환자, 간호사, 의사가 지각하는 교육요구도와 교육제공정도에 관한 연구

박인숙,문영숙,조미경,최은숙,이경숙,정길수 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

The purpose of this study was to provide the basic data for the planning of education of patients by exploring and comparing patients', nurses' and doctors' perception of the educational needs and degree of providing education. 66 hospitalized patients undergoing chemotherapy and 44 nurses, 42 doctors assigned for the direct care were sampled in 1 university hospital in Taejon from August 30, 1993 to September 30, 1993. For the comparing patients', nurses' and doctors' perecption of the educational needs and degree of providing education, the researcher used Kims' Educational need scale which is composed of 20 item Likert type 5 point scale. Data were analyzed by means of percentile score, SPSS, t-test, ANOVA, Pearson correlation. The result were as follows 1. Comparision of total Mean score patients', nurses' and doctors' perception of the educational need ordering nurses(M=4.0465), patients (M=3.9803), doctors (M=3.8309). The difference between the three group's total Mean score is showed no statistical significant difference. 2. Comparision of total Mean score patients' educational need, patients' percetion of nurses' and doctors' degree of providing education, patients' educational need is scored 3.9803, patients' perception of nurse is scored 2.3431, patients' perception of doctor is scored 2.5022. The difference between the patients' educational need and medical teams' degree of providing education is showed statistical significant difference(P<.001). 3. Comparision of total mean score nurses' educational need is scored 4.0465, nurses' perception of nurses' degree of providing education is scored 2.9920, patients' perception of nurses' degree of providing education is scored 2.3431. The difference of between the nurses' educational need and nurses' perception of nurses' degree of providing education is showed statistical significant difference(P<.001) 4. Comparision of total mean score doctors' educational need is scored 3.8309, doctors' perception of doctors' degree of providing eduation is scored 3.1726, patients' perception of doctors' degree of providing education is scored 2.5022. The difference of between the doctors' educational need and doctors' perception of doctors' degree of providing education is showed statistical difference(P<.001).

『삼국유사』설화에 나타난 ‘공감’ 양상과 다문화교육적 의미

최은숙(Choi, Eun-sook) 한국어문학회 2015 語文學 Vol.0 No.128

The purpose of this article is to analyze the ‘Empathy’ aspects and multi-cultural educational meanings of the narrative in “Samgukyusa”. First, I selected texts that contain the exchanges between people and people, people and animals, and culture and culture. Second, I attempted to analyze the emotional aspects, found the assimilation of emotions, social actions, and an attempt of dis-identity shown in the texts. Third, I attempted to examine closely the multi-cultural educational meanings of the narrative of “Samgukyusa”. The narrative of “Samgukyusa” shows us the important aspects of a multi-cultural society and contains the feasibility, social impact, and self-reflection of the empathy. So it can give us important implications on the multi-cultural education. Forward, Methods of empathy education by utilizing the narrative of “Samgukyusa” must to be discussed. That will be my next work.

억제대 적용지침 개발을 통한 불필요한 억제대 적용율 감소활동

곽경선,김성은,배은경,이은숙,이은혜,최윤정,이윤경 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 억제대 적용에 대한구체적 적용지침 없이 의례적으로 억제대를사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정상태 이거나 근력이 약하여 발관능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를볼수 없 는경우, 간호사본인의 판단이 없이 타인의 요구에 따르는등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용및 제거 지침을 마련하고자 한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 개선효과: 억제대 적용에 대한중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p= 0.005 (p <0.0히로통계적으로유의한것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든항목이 개선 활동전 에 비해 2,3차 개선 활동후에 향상한 것으로 나타났다. 개선활동전에 8.1%였던 간호 기록, 0.7%였던 간호중재, 0%였던 의사처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 갑소 및 부적절한 억제대 적용율은 유의하게 감소하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은좀더 나은 간호제공을 위하여 개발 되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은계속적으로 Feedback 되어야 할 것이다.

