정신과 입원환자의 서비스 만족척도의 개발

김철권,이지연,송영선,김규호,김경률,김제원,이동기,최병무 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.3

목적 본 연구의 목적은 국내 정신의료기관(정신병원, 종합병원 정신과)에서 간편하게 사용할 수 있는 신뢰도와 타당도가 검증된 입원환자의 서비스 만족척도를 개발하기 위한 것이다. 방법 여러 단계를 거쳐 국내 실정에 맞는 문항을 개발하였고,정신병원, 종합병원, 대학병원 정신과 병동에서 퇴원하는 348명의 환자들을 대상으로 신뢰도와 타당도를 조사하였다. 요인분석 결과 5개의 요인이 추출되었으며 전체 변량의 63.04%를 설명하였다. 내적 일관성에 대한 신뢰도 계수 (Crohnbach's α)는 0.95로 상당히 높은 수준이었고, 수정된 개별문항-총점 상관계수는 0.50부터 0.72까지의 범위에 속하였다. 요인분석을 통해 추출된 서비스 만족척도의 각 하위척도 점수와 서비스 만족척도에 첨부된 각 영역에 대해 전반적인 만족도를 묻는 세 개의 문항 점수 간의 상관성 역시 유의하게 높았다. 결과 진단명에 따른 서비스 만족척도의 전체 점수에서는 불안/신체형/강박장애 환자군과 기분장애 환자군이 각각 정신분열병 및 기타 정신병 환자군과 알코올중독 장애 환자군에 비하여 유의하게 높은 점수를 보였으며, 입원형태에 있어서는 자발적 입원군이 강제 입원군에 비하여 전체 만족점수가 유의하게 높았다. 그러나 성별, 월수입, 학력, 직업, 종교, 결혼상태 등의 변수에서는 서비스 만족척도의 전체 점수에서 유의한 차이가 발견되지 않았으며, 마찬가지로 연령, 입원일수, 입원횟수, 첫 발병나이, 유병기간 등의 임상적 변수에서도 서비스 만족척도의 전체 점수와 유의한 관계를 보이지 않았다. 서비스 만족척도의 전체점수에서 대학병원 환자군이 정신병원 환자군과 종합병원 환자군에 비하여 각각 유의하게 높았다. 결론 결론적으로 국내 정신의료기관에 입원한 환자들의 서비스 만족을 평가하기 위한 목적으로 개발된 본 척도는 높은 수준의 신뢰도와 타당도를 보였으며, 또 국내 정신의료 환경에 맞는 요인구조를 보였다. 따라서 정신의료 서비스에 대한 정신과 환자의 만족도에 대한 연구가 거의 없는 실정에서 본 척도의 개발은 향후 국내 정신의료의 질과 치료결과를 높이는 도구로 활용될 수 있을 것으로 기대된다. Objectives : To develop and test the validity and reliability of a brief self-completed questionnaire (Service Satisfaction Scale : SSS) for routinely assessing the quality of service in psychiatric ward inpatients. Methods : A 30-item multidimensional questionnaire was developed by several steps of face validity and content validity. The questionnaire was administered to inpatients (n=348) discharged from psychiatric hospitals, general hospitals, and University hospitals. Construct validity was supported by performing principal component analysis. Reliability was estimated by calculating internal consistency of Cronbach's alpha. Results : Factor analysis yielded five factors comprising staff attitude, treatment quality, ward environment, access/cost, and ward rule, which account for 63.04% of the common variance. The internal consistency of the scale was high (Cronbach's alpha=0.95). The concurrent validity was supported by the significant correlation of each of five factors with item that measured overall satisfaction of SSS. Patients with neurosis (anxiety disorder, somatoform disorder, obsessive compulsive disorder) and mood disorders were significantly satisfied than those with psychosis and alcoholic disorders. Patients who admitted voluntarily were more significantly satisfied than those who admitted involuntarily. Sociodemographic variables such as age, gender, marital status, monthly income, education level, employment status and religion were not significantly different at the total scores of SSS. Similarly, clinical characteristics such as age of onset, duration of illness, lengths of hospital stay and number of previous hospitalization did not associate significantly with the total scores of SSS. Patients discharged from university hospitals were significantly more satisfied than those of the general and psychiatric hospitals. Conclusion : SSS performed well in the validity and reliability, indicating that it can be a useful tool for measuring Satisfaction of psychiatric inpatients in Korea.

이륜차 무단변속장치의 구동풀리와 종동풀리의 축간거리 해석

김규성,권영웅 한국공작기계학회 2003 한국생산제조학회지 Vol.12 No.2

Continuously Variable Transmission (CVT) consists of a driving pulley and a driven pulley joined by rubber V-belt. Each pulley consists of a fixed flange and a movable flange. The main advantages of the CVT with V-belt, which has been popular in Asia, are a simple mechanism, less maintenance and low cost. One of the important factors which have an influence on the performance of the CVT is change of axial distance. Base on an experiment the effects of transfer torque and speed ratio of both driving pulley and driven pulley during the alteration of axial distance were studied.

