의료사회사업을 위한 편익시설 설치운영에 관한 연구: 사회복지법인 의료기관을 대상으로

전은석(Eun-Seok Jun) 한국보건복지학회 2003 보건과 복지 Vol.6 No.-

This study was intended to activate medical social works and to improve the service of the hospitals through the analysis of representatives' opinions of the hospitals for the convenient facilities in order to improve the quality of the life of the aged. The subjects were 141 hospitals and surveyed from March 1 through June 30, 2003. The results are as follows; 1. The distribution of the hospitals was in the urban area(88, 73.9%), the gender of the representatives was male(88, 73.9%) and the age group of the representatives was 40-49 years old(55, 45.4%). The number of the hospitals which did not. manage a restaurant was 88(69.7%), and 96 hospitals(80.7%) managed neither a store nor a resting room, 111 hospitals(93.3%) did not manage a funeral center, 69 hospitals(58.0%) did not manage a parking lot and 46 hospitals(38.7%) did not manage convenient facilities. It was thought that the management of convenient facilities should be positively reviewed in order to realize social welfare. 2. In the result of the analysis for the convenient facilities, 35 hospitals(29.4%) had a restaurant, 24 hospitals(20.2%) had a store and a resting room, 8 hospitals(6.7%) had a funeral center, 53 hospitals( 44.5%) had a parking lot and 110 hospitals(92.4%) were equipped with vending machines. 86 hospitals(72.3%) did not make profit from the convenient facilities. It was surveyed that 115 hospitals(96.6%) need convenient facilities for the profit. 81 hospitals needed the betterment of the quality of life of the aged (<97.6%). The ground of the establishment was based on the Law on the Welfare of the Aged in f)f hospitals(73.7%). The age group of the patients was above 65 years old in 99 hospitals(<97.6%). 85 hospitals(<97.7%) belonged to the urban area. This writer judged that the convenient facilities should be reviewed in order to fulfill the desire and the support of the community residents in the aging society. 3. The profit of the convenient facilities did not improve the quality of life the aged in 60 hospitals(53.1%). The Law on the Welfare of the Aged had profit in 2 hospitals(1.7%) and had no profit in 65 hospitals(55.1%). The age group of the patients above 65 years old had profit in 4 hospitals(3.4%) and had no profit in 74 hospitals(62.7%). The convenient facilities of the urban area had profit in 2 hospitals(1.7%) and had no profit in 59 hospitals(50.9%). Most of the convenient facilities had no profit, but this writer suggests the setting up of the convenient facilities in order to realize the welfare of community. This writer suggests that the setting up of the convenient facilities must be generalized in terms of the quality betterment of life of community residents and the authorities must expand support and establish the related laws in order to meet the desire of community residents and receive equal favor for the profit by the management of convenient facilities for the aged, the handicapped and the day laborers.

관상동맥질환에서 좌심실조영상 분석을 통한 국소심근벽운동 평가에 관한 연구

김준수(Jun Soo Kim),전은석(Eun Seok Jeon),김명아(Myung Ah Kim),김효수(Hyo Soo Kim),오병희(Byung Hee Oh),박영배(Young Bae Park),최윤식(Yun Shik Choi),서정돈(Jung Don Seo),이영우(Young Woo Lee) 대한내과학회 1987 대한내과학회지 Vol.32 No.6

N/A Left ventricular regional dysfunction is a sensitive marker of coronary artery disease. In recent years, noninvasive methods utilizing two-dimensional echocardiography and gated blood pool scan have been used to assess regional ventricular function. But the contrast left ventriculogram has remained as the reference standard by which other clinically applicable methods have been evaluated, For the quantitative assessment of regional wall motion abnormalities with contrast left vetriculogram, we measured regional percent shortening by radial method in 30 patients with acute myocardial infartion, 19 patients with angina pectoris and 21 normal controls. The results obtained were as follows: 1) Mean regional percent shortenings were not significantly different between control and angina group. 2) Mean regional percent shortenings of anteroseptal and inferior myocardial infarction subgroups were significantly lower than those of control group in region 11-22 and region 5-13, respectively(p<0,05, both). 3) Global left ventricular ejection fraction was 76.8±6.8% (mean±SD) in control group, 75.4±7.6% in angina group, 51.9±13.3% in anteroseptal myocardial infarction subgroup and 59.9±5.5% in inferior myocardial infarction subgroup. The values of anteroseptal and inferior myocardial infarction subgoups were significantly lower than those of control and angina groups(p<0.05). 4) Therefore, analysis of regional wall motion by left ventriculogram was very useful to quantitate regional wall motion abnormalities in patients with coronary artery disease.

