노인요양시설 돌봄 서비스종사자의 윤리의식, 환자안전문화 인식이 환자안전관리 활동에 미치는 영향

박정미(Park Jeong Mee),강경숙(Kang Kyung Sook) 사단법인 안전문화포럼 2021 안전문화연구 Vol.- No.14

본 연구는 노인요양시설에 거주하는 노인들에게 양질의 안전관리서비스를 제공하기 위한 기초조사 연구로서 연구목적은 노인요양시설 돌봄 서비스종사자를 대상으로 윤리의식, 환자안전문화 인식 및 환자안전관리 활동 정도와 각 변수들 간의 차이를 파악하고, 이들 변수들이 환자안전관리 활동에 미치는 영향을 파악하기 위해 시도되었다. 연구대상자는 G광역시과 J도에 소재한 노인요양시설에 근무하는 간호조무사와 요양보호사 166명을 대상으로 하였으며, 수집된 자료는 SPSS window 21.0 통계program을 이용하여 분석하였다. 연구의 주요결과는 다음과 같다. 첫째, 대상자의 윤리의식은 5점 만점에 4.27점, 환자안전문화 인식은 3.95점, 환자안전관리활동은 4.31점으로 나타났다. 둘째, 대상자의 윤리의식과 환자안전문화 인식은 환자안전관리 활동과 모두 유의한 양의 상관관계가 있는 것으로 나타났다. 셋째, 대상자의 환자안전관리 활동에 영향을 확인하기 위한 회귀모형 검증 결과, 환자안전문화 인식의 하위요인인 조직시스템, 직무태도, 관리활동, 일반적 특성 중 현 시설에서의 근무경력에서 통계적으로 유의하였고, 설명력은 68.4%이었다. 이상의 연구결과로 대상자가 지각한 윤리의식과 환자안전문화 인식은 환자안전관리 활동에 유의한 양의 상관관계를 미치는 것으로 나타나 대상자의 윤리의식과 환자안전문화 인식이 높을수록 환자안전관리 활동을 더 잘 하는 것으로 나타났다. 또한 환자안전문화에 대한 인식이 환자안전관리 활동에 주요 영향요인으로 확인되었다. 본 연구 결과는 노인을 돌보는 대상자의 안전관리 서비스의 질 평가 향상을 위한 기초자료로 사용될 수 있을 것이며, 대상자의 윤리의식, 환자안전관리 활동 및 환자안전문화 인식 고양을 위한 중재프로그램 개발의 필요성을 시사하고 있다. The purpose of the research is to investigate the effects of ethical awareness and perception of patient safety culture on patient safety management activities among care workers in elderly care facilities. This study is descriptive survey research, and the research subjects were 166 nursing assistants and care givers selected through convenience sampling from among those who were working in elderly care facilities located in G Metropolitan City and J Province. The collected data was analyzed using the SPSS 21.0 statistical program. The subjects scored an average of 4.27 points on awareness of ethics, an average of 3.95 points on perception of patient safety culture and an average of 4.31 points on patient safety management activities. Perception of patient safety culture showed a statistically significant difference depending on the average daily work hours. The subjects awareness of ethics and perception of patient safety culture had a statistically significantly positive correlation with patient safety management activities. Factors having the most effect on the subjects patient safety management activities included organization system, job attitude and management activities, all of which were subfactors of perception of patient safety culture, and employment years at the current facility, one of the general characteristics of the subjects. These variables had an explanatory power of 68.4 %. In summary, this study found that care workers’ perception of patient safety culture had a major effect on patient safety management activities. Consequently, education programs on patient safety management need to be developed to enhance perception of patient safety culture in relation to employment years, organizational systems, job attitude and management activities.

