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경피적 내시경 요추 수핵제거술 환자를 위한 Remifentanil을 이용한 진통중심의 진정
황경일,이호연,심규대,심동윤,심찬식,이상호 대한마취통증의학회 2006 Korean Journal of Anesthesiology Vol.50 No.1
Background: The aim of this study was to examine the safety and efficacy of sedation and analgesia using remifentanil during percutaneous endoscopic lumbar discectomy (PELD). Methods: Eighty ASA patients with physical status 1 or 2 who underwent a PELD were enrolled in this study. They were randomized to receive one of two treatments: a fentanyl bolus of 0.7μg/kg 5 min before the procedure and of 0.7μg/kg during the procedure (n = 40, group F), or a remifentanil titration at an infusion rate of 0.1-0.3μg/kg/min available throughout the procedure according to the appeal of pain, level of sedation and side-effects (n = 40, group R). The observer's assessment of alertness/sedation (OAA/S) scale, blood pressure, heart rate, respiratory rate, SpO2, and end tidal CO2 were assessed and measured during and/or after the procedures. The visual analogue scale of pain (VAS), and the patient and endoscopist satisfaction scale were assessed after the procedures. Results: There were no significant differences between the two groups in terms of the recovery characteristics, incidence of complications and satisfaction score of patients. In 92.5% of the cases among the remifentanil group, the spine surgeon made uniform judgements that remifentanil worked better than the usually used fentanyl procedure, whereas in 7.5% of the cases the effects were indifferent. The VAS score of the R group was significantly lower than that of the F group. Conclusions: We concluded that sedation and analgesia with remifentanil is very useful for painful local procedures such as PELDs. (Korean J Anesthesiol 2006; 50: 36~41)
의료 종사자의 감정노동이 직무스트레스에 미치는 영향 : 설립형태와 직종의 조절효과
황경일,심현진,이현실 보건의료산업학회 2017 보건의료산업학회지 Vol.11 No.2
Objectives : The rapidly changing consumer-centric and customer-oriented nature of the medical environment results in significant cognitive load. We aimed to clarify the situation of emotional labor and job stress among hospital employees and seek policies and hospital management for employees' emotions. Methods : The study was conducted through a questionnaire about emotional labor and job stress among 554 individuals working in Seoul, in 9 national, public, and private hospitals. Results : The results of the emotional labor and job stress questionnaire showed statistically significant differences in surface behavior and job stress; both had higher values in employees from the private hospitals than employees from public hospitals. Conclusion : This study found that the stress of emotional labor is a serious problem in government medical institutions. In addition, these institutions need to provide internal customer satisfaction through the hospital ombudsman and harmonize work and healing programs by including plans for improvement.
황경일(Kyoung-Il Hwang),이일현(Il-Hyun Lee),이현실(Hyun-Sill Rhee) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.10
본 연구는 의료 환경이 공급자 중심에서 소비자 중심으로 변화함에 따라 행정직원에게 동기를 부여하여 직무만족도를 향상시킴으로써 경영의 효율성을 높이고자 하였다. 연구대상은 수도권 대학병원 행정직원 총 305명으로 설문된 데이터를 이용하였다. 분석방법은 AMOS 21 Ver.을 사용하여 구조모형방정식(SEM)으로 통계적 검증을 실시하였다. 첫째, 모형의 적합도 검증결과 X2=206.776, df=77, Q=2.685, P<.001, GFI=.915, TLI=.927, CFI=.946, RMSEA=.074로 분석 되었으며, 본 연구를 검증하는데 타당한 것으로 나타났다. 둘째, 성과보상과 근무환경은 동기부여에 통계적으로 정(+)의 방향으로 영향을 미친다는 점이 나타났다. 셋째, 동기부여는 직무만족에 통계적으로 정(+)방향으로 유의하게 나타났다. 넷째, 의사소통이 직무만족에 정(+) 방향으로 영향을 미친다는 점이 통계적으로 유의하게 나타났다. 다섯째, 매개효과 검증 결과, 성과보상과 직무만족의 관계에 있어 동기부여는 완전매개로 나타났고, 근무환경과 직무만족의 관계에 있어 동기부여는 부분매개로 나타났다. 공정하고 합리적인 성과보상과 직장 안정성, 복리후생 등의 근무환경, 조직내외의 원활한 의사소통은 직무만족도를 높인다. 이를 위해서는 경영자의 관심과 의지가 필요하며, 다양한 교육훈련과 프로그램개발이 필요하다. 본 연구를 통하여 병원 행정 직원의 만족도 향상을 위한 제도적 개선 방안을 모색하는 기초적인 자료를 제공하고자 한다. As provider-centered medical environment has changed into consumer-centered, this study intends to improve the efficiency of management by motivation to administrative staffs and improvement in job satisfaction. The purpose of this study is to analyze the factors that influence job satisfaction among administrative staffs in a metropolitan university hospitals. Survey of 305 people in total were used in the data analysis. AMOS 21 Ver. was used to perform Structural model(SEM) equation. First, the validation results showed the follow results X2=206.776, df=77, Q=2.685, P<.001, GFI=.915, TLI=.927, CFI=.946, RMSEA=.074, which supported this researchs significance. Second, compensation and working conditions positively affected motivation. Third, motivation positively influenced job satisfaction. Fourth, communication positively influenced job satisfaction. Fifth, after adjusting the mediating effect, in the relationship between compensation and job satisfaction, it was proved that motivation was a complete mediator. Incase of the relationship between the working conditions and job satisfaction, motivation acted as a partial mediator. Fair and reasonable compensation and employment stability, benefits and other working conditions, better internal and external communication between the organization are to increase job satisfaction. To do this, an administrator needs to have attention and will, and a variety of education and training programs need to be developed. The purpose of this study is to provide basic grounds for future policies related to increasing administrative staffs job satisfaction.