국내 생명윤리 분야 연구자의 생명윤리 기준 준수사항 실태조사

엄애용(Aeyong Eom),안영하(Young-Ha An),추정완(Jeongwan, Choo),우제창(Jechang Woo),오정균(Chung-Kyoon Auh) 한국산학기술학회 2014 한국산학기술학회 학술대회 Vol.2014 No.2

본 논문은 현재 국내에서 적용되는 생명윤리 기준에 대한 연구자들의 인식정도와 연구대상자 보호에 대한 인식 및 현황을 파악하여 생명윤리에 관한 현행제도의 개선에 적용하고자 시행되었다. 연구 결과 생명 윤리 및 안전에 관한 기본 원칙에 대한 설문에서 응답자들은 헬싱키선언을 제외한 모든 생명윤리 관련 기본 원칙들에 대해서 과반수 이상 그 존재 자체를 모르고 있다고 답하였고 또한 임상실험실시 기관에서 가장 중요한 윤리문제를 “임상시험 윤리에 관한 지식 부족으로 인한 것”이라고 답한 응답자가 44%로 가장 많았다. 다음으로 연구대상자 보호에 대하여 어느 정도의 인식 수준을 나타내는가를 묻는 질문에 대한 응답자들은 대다수가 동의서 작성 시 기록의 의무보관기간과 동의서 면제 발생 사유가 있음을 모르는 것으로 밝혀졌으며, 동의서 관리에 대한 의식도 높지 않은 것으로 나타났다. 이러한 연구 결과를 통해 연구자들은 인간 대상 연구에서 기본적으로 준수되어야 할 생명 윤리 기준과 연구 대상자 보호에 있어서 상당히 낮은 인식 수준을 보이고 있었다. 그러므로 연구자들의 의식전환과 개선활동이 시급히 요구된다고 할 수 있다.

타이치 운동이 중년여성의 대사증후군 위험인자 및 건강관련 삶의 질에 미치는 영향

엄애용(Eom, Aeyong) 대한근관절건강학회 2012 근관절건강학회지 Vol.19 No.2

Purpose: The purpose of this study was to test the effects of the Tai Chi exercise on metabolic syndrome and health-related quality of life in middle-aged women. Methods: A quasi-experimental design was used. Subjects were sixty middle-aged women with metabolic syndrome. All of the subjects were met the criteria of the National Cholesterol Education Program-Adult Treatment Panel Ⅲ (NCEP-ATP Ⅲ). The subjects were divided into the experiment group (n=33) trained the Tai Chi for 12 weeks and the control group (n=27). Metabolic syndrome risk factors including blood pressure, waist circumference, glucose, triglyceride (TG), and high density lipoprotein cholesterol (HDL-C) were measured before and after the 12-week period. Euro Quality of Life Questionnaire 5-Dimensional Classification (EQ-5D) was used to evaluate the health-related quality of life. Results: The experiment group showed significant decreases in diastolic blood pressure, waist circumference, glucose, and TG; and increase in HDL-C compared to the control group. For the health-related quality of life evaluation, the experiment group showed significant improvement more than the control group. Conclusion: The Tai Chi exercise may be effective intervention in preventing cardiovascular disease caused by metabolic syndrome in middle-aged women.

골관절염 여성에게 적용한 타이치 운동과 자조관리 프로그램의 관절염증상 및 낙상공포감에 대한 효과비교

송라윤(Song Rhayun),엄애용(Eom Aeyong),이은옥(Eom Aeyong),Lam Paul,배상철(Bae Sang-Cheol) 대한근관절건강학회 2009 근관절건강학회지 Vol.16 No.1

Purpose: The purpose of the study was to compare the effects of the Tai Chi self-help program with a self-help program on pain, stiffness, physical functioning, and fear of falling in women with osteoarthritis. Method: Total of 82 women with Osteoarthritis recruited from outpatient clinics or community health centers were randomly assigned either to a Tai Chi self-help group or a self-help group. Thirty subjects in the Tai Chi self-help group and 39 in the self-help group completed posttest measures (pain, stiffness, physical functioning, and fear of falling) at 6 months. Results: After the 6 month study period, the subjects in the Tai Chi self-help group reported significantly less difficulties in performing daily activities (mean difference = -0.16 vs. 6.19 for the selfhelp), and less fear of falling (mean difference = -3.20 vs. 0.27 for the self-help) than those in the self-help group. There were no significantly differences in pain and stiffness between the groups. Conclusion: The Tai Chi combined with self-help program was more effective than the self-help only program in reducing difficulties in performing daily activities and fear of falling in women with Osteoarthritis. Whether these changes prevent fall episodes requires further study.