고등학교 교사의 창의융합수업에 대한 인식 및 창의융합역량 차이 분석

박정미(Park Jeong-mee),이경화(Lee Kyunghwa) 학습자중심교과교육학회 2019 학습자중심교과교육연구 Vol.19 No.13

본 연구에서는 고등학교에서 창의융합수업을 활성화 시킬 수 있는 방안을 마련하고자, 고등학교 교사들의 창의융합수업에 대한 인식을 조사하고, 창의융합교육 실시 유무 및 창의융합연수 참여 유무에 따른 창의융합역량의 차이를 분석하는데 목적을 두었다. 조사 참여자는 고등학교에 재직 중인 교사 123명이었으며, 창의융합교육에 대한 인식 및 창의융합역량에 대해 2018년 11월 19일부터 30일까지 설문조사하였다. 자료 분석은 인식파악을 위해 기술 통계치를 산출하여 비교하였고, 집단 간 차이는두 독립표본 t-test를 통해 확인하였다. 자료 분석 결과 고등학교 교사들은 창의융합교육의 실시 혹은 연수 참여 유무에 따라 인식과 창의융합역량에 있어서 유의한 차 이가 있었다(p<.001). 즉, 교사 자신이 창의융합교육을 실시해보았거나 창의융합연수에 참여한 교사가 창의융합교육의 운영과 필요성에 대한 인식이 높고, 본인 스스로 인식하는 창의융합역량도 더 높았다. 따라서 고등학교에서 창의융합수업을 활성화시키기 위해서는 창의융합수업을 실시할 수 있도록 하는 다양한 지원이나 환경이 마련되어야 하고, 창의융합연수에 참여하도록 독려할 수 있는 방안이 필요하다고 판단된다. The purpose of this study was to analyze the differences of high school teachers perception of creative convergence lessons, and the implementation experience of creative convergence education and the difference of creative convergence ability according to whether or not to participate in creative convergence training for teachers. The participants of this study were 123 high school teachers, and they received the questions from 19 November 2018 to 30 about the perception of creative convergence education and the creative convergence competency. Data analysis was performed by comparing descriptive statistics for perception, and differences between groups were confirmed by two independent sample t-tests. According to the results, it was found that high school teachers had significant differences in perception and creative convergence competency according to the implementation of creative convergence education or participation in teacher training (p<.001). In other words, the teachers who had experience in implementing the convergence education of the children, or the teachers who participated in the creative convergence training, were more aware of the operation and necessity of creative convergence education, and the creative convergence competency was higher. Therefore, in order to activate the creative convergence lesson in high school, various supports and environment should be provided so that high school teachers can implement creative convergence education. And we need a way to encourage the high school teacher in participate the creative convergence education training.

감시림프절 전이 양성인 유방암 환자에서 비감시림프절 전이 예측인자 및 예측체계의 비교 분석

박재영(Jae Young Park),박근명(Keun Myoung Park),박정미(Jeong Mi Park),이강연(Kang Yeun Lee),문연희(Youn Hee Moon),김세중(Sei Joong Kim),김준미(Joon Mee Kim),조영업(Young Up Cho),김장용(Jang Yong Kim),최윤미(Yun-Mee Choe),최선근(Sun K 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.1

Purpose: The purpose of this study was to investigate the predictors of nonsentinel lymph node (NSLN) metastasis in breast cancer and to evaluate the usefulness of the scoring systems and nomograms. Methods: In this analysis, we reviewed the clinicopathologic features of 70 patients who had undergone sentinel lymph node (SLN) biopsy and axillary lymph node dissection. The clinical features of patients, histologic parameters and hormonal receptor status of primary tumor and histopathologic features of SLN metastasis were noted retrospectively. Furthermore, the receiver operating characteristic (ROC) curve was drawn and the area under the ROC curve (AUC) was calculated to assess the discriminative power of the scoring systems and nomograms. Results: The metastatic tumor size in SLN (P<0.001), extracapsular invasion (P=0.002), percentage of positive SLNs among the removed SLNs (P=0.011), primary tumor size (P=0.038) were associated significantly with NSLN metastasis, statistically, in univariate analysis. Based on multivariate logistic regression, the metastatic tumor size was the only prognostic factor of NSLN metastasis (P=0.012). The AUC of Memorial Sloan-Kettering Cancer Center scoring system was greater than other systems, significantly (P=0.004). Conclusion: We have shown in this study that it would be possible to predict NSLN status based on the metastatic tumor size in SLN. Although the significance was not achieved in multivariate analysis, the size of primary tumor, extracapsular invasion of metastasis in SLN, percentage of positive SLNs among the removed SLNs had the potential to be a predictive factor of NSLN metastasis. MSKCC scoring system appears to be more effective and accurate than other scoring systems for selecting patients for whom axillary lymph node dissection can be avoided.

