응급간호서비스에 대한 환자와 의사 및 간호사 만족도

김선남 경북대학교 일반대학원 2007 국내석사

This study is intended to examine how much emergency patients', doctors', and nurses' are satisfied with the emergency nursing service provided by the emergency medical center of the region. The subjects of this study were composed of 101 patients who took advantage of the medical service provided by the emergency center of the F Hospital located in D city from September 12 to 30, 2006, 49 doctors and 56 nurses who worked in the center. The research tool used here was Jeong Hasuk's translation of Davis's CECSS (Consumer Emergency Care Satisfaction Scale) which was developed by Davis to measure patients' satisfaction with nursing care service provided by the emergency medical center. The data collected were analyzed by using SPSSWIN Version 11.5, to calculate the frequency, the percentage, the means, and the standard deviation, which were analyzed through t-test, and ANOVA. The results obtained are as follows. · The score of the emergency patients' satisfaction with nursing service was 3.37, that of the doctors' was 3.24, and that of the nurses' was 3.43. The score of the nurses' was the highest, followed by that of the patients' and the doctors', but there was no statistically significant difference among them. · In terms of the patients, they were most satisfied with the item that 'Nurses were adept at their nursing care', recording the score of 3.76, while they were least satisfied with the item that 'Nurses informed them what will happen to them at home', recording the score of 2.74. · In terms of the doctors, they were most satisfied with the item that 'Nurses are adept at their nursing care', recording the score of 3.80, while they were least satisfied with the item that 'Nurses are unkind', recording the score of 2.27. · In terms of nurses, they were most satisfied with the item that 'I am adept at nursing care', and that 'I know well what treatment patients need', recording the score of 3.84, while they were least satisfied with the item that 'I am very unkind', recording the score of 2.71. In conclusion, the nurses' satisfaction with nursing care service was greater than that of the patients and the doctors at the emergency center. Based on this result, it is necessary to improve the professional techniques and the quality of nursing care in order to provide more satisfactory service for patients-beneficiaries for medical service, and doctors. And also nursing service based on the improved techniques and quality should be applied to nursing practice.

한국인에서 제2형 당뇨병 발생 위험과 Kir6.2 및 PPARγ 유전자 다형성의 연관성

이정은 경북대학교 일반대학원 2007 국내석사

배경 : 인슐린 작용 및 분비에는 많은 유전자들이 관여하므로, 제 2형 당뇨병 발병에는 이러한 유전자의 변화가 관여할 것으로 생각된다. Kir6.2는 포타슘 채널(KATP)의 구성단위이며, 포타슘 채널의 유전변이는 베타세포의 전기적 활성도 및 포도당 항상성을 변화시켜 제 2형 당뇨병을 일으키는 데 관여하는 것으로 알려져 있다. PPARγ는 여러 호르몬에 대한 핵수용체군의 하나로서, 지방세포의 분화 및 포도당 항상성에 관여한다. 따라서 본 연구는 Kir6.2와 PPARγ 유전자 다형성이 제 2형 당뇨병 발병에 미치는 영향을 알아보고자 하였다. 방법 : 대구경북대학교 병원, 대구계명대학교 병원 및 대구카톨릭대학교 병원을 방문한 제 2형 당뇨병 환자 군 172명 및 대조 군 166명을 대상으로 하였다. Kir6.2(Glu23Lys)와 PPARγ(Pro12Ala)의 유전자 다형성이 제 2형 당뇨병 환자 군 172명과 대조 군 166명에서 관련성이 있는지 알아보았다. 결과 : Kir6.2 Glu23Lys (p=0.703, odds ratio=0.684)와 PPARγ Pro12Ala (p=0.153, odds ratio=2.174) 유전자 다형성은 제 2형 당뇨병 군과 대조 군에서 유의한 차이를 보이지 않았다. 또한 Kir6.2와 PPARγ 유전자 상호작용도 유의한 영향을 보이지 않았다(p=0.679, odds ratio=0.995). 결론 : 본 연구에서는 Kir6.2와 PPARγ 유전자 다형성은 제 2형 당뇨병과 연관성을 보이지 않았지만, 좀 더 확실한 결과를 얻기 위하여서는 타지방의 환자를 포함한 대규모의 한국인 환자를 대상으로 이러한 유전자 다형성이 제 2형 당뇨병 발병에 영향을 미치는 지에 대한 연구가 시행되어야 할 것이다. Backgroud : The type 2 diabetes is a typical polygenic disease complex, for which several common risk alleles have been identified. In this study, we evaluated the association of Pro12Ala variant of the peroxisome proliferator-activated receptor-γ and the Glu23Lys variant of the ATP-sensitive potassium channel, Kir6.2 (KCNJ11) with the type 2 diabetes in Korean population. These variants may contribute significantly to the risk of type 2 diabetes conferring insulin resistance of liver, muscle and fat (Pro12Ala) and a relative insulin secretory deficiency (Glu23Lys). Method : This study included 338 subjects consisting of 172 patients with type 2 diabetes and 166 non-diabetic control subjects enrolled from the Kyungpook, Keimyung and Catholic university hospital in Daegu, Korea. We genotyped Kir6.2 (Glu23Lys) and PPARγ (Pro12Ala) polymorphism and examined their association with the clinical phenotypes found in 172 patients with type 2 diabetes and 166 non-diabetic control subjects. Result : In the separate analyses, the Kir6.2 Glu23Lys (p=0.703, odds ratio=0.684) and the PPARγ Pro12Ala (p=0.153, odds ratio=2.174) polymorphism showed no significant association with type 2 diabetes. In addition, the results of our study showed no evidence of a synergistic interaction between Kir6.2 and PPARγ gene (p=0.679, odds ratio=0.995). Conclusion : In this study, no association was seen between the genetic polymorphisms of Kir6.2, PPARγ and type 2 diabetes. However, to clarify whether genetic polymorphisms of these genes contribute to the development of type 2 diabetes, further studies involving larger Korean populations may be needed.