작업요법이 치매노인의 인지기능과 ADL 기능증진에 미치는 영향연구

이진주,전은석,박성학,Lee, Jin-Jeu,Jun, Eun-Suck,Park, Sung-Hark 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.2

Nowadays senile dementia is on the rise as consequence of serious social problem because of it is old aged society by improvement of medical service. However remedial approach is not being done because of we still don't have an infallible cure of dementia and dementia is been hard to cure. Thus it is introduced in this study to the concept of Occupational therapy, which is one of the remedies. I tried to find out which remedy is the best to cure demented elderly and which is been able to use on field. For this study, I applied a developed Occupational therapy program in actual practice. First, I chose nine demented elderly who are lived in 'David's house' located in Daejon metropolitan city, and I separated them in three groups for this study. Second, I applied each Occupational therapy to first and second group, and I did not apply any Occupational therapy to third group. The first and second group was applied the program, two times a week for an hour, for three months. The measurement of Cognitive function was practiced five times - one time before applying the Occupational therapy by MMSE-K, and three times during applying the program, and one time after ending of the program. The measurement of ADL was practiced two times - one time before applying the Occupational therapy by the Barthel ADL, and one time after one month from ending the program. Effectiveness of Occupational therapy and possibility of application of Occupational therapy program are proved because of this study shows the Occupational therapy keeps well the cognitive function and the ADL function of demented elderly, improves those functions, affects positively to the whole life. However we must develop Occupational therapy, which is proper to a trait of character, and expanded application is needed. In addition, temporary remedy must not be performed but continuous cure. This study will be complement by studying about special situation researcher cannot control something like unexpected death of demented elderly by other diseases.

순환기 내과 환자를 대상으로 한 심부전의 정도와 NT-pro BNP의 혈중 농도와의 관계 분석: 순환기 내과 외래 환자와 입원 환자를 중심으로

송봉근 ( Song Bong Geun ),전은석 ( Jeon Eun Seog ),김용훈 ( Kim Yong Hun ),강민경 ( Kang Min Gyeong ),도준형 ( Do Jun Hyeong ),김필호 ( Kim Pil Ho ),안석진 ( An Seog Jin ),오혜림 ( O Hye Lim ),김현중 ( Kim Hyeon Jung ),성지동 ( Se 대한내과학회 2004 대한내과학회지 Vol.66 No.1

Background : N-terminal fragment of pro Brain Natriuretic Peptide (NT-pro BNP) is a neuro-hormone synthesized from the cardiac ventricles in response to increased wall tension. The purpose of this study was to assess the correlation between NT-pro BNP lev

