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      • KCI등재
      • SCOPUSKCI등재

        일 지역 여성의 유방자기검진(BSE)과 관련 변인에 관한 연구

        최연희,Choi, Yeon-Hee 한국지역사회간호학회 1997 지역사회간호학회지 Vol.8 No.1

        Breast cancer ranks as one of the major health problems in adult women. The purpose of this study is to determine relationships among the practice of Breast Self-Examination(BSE) and the variables of cancer risk and other genernal factors. This knowledge may be helpful in designing a BSE educational program to promote breast self-examination on a regular basis. The study population included 205 women who live in K city. Personal interviews were conducted to determine the individual's breast self-examination behavior, the level of Breast Cancer Risk according to general factors as well as her reasons for not doing a breast self-examination. The collected data was analyzed with an SAS program The results were summarized as follows : 1. The level of Breast Cancer Risk of the subjects is as follows: high risk(9%), moderate risk(11%), boderline risk(12%), no increased risk (68%). 2. There was no difference in the practice of BSE between women who were at high cancer risk and at no increased cancer risk. 3. BSE practice levels according to general foctors were significantly related to the residence and the level of education of the subjects. The performing of regular breast self-examination in urban areas was 7% and in rural areas was 0%. Regularly practiced breast self-examination in women with a low education was 5% and in college educated women, it was 29%. 4. BSE education was significantly related to the residence and the level of education of the subjects. The majority learned BSE through 'a magazine or journal'. 5. The reason of the majority of women did not perform a regular breast self-examination was, 'Didn't know the BSE technique'. On the basis of this study it can be concluded that the development of a BSE education program is needed to help women perform the examination correctly.

      • SCOPUSKCI등재

        제 2형 당뇨병환자의 자기효능에 관한 연구

        최연희,Choi, Yeon-Hee 한국지역사회간호학회 1997 지역사회간호학회지 Vol.8 No.2

        This study was designed to identify the degree of perceived self-efficacy and self-esteem in non - insulin dependent diabetes mellitus. The 278 Diabetic patients participating in this study were selected from a diabetic clinic. The period of data collection was September 2 to September 10, 1996. Collected data were analyzed by means of Frequency, Mean, SD, t - test, Pearson correlation, ANOVA using SPSS/PC+. The result are summarized as follows: 1. The mean score of perceived self-efficacy were 3.52 in total, 3.91 for medication, 3.40 for exercise, 3.60 for diet control, 3.18 for glucose test, 3.53 for general management. And the mean score of self-esteem were 3.51 2. Perceived self-efficacy and self-esteem had statistically significant positive correlations (r=.3125, p=.001). 3. The results of testing for the degree of perceived self -efficacy, according to the subject's demographic variables, showed that there were significant differences in sex (t=4.14, p<0.001), the level of education(t=6.24, p<0.01) and diabetic education(t=3.25, p<0.05). These results suggest that perceived self-efficacy and self-esteem is an important variable in the compliance of diabetic patients.

      • 「消盡」의 槪念分析 : Burn-out

        崔延禧 대구산업정보대학 1992 논문집 Vol.6 No.-

        Concept analysis is a formal linguistic exercise to determine certain defining attributes. The basic purpose of concept analysis is to clarify ambiguous concepts in a theory, and to propose a precise operational definition which reflects its theoretical base. The purpose of this paper was to explore the feasibility of adopting burnout as a nursing intervention through analysis of the concept. The concept can be defined as follows : Burnout is phenomenon of physical, emotional exhaustion because of continuous stress. Therefore burnout makes for negative concepts of the self and failure of the self-actualization. The defining attributes of burnout are : 1. Physical exhaustion 2. Conflict of role 3. Apathy 4. A sense of powerlessness 5. Negative concepts of the self 6. Failure of the self-actualization

      • KCI등재
      • SCOPUSKCI등재

        유방암위험사정이 일 여성의 유방자가검진(BSE)실행에 미치는 영향

        최연희,Choi, Yeon-Hee 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2

        Breast cancer ranks as one of the major health problems of adult women. Studies have shown that Breast Self-Examination (BSE) is effective in detecting breast cancer in its early stages. To motivate women BSE practicing, a nonequivalent control group pretest-posttest design was conducted. Women 40 years or older who participated in the public education program for BSE from March 11 to April 6, 1996, were randomized in an experimental group(N=50) which received a letter about the Breast Cancer Risk Appraisal and in a control group(N=50) which didn't received a letter about the Breast Cancer Risk Appraisal. After 6 months, a follow-up phone survey was taken on all participants to measure the effectiveness of the intervention. Collected data was analyzed by one, two, and three-way ANOVA with an SAS program. The results are summarized as follows : 1. The level of the Breast Cancer Risk Appraisal of the subjects is high risk(17%), moderate risk(12%), boderline risk(14%), no increased risk (57%). 2. The intervention was effective in increasing the practice scores of BSE for women(F=5.12, P<.05). 3. BSE practice scores according to breast cancer risk appraisal level of the experimental group was not significantly increased after the intervention as contrasted with the control group (F=2.33, P>.05). 4. BSE practice scores according to educational level of the experimental group was significantly increased after the intervention, as contrasted with that of the control group (F=10.09, P<.001) .On the basis of this study it can be concluded that the Breast Cancer Risk Appraisal increases practice of BSE.

