발’이었다. 임무 2 ‘평가 및 사례관리’에서 가장 빈도가 높은 업무는 행동관찰하기 이었으며 중요도가 가장 높은 업무도 운동기술과 체력의 측정 및 검사 이었으며 난이도가 가장 높은 업무도 행동관찰하기로 나타났다. 임무 3 ‘응급처리’에서 가장 빈도가 높은 업무는 시설 안전상태 점검하기 이었으며, 중요도가 가장 높은 업무는 응급처치 및 심폐 소생술 하기 이고 난이도가 가장 높은 업무는 후송체계 점검하기’이었다. 임무 4 ‘행정’에서 빈도, 중요도, 난이도가 가장 높은 업무는 운동기구 관리하기 이었다. 임무 5 ‘관련전공 공부’에서 가장 빈도가 높은 업무는 트레이닝 방법론’이었고 중요도가 가장 높은 업무는 장애유형별 경기종목 공부하기였으며 난이도가 가장 높은 업무는 트레이닝방법론’이었다. This study attempts to offer a guideline to efficiently fulfill required tasks and duties for sports instructors of handicapped individuals by prioritizing tasks by frequency, importance and difficulty through the use of DACUM Technique. As the method for this study, we performed methodological and descriptive research studies by first analyzing the duties of a sports instructor of handicapped individuals at institutions for the handicapped, and studied the frequency, importance, and difficulty of duties. We first created a DACUM committee and presented 5 duties and 43 tasks of these instructions. Then we analyzed tasks using averages, standard deviation, percentages through an SPSS WIN 20.0 Program after gather relevant information. The results are as follow. Of the 5 duties, ``knowledge of the relevant field`` showed the highest ratings of frequency, importance, and difficulty, with ``consultation and connection of local societies`` right behind. The duty showing the lowest ratings was ``administration``. Out of the 1st duty ``consultation and connection of local societies``, ``gymnasiums in their vicinity`` showed the highest in frequency, ``individual health cards and recording of family atmosphere`` showed the highest in importance, and ``development of sponsors`` showed to be the most difficult. In duty 2 ``evaluation and case management`` the highest frequency was shown by ``observation of actions``, for importance it was ``examination and inspection of athletic technique and health``, and the most difficult task was ``observation of actions``. In duty 3 ``emergency treatment`` the highest frequency was ``checking the safety of facilities``, the most important was ``emergency treatment and CPR``, with the most difficult being inspection of the evacuation system``. Duty 4 ``administration`` showed high marks in frequency, importance and difficulty in managing sports equipment. Duty 5 ``knowledge of the relevant field`` showed high frequency in ``methodology of training``, importance in ``studying about sporting events for different types of handicapped individuals``, and difficulty in ``methodology of training``.

장애인 신체활동을 지원하는 심리운동사의 직무분석

정기천 ( Ki Chon Jeng ) 한국특수체육학회 2014 한국특수체육학회지 Vol.22 No.3

이 연구는 장애인 신체활동을 지원하는 심리운동사(psychomotricity)의 직무를 분석하는데 그 목적이 있다. 본 연구는 서술적 질적 연구 방법론이 사용되었다. 데이터는 현재 장애인 관련 기관에서 일하는 심리운동사들로 부터 수집하였다. 데이터 분석에서 심리운동사에게 요구되는 책무 및 과업의 빈도, 중요도, 난이도별로 관찰하기 위하여 DACUM(Developing A Curriculum)방법이 사용되었다. DACUM방법의 첫단계로 전문가 위원의 자료 분석은 7개의 책무와 24개의 과업으로 드러냈다. 두 번째 단계로, 질문지로부터 모아진 자료가 SPSS WIN 20.0 프로그램을 통하여 부호화하여 심리운동사의 직무가 평균과 표준편자로 분석하였다. 결과적으로 심리운동사의 책무는 7개로 홍보 및 인식개선, 진단 및 평가, 심리운동지원평가, 종결·사례관리, 교육, 자기개발, 학술연구로 나타났다. 책무1에서 ‘홍보 및 인식개선’은 다른 기관 연계, 심리운동을 통한 장애 이해, 심리운동 필요성 알리기, 이용자 발굴과 같은 4개의 과업들로 구성되었다. 책무2에서 ‘진단 및 평가’는 의뢰내용 확인, 기초자료 수집, 움직임행동 관찰, 움직임기능 평가, 진단·평가보고서 작성 과 같은 5개의 과업들로 구성되었다. 책무3에서 ‘심리운동지원 평가’는 회기별 평가서 작성, 장·단기 목표별 평가와 같은 2개의 과업들로 구성되었다. 책무4에서 ‘종결·사례관리’는 효과성 평가, 환류계획 수립, 종결보고서 작성, 사례관리와 같은 4개의 과업들로 구성되었다. 책무5에서 ‘교육’은 이용자 교육, 보호자 교육, 지역사회 교육, 기관 내 종사자 교육과 같은 4개의 과업들로 구성되었다. 책무 6에서 ‘자기개발’은 보수교육 이수, 슈퍼비전 받기와 같은 2개의 과업들로 구성되었다. 책무7에서 ‘학술연구’는 심리운동지원 욕구조사, 사례연구, 프로그램 개발과 같은 3개의 과업들로 구성되었다. This study aims at describing and analyzing mission and duties of psychomotricity twho provides the adapted physical activities for the disabled. In the study, descriptive and qualitative research methodology was employed. Date was collected from those psychomotricities who are currently working at the disability-related institutions. In the data analysis, DACUM(Developing A Curriculum) method was employed in order to observe which duties were required for psychomotricity in its frequency, importance, and difficulty. As a first step of DACUM(Developing A Curriculum) method, seven missions and twelve four jobs were conducted from the data analysis of the expert committee. At the second step, data collected through questionnaires were encoded through SPSS WIN 20.0 Program and mission and duties of a psychomotricity were analyzed with mean and standard deviation. As a result, seven missions of psychomotricity were drawn from the data.: public relation and improvement of recognition, diagnosis and evaluation, assessment and support of psychomotricity, closing and case management, education, self-development, and academic research. In mission 1, ``public relation and recognition improvement`` consisted of 4 items such as affiliation with other institutions, understanding of disability through psychomotricity, keeping people informed of necessity of psychomotricity, and excavation of users. In mission 2, ``diagnosis and assessment`` consisted of 5 items such as confirmation on requested matters, collection of basic data, observation of behavior, evaluation of functional and preparation of diagnosis and evaluation report. In mission 3, ``assessment and support of psychomotricity`` consisted of 2 items such as preparation of sessional evaluation and long and short-term objective evaluation. In mission 4, ``concluding and case management`` consisted of 4 items such as evaluation of effectiveness, preparation of feedback plan, preparation of conclusion report, and case management. In mission 5, ``training`` consisted of 4 items such as training of users, training of care givers, training of community, and training of employees. In mission 6, ``self-development`` consisted of 2 items such as completion of supplemental education and receipt of supervision. In mision 7, academic research` consisted of 3 items such as investigation of desire for psychomotricity support, case study, and program development.

