제2형 당뇨환자에 대한 영양교육이 당뇨병 관리와 혈액 항산화 상태에 미치는 영향

신경남(Kyung Nam Shin),이혜상(Hye-Sang Lee),권정숙(Chong Suk Kwon) 한국식품영양과학회 2011 한국식품영양과학회지 Vol.40 No.5

본 연구는 효과적인 당뇨 교육 및 평가 방안을 모색하는데 기초 자료를 제시하고자 안동시 보건소를 내원하는 제2형 당뇨병 환자를 대상으로 4주간의 당뇨교육을 하고, 교육 전, 교육 후 및 교육 후 3개월에 각각 영양소 섭취, 혈당 관리와 항산화 영양상태 및 DNA 손상 정도를 조사하여 영양교육의 효과를 평가하였다. 시기에 따른 교육 효과를 반복 측정 분산 분석으로 검정한 결과, HbA1c와 총 콜레스테롤은 유의적으로 감소하였고, 혈장 레티놀(p=0.001)과 토코페롤(p=0.000), 그리고 CAT(p=0.000)와 GPx(p=0.000)의 활성은 유의적으로 상승하였으며, 혈장 과산화지질(TBARS) 농도(p=0.000)와 DNA 손상 정도(p=0.000)는 유의적으로 감소한 것으로 나타났다. 영양소 섭취 상태에 대한 영양교육의 효과는 에너지의 경우, 교육 전에 EER의 76.4% 수준으로 섭취하였으나 교육 직후와 교육 후 3개월에 각각 83.6%와 90.6%로 유의하게 증가한 것으로 나타났다(p=0.009). 에너지 섭취의 증가와 함께 인(p=0.033), 나트륨(p=0.001), 칼륨(p=0.019), 아연(p=0.043), 리보플라빈(p=0.050), 엽산(p=0.048) 및 비타민 C(p=0.008)의 섭취도 유의적으로 증가하였다. 한편, 영양소 섭취상태의 변화와 생화학적 특성 변화 간의 관련성을 분석한 결과, 대부분의 영양소 섭취 변화는 공복혈당 및 HbA1c의 변화와 유의성은 없었으나 음의 상관성을 보였고, 칼륨(r=-0.418, p<0.05), 철분(r=-0.443, p<0.05), 리보플라빈(r=-0.432, p<0.05) 및 엽산(r=-0.446, p<0.05)의 섭취 상태 개선이 혈액의 과산화지질 감소와 관련성이 있는 것으로 나타났다. 에너지(r=0.543, p<0.01), 단백질(r=0.545, p<0.01), 인(r=0.425, p<0.05), 철분(r=0.485, p<0.05), 아연(r=0.570, p<0.01) 및 나이아신(r=0.510, p<0.05)의 섭취는 혈장 레티놀과, 엽산 섭취(r=0.605, p<0.01)의 변화는 CAT와 각각 유의적인 양의 상관성을 보였다. 이처럼 당뇨병에서 식이를 통한 영양소의 섭취 증가는 항산화 상태 개선 및 산화 스트레스 감소와 일부 연관이 있는 것으로 사료된다. Diabetic patients need nutritional education more than those suffering from other diseases because of the necessity of controlling blood glucose levels with dietary treatment. The purpose of this study was to find out the effectiveness of nutrition education on diabetes control and antioxidant status, both of which are related to diabetic complications. Thirty (15 males and 15 females) type 2 diabetes mellitus patients aged 66.7±8.8 years participated in a 4-week nutrition education program. Nutrient intakes, blood glucose level, antioxidant status, and DNA damage were evaluated before, immediately after, and three months after the education program. Changes in those parameters over time were analyzed using repeated-measures analysis of covariance. Over time, HbA1c (p=0.000), plasma total cholesterol (p=0.002), plasma thiobarbituric acid related substances (TBARS; p=0.000), and leukocyte DNA damage (p=0.000) significantly decreased; plasma retinol (p=0.001), plasma tocopherol (p=0.000), erythrocyte catalase (CAT; p=0.000), and erythrocyte glutathione peroxidase (GPx; p=0.000) significantly increased. In an evaluation of nutrient intakes by Dietary Reference Intakes for Koreans (KDRI), energy (p=0.009), phosphorus (p=0.033), sodium (p=0.001), potassium (p=0.019), zinc (p=0.043), riboflavin (p=0.050), folic acid (p=0.048) and vitamin C (p=0.008) intakes had significant positive changes. In a correlation analysis of the biochemical and nutritional changes resulting from the education program, plasma TBARS were negatively correlated with potassium (r=-0.418, p<0.05), iron (r=-0.443, p<0.05), riboflavin (r=-0.432, p<0.05), and folic acid (r=-0.446, p<0.05) intakes, while plasma retinol was positively correlated with energy (r=0.543, p<0.01), protein (r=0.543, p<0.01), phosphorus (r=0.425, p<0.05), iron (r=0.485, p<0.05), zinc (r=0.570, p<0.01) and niacin (r=0.510, p<0.05) intakes. Erythrocyte CAT was positively correlated with folic acid intake (r=0.605, p<0.01). From these results, we suggest that an improvement in nutrition resulting from a diabetic education program for type 2 diabetes patients led to improvement in their antioxidant status, also possibly reducing complications resulting from diabetes.

