외식 산업 서비스 품질이 고객만족 및 재방문 의도에 미치는 영향 : - 광주지역의 패밀리 레스토랑을 중심으로 -

이상미 조선대학교 2011 국내석사

ABSTRACT Food service industry service quality affects customer satisfaction and revisit intention - Focusing on the Family Restaurant in Gwang-ju Area - Sang-mi Lee Advisor : Prof. Bok-hee Kim, Ph. D. Department of Food and Nutrition Graduate School of Chosun University This research tries to make a study whether it analyze the difference of the part which is recognized after experiencing with the part which the customers think importantly among the customer's many the service items it irradiates the general item against the foodservice company using customer and experiences the service about the QoS of the Gwangju area family restaurant and these attributes have an effect on the customer's satisfaction and recall pseudo information by word of mouth effect or not. The articles reviewed focuses on 1) The influencing on service, 2) customer satisfaction, 3) Technical service quality, 4) Functional service quality, 5) revisit,6) The influencing on service for customer satisfaction, 7) The influencing on service for revisit.It is the purpose of study that difference of the after experiencing with the service part we analyze the difference of the service importance and after receiving the service of we irradiated the QoS of the large size chain family restaurant in which it becomes the service education of the service provider about the customer among the food service company and which analyze and in which the consumer experienced in the past or which it recognizes service and family restaurant furthermore improve the QoS of the family restaurant of the pillar and which improves and which the customer realizes the service importance becomes limited. The questionnaire was made between one month from May 1st to May 31st. And the questionnaire answer used the self equipment standing type survey form that directly the responder writes. As to the analysis line of this research, by using SPSS 17.0, the customer's general information used the frequency analysis (Frequency Analysis). The awareness the importance used the T-test and ANOVA for each and technical decided to verify and whether there was the difference or not it performed the factorial experiment about each QoS and the customer's summarized the functional according to the general information and technical service. If it looked at as the technical the service (importance) and demographic characteristic, the factor which the significance probability shows the p-value less than 0.05 noted age and number of use. And if it looked at as the technical the service (also the awareness) and demographic characteristic, the sex, income level, number of use, and (one person 1 time standard) eat out pay cost was exposed to note factor which the significance probability shows the p-value less than 0.05. And if it looked at as the recall intention and demographic characteristic, the age, number of use, and purpose of use were exposed to note factor which the significance probability shows the p-value less than 0.05. In addition, as to the intelligibility of the functional the service importance according to the syndesis1 sample t-test inspection result about the intelligibility of the functional the service importance and functional service and functional service, there was exposed to be the difference with the significance probability P<0.05. And the intelligibility of the technical the service importance and technical service was exposed to have the difference with the significance probability P<0.05. Regression analysis result, the proposed hypothesis of the functional service family restaurant importance of service quality, service, recognition factors and functional regression of the R-square for the dependent variable with two 41.4% of variance showed no significant regression of P "was very significant to .000. Functional importance of services is bigger than the 0.05 significance, but also the recognition and functional services to revisit four positive (+) is of significant influence. The proposed hypothesis of a family restaurant service quality technical services, the importance of the square of the regression model R to 0.479 for the dependent variable in explanatory power were 47.9%, the regression significance P <.000 was very significant. Technical services is bigger than the 0.05 significance, but also recognizes the technical services in the four to revisit positive (+) of the influence is significant. It is nearly, the saturation on the Gwang-ju district with the sales floor extension of not only the pure family restaurant but also the large size chain restaurant. Because of that, the improvement of quality of the QoS and customer satisfaction is derived and it should try in the recall or information by word of mouth effect.