요양보호사 직무만족도에 관한 연구

신미선(Sin, Mi-Seon),전은석(Jun, Eun-Seok) 한국사회혁신학회 2012 한국사회혁신학회보 Vol.3 No.1

This study completed a survey on 149 care-givers who are active at 16 senior care facilities. The main findings are as follows. First, as a result of analysis, the maximum value for job satisfaction was indicated to be 4.56 as for 149 survey subjects. The mean value was 2.84. Thus, the job-satisfaction level was indicated to be slightly low when being based on 3.00, which is the moderate value. In other words, the group with the whole care-givers can be seen to be a little dissatisfied now with the whole job satisfaction. And, as for human relations with co-workers, seniors, and the elderly, the mean value was 3.55, thereby having been indicated to be the highest among sub-constituent factors for job satisfaction. Even as for working environment, the mean value was 3.04, thereby having been indicated to be a little higher compared to the whole job satisfaction. However, the job stability was indicated to be low with 2.77 in the mean value. The category of compensation and turnover was indicated to be the lowest compared to other categories, with 2.13 in the mean value. Second, to examine what about the difference in job satisfaction according to gender, difference in age, difference in academic background, career, wage level, monthly working-day number, and working motive among care-givers’ individual characteristics, t-test and significant probability were carried out. It was indicated to be statistically significant. However, the significant probability on difference in religion was indicated to be .368. Thus, the level in religious difference and job satisfaction within group of care-givers was indicated to be statistically insignificant. Third, as a result of ANOVA in 5 spheres(general job satisfaction, working environment, job stability, human relations, job satisfaction related to compensation and turnover) for job satisfaction by gender, age, academic career, religion, career, wage level, monthly working-day number, and working motive, the statistical difference wasn’t shown much in job satisfaction by independent variable. In case of the general job satisfaction, human relations, and job satisfaction related to compensation and turnover, there was no statistical difference. Still, in the job satisfaction related to working environment and the job satisfaction related to job stability, the statistically significant difference was shown only in career. To be successfully settled the long-term care insurance for the elderly, which was enforced in the middle of much expectation, there is necessity for being prioritized the satisfaction with job in care-givers. To do so, there is necessity for definitely prescribing legally the improvement in triotment and working conditions of care-givers so that care-givers can work while being satisfied awork ir job with thinking it as life-long work place, by arrangh thihe working-environment conditions that care-givers can do the best for their duties loyally and by increasing proper compensation and job stability for job. As for limitation of this study, it researched targeting care-givers who engage in the senior care facilities where are located in Daejeon Metropolitan City, thereby being able to be unreasonable in generalizing the results of this study. Accordingly, to solve this, a follow-up research needs to generalize findings as well by carrying out with expanding subjects of data collection into care-givers in the whole country or the broader region. 본 연구는 대전광역시의 5개구 노인복지시설중 비교적 요양보호사가 많은 16개 시설에서 활동하고 있는 요양보호사 149명에 대하여 조사를 완료하였으며, 완료된 조사자료에 대하여 SPSSWIN(Ver 11.0)을 이용하여 분석하였는데, 주요 연구결과는 다음과 같다. 첫째, 요양보호사 집단 전체는 현재 직무만족도 전반에 대해 약간은 불만족하고 있는 것으로 볼 수 있다. 이러한 분석 결과는 요양보호사들이 직무만족 일반, 근무환경은 보통이거나 만족하는데 비해 직업 안정성에 대한 불안으로 인해 전ㆍ이직을 고려하고, 또한 보수가 적은데 에서도 전ㆍ이직을 고려하고 있음을 의미한다고 볼 수 있다. 둘째, 요양보호사의 개인적 특성 중 성별, 연령의 차이, 학력 차이, 경력, 급여수준, 월 근무일수, 근무동기에 따른 직무만족도의 차이가 어떠한지 알아보기 위하여 t-test와 유의확률을 실시하였는데 통계적으로 유의하게 나타났다. 하지만 종교 차이에 대한 유의확률은 .368로 나타나 요양보호사 집단 내 종교차이와 직무만족도의 수준은 통계적으로 유의미하지 않는 것으로 나타났다. 셋째, 성별, 연령, 학력, 종교, 경력, 급여수준, 월 근무일수, 근무동기별 직무만족도의 5가지 영역(직무만족 일반, 근무환경, 직업안정성, 인간관계, 보수 및 전ㆍ이직 관련 직무만족도)의 분산분석 결과는 독립변수별로 직무만족도의 통계학적 차이는 많이 차이가 나지 않았다. 직무만족도 일반, 인간관계, 보수 및 전ㆍ이직 관련 직무만족도의 경우 통계학적으로 아무런 차이를 보이지 않았다. 다만 근무환경 관련 직무만족도와 직업안정성 관련 직무만족도에서 경력만 통계학적으로 유의미한 차이를 보였다. 많은 기대와 우려 속에 시행된 노인장기요양보험이 우리나라에 성공적으로 정착하려면 요양보호사들의 직무에 대한 만족이 우선되어야 한다. 그렇게 되기 위해선 요양보호사들이 각기 소속된 직장에서 안정된 마음으로 자신의 업무를 충실히, 최선을 다할수 있는 근무환경 여건을 마련해 주고 일에 대한 적절한 보상과 노인복지시설에 대한 신뢰성을 높여 주어 이들이 평생직장으로 생각하며 자신들의 직무에 만족하며 일할 수 있도록 요양보호사들의 처우 및 근로조건 개선을 법적으로 명확히 규정하여야 할 것이다.

Ultrathin graphene oxide film transferred by facile and fast

Eun-Seok Jeon(전은석),Jun Ho Oh(오준호),Seunghwan Seo(서승환),Chang-Soo Han(한창수) 대한기계학회 2018 대한기계학회 춘추학술대회 Vol.2018 No.12

