위생동기이론에 기반한 요양보호사의 직무스트레스가 직무만족에 미치는 영향: 소명의식의 매개효과를 중심으로

신영일,이경수 인문사회 21 2019 인문사회 21 Vol.10 No.4

2008년부터 실시된 장기요양서비스는 양적 성장에도 불구하고 질 낮은 서비스 문제가 지속되고 있어 장기요양서비스를 직접 제공하는 요양보호사의 직무만족 요인에 대한 연구가 필요하다. 본 연구는 요양보호사 직무스트레스가 직무만족에 미치는 영향을 검증하고 그 경로에서 소명의식의 매개효과를 분석하였다. 장기요양시설에 종사하는 요양보호사 245명을 대상으로 분석하였으며 다중회귀분석으로 직무스트레스와 직무만족 사이의 영향을 검증하였고 위계적 회귀분석으로 소명의식의 매개효과를 검증하였다. 분석 결과 직무스트레스는 요양보호사 직무만족에 유의한 부(-)의 영향을 미쳤다. 또한 직무스트레스와 직무만족 사이에서 소명의식의 매개효과가 확인되었으며 역할모호와 직무만족 사이에서 소명의식의 완전매개효과가 나타났다. 이를 바탕으로 직무만족 향상을 위한 직무스트레스 관리방안을 제안하였고, 소명의식을 체계적으로 높이기 위하여 요양보호사 양성 프로그램 및 장기요양기관에서 요양보호사를 대상으로 소명의식을 교육하는 방안을 제안하였다. Despite the quantitative growth, the long-term care services that have been implemented since 2008 continue to have low quality service problems, so it is necessary to study the job satisfaction factors of caregivers who provide long-term care services directly. The purpose of this study is to analyze the effect of job stress of caregivers on job satisfaction and to verify the mediating effect of vocation consciousness in the path. 245 care workers in long-term care facilities were analyzed. Multiple regression analysis was used to examine the effects of job stress and job satisfaction, and hierarchical regression analysis was used to verify mediating effects of vocation awareness. As a result, job stress had a significant negative effect on job satisfaction. The mediating effect of vocation consciousness was found between job stress and job satisfaction, and the full mediation effect of vocation consciousness was found between role ambiguity and job satisfaction. Based on this, we suggested a job stress management plan to improve job satisfaction and suggested ways to educate vocation consciousness in the caregivers training program and long-term care institution to systematically raise vocation consciousness.

마을공동체사업 활동가의 참여동기가 삶의 만족에 미치는 영향: 자아존중감의 매개효과

신영일,선남이,정용충 인문사회 21 2022 인문사회 21 Vol.13 No.5

마을공동체사업 활동가의 참여동기가 삶의 만족에 미치는 영향:자아존중감의 매개효과신 영 일*ㆍ선 남 이**ㆍ정 용 충*** 연구 목적: 본 연구는 최근 활발하게 진행되는 마을공동체사업 활동가의 참여동기가 삶의 만족에 미치는 영향을 분석하고 그 경로에서 자아존중감의 매개효과를 밝히는 것을 목적으로 하였다. 연구 방법: 경기도 및 산하 지방자치단체에서 마을공동체사업을 수행 중인 221명의 활동가를 설문하였고, 참여동기가 삶의 만족의 영향관계 및 자아존중감의 매개효과는 위계적 회귀분석으로 검증하였으며, 매개효과의 유의성은 IBM Macro Ver. 4.1로 검증하였다. 연구 내용: 참여동기는 삶의 만족에 정의 영향을 미쳤으며, 그 영향 관계에서 자아존중감은 매개효과를 갖는 것으로 확인되었다. 결론 및 제언: 활동가의 삶의 만족을 위해 참여동기를 고려하여 사업단을 구성하고 자아존중감을 증진시키는 방안의 제시하였다. 핵심어: 마을공동체사업, 참여동기, 삶의 만족, 마을만들기, 자아존중감 □ 접수일: 2022년 9월 21일, 수정일: 2022년 10월 1일, 게재확정일: 2022년 10월 20일* 주저자, 한국보건복지인재원 교수(First Author, Professor, KOHI for Health and Welfare, Email: mylife1317@daum.net)** 공동저자 1, 경기대학교 행정복지상담대학원 겸임교수(Co-author 1, Adjunct Professor, Kyunggi Univ., Email: snamyee@naver.com)*** 공동저자 2, 한국열린사이버대학교 교수(Co-author 2, Professor, Open Cyber Univ. of Korea, Email: jujube0424@naver.com) The Effect of Participation Motivation of Village Community Project Activists on Life Satisfaction:Mediating Effect of Self-esteemYoungil Shin, Namyee Seon, & Yongchung Jung Abstract: The purpose of this study is to analyze the influence of recent active participation motives of village community project activists on life satisfaction, and to reveal the mediating effect of self-esteem in the path. We surveyed 221 activists who are carrying out village community projects in Gyeonggi-do, and the mediating effect of the relationship of motivation to life satisfaction and self-esteem was verified by hierarchical regression analysis. The significance of the mediating effect was verified using IBM Macro V4.1. Participation motivation had a positive effect on life satisfaction, and it was confirmed that self-esteem had a mediating effect in the relationship. For the satisfaction of the life of the activists, a way to form a community by considering the motivation for participation and to promote self-esteem was suggested. Key Words: Village Community Project, Participation Motivation, Life Satisfaction, Village Making, Self-esteem