특수체육지도자의 보완대체의사소통 현장적용 방안에 관한 연구

정기천 ( Kichon Jeong ),김옥기 ( Okki Kim ),김대룡 ( Daeryong Kim ),장영창 ( Youngchang Jang ) 한국특수체육학회 2020 한국특수체육학회지 Vol.28 No.4

본 연구의 목적은 특수체육현장에서 의사소통 장애인들을 위한 보완대체의사소통(AAC) 지원 필요성 및 보완대체의사소통 현장적용에 방안을 알아보기 위함이다. 연구를 위하여 10명의 현직 특수체육지도자를 대상으로 개방형 질문에 의한 인터뷰가 이루어졌다. 연구방법은 질적연구방법으로 Nvivo10 분석방법이 적용되었고, 7개의 주제영역과 21개의 하위영역으로 구성하여 분석하였다. 연구결과는 다음과 같다. 첫째, 의사소통장애인들에 대한 효과적인 지원을 위해 특수체육지도자들은 AAC에 대한 지식과 기술이 필요하며, 다양한 AAC 운용 능력이 필요하다. 둘째, 특수체육학 교과과정에 AAC 교과 포함 및 이수과정이 필요하며, 특히 실습 중심(AAC 기술적용 및 AAC 기기사용법)의 교과과정 실행이 중요하다. 셋째, 현장에서의 특수체육 활성화를 위해서는 AAC 에 대한 현장활용 능력을 갖춘 특수체육 지도자 양성이 필요하다. 이를 위해 사례발표, 중재 기술과 평가, AAC에 관한 학문간 통합 세미나 등의 다양한 프로그램이 요구된다. 결과, 특수체육이 AAC의 적절한 사용을 통해 의사소통장애인 체육교육의 효율성을 증대시킬 수 있으며, 이를 위해 특수체육지도자 중심의 AAC 전문가 양성이 중요함을 보여주고 있다. 또한 본 연구는 특수체육 현장에서 AAC 도구 및 기기의 적절한 사용은 의사소통장애인들을 위한 교육 및 활동 서비스 질 향상에 기여할 것이고, 나아가 현장 중심의 다양한 AAC 도구 및 개발에도 일조할 수 있음을 시사하고 있다. The study describes the necessity of augmentative and alternative communication(AAC) for those who have communication disabilities in the filed of adapted physical activity. The study also reports that adapted physical education needs to provide college students with AAC in the curriculum and its continual education and training programs even after graduation for the purpose of rearing experts who are proficient in AAC. For the study, 10 adapted physical education teachers were selected for interview and questioned with three open-ended questions. As a qualitative research method, Nvivo10 was employed for analysis. Findings are as follows. Two themes and six codes are categorized under the question of the necessity of AAC in the field. Interviewees all described that they need to acquire AAC knowledge and skills and should be competent in using various AAC devices. As to the second question, which is about the inclusion of AAC in curriculum, two themes and five codes are gathered through interview. Interviewees all requested that practice-centered AAC class as a subject and its completion should be satisfied for graduation requirements. In particular, interviewees expressed their desire to learn communication skills and the uses of AAC devices in the class. Regarding the final question of rearing experts in AAC, three themes and nine codes are categorized. Most of interviewees showed positive respond and requested various programs such as case presentation, intervention skills and its practice along with evaluation, interdisciplinary integrated seminar on AAC. It is imperative for adapted physical education to develop AAC devices and provide college students with its uses for those who have communication disabilities. With an appropriate use of AAC devices, it is also highly expected to improve service quality for people with communication disabilities in the filed of adapted physical activity.