협심증 환자의 증상경험과 관련요인에 관한 연구

우수희(Woo Soohee),엄애용(Eom Aeyong),오의금(Oh EuiGeum) 기본간호학회 2006 기본간호학회지 Vol.13 No.3

Purpose: This study was done to examine symptom experiences and related factors in angina patients. Method: The participants were 92 patients admitted to C university hospital between October and December 2004. The tools used were a questionnaire on symptom experience related to angina developed by Gensini(Coronary Angiographic Gensini Score). Global Assessment of Recent Stress Scale and a tool measuring performance of health behavior. Results: The mean score for symptom experience was relatively low (M=27.65, SD=18.44) as was the score for coronary severity (Gensini score) was 16.30 point (SD=18.04). The mean score for perceived stress was moderate (M=30.16, SD=12.26). Compliance was relatively good in these patients with angina (M=61.55, SD=7.60). Analysis of the correlation of symptom experience showed a statistically significant positive relationship with perceived stress (r=.410, p=.000). There was significant negative relationship (r=-.251, p=.016) between symptom experience and compliance. In the regression analysis, symptom experience was found to be significantly influenced by stress (R²=.168, p=.000), age (R²=.057, p=.002), and economic status (R²=.061, p=.007). These variables explained 26.2% of the variance in symptom experience. Conclusion: The results of this study provide evidence that symptoms of angina can present not only as chest pain itself but also with fatigue, shortness of breath, and sleep disturbance as the most common symptoms.

자조그룹에 대한 개념 분석

이은남(Lee, Eun Nam),엄애용(Eom, Aeyong),은영(Eun, Young),조경숙(Cho, Kyung-Sook),이경숙(Lee, Kyung-Sook),송라윤(Song, Rhayun),김종임(Kim, Jong Im),신계영(Shin, Gyeyoung),임난영(Lim, Nan-Young),이명숙(Lee, Myung Sook),박원숙(Bak, Wo 대한근관절건강학회 2014 근관절건강학회지 Vol.21 No.1

Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word “self-help groups” the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals’ state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

간호·사회복지 분야의 현장 요구조사에 기초한 대학생 직업기초능력 향상 교육프로그램 개발과 평가

박선영(Park, Sunyoung),배진희(Bae, Jinhee),엄애용(Eom, Aeyong),차영남(Cha, Youngnam),김근곤(Kim, Keunkon),심정하(Sim, Jeongha) 한국간호교육학회 2010 한국간호교육학회지 Vol.16 No.2

Purpose: The purpose of this study was to develop and evaluate learning effects of the key competency improvement program which is based in nursing and social welfare fields demanding analysis for nursing and social welfare among university freshmen. Method: The program was based on the ADDIE model. The field demanding analysis gave a questionnaire to 459 participants in the nursing and social welfare workplace. The subjects of this study were 136 students as an experimental group and 116 students as a control group which participated in the questionnaire. The experimental group was given a newly developed program, on the other hand, the control group was given traditional lessons. Collected data were analyzed by ANCOVA with SPSS. Result: The result of this study was that linkage perception of health and welfare, self-directed learning ability, participation perception, and interpersonal relationship ability showed significant improvement in the experimental group. Conclusion: This study can be used as basic data for management and evaluation of programs that are available not only to field-oriented disciplines but also to overall higher education fields which aim to strengthen core competency.