중학생이 지각한 부모의 양육태도와 부모-자녀 간 의사소통 방식이 인터넷 게임중독에 미치는 영향

이상배 ( Lee Sang-bae ),박정미 ( Park Jeong-mee ),박은아 ( Park Eun-a ),박제일 ( Park Jae-il ) 한국동서정신과학회 2017 동서정신과학 Vol.20 No.1

본 연구의 목적은 중학생이 지각한 부모의 양육태도와 부모-자녀 간 의사소통 방식 및 인터넷 게임중독의 관계를 알아보고자 함이다. 이를 위해 B광역시와 U광역시에 소재한 중학교 1, 2, 3학년에 재학 중인 남녀 학생 369명을 대상으로 주요 변인들 간의 관련성을 살펴보기 위해 상관관계 분석을 실시하였고, 변인들 간의 영향력을 살펴보기 위해 중다회귀분석을 실시하였다. 연구결과, 첫째, 부의 양육태도는 부의 의사소통 방식 및 모의 의사소통 방식과 정적 상관관계를 보였고, 인터넷 게임중독과 부적 상관관계를 보였다. 모의 양육태도는 부의 의사소통 방식 및 모의 의사소통 방식과 정적 상관관계를 보였고, 인터넷 게임중독과 부적 상관관계를 보였다. 부의 의사소통 방식과 인터넷 게임중독 및 모의 의사소통 방식과 인터넷 게임중독은 부적 상관관계를 보였다. 둘째, 부의 양육태도 중 애정과 합리적 양육태도는 부의 의사소통 방식에 대해 통계적으로 유의미하게 정적인 영향을 미치는 것으로 나타났으며, 모의 양육태도 중 애정, 성취, 합리적 양육태도는 모의 의사소통 방식에 대해 통계적으로 유의미하게 정적인 영향을 미치는 것으로 나타났다. 부모의 양육태도에서 애정 변인이 자녀의 인터넷 게임중독에 통계적으로 유의미하게 부적인 영향을 미치는 것으로 나타났으며, 부모-자녀 간 의사소통 방식 중에서 개방형 의사소통 방식이 인터넷 게임중독에 통계적으로 유의미하게 부적인 영향을 미치는 것으로 나타났다. 이러한 결과를 통해 중학생들의 인터넷 게임중독의 예방적 접근방향을 찾고, 치료적 개입이 필요한 중학생들에게는 부모의 양육태도와 부모-자녀 간 의사소통 방식의 관계를 통한 인터넷 게임중독 치료프로그램을 마련하는데 근거를 제공할 수 있을 것으로 기대한다. The purpose of this study is to investigate the relationship among perceived parental attitude of middle school students, communication style and internet game addiction. In order to verify the purpose of this study, the tests about parent-child communication style, parental attitude and internet game addiction were carried out all 369 students from 1 to 3 grade of Middle school located in B metropolitan city and U metropolitan city. To examine the relationship between the main variables, correlation analysis carried out and multiple regression analysis was used to find out the influence between the variables influences. The results of this study are as follows. First, love and rational rearing attitudes among father`s caring attitude affected father`s communication statistically. In case of mother is love, achievement and rational rearing attitudes affected mother`s communication statistically significant influence on the static. Second, It is shown a factor of love in parental rearing attitude affected internet game addiction. Third, the relationship between opened communication style which is one of communication style and internet game addiction is shown direct and negative statistically. The results of this study indicated love of parents, achievement and rational rearing attitudes gave effects of positive, strong and meaningful. And rational rearing attitudes and communication style affected bad effects into internet game addiction in the light of relationship among perceived parental attitude of middle school students, communication style and internet game addiction. Therefore, it needs to consider and keep the factors of communication style and parental attitude for developing program about the internet game addiction and prevention and treatment of middle school students. In this study, it was examined family factors of parental attitude and communication style which gives affection on internet game addiction of middle school students. Suggestion for further studies, it needs to examine about personal factors and school environment. Also it has got to increase the validity of the results by using behavior observation or clinical interview in a follow-up study.

