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최종보고서 고려대학교병원 노동자의 교대제 개선을 위한 노동조건 실태조사 2009년 6월 전국 보건의료산업 노동조합 고대의료원지부 한국노동안전보건연구소

[2009] 고려대학교병원 노동자의 교대제 개선을 위한 노동조건 실태조사

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  • 2009 6

  • ( ) .

    2009 6

  • 1.

    ( / )

    2.

    () ( / ) ( / ) ()

    3.

    ( ) ( ) ( ) ( ) ( )

  • I.

    1. 11.1. 11.2. - 31.1.1. 1 - 10 (1760~1848) 31.1.2. 2 - 8 (1848~1919) 41.1.3. 3 - 40 (1929 ) 51.3. ? 72. 92.1. 102.2. 122.2.1. 122.2.2. 132.2.3. 143. 143.1. 153.2. 153.2.1. 163.2.2. 163.2.3. 173.2.4. 173.2.5. 183.2.6. 183.3. 193.4. 194. 204.1. 214.2. 214.3. 21

  • - 5 -

    4.4. 21

    II.

    1. 221.1. 221.1.1. 221.1.2. 231.1.3. 241.1.4. 251.2. 261.2.1. 261.2.2. 271.2.3. 271.3. 281.3.1. 281.3.2. 331.3.3. 332. 382.1. 382.2. 382.2.1. 382.2.2. 392.3. 402.3.1. 402.3.2. 412.3.3. 49

    III.

    1. 512. 55

  • 2.1. 552.2. 573. 593.1. 593.2. 603.3. 634. , 674.1. 674.2. 714.3. - 795. 825.1. 825.2. 845.3. 865.4. 896. 996.1. 996.2. 1046.3. 1076.4. 1107. 1177.1. 1177.2. 1268. 1288.1. 1288.2. 1328.3. 1428.4. 1478.5. 1509. 1609.1. 1609.2. 167

  • IV.

    1. 1741.1. 1741.2. , 1741.3. 1751.4. 1761.5. 1781.6. 1791.7. 1791.8. 1802. 1812.1. 1812.1.1. 1812.1.2. 1822.1.3. 1832.2. 1832.2.1. 1832.2.2. 1842.2.3. 1842.2.4. 1852.2.5. , 1862.2.6. 1862.2.7. 1872.2.8. 187

  • 1. 10 2. , 11 3. 5 13 4. 23 5 . 24 6. 26 7. 27 8. - 28 9. (1) 29 10. (2) 30 11. 30 12. 31 13. 32 14. 38 15. (1) 39 16. (2) 40 17. 43 18. (2007 1 1 ) 52 19. 52 20. 53 21. - 54 22. - 54 23. (1) 55 24. (1) 55 25. (2) 56 26. (2) 56 27. 57 28. 58 29. 59 30. 60 31. 60

  • 32. 61 33. 62 34. 64 35. 65 36. 66 37. 66 38. 67 39. 68 40. 69 41. 70 42. 72 43. 74 44. 75 45. 76 46. 77 47. 78 48. 80 49. 81 50. 3 82 51. 3 83 52. 84 53. 85 54. 87 55. 88 56. 89 57. 90 58. - 97 59. - 98 60. 117 61. 119 62. 120 63. 121 64. 124

  • 65. 125 66. ; 125 67. 129 68. 130 69. 131 70. 131 71. 148 72. 156 73. 160

    1. - : () 92 2. - : () 93 3. - : () 94 4. 95 5. 97 6. 99 7. 101 8. 104 9. 106 10. 108 11. 109 12. 111 13. 113 14. 116 15. 116 16. 126 17. 127 18. : 132 19. : 133 20. : 134 21. (1) 135 22. (2) 137

  • 23. 138 24. 139 25. 140 26. 141 27. 142 28. 143 29. 1 144 30. 144 31. 1 145 32. 147 33. 150 34. 152 35. 153 36. (1) 154 37. (2) 155 38. 157 39. 158 40. : 161 41. : 162 42. : 164 43. (1) 165 44. (2) 166 45. 167 46. 168 47. 168 48. 169 49. 170 50. 170

  • I.

    - 1 -

    .

    1.

    1.1.

    , . . , . . , , , . , . , , . .

    . . , . . , . . . ,

  • - 2 -

    .

    , . , , 2~3 5~6 . siesta() 16 , . , . 1 . , .

    , . 2005 12 1 , . GDP 8% . . 1993 NAFTA . , , .

    . . . , 24, 1 365 . . . .

  • I.

    - 3 -

    . , , . , . , , , , , .

    1.2. -

    . , . . . 24 24 19 , , .

    . . . . , 1979 2 3 , 3 . 1985 2 . 40 . .

    1.1.1. 1 - 10 (1760~1848)

    10

  • - 4 -

    . 1830 10 , 20 1848 5 10 . , . 1850 12 , 10 .

    1.1.2. 2 - 8 (1848~1919)

    8 . 1820 1840 10 . 1840 10 9 , 8 . 1863 8 8 . 1866 , 8 8 .

    1886 5 1, 20 8 . 6 8 . 1889 2 2 8 5 1 .

    1886 8 1890 8 . 12 2 84 . 1917 , 1918 , 1919 8 .

  • I.

    - 5 -

    1.1.3. 3 - 40 (1929 )

    8 , 8 . 3 . 1 8 3 56 .

    1929 , , . . , , .

    40 . ILO 1935 19 40 . 2 , 40 , 8 3 5 . , .

    , 19 . 1 8, 44 , 2~3 , 10 2 2 . .

    5 . , , . .

  • - 6 -

    . . . , , .

    , . ( ) , . . 10 2 2 , , .

    , . , , . . , .

  • I.

    - 7 -

    1.3. ?

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    . . . 24 .

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  • - 8 -

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    , . 3 3 4 3 2 2.

    . (68201-574, 99.11.10) , , ,, , , , , .

    . , . , , . .

  • I.

    - 9 -

    2.

    2004 1 40, 5 . 2004 7 2005 7 40 , . 2004 47.7 2005 45.13 . 40 , 2005 . . , 40 .

  • - 10 -

    2.1.

    2008 2004 2005 . 2005 , , .

    2004 2005 2006 2007 - 43.62 47.62 43.51 44.7 45.17 46.5 43.66 44.78 45.29 47.49 44.63 43.51 45.3 48.84 47.59 46.75 45.38 49.49 46.53 49.63 45.74 51.13 46.19 46.97 47.01

    - 45.28 47.72 45.13 45.21 45.38

    1. (: )

  • I.

    - 11 -

    40 , 2006 . , , , . , 40 , , .

    . 8.74 6.74 . , , . , .

    31.77 34.2850 7.96 9.06

    29.84 33.1153 7.21 8.90

    28.17 31.7181 5.52 7.68

    29.53 33.1269 6.63 8.85

    28.56 31.7011 5.77 7.53

    31.00 34.2915 8.36 9.42

    30.13 32.6169 7.55 9.62

    29.61 37.3378 6.18 10.31

    29.58 33.0543 6.74 8.74

    2. ,

    , , 40 3 , 40 5 , , .

  • - 12 -

    . 3 .

    2.2.

    2.2.1.

    , . .

    , , - 3 - + 3 , 1 - - 2 1( ) , - + 2 , , - , - + 2 - , - - 1 05230, 2 1030730 6, 48 ( ) , : 2 (D+E)

  • I.

    - 13 -

    2.2.2.

    2004 47.9 2007 48.4 . 2004 48.2 2007 47.2 . 10% . .

    () ()2004 2007 2004 2007

    46.67 44.24 46.34 45.18() 47.87 48.39 48.16 47.17 49.94 43.88 46.74 42.83() 46.71

    44.65 47.36

    44.90() 46.97 47.92() 45.55

    43.8846.30

    44.92() 45.71 45.32

    3. 5

    , . . 5 , .

    3 9.67 5 OFF 165 /16 = 10.3 3 14/ 48(163) = 29.1% 7(5) + 7 (7) + 0 (8) = 14

  • - 14 -

    2.2.3.

    . , N 1 . 5 , , 200 . . , .

    . , . . .

    3.

    () , , . . . - (ILO)

  • I.

    - 15 -

    3.1.

    . , .

    2003 11 . 6 3 2, 21 3 2, 8 5, , . , 30-60% , , , . 30% .

    2004 . 85.4% , 80.5%, 79.7% . , , , 87.8%, 83.0%, 82.2%, 67.7%, 62.1%, 62.5% .

    3.2.

    . , , . .

  • - 16 -

    3.2.1.

    . . . , . .

    , .

    3.2.2.

    . . . . , , , . 40% .(Boggild H and KnutssonA, 1999)

    14 . 3 (-- ) , , 6-10 2, 11-15 2.2,16-20 2.8 .(Knutsson A , 1986)

  • I.

    - 17 -

    3.2.3.

    , , 2.1, 2.0, 1.25 . (40 ) .

    . . . , . , . , , .

    3.2.4.

    . . , , . (shiftwork maladaptation syndrome) .

    . ( , , , ), ( ), ( , , ), (, , ), .

    ,

  • - 18 -

    .

    . , .

    , . , . , .

    3.2.5.

    30 54 1.5 .(HansenJ, 2001) .

    3.2.6.

    . . 5000 50 , 1.24, 1.56 . (Karlsson B , 2005) .

  • I.

    - 19 -

    3.3.

    . . .

    . . ( ) .

    . .

    3.4.

    . .

    , , 70% . . 3 1 (Smith and Folkard, 1991).

    . (Koller M , 1978).

  • - 20 -

    .

    . . . 7.5 , 6.17 . 6.5 , 5.5 . . 84 (Godbois C, 1981).

    4.

    . . .

    . .

    , .

  • I.

    - 21 -

    4.1.

    . , . , . , .

    4.2.

    , . . - .

    4.3.

    . .

    4.4.

    .

  • - 22 -

    II.

    1.

    1.1.

    1.1.1.

    , , . .

    (1), (3)~(7) , (4), (11) , (2), (5),(6) . (8)~(10) . , 0 , , , 1 1 , 0 .

  • II.

    - 23 -

    ( )

    ,

    ,

    ,

    4.

    , .

    1.1.2.