섬유근통 자조관리 프로그램이 여성 섬유근통 증후군에 미치는 영향

이혜영(Lee Hea-Young),박원숙(Bak Won-Sook),최정현(Choi Jung Hyun),이순희(Lee Soon Hee),엄애용(Eom Aeyong) 한국성인간호학회 2011 성인간호학회지 Vol.23 No.1

생명윤리 법제에서 나타나는 문제점에 관한 연구

안영하(Young-Ha An),서순택(Soon Taek Seo),우제창(Jechang Woo),오정균(Chung-Kyoon Auh),엄애용(Aeyong Eom) 미국헌법학회 2014 美國憲法硏究 Vol.25 No.2

Ethicality and scientific character are required for researches on human beings or living animals, for those researches can result in a terrible disaster if they are devoid of ethicality as well as high-tech those researches will bring about a great improvement in human lives. The purpose of this study is to establish the life research related laws that is appropriate for Korean society. First, we examined generally legal problems in existing bioethics legislation based on the bioethics and safety act of Korea, focusing on constitutional and legal problems, bioethics institution, and penalty of bioethics violations. Furthermore, the following are studied in regard to constitutional fundamental rights: constitutional status of the embryos, respect of human dignity, protection of human subject, human genome study, and protection of human rights. Second, we also examined the bioethics and safety act closely to study the following: national bioethics committee and institutional bioethics committee, protection of human subject in the human subjects research project (consent to human subjects research and genetic test), prohibition of human cloning, rules on production and research of embryos, human material bank, genetic testing institution, concept and scope of human materials, limit of delegated legislation, and applicative scope of the bioethics and safety act. Lastly, we examined maximum sentences of penal provisions and fairness of legal penalty in regard to the bioethics punishment regulations. In this study, we found that the current bioethics and safety act has several problems, constitutionally or legally. Therefore, it may be necessary to revise the bioethics legislation partly from the results of this study.

우리나라에서 직업군에 따른 자살의 표준화사망비와 연령보정 비례사망비의 추세

윤진하(Jin-Ha Yoon),이기현(Ki-Hyun Lee),한규연(Kyu-Yeon Hahn),오성수,장세진(Sei Jin Chang),차봉석(Bong Suk Cha),민성호(Seong Ho Min),이경숙(Kyung Suk Lee),채혜선(Hye-Seon Chae),엄애용(Aeyong Eom),고상백(Sang Baek Koh) 대한직업환경의학회 2011 대한직업환경의학회지 Vol.23 No.2

Objectives: A number of studies on the trends of socioeconomic differences in suicide mortality have indicated that these inequality gaps have widened over time and highlight that certain occupations have more suicide risk than others. However suicide rates according to occupation based socioeconomic position have not been frequently studied in Korea. The purpose of this study is to report trends and inequality of suicide according to occupation based social class during 1993-2007 in Korea and to identify occupations with significantly high standardized mortality ratios (SMRs) and proportional mortality ratios (PMRs) for both men and women. Methods: Korean census records for the years 1995, 2000, and 2005 were linked with the cause of death records from Korean National Statistical Office (KNSO) for the periods 1993-1997, 1998-2003, and 2004-2007 respectively. This data was used to calculate age adjusted proportional mortality ratios (PMRs) and standardized mortality ratios (SMRs) for both men and women aged 25~54 years according to five occupation based socioeconomic positions. Results: Among men, the agricultural-fishery-forestry group had the greatest suicide rate (SMR: 341) with a high PMR (113) and the manual labor group showed the highest PMR (118), while the managersprofessional occupation group showed the lowest sPMR (78) and SMR (21). Among women, the agricultural-fishery group had the highest score in SMR (316) and PMR (130), and the technical-artificer group showed the lowest sPMR (71) and SMR (27). The inequality gaps in the suicide mortality rate according to occupation had widened during 1998-2002, but showed a recovery trend plot after 2003. Conclusions: Although the occupation based socioeconomic inequalities show a recovery trend after 2003, the excess inequality from suicide remains as high as it was prior to the 2002 year in some occupa-tional groups. The results of the current study indicate that the manual and agricultural-fishery-forestry groups were high risk groups of suicide.

노인의 사회적 지지와 건강상태와의 관계

엄애용,이영분,최희정 노인간호학회 2006 노인간호학회지 Vol.8 No.2

Purpose: This study was to investigate effect of social support on health status in elderly Method: Participants recruited in Chung-Choo city from February 9 to Febtuary 28, 2004. Data was obtained from 'The Multi-dimensional scale of perceived social support and Short Form-12 Health Survey Questionnaire of the elderly aged 65 older. Subjects were 307 to collect data analyzed by the SPSS 11. Results:Results of this study revealed that elderly who live in rural community, male, young age, have a spouse, high education and have a religion measured high score in social support and health status. There was significant positively correlated social support and health status. Conclusion: It is expected to make possible united health and welfare system for elderly of quality of life.