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가정간호사 제도가 법제화되어 가정간호사의 교육이 요청되고 있다. 이에 본 연구가 우리나라 지역사회 및 병원의 환자들의 가정간호사 요구를 기초로 간호학계 전문가들의 연찬회를 거쳐 가정간호사 직무, 가정간호사 직무본위 교과과정, 직무교육을 위한 강의내용 및 시간분포를 제시한 결과를 요약하면 다음과 같다. 1. 가정간호사 직무는 기동성장애 환자의 가정간호, 영양배설장애 환자의 가정간호, 순환호흡장애 환자의 가정간호, 가정간호정신장애 환자의 가정간호, 특수 간호술을 요하는 환자의 가정간호, 암환자의 가정간호로 구분하고 이를 56종류의 세부직무로 구체화하였다. 2. 가정간호사 직무본위 교육목적은 가정간호사의 구체적인 세부직무와 간호과정을 기초로 304개가 개발되었다. 이들 교육목적은 가정간호사에게 교육되어져야 할 지식, 기술, 태도의 전부라고 할 수 있다. 3. 가정간호사 교육운영을 위한 강의내용 및 시간분포는 보건사회부가 제시한 내용을 간호의 이론적 개념틀에 수렴하여 개발된 것이다. 영양배설 장애 환자의 가정간호에 32시간, 순환호흡 장애 환자의 가정간호에 32시간, 기동성 장애의 가정간호에 32시간, 암환자 및 임종환자 간호에 16시간, 정신장애 환자의 가정간호에 16시간, 노인간호에 16시간, 건강사정에 16시간, 지역사회간호학에 32시간, 환경보건관리에 16시간, 보건교육 16시간, 노인보건 16시간, 감염관리, 가족간호 32시간, 모자보건 32시간, 보건의료제도론 16시간, 의료보험과 보건경제 16시간으로 이론교육 352시간과 가정간호 실습 248시간으로 총 600시간 1년 동안 교육하도록 하였다. 이상의 가정간호사 직무, 직무본위 교과과정, 강의내용 및 시간분포를 서울대학교 보건대학원과 다른 지역 간호학과의 가정간호과정에서 시행한 후 수정보완이 이루어져 확산되어야 할 것으로 본다.
As the result of surveys conducted on the personnel, budget, and therapeutical performance of municipal and provincial hospitals in this country from Jun. 1, 1965 to May, 30, 1966, the following conclusion has been reached: 1. Surveys were conducted on a total of 46 hospitals, comperising 12 city hospitals, one county hospital, 32 provincial hospitals, and one provincial branch hospital(branch of the Cheju provincial Hospital). 2. Classifying the personnel by kind of occupation, nurses constituted the greatest proportion of 30.02 per cent of the total of 2,023 hospital employees across the nation, and physicians 16.71 per cent, while there were only two dieticians(constitution 0.10 per cent). 3. All the hospitals had physicians and nurses, while 41 of them have pharmacists, and only two of them had dieticians. 4. To break them down by province, the Special City of Seoul had 39.36 per cent of the total number of personnel, while Gyeongsangnam-do had the smallest proportion or 2.07 per cent. 5. The special City of Seoul had 39.56 per cent, the greatest proportion of a total of 4,079 beds throughout the nation while Cheju Province occupied the smallestpercentage, 2.01 per cent. The hospitals Surveyed were classefied into groups by the number of beds they had. The group of hospitals, With 51 to 100 beds each, constitued the greatest proportion or 45.66 per cent, while only one hospital fell under the category of hospisals with 151 to 200 besd, and another under that with 401 to 450 beds. Hospitals with up to 100 beds occupied 73.82 per cent or more than two thirds of the total number of hospitals surveyed. Not a single hospital had 500 or more beds. 7. A greatest proportion<41.31 per cent) of hospitals. from a total of 12 occupation were Hospitals with eight different kind of occupational classification it had the nember. The more occpational classification it had, the nember of Hospital was greater, and vice Versa Hospitals whose Personel were classified into seven to 10 kinds of occupation constituted 93.29 per cent. only one hospital (taejon Provincal Hospital) was blessesed with all of the 12 occupational kinds. No hospital, however, had six or less kinds of occupation. 8. The gross amount of receipt of all the municipal and provincial hospitals throughout the nation reached \558,43,026; broken down into 44.84 per cent of their own income and 55.16 per cent greated by the government as subsidies. 9. The gross amount of expenditure of all the hospitals was equivalent to their receipt, and the goverment subsidies was same as the balanece between expenditure and income 10. The ratios of own income to gross receipt of 31hospitals ranged from 30 to 80 per cent. One hospital (Mapo Municipal Hospital of Seoul) was operated solely with grvenment subsidies without its own income. Not a single hospital showed 100 per cent in ratio of its own income ??(원문파손으로 입력불가)gross receipt. 11. The hospitals in Kyonggi Province showed a highest average(86.03 per cent) ration of own income to gross receipt, with those in Gyeongsangnam-do indicated the lowest average ratio of 2.34 per cent. 12. The ratio of own income of Gyeonggi-do was highest or 27.57 per cent of that of whole nation, while Jeonlanam-do was lowest or 2.82 Percent . 