    (National InstituteOccupational Safety and Health, NIOSH) ( 1), ( 2, 3, 4) .

    .

    1 : 1 1 (NIOSH ) 2 : 1

    (NIOSH , )

  • - 24 -

    3 : 1 ( ) 4 : 3 1 (

    )

    .

    7. 1 , , /, /, /, / (, , , , , ) ? ( 7-1) ( 8) 7-1> ? ( ) 1 1 1 2 7-2> ? ( ) 1 1-1 1 - 6 6 7-3> ? ( ) , 7-4> ? 7-5> ?

    5 .

    1.1.3.

    .

    - - - 1 30 - (, , )

  • II.

    - 25 -

    - - -

    1.1.4.

    . .

    - : , , , , - : ,

    - : , () - : (), , - : , , - : , , ,

    - 20 - 20 - 1 - 5 8 - - ( )

  • - 26 -

    1.2.

    1.2.1.

    . 3 3, + , 4 2 3 2, 2 ' .

    : .

    3. + 3(DEN) 42() 32() 2 (D+E) ( ) 3-1> () ? ? ( ) 3-2> () ? 3-3> ? ( )

    6.

    - : , , - : , , N

  • II.

    - 27 -

    1.2.2.

    .

    (1) . (2) . (3) . (4) . (5) . (6) . (7) . (8) . (9) . (10) . (11) . (12) (D & E) (N) . (13) .

    7.

    1.2.3.

    - , .

    - - -

  • - 28 -

    - : - . 13 46 . 7 8 9 10 .

    1. .

    2. .

    3. .

    4. .

    5. .

    6. () .

    7. .

    8. .

    9. .

    10.

    8. -

    - - , , , -

    1.3.

    1.3.1.

    , , , , .

  • II.

    - 29 -

    , .

    [, intensity of labor] ( EnCyber (http://www.encyber.com/). .

    [, intensity of labor]

    () . , . () , () , . . , () , . , 1 , 1 , 1 , . , . , (RMR). .

    RMR = ( - ) / = /

    . RMR 0.1 10.0 , () RMR 01 (), 12 , 24 , 47 , 7 () . , , , . , , . , () . ( EnCyber (http://www.encyber.com/)

    9. (1)

  • - 30 -

    [, intensity of labour]

    , , . .

    . 1 .

    . , 1 . , . ( , http://nisweb.nonghyupi.com/dic/aac/aac206.html)

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    ( ) ( ) , . , . . .

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    =

    11.

  • II.

    - 31 -

    . , . , , , .

    (, , ) , ,

    , : , ,

    , ,

    : ,

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    12.

  • - 32 -

    .

    1. . 2. . 3. . 4. . 5. . 6. . 7. . 8. . 9. .10. .11. . 12. .13. (, , , , ) .14. .15. .16. .17. .18. , , .19. ( ) .20. (, EMR, OCS ).21. , VOS, .22. (, , QI ).23. JCI .24. .25. .

    13.

  • II.

    - 33 -

    1.3.2.

    . .

    . / .

    1.3.3.

    . 43 , 8 (, , , , , , , ) . 8 .

    - , , , .

    .

    .

    .

  • - 34 -

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    .

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    () .

    .

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    .

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    .

  • II.

    - 35 -

    - , .

    .

    () .

    .

    .

    2 .

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  • - 36 -

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  • II.

    - 37 -

    - , , .

    ( ) .

    () .

    ( ) , .

    , 1-2-3-4- . 1-2-3-4 , 4-3-2-1 . 100 . 100 .

    = ( - )100/( - ) = ( 8 )/8

    43 24 . . 3 27 .

    .

  • - 38 -

    2.

    2.1.

    .

    .

    2008-03-04 2008-03-11 4~6 ( 24) , , 2008-11-13 2009 6

    14.

    2.2.

    2.2.1.

    . . , .

  • II.

    - 39 -

    . .

    2.2.2.

    ' .

    - , , , , , , , , ,

    - - , , , - , - ,

    ,

    - , , - , , - , , , - - -

    , - , , - , -

    - , , - , - , , - , , - , , - ,

    15. (1)

  • - 40 -

    - - - - - - - - -

    - , , - - - -

    - : , , /, /, /, /, /- , , , - , - , -

    - - - , - ,

    16. (2)

    2.3.

    2.3.1.

    . , , ,

  • II.

    - 41 -

    4 . 2 .

    2.3.2.

    . 29 .

    - 1 - : - 2, 2 / - 2, 2- 1, 1- 1, 1, 1, 1, 1, 1, 1- 1, 1, 1, 1, 1, 1- 1, 1, 1, 1, 1, 1

    . .

    - - - ( ) .

  • - 42 -

    36. PRN 2 2 , 6 , 3 . 2, 2 2, 2. 3 , , , , , 1 . 1 , 1, 1, 1 .

    42 1 2 . , 2 .

  • II.

    - 43 -

    .

    , , . .

    2 , . . , . .

    : : :

    /

    /

    70%

    17.

  • - 44 -

    A.

    1. , ?

    2. .

    3. ?

    4. .

    5. ?

    7. . .

    B.

    8. . (, , )

    - : D 07-15:30, E 14-22:30, N 22- 8- : 5 . . 1 keep ( 12)-, : ( )-, : +, - : +

    9. , .

    10. ? ?

    11. , ?

    12. .

  • II.

    - 45 -

    - (?) .

    13. ? , .

    14. ? ?

    C.

    15. , ? ?

    16. , , ?

    17. , , ? ?

    18. , , ? ? ?

    - JCI () - . .

    D. ,

    19. ?

  • - 46 -

    20. ? () . ?- , , , ?- , (, , , )?- ?- , , , ?- ? ( )

    - : , ( , )- : ( , , ), ( , ), 30 . - . bone tb. .- . 200 ()

    21. ? ? ?

    22. ? ? , . .

    - . .

    E.

    23. ? ? , (two job) ?

    24. ? , ?

  • II.

    - 47 -

    25. ?

    26. ? , ? ?

    F.

    27. ? ?

    28. ? ?

    29. , ? ?

    30. ? , .

    31. , ? , / ? .

    32. , , ?

    33. ? .

  • - 48 -

    G.

    34. ? , .

    35. ?

    H.

    36. .

    37. 2008 . 12 . . D 07:00 - 15:30 (8), E 14:00 - 22:30 (8), N 22:00- 08:00 (9.5) . 3 N 6 . 3 D-E-N , N 2OFF . 3 2009 1 3 . (N) , 15 . (,,,) 2 . 40 off sleep off .

    38. , ?

    I.

    39. ? ? ?

    40. ? , ?

    41. , ? ?

    42. .

  • II.

    - 49 -

    2.3.3.

    .

    .

    1)

    - , , .

    - . .

    - . , , , . .

    - , .

    - .

    - , , ? .

  • - 50 -

    2)

    , . , .

    ; . , . [()]-[()] , [] [] . , , . , [] .

    ; [] [] . [] , [] [] . [] , [] [] , , .

    ; , .

  • III.

    - 51 -

    III.

    1.

    2007 1 3 . 457 37.8% 48.2%, 33.1%( 19).

    55.9%, 73.2%, 54.5%. , , 30.8%, 36.4%, 26.1% . ,, , , , 24.1%,31.2%, 18.9% 0% 2.5% ( 20).

    , 30% . 50% .

    . .

  • - 52 -

    83 80 72 235

    555 380 356 1,291 39 33 23 95 594 413 379 1,386

    7 5 6 18 47 35 32 114 1 1 1 1 2 2 1 1 2 1 1 2 1 1 1 1 1 1 1 3 27 21 17 65 1 1 2 4 6 5 6 17 3 1 4 6 6 5 17 51 49 42 142 2 1 1 4 1 1 1 1 1 3 - 156 127 119 402

    63 49 37 149 194 160 127 481 42 40 35 117 76 90 111 277 1,208 959 880 3,047

    18. (2007 1 1 )

    (%) (%)

    457 37.77 1,208 37.8

    462 38.18 959 48.2

    291 24.05 880 33.2

    19.

  • III.

    - 53 -

    (%) (%) (%)

    0 (0.0) 2 (0.5) 0 (0.0)

    22 (4.9) 22 (5.0) 16 (5.7)

    6 (1.3) 59 (13.5) 29 (10.3)

    12 (2.7) 12 (2.8) 6 (2.1)

    1 (0.2) 0 (0.0) 0 (0.0)

    6 (1.3) 12 (2.8) 3 (1.1)

    310 (68.9) 278 (63.6) 194 (69.0)

    93 (20.7) 52 (11.9) 33 (11.7)

    (%) 24.2 31.1 18.9

    310 (76.9) 278 (84.2) 194 (85.5)

    128 (36.2) 145 (31.1) 81 (18.9)

    180 (58.1) 131 (47.5) 112 (55.5)

    / 13 (4.2) 21 (7.6) 37 (18.3)

    / 19 (6.1) 9 (3.3) 18 (8.9)

    59 (19.0) 44 (15.9) 30 (14.9)

    14 (4.5) 41 (14.9) 2 (1.0)

    23 (7.4) 24 (8.7) 3 (1.5)

    2 (0.7) 6 (2.2) 0 (0.0)

    (%) 55.9 73.2 54.5

    17 (17.4) 1 (1.7) 6 (17.7)

    11 (11.2) 7 (12.1) 7 (20.6)

    37 (37.8) 16 (27.6) 2 (5.9)

    26 (26.5) 22 (37.9) 12 (35.3)

    1 (1.0) 4 (6.9) 2 (5.9)

    0 (0.0) 2 (3.5) 0 (0.0)

    6 (6.1) 6 (10.3) 5 (14.7)

    20.

  • - 54 -

    . 3 66.1%(643) 3 148(15.4%). 66 3 42, 69.

    -3 148 15.43

    -3 643 66.11

    66 6.88

    3 42 4.38

    69 7.19

    21. -

    - . 3 74 3 273 204, 157. 29 25, 12. 3 21 10, 11 42, 17, 10.

    3 3 3

    37 273 29 21 42

    74 204 25 10 17

    37 157 12 11 10

    22. -

  • III.

    - 55 -

    2.

    2.1.

    . 20 . 7.8 7.0 . .

