뇌졸중 입원환자를 대상으로 한 변형 건측 상지 운동 제한 치료법의 효과

손미옥,김은수,박시운,김경미,장순자,오재근 대한재활의학회 2007 Annals of Rehabilitation Medicine Vol.31 No.1

공기업 조직혁신을 위한 선행요인이 조직성과에 미치는 영향 : 조직혁신의 매개효과를 중심으로 한 한국과 중국 공기업의 비교연구

손미옥,정진섭,윤영호 경성대학교 산업개발연구소 2016 산업혁신연구 Vol.32 No.1

세계화와 지식기반사회에 직면하여 경쟁적 환경에 대응하기 위해서, 각 기업들은 혁신활동을 통해 조직의 성과를 제고하려 노력해 왔다. 반면, 국제경제력의 강화 필요, 국내외 경제여건의 급변 및 경제의 글로벌화에 대해 상대적으로 독점지위에 있는 공기업은 다소 비경쟁적이었으며, 따라서 경제의 비효율성을 초래한 경우가 많았다. 그러나 공기업은 국가경제 전체에서 큰 비중을 차지하고 있기 때문에, 공기업의 경영효율성 증진과 국제경쟁력의 강화는 중요한 이슈이다. 그 중요성으로 인해 공공부문의 혁신은 지속적으로 추진되어왔으나, 충분한 준비와 면밀한 검토 없이 진행된 경우가 많아, 그 성과 향상에는 다소 한계가 많았다. 이러한 상황을 반영하여, 본 연구에서는 공기업 성과의 중요한 요인들이 무엇이며, 어떻게 조직혁신을 통해 최종적인 조직성과에 영향을 미치는지를 분석하고자 했다. 즉, 조직혁신이라는 매개변수를 활용하여 선행요인(독립변수)들 - (거래적/변혁적)리더십, (부서간)협력, 정부정책 - 과 조직성과(종속변수) 사이에서 어떻게 성과 향상에 기여하는지도 고찰하고자 했다. 분석 결과를 토대로, 서로 다른 소유형태에 따라 운영된 한국과 중국 공기업 혁신의 영향요인을 비교하고, 그 시사점과 향후 연구방향을 모색하였다. 연구 결과, 리더십, 협력, 정부정책이라는 선행변수가 공기업의 조직혁신과 공기업의 조직성과에 중요한 영향을 미치며, 거래적 리더십을 제외하고 대부분의 선행변수와 조직성과 사이에서 조직혁신이 긍정적 매개역할을 하고 있었다. 또한 특이한 사항으로는, 중국 공기업의 경우 정부정책이 조직혁신에 정(+)의 효과가 나타나지 않았으며, 한국 공기업의 경우 거래적 리더십이 조직혁신에 정(+)의 효과가 나타나지 않았다는 것이다. Most of enterprises have been sought to improve their performances through the organizational innovation in recent knowledge-based and global competition era. Globalization causes the national and international economic conditions changes to a free competitive market system, increasing the competitiveness of private enterprises and producing economic inefficiencies of state-owned enterprises (SOEs) which have monopoly power. The SOEs is regarded as important key players in the national economy, hence the promotion of their management efficiency and strengthening of the competitiveness is a critical issue for the growth. However, most SOEs have failed to attain good performances since they had promoted organizational innovation without adequate preparation and scrutiny. This study analyzed what factors are associated with organizational innovation which may lead to SOEs’ good performances. Results showed that the ‘organizational innovation’ was considered as a mediator in the relationship between precedent variables [ ‘(transformational/transactional) leadership’, ‘(departmental) collaboration’, ‘government policy] and performance. That is, leadership, collaboration and government policy had significant impacts on organizational performance in the public sector, while organizational innovation played mediating roles in the relationship between most precedent variables [ ‘transformational leadership’, ‘(departmental) collaboration’, ‘government policy] and organizational performance. Special points are that government policy don’t have a significant effect on organizational innovation in Chinese SOEs, while transactional leadership don’t affect organizational innovation in Korean SOEs.

