본 연구의 목적은 피부미용 종사자의 그릿이 자기효능감과 직무성과에 미치는 영향을 관계 에서 자기관리의 매개효과를 실증적으로 분석하는데 있다. 본 연구의 연구참여자는 서울·경기 스킨케어 샵과 병원 종사자 344명을 대상으로 구조화된 설문지를 통하여 자료를 수집하였다. 수집된 자료는 SPSS 와 AMOS 26.0 통계 프로그램을 이용하여 기술통계, 확인적 요인분석, 상관관계, 구조방정식모델, bootstrapping기법을 이용한 매개효과 분석을 통하여 자료를 분석하였다. 일련의 연구절차를 통하여 도 출된 결론은 다음과 같다. 첫째, 피부미용 종사자의 그릿은 자기관리, 자기효능감, 직무성과에 유의미한 정의(+)영향 관계를 나타내 었다. 둘째, 피부미용 종사자의 자기관리는 자기효능감과 직무성과에 유의미한 정의(+) 영향 관계를 나 타내었다. 셋째, 피부미용 종사자의 그릿과 직무성과와의 관계에서 자기관는 유의미한 매개효과가 있는 것으로 나타났다. 따라서 뷰티 산업 종사자들의 그릿 함양을 통해 자기관리, 자기효능감 및 직무성과를 높일 수 있는 인적관리와 교육 프로그램의 적용이 절실히 필요하다고 판단된다..

본 연구는 장기요양 기관 종사자들의 감염관리에 대한 인지도와 수행도 현황조사를 통해 감염 관리 실태를 파악하여 장기요양 기관의 종사자를 위한 효율적인 감염관리 및 교육 프로그램 개선을 위해 수행되었다. 연구 대상자는 C 지역의 장기요양 기관 35곳의 종사자 134명이며 2021년 7월 12일부터 7월 30일까지 구조화된 설문지를 사용하여 자료를 수집하였으며 SPSS 22.0 program을 이용하여 자료 분석하 였다. 연구 결과 대상자의 감염관리 인지도에 영향을 미치는 요인은 종사자의 직종(F=3.181, p=.032), 감 염관리 교육 경험(F=6.372, p=.013) 이었으며 감염관리 수행도 또한 종사자의 직종(F=3.972, p=.010), 감 염관리 교육 경험(F=4.403, p=.038)이 영향을 크게 미쳤다. 대상자의 감염관리 인지도와 수행도는 양의 상 관관계가 있었다(r=.919, p<.001). 본 연구의 결과를 종합해 볼 때, 코로나-19 팬데믹 상황에서 장기요양 기관의 환자 안전을 위해서는 종사자가 감염관리 중요성을 인지하는 것뿐만 아니라 직접 감염관리 행위를 수행하는 것이 매우 중요하다. 이를 위해서는 기관의 규모에 상관없이 직종별, 교육 주제별 체계적이고 지 속적인 교육과정 마련과 감염관리체계의 질적 향상을 위한 평가 시스템의 법적 강화가 필요할 것으로 생각 한다.

In this study, indoor air quality indices (IAQI-C and IAQI-E) were developed for child care centers and elderly care centers based on health effects, and compared to the air quality index (CAI) for outdoor atmosphere. In addition, composite indices that integrate individual indices for each pollutant were developed to quickly and conveniently recognize the current air quality. Among all data, 71.2% and 35.6% belonged to the grades 'Good' and 'Moderate' for child care centers and elderly care centers, respectively. This assessment is more stringent than the CAI's criteria.