    32.758.77 31.437.95 31.357.30

    20.852.58 20.372.58 20.602.63

    7.785.70 6.985.98 7.065.29

    23. (1) ()

    3 27.7 . 3 5.0 3 8.0. 9.2 3 11.0, 12.2 .

    3 3 3

    31.00 6.0 27.70 3.8 37.30 9.5 46.48 6.9 44.71 7.5

    19.95 1.8 19.69 1.8 22.72 3.6 23.12 3.1 22.92 2.9

    8.03 5.8 5.01 3.5 9.21 6.5 11.0 4.9 12.22 7.0

    *

  • - 56 -

    , , 80% 40% . 49.1%, 51.0%, 65.2%.

    (%) (%) (%)

    60 (13.45) 64 (14.19) 54 (18.95)

    386 (86.55) 387 (85.81) 231 (81.05)

    253 (59.67) 271 (64.37) 182 (67.16)

    171 (40.33) 150 (35.63) 89 (32.84)

    92 (21.75) 57 (13.23) 34 (12.73)

    209 (49.41) 220 (51.04) 174 (65.17)

    122 (28.84) 154 (35.73) 59 (22.10)

    25. (2)

    3 1 3 3 . . 3 81.1% 3 41.1% . 55.9%, 3 83.3%, 79.2% . , 3 48.6%, 3 65.8% . 51.7%, 3 86.5%, 90.2% .

    3 3 3

    1 (0.7) 3 (0.5) 25 (40.0) 12 (30.0) 26 (41.3)

    147 (99.3) 626 (99.5) 39 (60.0) 28 (70.0) 37 (58.7)

    83 (58.9) 496 (81.1) 26 (44.1) 6 (16.7) 11 (20.8)

    58 (41.1) 116 (18.9) 33 (55.9) 30 (83.3) 42 (79.2)

    0 (0.0) 0 (0) 30 (51.7) 32 (86.5) 46 (90.2)

    69 (48.6) 400 (65.8) 22 (37.9) 4 (10.8) 3 (5.9)

    73 (51.4) 207 (34.1) 6 (10.3) 1 (2.7) 2 (3.9)

    26. (2)

  • III.

    - 57 -

    2.2.

    10% 11.1% . 53.4%, 45.3%, 46.9%, 48.9% . 16.1%, 12.7%, 19.0% 3 15% 3 3 15% , 19.1% .

    (%) (%) (%)

    34 (7.80) 25 (5.52) 32 (11.11)

    387 (88.76) 417 (92.05) 248 (86.11)

    15 (3.44) 11 (2.43) 8 (2.78)

    241 (53.44) 206 (45.27) 135 (46.88)

    2-3 139 (30.82) 181 (39.78) 101 (35.07)

    1 71 (15.74) 68 (14.95) 52 (18.06)

    72 (16.14) 57 (12.72) 55 (19.03)

    374 (83.86) 391 (87.28) 234 (80.97)

    70 (15.59) 65 (14.44) 44 (15.55)

    1-2 307 (68.37) 340 (75.56) 193 (68.20)

    3 72 (16.04) 45 (10.00) 46 (16.25)

    32 (9.91) 28 (10.26) 36 (16.82)

    1-2 233 (72.14) 202 (73.99) 137 (64.02)

    3 58 (17.96) 43 (15.75) 41 (19.16)

    27.

    . 36.4%, 3 51.2%, 52.4% . . 50% 1 27.3%, 3

  • - 58 -

    24.4%, 17.5% . 3 3 . 3 80.3%, 3 91.7% 20% . . 3 31.8% 3 6.5% . 3 48.3% 3 14.1% 3 .

    3 3 3

    1 (0.7) 4 (0.6) 10 (15.6) 6 (16.7) 17 (27.0)

    143 (98.6) 623 (99.1) 50 (78.1) 25 (69.4) 43 (68.3)

    1 (0.7) 2 (0.3) 4 (6.3) 5 (13.9) 3 (4.7)

    86 (58.1) 328 (51.7) 24 (36.4) 21 (51.2) 33 (52.4)

    2-3 54 (36.5) 234 (36.9) 24 (36.4) 10 (24.4) 19 (30.2)

    1 8 (5.4) 72 (11.4) 18 (27.3) 10 (24.4) 11 (17.5)

    29 (19.7) 52 (8.3) 17 (27.0) 11 (26.8) 13 (20.3)

    118 (80.3) 578 (91.7) 46 (73.0) 30 (73.2) 51 (79.7)

    28 (19.1) 105 (16.7) 9 (13.6) 4 (9.8) 5 (7.5)

    1-2 99 (67.4) 485 (76.8) 36 (54.6) 31 (75.6) 42 (62.7)

    3 20 (13.5) 41 (6.5) 21 (31.8) 6 (14.6) 20 (29.8)

    18 (29.5) 55 (9.9) 4 (20.0) 2 (5.1) 1 (3.5)

    1-2 37 (60.7) 422 (76.0) 10 (50.0) 29 (74.4) 14 (48.3)

    3 6 (9.8) 78 (14.1) 6 (30.0) 8 (20.5) 14 (48.3)

    28.

  • III.

    - 59 -

    3.

    3.1.

    . 30 .

    74.7%, 69.9%, 76.8% , , 99, 119,59 .

    (%) (%) (%)

    451 (98.7) 423 (92.6) 284 (97.9)

    3 (0.7) 30 (6.6) 3 (1.0)

    3 (0.7) 3 (0.7) 2 (0.7)

    0 (0.0) 1 (0.2) 1 (0.3)

    334 (74.7) 30 (69.9) 218 (76.8)

    5 (1.1) 12 (2.8) 6 (2.1)

    9 (2.0) 0 (0.0) 1 (0.4)

    99 (22.2) 119 (27.4) 59 (20.8)

    29.

  • - 60 -

    . , . 3 30.9%,3 16.8% 24.6% .

    3 3 3

    142 (96.0) 625 (98.7) 53 (80.3) 42 (100.0) 65 (94.2)

    6 (4.0) 8 (1.3) 9 (13.6) 0 (0.0) 0 (90.0)

    0 (0.0) 0 (0.0) 3 (4.6) 0 (0.0) 3 (4.4)

    0 (0.0) 0 (0.0) 1 (1.5) 0 (0.0) 1 (1.4)

    113 (79.0) 414 (67.7) 45 (69.2) 40 (100.0) 57 (86.4)

    4 (2.8) 6 (1.0) 3 (4.6) 0 (0.0) 2 (3.0)

    2 (1.4) 3 (0.5) 1 (1.5) 0 (0.0) 0 (0.0)

    24 (16.8) 189 (30.9) 16 (24.6) 0 (0.0) 7 (10.6)

    30.

    3.2.

    .

    (%) (%) (%)

    256 (80.5) 225 (68.0) 182 (79.1)

    209 (75.7) 211 (65.7) 172 (78.9)

    31.

  • III.

    - 61 -

    1 , , 9 . 3 10 . 15 .

    1 9.31 0.89 9.29 1.06 9.49 1.06

    () 11.28 17.00 10.40 15.79 12.68 19.78

    4.07 3.86 3.58 3.44 4.25 4.08

    14.53 15.36 13.46 12.23 15.12 13.99

    32. ()

  • - 62 -

    . 1 3 9.6 3 9.5 . .

    9.1 3 8.2, 8.9 . 3 6.2 3 15.3 . 21.4 . 5.1 3 3.9 . 3 15.0 15.1 .

    3 3 7.3(=10.7), 4.9(=9.1), 6.0(=11.1) . 3 0-40, 0-40, 0-60 .

    3 3 3

    1 9.6 1.0 9.5 0.8 9.1 1.0 8.2 0.4 8.9 1.1

    15.3 15.8 6.2 10.4 21.4 28.5 12.5 11.6 14.9 14.0

    3.1 2.7 3.9 3.7 5.1 4.1 1.8 2.6 4.3 3.3

    12.0 8.2 15.0 16.1 13.1 6.9 8.0 0.1 15.1 13.8

    33. ()

  • III.

    - 63 -

    3.3.

    , 3 . . 3 .

    74.3% 56.7%, 69.8% . 4.3%, 16.8%, 9.4% . 5 5-10 30% . .

    3 6-7 7 23.1% . 3 4 68.1% 4 .

  • - 64 -

    (%) (%) (%)

    55 (12.1) 139 (30.8) 38 (13.1)

    + 33 (7.3) 41 (9.1) 46 (15.9)

    3 301 (66.2) 228 (50.4) 183 (63.1)

    42 25 (5.5) 12 (2.7) 8 (2.8)

    32 4 (0.9) 7 (1.6) 10 (3.5)

    34 (7.5) 16 (3.5) 4 (1.4)

    3 (0.7) 9 (2.0) 1 (0.3)

    88 (19.3) 180 (39.8) 84 (29.0)

    3 301 (66.2) 228 (50.4) 183 (63.1)

    66 (14.5) 44 (9.7) 23 (7.9)

    52 (74.3) 76 (56.7) 44 (69.8)

    265 (89.5) 193 (91.0) 125 (81.2)

    15 (4.3) 56 (16.8) 19 (9.4)

    5 121 (34.4) 120 (36.0) 61 (30.1)

    5-10 117 (33.2) 95 (28.5) 84 (41.4)

    10 99 (28.1) 62 (18.6) 39 (19.2)

    3 6 144 (52.2) 66 (31.1) 93 (53.5)

    N

    6-7 126 (45.7) 97 (45.8) 45 (25.9)

    7 6 (2.2) 49 (23.1) 36 (20.7)

    3 4 20 (41.7) 19 (44.2) 32 (68.1)

    4-8 22 (45.8) 9 (20.9) 6 (12.8)

    8 6 (12.5) 15 (34.9) 9 (19.2)

    34.

    . 3 48% 43.2% . 4 2 3 2, 2 . 66.7% 33.3% . 59.4% 2 42 32 .

    3 64.4%

  • III.

    - 65 -

    81.8% . 10 3 . 3 N 6-7 6 11.8% 70 7 . 3 8 70% . , , .