직장인의 산림치유 인지 여부가 산림치유 경험과 직무만족도에 미치는 영향

손미옥,김진건,신원섭 한국산림휴양복지학회 2022 한국산림휴양학회지 Vol.26 No.1

본 연구는 산림치유의 직장인들의 산림치유 인지 여부와 산림치유의 이용경험이 직무만족에 어떠한 영향을 주는지를 조사하기 위하여 설계되었다. 충북도 내 직장인 1,500명을 대상으로 설문조사를 수행하였다. 자료의분석결과, 산림치유 인지 여부에 따라 직무 만족의 차이가 있었으며, 산림치유의 경험에 따른 직무만족 역시 차이가 있는 것으로 나타났다. 또한, 직장인들의 산림치유 인지 여부와 산림치유의 경험과는 연관성이 있는 것으로 나타났다. 산림치유에 대한 인지 여부 “예”라고 응답한 직장인이 “아니오”라고 응답한 직장인보다 산림치유 경험이많았으며 직무 만족 역시 높은 것으로 나타났다. 본 연구는 대규모 응답자를 대상으로 자료를 수집함으로서 산림치유의 인지 여부와 경험에 관한 자료를 확보하고 다양한 분석결과를 제시함으로서 산림치유의 확산을 위한 기초자료를 제시하고자 하였다. This study was performed to investigate the relationship among workers’ awareness of forest therapy, their experience of forest therapy, and job satisfaction. To collect the data, 1,500 office workers in Chungbuk Province were surveyed. The results of analysis of the data revealed that office workers’ levels of awareness of forest therapy and experience of forest therapy had a significantly positive relationship with their job satisfaction. The results of this study indicated that the higher office workers’ awareness and experience levels in forest therapy, the higher job satisfaction they had. Those who spent more time in forest therapy activities had more significant job satisfaction level. Using large number of survey participants, this study provide valuable information and insight for spreading forest therapy into the public.

셀프네일에 대한 선호도 조사

김현정,손미옥,박안나 한국인그리에학회 2020 한국인그리에학회지 Vol.2 No.1

As a study on the satisfaction of self-nail treatment services at specialty stores, the experimental method was surveyed by a total of 145 women in their teens and 40s living in the Seoul area, and 25 people who agreed to the survey were selected after explaining the purpose, contents and research procedures of the experiment. The results are as follows: Self-nail treatment is periodic for 2 to 1 month, and the reason for preference for self-nail is the highest in mood swings. Considering that the holding power after self-nail is 2 or 3 weeks, the most appropriate period is considered to be appropriate for 2 to 3 weeks. When receiving self-nail service from an expert, the proper cost is 30,000 to 30,000 won. It was found to be the first priority. In addition, the self-nail's cleanliness and hygiene were not considered seriously, and the self-nail's holding power and completeness were moderate. A small amount was found to be the cause for the self-nail. In this study, self-nail is preferred to be serviced together with basic nail care by experts, and it is considered that there will be demand when introducing a self-nail service program to introduce customers to nail shops.

전국 보건소의 작업치료사 현황과 개선방안에 관한 연구

이경희,김경은,손미옥 대한작업치료학회 2003 대한작업치료학회지 Vol.11 No.2

Objective : This study was conducted as a policy task on the distribution of occupational therapy in community health centers.Method : A questionnaire was sent to 242 community health centers nationwide and (a total of) 135 questionnaires was returned between November 15, 2002 to December 20, 2002. We used frequency analysis and cross analysis for the questionnaires, generated by SPSS for Windows 10.0 version. a statistic analysis program.Results : 1) They do not promote rehabilitation programs for the disabled person significantly in community health centers. 2) Little has been carried out for occupational therapy in the com-munity health centers. The absence of occupational therapist attributes to the lack of knowledge on occupational therapy by outpatients, the lower demand, the lack of budget for hiring occupa-tional therapist, and the lack of understanding on the role of occupational therapist. It also shows that the occupational therapy is currently performed comprehensively by other department. 3) The need for occupational therapists in the community health center was more than one person. Conclusion : The results of this study suggest that appropriate occupational therapy program in the community health center includes the occupational therapy for the disabled person living at home, the occupational therapy for the disabled person in the rehabilitation program in the community health center, and the education on occupational therapy for the disabled person and their families.