현대후기 회화에서의 다문화적 Trauma역할

신경남 ( Kyung Nam Shin ) 백석대학교 기독교인문학연구소 2009 기독교와 인문학 Vol.11 No.-

This article, <A study on Multicultural Trauma of Late Modern Painting>, is to provide a new understanding on diverse races and ethnic groups with strong appeals shown in late modern painting as ``multicultural trauma`` and to study the relationship between their role and phase change. Multicultural trauma is composed of two axes, that is multiculture and trauma. The roots of these two axes are in cultural diversity and psychological region resulting from relativity in late modern painting. While paid attention to artists who have been excluded from the ruling culture, imperfect balance between conflicts and confrontation of each culture is moved to a mobile balance in terms of contents. In expressions, multicultural trauma breaks away from absolute beauty or universal truth and, changes it into forms composed of subjective and mental projection in order to propose a new issue on race and class conflicts. These situations provide a direction of construction and propagation for a new artistic culture in late modern painting. As a method, the power of tradition settles into a new culture through accessories and oppositions of minorities` life after destruction of subordinate relationship with ruling culture. It is under the same scope as Derrida`s deconstructivism that exposed the logos-centered stratagem among post-modernistic discussions from the inside and as post-modern perspective of Lyotart which dismantled metaphysical philosophy. In connection with such, since multicultural trauma is an ultimate area and is related to the birth of a new culture, it pursued new artistic forms and genre in late modern painting. There are many characteristics of multicultural trauma that suggest the basis. First, multicultural trauma removed the barrier placed between genres, jumped over the boundary line and shortened their distances. Second, it is a spatial projection for idealogical escape from Western rationality through the motive force which deduces a new social structure. Third, by strategically filtering fantasies in a symbolic suppressive structure, impossible yet irresistible and irremovable desires can be temporarily suspended. In conclusion, multicultural trauma in late modern painting can be defined as overcoming inequalities and oppressions, removal of central bodies, and increasing the voices of surrounding individuals. Furthermore, multicultural trauma promotes an understanding of conflict structure between races and cultures. It was deduced as an art of social communities and a motive force that derives a new culture through experience of catharsis.

노화불안 척도의 타당화 연구

김숙남 ( Sook Nam Kim ),최순옥 ( Soon Ock Choi ),신경일 ( Kyung Il Shin ),이정희 ( Jung Hee Lee ) 한국정신간호학회 2008 정신간호학회지 Vol.17 No.3

여성가장의 성역할 정체감 유형과 생의 의미수준

김숙남 ( Sook Nam Kim ),최순옥 ( Soon Ock Choi ),신경일 ( Kyung Il Shin ),이정지 ( Jeong Ji Lee ) 한국여성건강간호학회 2002 여성건강간호학회지 Vol.8 No.2

죽음교육이 대학생의 죽음에 대한 태도와 생의 의미에 미치는 효과

김숙남(Sook-Nam Kim),최순옥(Soon-Ock Choi),이정지(Jeong-Ji Lee),신경일(Kyung-Il Shin) 한국보건교육건강증진학회 2005 보건교육건강증진학회지 Vol.22 No.2

Objectives: The purpose of this study was to examine the effects of a death education program on attitude to death and meaning in life for university students. Methods: The design of this study was quasi-experimental and non-synchronized with a non-equivalent control group. The study subjects were 28 students at a college in Busan. The experimental group (n=14) participated in a death education program. While the control group (n=14) didn't. The program consisted of lectures and discussions for 6 hours a day over 5 days. The 30-hr course examined the meaning of death, modem society and death, hospice movements and desirable life and death. Data were collected using a structured questionnaire consisting of general characteristics, attitude to death and meaning in life. Collected data were analyzed as frequency, percentage, χ²-test, t-test using SPSS 11.0 WIN Program. Results: The attitude to death scores in the experimental group were significantly lower than in the control group (p=.000). The meaning in life scores in the experimental group were significantly higher than in the control group (p=039). Conclusions: These findings showed that the death education program was effective to enhance the attitude to death and meaning in life among in college students. Therefore, a continuing death education program can be applied as an effective nursing intervention for other subjects.