    3 3 3

    71 (48.0) 0 (0.0) 44 (66.7) 0 (0.0) 0

    + 64 (43.2) 0 (0.0) 22 (33.3) 0 (0.0) 0 (0.0)

    3 0 (0.0) 634 (100.0) 0 (0.0) 42 (100.0) 0 (0.0)

    42 1 (0.7) 0 (0.0) 0 (0.0) 0 (0.0) 12 (17.4)

    32 3 (2.0) 0 (0.0) 0 (0.0) 0 (0.0) 13 (18.8)

    7 (4.7) 0 (0.0) 0 (0.0) 0 (0.0) 41 (59.4)

    2 (1.4) 0 (0.0) 0 (0.0) 0 (0.0) 3 (4.4)

    65 (64.4) 0 (0.0) 45 (81.8) 0 (0.0) 0 (0.0)

    35 (33.0) 0 (0.0) 9 (19.6) 0 (0.0) 0 (0.0)

    5 30 (28.3) 215 (42.4) 17 (37.0) 5 (19.2) 3 (7.7)

    5-10 17 (16.0) 222 (43.8) 10 (21.7) 8 (30.8) 8 (20.5)

    10 24 (22.6) 70 (13.8) 10 (21.7) 13 (50.0) 28 (71.6)

    3 6 0 (0.0) 270 (45.5) 0 (0.0) 23 (65.7) 0 (0.0)

    6-7 0 (0.0) 253 (42.7) 0 (0.0) 7 (20.0) 0 (0.0)

    7 0 (0.0) 70 (11.8) 0 (0.0) 5 (14.3) 1 (100.0)

    3 4 36 (75.0) 0 (0.0) 11 (78.5) 0 (0.0) 1 (3.3)

    4-8 7 (14.6) 0 (0.0) 3 (21.4) 0 (0.0) 7 (23.3)

    8 5 (10.4) 0 (0.0) 0 (0.0) 0 (0.0) 22 (73.3)

    35.

  • - 66 -

    7.2 5.5 . 3 6.8 6.6, 6.3 . 3 6.8 6.3, 4.9 .

    7.2 5.5 5.5 5.7 6.2 5.0

    3- 14.4 1.9 14.2 2.4 14.7 2.5

    3- 6.3 0.8 6.8 1.0 6.6 1.3

    3- 17.1 4.6 16.8 4.7 17.8 6.0

    3- 6.3 3.2 6.8 5.1 4.9 3.5

    36. ()

    12.7 3 10.5 . 3 5.7 . 3 6.5 .

    3 3 3

    4.6 5.1 5.7 3.8 5.4 5.8 10.5 6.4 12.7 6.0

    3- - 14.4 2.1 - 14.7 2.7 -

    3- - 6.5 1.0 - 6.4 1.5 -

    3- 18.5 4.0 - 21.5 3.1 - 14.5 5.8

    3- 4.7 3.1 - 3.2 1.8 - 10.5 2.9

    37. ()

  • III.

    - 67 -

    4. ,

    4.1.

    , . 1.6-1.7 3 .

    2007 3,300 3,257 . 2007 . 800 2001 .

    , , 400 449 426 406 . .

    1.7 1.5 1.7 1.5 1.6 1.5

    2007 3390.4 836.8 3256.9 940.5 3391.3 871.5

    426.1 192.5 448.8 224.3 405.9 189.4

    38. ()

    . 3 1.1 3 1.6. . 3

  • - 68 -

    3,152 3 3,600 3,300 . .

    3 484 3 428 .

    3 3 3

    1.6 1.5 1.1 1.4 2.7 1.3 2.9 1.0 2.5 1.2

    2007 3615.2857.6 3151.6645.2 3097.01107.7 3300.0979.5 3342.3877.2

    484.0 208.7 428.5 215.0 350.5 111.1 435.3 178.7 335.0 98.4

    39. ()

  • III.

    - 69 -

    . , , . .

    . .

    50% 40% .

    (%) (%) (%)

    / 170 (39.5) 161 (38.0) 120 (42.4)

    90 (20.9) 87 (20.5) 65 (23.0)

    79 (18.4) 82 (19.3) 50 (17.7)

    / 100 (27.6) 85 (24.4) 71 (28.2)

    75 (20.7) 72 (20.7) 52 (20.6)

    58 (16.0) 69 (19.8) 37 (14.7)

    31 (7.0) 37 (8.4) 15 (5.2)

    182 (41.0) 169 (38.5) 112 (39.2)

    231 (52.0) 233 (53.1) 159 (55.6)

    40.

    . . . .

  • - 70 -

    3 3 3

    / 54 (38.9) 313 (52.4) 13 (22.0) 5 (12.2) 6 (8.7)

    29 (20.9) 141 (19.1) 12 (20.3) 11 (26.8) 14 (20.3)

    26 (18.7) 33 (5.5) 17 (28.81) 20 (48.8) 36 (52.2)

    / 33 (30.0) 137 (27.1) 11 (22.0) 11 (33.3) 12 (19.7)

    24 (21.8) 142 (28.1) 8 (16.0) 16 (16.3)

    16 (14.6) ; 40 (7.9) / 6 (12.0) 6 (18.2) 17 (27.9)

    14 (9.7) 44 (7.1) 4 (7.0) 2 (4.9) 5 (7.3)

    47 (32.4) 284 (45.8) 11 (19.0) 12 (29.3) 23 (33.3)

    84 (57.9) 292 (47.1) 43 (74.1) 27 (65.9) 41 (59.4)

    41.

  • III.

    - 71 -

    .

    #1. . . . (N09)

    #2. . . . (NN03)

    #3. . , . . (N06)

    4.2.

    . 11-20 67.6%, 72.0%, 77% . 21 12% 6.8% . 10 20.4%, 15.1%, 16.1% . 1 10 .

    , . , , 100% .

  • - 72 -

    .

    100% .

    100% . 50% 77.7% 67.7% 57.7% . 50% 40% 30%, 20%.

    (%) (%) (%)

    10 51 (20.4) 33 (15.1) 31 (16.2)

    11-20 169 (67.6) 157 (72.0) 147 (77.0)

    21 30 (12.0) 28 (12.8) 13 (6.8)

    : 200 (51.0) 156 (47.7) 135 (54.4)

    100% 95 (24.2) 62 (19.0) 41 (16.5)

    49 (12.5) 50 (15.3) 35 (14.1)

    : 128 (37.4) 81 (29.0) 86 (38.2)

    65 (19.0) 58 (20.8) 46 (20.4)

    51 (14.9) 42 (15.1) 33 (14.7)

    : 86 (26.9) 61 (23.4) 54 (25.4)

    100% 72 (22.5) 54 (20.7) 55 (25.8)

    52 (16.3) -49 (18.8) -33 (15.5)

    50% 138 (57.7) 113 (67.7) 136 (77.7)

    50-90% 66 (27.6) 41 (24.6) 26 (14.9)

    90% 35 (14.6) 13 (7.8) 13 (7.4)

    42.

    . 21 3

  • III.

    - 73 -

    21 11-20 . 10 . 3 29.9% 10 .

    100% . 100% .

    50% 3 .

  • - 74 -

    3 3 3

    10 9 (9.4) 88 (29.9) 1 (2.8) 1 (3.2) 0 (0.0)

    11-20 75 (78.1) 201 (68.4) 30 (83.3) 20 (64.5) 33 (80.5)

    21 12 (12.5) 5 (1.7) 5 (13.9) 10 (32.3) 8 (19.5)

    : 48 (40.0) 216 (45.8) 33 (57.9) 27 (65.9) 47 (74.6)

    100% 21 (17.5) 109 (23.1) 7 (12.3) 11 (26.8) 11 (17.5)

    21 (17.5) 91 (19.3) 6 (10.5) 3 (4.8)

    : 35 (33.0) 177 (43.3) 14 (25.9) 12 (30.8) 13 (21.7)

    31 (29.3) 90 (22.1) 100% 9(16.7) 8 (20.5) 10(1.5)

    +100% 13 (12.3) 100%47 (11.5) 18 (33.3) 100% 7(18.0) 18 (30.0)

    : 15 (14.6) 106 (28.4) 12 (22.6) 12 (31.6) 11 (20.0)

    100% 25 (24.3) 82 (22.0) 15 (28.3) 6(15.8) 15 (27.3)

    23 (22.3) 58 (15.6) 14(26.4) 7 (18.4) 14 (25.4)

    50% 57 (83.8) 206 (57.1) 22 (88.0) 22 (88.0) 11 (68.8)

    50-90% 10 (14.7) 103 (28.5) 1 (4.0) 3 (12.0) 3 (18.8)

    90% 1 (1.5) 5 (14.4) 222 (8.0) 0 (0.0) 2 (12.5)

    43.

  • III.

    - 75 -

    , . .

    #1. . . 4 . . . . . . (N05)

    13 , 12 . 46.9% 36.3%, 33.6% . .

    13.5 6.9 12.4 7.5 13.6 6.0

    46.9 33.4 33.6 32.5 36.3 28.7

    44. ()

  • - 76 -

    . 3 10 . 3 52.7% .

    3 3 3

    15.1 6.3 10.0 6.8 17.3 3.4 17.8 4.4 17.7 2.9

    27.0 25.6 52.7 30.8 18.7 26.2 28.5 23.5 23.5 32.5

    45. ()

  • III.

    - 77 -

    . 30% TV . TV .

    . 3 , 30% .

    (%) (%) (%)

    : TV 147 (32.7) 123 (27.0) 85 (29.3)

    121 (26.9) 118 (25.9) 74 (25.5)

    47 (10.4) 50 (11.0) 35 (12.1)

    : 126 (29.4) 133 (31.2) 82 (29.1)

    52 (12.2) TV ; 59 (13.9) TV ; 42 (14.9)

    TV 51 (12.0) ; 50 (11.7) ; 35 (12.4)

    191 (43.0) 193 (42.7) 121 (42.2)

    156 (35.1) 133 (29.4) 90 (31.4)

    66 (14.9) 64 (14.2) 39 (13.6)

    46.

    3 TV . 3 . 3 3 .

    3 3 .