Stochastic precipitation generator using modified hybrid gamma with GP distribution : 감마분포와 일반화파레토분포의 완화된 복합분포를 활용한 확률화 강우 생성기

진향곤 경북대학교 일반대학원 2019 국내석사

(초 록) 확률화 강우생성기는 수문학, 생태학, 농업 등 다양한 분야에서 가상의 일일 강우를 생성하기 위해 활용되고 있는 방법이다. 또한, 확률화 강우생성기를 생성하는 방법 중 하나로 일반화선형모형(GLM)을 사용한 방법이 있다. 하지만 일반적으로 확률화 강우생성기는 과분산(Overdispersion) 문제를 가진다. 이 논문에서는 감마분포와 일반화파레토분포의 완화된 복합분포를 활용해 기존 GLM 강우생성기가 가지고 있던 과분산 문제를 해결하고, 여름철 충분한 강우량이 생성되지 못하던 문제를 해결하고자 하였다. 시뮬레이션 결과를 통해 1961년부터 2011년까지, 51년의 서울지역 강우자료가 가지는 특성들을 기존 GLM 강우생성기와 제안된 강우생성기의 결과 비교를 통해 확인해보았으며, 이를 통해 과분산문제를 해결하고 충분한 양의 여름철 강우를 생성하였다.

괴테의 소설 『빌헬름 마이스터』중 미뇽의 노래 “Nur wer die Sehnsucht kennt”에 의한 슈베르트, 슈만, 차이코프스키의 가곡 비교ㆍ분석 연구