안과환자 중 뇌 병변 의심환자의 임상양상과 뇌 자기공명영상 결과

이상미 단국대학교 대학원 2011 국내석사

목적 : 안과환자 중 뇌 병변 의심환자의 임상양상에 따른 뇌 자기공명영상 검사 결과에 대해서 알아보고자 하였다. 방법 : 2005 년 1 월 1 일부터 2010 년 6 월 31 일까지 안과에 내원한 환자 중 뇌병변 의심 환자 또는 타과에서 의뢰된 환자 50 명을 대상으로 의무기록을 후향적으로 조사하였다. 결과 : 전체 50 명(남:여 = 27:23)의 평균 연령은 44.0 세 이었다. 초진 시 주 증상은 시력 저하가 19 명(51%)으로 가장 흔하였으며 이외에 두통 7 명(19%), 시야감소 6 명(16%), 복시 3 명(8%), 어지럼증 2 명(5%) 등이 있었다. 징후로는 구심동공운동장애는 9 명(18%), 색각 저하는 8 명(16%), 시신경 이상은 11 명(22%), 시야 결손은 42 명(84%)에서 발견되었다. 뇌 자기공명영상 촬영에서 뇌종양 31 명(66%), 뇌 경색 10 명(21%), 뇌동정맥기형 1 명(2%), 다발성 경화증 2 명(4%), 뇌연화증 1 명(2%), 신경매독 1 명(2%), 뇌막염 1 명(2%)이 진단되었고 나머지 3 명(6%)은 정상 이었다. 결론 : 뇌병변이 있는 환자에서는 신경학적 증상이 나타나기 이전에 안과적 증상이 초기에 나타날 수 있고 특히 시야 검사에서 다양한 이상소견이 동반되는 경우가 많았다. 따라서 안과에서 뇌병변이 의심되는 경우에는 뇌 자기공명영상 등의 검사를 조기에 권유함으로써 뇌 병변을 배제할 수 있어야 하겠다.

Functions for the PEN2 in the adipocytes differentiation

이상미 全南大學校 大學院 2005 국내석사

지방 분화는 신호 전달과 유전자들의 발현을 포함하는 복잡한 과정에 의하여 조절된다. 지방합성과정에 있어서 peroxysome proliferator-activated factor gamma (PPAR-γ ), CCAAT/enhancer-binding protein family (C/EBP family)와 sterol regulatory element-binding protein-1(SREBP-1)등과 같은 전사인자는 중요한 것으로 보고 되어져 있다. 그러나 많은 연구와 유전자들의 동정에도 불구하고 지방 형성이 시작되는 메커니즘은 아직도 많은 부분이 밝혀져 있지 않다. 그러므로 본 연구에서는 지방 분화 동안에 조절이 되는 유전자를 동정하고자 한우의 intramuscular fibroblast-like cell을 이용하여 DD-PCR을 수행하였고 그 결과 Precenilin enhancer 2 (PEEN2) gene을 동정하였다. 한우의 PEN2 유전자는 303bp 염기서열로, 101개의 아미노산을 암호화 하고 있었다. 다른 종들과 비교한 결과 상동성이 95% 이상으로 종간에 잘 보존 되어 있었다. 한우의 각 조직에서 PEN2 mRNA 발현을 Northern blotting을 통하여 확인한 결과 정소, 간, 갈비살, 심장, 비장, 대장, 소장 그리고 지방세포에서도 그 발현이 확인 되었다. 또한 한우의 intramuscular fibroblast-like cell이 지방세포로 분화하는 과정에 있어서 유전자의 PEN2발현을 Northern blotting을 통하여 확인해 보았을 때 지방세포로 분화함에 따라서 점차 감소되는 것을 알 수 있었다. 한우의 PEN2유전자가 과발현 되는 3T3-L1 cell을 분화 유도 하였을 경우 지방의 형성이 억제되는 결과를 보였고 siRNA system을 이용하여 endogenous한 PEN2의 발현을 억제시켰을 경우 지방 분화가 매우 현저하게 증가하였다. 이러한 결과는 PEN2가 지방 분화에 관련하여 매우 중요한 역할을 하고 있다는 것을 제시하고 있다. Notch signaling에 관련된 gamma-secretase complex 유전자들은 지방분화 2day 시기에 그 발현이 감소하였다. 그러나 Notch1과 Hes-1 mRNA 발현은 지방 분화 2day 시기에 증가하였고 반면에 Preadipocyte factor-1인 Pref-1의 mRNA발현은 2day시기에 현저히 감소하였다. 이러한 결과는 PEN2가 지방 형성에 있어 중요한 역할을 한다는 것을 제시하고 있으며 PEN2에 의하여 조절되는 Notch signaling은 지방분화에 중추적 역할을 수행할 것으로 생각된다. Adipocyte differentiation is controlled by complex actions involving gene expression and signal transduction. During adipogenesis, peroxisome proliferator-activated receptor gamma, the CCAAT/enhancer-binding protein family and sterol regulatory element-binding protein-1 are known to function as master regulators. However, despite the identification and extensive study of genes for the adipocyte differentiation, the mechanism underlying the earliest step, which triggers the initiation of differentiation, remains unknown. To identify regulated genes during adipocyte differentiation, we cloned presenilin enhancer 2 (PEN2) gene from bovine intramuscular fibroblast-like cells during adipocyte differentiation by DD-PCR. The bovine PEN2 consists of 101 amino acids and is approximately 95% identical to the human and mouse PEN2. The bPEN2 mRNA was detected in testis, liver, rib meat, heart, spleen, colon, small intestine, and adipose tissue by northern blot analysis. Also, we investigated the expression of bPEN mRNA in Hanwoo intramuscular fibroblast-like cells during adipocyte differentiation by northern blot analysis. The expression level of bPEN2 was down-regulated during adipocyte differentiation. The ectopic expression of bovine PEN2 reduced adipogenesis in 3T3-L1 cells. However, inhibition of endogenous PEN2 by siRNA system induced adipogenesis in 3T3-L1 cells. The expression of gamma-secretase complex genes related Notch signaling were decreased at 2 day during adipocyte differentiation. But expression of Notch and Hes-1 mRNA were increased at 2 day. On the other hand, expression of preadipocyte factor 1 (Pref-1) mRNA was suppressed at 2 day during adipocyte differentiation. These results suggest possibility that PEN2 may have some function to play an important role in the adipocyte differentiation. We conclude that the Notch signaling regulated with PEN2 is essential for adipocyte differentiation.