  • - 78 -

    3 3 3

    : TV 26 (18.1) 226 (35.8) 16 (24.2) 16 (24.2) 14 (20.6)

    32 (22.2) 177 (28.1) 14 (1.4) 9 (21.4) 24 (35.3)

    26 (18.1) 74 (11.7) , 8(12.1) 7(15.7) 8(11.8)

    : 47 (34.3) 194 (32.3) 19 (31.2) 14 (34.2) 17 (27.0)

    18(13.1) 81 (13.5) 10 (16.4) 6(15.2) / 16 (25.4)

    TV 19 (13.8) 94 (15.6) / 9 (14.8) 7(11.1)

    32 (56.9) 233 (36.9) 33 (53.2) 12 (28.6) 43 (66.2)

    13(9.0) 298 (47.1) 9(14.6) 24 (57.1) 7 (10.8)

    29 (20.1) 83 (13.1) 12 (19.3) 4 (9.5) 9(13.9)

    47.

  • III.

    - 79 -

    . . .

    #1. . , . . . (NN02)

    #2. , . . , 6 . . . . (N06)

    #3. . . . . . (N07)

    #4. .. . .. . . .. ... .. .. (N10)

    4.3. -

    19.3%, 21.9%, 17.8% 1 33.9%, 35.2%, 37.1% .

    27.2%, 30.5%, 29.3% . ,

  • - 80 -

    171, 150, 89 35.7%, 45.3%, 49.4% .

    49.6%, 41.3%, 40.7% 80.7%, 78.7%, 78.7% .

    (%) (%) (%)

    87 (19.3) 97 (21.9) 51 (17.8)

    1 153 (33.9) 156 (35.2) 106 (37.1)

    1-2 122 (27.1) 104 (23.5) 73 (25.5)

    2-3 46 (10.2) 47 (10.6) 26 (9.1)

    3 43 (9.5) 39 (8.8) 30 (10.5)

    61 (27.2) 68 (30.5) 44 (29.3)

    138 (49.6) 118 (41.3) 70 (40.7)

    140 (50.4) 168 (58.7) 102 (59.3)

    48.

    . 1 1-2 3 .

    3 . , 3 58, 3 116 3 46.6%, 3 54.3% . . . 3 77.6%, 3 94.0%, 69.7%, 3 63.3%, 64.3% 3

  • III.

    - 81 -

    .

    3 3 3

    28 (19.5) 135 (21.4) 6 (9.5) 6 (14.3) 10 (15.4)

    1 44 (29.9) 256 (40.6) 22 (33.3) 9 (21.4) 11 (16.9)

    1-2 38 (25.9) 152 (24.1) 17 (27.0) 15 (35.7) 27 (41.5)

    2-3 25 (17.0) 44 (7.0) 8 (12.7) 6 (14.3) 7 (10.8)

    3 12 (8.2) 43 (6.8) 11 (17.5) 6 (14.3) 10 (15.4)

    27 (35.5) 63 (20.8) 5 (17.2) 10 (41.7) 16 (47.1)

    45 (46.9) 109 (34.7) 23 (54.8) 19 (52.8) 27 (46.6)

    51 (53.1) 205 (65.3) 19 (45.2) 17 (47.2) 31 (53.5)

    49.

    . .

    #1. . 3 . . . (). . . (N03)

    #2. . . (N10)

  • - 82 -

    5.

    5.1.

    3 . 18% 20.7%, 26.0% . 15 30.4% 16.0%, 18.1% . .

    (%) (%) (%)

    81 (18.0) 93 (20.7) 75 (26.0)

    1-5 101 (22.4) 176 (39.1) 76 (26.4)

    6-10 91 (20.2) 74 (16.4) 68 (23.6)

    11-15 40 (8.9) 35 (7.8) 17 (5.9)

    15 137 (30.4) 72 (16.0) 52 (18.1)

    50. 3

  • III.

    - 83 -

    3 1.6% 15 36.0% . 6-10 29.8% 3 1-5 51.0% 35.2%. 50.0%, 3 38.1%, 67.2% 1-5 28.1%, 3 28.6%, 17.2% 1-5 . 3 .

    3 3 3

    51 (35.2) 10 (1.6) 32 (50.0) 16 (38.1) 43 (67.2)

    1-5 74 (51.0) 134 (21.3) 18 (28.1) 12 (28.6) 12 (17.2)

    6-10 8 (5.5) 188 (29.8) 6 (9.4) 8 (19.1) 4 (6.3)

    11-15 5 (3.5) 71 (11.3) 1 (1.6) 4 (9.5) 2 (3.1)

    15 7 (4.8) 227 (36.0) 7 (11.0) 2 (4.8) 4 (6.3)

    51. 3

    . (team nursing) . .

    #1. . . (N02)

    #2. . . . 10 15 ( ) . 80% . 4 3 . ,

  • - 84 -

    . (N04)

    #3. . () . , , . (N06)

    #4. . . . 2 . (N10)

    #5. 10 . , . (N12)

    5.2.

    83.3%, 78.9%, 83.6% . .

    (%) (%) (%)

    368 (83.3) 344 (78.9) 235 (83.6)

    : 204 (55.9) 192 (55.8) 139 (59.9)

    61 (16.7) 41 (11.9) 34 (14.7)

    54 (14.8) 53 (15.4) 33 (14.2)

    : 86 (27.2) 87 (29.1) ; 73 (35.4)

    73 (23.1) ; 80 (26.8) ; 50 (24.3)

    64 (20.3) ; 54 (18.1) 29 (14.1)

    52.

    3 93.5% . 3

  • III.

    - 85 -

    88.0% . 61.7%, 3 46.2%, 45.9% . .

    3 3 3

    124 (88.0) 588 (93.5) 37 (61.7) 18 (46.2) 28 (45.9)

    : 62 (50.8) 377 (64.1) 17 (46.0) 9 (50.0) 9 (32.4)

    18 (14.8) 65 (11.1) 8 (21.6) 5 (27.8) 8 (28.6)

    20 (16.4) 75 (12.8) 8 (21.6)

    , 2

    (11.1)

    4(14.3)

    : 35 (31.5) 125 (23.4) 11 (37.9) 6 (46.2) 7 (38.9)

    29 (26.3) 156 (29.4)

    6(20.7)

    3 (23.1) 4 (22.2)

    19 (17.2) 110 (20.7)

    5(17.2)

    2(15.4.)

    3(16.7)

    53.

    . . , . .

    #1. . ( ) . , , . . ( ) ,

  • - 86 -

    . QI, (, ) . ... (N02)

    #2. . . . . . . (N05)

    #3. . ( ) 5 15 . . (N09)

    #4. . . . (N17)

    #5. . . . . (N18)

    #6. . . . . . . (N15)

    5.3.

    20% 34, 41, 24. 31.8%, 39.4%, 39.3% .

    55.8%, 52.4%, 58.6%

  • III.

    - 87 -

    , , 57, 48, 32 24.3%,21.0%, 19.5% .

    .

    1 20% 12.9%, 17.4%, 14.7% . .

    (%) (%) (%)

    21 (4.7) 26 (6.0) 13 (4.6)

    77 (17.2) 56 (12.8) 47 (16.5)

    293 (65.3) 279 (63.8) 183 (64.2)

    58 (12.9) 76 (17.4) 42 (14.7)

    107 (24.3) 104 (23.5) 61 (21.8)

    34 (33.7) 41 (41.8) 24 (39.3)

    235 (55.8) 229 (52.4) 164 (58.6)

    57 (26.4) 48 (21.9) 32 (19.9)

    54.

    3 6.5% . 3 14.2% 3 20.3%. 10% . 3 68.8%, 3 60.8% , 79.4%, 3 76.2%,

  • - 88 -

    71.2% . 3 19.8% 3 23.4%. 3 48.8% 31.3%, 21.7% . 3 46.3%, 72.2% . 3 63.5%, 3 67.3% 15.1%, 3 1.5%, 13% . 3 26.7% 3 13.2% .

    3 3 3

    5 (3.6) 40 (6.5) 2 (3.2) 0 (0.0) 0 (0.0)

    20 (14.2) 126 (20.3) 1 (1.6) 4 (9.5) 4 (6.1)

    97 (68.8) 377 (60.8) 50 (79.4) 32 (76.2) 47 (71.2)

    19 (13.5) 77 (12.4) 10 (15.9) 6 (14.3) 15 (22.7)

    33 (23.4) 123 (19.8) 13 (21.7) 20 (48.8) 20 (31.3)

    9 (28.1) 56 (46.3) 4 (33.3) 13 (72.2) 7 (36.8)

    92 (63.5) 425 (67.3) 8 (15.1) 14 (1.5) 6 (13.0)

    12 (13.2) 108 (26.7) 1 (12.5) 5 (1.0) 1 (16.7)

    55.

    .

    #1. , . . (N01)

    #2. . 40 . . (N04)

  • III.

    - 89 -

    5.4.

    68.7%, 57.4%, 62.4% . , , . 32.6% 33.7% 29.0%, 28.9% 25.3%, 23.0%.

    (%) (%) (%)

    , 307 (68.7) 255 (57.4) 179 (62.4)

    77 (25.3) 58 (23.0) 49 (28.2)

    99 (32.6) 85 (33.7) 36 (20.7)

    88 (29.0) 72 (28.6) 53 (30.5)

    16 (5.3) 8 (3.2) 13 (7.5)

    , 24 (7.9) 28 (11.1) 23 (13.2)

    0 (0.0) 1 (0.4) 0 (0.0)

    56.

    3 73.1% . 3 41.9% 26.9%, 15.1% . 3 34.7% 29.0%, 27.0% . 3 .

  • - 90 -

    3 3 3

    , 94 (65.7) 462 (73.1) 28 (42.4) 24 (60.0) 32 (50.0)

    39 (41.9) 132 (29.0) 0 (0.0) 0 (0.0) 0 (0.0)

    25 (26.9) 123 (27.0) 11 (42.3) 15 (68.2) 7 (22.6)

    14 (15.1) 158 (34.7) 7 (26.9) 3 (13.6) 12 (38.7)

    4 (4.3) 14 (3.1) 2 (7.7) 1 (4.6) 2 (6.5)

    , 11 (11.8) 29 (6.4) 6 (23.1) 3 (13.6) 10 (32.5)

    0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)

    57.

    . . . . , .

    #1. . . . . . . . (N02)

    #2. . . . . . . () . . . . (N04)

  • III.

