유산소운동이 중년여성의 신체구성, 혈청지질, 자기효능 및삶의 만족도에 미치는 효과

이홍자 대한임상건강증진학회 2007 Korean Journal of Health Promotion Vol.7 No.3

농촌 지역 주민의 주관적 건강상태와 건강행위에 대한 연구

이홍자,백선복 대불대학교 2002 論文集 Vol.8 No.1

This study was to investigate perceived health and health behavior of residents in a rural community, with a purpose of finding a relationship between the two notions. The 676 subjects were selected from residents who were over 20 years old living in a rural county(Kun) in Chonam Province by convenient sampling. The data was collected from face to face interviews using a modified instrument developed by the Korea Institute for Health and Social Affairs. The rating scale was composed of a total of 15 items: 8 sociodemographic, 3 health behavior, 3 perceived health, and 1 stress items. The data was analyzed by percentage, t-test, ANOVA, and Pearson Correlation by employing SPSS/PC program(V.8.0). The results were as follows: 1) There was statistically significant difference in perceived health of the subjects by age and marriage status, but no difference was found by sex and family types. 2) The rating score of perceived health of the higher age group (70 years old and over) was significantly lower than that of the younger subjects, suggesting that the more the rural residents age, the less they are confident in their health. 3) While most subjects were reported to not smoke, they were likely to drink. It was also found that about 60 percent of the subjects were not practicing physical exercise. Significant difference was found in smoking by age. 4) There was statistically significant difference in health promoting behavior by sex. The female subjects were more likely to practice health promoting activities than the male subjects. It was also found that there was significant difference in health behavior by marriage status. The divorced subjects reported lower rating scores for the health behavior than those of unmarried and bereaved groups. In conclusion, the results of this study suggested that a comprehensive and practical health promoting program be developed for the rural community residents.

Factors Affecting Family Caregivers’ Burden and Depression in Home-based Long-Term Care Service under the Long-Term Care Insurance System

이홍자,김춘미 한국지역사회간호학회 2018 지역사회간호학회지 Vol.29 No.4

Purpose: This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care. Methods: Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis. Results: The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p<.001), objective burden (t=2.80, p=.006), time of elderly care per day (t=-3.61, p< .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047). Conclusion: The family burden was most important influencing factor on caregiver’s depression. Therefore, services and supports to alleviate caregivers’ burden in the home-based care should be added to long-term care.

중년 여성의 우울에 영향을 미치는 요인

이홍자,김춘미,이도현 대한임상건강증진학회 2016 Korean Journal of Health Promotion Vol.16 No.1

Background: According to the 2013 statistics, The prevalence rate of depression of women was twice compare to man. Especially, about 53% of depression patients were women over age 40. So this study was conducted to analyze whether women’s depression is influenced by their socio‐demographic characteristics, life stress, and social support. Methods: This study was a descriptive survey, and data were collected during the period from the 1st to 31st of August in 2015, using a self‐reporting questionnaire from 196 women aged between 40 and 60 who were sampled from an urban area through convenient sampling. Results: First, among the sub‐factors of life stress, health‐related & role conflict stress were highest. And life stress was higher when social support was low. Second, social support was higher when exercise was done regularly. Lastly, the results of structural equation modeling analysis showed that life stress and social support had a significant effect on depression. Life stress had a significant direct effect on social support, and social support had a significant direct effect on depression. Life stress had an indirect effect on depression through the medium of social support, and their explanatory power was R2=0.68 and R2=0.64, respectively. Conclusions: This study confirmed that depression was in a very close relationship with life stress and social support. This finding suggests that future health policies for managing middle‐aged women’s depression should focus on reducing life stress and reinforcing their social support. 연구배경: 2013년 통계에 따르면 우울증으로 진료를 받은환자 중 여성이 남성보다 두 배 이상 많으며, 특히 40대 이상 여성이 전체 환자의 53% 이상을 차지하는 것으로 나타났다. 이에 본 연구는 중년 여성의 인구사회학적 특성, 생활스트레스, 사회적 지지가 우울에 영향을 미치는가를 규명하기 위하여 실시되었다. 방법: 본 연구는 서술적 조사연구로, 편의추출방법으로40-60세의 일개 도시지역에 거주하는 중년 여성 196명을선정하였으며, 자가보고식 설문지를 통하여 자료 수집을실시하였다. 자료 수집기간은 2015년 8월 1일부터 8월 31일이었다. 결과: 여성의 생활스트레스 중 가장 높은 점수를 보인 것은 건강 및 역할갈등과 관련된 스트레스였다. 그리고 사회적 지지가 낮을수록 생활스트레스가 높았다. 둘째, 규칙적운동을 하는 경우 사회적 지지는 점수가 높았다. 마지막으로 구조모형분석 결과 생활스트레스와 사회적 지지는 우울에 유의한 효과를 미치는 것으로 나타났다. 생활스트레스는 사회적 지지에 유의한 직접효과가 있었고, 사회적 지지는 우울에 유의한 직접효과를 나타냈다. 생활스트레스는사회적 지지를 매개로 하여 우울에 간접효과를 나타내고있으며, 이들의 설명력은 각각 R2=0.68, R2=0.64였다. 결론: 중년 여성의 우울은 생활스트레스 및 사회적 지지와 매우 깊은 상관성이 있음을 확인하였다. 이에 본 연구는향후 중년 여성의 우울 관리를 위한 건강증진프로그램에서여성의 생활스트레스의 감소와 사회적 지지를 강화해야 하는 근거를 제공하였다.