골반압박벨트가 뇌졸중 환자에서 보행속도, 분속 수, 보장, 활보장, 및 동적 균형에 미치는 영향

신영일,김진영,이호종,Shin, Young-il,Kim, Jin-young,Lee, Ho-jong 대한정형도수물리치료학회 2019 대한정형도수물리치료학회지 Vol.25 No.1

Background: The purpose of this study was to determine the effects of a pelvic compression belt on gait abilities and balance in subacute stroke patients. Methods: Twenty two patients with subacute were recruited and randomly assigned into two group: Two group offered conventional physical therapy and occupational therapy for five day. The group was composed of twelve patients. Participants in the experimental group were given the pelvic compression belt and conventional physical therapy, conventional occupational therapy, although conventional physical therapy and occupational therapy provided in the subjects in the control group. To assess the gait ability, the GAITRITE system was used and the Balance system SD was used to test balance. All measurements were performed before and after intervention. Results: The experimental group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05) and show significant increase in the dynamic standing balance (p<.05). However, control group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05), but shows no significant differences in dynamic standing balance. Furthermore, there were significant differences gait velocity, dynamic standing balance between two groups (p<.05). Conclusions: The results demonstrated that the elastic pelvic belt application is effective to improve gait velocity, dynamic balance in the subacute stroke patients. Thus, the elastic pelvic belt is seemed to be one of the potential methods to facilitate the active rehabilitation program for hemiplegia patients.

골반압박벨트를 착용한 상태에서의 도수치료가 슬관절 전치환술 환자의 고관절 외전근과 균형에 미치는 영향

신영일,김태원,전재국,Shin, Young-il,Kim, Tae-won,Jeon, Jae-guk 대한정형도수물리치료학회 2018 대한정형도수물리치료학회지 Vol.24 No.1

Background: The purpose of this study is to investigate that effect of manual therapy using pelvic compression belt on hip abductor strength and balance ability in total knee replacement (TKR) patients. Methods: The subjects consisted of twenty two post-TKR patients. Participants were randomly assigned to a pelvic belt group (n=11) and a placebo group (n=11). All participants underwent manual therapy including range of motion exercise, soft tissue mobilization around knee joint, strengthening exercise (Quad set, SLR, sidelying hip abduction, standing hamstring curls, sitting knee extension, step-up, wall slide to $45^{\circ}$ knee flexion). Manual therapy was executed five times a week for 2 weeks. Outcome measures included hip abductor strength by using Biodex system 4 pro, anterior to posterior balance, medial to lateral balance, total balance by using Biodex balance system SD. Results: After the completion of the manual therapy, hip abductor strength was showed statistically significant improvements in pelvic belt group (p<.05). Anterior to posterior balance, medial to lateral balance, total balance were showed statistically significant improvements in pelvic belt group and placebo group (p<.05). There was a statistically significant difference between the two groups in hip abductor strength and there was no statistically significant difference in balance. Conclusions: This results suggest that manual therapy using pelvic compression belt has could be used for selective muscle activation of the hip abductor muscle and has useful in hip abductor strength and balance ability in TKR patients.