    - 91 -

    #3. . . . (N07)

    #4. . . . 1 5 . . (N09)

    #5. . xx . . . (N13)

    . . .

    #1. . . . . (N09)

    #2. , . (N13)

    #3. . ? . . , . . surgery() . . (N15)

    #4. ? ? . (N16)

  • - 92 -

    - . 47% 80% . 50% 60% . 70% 25% .

    1. - : ()

  • III.

    - 93 -

    - . 50% 80% . 50% 50% . 70% 25%-30% .

    2. - : ()

  • - 94 -

    - . 40% 80% . 60% 70%, 60% . 60% 30% .

    3. - : ()

    . 3 3 36.6% . 3 76.9% . 3

  • III.

    - 95 -

    . 76.6% .

    3 67.9%, 83.5%, 71.1% .

    4.

  • - 96 -

    . . 86.6% 81.3%, 3 80.0% . 3 3 63.4% . 3 77.5% 81.3%, 73.4% . 3 70.7%, 3 67.5% .

    3 38.9%, 3 30.9% 12.5%, 3 17.5%, 7.8% . 3 38.9%, 3 30.5% . 24.6%, 3 13.2%, 12.5% . .

  • III.

    - 97 -

    5.

    . .

    8.1 1.3 8.2 1.3 8.1 1.4

    8.1 1.7 7.8 1.7 8.1 1.6

    5.4 1.0 5.5 1.0 5.5 1.1

    4.3 1.2 4.3 1.3 4.4 1.3

    58. -

    - . 3 8.7

  • - 98 -

    8.5, 8.2 . 3 7.9 3 8.1 . 3 8.6 6.8 1.4 . 3 3 7.6 . 3 7.4 7.3 .

    5.8, 3 5.7, 5.6 5.3 . 4.4 3 4.0, 3.9.

    3 3 3

    8.1 1.4 7.9 1.3 8.2 1.3 8.7 1.4 8.5 1.5

    7.6 1.7 8.6 1.5 6.8 1.5 7.4 1.1 7.3 1.8

    5.3 1.1 5.3 1.0 5.6 0.8 5.7 0.8 5.8 1.0

    4.4 1.4 4.4 1.3 4.0 1.2 4.0 1.0 3.9 0.7

    59. -

  • III.

    - 99 -

    6.

    6.1.

    . 74.0% 65%. 91.4% 90% . . 85% 60%. 80% .

    3 . .

    6.

  • - 100 -

    3 . 3 88.6% 3 74.5% . 40% . 3 96.5% 92.8%, 3 87.8%, 3 84.8%, 81.5% . . 3 92.5% 3 87.8%, 3 87.3%, 77.9%, 80.3% . 3 77.2% 3 55% 3 40% . 3 89.1% 79.4%, 73.9%, 3 65.0%, 3 71.1% . 80% 3 92.1% . 3 .

  • III.

    - 101 -

    7.

    . 30 1 . . .

    #1. . . . . (N01)

  • - 102 -

    #2. 7 30 7 (, ) , , . . . 2 30 3 , . 3 30 4 4 . 3 2 . () 9 9 30 ( 9) . (N02)

    #3. 6 20 3 , 5 . 12 40 , . 1 1 20 . 10 , 11 . 8 8 . 12 . (N12)

    #4. . . , eb 1 . , . (N15)

    .

    #5. . 7 7 . (N08)

    . .

    #6. 4 . . 4 . 2 (or ) . OT

  • III.

    - 103 -

    . 6 .N08

    . .

    #7. . . . (N07)

    #8. 50 . . 50 . 5-10 , . , . . , . . () . (N14)

  • - 104 -

    6.2.

    . 3 80% 80% . 85.2% 75% . 70% 70% .

    8.

  • III.

    - 105 -

    3 . 64.6% 3 55% . 3 88.8% 70% . 3 83.3% 73.9% . 60% . 3 84.8% 3 70.0% . 3 66.0% , 60% . 3 80% 3 93.0%, 92.7%, 3 92.3%. . 80% 3 74.4% 72.9% .

  • - 106 -

    9.

    . (team nursing) . .

    #1. . . . 1 ( ). . . (N01)

  • III.

    - 107 -

    #2. . 2 . , . (N10)

    #3. . , 2-3 , 7-8 . 2 . . , . 2 . , , , . , 1, () , 3 . 2 . , . 4 2-3 . (N11)

    #4. . . . . . . (N18)

    #5. PRN . . . (N09)

    #6. . . . . (N05)

    6.3.

    . ( ) 3 80%

  • - 108 -

    . , , , 50% , , 50% .

    10.

  • III.

    - 109 -

    . 41.9% . , , 30% 3 30.8%, 28.8% . 80% 92.9% . 3 56.9%, 3 49.6% .

    11.

  • - 110 -

    . .

    #1. . . complain . () . . . PNA . (NN02)

    #2. , . . . . . . (N08)

    #3. . . . . . . . (N14)

    6.4.

    . . JCI 90% . 70% JCI . 70% 50% . 70.5%,

  • III.

    - 111 -

    1.1%, 67.9% 3 50% .

    , 25.4%, 20.7%, 24.6% 14.1%, 14.6%, 11.1% .

    12.

  • - 112 -

    . 3 84.5% ,VOS, 50% 3 56.4% 59.5% . 3 67.6% 3 65.8% . 3 3 58.7% . JCI 70% 3 89.0%, 3 84.2% . 3 31.9% . 20% .

  • III.

    - 113 -

    13.

    . . . .

    #1. 4 QI

    .

  • - 114 -

    . .... 1

    1 2 4

    . () 1 1

    30 . 2

    30 50 . QI

    . (N01)

    #2. .

    , ,

    . ,

    .

    .() .

    . (N13)

    .

    #3. ( off ?) . .

    . (N05)

    #4. . . 330

    . . (N10)

    . . .

    #5.

    verbal

    .

    .

  • III.

    - 115 -

    . .

    ()

    . (N02)

    #6. .

    . (N13)

    #7. () . 7 .

    ID .

    . , . . (N18)

    JCI . .

    #8. . , .

    . OO . (N05)

    . .

    #9. . .

    . , ,

    .

    3 . 6 3 ..

    . (N10)

    . 3-6 1 20% 6 1

  • - 116 -

    20% .

    14.

    3 6 1 40% . 3 3 50% .

    15.

  • III.

    - 117 -

    7.

    7.1.

    . .

    25% . 50% , , , , , . , , , , , , , . 50% .

    57.41 56.32 51.03 33.3 33.4-44.4 44.5-66.6 66.7

    60.63 66.24 51.28 41.6 41.7-50.0 50.1-58.3 58.4

    55.46 52.01 54.25 41.6 41.7-50.0 50.1-66.6 66.7

    36.51 42.00 40.52 - 33.3 33.4-44.4 44.5

    52.30 55.08 49.00 33.3 33.4-50.0 50.1-66.6 66.7

    58.48 63.39 56.80 41.6 41.7-50.0 50.1-66.6 66.7

    38.36 37.87 39.50 33.3 33.4-55.5 55.6-66.6 66.7

    43.64 50.15 43.09 33.3 33.4-41.6 41.7-50.0 50.1

    50.10 53.07 48.13 42.4 42.5-48.4 48.5-54.7 54.8

    60.

  • - 118 -

    3 1, 3 3 . 3 25% 50% .3 , , , 25% , , 50% . 25% , , , , , , 50% . 3 50% 25% 50% .

  • III.

    - 119 -

    3 3 3

    33.3 55.6 49.3 54.6 57.8 33.3 33.4-44.4 44.5-66.6 66.7

    58.3 77.8 62.2 52.1 59.1 41.6 41.7-50.0 50.1-58.3 58.4

    50.0 72.2 63.4 57.6 65.2 41.6 41.7-50.0 50.1-66.6 66.7

    33.3 55.6 39.1 42.6 37.2 - 33.3 33.4-44.4 44.5

    50.0 55.6 52.1 48.6 50.0 33.3 33.4-50.0 50.1-66.6 66.7

    66.7 63.9 59.8 52.8 61.2 41.6 41.7-50.0 50.1-66.6 66.7

    33.3 50.0 41.0 34.7 39.5 33.3 33.4-55.5 55.6-66.6 66.7

    25.0 55.6 42.8 42.4 47.9 33.3 33.4-41.6 41.7-50.0 50.1

    43.8 60.8 49.5 48.2 53.9 42.4 42.5-48.4 48.5-54.7 54.8

    61.

  • - 120 -

    . ,, 3 25% 25% . , , , 50% , 50% . 3 50% .

    59.82 56.58 62.75 33.3 33.4-44.4 44.5-55.5 55.6

    70.73 70.26 73.53 50.0 50.1-58.3 58.4-66.6 66.7

    54.86 52.36 54.69 50.0 50.1-58.3 58.4-66.6 66.7

    39.93 37.81 38.77 - 33.3 33.4-44.4 44.5

    47.39 48.79 47.05 - 33.3 33.4-50.0 50.1

    61.70 58.73 60.79 41.6 41.7-50.0 50.1-66.6 66.7

    43.32 41.96 44.11 44.4 44.5-55.5 55.6-66.6 66.7

    49.08 48.23 52.60 33.3 33.4-41.6 41.7-50.0 50.1

    53.53 52.10 54.62 44.4 44.5-50.0 50.1-55.6 56.0

    62.

    3 25% , , , , , 50% . 3 , , 25% , , , 50% . 25% , 50% . 3 25% 50% . 25% 50% .

  • III.

    - 121 -

    3 3 3

    55.9 62.3 46.5 50.0 55.6

    33.3 33.4-44.4 44.5-55.5 55.6

    65.5 74.1 64.2 64.5 66.9

    50.0 50.1-58.3 58.4-66.6 66.7

    52.2 52.3 60.0 68.2 62.2

    50.0 50.1-58.3 58.4-66.6 66.7

    36.1 38.8 39.4 43.6 42.8

    - 33.3 33.4-44.4 44.5

    46.6 48.0 44.3 48.7 45.5

    - 33.3 33.4-50.0 50.1

    54.9 61.9 58.8 58.7 58.3

    41.6 41.7-50.0 50.1-66.6 66.7

    39.6 44.3 43.4 38.5 41.4

    44.4 44.5-55.5 55.6-66.6 66.7

    47.7 50.5 41.4 48.3 45.1

    33.3 33.4-41.6 41.7-50.0 50.1

    49.9 54.2 50.7 52.6 54.1

    44.4 44.5-50.0 50.1-55.6 56.0

    63.