자료포락분석(DEA)를 이용한 보건의료의 효율성 측정

김남송,박홍섭,김은진,김설화,김정숙,김현아,김경숙,신지혜,최은정,양은진,유선미,유수진 圓光大學校 醫科學硏究所 2007 圓光醫科學 Vol.22 No.1

하악에 발생된 법랑모 섬유육종

최갑식,이은숙,박태원,최미 大韓口腔顎顔面 放射線學會 1993 Imaging Science in Dentistry Vol.23 No.2

The ameloblastic fibrosarcoma is the malignant counterpart of the ameloblastic fibrosarcoma in which the mesenchymal element has become malignant. Clinically it frequently occurs in the 3rd and 4th decades, and more frequent in the mandible than in the maxilla. Radiographic features are apparent multiocular radiolucency with ill-defined border. The authors experienced two cases of ameloblastic fibrosarcoma of the mandible in a 26-year-old male and a 48-year-old female patients who suffered from pain and swelling on the affected area. And we discussed the clinical, radiological and histopathological features of this disease with a brief review of the literatures.

누에 배자와 난소의 초대 배양에 있어서 세포의 분화형태

최광호,손홍대,조은숙 東亞大學校生命資源科學大學附設 農業資源硏究所 1997 農業生命資援硏究 Vol.6 No.1

곤충 세포의 초대 배양에 있어서 그 분화양상을 관찰하기 위하여 누에 배자와 난소를 초대 배양하였다. 그 결과 몇 가지 상이한 세포형이 관찰되었는데 배자 초대 배양의 분화형태는 상피형 세포와 망상조직을 형성하는 섬유상 세포가 관찰되었고, 난소에서는 주로 상피형 세포가 관찰되었다. 또한 두 조직 모두에서 거대 세포보다는 작지만 다소 큰 세포 형태가 관찰되었다. This study was carried out to investigation for differential charaterization of the cells in primary culture with insects. In the process of primary culture with embryos and larval ovaries of silkworm, Bombyx mori, three types of cells were observed. Fibroblast-like cells which formed network and epitherial-like cells migrated from embryos. But in case of ovaries, fibroblast-like cells were not found. Somewhat large cells but smaller than giant-cells were observed in the cultured embryos and ovaries.

충북지역 아동들의 전통음식에 대한 의식과 기호도 : 명절음식, 떡, 전통음료 Traditional Holiday Food, Rice Cake, Non-Alcoholic Beverage

최미숙,정은희,현태선 한국식생활문화학회 2002 韓國食生活文化學會誌 Vol.17 No.4

This study was performed to investigate the perception and the preference of Korean traditional foods such as traditional holiday foods, rice cakes and beverages. The subjects were 598 elementary school students(male 310, female 288) in fifth or sixth grades. The most favorite traditional holiday food was rice cake soup(57.4%) and 92.4% of subjects wanted to keep the traditional holiday foods because of the traditional custom. The traditional beverages mainly drinking at home were sikhye(35.6%), misugalou(30.2%), green tea (18.5%), etc. Children's most favorite beverage was misugalou(90.5%) and they had no taste for ginseng tea(39.6%). Children did not know well about booggumi(64.1%), dootubdduk(63.3%), whajun(39.6%), ect. and liked gguldduk(94.2%) better tha the others. They liked the rice cake because of its good taste(69.0%) and disliked it because of chocking(30.9%), not eating frequently(29.5%), hard and though(18.2%), and so on. And they wanted to make the rice cake softer and sweeter like the cake and mostly ate it on the traditional holidays.