베트남 결혼이주여성의 삶의 질에 미치는 영향요인 분석

이홍자,김춘미,박명숙 한국지역사회간호학회 2015 지역사회간호학회지 Vol.26 No.3

Purpose: The purpose of this study was to analyze factors influencing the quality of life in Vietnamese married immigrant women in Korea. The factors included socio-demographic characteristics, spouse’s support, and social support of Vietnamese married immigrant women. Methods: A descriptive survey was conducted to collect data from 190 subjects during the period between May and June, 2015. The randomly sampled subjects answered a self-report questionnaire translated into Vietnamese. Collected data were analyzed using SPSS/WIN 21. Results: The subjects’ quality of life was found to be influenced by economic level, subjective perception of their own and spouse’s health, Korean communication ability, spouse’s support, and social support. The most influential factor for the quality of life was spouse’s support, and next, subjective perception of their own health, Korean communication ability, and economic level in order of influence. Conclusion: The results of this study suggest that social support programs should be customized to the subjects’ characteristics in order for married immigrant women to adjust themselves to new Korean environments and to lead a high-qualitylife through the promotion of marital relationship, Korean communication ability, health status, and economic capability.

일 지역 재가노인의 우울 및 삶의 질 영향요인

이홍자,김현실,정영미 지역사회간호학회 2009 지역사회간호학회지 Vol.20 No.1

Purpose: This study was done to investigate factors associated with depression and quality of life (QoL) among the community-dwelling elderly. Methods: This study used a descriptive correlational research design. The subjects were 730 elders aged over 65 living in D district of Daegu. Data were collected using questionnaires for 30 days in April, 2007. The research instruments utilized in this study were a physical function scale of long-term care insurance system, Geriatric Depression Scale Short Form Korea Version (GDSSF-K), and Korean Quality of Life Scale (KoQoLs). The collected data were analyzed by descriptive statistics, t-test, ANOVA, Duncan, stepwise multiple regression, and Spearman correlation. Results: The mean age of the subjects was 72.6, and 68.8% and 57.9% of subjects were, respectively, female and living alone. 12.3% of variance in depression was explained by age, education, economic status, subjective health, alcohol consumption, condition of teeth, and fall experience. 18.2% of variance in QoL was explained by economic status, number of diseases, condition of teeth, incontinence, paralysis, and IADL. Economic status and condition of teeth were contributing factors to depression and QoL of the elderly. Conclusion: Findings of this study may be useful in understanding the health status of the community-dwelling elderly and developing more regionally specific health promotion strategies.