13. The highest percentage(54.44 per cent) of the total amount of government subsidies was issued to the hospitals in the Special City of Seoul, and the smallest proportion(1.36 per cent) to those in Chungcheong bug-do 14. charged out-patients of the municipal and provincal hospitals constisued 41.20 per cent of newcomers and 50.75 per cent of oldtimers , and 43.37 per cend of their aggregate. Charged patient a constituted 48.60 per cent of in-patients in actual number of persons and 26.01 per cent in terms of aggregate of days of hospitalization. 15. The hospitals in Gyeongsangnam-do showed a highest percentage (95.66 per cent) of charged patients amone new out-patients, and those in JeonJanam-do showed the lowest percentage(16.29 per cent). As for the ratio of charged regular out- patients. the hospitals in Gyeongsangnam-do showed the highest percentage(92.95 per cent), and those in Jeonlabug-do the lowest percentage (9.88 per cent). In terms of aggregate, the hospitals in gyeongsangnam-do also recorede the highet ratio of 93.95 per cent, and those in Gyeongsangbug-do the lowest ratio of 21.07 per cent. In terms of actual number of persons, the hospitals in Jeju-do indicated the highest percentage(95.77 per cent)of chared in-patients, while those in Gyeongsangnam-do showed the lowest percentage (31.50 per cent). In terms of aggregate, the hospitals in Seoul showed the lowest 13.85 per cent while those in Jeju-do recorded the highest 87.36 per cent 16. Reviewing the numer of patients by province, Seoul constituted tthe greatest proportion or 39.83 per cent of newcomer outpatients, and Gyeongsangnam-do the smallest proportion or 1.34 per cent. In terms cf regular out-patients, Jeonlabug-do occupied the greatest proportion or 23.43 per cent. and Jeonlanam-do the smallest proportion of 1.81 per cent. As for aggregate, Seoul recorded the greatest proportion of 29.03 per cent , and Gyeongsangnam-do 1.43 per cent. the smallest proportion. In terms of the actual numer of persons. Seoul constituted the greatest proportion or 34.82 per cent of in-patients, and Pusan the smallest proportion or 1.19 per cent. In terms of aggregate, Swoul occupied the greatest proportion or 59.80 per cent, and Pusan 0.72 per cent, the smallest proportion. 17. The average number of days of hospitalization was 28.40 days per governument-paid in patient. and 10.56 days per charged in patient. The average number of days of hospitalization was the greatest at 483.95 days per government-paid inpatient in the sodaemun municipal Hospital in Seoul, but the smallest at 1.42 days in the Chinju Province Hospital in Gyeongsangnam-do. By province, the average number of days was the greatest at 45.50 days in Chungcheongbug-do, but the smallest at 1.88 days in Gyeongsangnam-do. The average number of days of hospitalization per charged in-patient was the greatest at 81.97 days in the Sodaemun municipal Hospital in Seoul, but was the smallest at 2.34 days in the Chinju Provincial Hospital in Gyeongsangnam-do. By province, the average number of days was greatest at 28.67 days in Jeonlanam-do, but the smallest at 2.07 days in Gyeongsang-bug-do. 18. The average number of visits to hospital per out-patient was 2.35 days. By hospital, it was the greatest at 16.53 days in the Chonan Provincial Hospital in Chungcheongbug-do and the smallest at 1.00 day in the Dongbu Municipal Hospital in Seoul. By province, it was the greatest at 4.41 days in Jeju-do, and the smallest at 1.23 days in Jeonlanam-do. 19. The average number of patient hospitalized per bed is 8.89 persons monthly. By hospital, the greatest number(37.74 persons) was recorded by the Inchon Provincial Hospital in Kyonggi-do, and the smallest number(0.86 persons) by the Sodaemun Municipal Hospital in Seoul. By province, the highest number(15.07 persons) was recorded by Kyonggi-do and the smallest number(2.60 persons) by Gyeong-sangnam-do. 20. The average bed utilization ratio was 48.02 per cent. By hospital, the Sodaemun Municipal in Seoul recorded the highest ratio of 98.03 per cent, while the ch'ongju Provincial Hospital in Chungcheongbug-do showed the lowest ratio of 3.51 per cent. By province, Seoul showed the highest ratio of 74.47 per cent, and Gyeongsangnam-do the lowest ratio of 15.41 per cent. 21. Amount of expentiture for a bed was \136,899. That of Pusan was \307,804 the highest, while Gyeongsangnam-do showed \69,323 a bed, the lowest among 8 provinces and two special cities.
