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      • 응급실 내원자의 의료서비스 만족에 관한 연구

        권선숙,유인술,정하숙 한국응급구조학회 1997 한국응급구조학회지 Vol.1 No.1

        To offer basic data about the influential factors on patient's Satisfaction level for emergency medical services the authors were performed this study in 60 patients visited to emergency room of third stage general hospital in Taejeon city. Data were collected through interview with patients by using a 15 items' questionnaire according to care subscale, teaching subscale of Likert's five stage quantitative scale and the tools developed by Barbara Davis. The data were analyzed by using the SPSS/PC computerized program for mean, standard deviation, percentage, ANOVA, t-test, and pearson correlation. The results are as followings ; 1 Satisfaction of emergency medical service were showed in care area, but not showed in teaching and total area. 2. Satisfaction of sociodemographic characteristics were a statistically significant difference only marriage, that were the higher in marriaged than single (P<0.05). 3. In the emergency situation characteristics the satisfaction accordings to the visit cause were lower in accident than disease group, the reason of hospital selection were in order trust, introduction group, distance. Traffic, kinds, and score of satisfaction were showed each of 43.47 51.27 (P<0.01), the transportation vehicle was the 119, hospital ambulance group. but were not a satistically significant difference. 4. The negative correlation was observed between satisfaction and the length of stay at ER and the longer length of stay at ER was showed the lower satisfaction. But the positive correlation was observed between satisfaction and the arrival time, patients who arrived ER from 6:00 P.M to midnight were more satisfied than patients who arrived other time. 5. The length of stay at ER was significantly different according to the reason of hospital selection, the reason of ER selection, the visitant cause and hopital decisioner. Especially the length of stay was much longer in accident group and unconscious group.

      • SCOPUSKCI등재

        영세노인과 일반노인의 우울정도에 관한 비교연구

        권선숙,정연강,권혜진 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.1

        The purpose of this study was to compare the Depression levels of the poor and elderly as well as the elderly who were residents in a community. The author studied the Depression levels of 117 poor and elderly individuals and 183 elderly individuals all 65 years or older living in Suwon City. This study has been done using a directinterview structured Questionnaire and Korean Form of Geriatric Depression Scale (KGDS) from May to July in 1999. The results can be summarized as following; 1. With Case and Control group there was no significant difference with respect to gender, age, education level, or religion. But was significantly different regarding marriage state, if subjects were living together, type of residency, province, and place of toilet. 2. Smoking and Hwa-pyung was a large number of case group more than control group, and alcohol was more control group than case group(P<0.05). 3. There was a similiar taking medicine and kind of body symtom of case and control group. 4. The mean score of perceived KGDS of the poor elderlys was 17.87+/-5.97 out of 30, and that of the elderlys was 13.35+/-6.00 out of 30(P<0.001). 5. In a simple correlation analysis of elderlys, education, marital status, residency, son and daughter, position of toilet, elderly center, alcohol, Wha-byung, disease. 6. In a multiple regression analysis, Hwabyung, elderly center, education, smoking, disease, son and daughter.

      • 일개 응급센타에 내원한 일부 내원자의 실태조사

        권선숙,김진회 한국응급구조학회 1997 한국응급구조학회지 Vol.1 No.1

        We have reviewed 2,876 patients who visited the emergency room from May, 1996 to september, 1996 in order to look for a more appropriate management of the emergency medical system. The result were summarized as followings; 1. Considering sexual distribution, male patients were 59.6% more than female patients 40.4% and according to age categories, first decade of life was most frequent. 2. Distribution according to cause is most common for the disease 79.8%, and next injury and traffic accident is 11.6%, 6.8%, respectively. 3. According to the department distribution, pediatrics accounted for 37.4% internal medicine 21 1%, and emergency medicine 10.0%, and these three departments was 66.3% of total number of patients. 4. 67.0% of patients visited emergency room were discharged. Arrived time in emergency room, patients of 41.9% was visited from 17 to 1 hours. 5. Among 196 patients of traffic accident, 160 were male(81.5%) and 36 were female (18.5%) . Distribution of the age is most common in 3rd and 4th decade for 63.2%, and region of injury were face 33.3%, head 22.2%, and chest 22 2% and follow-up measures after visiting emergency room is most common transfer hospital 40.8%.