본 연구는 노인장기요양기관의 윤리경영, 직무착근도, 고객지향성, 조직문화와의 관계 를 규명하되, 요양보호사의 윤리경영, 직무착근도, 고객지향성, 조직문화의 수준은 어느 정도인지를 파악하고, 이들 간의 관계를 조직문화가 매개하는지 검증하는데 목적이 있다. 이를 위해 본 연구에서는 충청지역에 소재하고 있는 노인장기요양기관의 요양보호사 626명의 설문을 실시하였는데 본 연구의 주요결과는 요양보호사가 인식하고 있는 윤리 경영 수준은 5점 척도 기준에서 평균 3.760, 조직문화 수준은 평균 3.501점으로 나타났는 데 관계문화가 가장 높고 위계문화가 가장 낮게 나왔다. 직무착근도 수준은 평균 3.524 를 보여주었고, 고객지향성 수준은 3.79로 나타났다. 윤리경영이 조직문화, 직무착근도, 고객지향성에 직접적으로 정적 영향을 미치는 것으 로 나타났고, 조직문화가 직무착근도에 직접적인 영향을 미칠 뿐만 아니라 고객지향성에 도 영향을 미치며, 윤리경영은 조직문화에 영향을 미치으로 윤리경영이 직무착근도에까 지 영향을 미치는 것을 알 수 있었다. . 한계점과 후속연구를 제언하자면 첫째, 노인장기요양기관의 특성에 맞는 윤리경영 측 정도구가 개발될 필요가 있다. 둘째, 다양한 지역의 요양보호사를 대상으로 본 연구와 유 사한 연구가 진행된다면 노인장기요양기관의 조직 윤리경영과 조직문화 수립 기여에 기 반이 될 것이라 판단된다. 셋째, 조직문화유형인 Quinn과 McGrath(1985)의 4가지 유형인 관계문화, 합리문화, 위계문화, 개발문화를 고찰하였다. Quinn과 McGrath(1985)의 4가지 문화유형만 연구한 것은 아쉬운 측면인데 본 연구 역시 마찬가지의 한계를 가지고 있다 고 하겠다. 넷째, 본 연구는 한 번의 설문을 수집하여 횡단적인 연구만 실시되어 변인들 간의 관계가 왜곡 될 수 있는 가능성을 가지는 한계가 있다.

This study investigated the current status and needs for nutrition education to help reduce children’s sugars intake at the Center for Children’s Foodservice Management (CCFM, n=115), and Child Care Facilities (CCF, n=646) through an online survey conducted from October 5th to 30th 2015. A total of 14.8% of CCFM respondents and 31.9% of CCF respondents provided nutrition education on sugars intake to young children as a main topic (p<0.001). A higher percentage (CCFM 47.8%: CCF 42.4%) delivered nutrition education on sugars intake to young children as a sub-component (p<0.001). Over 90% of the CCFM and CCF participants agreed on the necessity of providing nutrition education on sugars intake to children. The most common reasons given for delivering nutrition education on children’s sugar intake were “there are many more urgent nutrition education topics” for CCFM, and “insufficient nutrition education information and materials” for CCF. The percentage of nutrition education on children’s sugar intake provided to the children’s parents was low showing about 20% in the both groups. The percentage of CCFM participants providing nutrition, education on children’s sugar intake to the teachers in CCF was also low, showing about 14.8%; however, 68.0% of the CCF participants wanted to received teacher's education on guiding children’s sugar intake. Regarding ideas about a nutrition education program on children’s sugar intake for young children, most respondents in both groups answered “sugar intake and dental cavities or obesity” for appropriate education contents, “story telling or puppet show” for appropriate education methods, and “dietitian from CCFM and class teacher together” for appropriate educator. For appropriate education time, there was a significantl difference between the CCFM responses (average 2.7 times) and the CCF responses (average 4 times). Based on the above results, we found that implementing nutrition education on children's sugar intake at the CCFM and CCF, was low; however, awareness of the need for nutrition education on children’s sugar intake and the program development and supply was very high. Also, the opinions of CCFM and CCF participants about a nutrition education program on children’s sugar intake for young children can provide foundation data to develop and implement the CCFM-based nutrition education program.

우리나라의 노인장기요양보험제도는 고령사회와 노인부양에 대한 인식의 변화는 물론 전통적인 가족 돌봄의 어려움으로 인해 2008년부터 제도로서 시행되고 있다. 제도시행 당시 장기요양 이용자는 1등급 ~ 3등급까지였으나 현재는 치매질환자에 대한 급여확대를 통해 5등급자까지 장기요양급여를 받고 있다. 이처럼 우리나라의 노인장기요양보험 이용자는 지속적으로 확대되고 있어 향후 지속가능한 제도로서 자리매김을 위해 재정관리에 대한 필요성이 높아지고 있다. 이러한 측면에서 노인장기요양제도에서 공식, 비공식 자원의 연계를 통한 케어매니지먼트 개념의 적용이 필요하다. 이에 본 연구에서는 우리보다 먼저 케어매니지먼트를 적용한 일본의 개호보험의 사례를 통해 장기요양보 험제도의 발전적 방향에 대하여 고찰하고자 하였다.

To investigate acute drug intoxication trends in the elderly visited Emergency Medical Centers, Data was collected from the records of poisoning patients visited Five different Hospitals from January 1. 2007 to December 31. 2007. The analysis was conducted by using 135 cases of 624 cases. When considering only the elderly and making comparisons between the urban areas and the rural areas the following data was produced. In regard to patients with acute drug intoxication, the main substance of choice was pesticides. Cases of acute drug intoxication are definitely higher for those categorized as the rural elderly (75.0%) when compared with those categorized as the urban elderly (44.1%). The male to female ratio, those living together as a family, past suicide attempts, mental state and sobriety condition when they came, monthly distribution etc. between the two groups did not demonstrate a difference between them. In regard to reasons given for acute drug intoxication, suicide was the highest at 60.7% of the cases. When comparing accidental reasons for poisoning, the urban elderly, at 34.2% of their cases, were higher than in the rural elderly, at 23.7%. After first aid was administered, the admission rate was higher for the rural elderly (47.4%) than for the urban elderly (33.9%). This shows that the rural elderly have a more severe acute drug intoxication poisoning problem than the urban elderly do.