2,4-Dinitrophenol을 처리한 호밀(Secale cereale L.) 유식물의 질산염 환원에 관한 연구 : Ⅰ. 호밀 유식물 묘조의 질산염 환원요소 활량에 대한 2, 4-Dinitrophenol의 영향 Ⅰ. Effect of 2, 4-Dinitrophenol on in vivo Nitrate Reductase Activity in the Shoots of Rye Seedlings

曺圭燐,李相淑,權五溶 충남대학교 1991 忠南科學硏究誌 Vol.18 No.1

This work was accomplished to determine the effect of 2,4-dinitrophenol (DNP) on in vivo nitrate reductase activities(NRA) in the shoots of 6 day old rye(Secale cereale L.) seedlings. The NRA in the shoots of rye seedlings pretreated with 0.5mM DNP was higher than that of the control group in all the experimental conditions as below. The optimal concentration of KNO_3 for maximum NRA was 10mM in both the control and treated group. The NRA accumulated with the treatment of 10mM KNO_3 was gradually increased for 4 hours in both groups, and then maintained constantly. On the other hand, the NRA occurred per hour was highest at 1 hour in both groups, while it was declined subsequently. The optimal pH for NRA was 7.5 in both groups. The daily pattern of NRA was markedly decreased for 4 days in both groups, and decreased slowly to 7 days. The NRA was greatly inhibited in the solutions of 200mM KCI and NaCl. According to the treatment time with the solutions of 200mM KCI and NaCl, the NRA was extremely inhibited at 2 hours, thereafter recovered slowly from its inhibition effects.

컴포머의 불소 유리 및 항우식 효과에 관한 비교 연구

황규선,김종수,권순원 大韓小兒齒科學會 2002 大韓小兒齒科學會誌 Vol.29 No.1

소아치과 임상에서 널리 사용되고 있는 심미수복 재료인 컴포머의 불소 유리와 수복물 인접 법랑질에 대한 항우식 효과를 평가해 보고자 본 연구를 시행하였다. 음성대조군으로 복합레진인 Z-100을 Ⅰ군으로, 양성 대조군으로 글라스 아이오노머인 Fuji Ⅱ LC를 Ⅳ군으로 설정하였으며, 실험군으로는 Dyract AP를 Ⅱ군으로, F-2000을 Ⅲ군으로 설정하였다. 불소 유리량은 1일부터 7일까지는 매일, 그 후로는 각각 2일, 3일 또는 4일 간격으로 4주간 측정하였다. 또한 우전치의 순면에 동일한 와동을 형성하고 각 실험재료를 충전한 후 인공 우식을 유발시켜 항우식 효과 비교실험을 시행하였다. 음성 실험군인 Ⅰ군은 불소 유리를 하지 않았으며, Ⅳ군에서 전반적으로 가장 높은 불소 유리량을 나타냈다. Ⅱ군과 Ⅲ군은 Ⅳ군보다 전반적으로 낮은 불소 유리량을 보였으며, Ⅲ군은 Ⅱ군보다 불소 유리량이 많았다. 우식 병소의 관찰 결과 복합레진을 제외한 나머지 군에서는 수복물 인접부 우식 병소가 감소하는 양상을 나타냈으며, 컴포머 군인 F-2000과 Dyract AP 간에는 별다른 차이를 관찰할 수 없었다. The purpose of this study was to evaluate the fluoride release and anticariogenic effect of two compomers which is known to have been developed to improve the weak properties of glass ionomer cement and composite resin. Z-100 as composite resin(Group Ⅰ), Dyract AP(Group Ⅱ) and F-2000(Group Ⅲ) as compomer and Fuji Ⅱ LC as glass ionomer cement(Group Ⅳ) were used as test materials and evaluations were performed by pH/ISE meter for analyses of fluoride and polarizing microscope for analyses of anticariogenicity. The results can be summarized as follows : 1. The amount of fluoride release in compoite resin and compomer groups showed general pattern of decline during test period. Z-100 showed no fluoride release during test period. Fuji Ⅱ LC showed the highest fluoride release among test groups and then F-2000 were followed. 2. The least resistance to dimineralization was observed microscopically in Z-100 group which has no fluoride in it. The best resistance to dimineralization was observed microscopically in Fuji Ⅱ LC group and then compomer groups were followed. 3. Significant difference in lesion area was found between Fuji Ⅱ LC group and another groups. Significant difference in lesion area was found between compomer groups and Z-100 group. No significant difference in lesion area was found between Dyract AP group and F-2000 group. 4. Two compomers showed continual fluoride release and anticariogenic effect around filling materials. therefore, compomer was evaluated bery attractive restorative material in pediatric dentistry.

