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전나미 한국경영공학회 2010 한국경영공학회지 Vol.15 No.3
Medical service consists of three elements including structure, process and outcome in the professional and technical perspectives. Among these three elements, outcome indicator such as mortality rate of cancer patients reflects the final quality of medical service which is provided to the patients. It is important to monitor and predict outcome of medical service as an indicator of quality improvement. The purpose of this study was to analyze and predict an influence of medical service quality improvement on cancer patients mortality rate. To analyze the improvement of medical service quality, a statistical model was developed by using the 2010 national data of cancer patients mortality rate and mortality rate of cancer patients in the following years was estimated and predicted. The model developed in this study can be utilized on quantitative analysis of service quality improvement especially on medical service quality improvement.
전나미 한국불교상담학회 2009 불교상담학연구 Vol.1 No.1
근대 이래로 서양에서는 마음의 문제를 과학적으로 연구하는 심리학이 지속적으로 발전되어왔으며, 최근에는 동양의 전통적 지혜와 결합하면서 의식연구는 더욱 심화되어가고 있는 추세이다. 19세기 후반 불교가 서양에 본격적으로 소개되면서 서구에서도 불교에 대한 학문적 접근이 가능해졌으며, 이를 통해 불교를 심리학적으로 연구하기 위한 기초가 마련되었다고 할 수 있다. 즉 동양의 불교와 서양의 심리학이 만남으로써 인간의 마음을 보다 포괄적, 심층적으로 이해하는데 기여하고 있다. 최근에는 이러한 연구가 더욱 심화되어, 불교와 심리치료를 결합하여 새로운 치료이론을 구축하려는 노력이 시작되었고* 교신저자(Corresponding Author): 불교상담개발원 상담팀장, 불교상담학회 이사 Tel: 02)737-8803 / E-mail: nm550@hanmail.net 대표적인 국내의 선행연구로는 서양의 심리치료 이론과 불교와의 비교를 연구한 다양한 논문들을 들 수 있는데, 주로 인본주의(윤호균, 1982,; 함승희, 1990), 분석심리(유미정, 1996), 인지치료(권석만, 1997), 행동주의(김보경, 2001) 등 다양한 심리치료 학파와 불교 간의 유사점 및 차이점을 분석하는데 초점을 맞추고 있다. 불교 사상의 기본적인 해석에 기초한 논문들로는 팔정도(박영동, 1989), 연기법과 중도(조혜진, 2000), 오온설과 사성제(조경자, 2001) 관련 주제들을 들 수 있으며, 이 외에 불교 명상이나 수행과 관련된 실험논문 및 불교사상의 카운슬링 활용(박지숙, 1999) 등이 있다. , 우리나라 불교계에서도 상담학과 불교학을 접목한 불교상담에 관심을 가지면서 ‘중생구제’라는 불교 본연의 목적에 쉽게 다가설 수 있다는 분위기가 점차 확대되고 있다.
서울시 교사의 건강검진 및 건강증진 프로그램에 대한 만족도 및 요구도
전나미,윤재희,김채윤,황나미,김영숙,황문숙,채현주 한국지역사회간호학회 2012 지역사회간호학회지 Vol.23 No.2
Purpose: The purpose of this study was to investigate Seoul teacher's satisfaction with and needs for health examination and health promotion programs. Methods: The participants were 3,186 teachers in Seoul. Data were collected through an on-line survey system from November 16 to December 7, 2008. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe's test using PASW 18.0 program. Results: Teacher's satisfaction with teacher health examination was low and needs for detailed tests of cancer and vocal cord disorders were high. Teacher's satisfaction with teacher health promotion programs was low and needs for stress management,exercise and vocal cord protection program were high. Conclusion: Vocal cord disorders should be included in teacher health examination and vocal cord protection program should be provided for teacher's health promotion. Stress management and exercise program should also be provided for teacher's health promotion.
부인암 여성의 증상 클러스터(Symptom Cluster)
전나미,권지연,노기옥,김상희 병원간호사회 2008 임상간호연구 Vol.14 No.1
Purpose: Women with gynecologic cancer often experience various physical and psychological symptoms relating to the cancer and its treatment. The purpose of this study was to identify symptom clusters. Method: A survey was conducted on 184 women with diagnoses of cervical, ovarian or endometrial cancer. Fifty symptoms were assessed for prevalence, severity and interference, and symptom clusters were identified. Cluster analysis was done using SPSS version 12.0. Results: Fatigue was identified as the most prevalent symptom (81.52%), lack of vaginal lubrication (2.26) as the most severe symptom, and lack of vaginal lubrication as the most interfering one (2.15). Identified six clusters were: Anorexia-pain cluster (loss of appetite, taste change, weight loss, appearance change, alopecia, weakness, pain), Fatigue cluster (lack of concentration, lack of memory, fatigue, dry mouth), Urinary-bowel distress cluster (urinary difficulty, constipation), Abdominal discomfort cluster (lower abdominal pain, abdominal pain, bloating), Emotional distress (sadness, anxiety-worry, nervousness, restlessness), and Menopausal cluster (sweating, hot flush, fever). Conclusion: The result of this study provides fundamental data to health care professionals in developing interventions for effective symptom management for women with gynecologic cancer by understanding identified 6 symptom clusters.