The Effects of Sa-Am Acupuncture Lung Tonification Treatment on EtCO2, SpO2, RR, Pulse in ALS(Amyotrophic Lateral Sclerosis) Patients

이상미 원광대학교 일반대학원 2013 국내석사

Respiratory dysfunction and complications are the most common reasons of death in Amyotrophic Lateral Sclerosis(ALS) patients. Nowadays the problems of respiratory management are considered as an important issue, many studies have been conducted to delay the fast progress of respiratory state and to alleviate the respiratory symptoms. But there has been no study so far with Sa-am acupuncture treatment for ALS patients. This study was conducted to show the effects of Sa-am acupuncture lung tonification treatment on ALS patients and the corresponding changes in EtCO2, SpO2, RR, Pulse using Capnography & Oximetry. The acupuncture treatments were conducted on 18 patients who were admitted in Wonkwang University Gwangju Oriental medical hospital from January to July, 2012. Each patient was treated using Sa-am acupuncture lung tonification treatment twice a day at 11:00 am and 4:00 pm for 5 days. The EtCO2, SpO2, RR and Pulse were measured for 15 minutes before and during treatment using Capnography & Oximetry. Because it is very difficult for ALS patients to maintain a fixed position for long periods of time, it was necessary to take measurements before and during acupuncture treatment. In a simple comparison before and after acupuncture stimulation, the average value of EtCO2 had decreased in 40% of ALS patients. The average value of RR and pulse in ALS patients had decreased in 60% and 100% respectively. The average of SpO2 had increased in 80% of ALS patients. Compared with before and after lung tonification acupuncture stimulation, the figures of SpO2 and Pulse showed a statistically significant difference(P<0.05). But the figures of EtCO2 and RR showed no statistically significant difference despite their being a decrease at the measured moment. In correlations with K-ALSFRS-R and the measured figures, the results showed that the patients who recorded high scores in K-ALSFRS-R had greater differences before and after acupuncture stimulation in the values of pulse. Also the patients who recorded high scores in K-ALSFRS-R showed a decrease in the values of EtCO2, RR and Pulse after lung tonification acupuncture stimulation and showed increases in the value of SpO2 after acupuncture stimulation. Performing Sa-am acupuncture lung tonification treatment on Amyotrophic lateral sclerosis patients, showed that lung tonification acupuncture treatment was more effective on inspiration than expiration by increasing SpO2 and decreasing Pulse for ALS patients, furthermore it is more effective at the early stages of ALS. Further research with more subjects using a variety of assessment tools and longer periods of treatment and observation is required for the ALS patients. Key words: Amyotrophic lateral sclerosis, Sa-am acupuncture lung tonification, EtCO2, RR, Pulse, SpO2, Capnography & Oximetry 근위축성 측삭 경화증 환자(Amyotrophic Lateral Sclerosis, ALS)들에게 호흡 기능 장애와 호흡기계 합병증은 주요 사망원인 중 하나이다. 최근 들어 근위축성 측삭 경화증 환자들의 호흡 관리 문제가 중요하게 인식되면서 환자들 호흡 상태의 빠른 진행 속도를 지연시키고 호흡기계 증상들을 완화시키기 위한 수많은 연구들이 이루어지고 있다. 하지만 현재까지 한의학적 침 치료방법인 사암침법을 이용하여 근위축성 측삭 경화증 환자에게 치료를 시행 한 연구는 거의 없는 실정이다. 본 연구는 Capnography & Oximetry 기기를 이용하여 측정한 EtCO2, SpO2, RR, Pulse 수치 변화를 통해 사암침법 중 폐정격이 근위축성 측삭 경화증 환자들에게 미치는 영향을 알아보기 위해 시행 되었다. 2012년 1월부터 2012년 7월까지 원광대학교 광주 한방병원에 입원한 18명의 ALS 환자들을 대상으로 침 치료를 시행하였다. 환자 한명 당 5일 동안 하루 2회 오전 11시와 오후 4시의 일정한 시간에 사암침법의 폐정격을 자침하고, 자침 전과 유침 중에 Capnography & Oximetry 기기를 이용하여 EtCO2, SpO2, RR, Pulse 수치를 15분 동안 측정한 후 비교하였다. 근위축성 측삭 경화증 환자들은 장시간 고정된 자세를 유지하기에 어려움이 있어 부득이하게 침 치료 전과 유침 중에 수치 측정을 하였다. 측정된 호흡 수치의 평균값을 폐정격 침 자극 전과 후로 단순 비교했을 때 EtCO2 평균값은 ALS 환자 중 40%에서 그 수치가 감소하였고, RR의 평균값은 ALS 환자 중 60%, Pulse의 평균값은 100%에서 감소하는 경향을 보였다. 그리고 SpO2의 평균값은 ALS 환자들 중 80%에서 증가하였다. 폐정격 침 자극 전과 후의 수치변화를 통계적으로 비교했을 때 SpO2와 Pulse 값에서 유의성을 보였으나(P<0.05) EtCO2와 RR 값은 자침 이후 변화에도 불구하고 통계적인 유의성을 보이지 않았다. K-ALSFRS-R 점수와 EtCO2, SpO2, RR, Pulse의 상관관계에서 K-ALSFRS-R 점수가 높을수록 Pulse 값의 침 자극 전후의 차이가 크게 나타났다. 그리고 K-ALSFRS-R 점수가 높을수록 침 자극 이후 EtCO2, RR, Pulse 값은 감소하고 SpO2값이 증가하는 결과를 보였다. 근위축성 측삭 경화증 환자들에게 시행한 사암침법 폐정격 침 치료는 SpO2 값은 증가시키고 Pulse 값을 감소시켜 호기보다 흡기에 영향을 미치는 것으로 보이며, K-ALSFRS-R 점수가 높은 진행 초기의 환자들에게 더 유의성이 있는 것으로 여겨진다. 앞으로 보다 많은 연구대상자들에게 다양한 평가 도구를 사용하여 장기간의 치료 및 관찰이 필요할 것으로 보인다. 키워드: 근위축성 측삭 경화증, 사암침법, 폐정격, 호기말 이산화탄소 분압측정, 맥박산소측정기, 호기말 이산화탄소, 산소 포화도, 맥박수, 호흡횟수