육조지괴(六朝志怪)를 통해 본 귀(鬼)의 유형 : 고소설구침(古小說鉤沈)을 중심으로

이홍자 한국중국학회 1981 중국학보 Vol.22 No.1

일개 보건소 방문간호사업의 업무 분석

이홍자,김춘미,윤순녕,Lee, Hong-Ja,Kim, Chun-Mi,Yun, Soon-Nyong 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

청소년 흡연의 영향 요인

이홍자 대한임상건강증진학회 2007 Korean Journal of Health Promotion Vol.7 No.4

BackgroundThe smoking rate of high school students keeps increasing, and it has been pointed out as an important factor influencing adolescents’ health. The purpose of this study was to determine the psychosocial factors influencing smoking experience of Korean high school students. MethodsThe design of this study is a cross-sectional self-administered questionnaire survey. 1,167 high school students in South Korea were recruited during August 1-November 30 in 2003. The independent variables included sociodemographic characteristics, knowledge about smoking, self-efficacy and self-esteem, and the dependent variables were the students’ smoking experience and their intention of smoking.ResultsThe percentage of regular smoker was 17.0% in male, 2.2% in female. The factors significantly affected to smoking were gender(Χ2=142.31, p〈.01), grade(Χ2=8.97, p〈.05), religion(Χ2=9.78, p〈.01), mother’s smoking(Χ2=16.00, p〈.01), grand-mother’s smoking(Χ2=5.66, p〈.01), sibling’s smoking(Χ2=22.09, p〈.01), friends' smoking(Χ2=197.20, p〈.01). Intention of smoking(r=.51, p〈.01), was strongly correlated to smoking experience. Knowledge about smoking(r=.10, p〈.01) and self-esteem(r=.13, p〈.01) were also weakly correlated to smoking experience. ConclusionsThe findings suggest that the smoking prevention education should involve students’ family members and/or friends who influence the students’ smoking experience, and the education program should include a strategies to increase self-esteem and self-efficacy. Adolescent's drinking is associated with an elevated risk of smoking experience, so the program also needs to include some contents about the harmful effects of smoking and drinking. 연구배경금연 운동이 확산되고 있음에도 불구하고 청소년 흡연이 심각한 수준으로 증가하고 있으며 청소년의 흡연은 성인기 이후의 생활습관으로 형성되어 고혈압, 폐암 등 만성질환의 원인으로 밝혀지고 있다. 청소년 금연교육을 위한 기초자료를 제공하기 위하여 고등학생을 대상으로 청소년의 흡연 경험 및 흡연의도에 영향을 미치는 요인을 분석하고자 하였다. 방 법조사대상자는 H군에 위치한 5개 고등학교에 재학 중인 학생 전수로서 자기기입식 설문지를 이용하여 조사하였다. 2003년 8월 1일부터 11월 30일까지 자료 수집을 하였으며, 최종 1,167명의 설문지를 통계처리 하였다. 빈도와 백분율, t-test, chi- square test, Pearson's correlation 분석을 하였다. 결 과대상자의 흡연율은 남자 17.0%, 여자 2.2%이었다. 성별, 학년, 종교, 어머니의 흡연, 형제의 흡연, 친구의 흡연 및 음주 경험에 따라 흡연 경험의 정도에는 유의한 차이를 보였다. 흡연경험에 강한 상관관계를 보인 것은 흡연 의도로 나타났고, 흡연지식, 자기효능 및 자존감 등은 약한 상관관계를 보였다. 결 론본 연구 결과에서 남학생들은 여전히 높은 흡연율을 보이고 있다. 남학생을 대상으로 하여 흡연을 시도하기 전 빠른 시기에 금연교육프로그램을 실시하는 것이 필요하다. 금연교육의 효과를 높이기 위하여 교육 대상에 흡연학생 및 그들의 부모, 형제, 흡연을 하는 친구를 포함시켜야 하며, 음주의 유해성을 교육내용에 포함시키고, 자존감 향상 프로그램을 병행하는 것이 효과가 있을 것이라고 사료된다.

요한시집 연구 : 실존주의와 휴머니즘의 측면에서

이홍자 서울대학교 국어교육과 1974 先淸語文 Vol.5 No.1