  • - 122 -

    . . .

    . .

    #1. . . 2 . . (N03)

    . . . .

    #2. . . . 40 . . (N03)

    #3. . . , . . , , . . (N03)

    #4. . .

  • III.

    - 123 -

    . . . . . . . . (NN03)

    . .

    #5. . . . (N04)

    #6. () . . 1,2 . . . . (?) . . . . , . (N10)

    #7. ( ) . 3 . 12 . () . . . (N05)

    .

    #8. . , . 7 (PRN) . . 1 . (N09)

  • - 124 -

    . .

    #9. . . (NN06)

    2003 55.0, 58.8, 55.0, 37.2, 50.2, 60.5, 76.1, 49.1 . - .

    3 3 3

    55.9 62.3 46.5 50.0 55.6 54.97

    65.5 74.1 64.2 64.5 66.9 58.78

    52.2 52.3 60.0 68.2 62.2 55.03

    36.1 38.8 39.4 43.6 42.8 37.22

    46.6 48.0 44.3 48.7 45.5 50.24

    54.9 61.9 58.8 58.7 58.3 60.46

    39.6 44.3 43.4 38.5 41.4 76.09

    47.7 50.5 41.4 48.3 45.1 49.14

    49.9 54.2 50.7 52.6 54.1 55.24

    64.

    3 , 3 , , , , , . 3 , , ,

  • III.

    - 125 -

    , , . . . 3 .

    . 40%, 47%, 55%.

    (%) (%) (%)

    17 3.8 12 2.7 5 1.8

    202 45.6 219 49.4 123 43.3

    170 38.4 172 38.8 103 36.3

    54 12.2 40 9.0 53 18.7

    65.

    3 45.9%,17.0% 3 33.8% 10.3% . 78.7% .

    3 3 3

    (%) (%) (%) (%) (%)

    7 4.8 5 0.8 11 17.7 1 2.6 3 4.9

    14 51.0 228 36.3 39 62.9 27 67.5 48 78.7

    49 33.8 288 45.9 10 16.1 11 27.5 9 14.8

    15 10.3 107 17.0 2 3.2 1 2.5 1 1.6

    66. ;

  • - 126 -

    7.2.

    . 90.5%, 90.7%, 87,7% . / 94.8%, 95.3%, 87.7% . 3 .

    16.

  • III.

    - 127 -

    93.8% 3 91.8% . / 3 97.5% 3 94.8% . 92.2%, 3 91.6%, 91.5% .

    17.

    . .

    #1. . . . . . . (N14)

  • - 128 -

    8.

    8.1.

    (3 D E) . 3 75% 2-3 50% 4 . 87.9%, 88.8%, 91.2% . 2-3 67.3% 2-3 63.2%, 64.1% . 4 18%, 17.5%, 18.5% 4 .

    , 31.5%, 29.4%, 26.7% 3 70% .

    . 76.3%, 84.2%, 80.4% . 7.5%, 5.5% 5.4%, 1.9% 4.3%, 3.2% . 13% .

  • III.

    - 129 -

    (%) (%) (%)

    333 (78.2) 334 (76.3) 222 (79.9)

    1 89 (28.5) 98 (30.4) 84 (39.8)

    2-3 197 (63.1) 202 (62.7) 118 (55.9)

    4 26 (8.3) 22 (6.8) 9 (4.3)

    291 (87.9) 229 (88.8) 198 (91.2)

    1 40 (14.7) 41 (19.3) 34 (17.4)

    2-3 183 (67.3) 134 (63.2) 125 (64.1)

    4 49 (18.0) 37 (17.5) 36 (18.5)

    137 (31.5) 128 (29.4) 75 (26.7)

    251 (57.7) 257 (59.1) 179 (63.7)

    47 (10.8) 50 (11.5) 27 (9.6)

    243 (73.9) 181 (70.7) 159 (71.6)

    74 (22.5) 70 (27.3) 55 (24.8)

    12 (3.7) 5 (2.0) 8 (3.6)

    335 (76.3) 362 (84.2) 225 (80.4)

    33 (7.5) 23 (5.4) 12 (4.3)

    24 (5.5) 8 (1.9) 9 (3.2)

    21 (4.8) 12 (2.8) 16 (5.7)

    26 (5.9) 24 (5.6) 18 (6.4)

    67.

    85.5%, 3 82.9%, 3 80.6, 3 75.7%, 70.3% . 3 4 8.9%, 8.1% 1 20.0%, 3 27.2% . 3 100%, 3 92.9%, 3 90.5% 4 18.2% 4 3 17.7%, 3 17.2%, 3 11.1% .

    3 35.8%

  • - 130 -

    D E . 3 75.0%, 3 74.0%, 3 70.6%, 65.0%, 48.0%.

    3 90.0% 3 80.4% . 12.7% 8.6%, 3 5.2%. 3 4.5% 3.5% .

    3 3 3

    109 (75.7) 497 (80.6) 45 (70.3) 29 (82.9) 47 (85.5)

    1 38 (36.2) 127 (27.2) 13 (29.6) 14 (50.0) 9 (20.0)

    2-3 66 (62.9) 302 (64.7) 30 (68.2) 13 (46.4) 32 (71.1)

    4 1 (1.0) 38 (8.1) 1 (2.3) 1 (3.6) 4 (8.9)

    39 (92.9) 541 (90.5) 13 (72.2) 32 (100.0) 23 (88.5)

    1 6 (16.7) 80 (15.7) 4 (28.6) 5 (17.2) 4 (18.2)

    2-3 26 (72.2) 339 (66.6) 9 (64.3) 19 (65.5) 14 (63.6)

    4 4 (11.1) 90 (17.7) 1 (7.1) 5 (17.2) 4 (18.2)

    35 (24.5) 222 (35.8) 10 (16.4) 6 (15.8) 10 (17.2)

    87 (60.8) 351 (56.5) 44 (72.1) 28 (73.7) 36 (62.1)

    21 (14.7) 48 (7.7) 7 (11.5) 4 (10.5) 12 (20.7)

    33 (75.0) 438 (74.0) 13 (65.0) 24 (70.6) 12 (48.0)

    9 (20.5) 141 (23.8) 7 (35.0) 8 (23.5) 11 (44.0)

    2 (4.6) 13 (2.2) 0 (0.0) 2 (5.9) 2 (8.0)

    126 (90.0) 496 (80.4) 47 (74.6) 30 (75.0) 39 (67.2)

    2 (1.4) 32 (5.2) 8 (12.7) 1 (2.5) 5 (8.6)

    3 (2.1) 28 (4.5) 2 (3.2) 1 (2.5) 2 (3.5)

    6 (4.3) 14 (2.3) 5 (7.9) 5 (12.5) 7 (12.1)

    3 (2.1) 46 (7.5) 1 (1.6) 3 (7.5) 5 (8.6)

    68.

  • III.

    - 131 -

    . D 7 15 .

    6.4 1.3 6.4 1.3 6.4 1.2

    6.2 2.0 6.4 1.8 6.2 1.9

    69.

    . . 3 D .

    3 3 3

    6.2 0.9 6.5 1.4 6.0 0.8 6.4 1.3 6.8 1.5

    5.7 2.1 6.4 1.7 6.7 3.2 5.6 1.7 6.6 3.1

    70.

    . . .

    #1. . . . . . . 10 11 530 430

  • - 132 -

    . . . (N09)

    #2. . (N10)

    8.2.

    . 50% , , , , , . 50% 40% , , , , , ( ) .

    18. :

  • III.

    - 133 -

    50% , , , , . 50% 40% , , , .

    19. :

  • - 134 -

    . 50% , , , , , , . 50% 40% , .

    20. :

  • III.

    - 135 -

    3 . 3 51.7% 30% . 3 54.0%, 3 46.5%, 3 39.0% , , 40% . 3 64.5% , 3 40.3% 3 36.6%. 3 , 52.6% 3 43.4% . 3 79.7% , 3 62.5%, 3 56.1%, 49.2%, 41.2% .

    21. (1)

  • - 136 -

    3 35.0%. 3 52.4% , 30% . 3 55.6% 3 56.1%. 3 40.0% 31.8%, 27.5% . 3 71.8% 3 65.0%, 3 47.5%, 45.5%, 31.9% . 3 62.9% 3 55.2% 3 42.5% . 20% 18.2%, 17.9% .

  • III.

    - 137 -

    22. (2)

  • - 138 -

    . 80.0%, 77.7%, 83.0% , 78.9, 73.3%, 80.1%. 49.4%, 46.3%, 53.0%. 68.5%, 64.2%, 74.7% , , . .

    23.

  • III.

    - 139 -

    , , , 3 89.4% 86.2%, 79.1%, 55.2% . 3 , , , 75.4%,71.5%, 47.2%, 74.1% . .

    24.

    . .

    #1. . . . . . . ? . (N01)

    #2. 4~5 .

  • - 140 -

    , . . . . . . (N14)

    #3. . 7 9 . . 3 3 . (N15)

    1 3, 5, 7, 9 . .

    25.

    3 3, 3 .

  • III.

    - 141 -

    . 3 3 3 4.4 . 7.8 3 7.7 . 7.2 .

    26.

  • - 142 -

    8.3.

    . 1 88.4%, 86.7%, 89.6% 2 50.0%, 46.9%, 52.1%. 3 26.4%, 24.3%, 28.1% 4 2.4%, 0.5%, 0.4% . .

    27.

  • III.

    - 143 -

    . 1 3 97.4% 88-89% . 2 53.7% 3 51.4%, 3 50.9% 3 41.7% . 3 4 3 3 37.7%, 4 5.7% .

    28.

  • - 144 -

    1 77.7% 76.8%, 74.9% .

    29. 1

    32.6%, 25.1%, 22.8% .

    30.

  • III.

    - 145 -

    1 3 80.7% 79.3%, 3 78.3% . 48.1% 3 32.5%, 3 32.4% 3 23.2% . , .

