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.

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.

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.

위장암 환자의 삶의 질에 영향을 미치는 요인

이은옥(Lee, Eun Ok),엄애용(Eom, Aeyong),송라윤(Song, Rhayun),채영란(Chae, Young Ran),Paul Lam 한국간호과학회 2008 Journal of Korean Academy of Nursing Vol.38 No.5

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.

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

생명에 관한 연구는 인간 및 생명체를 직접 연구대상으로 함에 따라 과학성과 함께 윤리성의 확보가 전제되어야 한다. 급속한 과학기술의 발달에 따라 현재 진행되고 있는 생명에 관한 연구는 인류에게 큰 도움을 줄 수 있는 반면에, 윤리성이 결여된 연구는 인류에게 심각한 재앙을 초래할 위험성도 동시에 지니고 있기 때문이다. 본 논문은 우리의 실정에 맞는 생명윤리관련 법제의 구축과 정착을 목적으로 한 연구의 일환이다. 우리의 현실에 맞는 법제도의 구축 및 정착을 위한 1단계로서 생명윤리 법제 전반에 걸쳐 나타나고 있는 법적 문제점을 기존의 연구를 중심으로 검토하였다. 이를 위하여 생명윤리 및 안전에 관한 법률을 기초로 하여, 생명에 관한 연구에 대한 헌법적 문제와 생명윤리법 자체에 내제된 문제, 연구윤리와 관련된 조직의 문제 및 윤리위반에 관한 처벌의 형사정책적 문제로 구분하여 살펴보았다. 세부적으로는 헌법적 기본권과 관련하여 (1) 배아의 헌법상의 지위, (2) 인간의 존엄성과 관련된 문제, (3) 미국의 헌법상의 기본권과 관련된 생명윤리 및 연구지원정책에 대하여 검토하였다. 또한 생명윤리에 대한 기본법이라 할 수 있는 생명윤리 및 안전에 관한 법률에 대하여 다음과 같은 내용을 검토하였다. 생명윤리심의위원회(국가생명윤리심의위원회 및 기관생명윤리위원회), 인간을 대상으로 한 연구에서 피험자 보호문제(인간대상연구 및 유전자검사의 동의), 배아 등 생성과 연구관련사항의 정비, 인체유래물은행, 유전자 검사기관에 대한 문제, 인체유래물의 개념과 범위, 위임입법의 한계, 법규위임체계상의 문제, 생명윤리법의 적용 범위의 문제 등에 관하여 검토하였다. 마지막으로 생명윤리에 관한 처벌규정상의 문제와 관련하여 (1) 벌칙규정의 상한제한방식 및 (2) 법정형의 형평성에 대하여 검토하였다. 검토 결과 현행 생명윤리 법제는 헌법적 문제뿐만 아니라 생명윤리 및 안전에 관한 법률 자체에서도 여러 문제점을 내포하고 있음을 확인하였다. 여기서 제기된 문제점들을 바탕으로 이를 해결할 수 있는 생명윤리법제를 정비할 필요성이 있다. 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

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.