황성아 경북대학교 일반대학원 2007 국내석사

This paper wishes to compare and analyzes song of Franz peter Schubert(1797-1828), Robert Schumann(1810-1856) and Pitorilych Tchaikovsky(1840-1893) by Mignon's song "Nur wer die Sehnsucht kennt" that come out among novel「Wilhelm Meister」 of Goethe and see typical image of Lied. These Lieds had same material. but, there are a following common and difference with works consisted of each peculiar method. First, these songs are taking other form gradually although had same text. Schubert is Ternary form, Schumann is taking Binary form that Strophic lied and Tchaikovsky is taking Binary form. Second, Schubert and Schumann progressed mainly in order in melody of each musics, but Tchaikovsky is often appearing skip of melody. And Schubert agrees stress with accent with text's sound rate. This is form that is full to text. Schumann upsets sound rate of text stress of music. This expresses trial about love which Mignon and Wilhelm estrange. Finally, Tchaikovsky did the sound rate actively by melody of syllabic. and caused tense feeling to dynamic theme. Have equal text. But, with each other theme, is doing other progress. This is that emphasize music differ. Third, each musics present important rhythm on forehead of music. Then, appear on the whole because is changes this rhythm and reduces and expandsed. Schubert reduces rhythm and made dramatic atmosphere. In contrary, Schumann does it so that may expand rhythm and made summit of music. But, Tchaikovsky enlarges spring of interval and made climax instead of these method. Fourth, Schubert's lied is music that produce silent and pitiful atmosphere because there are a lot of order progresses on the whole. Schumann's lied is sensitive atmosphere because have lyric melody. Finally, Tchaikovsky's lied subject melody continuation repeat because is linked be apt to be monotonous but is displaying passionate page of music that is dynamic and abundant liquor taken at meal time. Is composed variously according to analysis about poem of composers and musical sensibility even if compose with such equal text. Therefore, should be sincere before play music and approaches on music concretely.

자연휴양림 숙박시설 만족도 모형연구 : 대구, 경북지역을 중심으로

강기래 경북대학교 일반대학원 2007 국내석사

A good deal of changes has been brought in the whole life according to the elevation of the level of income, which is accompanied by rapid development of domestic economy, and the transition toward high industrial society by technology innovation. The most outstanding change seems to be seen in the perception of leisure to look for comforting time and mind and in leisure activities. The meaning of leisure is on the transition from the concept of time dimension excepting labor hour and required time for life to the concept of mental, physical, psychological dimension searching for leading a life worthy of human. The types of leisure would be diversified and the leisure activities would be popularized by the spare time lengthened in accordance with the introduction the five-work-day-a-week which has been in operation since 2004. The operation of five-work-day-a-week would give rise to change in the way of thinking from job oriented to family and self-development oriented as well as in the pattern of life. Due to the elevation of national economy and the 80.8% progress of citification 2005 present (National Statistical Office, 2006), human desire of return to forest and public interest in rest have beenincreasing. As forest has been most highlighted as the place to meet the demand on rest, the importance of the space of forest rest complex has been increasing, too. Thus, the Office of Forest made 117 recreation forests reaching about 134,295ha at the end of 2005 present starting from Yu-myong mountain recreation forest in 1988. As building recreation forests was been mainly by supplier-centered not by user-centered, the change in quality has less improved compared with expansion in quantity, however. Recreation forests were made without any individualities on the basis of design standard although they have differences noy only in geographical, environmental characteristics also in user's characteristics. As the pattern of leisure has been changed into visit-and- stay travel and time spending on self-development according to the operation of five-work-day-a-week, the need on forest rest space of recreation forests has been rising. Accommodations are necessary condition for stay-travel and main facilities in recreation forests at the same time. Also they take the largest rate of income and affects mainly to user's satisfaction. Change toward qualitative efficiency for user-centered is not much compared with quantitative expansion of supplier-centered. The purpose of this study is to make content model expression to maximize user's satisfaction basing on research after the level and factors of user's satisfaction with the accomodations. Four recreation forests located in the suburbs of Daegu and Gyongsangbuk-do and visitors using accommodation facilities of them were selected for the survey. The content model would be presented as basic materials to improve the facilities and services recently emerging problems of recreation forests so that this model would contribute users to offering higher level of rest. Recreation forests are well equipped with various facilities to keep up with increasing demands on relaxation in forests that they are providing users with intensive and comfortable rest. Accommodations are core facilities of them, taking 80% of benefit and affecting user's satisfaction much more than any other facilities do. This study has come to conclusion resulting from the research after the content model of four recreation forests in the suburbs of Daegu and Gyongsangbuk-do. First, in the recreation forest accommodation usage pattern in terms of population statistics, usage with families, relatives, friends for one night-two days in summer is most frequent and most preferred duration for desirable relaxation is one night-two days or two nights-three days. In expenses, ￦100,000~200,000 is spent most and is thought to be as usual when it comes to burden. Secondly, in the differences of visiting motives to recreation forests, there is no particular difference in visiting for relaxation and rest, for which recreation forests were built up. In terms of resource and location, however, there is some meaningful differences. This means each recreation forest has to be converted to individual recreation forests which have characteristics along with geographical and environmental resources. Thirdly, in choosing accommodations, the item of tidiness and space for joining others takes higher position than that of quietness and conveniences. This means that because the most frequent usage is visit with family, relatives and friends, visitors need some space to communicate and get along with each other apart from room for sleeping. The item of tidiness indicates to systematize maintaining and administrating the facilities. Fourthly, Six factors deciding the level of satisfaction are extracted, classified and named according to the characteristics of them: factor 1 (outer recreation factor), factor 2 (inner recreationfactor), factor 3 (indoor space satisfaction factor), factor 4 (time satisfaction factor), factor 5 (activity satisfaction factor), and factor 6 (non-activity satisfaction factor) Fifthly, the content model expression affecting the level of satisfaction with accommodations in recreation forests is like this: Y = 3.588 + 0.307X1 + 0.264X2 + 0.202X3 + 0.143X4 + 0.116X5 Y = total level of satisfaction X1=inner recreation factor X2=indoor space satisfaction factor X3=outer recreation factor X4= time satisfaction factor X5=activity satisfaction factor Factor 2 and factor 3 have high force of explanation, which means the improvement of services to meet the purpose of visiting recreation forests, effective facilities administration, and reasonable business management are required.