건설현장 근로자들의 안저예방실태와 사고예방과의 개선요인 조사연구

심규범,남철현,최상복,이송권,이정희,이순자,문기내,김문환 慶山大學校 保健福祉硏究所 2003 保健福祉硏究 Vol.8 No.-

This study was conducted to examine aspects of health and safety education and demand level of safety education in construction job sites in order to provide direction of safety education development. The subjects of this study were 566 workers who were working in construction job sites located in Daegu City and Kyungbuk Province. Data were collected from June 1, 2002 to August 30, 2002. The results of this study can be summarized as follows. 1. According to safety education by experience methods, the proportion of education by lecture was highest (90.6%). The proportion of education by field practice was 13.1%. 2. Among the education methods which they thought as the most desirable method, the proportion of audio-visual education was 39.4% and the proportion of education by experience was 37.5%. Those who had more monthly income and higher education level preferred audio-visual education, while those who were younger and less educated preferred education by experience. 3. In the case of the contents of the safety education which they thought as the most important one, the proportion of enhancement of safety awareness and education of risk factors was highest (24.7%). The groups of older workers, having longer working period, and belonging to higher education level preferred these contents. 4. According to the factors which were most important to increase effectiveness of the safety education were workers' voluntary participation (27.7%), 40 to 49 years old (27.7%), and monthly income of one million, five hundred thousand won to one million, nine hundred ninety thousand won (32.0%). The proportions of lower educated workers and working as daily workers were also high. 5. The variable which most influenced the safety education was age. The safety awareness of construction job sites was the second highest influential variable. From above results, it is clear that the workers' participation in the safety education was low since most of the safety educations were formal education by lecture. Although they participated in the education, the education was also not effective because they compulsorily participated in it. Therefore, it can be concluded that effective alternative policies must be formulated.

ZnO 압전박막을 이용한 FET형 압력센서의 특성

양규석,권대혁,남기홍,손병기 경북대학교 센서기술연구소 1994 센서技術學術大會論文集 Vol.5 No.1

A new FET type pressure sensor has been investigated to overcome the problems of the conventional silicon piezoresistive and capacitive pressure sensor. The PSFET( pressure sensitive field effect transistor) is a new FET type pressure sensor which the operation theory is combined with the field effect of MOSFET and the piezoelectric effect of piezoelectric thin films. This sensor can overcome the fabrication problems of conventional silicon pressure sensors and realize productivity, standardization, miniaturization, integration because the whole fab. process is compatible to the planar technology. A ZnO thin film as a piezoelectric material, 5000Å thick, was deposited on a FET gate by RF magnetron sputtering and the optimum deposition condition was 300℃ substrate temperature, 5mtorr working pressure, Ar ambient and 140watt RF power, respectively. And the device was annealed at 400℃, O_(2) ambient for 1 hour to obtain a better C-axis poling structure. The fabricated PSFET device showed piezoelectric voltage(40mV/kgf/cd) and sensitivity (21μA/kgf/cm^(2)) according to an applied pressure(1kgf/cm^(2)~4kgf/cm^(2)).

大豆未熟子葉祖織의 營養培地條件에 따른 器官分化

元鍾樂,權貞淑,鄭圭和,張權烈 慶尙大學校 1987 論文集 Vol.26 No.1

大豆의 末熟子葉組織을 사용하여 여러가니 營養培地에서 칼루스와 胚狀體로부터 器官을 分化시키고자 하였던 바 얻어진 결과를 要約하면 다음과 같다. 1. 칼루스誘起는 MS 基本培地에 1.0mg/12,4-D,와 2.0mg/1kinetin을 첨가하거나 (M5培地) 하였을 때 가장 효과적이었다. 2. M4培地에 培養한 칼루스로부터 生長點모양의 완전한 구조를 갖춘 細胞群을 組織學的으로 관찰할 수 있었다. 3.칼루스를 器官分化를 위한 培地에 ?代培養하였을때 根分化, 칼루스로부터胚狀體의 形成, 胚狀體로부터 싹이나 잎의 分化는 供試한 大豆系統이나 使用한 營養培地에 따라 약간의 差異는 있으나 비교적 용이할 것으로 여겨졌다. 4. 供試한大豆系統인 뱀콩의 末熟子葉組織을 M4培地에서 칼루스를 誘起시킨 후 MS基本培地에 0.005mg/1 picloram 과 2.0 mg/1 BAP를 첨가한 培地(OM2培地)에 ?代培養하였을 때 칼루스로부터 胚狀體의 形成이 잘 되었고 胚狀體들로 부터 잎이 分化되었다. The experiments were conducted to investigate organ differentatin rom calls and embryoid under various media using immature ctyledon of soybeam. The results obtained were as followings: 1. 1. Omg 2,4-D plus 0.2mg kinetin or 0.2 mg BAP perr litre on MS basal mediu were efective growth regulators for callus induction. 2. Meristematic structure was observed from the callus induced by 1.0mg 2,4-D plus 0.2mg kinetin per litre in MS basal medium in which callus growth showed best response. 3. Root and embryoid from callus and shoot or leaflet from embryoid were differentiated on the medium subcultured for organ different on the soybean lines and media applied. 4. Embryoid from callus and leaflet from the embryoid were differentiated on the nutritional condition subscultured with 0.005mg picloram plus 2.0mg kinetin per litre on MS in immature cotyledon of spybean line Baemkong.

