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오진주 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.2
Purpose : The purpose of this study was to assess the level of activitis of daily living (ADL)in a group of community dwelling elderly. Methods : The subjects were 100 low-income elderly registered in a public health center. The data were analyzed using the SPSS/PC program. Results : The results were as follws: 1. The basic ADLs of the subjects were scored at 7 levels, and the mean score was 6.24 out of 7 points. The subjects did not necessarily require help from others, but might have needed more times or instrumental assists to perform ADLs. The lowest ADL score was reported on walking up to the stairs (5.05), for which the needed a certain degree of supervision. The highest score was reported on self eating(6.74), followed by bowel management(6.60). 2. The mean IADL score of the subjects was 1.77 out of 4 points, indicating that the subjects were very independent in performing IADLs, without help from others. 3. In relation to general characteristics, the level of ADLs of the subjects was significantly different by age (F=6.36,P=.000), main activities (F=4.66,P=.012), educational background(F=4.64,P=.03), marital status(F=4.62,P= .005), and major household income (F=4.15,P=.002). 4. The subjects' level of IADLs in relation to their general characteristics was significantly different by perceived health status (F=8.08, P=.001), major activities (F=7.33,P=.000), age (F=6.18,P=.000), family context (F=3.53, P=.018), religion (F=3.10,P=.019), marital status(F=2.62,P=.049).
요양보호사 감정노동과 직무스트레스가 이직의도에 미치는 영향
오진주,김영선,김선희,고현민 사단법인 대한보건협회 2019 대한보건연구 Vol.45 No.2
Objective: The purpose of this study is to establish and test a hypothetical model that explains the factors affecting the turnover intention of the elderly nursing home care workers and explains the turnover intention of the nursing home care workers Methods: structured questionnaires including emotional labor, job stress, job satisfaction, and turnover intentions were distributed to 231 caregivers working in six elderly care facilities in Seoul, Gyeonggi do and directly filled out. The collected data were analyzed using SPSS 23.0 and AMOS 21.0 programs. Results: The fit index of the hypothesis model satisfied the recommended level and job satisfaction had a direct effect on turnover (r = -0.255, p <0.01). Job stress had a direct effect on turnover intention (r = 0.966, p <0.01) and it was also found to indirectly affect turnover intention through job satisfaction. These emotional labor, job stress, and job satisfaction explained 18.1% of turnover intention. Conclusion: In order to enhance job satisfaction of caregivers, role recognition and systematic support for enhancing psychological satisfaction and self-esteem according to profession roles should be provided, and various external factors causing additional job stress should be actively improved. Objective: 본 연구는 노인요양시설 요양보호사 이직의도에 영향을 주는 요인을 규명하고 이를 토대로 요양보호사 이직의도를 설명하는 가설적 모형을 구축하고 검정하고자 한다. Methods: 서울, 경기 소재의 6개 노인요양기관에 근무하는 요양보호사 231명을 대상으로 감정노동, 직무스트레스, 직무만족, 이직의도를 포함한 구조화된 설문지를 배부하고 직접 기입하였다. 수집된 자료는 SPSS 23.0과 AMOS 21.0프로그램을 이용 분석하였다. Results: 가설모형의 적합지수는 권장수준을 만족하였고 직무만족은 이직의도에 대해 직접영향을 미치는 것으로 나타났다(r=-0.255, p<0.01), 직무스트레스는 이직의도에 직접영향(r=0.966, p<0.01)을 미치며 동시에 직무만족을 통해 간접적으로 이직의도에 영향을 미치는 것으로 확인되었다. 감정노동은 오히려 직무만족을 높이는 요인으로(r=0.427, P<0.01) 이직의도를 감소시켰으나 유의하지는 않았다. 이들 감정노동, 직무스트레스 및 직무만족이 이직의도를 설명하는 정도는 18.1%였다. Conclusion: 요양보호사의 직무만족을 높이기 위해서 전문직 역할수행에 따른 심리적 만족감과 자부심을 고양시키기 위한 역할 인정 및 체계적인 지지를 제공하고, 추가적으로 직무스트레스를 초래하는 다양한 외적 요인들에 대한 적극적 개선이 추진되어야 할 것이다
서울시 일개 구 재가 치매노인 특성 연구 : 일반노인과의 비교를 중심으로
오진주,김희걸,권영숙 지역사회간호학회 2001 지역사회간호학회지 Vol.12 No.1
The purpose of this study is to compare the characteristics of the demented elderly and normal elderly over 65 syaying at home in Seoul. Here, the demented elderly are definde as the aged who score under 20 on the MMSE-K testing. The subjects were 15.104 elders in home. The method is a cross-sectional study home visiting survey with questionnaires. Data analyses were conducted by using frequency, percentage, t-test and ANOVA procedures. Results are as follows: First, general characteristics such as sex, age, marriage,education, physical health, and family characteristics such as economic level and single living showed a significant variance between demented elderly and normal elderly. Second, the demented elderly showed a significantly high point of AD and IADL. Third, in contrast with normal agents, the dementia showed a high need for assistance from the care giver but follwed the same pattern. In conclusion, the above findings suggested that a social support system should be developed for the demented elderly and care givers in the home.