간호전문대학생의 간호전문직 자아개념과 임상실습 만족도

서원희 경북대학교 일반대학원 2007 국내석사

The purpose of this descriptive study was to identify nursing college students' nursing professional self-concept and their satisfaction with clinical nursing practicum. The subjects of study were 170 students who had completed their clinical nursing practicum from two nursing colleges located at D city. Data were collected between August 14 and 18, 2006. The instruments was a questionnaire which consisted of general and nursing-related characteristics, Professional Self-Concept of Nurses Instrument(PSCNI), and the scale of satisfaction with clinical nursing practicum. The data were analyzed by using the SPSS 12.0 program, which determined numbers, percentage, mean, standard deviation, minimum and maximum, t-test, ANOVA, Scheffe test and Pearson's Correlation Coefficient. The results of this study were as follows: 1) The mean score of nursing professional self-concept was 2.74 of a maximum 4 points. According to sub-areas of professional self-concept of nurses, communication was rated 2.94, professional practice 2.75, and satisfaction 2.62. 2) The mean score of satisfaction with clinical nursing practicum was 2.64 of a maximum 5 points. According to the sub-areas of satisfaction with clinical nursing practicum, the subject types was rated 3.31, time period of practicum 2.84, instruction types 2.81, practicum environment 2.73, practicum contents 2.39, and evaluation form 1.94 3) In the nursing professional self-concept according to general characteristics and nursing-related characteristics, there were significant differences in gender, ages, grades, satisfaction with the amount of clinical nursing practicum, patients’ acknowledgement and attitude toward nursing college students, and social awareness toward the nursing profession. 4) In terms of satisfaction with clinical nursing practicum according to general characteristics and nursing-related characteristics, there were significant differences in gender, satisfaction with the amount of clinical nursing practicum, patients’ acknowledgement and attitude toward nursing college students, and social awareness toward the nursing profession. 5) There was a significant positive correlation between the nursing professional self-concept and satisfaction with clinical nursing practicum(r=.345, p=.000).

대학생의 기대자녀 수 예측요인

신수지 경북대학교 일반대학원 2022 국내석사

Purpose: The purpose of this study was to identify predictors that influence the expected offsprings of Korean college students. Methods: Two hundreds sixty five male and female college students aged 20-34 years were recruited through Social Network Service during the period of March 8 to March 15 2021. Subjects completed self-report questionnaires packets in Google Forms about life respect consciousness, value of children and knowledge of pregnancy health care. Data were analyzed using SPSS/PC Window (Version 21) program including t-test and χ2 as well as descriptive statistics. Multinomial logistic regression analysis was performed to predict the probability of each influencing factors including life respect consciousness, value of children and knowledge of pregnancy health care for the expected offsprings. Result: The average scores of the life respect consciousness, value of children and knowledge of pregnancy health care were 3.64 (out of 5), 3.24 (out of 5) and 2.75±1.92 (out of 10), respectively. About 75% of subjects responded as expecting offsprings. The average number of expected offsprings was 1.78±0.87. There was a significant difference in the presence or absence of expected number of offsprings by religion, life respect consciousness and value of children. Multinomial logistic regression found that the presence of religion, high life respect consciousness and traditional value of children were significantly influence on expected number of offsprings. In other words, compared to the no-religious affiliation, the religious affiliation, the probability of expecting two or more children was higher than that of the one expected child. The higher the life respect consciousness and the more traditional the value of children, the higher the probability of expecting two or more children than childless or one child. Conclusion: In conclusion, religious affiliation, life respect consciousness and value of children were the variables that influenced expected number of offsprings. Considering the findings of this study, educational programs should be developed to promote the expected number of offsprings of college students.