      • KCI등재

        재가노인의 보건행태에 따른 고독감 분석

        권선숙 대한보건협회 1998 대한보건연구 Vol.24 No.2

        고독감과의 관련성을 조사하기 위하여 전주시의 일반가정에 거주하고 있는 60세 이상의 노인을 대상으로, 도구화한 질문지와 개정판 UCLA 고독감 척도 20문항을 사용하여 직접 면담과 자가응답식 방법으로 1998년 5월에서 6월사이에 조사하였다. 남자 102명, 여자 110명, 총 212명의 분석결과는 다음과 같다. 대상자의 평균 고독점수는 45.4점이었고, 연령이 높을수록, 교육수준이 낮을수록, 아들이 없거나 딸이 없거나, 배우자가 없는 상태에서 고독점수가 유의하게 높았고, 직업이 없거나, 실직자녀가 있는 경우, 그리고 건강상태가 나쁠수록 고독점수가 유의하게 더 높았다. 의료기관 이용에 따른 고독점수는 검진받은 기관별로는 유의한 차이가 없었으며, 응급시 이용하는 의료기관별로는 보건소 이용군이 가장 높고, 약국 이용군이 가장 낮았다(P<0.01). 현재 직업이 없는 대상자(59.4%)중 희망취업 유·무와 희망취업종류에 따른 고독점수는 유의한 차이가 없었다. 건강을 위하여 노력하고 있는 활동은 스포츠가 기장 많았고, 고독점수는 건강을 위하여 아무런 노력도 하지 않는 군이 가장 높았지만 유의한 차이는 아니었다. 노인건강을 위한 건의사항으로는 노인전문의료기관 및 무료진료를 43.6%가 응답하여 가장 높은 응답률을 보였고, 고독점수도 그룹 중에서 가장 높았다(P<0.05). 고독감과 자녀수, 월평균용돈, 수면시간, 교육수준과는 음의 상관관계를 보였고, 연령과 질병과는 정상관관계를 보였다(P<0.05). 고독점수를 종속변수로 한 다중회귀 분석결과 자녀수, 수면시간, 월평균용돈, 직업유무, 주관적인 건강정도 등의 변수가 유의하게 설명력이 높았다. To study the Loneliness according to health behavior in the elderly who have been resident at home, the author studied 212 cases of men and women aged 60 over living in Chonju City. This study has been done using a self-recording structured structured Questionnaire and the revised version of UCLA loneliness scale from May to June in 1998. The results were summarized as following; 1. The mean score of perceived loneliness of the respondents was 45.42+/-10.45 out of 80. The Loneliness score was significantly variable with age, education level, existence of children and spouse, and type of residence, and was significantly increased with the state of unemployment and their children loosed job. 2. The mean score of Loneliness had slightly changed according to the types of medical institution. the Loneliness score was the highest in a public health center group and was the lowest in a pharmacy group for emergency(P<0.01). 3. 54.0% of the unemployment wanted to be employed and most of desire occupation were a gate guard and guide in man and a volunteer service in women. The Loneliness score was not significantly different from the types of desire occupation. 4. The elderly who did not have some activities for their health showed higher Loneliness than the elderly who do. 43.6% of the respondents desired to have a free medical free medical examination and treatment and a special hospital for elderly and those showed the highest Loneliness score. 5. In a simple correlation analysis, the variables such as existence of child. pocket money, sleeping hour, education level had a negative relationship, but age, chronic disease had a positive correlation with Loneliness score. In a multiple regression analysis, existence of child, sleeping hour, pocket money, employment and subjective health level were found to be related to loneliness significantly.

      • KCI등재
      • SCOPUSKCI등재
      • KCI등재
      • KCI등재

        119 구급대원들의 활동실태와 업무만족도

        권선숙,유인술 대한응급의학회 1998 대한응급의학회지 Vol.9 No.2

        Background: It goes without saying for the importance of pre-hospital care in EMS system. At present 119 rescuers take charge of the majority for the pre-hospital care in Korea. But the present activity and job satisfaction of 119 rescuers is not studied. Method: The authors analyzed the questionnaire from the 98 rescuers had taken the lessons on emergency medical technician training program at the Central Fire Fighting School, Cheonan city. We used a Likert's five stage barometer for the analysis of job satisfaction. Result: On regional distribution of rescuers 29.6% was in metropolitan city and 70.4% was from each province. On sexual distribution male was 93%, average age was about 30 years old. The academic background was commonly below the high school graduation. Sixty-one of 98 rescuers(62.2%) was married. The monthly mean income is 1.07 million Won. There was a statistical difference of the monthly mean income between the age, sex, and the period of work(p<0.05). The average duration of job was 27 months. In most cases, the patients or relatives decided the evacuation hospital(89.8%). 67.0% of rescuers answered the necessity of emergency communication system during transport. The serious problems during transport were the lack of manpower, the knowledge of emergency care, the deficit of emergency equipment and telecommunication system. The priority of decision for evacuation hospital is the presence of special medical team, the severity of patient, the presence of modern hospital. The emergency equipment of ambulance was satisfactory in general. Almost all the rescuers(99.0%) want continuous education and 92.7% of them want at the emergency center or general hospital twice a year. The degree of job satisfaction was the job of special knowledge and skills, the professional work and self-assurance in order. Conclusion: 119 rescuers were gratified generally at the job satisfaction. But it was poor at work condition. The authors think that a government office and the korean society of Emergency Medicine must hard work for the improvement of work condition and the administration of continuous education.

      • SCOPUSKCI등재

        노인을 위한 음악요법 프로그램이 우울, 균형, 유연성에 미치는 효과

        이원유,권선숙 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.1

        Purpose: The purpose of this study was to investigate the effects of music therapy on depression, balance, and flexibility in the elderly. An experimental group consisting of 23people, was given music therapy for 90 minutes per a week for 6 weeks, while a control group consisting of 21 people, was not given music therapy with quasi-experimental design. Result: The result of the study show that music therapy is effective for decreasing depression and improving flexibility in the elderly. However, this study found no significant differences in balance between the experimental and the control groups. Conclusion: Despite one part, nursing intervention of music therapy to adapt Rhythm for Life elevated the strength of the elderly's body and showed decrease in depression. Therefore the Music therapy Program improves the quality of life in the elderly.

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