기후기술센터네크워크(CTCN) 기술지원(TA) 분석을 통한 기후기술협력 활성화 방안에 대한 제언

박인혜(Bak, Inhye),신경남(Shin, Kyung Nam),양리원(Yang, Rywon),이수경(Lee, Sue Kyoung),장창선(Jang, Chang Sun),이종열(Lee, Jongyeol) 한국기후변화학회 2019 한국기후변화학회지 Vol.10 No.2

일부지역 성인의 생의 의미

최순옥,김숙남,신경일,이정지 성인간호학회 2002 성인간호학회지 Vol.14 No.3

Purpose: The purpose of this study was to measure meaning in life for a normal adult and to offer basic data for developing nursing strategies for improving the meaning in life of adults. Method: There were 351 subjects, from 20 to 60 years old, staying in Busan and KyungNam Province. The data was collected from August to October 2000. The instrument was designed by researchers. The data were analyzed with frequency, mean(±SD), t test & ANOVA. Result: 1. The mean MIL for adult was 187.7(±18.1). 2. The mean MIL of basic premise phase for discovery of meaning was 30.5, method phase for discovery of meaning was 111.1, and result phase for discovery of meaning was 46.4. 3. The levels of MIL, 56.4% of the subjects were in pursuit of meaning in life, 23.3% felt a loss of meaning in life. 4. There were significant differences in MIL according to the level of education(p=0.00), marital status(p=0.01) and monthly income (p=0.00). Conclusion: On the viewpoint of the above results, 23.3% of the subjects were in a level of existential vaccum which required keens Logotherapy. Therefore, it shows that developing nursing-logotherapy to improve the meaning in life for adults is demanded.

노인의 생의 의미 측정 도구 개발

최순옥,김숙남,신경일,이정지,정유진 대한간호학회 2003 Journal of Korean Academy of Nursing Vol.33 No.3

Purpose: The purpose of this study was to develop elderly meaning in life scale with high validity and reliability. Method: The process of development of this scale were as follows. A conceptual framework composed of 4 phases of meaning in life of elderly was identified based on the literature review and interviews with elderlies and discussion with experts in meaning in life. Total 62 items, 4-points scale were developed. Through reliability testing, factor analysis, 40 preliminary items were selected. By means of internal consistency of 40 items, 2 items whose inner-items correlation coefficient was below .30 were deleted. Through factor analysis 1 item whose factor loading was below .30 was deleted. Finally 37 items were remained. To verify 37 items, factor analysis, reliability testing, LISEREL were done. Data were collected from 320 elderly subjects in Busan-KyungNam and Jeonla Province from May to June in 2002.. SPSS WIN. 10.0 Program was used. Result: The result of factor analysis of 37 items, 8 factors were extracted. These factors were labeled as 'self- awareness and self-acceptance', 'contentedness with life', 'purpose in life',' love in family', 'role awareness', 'futuristic aspiration', 'commitment', and 'experience of love'. These factors included 4 phases of the meaning in life.

실직 여성가장을 위한 집단 상담 프로그램 개발 : 생의 의미에 미치는 효과검증

이정지,신경일,최순옥,김숙남,이부현 대한간호학회 2000 Journal of Korean Academy of Nursing Vol.30 No.4

This study was designed to develop a program for unemployed matriarchs and show if the program affected their view on the meaning in life. The subjects were women registered in an occupational training program for unemployed matriarchs, which is being practiced in the 'Working Women Center' located in Busan. The researchers selected 44 persons from the group who agreed to our program. This study was done from the 10th of March, 1999 to the 9th of October. The researchers used the measurement tools, The Purpose in Life, Self-esteem. Hope and Meaning in Life which was composed of 63 items developed by them. Their Cronbach's alpha were .88, .79, .76 and .95. The researchers analysed the data with frequency, percentage, Mean, S.D, Wilcoxon signed ranks test which were deduced from SPSS 10.0 WIN program. The results of this study were as follows: 1) The program is composed of 'becoming intimate', 'open-minded', 'exploration on self', 'relax of repressed emotion', 'self-acceptance', 'establishing the life-goal', 'enrichment of human relationship' and closing. It took 20 hours for this program to come into practice. 2) According to the analysis of the general traits of all subjects, average age was 39.36. High school graduates were 86%, college graduates were 14% and divorce were 57%, bereavement were 18%, and the rest were 25%. 3) The result of 1st progam showed self-esteem during the program was high. 4) The result of 2nd progam showed self-esteem during the program was high. 5) The result of 3rd progam showed the sum scores of meaning in life, creative meaning, and attitudinal meaning during the program was high. 6) The result of 4th progam showed the sum scores of meaning in life and creative meaning during the program was high. On the viewpoint of above results, we convinced that 'a program for unemployed matriarch is effective to establish a stronger meaning in life. Therefore, it is demanded that support for unemployed matriarchs should not only be economic help such as technical training and help of living expenses, but also psychological, professional and systematic support.