This study on an evaluation of Doctor of Public Health Program, School of Public Health, Seoul National University that was established in 1976, was carried out for three years from 1982. The major objective of the study was to assess the current program critically with special concern to the principles of curriculum planning, implementation, and evaluation for improvement of the program.
An Epidemiological study was carried on diabetic patients registered in "Diabetic Clinic" in Seoul National University Hospital during the period of 1956~1957. In conjuction of distribution, dynamics and laboratory findings was investigated toward the cases. The study disclosed the following facts: 1. Sex ratio was 221(M) : 100(F). 2. The average age of registered cases was 49.2±10.9 years and there was no significant difference between two sexes. 3. The average age of the onset was 46.5±10.3 years and there was no obvious difference between two sexes. 4. Average duration from the onset to registration was 3 years. 5. Most cases registered were born in Seoul and the others had birth-place throughout the nation. 6. 57.6% of the cases lived in Seoul at the time of registration, and in 63.6% they inhabited in the area of Chongno-ku, Sungbuk-ku, Dongdaemun-ku and Songdong-ku. 7. Most cases had occupation which needed less physical activity. Female cases had no occupation in 61.7%. 8. 14.7% of the cases had history of pulmonary tuberculosis, 14.5% of typhoid fever, 12.3% of steroids abuse. 9. 22.6% of the cases had been treated before registration. 10. The maximum body weight of the cases before the onset was overweighted as 18.4% of the ideal body weight and as 24.2% of the body weight at the time of registration in males, and as 15.6% and 13.0% in females(p<0.003) 11. It was state by the patients that 10.1% of cases had diabetic blood-relatives. 12. Etiologically contributing factors stated were obsity, heredity, abuse of steroids, in 27.4%, 10.1% and 5.6%. It was impossible, however, to identify contributing factors in 49.3% of the cases. 13. 61.6% of the cases dignosed within 6 months after initial subjective symptoms. 14. Early subjective symptoms were thrist, neuralgia and sensory changes, general weakness and fatigue, polyphagia and polyuria, in 62.6%, 41.3%, 33.5% and 30.5% 15. The frequent complications were dental disese in 17.6%, retinopathy in 12.7%, and pulmonary tuberculosis in 12.0%, 16. 17.4% of the cases had no symptoms at the time of diagnosis. 17. The hospital incidence of diabetes mellitus in Seoul National University Hospital was 2.2 per 1,000 regiestered patients during the study period. 18. Sensitively of ?? was 63.7% in fasting state and 99.6% in 2 hours postprandial urine sugar. 19. The blood-sugar level showed increasing tendency along the age(unimodal pattern) and it revealed obvious difference between age groups(r=0.124, p<0.0027)
敎科課程은 設定된 敎育目標를 達成키 위한 모든 敎育內容과 學習및 評價方法等 詳細한 敎育構造가 誘導되는 靑寫眞이다. 本論文은 敎育課程을 設計할때 考慮 되어져야할 成分 및 基準, 그리고 旣存敎科課程을 補完하고 遂行하는 段階的 戰略과 過程을 敎育原理와 敎科課程說計原則을 參考로 開設歷史가比較的 짧은 保建學博士課程에 適用 分析해 보았다. 博士課程卒業後 地域社會가 要求한 이들 專門家들에 對한 役割, 責任, 業務가 分析記述되어 있지 않은 實情에서 이루어진 現敎科課程에는 再考하여야할 問題點이 數個 發見되었다. 앞으로 이들 問題에 對한 硏究가 緊要함은 勿論 繼續的이고도 體系的인 評價 ↔還流 (feed-back)를 通한 補完이 時急하다고 생각 되어 몇가지 對案을 提示하였다. The principles of curriculum planning are reviewed in order to build up reference criteria for evaluating the curriculum concerned. On the lights of principles and criteria, the curriculum for Doctor of Public Health, SNU was analyzed in terms of subject contents, strategies of learning experiences, methods of student were identified. Recommended changes and strategies of introducing the changes are discussed in detail