      • SCOPUSKCI등재

        일부 도시.농촌 노인의 일상생활 활동, 자기효능 및 사회적 지지에 관한 연구

        최연희,Choi, Yeon-Hee 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

        This study was designed to investigate and compare levels of Instrumental Activities in Daily Living(IADL), Self-efficacy and Social support, and their relationships among the aged who lived in urban and rural areas. The subjects consisted of 239 persons (urban = 120, rural = 119), aged 65 over. Data was collected through interviews and questionnaires from July 20 to August 30, 1998, and analyzed by frequency, percentage, means, Pearson Correlation, t -test $X^2$-test and ANOVA, using an SAS program. The Results of this study were as follows. 1) The mean score of IADL was 2.06/5, the mean score of Self-efficacy was 49.61/100 and the mean score of Social support was 2.37/5. 2) Concerning house ownership, the group of urban elderly were significantly higher than rural elderly while in the handling of pocket money, the rural elderly were significantly higher than the urban elderly. 3) Concerning Self-efficacy, the group of urban elderly were significantly higher than rural elderly. 4) The IADL was significantly related to Self-efficacy and to Social support. 5) Concerning the demographic characteristics of the subjects, age, educational level, religion, living with a spouse, money and participation in social activities were significantly resated to the IADL scores, to Self-efficacy and to Social support.

      • SCOPUSKCI등재

        미국 이민 한국 중년 여성의 유방자가검진 빈도에 영향을 미치는 요인

        최연희,Choi, Yeon-Hee Korean Academy of Community Health Nursing 2000 지역사회간호학회지 Vol.11 No.2

        본 연구의 목적은 유방자가검진(BSE)의 지식정도, 훈련도, 숙련도 및 빈도와의 관계를 파악하고, BSE 빈도를 가장 잘 예측하는 변수를 결정하기 위함이다. 연구대상자는 미국에 이민 온 40세-60세 사이의 중년 여성 58명으로 와싱톤주의 시애틀과 타코마 지역에 거주하고 있었다. 연구도구는 미국암협회의 BSE 안내책자를 기초로 하여 개발하였다. 자료는 자가보고형 질문지를 이용하여 한국교회 4곳으로부터 연구의 취지를 설명하고 연구대상자들의 연구동의를 얻은 후 우편으로 질문지를 회수하였다. 자료수집 기간은 2000년 3월 6일부터 2000년 5월13일이었으며. 질문지 회수율은 77%이었다. 수집된 자료는 SPSS를 이용하여 Frequency, Percentage, Pearson correlation, Regression analysis로 분석하였다. 연구 결과는 주요 변수사이의 관련성에서 그 이전연구 결과와 대개 일치하였다. 대상자의 BSE 빈도는 년간 10회-12회 실행이 21.08%이였고, 전혀 실행하지 않는 정도가 4.80%를 차지했다. BSE 빈도와 관련변수와의 상관관계에서 나이는 BSE 빈도와 역상관 관계(r=-.289, p=.038)를 나타냈고, BSE 훈련에 대한 지도(r=0521, p=.000). BSE 지식에 대한 기술(r=.573, p=.000) 및 BSE 숙련도(R=.694 P=.000)는 BSE 빈도와 정상관 관계를 보였다. 회귀분석 결과는 BSE 빈도의 가장 유의한 예측변수로서 BSE 지식에 대한 기술(beta=.5813. p=.003)로 지지되었다. 이 연구의 의의는 지역사회간호사가 이민 온 한국 중년여성들의 BSE실행에 대한 이해를 높임으로 유방암의 조기발견에 대한 예방적 행위를 증진시키는 데 유용한 기초 자료로 제공될 것이다.