    31. 1

    . 1-2 .

    #1. . . . (N08)

    #2. , . 30 . . (N10)

  • - 146 -

    #3. . . . 1 . MRI . . . (N14)

  • III.

    - 147 -

    8.4.

    . 160, 135, 95 . 20 6, 11, 7 20 2, 1, 0, 10, 8, 2.

    . 124, 119, 69. 20 , 16, 19, 8 12.9%, 16.0%, 13.6% . 10% .

    32.

  • - 148 -

    . 20 3 9, 3 8 3 5, 3 2 . 3 12, 3 5. 3 116, 3 58 3 6.9%, 3 15.5%. 3 17.2%, 3 24% . 3 64.4% .

    3

    3

    3

    20 9 8 1 0 0

    20 1 1 0 0 0

    2 5 1 0 0

    2 2 0 0 0

    42 295 12 4 9

    5 12 0 0 0

    71.

    . . . , , . .

    #1. . 7, 8 CPR() (4

  • III.

    - 149 -

    ) . 9 4 2 2 . 3 . (N02)

    #2. . 3. . . OBGY() . . (N15)

  • - 150 -

    8.5.

    . 6 1 1 . 40% , , , 1 1 56.3%, 53.3%, 46.1%. 88.0%, 93.8%, 92.3%. 63.6%, 60.9%, 62.5%. 68.5%, 60.3%, 67.8% 61.8%, 60.4%, 57.5%. 52.0%, 51.0%, 45.3%.

    33.

    3 63.9% 3 52.0%, 49.1%, 43.1%, 3 39.6%

  • III.

    - 151 -

    . 3 65.9% 3 59.0%, 52.6%, 3 50.0%, 37.5% . 3 73.8% 3 61.0%, 3 57.1%, 48.1%, 51.7% . 3 69.9% 3 60.9%, 3 57.1% . 3 94.8% 89.3%, 3 89.1%. 3 58.4% 3 49.3% . 3 .

  • - 152 -

    34.

  • III.

    - 153 -

    29.0%, 25.4%, 18.2% 4.6%, 5.3%, 6.6%. , , 4.0%, 4.4%, 5.2% , , 2.6%, 2.9%, 5.2%. , , , , , , 1% . 2.2.%, 1.5%, 2.4% 0.9%, 1.3%, 1.7% .

    35.

    3 . 3 27.6% 3 24.6% . 3 9.5% 7.3%, 6.1% 3 4.1% . 3 3 4.8% 3 0.3% . 13.5% 10.1%, 3 9.5% 3 3

  • - 154 -

    0.7% 0.6% . .

    36. (1)

    1.5% 3 1.4%, 3 0.8% . 2.9%, 3 1.3%, 3 0.7% . 3 4.8% 3 2.1%, 1.5%, 3 1.4% . 3 11.9% 7.6% 7.3% 3 1.6% .

  • III.

    - 155 -

    3 9.5% 3 4.8%, 3.0%, 3 2.5% . 1.5%, 3 0.7% .

    37. (2)

  • - 156 -

    . 3 .

    3

    3

    3

    40 156 7 7 17

    7 26 4 4 5

    0 1 0 0 0

    , 1 2 1 2 1

    1 4 9 4 7

    2 5 0 0 1

    1 8 0 0 2

    2 13 0 2 1

    0 0 1 1 2

    0 10 5 5 5

    7 16 2 4 1

    1 0 0 0 1

    72.

  • III.

    - 157 -

    . , , , , , , , , 31.4% 28.3% 20.6% . 2.9% 3.8% . 4-6% , 5-8% .

    38.

  • - 158 -

    3 30.3% 27.5% . 3 26.3% . 15.2 3 11.9%, 11.6% 3 1.4%, 3 1.1% . 3 4.8% 4.4% . 3 3.5% 3 2.7%. 23.8% 3 10.6% .

    39.

    , . . ,

  • III.

    - 159 -

    .

    #1. GI trouble . . . 3 . . (N03)

    #2. . ( ) . , . (N04)

    #3. . . 10kg . (N09)

    #4. . . . . . ? . . . . . (N09)

    #5. . . . . . . . . . . O O . . . . (N15)

    #6. 10 . . . . . . 1 . . ! ! ? ? . . . (N15)

  • - 160 -

    9.

    9.1.

    . , . , .

    (%) (%) (%)

    - 239 57.7 204 53.8 137 50.6

    63 15.2 60 15.8 : 44 16.2

    51 12.3 52 13.7 : 38 14.0

    - 126 30.4 89 23.7 63 23.3

    106 25.6 100 26.6 81 29.9

    81 19.6 72 19.2 : 50 18.5

    - 113 27.7 114 30.9 65 24.3

    93 22.8 87 23.6 74 27.6

    86 21.1 59 16.0 53 19.8

    73.

    . 40% 80% . 20% 50% . 15% 30% 70% . 40%

  • III.

    - 161 -

    80% 65% . 30%, 40% 50% . 50% , 60%. 35% 75% . (D&E) (N) 50% 80%. 35% 70% .

    40. :

    50% 90% .

  • - 162 -

    20% 50% . 20% 40% 80% . 40% 70% 60% . 20%, 45% 50% . 50% , 50% . 30% 80%. (D&E) (N) 45% 75% . 30% 70% .

    41. :

  • III.

    - 163 -

    50% 80% . 20% 50% . 15% 40% 80% . 40% 70% 40% . 30%, 35% 50% . 45% , 50% . 30% 70% . (D&E) (N) 60% 80%. 50% 70% .

  • - 164 -

    42. :

    . 3 95.6% 3 89.3%, 3 87.8% . 3 69.7% 3 52.5%. 25% . 3 32.6% 3 19.8% . 3 87.5% 3 79.4% . 66.7%, 3 63.4%, 46.7% . 70.0% 60.4% 3 57.9%, 3 47.3%, 3 39.4%. 3 59.5% 55.6%, 38.3%, 3 38.0%. 50% 3 35.5% .

  • III.

    - 165 -

    43. (1)

    3 51.3% 50% . 3 49.1% 20% . 3 .

  • - 166 -

    3 89.6% 3 62.5%,3 58.3% . (D & E) (N) 3 87.8% 3 85.4%, 3 83.5% . 3 80.8% 3 78.3% . 3 70.0%, 50.0% .

    44. (2)

    .

  • III.

    - 167 -

    .

    . , , 5 10 6 10 . 7 . . (N02)

    9.2.

    2007 , , 1-5 304, 263, 193 , , 49, 53, 36. 11 , , 24, 25, 14 .

    45.

    2007 32.8% 26.5% 3

  • - 168 -

    7.4% . 1-5 87.8% 3 3 74.6%, 3 71.3% . 6 3 6-10 12.7%, 11 8.6%.

    46.

    10% .

    47.

  • III.

    - 169 -

    3 17.4% 3 14.6%. 5% .

    48.

    2 50%, 60% , 55% . 2 .

  • - 170 -

    49.

    3 60% 2 3 50% 2 .

    50.

    .

  • III.

    - 171 -

    . . .

    #1. . 7 , . . . . (N02)

    #2. . . 5. 5 . . 10 . . 5 . 3~4 . () . . (N15)

    #3. 10 . 10 11 . () . 6 , 7 . 4 . () . 7 7 . 7 , 13 ? 1 . . 1 . (N17)

    #4. . 10 . 10 . (N18)

    . .

  • - 172 -

    #5. . . 12 . . . . . . . . . . . .() . . . () . . . . . . (N05)

    #6. . 6 . , , 7 , 4 . () 7 OOO , 7 . 7? , ? ? ? . (N06)

    #7. , . OO . . . . . 5 . ,, 5 . (N10)

    #8. 9-10 , 10 , 6 4 . . 10 . . . . (N12)

    . .

    #9. , . . blood

  • III.

    - 173 -

    24 . () 1 2 , . (N13)

  • - 174 -

    IV.

    1.

    1.1.

    . 3 3 9.5 . 3 . .

    7.2 5.5 . 3 6.8 6.6, 6.3 . 3 6.8 6.3, 4.9 .

    1.2. ,

    2007 3,300 3,257 . 2007 .

  • IV.

    - 175 -

    . . .

    .

    . 100% .

    , . .

    . .

    . .

    1.3.

  • - 176 -

    . (team nursing) . .

    3 93.5% . 3 88.0% . . , .

    .

    3 73.1% . . . . , .

    . .

    .

    1.4.

  • IV.

    - 177 -

    3 .

    . 30 1 . . .

    . .

    . (team nursing) . .

    .

    . . .

  • - 178 -

    JCI . .

    . .

    3 6 1 40% . 3 3 50% .

    1.5.

    3 25% , , , , , 50% . 3 , , 25% , , , 50% . .

    . . . .

    . .

  • IV.

    - 179 -

    1.6.

    . .

    1.7.

    . . .

    , , , 3 89.4% 86.2%, 79.1%, 55.2% . 3 , , , 75.4%,71.5%, 47.2%, 74.1% .

    . 1-2 .

    20 , 16, 19, 8 12.9%, 16.0%, 13.6% . 10% .

    31.4% 28.3% 20.6% .

  • - 180 -

    2.9% 3.8% . 4-6% , 5-8% . , . . , .

    1.8.

    . .

    . . . .

    . .

    . .

  • IV.

    - 181 -

    2.

    2.1.

    2.1.1.

    . , . .

    . .

    . .

    1, 3 30, 30 . . .

    . . .

    .

  • - 182 -

    3 . . .

    . .

    , .

    2.1.2.

    3 . 3 , .

    .

    . . .

  • IV.

    - 183 -

    2.1.3.

    3 . , . .

    . . . .

    . .

    2.2.

    2.2.1.

    . .

  • - 184 -

    . . .

    . .

    2.2.2.

    3 . 3 4 3 . .

    . .

    . .

    2.2.3.

    . .

  • IV.

    - 185 -

    . .

    , . 1 .

    2.2.4.

    . . 3 . . .

    .

    . . .

  • - 186 -

    2.2.5. ,

    , . . .

    . . , .

    2.2.6.

    . .

    .

    .

    .

  • IV.

    - 187 -

    2.2.7.

    . .

    , . .

    .

    2.2.8.

    . . . . .

    , .