한글판 Wolf 운동 기능 검사의 검사자간 및 검사자 내 신뢰도

박창식,박시운,김경미,손미옥,유정헌,장순자,박병규 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.3

Objective: To verify the interrater and intrarater reliability of Korean Wolf Motor Function Test (K-WMFT) for assessing upper extremity function after stroke. Method: Twenty patients with chronic hemiparesis after stroke participated in the study. The Wolf Motor Function Test consists of 15 functional tasks. Performances were timed and rated by functional ability scale. The K-WMFT were administered to the subjects by an occupational therapist. All test sessions were videotaped and scored by 2 physiatrists and another occupational therapist to examine interrater reliability. They were reevaluated at a later time by thesame occupational therapist to examine intrarater reliability. Results: Intraclass correlation coefficient of the performance time of K-WMFT was 0.94 and that of the functional ability scale of K-WMFT was 0.99. Intrarater correlation coefficient of the performance time of K-WMFT was 1.00 and that of the functional ability scale of K-WMFT was 0.97. Conclusion: The interrater and intrarater reliability of K- WMFT were verified. K-WMFT can be used as a reliable tool to measure upper extremity function of the stroke patients in Korea.

낮병원 프로그램이 뇌졸중 재활에 미치는 장기적 효과

최유남,박시운,최선애,손미옥,이형수,정소남,이규범,장순자,김병식 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.1

Objective: Comprehensive poststroke rehabilitation includes continuum of care after discharge from hospital. Day hospital is a milieu-oriented outpatient rehabilitation program that offers continuous rehabilitation service to promote psychosocial adaptation and quality of life. This study is to evaluate long-term effects of day hospital program in stroke patients. Method: Forty-eight stroke patients who received day hospital program for 2 or more months after inpatient rehabilitation program and 42 control stroke patients, who received only inpatient rehabilitation program, responded telephone interview for the study. Outcome measurement included the Korean Activities of Daily Living (K-ADL), the Korean Instrumental Activities of Daily Living (K-IADL) and the Medical Outcome Study 8-item Short Form Survey (SF-8). Results: There was no difference in many item scores of K-ADL between day hospital group and control group, but the item scores of dressing, washing face and hands were significantly higher in control group. Among the item scores of K-IADL, except managing money, most item scores of K-IADL were no significant difference between day hospital group and control group. All item scores of SF-8 were significantly higher in day hospital group than control group. Conclusion: Day hospital is an effective rehabilitation program to enhance health-related quality of life for stroke patients.

한글판 Wolf Motor Function Test의 타당도와 신뢰도에 대한 연구

박창식,박시운,김경미,손미옥,유정헌,장순자,박병규 대한작업치료학회 2004 대한작업치료학회지 Vol.12 No.2

목적 : Wolf Motor Function Test는 상지와 손기능 검사를 위해서 개발된 도구이며 국외에서는 이미 타당도와 신뢰도 연구가 이루어져 널리 쓰이고 있고 이러한 WMFT를 한글화하여 그 타당도와 신뢰도를 검증함으로써 상지 및 손기능 장애의 평가와 재활의 기초선을 마련코자 하였다. 연구방법 : 본 연구의 대상은 뇌졸중 발병 6개월 이상된 성인 편마비 환자로 평균 연령 54.45세의 남자 12명, 여자8명을 대상으로 검사를 실시했으며 이들은 기능성 정신질환이나 기질성 정신질환이 없는 환자이며 오른쪽 마비12명, 왼쪽 마비 8명으로 모든 환자의 우세손은 우측이었다. 본 검사를 위해 1명의 작업치료사와 1명의 재활의학과 전문의에 의해 번역 작업이 완성 되었으며 3년 이상의 임상 경험을 가진 1명의 작업치료사에 의해 밝고 조용한 평가실에서 20명의 뇌졸중 환자를 대상으로 검사를 실시하였다. 타당도 검증을 위해 이미 신뢰성 및 타당도가 입증된 Fugl-Meyer Assessment(FMA)를 이용하였으며 WMFT를 이용해 수행시간과 기능 점수를 평가하였다. 결과 : 한글판 WMFT의 타당도를 평가하기 위하여 FMA와 비교한 결과 수행시간의 Pearson 상관계수는 -0.80, 기능적 점수와의 상관계수는 0.94로 둘 다 유의한 상관관계를 보였다(p<0.001). 한글판 WMFT의 Cronbach’s alpha 계수는 수행시간에서 0.92, 기능적 점수에서 0.96으로 높은 내적 일치도를 보였다. 결론 : 본 연구를 통해 한글판 WMFT의 타당도와 신뢰도가 검증되어 국내 뇌졸중 환자의 재활치료의 효과를 알아 볼 수 있을 뿐만 아니라 재활치료의 효과 측정과 더불어 상지와 손기능 장애의 평가에 유용하게 사용될 수 있을 거라고 생각된다. Objective : To verify the reliability and validity of Korean Wolf Motor Function Test(K-WMFT) for the evaluation of the function of upper extremity. Methods : WMFT was translated into Korean by occupational therapist and physiatrists. Twenty patients with stroke were evaluated through K-WMFT by the occupational therapist. The reevaluation was assessed for the intrapersonal reliability by the same occupational therapist through the recorded videotape. Fugl-Meyer Assessment(FMA) was used to verify the validity of K-WMFT. Results : 1) Pearson’s correlation coefficiency between the performance time of K-WMFT and FMA was -0.80 and coefficiency between the functional ability scale of K-WMFT and FMA was 0.94(p<0.001). 2) Cronbach’s alpha coefficiency of the performance time of K-WMFT was 0.92 and that of the functional ability scale of K-WMFT was 0.96. Conclusion : The reliability and validity of K-WMFT were verified. K-WMFT can be used to evaluate the function of upper extremity for the patients with stroke in Korea.