폐기종환자에서 고해상도 CT와 폐기능 검사와의 상관관계

안중현 ( Joong Hyun Ahn ),박정미 ( Jeong Mee Park ),고승현 ( Seung Hyeon Ko ),윤종구 ( Jong Goo Yoon ),권순석 ( Soon Seug Kwon ),김영균 ( Young Kyoon Kim ),김관형 ( Kwan Hyoung Kim ),문화식 ( Hwa Sik Moon ),박성학 ( Sung Hak Pa 대한결핵 및 호흡기학회 1996 Tuberculosis and Respiratory Diseases Vol.43 No.3

환측 신발 높이기가 편마비 환자의 보행 특성에 미치는 영향

윤정규(Yoon Jung-gyu),박정미(Park Jeong-mee),김종만(Kim Jong-man) 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.2

The purpose of this study was to determine the effect of lift to the shoe of the affected limb on gait patterns in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10㎜ higher, and duration of static weight bearing, dynamic weight bearing and stance phase were measured from one cycle of the gait, before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. Dynamic weight bearing was significantly decreased in heel contact and footflat phases only when just after application of the lift, without any change after 3 weeks application. In heel-off phase, dynamic weight bearing did not show any significant difference between before and just after application of lift whereas significantly decreased after 3 weeks application. Duration of stance phase was not changed among anytime of application. According to this study, lift applied to the shoe of the paretic limb was effective in inducing static weight bearing in the paretic limb, but did not significantly effect dynamic weight bearing on gait patterns. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnomal muscle tone in subjects with hemiplegia caused by unilateral stroke.

중풍 후 운동 장애에 대한 『의부집성(醫部集成)』의 침구치료 고찰

정동원,민인규,문상관,박성욱,정우상,박정미,고창남,조기호,배형섭,김영석,Jeong, Dong-won,Min, In-kyu,Moon, Sang-kwan,Park, Seong-uk,Jung, Woo-sang,Park, Jung-mee,Ko, Chang-nam,Cho, Ki-ho,Bae, Hyung-sup,Kim, Young-suk 대한중풍순환신경학회 2006 대한중풍.순환신경학회지 Vol.7 No.1

Objectives and methods : The Euibujipsung is the one of the huge-scale encyclopedias about Oriental Medicine. To investigate the most frequently used acupoints for hemiparesis after stroke, we used Euibujipsung CR-ROM database with several key words concerned with motor weakness (半身不遂 不遂不隨 癱瘓 中臟 中腑 風痱, etc.). Results : In the result, we found five popular acupoints (GV20, LI11, LI15, ST36 and GB39), and four meridians (Stomach, Gall bladder, Large intestine and Small intestine). We also found that the Yang meridians were cited more frequently than the Yin. Conclusion : Therefore we think that these findings can give further ideas to clinical practice and research fields for stroke rehabilitation in Oriental medicine.

제주도 남동부 태흥리 용암에 대한 암석학적 연구

윤성효(Yun Sung Hyo),고정선(Jeong Seon Koh),박정미(Jeong Mee Park) 한국암석학회 2002 암석학회지 Vol.11 No.1

중풍 후 언어 장애에 대한 ☐☐의부집성(醫部集成)☐☐의 침구치료 고찰

정동원,민인규,문상관,나병조,홍진우,박성욱,정우상,박정미,고창남,조기호,배형섭,김영석,Jeong, Dong-won,Min, In-kyu,Moon, Sang-kwan,Na, Byong-jo,Hong, Jin-woo,Park, Seong-uk,Jung, Woo-sang,Park, Jung-mee,Ko, Chang-nam,Cho, Ki-ho,Bae, Hyung- 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1

Objectives and methods : The Euibujipsung is one of the huge-scale encyclopedias about Oriental Medicine. To search the most frequently used aupoints for dysarthria after stroke, we used Euibujipsung CD-ROM database with several chinese character keyword concerned with vernal function(語, 言, 音, 啞, 瘖, etc). Results : We found four popular acupoints(PC5, GV20, GV16, TE6), and five meridians (Governor vessel, Gall Bladder, Heart, Large Intestine and Triple Energizer). We also found that the extra meridians were used more frequently than other type of meridians. Conclusion : We think that these findings can give further ideas to clinical practice and research fields for stroke rehabilitation in Oriental medicine.

유전체 기반 양배추 육종

김혜란(HyeRan Kim),박홍석(Hong Seok Park),권석윤(SeokYoon Kwon),박정미(Jeong Mee Park),이옥란(Ok Ran Lee),노일섭(Ill-Sup Nou),백남권(Namkwon Baek),강관호(GwanHo Kang),송준호(JunHo Song) 한국원예학회 2012 한국원예학회 학술발표요지 Vol.2012 No.10