의과대학의 사회적 책무성 수행 영향요인 규명과 측정지표 개발 연구

이상미 연세대학교 대학원 2021 국내박사

이 연구의 목적은 의과대학이 자율적으로 사회적 책무성 역량을 촉진시키는데 있다. 아울러, 의과대학의 사회적 책무성을 의과대학 평가인증까지 개념을 확장시켜 사회적 책무성에 입각한 평가인증 패러다임을 전환하는데 기여하고자 한다. 이 연구에서 수행하고자 하는 구체적인 연구 내용은 다음과 같다. 첫째, 의과대학의 사회적 책무성 수행 영향요인을 규명한다. 둘째, 의과대학의 사회적 책무성 수행 유형을 범주화하고 특성을 분석한다. 셋째, 사회적 책무성 수행 영향요인의 중요도에 대한 인식과 의과대학의 현황을 분석한다. 넷째, 의과대학의 사회적 책무성 수행 측정을 위한 지표를 개발한다. 의과대학의 사회적 책무성 수행에 영향을 미치는 요인을 규명하기 위해 국내 의과대학의 현직 학장 40명과 의학교육 전문가 집단 15명을 대상으로 총 55명의 자료가 최종 분석에 포함되었다. 또한 의과대학의 사회적 책무성 수행 유형 범주화와 중요도 인식과 대학의 현황을 분석하기 위해 국내 40개 의과대학의 의견을 수렴하였다. 연구에 사용된 조사도구는 연구자가 개발한 ‘의과대학의 사회적 책무성 수행 영향요인 중요도와 현황에 관한 의견 조사지’이다. 자료 분석은 기술통계와 집단 간 차이검정, 탐색적 요인분석과 다중회귀분석, 군집분석, 중요도-현황 분석(IPA)을 실시하였다. 의과대학의 사회적 책무성 수행 측정지표를 개발하기 위해 4명의 전문가 포커스 그룹과 15명의 의학교육 관련 전문가 집단 의견을 수렴하였다. 포커스 그룹과 델파이 그룹은 각각 3차례씩 의견 수렴이 진행되었다. 의과대학의 사회적 책무성 수행 영향요인 규명과 측정지표 개발에 관한 연구결과는 다음과 같다. 첫째, 의과대학의 사회적 책무성 수행에 영향을 주는 요인은 3영역의 8요인이다. 하드웨어 영역은 사회적 책무성 선언과 인력배출, 수행 조직과 체계, 물리·재정적 환경 요인이 포함된다. 소프트웨어 영역은 책무성 교육과정 편성과 모니터링과 평가 요인이다. 마지막으로 파트너영역은 파트너간 근접성, 파트너십 구축, 파트너와의 상호작용 요인이 포함된다. 이 중 파트너와의 상호작용은 의과대학의 사회적 책무성을 수행하는데 가장 큰 요인으로 작용하였다. 아울러, 학장집단과 전문가집단의 차이는 전체적인 요인에서 학장 집단이 높았으며, 그 중 학장 집단은 사회적 책무성 선언과 인력 배출, 책무성 교육과정 편성, 수행 조직과 체계 등을 중요하게 인식하고 있다. 둘째, 의과대학의 사회적 책무성 수행 현황을 분석한 결과 크게 선도형 대학, 성장형 대학, 잠재형 대학으로 구분된다. 선도형 대학은 40개 대학 중 5개 대학이 선정되었으며, 8개 요인을 균형적으로 수행하고 있었다. 한국적 맥락에 따른 설립유형, 소재지, 설립연도별로 의과대학의 사회적 책무성 수행 중요도와 현재수준을 분석한 결과, 국립이 사립보다 현재 수준이 높았으며, 그 외에 소재지와 설립연도별에서는 통계적으로 유의한 차이는 없었다. 셋째, 의과대학의 사회적 책무성과 관련한 「ASK2019」기준을 선정한 결과, 92개 기본 기준 중 사회적 그리드 모형으로 포커스 그룹을 통해 61개 기준이 선정되었고, 전문가 집단의 의견수렴에서는 41개 기준이 선정되었다. 사회적 그리드 모형으로 분류한 결과 「ASK2019」기준은 교육과 질 영역, 내용을 중요하게 평가하고 있다. 연구와 질, 비용효과성과 형평성에 대한 기준 개발 및 조정이 필요하다. 넷째, 의과대학의 사회적 책무성을 반영한 「ASK2019」기본 기준 중 41개 기준을 대상으로 측정지표를 정량적 지표와 정성적 지표로 나뉘어 총 252개 지표를 개발하였다. 그 중 측정지표의 적합성과 측정용이성에 대한 추가 의견을 수렴하여 각 영역에서 3.5점 이상의 지표를 대상으로 의과대학의 사회적 책무성을 반영한 「ASK2019」기본기준의 평가 매트릭스를 개발하였다. 이 연구의 논의는 의과대학의 사회적 책무성 수행 강화를 위해 파트너십 구축과 상호작용이 중요하므로 대학 간, 국가 및 지역 간의 공동 컨소시엄 개발을 제언하였다. 또한 의과대학의 사회적 책무성과 관련한 기준과 지표를 현 평가인증 제도에서 적극적으로 고려하고 반영하는 것을 제안하였다. 마지막으로 의과대학이 처한 맥락과 상황, 주체에 따라 의과대학의 사회적 책무성 수행정도는 달라질 수 있으므로, 개별 의과대학의 사회적 책무성 수행 메커니즘 구축을 위한 노력이 필요하다. This study aims to increase medical schools’ autonomous capabilities to foster social accountability by identifying the factors affecting the implementation of social accountability by medical schools and by developing social accountability indicators for accreditation of medical schools. In addition, the study intends to broaden the concept of medical school accreditation to include social accountability and to change the accreditation paradigm to become rooted in social accountability. Specifically, this study intends to carry out the following research. First,we identify the factors influencing medical schools’ social accountability. Second, we categorize and characterize the types of social accountability implemented by medical schools. Third, we analyze the perception of the importance of factors affecting social accountability implementation and the current situation in medical schools. Fourth, we develop the indicators for measuring the implementation of social accountability by medical schools. To identify the factors that influence the implementation of social accountability by medical schools, a total of 55 responses, comprised of 40 responses from current deans of medical schools and 15 from medical education experts in the Republic of Korea, were included in the final analysis. In addition, the opinions of 40 medical schools in Korea were collected to categorize the types of social responsibility fulfillment and to analyze the recognition of its importance and the current situation in medical schools. We developed the survey used in this study. It was titled “Opinion Survey on the Importance and Status of Factors Influencing the Implementation of Social Accountability by Medical Schools.” The data was analyzed by means of descriptive statistics and calculating the differences between groups, the exploratory factor analysis, multiple regression analysis, cluster analysis, and importance and performance analysis (IPA). To develop the measurement indicators of medical schools’ social accountability, the opinions of the focus group comprised of