취업한 발달장애인의 장애수용이 대인관계에 미치는 영향 : 자아존중감과 사회활동참여의 매개효과

신영일 한국국제문화교류학회 2022 문화교류와 다문화교육 Vol.11 No.4

This study verified the mediating effect of self-esteem and social activity participation in the path of disability acceptance and interpersonal relationships of employed persons with developmental disabilities. The data were analyzed by sampling the data of those with developmental disabilities who were employed from among the results of the second wave of PSED conducted in 2020. Hierarchical regression analysis for verification of direct effects and mediating effects was analyzed with SPSS V26, and the significance of mediating effects was verified with SPSS Process Macro Ver. 4.1. As a result of the analysis, acceptance of disabilities had an effect on interpersonal relationships, and self-esteem and participation in social activities had a partial mediating effect. Based on this, we proposed a practical way to improve interpersonal relationships by utilizing disability acceptance, self-esteem, and participation in social activities of employed people with developmental disabilities, and also proposed a plan to utilize the ICT platform that emerged after COVID-19. 자립생활로 장애인복지 패러다임이 전환되면서 장애인의 취업활동과 지역사회 활동에 대한 관심이 증가하고 있다. 하지만 발달장애인은 사회적 상호작용의 취약성으로인해 고용 및 고용유지에 필요한 대인관계에 어려움을 경험하고 있다. 본 연구는 취업한 발달장애인의 장애수용과 대인관계의 경로에서 자아존중감과 사회활동참여의 매개효과를 검증하였다. 자료는 2020년 실시한 장애인고용패널조사(PSED) 2차 웨이브 5 차 조사결과 중에서 취업한 발달장애인 자료를 표본으로 추출하여 분석하였다. 기술통계, 직접효과, 매개효과 검증 위한 위계적 회귀분석은 SPSS V26으로 분석하였고, 매개효과 유의성 검증은 SPSS Process Macro Ver. 4.1로 검증하였다. 분석 결과 장애수용은 대인관계에 영향을 미쳤고, 자아존중감과 사회활동참여는 부분매개효과가 나타났다. 이를 근거로 취업한 발달장애인의 일상생활과 사회활동에서 수행할 대인관계를 향상시키기 위하여 발달장애인의 자아존중감, 사회활동참여, 장애수용을 활용하여 실천적 방안을 제안하였다. 본 연구는 장애수용 단계에서 가장 성숙한 단계인 취업상태에있는 장애인을 대상으로, 자아존중감과 사회활동참여 수준이 대인관계에 미치는 영향을 연구했다는 점에서 의의가 있다.

고령장애인의 사회활동참여가 생활만족도에 미치는 영향 : 건강상태, 자아존중감, 대인관계의 매개효과

신영일 한국국제문화교류학회 2022 문화교류와 다문화교육 Vol.11 No.5

Elderly disabled people have high interest and desire for life satisfaction as they face the double risk of long-lasting disability and old age. Based on the disability paradox theory, this study verified the mediating effects of health status, self-esteem, and interpersonal relationships in the path that elderly disabled people's participation in social activities affects their life satisfaction. For the data, 1,713 people with disabilities aged 50 or older were sampled from the 5th wave of the 2nd wave of the 2020 Disabled Employment Panel Survey. The direct and mediating effects of the main variables were verified by hierarchical regression analysis using SPSS V26, and the significance of the mediating effects was verified by SPSS Process Macro Ver. 4.1.. As a result of the analysis, participation in social activities had a positive effect on life satisfaction, and health status, self-esteem, and interpersonal relationships had a partial mediating effect. Based on the results of the study, institutional and practical ways to expand participation in social activities to improve life satisfaction of the elderly with disabilities were suggested, and a plan to participate in social activities in the cyber-physical space using the ICT platform was suggested 고령장애인은 오랫동안 지속되는 장애와 고령의 이중위험에 직면하는 생애주기에속하여 생활만족도에 대한 관심과 욕구가 매우 높다. 본 연구는 장애역설이론에 근거하여 고령장애인의 사회활동참여가 생활만족도에 영향을 미치는 경로에서 건강상태, 자아존중감, 대인관계의 매개효과를 검증하였다. 분석 자료는 2020년 장애인고용패널조사 2차 웨이브 5차 조사 중에서 50세 이상의 고령장애인 1,713명을 표본으로 추출하였다. 주요변인의 직접효과와 매개효과는 SPSS V26을 이용한 위계적 회귀분석으로 검증하였고, 매개효과 유의성은 SPSS Process Macro Ver. 4.1로 검증하였다. 분석 결과사회활동참여는 생활만족도에 정적 영향을 미쳤고, 건강상태, 자아존중감, 대인관계는부분매개효과가 나타났다. 연구 결과를 근거로 고령장애인의 생활만족도 향상을 위하여 사회활동참여의 기회를 확대하는 실천적, 제도적 방안을 제시하였고 ICT 플랫폼을활용한 사이버-물리공간에서의 사회활동참여 방안을 제언하였다. 본 연구는 고령장애인의 사회활동참여가 건강상태, 자아존중감, 대인관계에 대한 반응전환을 거쳐서 고령장애인의 생활만족도를 향상시키는 과정을 체계적으로 실증한 연구로 그 의의를 갖는다.

