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Objectives : The aim of this study was to determine the relationship between the core properties of professional socialization and social status satisfaction, economic reward satisfaction, and subjective class identification. Methods : Medical knowledge and skill, autonomy, and professional value factors were used as essential properties of professional socialization to determine the association with job satisfaction and subjective class identification. The authors used a self-administered questionnaire survey and collected nationwide data between July and August 2003, with 211 responses used for final analysis. Results : 'Age' and 'trust and respect' were positively associated with social status satisfaction, and 'occupation' was negatively associated. 'Income' and 'trust and respect' were positively related to economic reward satisfaction, and 'practicing for oneself', and 'a sense of duty and attendance' were negatively related. 'Practicing for oneself', 'not believing explanations', and 'a sense of duty and attendance' had a positive relationship with subjective class identification. 'Income', 'knowledge system', 'medical mistakes', 'treating like goods', 'meaning and joy', and 'trust and respect' had a negative relationship. Conclusions : The core property variables of professional socialization had a different relationship with social status satisfaction, economic reward satisfaction and subjective class identification. In particular, many core property variables were associated with subjective class identification positively or negatively. The development of professional socialization would help promote job satisfaction and subjective class identification.
'스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.
Purpose: Delivering bad news is a task that occurs in most medical practices, rendering communication skills essential to competent patient care. The purpose of this study was to identify factors that are associated with scores on an assessment of medical students' communication skills in delivering bad news to help develop more effective curricula to enhance these essential skills. Methods: One hundred fifty-four fourth-year medical students at Pusan National University were included. Skills for delivering bad news were assessed using the SPIKES protocol in the CPX. The students were categorized into three main groups according to total scores: ‘Exceeds expectations(E)’, ‘Meets expectations(M)’, and ‘Needs development(N)’. Personal experiences with misfortune and attitudes toward breaking bad news were surveyed, and school records were collected. The differences between the E and N groups were analyzed based on performance test and survey. Results: Compared with students in the N group, E group students acquired significantlyhigher scores on the items of Perception, Invitation, a division of Knowledge, Empathy and Strategy, and Summary but not on Setting and a part of Knowledge. E group students had better records in classes and clerkships. There were no differences in personal experiences and attitudes toward breaking bad news between the groups. Conclusion: Personal experience with delivering bad news does not guarantee better communication, and attitudes toward this task do not influence student performance. We expect that deliberate educational programs will have a positive impact on improving communication skills for delivering bad news.
본 연구는 한국인 암 환자 780명이 이용하는 자연치유요법의 종류와 그들의 자연치유요법이 스트레스와 불안감 에 미치는 것에 대한 연구하는 것이었다. 본 연구를 위해 2012년을 기준으로 경기도 및 전남에 소재한 5개의 암 전문요 양병원과 전국 각 시·도 지역의 보건소에서 관리하는 암 환자 중, 동 조사연구의 취지에 동의한 총 780명을 대상으로 설문조사 하였다. 연구대상인 암 환자의 암 종 및 자연치유요법 이용행태와 요양형태(요양병원, 가정요양)는 SPSS Window 12. 0 version을 이용하여 통계 처리하였다. 첫째, 연구대상자 780명 중 여성이 65. 6%, 남성이 34. 4%이었다. 연령대는 50 대가 33. 5%로 가장 많았다. 결혼 상태는 기혼자 73. 5%, 고졸 33. 2%이었다. 직업의 종류는 주부 29. 7%, 전문직 19. 5% 순이었다. 둘째, 자연치유요법의 전체 이용 빈도는 94. 9%로 대부분이 자연치유요법을 이용하고 있는 것으로 나타났다. 요양 형태별로는 요양병원 암 환자의 경우 음악요법, 댄스요법, 심령치료, 미술요법, 웃음치료, 요가요법, 기공/국선도, 향기요법, 뜸 요법, 광선요법, 적외선 치료, 기타 신체접촉 및 수기치료, 오메가 등 기능식품, 효소요법, 멜라토닌, 겨우살이, 셀라늄, 육향차의 이용이 가정요양 환자보다 유의성이 높은 것으로 나타났다. 한편 가정요양 환자의 경우 소나무 껍질, 부항요법, 기타 몸·정신·심리요법, 기타 약초 등 무기질 요법의 이용 빈도가 요양병원 환자보다 유의성이 높은 것으로 나타났다. 셋째,암 환자의 사회심리학적 스트레스 검사에 응답한 암 환자 377명 중 55. 2%가 ‘잠재적 스트레스군’으로 나타났고, 39. 8%는 ‘중증 스트레스군’으로 나타났다. 암환자들은 불안감이 62점 이상으로 높게 나타났으며 자연요법 후에 약간 감소되었다. 이상의 연구결과를 통해 대부분의 암 환자는 다양한 자연치유요법을 이용하였고 효과가 있었으며, 이용환자의 과반수가 생존기간 연장에 도움이 된다는 인식을 가지고 있었다는 점을 알 수 있다. 따라서 자연치유요법과 보완대체의학을 체계적으로 관리하기 위해 암 환자의 치유에 활용하는 정책이나 연구를 하는것이 중요하다고 판단한다. The objective of this study was to understand the various types of natural healing therapy undertaken at home and convalescent hospitals by 780 cancer patients in Korea and their influence on the stress and anxiety. We`ve conducted surveys on total 780 cancer patients who gave consent to the purpose of this study out of those in the registry of cancer convalescent hospitals and public health centers located all over the country the in 2012. Data was statistically analyzed by SPSS Window 12.0 version. First, 65.6% was female and 34.4% was male out of total 780 subjects who were mostly in their 50s by 33.5%. 73.5% of them was married and 33.2% was high school graduate. 29.7% of them was housewife and 19.5% was professional. Second, 94.9% of the subjects has answered that they are using natural healing therapies which is the most of the cancer patients. Patients in the convalescent hospitals are using music therapy, dance, therapy, psychic healing, art therapy, laughter therapy, yoga, gigong/gukseondo, aroma therapy, moxibustion therapy, radiation therapy, infrared therapy, other physical/manipulation therapy, functional food such as omega-3 fatty acids, enzyme therapy, melatonin, mistletoe, selenium, and six-aroma tea more than those at home with statistical significance. On the other hand, home patients are using pine bark, cupping treatment, other physical/mental/psychological therapy, mineral therapy such as herbs more than those in the convalescent hospitals with statistical significance. Third, 55.2% of 377 cancer patients who answered the social psychological stress test were ‘potential stress group’ and 39.8% was ‘moder-ate stress group’. Most of the cancer patients had high level of anxiety with the score over 62 which was slightly reduced after natural healing therapy. Based on the results above, we could understand that most of the cancer patients are using various natural healing the rapy with effectiveness and the majority of them had recognition that they are helpful to xtend the survival time. Therefore, it is considered to be important to have more strategies or studies to use natural healing therapy and alternative medicines actively in the treatment of cancer patients for the systemic management of them.