four experts and the opinions of 15 medical education experts were collected. The following survey items were used: experts' opinions on the selection of [ASK2019] standards regarding medical schools’ social accountability, experts' opinions on the selection of [ASK2019] standards based on the social accountability grid, and experts' opinions on the suitability and ease of measurement of indicators based on [ASK2019] of medical schools’ social accountability. The results of our research are as follows. First, based on the HSP model, eight factors in three areas influenced the implementation of social accountability by medical schools. The hardware (H) area included the announcement of social accountability and personnel discharge, implementation system and organization, and the physical and financial factors. The software (S) area included the social accountability curriculum composition, monitoring, and evaluation factors. Finally, the partner (P) area included the proximity between partners, partnership building, and interaction with partners factors. Among them, interaction with partners was the biggest factor in the implementation of social accountability by medical schools. In addition, the difference between the deans’ group and the experts’ group demonstrated that the deans’ group scored high across all factors. Among the factors, the deans’ group recognized the social accountability announcement, personnel discharge, social accountability curriculum organization, and performance organization and system factors as important. Second, the analysis of the implementation of social accountability by medical schools classified them into three groups depending on their position on the implementation of social accountability spectrum: leading, growing, and medical schools with potential to grow. Five out of 40 medical schools were selected as leading based on the eight factors implemented in balance. As a result of analyzing the importance and current level of medical schools’ social accountability by type, location, and the year of establishment in the Republic of Korea, the level of state schools was higher than that of the private schools, and there was no statistically significant difference based on the location and year of establishment. Third, as a result of selecting the [ASK2019] standards related to medical schools’ social accountability, a total of 92 criteria were selected. These included 61 criteria that were selected through focus group discussions for the social grid model, and 41 criteria that were selected based on the opinions of the expert group. As a result of classification in the social accountability grid model, Korean Institute of Medical Education and Evaluation (KIMEE) standards were similar to foreign evaluation and accreditation standards(WFME, LCME, AMC)and focused on educational relevance, but the [ASK2019] indicated that in the area of education and quality, education was more important. In addition, the area of research and service and the standards of cost effectiveness and equity needed to be investigated further. Fourth, a total of 252 quantitative and qualitative indicators were developed for 41 of the basic [ASK2019] criteria that reflected medical schools’ social accountability. Among them, the evaluation matrix for the [ASK2019] basic criteria was developed to reflect medical schools’ social accountability for the indicators of 3.5 points or higher by collecting additional opinions on the suitability and ease of measurement. The discussion in this study suggested the development of a joint consortium between medical schools, communities, countries, and regions, because building partnerships and interactions is important to strengthen the implementation of social accountability by medical schools. Also, the study proposed to actively consider and reflect the criteria and indicators of medical schools’ social accountability in the current evaluation and accreditation system. Finally, the degrees of social accountability implementation by medical schools may vary depending on the context, situation, and specialization of medical schools. Therefore, efforts are needed to establish social accountability implementation mechanisms for individual medical schools.