베이스 구조물 진동을 고려한 스테이지 입력성형기법 적용에 관한 연구

김형기,권오영,배규현,홍성욱 한국공작기계학회 2008 한국공작기계학회 추계학술대회논문집 Vol.2008 No.-

A base structure which mounts positioning stages is often subjected to vibration due to the reaction force against the stage motions. This paper deals with an input shaping method for positioning stage in consideration of vibration base structures along with the stage vibration. A dynamic model is established to investigate the vibration of positioning stage and base structure. Two input shapers, a conventional input shaper and a new input shaper, are applied to eliminate both the residual vibrations in base structure as well as positioning stage. Simulations show that the input shaping methods effectively remove the residual vibrations.

레지스탕스 트레이닝에서 고속도 운동이 근횡단 면적 및 운동속도에 미치는 영향

이신언,조규상,한권상 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.2

A conducted to determine 1) the effect of high-velocity mowement in resistance training with a constant load on the velocity of movement after training and 2) the differences in the effect on muscle hypertrophy according to training velocity. Fourteen of the total subjects (male ; n=10, female ; n=7) were placed in the experimental group and agreed to participate in 8 weeks of training sessions(4 times a week). Five of the 17 subjects were in control a group before the training session. Subjects perfrmed elbow extension and flexion exercise using 50% of one repetitions and 30s of rest was taken between the sets. The subjects in the experimental group trained their arms using two different protocols ; one was high-velocity movement performed as rapidly as possibl(Type R), the other was low-velocity movement performed at a constant and slow velocity(Type R), the other was low-velocity movement performed at a constant and slow velocity(Type R), the other was low-velocity movement performed at a constant and slow velocity(Type S). Isokinetic torque in elbow flexion was measured at angular velocities of 60, 180, 300 deg/s, respectively, during elbow flexion performed under different constant loads of 0, 30, 50% 1 RM, and the muscle cross-sectional area(CSA) of the elbow flexor was determined before and after training. It was found that Type R did not increased isokinetic torque at 300 deg/s significantly after training. However, the increase in angular velocity of elbow flexion in Type R exercise tended to be higher than in Type S exercise. The increased in CSA [Type S ; 11.2%, Type R ; 14.2%] was significantly higher in Type R exercise(p<.05). These results suggest that high-velocity movement with a constant load in resistance training might increase the angular velocity of movement in the same mode, but might not produce a change in isokinetic strength, which involves a different mode of muscle contraction. Muscle hypertrophy would be induced to a greater extent by. high-velocity movement than by low-velocity movement in resistance training with a constant load.

장기입원환자 관리 방해요인

이경석,윤석만,권희,이호,김혜경,조미자,한규남,김명성 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Background: Recently the health insurance review agency tried to cut off the cost of unnecessary hospital stay. It is important to reduce the prolonged occupation of the hospital beds. However, there are some obstacles of the management for the prolonged bed occupation. We report our experiences and the problems of bed-control. Methods: To increase the rate of effective bed-usage, a task force was made. This team was consisted of 4 dctors, 2 nurses and 2 personnel of the administrative department. From December 20th 2001 to May 17th 2002, the task force analysed the rate, number and causes of the prolonged (more than 60 days, regardless of the disease entities) bed occupation. We announced and explained the necessity of bed-control and actively pressed to reduce the prolonged bed occupation. Results: The number of the prolonged bed occupation was 71 at the beginning of the management. It was reduced to 46 at best, then turned back to 65 at the end. It seems to be impossible to reduce the prolonged bed occupation until there are sufficient numbers of long-term care facilities. Aggressive bed control makes the sick patients to move every two or three months, it is never desirable. Conclusion: We cannot expect any Quality Improvements without improvement of the wrong system. Prior to the management for the prolonged bed occupation, it is necessary to build a sufficient number of long-term care facilities.