To investigate acute drug intoxication trends in the elderly visited Emergency Medical Centers, Data was collected from the records of poisoning patients visited Five different Hospitals from January 1. 2007 to December 31. 2007. The analysis was conducted by using 135 cases of 624 cases. When considering only the elderly and making comparisons between the urban areas and the rural areas the following data was produced. In regard to patients with acute drug intoxication, the main substance of choice was pesticides. Cases of acute drug intoxication are definitely higher for those categorized as the rural elderly (75.0%) when compared with those categorized as the urban elderly (44.1%). The male to female ratio, those living together as a family, past suicide attempts, mental state and sobriety condition when they came, monthly distribution etc. between the two groups did not demonstrate a difference between them. In regard to reasons given for acute drug intoxication, suicide was the highest at 60.7% of the cases. When comparing accidental reasons for poisoning, the urban elderly, at 34.2% of their cases, were higher than in the rural elderly, at 23.7%. After first aid was administered, the admission rate was higher for the rural elderly (47.4%) than for the urban elderly (33.9%). This shows that the rural elderly have a more severe acute drug intoxication poisoning problem than the urban elderly do.

Although it is increasing the number of day-care centers in Korea, but the quality of food and nutrition service are not increased sufficiently. The purpose of this study was to investigate the current practices of food and nutrition service in day-care centers. Questionnaire were sent to the directors of 750 day-care centers and 253 returned the complete answers. Staffing structure revealed that only 13% of the facilities had a dietitian. And compared with centers without a dietitian, there were more centers having nutritional standards, using facilities for service, and having long-term planning of meals in centers with a dietitian. In the using of foodservice budget, the centers having dietitian consumed more money for subsidiary dishes than for the staples. All centers needed increment of supplementation for the cost of foodservice and for hiring a dietitian. To improve the quality of food and nutrition services in day-care center, foodservice practices have to be conducted by professional personnel and to confirm the standard of service and to inspect the management of food and nutritional service.

The purpose of this study was to investigate the current foodservice management practices of children care social welfare facilities. Questionnaire were sent to the directors of all 275 children welfare facilities in Korea and 107 returned facilities in korea and 107 returned the complete answers. These questionnaire were answered by manager. Equipments were evaluated by investigators using the evaluation form. staffing structure revealed that most of the facilities had a director, a secretary, nurse, but only 15% of the system hired a dietitian. It showed the shortage of nurse, physical therapists, and dietitian. Therefore, food purchasing, menu planning, food delivery, and the other food service management processes are handled by non-professionals, such as director, secretary, or cooks. Food purchasing money of total budget is 10~20%. Food purchasing place in most facilities was market place. Foodstuffs were almost purchased 2~3 per weeks. 90% of the welfare facilities were used the menu. Modified food frequency questionnaire were used to get the frequencies of each food items used in menu. The results showed relatively satisfactory in food frequencies, however, this was about what was used in menu, not vat was eaten by the residents. conditions of most equipments in the kitchen were defective specially in dishwashing and sterilization step.

With increases in senior citizens and changes in family structure, the need for long-term care system for elderly is increasing, however, the capacity and environment of Korean facilities are very limited. Health and nutritional status of long-term care residents are worse than free-living elderly. In this study, general food service management and health care practices in long-term care systems were investigated. Questionnaire were sent to the directors of all 162 long-term care facilities in Korea and 81 returned the complete answers. The results showed 1) There are slow but steady increase in long-term care systems in Korea, however, the capacity is far from adequate. Less than 10,000 elderly were resided in the facilities. Most of the systems were free-nursing homes and supported by the goverment. Staffing structure revealed that most of the facilities had a director, a secretary, nurses, but only 21% of the systerm hired a dietitian. It showed the shortage of nurses, physical therapists, and dietitians. Therefore, food purchasing, menu planning, food delivery, and the other food service management processes are handled by non-professionals, such as director, secretary, or cooks. Modified fool frequency questionnaire were used to get the frequencies of each food items used in menu and a menu-analysis was made on the one-day menu provided by the facilities. The results showed relatively satisfactory in nutrients content and food frequencies., however, this was about what was used in menu, not what was eaten by the residents. Therefore this results did not tell that the food intake status of individuals. In most facilities general health checkup was done on a regular basis, and had residents with various chronic degenerative diseases, such as hypertension, neuralgia, stroke, arthritis, diabetes. But the items checked on health checkup included weight, height, blood and urine tests, X-ray test, which suggested that the checkup lists should be revised to accomodate the health problem of the aged today.