중학교 체육 교과서 민속무용에 관한 연구 : 2009 개정 교육과정 중심으로

이상미 경성대학교 교육대학원 2014 국내석사

This research compares and analyzes the folk dance in Expressive Activities of junior high school PE textbook. Dance education at school plants itself in Expressive Activities of PE. There have been many proposed contents of folk dance, a unit of Expressive Activities from the first educational curriculum to the current 2009 revised one. Folk dances can be different between each ethnic customs but contain the lifestyle and spirit of each country. It's more important understanding countries than simply knowing the kind and movement of their folk dance. Similarly the respect for ethnicity and multiculture valued in 2009 revised educational curriculum should aim at knowing our country and understanding each country with interest in its cultures, not just knowing and learning cultures. What is important is to raise the efficiency of folk dance class at school and to invigorate the school dance education, setting as the goal of folk dance education understanding the difference in regionality, specialty and culture of other countries This research investigated junior high school curriculum and folk dance to study folk dance in junior high school PE textbook and analyzed educational goal and content of folk dance in junior high school PE. We compare and analyze the development and content of junior high school folk dance education from the first educational curriculum to 2009 revised one, and check Expressive Activities within junior high school PE textbook by textbook. We carried out a comparison and analysis just between Korean and foreign folk dance with five -Doosandonga, Visang, ChunjaeEdu, Mirae'N Co., Ltd. and Jihak Pulishing Co., Ltd. - limited sources of investigation among junior high school PE textbooks edited by 2009 revised educational curriculum. These are the results of such a comparison and analysis. First, comparison between Korean folk dances in junior high school PE textbooks shows no big change in the kind. Second, comparison between foreign folk dances in junior high school textbooks shows they contain folk dances of various countries, which is rather remote from the goal of learning the attitude to respect multiculture from understanding and experiencing foreign culture. Third, a closer look into the basic movements of foreign folk dance in junior high school PE textbook reveals the difference in its terms and content among textbooks without set criteria Lastly, the unit of mask dance in junior high school PE textbook is seen to be lacking in presented data as to its definition, history and origin. Learning the basic movement only without an understanding of our unique ethnicity and culture inherent in it is distant from the goal of the study expected to be attained by learning folk dance. The active teaching of folk dance at schools requires the clearly stated goal and bettered content of dance curriculum in PE. The variety of textbooks is also needed but the unity in goal, terms and content of folk dance education should be partially pursued. It's difficult for teacher lacking expertise to offer classes about folk dance, and teaching only by textbooks and manuals is vastly insufficient. Besides continuing education targeting them, teacher themselves need to continuously study to keep up with the times. Curriculum should be announced in the light of the reality in schools currently going by it and if textbooks are supplemented based on such a principle, folk dance education at school is expected to be more active as the curriculum hitherto changed is.