오진주,설기호,YounSeokChoi,이정원,배진영 영남대학교 의과대학 2019 Yeungnam University Journal of Medicine Vol.36 No.2
Background: This study aimed to assess the in-field lymph node (LN) failure rate according to LN size and to investigate effect of LN size on the survival outcome of patients with locally advanced cervical carcinoma treated with concurrent chemoradiotherapy (CCRT). Methods: A total of 310 patients with locally advanced cervical carcinoma treated with CCRT were enrolled in retrospective study. LN status was evaluated by magnetic resonance imaging. All patients received conventional external beam irradiation and high-dose rate brachytherapy, and concurrent cisplatin-based chemotherapy. In-field LN failure rate according to LN size was analyzed. Results: The median follow-up period was 83 months (range, 3-201 months). In-field LN failure rate in patients with pelvic LN size more than 10 mm was significantly higher than that in patients with pelvic LN size less than 10 mm (p<0.001). A similar finding was observed in the infield para-aortic LN (PALN) failure rate (p=0.024). The pelvic and PALN size (≥10 mm) was a significant prognostic factor of overall-survival (OS) and disease-free survival rate in univariate and multivariate analyses. The OS rate was significantly different between groups according to LN size (<10 mm vs. ≥10 mm). Conclusion: A LN of less than 10 mm in size in an imaging study is controlled by CCRT. On the other hand, in LN of more than 10 mm in size, the in-field LN failure rate increase and the prognosis deteriorate. Therefore, a more aggressive treatment strategy is needed.
오진주 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.1
Purpose: to investigate nursing service needs of dementia caregivers in the community, and also to provide basic data that is helpful in developing nursing intervention for them. Method: MMSE-K exam was administered on 15,216 men more than 65years old who live in Gu, Seoul city, and the subject of this study were caregivers of 792 demented elderly who were below 20 points in the MMSE-K exam. Result: Total score of nursing service needs of family appeared lower than average. By specific area, information nursing needs was the highest(M=3.29), and therapeutic nursing needs (M= 3.31), welfare service nursing needs(M=3.32), emotional support nursing needs (M=3.34) followed in order. The factors which increased the total score of nursing service needs of dementia caregivers as general and physical characteristics were man (p=.04), lower ADL (p=.00) and IADL(p=.00), longer length of sick days(p=.01), having diseases(p=.03), decline of cognition(p=.00), existence of dementia symptom(p=.00). And, high economic status(p=.03), good caring attitude(p=.00) were family characteristics which increased the nursing service needs of caregivers. As predicting variables dementia symptom (10.4%), caring attitude(1.9%), existence of economic activity(1.5%), and length of sick days exhibited explanation power in order. Conclusion: In future, active intervention methods that correspond to family nursing service needs have to be developed, and it is also needed to develop nursing intervention strategy on specific problem with dementia problematic behavior, exercise etc.. Also, it is needed to do research on the caring attitude of dementia family because active caring attitude of family was significant influencing factor on nursing service needs of family.