향약집성방(鄕藥集成方)에 나타난 삼화자향약방(三和子鄕藥方) 조문(條文)의 연원(淵源)에 대한 연구

신영일,Sheen Yeong-il 대한한의학방제학회 1997 大韓韓醫學方劑學會誌 Vol.5 No.1

Samhwaja-hyangyakbang has been known as the book of herbalogy published by the man, Samhwaja. But there are no records about the additor, and the absence of the document, it is so difficult to be informed about the time when it published and other details. But in this document and Hyangyakgugeubbang, there are similar prescriptions to Sublingual Inflammation, Aphtose, Anthrax, Furoncle, Ulcer, Dysentery, etc. So the time it published is estimated to Goryo-dynasty Gojong epoch(1232-1251) when the Hyangyakgugeubbang was published. In addition, this document seems to be basis of Hyangyakjipseongbang, Because, Hyangyakjipseongbang quoted more than 140 provisions from this document. Prescriptions that are different from other books in dosage or taking method, took those of Biyebaekyobang. In explanation or classification of disease, this document almost copied those of Biyebaekyobang, so this document take Biyebaekyobang for origin and take Sikeuisimkam, Taepyungseonghyebang, etc, for reference.

Clinical Feasibility of Wearable Robot Orthosis on Gait and Balance Ability for Stroke Rehabilitation: A Case Study

신영일,양성화,김진영 대한물리치료학회 2015 대한물리치료학회지 Vol.27 No.2

Purpose: The emphasis on gait rehabilitation after stroke depends on training support through the lower limbs, balance of body mass over the changing base of support. However, muscle weakness, lack of control of lower limb, and poor balance can interfere with training after stroke. For this case study report, a wearable robot orthosis was applied to stroke patients in order to verify its actual applicability on balance and gait ability in the clinical field. Methods: Two stroke patients participated in the training using the wearable robot orthosis. Wearable robot orthosis provides patientinitiated active assistance contraction during training. Training includes weight shift training, standing up and sitting down, ground walking, and stair up and down Training was applied a total of 20 times, five times a week for 4 weeks, for 30 minutes a day. Gait ability was determined by Stance phase symmetry profile, Swing phase symmetry profile, and velocity using the GAITRite system. Balance ability was measured using the Biodex balance system. Results: Subjects 1, 2 showed improved gait and balance ability with mean individual improvement of 72.4% for velocity, 19.4% for stance phase symmetry profile, 9.6% for swing phase symmetry profile, and 13.6% for balance ability. Conclusion: Training utilizing a wearable robot orthosis can be useful for improvement of the gait and balance ability of stroke patients.

《鄕藥救急方》에 關한 醫史學的 考察

申榮日,朴贊國 대한한의학원전학회 1991 대한한의학원전학회지 Vol.5 No.-

경쟁가치모형에 근거한 보육교사의 감정노동과 소진의 상호작용효과가 이직의도에 미치는 영향

신영일 한국융합학회 2018 한국융합학회논문지 Vol.9 No.6

본 연구는 경영학의 경쟁가치모형을 보육직무에 적용하여 교사의 감정노동과 이직의도의 영향관계에서 소진의 조 절효과를 융합적으로 연구하였다. 이를 위하여 어린이집에 종사하는 보육교사 296명을 대상으로 설문하였으며, 자료 분석은 SPSS V22.0 프로그램을 사용하여 평균중심화 기법을 적용한 조절회귀분석을 실시하였다. 연구 결과를 요약하면 첫째, 표면 감정노동은 이직의도에 유의한 영향을 미쳤고 내면감정노동은 이직의도에 영향을 미치지 않았다. 둘째, 이직의도에 가장 크게 영향을 미치는 요인은 소진으로 확인되었다. 셋째, 소진과 내면감정노동의 상호작용효과는 이직의도에 유의한 조절효 과를 갖는 것으로 나타났다. 이 결과를 바탕으로 보육교사의 이직의도를 관리하기 위하여 보육교사의 소진을 완화시키는 정책적 방안을 제시하였고, 보육현장에서 교사소진과 내면감정노동의 상호작용효과를 활용하여 이직의도를 관리하는 제도 적ㆍ실천적 방안을 제시하였다. The purpose of this study is to investigate the moderating effect of burnout on the relationship between emotional labor and turnover intention of nursery teachers. For this study, 296 teachers in nursery centers were surveyed. The data were analyzed by moderated regression analysis using SPSS V22.0 program using mean centering method. The results of the study are as follows. First, expressive emotional labor affects turnover intention and internal emotional labor did not affect turnover intention. Second, the factors that have the greatest influence on turnover intention were identified as burnout. Third, the interaction effect between burnout and deep emotional labor showed a similar moderation effect on turnover intention. Based on these results, the policy and practical measures to alleviate the burnout of the nursery teachers were suggested, and the ways of managing turnover intention by utilizing the interaction effect of the teacher burnout and deep emotional labor were suggested.