      • KCI등재

        日本近代詩の中の〈海洋〉― 〈抒情〉の海から〈観念〉の海へ ―

        최연희 부경대학교 인문사회과학연구소 2015 인문사회과학연구 Vol.16 No.1

        The purpose of this essay is to consider definition of the ocean poetry which has not highlighted in Japan and to find out new side of Japanese modern literature. Many images the ocean possessing give important background to idea of literature. At the beginning of this essay, about expansion of the image that the ocean has, noticing the ocean through some works, I defined the ocean literature is both of world of land and of relativized literature. I paid attention to tradition of Japanese literature that drawing permanent residents living on the land by the sight of non-permanent residents in a monotonous and unstable ocean. And I want to categorize ocean literature not only Literature that describe the ocean as background but also Literature that land of the world (logics of permanent resident) is relativized through shape of ocean. In this essay, especially, I studied poetry named “Moon light and Jellyfish” of Sakutaro Hagiwara and “A song of Jellyfish” of Mitsuharu Kaneko. I looked the ideological ocean which relativize land with images of <Jellyfish> on both poet’s poetry. Reckoning world of human as negative one and the ocean as positive, Sakutaro Hagiwara tried to describe <Jellyfish> as ideal image which is compared with human. On the other side, Mitsuharu Kaneko thought human world positive. But the present world divest virtue of humanity from human being so that humans in the poetry described as <Jellyfish> which flayed there bone and cast away to the ocean. Even if Images of <Jellyfish> in both poetry are contrastive, it is same that they are reflecting the reality of human world considerably. “Human”, in the poetry of Sakutaro, heads to ocean because there life is so harsh. However, in the poetry of Mitsuharu, Water is surging to human life, it becomes ocean, giving the feeling that had run out of land. In Japanese modern poetry, The ocean has changed from “Lyrical ocean” Chuya Nakahara wrote to “Ideological ocean” Sakutaro Hagiwara wrote. And that world has being inherited to Shuntaro Tanigawa from Mitsuharu Kaneko. 本論文の目的は、日本において十分育たなかった文学ジャンルの一つである海洋詩の意義を考えることで、日本近代文学の新たな側面を探ることにある。海がもつ、複雑で多様なイメージは、文学の形象に重要な背景を与える。まず、海に関するイメージの拡がりについて、いくつかの作品を例に挙げて整理したのち、海への注目によって陸の世界が相対化される文学を海洋文学と位置づけ、安定した陸地に住む定住者が描く日本文学の伝統が、不安定で、単調な海上の、非定住者の視線によって相対化される詩に注目した。国境を越えた大洋を舞台にする文学だけを海洋文学と呼ぶのではなく、海の形象を通じ、陸の世界(定住者の論理)が相対化される文学も、海洋文学と呼ぶことにしたい。注目した詩は、萩原朔太郎の「月光と海月」と金子光晴の「くらげの唄」である。日本の抒情詩が描いた海のイメージが、萩原朔太郎の詩あたりから変質していることを本稿の中で明らかにした。萩原朔太郎と金子光晴の詩に表された観念的な海の形象が、陸の世界(定住者の論理)を相対化しているさまを、二人の詩のなかに登場する「くらげ」のイメージから細かく検討した。萩原朔太郎は、人間が生きる世界をマイナスの世界と捉え、海の世界に憧れ、人間とは対極の姿をした「くらげ」をその理想形とし、それを掴まえようとした。一方、金子光晴は、人間が生きる世界をプラスの世界と捉えたが、現実社会は人間から人間らしさをはく奪し、骨を奪われた「くらげ」のような存在に変え、海に放り出されるイメージを描いた。両者の詩の「くらげ」は対照的だが、ともに人間世界の現実を色濃く照らし出していることにかわりはない。朔太郎は人間の暮らしが息苦しくて海へ泳ぎだすが、光晴は人間の暮らしに水が押し寄せ、海となり、陸がなくなってしまった感を与える。日本近代詩の中の〈海洋〉は、中原中也が書いた抒情的な海から、萩原朔太郎が書いた観念的な海へと変化した。その世界は金子光晴に受けつがれ、谷川俊太郎へとつながっていったことを明らかにした。

      • SCOPUSKCI등재

        유방자가검진(BSE) 교육프로그램이 유방자가검진실행의 효율성에 미치는 영향 -개별처방식 지도모형 적용-

        최연희,Choi, Yeon-Hee 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

        Breast cancer ranks as one of the major health problems of adult women. Studies have shown that the BSE educational program based on the Individually Prescribed Instruction Model is effective in BSE practice. To motivate women in BSE practicing, a one-group pretest-posttest design was conducted. The subjects of the study were 49 Women who participated in the educational program of BSE and were mothers of D middle school in D City. The instruments of study were a BSE frequency & proficiency recording chart and a BSE confidence scale developed by Elearnor. The data was collected from September 4 in 1997 to April 30 in 1998 and was analyzed with an SAS program. The results were summarized as follows : 1) Frequency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest(t=1.32, P<.01). 2) Proficiency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest (t = 1. 69, P<.001). 3) Confidence scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretes(t=l1.48, P<.01). 4) The Pearson correlation coefficient between BSE frequency scores and confidence scores in BSE practice was significant (r =.72, P<.001). On the basis of this study, it can be concluded that the BSE educational program has improved BSE compliance.

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