뇌졸중 환자의 건측 상지 운동 제한 치료 시 중도 탈락과 치료 의욕의 중요성

최수원,김경미,장순자,김형준,김승수,손미옥,오선영,유연환,서지현 대한재활의학회 2008 Annals of Rehabilitation Medicine Vol.32 No.1

Objective: To assess the effect of motivation for treatment and to find out causes of dropping out from treatment in performing the constraint-induced movement therapy (CIMT). Method: Forty six stroke patients were treated with CIMT for 2 weeks. Prior to and after treatment, Fugl-Meyer motor assessment (FMA), Wolf motor function test (WMFT), box and block test (BBT), and 9 hole peg test, motor activity log (MAL) were performed, and for the evaluation of treatment motivation, motivation score (MS) was assessed in 24 patients. Results: After 2 weeks of CIMT treatment, the mean value of FMA increased by 15.1%, WMFT by 19.5%, BBT by 35.8%, the time of 9 hole peg test decreased by 20.2%, and the “How well” sub-score of the increased MAL was 59.6% (p<0.05). Larger improvement of FMA score was observed in patients with high MS (p<0.05). Twelve out of 46 patients were dropped, 5 patients (18.5%) among 27 right side hemiplegic patients and 7 patients (38.9%) of 19 left side hemiplegic patients gave up the treatment in the middle, and the MS score of the quitted patients (35.3 point) was lower than that of patients who did not quit (40.5 point) (p<0.05). Conclusion: After 2 weeks of CIMT treatment, larger improvement of movement capacity was observed in patients with high motivation. Among patients with low treatment motivation and old age, many patients were dropped out during CIMT. Objective: To assess the effect of motivation for treatment and to find out causes of dropping out from treatment in performing the constraint-induced movement therapy (CIMT). Method: Forty six stroke patients were treated with CIMT for 2 weeks. Prior to and after treatment, Fugl-Meyer motor assessment (FMA), Wolf motor function test (WMFT), box and block test (BBT), and 9 hole peg test, motor activity log (MAL) were performed, and for the evaluation of treatment motivation, motivation score (MS) was assessed in 24 patients. Results: After 2 weeks of CIMT treatment, the mean value of FMA increased by 15.1%, WMFT by 19.5%, BBT by 35.8%, the time of 9 hole peg test decreased by 20.2%, and the “How well” sub-score of the increased MAL was 59.6% (p<0.05). Larger improvement of FMA score was observed in patients with high MS (p<0.05). Twelve out of 46 patients were dropped, 5 patients (18.5%) among 27 right side hemiplegic patients and 7 patients (38.9%) of 19 left side hemiplegic patients gave up the treatment in the middle, and the MS score of the quitted patients (35.3 point) was lower than that of patients who did not quit (40.5 point) (p<0.05). Conclusion: After 2 weeks of CIMT treatment, larger improvement of movement capacity was observed in patients with high motivation. Among patients with low treatment motivation and old age, many patients were dropped out during CIMT.