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      • KCI등재

        Influence of Visceral Adiposity on Cardiovascular Autonomic Neuropathy in Patients with Type 2 Diabetes Mellitus

        장은희,김나영,박용문,김미경,백기현,송기호,이광우,권혁상 대한당뇨병학회 2012 Diabetes and Metabolism Journal Vol.36 No.4

        Background: The aim of this study was to investigate the influences of visceral adiposity on cardiovascular autonomic neuropathy (CAN) in patients with type 2 diabetes mellitus. Methods: Two hundred eleven patients with type 2 diabetes participated in this study. Anthropometric and metabolic parameters were measured, and the visceral fat area was assessed using computed tomography. CAN was diagnosed using a cardiovascular reflex test. We analyzed the correlation between the visceral fat area and each parameter in this test. Results: The mean age, body mass index (BMI), and duration of diabetes of the study population were 60±14 years (mean±standard deviation), 25.1±4.2 kg/m2, and 12.3±8.9 years, respectively. The visceral fat area showed positive correlations with age, BMI, waist circumference, and subcutaneous fat area. There was no statistically significant difference in the cardiovascular reflex test outcome between genders. Univariate linear regression analysis showed that an increased visceral fat area diminished good heart rate response to a Valsalva maneuver (R2=4.9%, P=0.013 in an unadjusted model), but only in women. This statistical association was preserved after adjusting for age and BMI (R2=9.8%, P=0.0072). Conclusion: The results of this study suggest that visceral adiposity contributes to an autonomic imbalance to some degree, as demonstrated by the impaired cardiovascular reflex test among women with type 2 diabetes.

      • KCI등재후보

        간호대학생과 타전공 일반대학생의 죽음에 대한 태도 및 죽음의 의미에 관한 비교

        장은희,박다혜 대한의료커뮤니케이션학회 2015 의료커뮤니케이션 Vol.10 No.1

        The study was to investigate the attitude toward death and meaning of death of nursing students and non-nursing major students. This study was used a descriptive comparative designed. Data were collected universities in J city in from June. 1 to June. 30 in 2014. After receiving the agreement, 150 nursing students and 117 non-nursing major students were recruited. They were asked to fill in a self-reported questionnaire about the attitude toward death and meaning of death. The data were analyzed using descriptive statistics, t-test, ANOVA and pearson correlation. This study compared the other major university student study the results of the meaning of death than nursing students is much lower, but no significant differences in the attitude toward death. There was a significant correlation between the a death anxiety (death of others & dying of self) and meanings of death (negative) in nursing student and the other major university student. On the other hand, there was a significant negative correlation between the a death anxiety (death of self & dying of others) and meanings of death (positive) in the other major university student. The finding of the study provide the basis for expanding education related to death for the other major university student. A training course may help nursing student develop their view on the meaning of death, which in turn would enhance their performance in caring dying patients.

      • 간호사들의 건강개념 의미에 관한 연구

        장은희 영남이공대학 산업기술연구소 1990 産業技術硏究 Vol.4 No.-

        This study aims at identifying the nurse's cognition of health concept and to provide basic data of nursing theory and practice. For this research, the data were gathered by self-administered questionaries from 241 nurses who were selected of 3 General Hospital and 4 Community Health Center. The instruments used for the study were health conception scale which was developed by Smith, Laffrey's revised and tested its reliability. The data was analyzed by SPSS program and the resulted were as follows; 1. The results of the reliability test for content of health concept was α=.90. 2. The nurse's cognition of health meaning were inclined to emphasize well-being dimension rather than clinical dimension. 3. The cognitive level of health concept in clinical dimension was proved to be significantly by the variable; age, marital status, education level, hospitalization and clinical career.

      • KCI등재

        만 65세 이상 노인의 구강관리용품 사용과 치주질환 및 잔존치아 개수의 관련성

        장은희,김선희,이금선 한국콘텐츠학회 2023 한국콘텐츠학회논문지 Vol.23 No.5

        This study was conducted to investigate the effects of oral hygiene product use on periodontal disease and the number of remaining teeth in the elderly aged 65 years or older. 3,426 elderly people over 65 years of age were subject to the final analysis of the raw data from the 7th(2016-2018) of the National Health and Nutritional Examination Survey data. Analysis results showed low periodontal disease of users according to the use of floss(57.6%, 78.4%, p<000), use of gargle solution(58.0%, 80.5%, p<0.000), use of electric toothbrush(66.2%, 77.1%, p<0.027). Compared to those without periodontal disease, those who used floss and gargle solution had a greater number of remaining teeth, and those who did not use floss and gargle solution had a higher risk of periodontal disease than users, respectively, 2.249 times and 2.512 times(p<0.001). Based on the above results, it was found that the use of oral hygiene products in the elderly reduces periodontal disease and affects the number of remaining teeth. To reduce the prevalence of periodontal disease, it is necessary to use proper oral hygiene products, including regular oral screenings, and to provide continuous education on oral health care not only for the elderly, but also for all generations. 본 연구는 만 65세 이상 노인의 구강관리용품 사용에 따른 치주질환과 잔존치아 개수에 미치는 영향을 알아보고자 조사하였다. 자료는 국민건강영양조사 자료 중 제 7기(2016년도에서 2018년도)의 원시 자료 중 만 65세 이상 노인 3,426명을 최종 분석 대상자로 하였다. 분석결과 치실 사용유무(57.6%, 78.4%, p<000), 양치용액 사용유무(58.0%, 80.5%, p<0.000), 전동칫솔 사용유무(66.2%, 77.1%, p<0.027)에 따른 사용자의 치주질환이 낮았다. 치주질환의 무가 유보다, 치실사용과 양치용액 사용 유는 잔존 치아 개수가 많았고 치실과 양치용액 사용하지 않는 자는 사용자보다 치주질환 위험이 각각 2.249배, 2.512배 높았다(p<0.001). 이상과 같은 결과를 토대로 노인들의 구강관리용품 사용이 치주질환을 낮추고 잔존치아 개수에 영향을 미친다는 것을 알 수 있었으며 치주질환의 유병률을 줄이기 위한 방법으로 정기적인 구강검진을 포함한 올바른 구강관리용품 사용과 구강건강관리를 위한 지속적인 교육이 노인만이 아니라 모든 세대에서도 이루어져야 할 필요성이 있음을 확인하였다.

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