항만하역 근로자들의 직업적 특성과 사회심리적 스트레스에 관한 연구

최은경,이종태,손혜숙,이성훈 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective : The objective of this study is to evaluate the job characteristics of container terminal workers by applying the Job Strain model, and to assess the relationship among the general characteristics, job characteristics and psychosocial distress. Methods and Material : A self-administrated questionnaire survey was performed in Busan. The subjects were consisted of 100 white-collar workers and 100 blue-collar workers. We used Karaseks Job Content Questionnaire for evaluation of the job characteristics and Psychosocial well-being index (PWI) for measuring the extent of their psychosocial stress. Results : In white-collar workers, the skill discretion, created skill, decision-making authority, decision-making latitude, psychological job demand, and supervisor support of the job characteristics were significantly high, while in blue-collar workers physicalexertion was significantly high. PWl reveals that blue-collar workers were mere stressed than white-collar workers, especially, the factor 2, 3 and 4 were significantly increased; whereas, in white-collar workers, only the index of factor 1 was significantly increased. And PWl scores were significantly increased in the lower social support and psychological job demand. blue-collar workers had increased odds ratio of 2.66(95% CI:1.11-6.41) compared with white-collar workers. The unmarried workers increased odds ratio of 3.54(95% CI;1.18-10.62) compared with married workers. And workers who have not own house increased odds ratio of 2.35(95% CI;1.15-4.79) compared with workers who have own house. Particularly, odds ratio of work-shift in blue-collar workers was 11.10(2.14-57.64). (multiple logistic regression analysis PWI). Conclusion : The results of this study correspond with the fact that The more job demand is high and Job control is low, the more job stress is high. Job stress of blue-collar workers was comparatively higher than that of white-collar workers, sleeping, smoking, and work shifting turned out to be a main cause that increases stress. Therefore, in order to decrease the job stress, a health promotion program to change the health behaviors should be activated and an organized job stress management program should be introduced. Especially, working condition for blue-collar such as physical exertion and work-shift should be improved.

측두하악관절내장증에서 하악과두운동과 측두하악관절조영상의 상호관계

최순철,박태원,유동수,이은숙 大韓口腔顎顔面 放射線學會 1994 Imaging Science in Dentistry Vol.24 No.2

Arthrography of the temporomandibular joint is a useful method of demonstrating the soft tissue abnormalities related to disc dysfunction. In this study, 19 asymptomatic joints, 31 joints with anterior disc displacement with reduction, 31 joints with anterior disc displacement without reduction which were classified by arthrotomography under fluoroscopy were evaluated to determine the linear measurement of anterior recess of inferior joint space and the relationship between the condylar anterior translation and the severity of the internal derangements. Their fluoroscopic images were also evaluated to describe the characteristics of condylar paths in internal derangements of the temporomandibular joints. The results were as follows; 1. The mean lengths of the anterior recess in asymptomain group, reduction group, and non-reduction group were 8.7±1.6㎜, 11.2±1.7㎜, 12.8±1.7㎜ respectively. The length of the anterior recess was increased according to the severity of the internal derangements(p<0.05). 2. Linear measurements of anterior movement of condyle on maximum mouth opening were 13.1±4.2㎜, 15.9±4.1㎜, 5.0±3.7㎜ in asymptomatic group, reduction group, and non-reduction group respectively. Compared with aymptomatic group, reduction group showed hypermobolity of the condyle and non-reduction group showed hypomobility. 3. Condyles moved beyond the crest of articular eminence in 80% of reduction group and did not reach it in 70% of non-reduction group. 4. The condyle moved mainly superiorly in reduction group(66%) and horizontally in asymptomatic group(47%). There were no cases to move superiorly in non-reduction group.

우리 나라 패션 산업을 위한 패션 비지니스 리엔지니어링에 관한 연구

최은정,韓誠智,洪仁淑,金文淑 服飾文化學會 1999 服飾文化硏究 Vol.7 No.4

The purpose of this study is to remind the necessity of reengineering establishment of future-oriented fashion industry and to research the sevices for the system establishment at this present time when the consumer's demands level is extremely high. This research has been done by the literature review of the relative articles, books and the case study. First, through the analysis of the important changes and movements of fashion industry environment by the environmental interpretation model of Draft and Weick, the strategic development, corresponding the environment change of fashion indudtry, has been attempted. Second, this study examined QR integration management method according to the Kunz's behavior theory of the apparel firms. Third, as the prior occupation strategy regarding the things can be done very well from now on the things are needed, the necessity and establisnment of SCM, based on companionship and beyond the boundary between the companies has been studied through the exchange of the data of manufacture and sales which has been regarded as the secret of the companies. Finally, to become a company to lead the market, in addition to the re-organization of the internal process of a company with the leadership which has the clear vision for the consumer's satisfaction, the process have to be integrated under the cooperation with its business partners and the cost have to be reduces, and the time which takes to correspond to the consumer's requirements have to be reduced.