중학생이 지각한 부모양육태도가 스마트폰 중독에 미치는 영향 : 스트레스 대처방식의 매개효과

이상미 군산대학교 2020 국내석사

The purpose of this study was to examine the relation between parenting attitude, smart-phone addiction, and stress coping strategies perceived by middle school students, and to examine the mediating effect of stress coping strategies on the relation between parenting attitude and smart-phone addiction. The research questions for the purpose of this study are as follows. First, what are the perceived parenting attitude, smart-phone addiction, and stress coping strategies perceived by middle school students? Second, what is the relation between parenting attitude, smart-phone addiction, and stress coping strategies perceived by middle school students? Third, is there a mediating effect of stress coping strategies in the relation between parenting attitude and smart-phone addiction perceived by middle school students? For this study, a survey was conducted on 5 middle school located in Jeollabuk-do, and a total of 250 people participated in the survey. Among the responses, 213 respondents were analyzed excepted for 37 respondents who answered insincerely or did not return. The scale used is as follows. To measure the Parenting Attitude, the 'Parenting Attitude scale' developed by Heo Myo-yeon (2000, 2004) was used. To measure the smart-phone addiction, the smart-phone addiction scale(S-scale) developed by the Korea Information Technology Agency (2011) was used.finally, to measure stress coping strategies, Kim Jong-hee (1987) corrected and supplemented The ways of Coping Cheklist developed by Lazarus & Folkman (1984), and Jo Yoon-jung (2010) was reorganized into 27 questions for youth was used. The collected data were analyzed using SPSS 21.0. Descriptive statistics, correlation analysis, and three-stage multiple regression analysis were performed on the collected data. The results of the study are summarized as follows.   First, as a result of examining the general tendency of each variable, supervisors, rational explanation, inconsistency, excessive interference, excess expectation, and affection were higher than the middle and neglect was moderate, and abuse was seen as a sub-factor of parenting attitude perceived by middle school students. Appeared lower than the middle. The smartphone addiction was higher than the middle, and the active coping and passive coping of the stress coping method were higher than the middle.   Second, as a result of the correlation analysis among the main variables, the sub-factors of parenting attitude perceived by adolescents, rational explanation, and positive parenting attitude of affection showed total addiction and negative correlation, negative sub-factors inconsistency, overexpectation, Excessive interference, abuse, and neglect were found to have a positive correlation with total addiction. Positive parenting attitude showed positive coping and positive correlation, and negative parenting attitude showed negative correlation. The director of parenting attitude showed passive coping and negative correlation, and inconsistency, excessive interference, abuse, and neglect showed passive coping and static correlation. The rational explanation of parenting attitude, overexpectation, and affection did not show a significant correlation with passive coping.   