한국 성인의 우울증과 심혈관질환 위험요인의 관계

조은영 경북대학교 일반대학원 2019 국내석사

Purpose: Many studies have reported that depression and cardiovascular disease(CVD) risk factors are correlated. However, the study on relationship between CVD risk factors and depression has been done less in Korea. Moreover, study using the whole sample of the population is essential to understand the interrelationship. Therefore, this study was to investigate the relationship between depression and CVD risk factors among Korean adults. Methods: A total of subjects from the Korean National Health and Nutrition Examination Survey (Ⅵ-2,Ⅷ-1) were 7,417 (men 3,023, women 4.394). The relationship between depression and CVD risk factors of the study subjects were analyzed using descriptive analysis, chi-square analysis and multinominal logistic regression analysis. Results: The overall prevalence of depression among the subjects was 590 (7.5%). In each univariate analysis, diabetes was statistically significant in women depression group and dyslipidemia was statistically significant in both gender. However, in the multivariate analysis dyslipidemia was related risk factors for depression among men (OR 1.54 ,95% CI 1.02-2.32) while none of them were related among women. Conclusion: This study found the relationship between depression and dyslipidemia in men. Further study is needed to find causal relationship with depression and CVD risk factors.

자전적 기억의 과일반화와 반추가 중년기 우울에 미치는 영향

박해정 경북대학교 일반대학원 2019 국내석사

본 연구의 목적은 자전적 기억의 과일반화와 반추가 중년기 우울에 미치는 영향을 실증적으로 확인해 보는 것이다. 이를 위해 259명의 중년기 성인들을 대상으로 자전적 기억검사, 우울척도, 반추척도를 실시하였다. 자전적 기억의 검사의 경우 자전적 기억의 과일반화가 우울에 미치는 영향과 함께, 자전적 기억에서 긍정정서 기억과 부정정서 기억이 우울에 미치는 영향 역시 살펴보았고, 반추척도의 경우 선행연구를 참조한 결과 반추척도의 하위요인인 반추와 숙고가 우울에 미치는 영향이 각기 다를 수 있다는 지적에 따라 반추척도를 요인분석하여 반추의 하위요인인 반추와 숙고가 우울에 미치는 각각의 영향을 확인해보았다. 본 연구의 목적을 달성하기 위해 주요변수에 대한 기술통계 분석과 요인분석, 로지스틱회귀분석을 실시하였다. 그 결과 자전적 기억의 과일반화와 반추의 하위요인인 반추는 중년기 성인의 우울 가능성을 증가시키지만, 긍정정서 기억과 부정정서 기억, 반추의 하위요인인 숙고가 중년기 성인의 우울에 미치는 영향은 확인할 수 없었다. 즉 중년기 성인이 자전적 기억의 과일반화 경향을 보이고, 반추적 사고를 빈번히 사용하는 것은 우울에 취약한 개인특성으로서 현재 우울을 악화시키거나 향후 우울할 가능성을 증가한다고 말할 수 있다. 이러한 연구 결과는 우울에 대한 인지적 개입의 측면에서 논의되었으며, 마지막으로 본 연구의 의의와 제한점을 기술하였다. Effect of autobiographical memory’s overgeneralization and rumination on the depression for people in middle age A thesis submitted to the Council of the Graduate School of Kyungpook National University in partial fulfillment of the requirements for the degree of Master of Education in June 2019 Hae-jung Park Department of Education Graduate School, Kyungpook National University Daegu, Korea (Supervised by Professor EunYoung Kim ) (Abstract) This study is designed to empirically find out how much autobiographical memory’s overgeneralization and rumination make an effect on the depression of people in their middle age. To this end, the autobiographical memory test, depression scale and rumination scale tests were administered to 259 people in their middle age. As for the autobiographical memory test, the research has been made not only on the effect of autobiographical memory’s overgeneralization on depression but also on the effect positive emotional memory and negative emotional memory in the autobiographical memory make on depression. On the other hand, as for the rumination scale, previous researches showed that rumination and deliberation which are the sub-elements of the rumination scale may make different effects on depression. So, through the analysis of the elements of the rumination scale, the research also has been made on how rumination and deliberation which are the sub-elements of the rumination scale may make different effects on depression. To achieve the purpose of this study, descriptive statistical analysis, factor analysis and logistic regression were performed for the main parameters. The results showed that autobiographical memory’s overgeneralization and rumination which is the sub element of rumination increase the possibility of depression of people in their middle age. But they did not find that positive emotional memory & negative emotional memory and deliberation which is the sub element of rumination make an effect on depression for people in their middle age. Therefore, it can be said that the trend of autobiographical memory’s overgeneralization and the frequent use of ruminative thoughts by people in their middle age depend on their individual characteristics susceptible to depression and that they can worsen the current depression or increase the possibility of causing depression in the future. These study results were discussed from the perspective of cognitive involvement on depression. Finally, the implication and limitation for the study were described.