장애아동 부모의 양육 스트레스 및 가족지원에 관한 연구

변보기(Pyon Bo Ki),전은석(Jun Eun Seok) 한독교육학회 2006 교육의 이론과 실천 Vol.11 No.2

장애아동을 가진 부모는 장애자녀의 출생 및 양육과 관련해 많은 스트레스를 받게 된다. 이러한 스트레스문제가 해결되지 않을 때 가족성원들은 긴장하게 되고, 심각한 갈등을 야기시켜 가족해체까지도 발생하게 된다. 본 연구는 장애아동의 부모들이 경험하는 스트레스의 내용과 정도, 그리고 사회적 지지의 정도를 파악하고, 사회적 지지와 부모들이 경험하는 스트레스와 어떤 관련이 있는지를 밝혀 장애아동부모의 양육스트레스를 경감시키며 나아가 그들의 삶의 질을 향상시킬 수 있는 관련 정책과 프로그램개발 등을 개발하는데 필요한 기초자료를 제공하고자 하였다. 연구결과를 토대로 다음과 같은 방안들을 제시하였다. 첫째, 장애아동가족지원에 관한 제도를 마련해야 한다. 둘째, 가족의 안전성ㆍ항상성을 유지할 수 있도록 사회적 지지망 구축과 가족응집력을 강화할 수 있는 프로그램의 도입이 필요하다. 셋째, 장애아동부모들이 서로 정보를 교환하고 지지할 수 있는 Peer Helping 프로그램이 필요하다. 넷째, 프로그램의 질적 제고와 다양화가 필요하며 이와 함께 지역사회 차원에서 장애아동가족지원센터의 설립이 요구된다. This study is to investigate the stressful situation of parents of the handicapped children in the aspects of education, social life, parenting etc. to differentiate variables influencing the stress of the parents caring for their children and to suggest intervention strategies and service programmes decreasing it. This study was conducted with 58 parents with handicapped children in Daejeon City from April 14 to 26, 2006. For data collection, a door-to-door visit was made and questionnaire was used to have a personal interview with those who expressed their intention to participate in the research after the explanation of the goal and purport.

활배근 근피판을 이용한 노출된 Cardiac Pacemaker의 치험예 -Case Report-

신영진,이택종,전은석 大韓成形外科學會 1989 Archives of Plastic Surgery Vol.16 No.6

Pacemaker was first achived by Chardack et al. in 1960. The principal indications are the complete heart block, congestive heart failure during complete heart block, and bradycardias ?? tachycardias in which drugs are ineffectual. Exposure of the implanted pulse generator due to infection or pressure necrosis is common. The usual methods of dealing with this complication are wound irrigatons with antibiotic solutions, wound resuture or re-implantation of the pulse generator at another site, and local flap with skin graft. We experienced a case of recurrent skin ulcerations with local infection overlying the pacemader. A Latissimus Dorsi myocutaneous flap was used successfully to provide soft tissue coverage of the exposed pacemaker and the patient was tolerable to the mild twitching of the lastissimus dorsi muscle. The myocutaneous flap was great value in reconstructing problem wounds because of their rich vascular supply and superior resistance to infection.

동맥경화에서 클라미디아 항체의 양성률 및 그 의의

김준경,정준용,성보영,김윤철,김정희,이민수,성인환,전은석 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.2

노인의료서비스 개선방안에 관한 연구

이춘백,전은석,김광환,이현실 高麗大學校 倂設 保健大學 保健科學硏究所 2003 保健科學論集 Vol.29 No.2

This study was intended to search the ways corresponding to the necessity of medical service for the elderly rationally and effectively. The subjects were 444 doctors and nurses of A university hospital in Daejeon and surveyed from Apr. 20 through May 30, 2003. The result is as follows: 1. 270(60.8%) respondents answered that they have much experiences in treating and nursing the elderly, and 174(39.2%) respondents answered that they have no experience or little experience. 2. 431(97.05%) respondents answered that geriatrics hospitals need to be established, and 318 nurses(99.0%) and 113 doctors(91.9%) answered that they need to be established. This means that geriatrics hospitals must be established. 3. 425(95.7%) respondents answered that the geriatricians should be trained, and 19(4.3%) respondents answered that they need not. 4. 335(76.1%) respondents answered that the special apart for the elderly must be make at the existing hospital, and 26(5.9%) respondents answered that it need not. 5. 396(89.2%) respondents answered that economical burden on nursing fee are heavy, and 48(10.8%) respondents answered that it's less. This means that nursing fee imposed a burden on the patients' families. Most of the elderly have been treated and nursed at the existing general hospital without considering the characteristics of the infirmities of age because of the insufficiency of geriatrics hospitals and geriatricians. The increasing of medical fee by the elderly patients' long-term hospitalization reduces the opportunity to use medical service from the elderly. Therefore, the geriatrics hospitals should be continuously extended, and geriatricians should be trained. Also, the special apart for the elderly should be established at the existing hospital. When the medical fee for the elderly is appropriated by tax and the resource of local government, the problems of the medical welfare for the elderly in an aging society could be solved.