The purpose of this study was to evaluate the foodservice management practices in child-care centers in order to provide basic information for the development of a model of a centralized food service information center. This approach was achieved using a variety of qualitative and quantitative information including general foodservice management practices and plate waste. A self-completed questionnaire survey of 651 child-care centers in Korea was undertaken and detailed information was carefully collected at 6 representative child-care centers. The results of the empirical survey were as follows: 1. Child-care centers categorized by location were in large cities (59.9%), medium cities (27.6%) and in provincial areas (12.5). 2. Private sector of child-care centers was 46.4% of the total followed by National/public (44.2%) and licensed home day-care programs (9.4%). 3. Total average number of children in child-care centers was 63.3±43.1 with a very significant difference (p〈0.001) in types of child-care centers. 4. The average space of kitchen and dining room was 5.0±3.8 and 10.8±11.0 pyung (1pyung=3.3058 cm2). 5. The average cost of interim snack in morning and afternoon in child-care centers were 345.9±459.3 won and 359.3±226.6 won respectively. The average cost of lunch was 644.0±481.1 won. There was a significant difference (p〈0.001) by types of child-care centers with a highest cost of 863.9 won in licensed home day-care programs. 6. Only a limited number of dietitian were employed, therefore most of food service management practice was not conducted by professional personnel. 7. The result of nutritional analysis of the food revealed that the level of energy and nutrients contained in the food was below the recommeded level (RDA/3).

본 연구는 상이한 화산재의 인간 건강에 대한 영향 및 그에 대한 종합대책에 주목하여 이루어졌다. 일반적으로 화산재를 이루고 있는 물질 중 오염된 미세한 분진은 대기 중에 머무르고 있다가, 인간이 접촉하게 되면 호흡기 질환 및 알레르기 질환을 유발할 수 있다. 본 연구진은 화산재 확산에 의한 보건 관리 종합대책의 영역을 질병을 유발하는 개인에 대한 건강 영향, 의료기관을 포함하는 보건의료체계에 대한 문제, 보건의료시설/보건의료장비/의약품/관련 인력을 포함하는 보건의료자원 관리 문제로 구분하여 이에 대한 관리 지침 도출을 통하여 종합대책을 세우도록 하였다. 이러한 각각의 종합대책은 화산재 농도와 건강 영향과의 관계에 대한 본 연구자들의 연구를 포함한 최근의 연구에 기반한 것이다. 이를 통하여 가능한 화산재 확산 시 보건 관리 종합대책을 제안하게 되었다.

비만은 체내에 지방조직이 과다한 상태에 이르는 것으로, 최근 세계적으로 문제가 되고 있는 질병 중 하나이다. 이러한 비만은 각종 성인병과 함께 고혈압, 당뇨 등의 합병증을 유발하며, 심리적, 정신적으로 위축시켜 우울증 등의 정신 질환까지 갖게 하는 심각한 사회적 문제이다. 현재 일반적인 비만 관리 방법은 다양한 관점에서 각기 다른 효능으로 비만 환자들의 욕구를 채워주고 있지만, 수술 치료의 실패, 치료 중 약물 중독, 우울증, 많은 시간 및 경제적 투자등으로 근본적인 비만의 치료 효율이 낮다. 이에 체계적이며 개인의 비만 상태에 따른 유형별 치료 접근법의 개발이요구되고 있다. 본 연구에서는 비수술적인 비만 치료의 단점을 보완하여, 개인의 비만 유형별 비만 치료를 선택할 수있는 복합 비만 관리 시스템을 제안하였다. 이를 위하여 원적외선 치료, 산소 치료, 색 치료, 극초단파 치료 모듈을 이용하여 복합적이며, 시너지 효과를 기대할 수 있는 새로운 형태의 시스템을 개발하였다. 또한, 환자의 신체적 조건과 비만의 정도에 따른 맞춤 치료를 위해 치료 및 관리 소프트웨어를 개발하였으며, 부분별로 원하는 부위를 집중적으로치료가 가능한 자동 슬라이딩 시스템을 개발하였다. 본 연구에서 제시된 통합 치료가 가능한 비만 관리 시스템은 다양한 치료 프로토콜을 제시함으로 고기능성 비만 치료기 개발에 초석이 될 것으로 사료된다.