빈곤가정 청소년의 자립의지에 영향을 미치는 요인-일반가정 청소년과의 비교를 중심으로-

최경아 경북대학교 일반대학원 2007 국내석사

우리사회에서 빈곤의 가장 심각한 문제점은 빈곤이 세대를 이어 전승되고 있다는 점이다. 따라서, 빈곤가정 청소년들이 빈곤을 벗어나기기 위해서 자립의지를 가지는 것은 무엇보다 중요하다. 그러므로, 본 연구는 빈곤가정 청소년들의 자립의지 정도와 이에 영향을 미치는 요인은 무엇인가를 파악하여, 이를 일반가정 청소년과 비교하여 제시하고자 함을 목적으로 한다. 본 연구에서 자립의지는 자신감, 자아통제, 근로의욕으로 정의하였다. 조사대상자는 대구지역에 있는 고등학생으로 총 280명을 조사하였으며, 그 중 258부를 SPSS 12.0을 통하여 분석하였다. 주요연구결과는 다음과 같다. 첫째, 빈곤가정 청소년의 자립의지 정도는 평균 58.61점으로 평균점수보다 높은 것으로 나타났으나, 일반가정 청소년보다는 낮은 것으로 나타났다. 둘째, 개인적 요인 중 빈곤에 대한 태도는 자립의지에 영향을 미치지 않지만, 근로의욕에는 영향을 미치는 것으로 나타났다. 셋째, 가정적 요인인 가족 응집성 및 적응성은 자립의지에는 영향을 미치지 않는 것으로 나타났다. 그러나, 일반가정 청소년의 자립의지에는 영향을 미치는 것으로 나타났다. 넷째, 사회적 요인 중 학교적응은 자립의지에 친구관계는 근로의욕에 영향을 미치는 것으로 나타났다. 그러나, 사회적 활동은 자립의지에 영향을 미치지 않는 것으로 나타났다. 이상의 연구결과를 토대로 사회복지적 지원방안을 살펴보면 다음과 같다. 첫째, 빈곤가정 청소년의 자립의지를 높이기 위해 청소년자활지원관에서는 진학 및 취업상담을 지원하고 one-stop 진로 시스템을 구축할 필요가 있다. 둘째, 빈곤가정 청소년의 학교적응 향상을 위해 학교사회복지사의 제도화가 필요하다. 특히, 학교사회복지사업의 안정적 실천을 위한 법안 마련이 시급하다. 셋째, 빈곤가정 청소년을 대상으로 한 사회복지 서비스 및 활동이 개선되어야 한다. 자립의지를 지원할 수 있는 프로그램이 개발되어야 하며, 서비스를 연결할 수 있는 전달체계가 수립되어야 할 것이다.