Third, the mediating effect of the stress coping method in the relationship between parental attitude perceived by adolescents and smartphone addiction had a mediating effect only in the active coping method and showed different results depending on the parenting attitude. The parenting attitude that the active coping method showed a mediating effect is supervision, rational explanation, inconsistency, overexpectation, over-interference, neglect, affection, of which overexpectation and over-interference showed complete mediating effect.   The results of this study helped students who experience smartphone dependence or addiction in the youth education scene to understand that the current problem of addiction was influenced by parent relationships at home and to use stress coping methods in an appropriate way. It is meaningful in that it can help you avoid falling into a smartphone addiction by giving. 본 연구의 목적은 중학생이 지각한 부모양육태도, 스마트폰 중독, 스트레스 대처방식의 관계를 알아보고, 부모양육태도와 스마트폰 중독의 관계에서 스트레스 대처방식의 매개효과를 확인하는 것을 목적으로 한다. 본 연구의 목적을 위한 연구문제는 다음과 같다. 첫째, 중학생이 지각한 부모양육태도와 스마트폰 중독, 스트레스 대처방식은 어떠한가? 둘째, 중학생이 지각한 부모양육태도와 스마트폰 중독, 스트레스 대처방식은 어떤 관계가 있는가? 셋째, 중학생이 지각한 부모양육태도와 스마트폰 중독의 관계에서 스트레스 대처방식의 매개효과가 나타나는가? 본 연구를 위해 전라북도 내에 위치한 중학교 5곳에 재학 중인 학생들을 대상으로 설문조사를 진행하였고 총 250명이 설문에 참여하였다. 수집된 250부의 설문 중 불성실하게 응답된 설문과 미 응답 된 설문 37부를 제외하여 총 213부를 분석에 사용하였다. 사용한 척도는 다음과 같다. 부모양육태도를 측정하기 위해서 허묘연(2000, 2004)이 개발한 ‘부모 양육태도 척도’를 사용하였고, 스마트폰 중독을 측정하기 위해서 한국정보화진흥원(2011)에서 개발한 표준화된 청소년 자가 진단용 스마트폰 중독 척도(S-척도)를 사용하였다. 마지막으로 스트레스 대처방식을 측정하기 위해서 Lazarus & Folkman(1984)이 개발한 스트레스 대처방식 척도(The ways of Coping Cheklist)를 김정희(1987)가 수정 보완하고 조윤정(2010)이 청소년에 맞게 27문항으로 재구성한 척도를 사용하여 측정하였다. 수집된 자료는 SPSS 21.0을 사용하여 분석되었다. 수집된 자료에 대하여 기술통계, 상관분석, 3단계 중다회귀분석을 실시하였으며, 연구의 결과를 요약하면 다음과 같다. 첫째, 각 변인에 대한 일반적인 경향성을 살펴본 결과, 중학생이 지각한 부모양육태도의 하위요인인 감독, 합리적설명, 비일관성, 과잉간섭, 과잉기대, 애정은 중간보다 높게, 방치는 중간정도 보였고, 학대는 중간보다 낮게 나타났다. 스마트폰 중독은 중간보다 높게 나타났고, 스트레스 대처방식의 적극적 대처, 소극적 대처는 중간보다 높게 나타났다. 둘째, 주요 변인들 간의 상관분석 결과 청소년이 지각한 부모양육태도의 하위요인인 감독, 합리적 설명, 애정의 긍정적 양육태도는 총 중독과 부적상관을 보였으며, 부정적 하위요인인 비일관성, 과잉기대, 과잉간섭, 학대, 방치는 총 중독과 정적상관을 보이는 것으로 나타났다. 부모양육태도의 긍정적 양육태도는 적극적 대처와 정적상관을 보였으며, 부정적 양육태도는 부적상관을 나타났다. 부모양육태도의 감독은 소극적 대처와 부적상관을 보였고, 비일관성, 과잉간섭, 학대, 방치는 소극적 대처와 정적상관을 나타났다. 부모양육태도의 합리적설명과 과잉기대, 애정은 소극적 대처와 유의미한 상관관계를 보이지 않았다. 셋째, 청소년이 지각한 부모양육태도와 스마트폰 중독과의 관계에서 스트레스 대처방식의 매개효과는 적극적 대처방식에서만 매개효과가 있었으며 부모양육태도에 따라 다른 결과를 보였다. 적극적 대처방식이 매개효과를 보인 부모양육태도는 감독, 합리적 설명, 비일관성, 과잉기대, 과잉간섭, 방치, 애정이며, 이 중 과잉기대와 과잉간섭은 완전매개효과를 보였다. 본 연구의 결과는 청소년 교육 장면에서 스마트폰 과의존 또는 중독을 경험하는 학생들에게 현재 겪는 중독의 문제가 가정에서의 부모 관계에서 영향을 받았다는 것을 통찰시키고 스트레스 대처방식을 적절한 방법으로 사용 할 수 있도록 도움을 줌으로서 스마트폰 중독에 빠지지 않도록 도울 수 있다는 점에서 의의가 있다.

心臟手術前 어린이의 不安과 어머니의 不安에 對한 調査硏究

이상미 서울大學校 大學院 1981 국내석사

간호사의 전문직에 관한 인식과 직무만족도의 상관성 연구

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