노인의 우울증과 일상생활동작능력의 관련성

정순미,박래준,노효련,Jung, Soon-Mi,Park, Rae-Jun,Ro, Hyo-Lyun 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.2

Purpose: We investigated the relationship of depression and the ability to engage in activities of daily living in the elderly. Methods: Subjects (n = 182) were 60 years or older and who attended the Senior College of Gimhae Senior Welfare Center. We collected data via a questionnaire, through a Self- recording method and through individual interviews. We collected data on personal and general characteristics, level of depression, and activities of daily living. Results: Among all subjects, 51.1% reported having depressionMild depression was reported by 29.7% (54 subjects), moderate depression by 13.2% (24 subjects), and severe depression by 8.2% (15 subjects). Activities of daily living, including walking, climbing stairs, standing from a chair and sitting on and using toilets, using a telephone, bathing, shopping, cleaning house, and managing money were significantly lower in elderly subjects who were depressed (p<0.05). The greater the level of depression, the less able they were to engage in activities of daily living. Conclusion: These findings may help us achieve early detection of depression in the elderly and provide mediated arbitration so that they can have better health condition and greater ability to engage in activities of daily living.

자기 주도적 체험 학습을 통한 북한 사회 이해

정순미 한국도덕윤리과교육학회 2002 도덕윤리과교육 Vol.- No.14

2000년은 남북정상회담과 6․15 남북공동선언, 남북이산가족 상봉 등으로 분단 이후 그 어느 때보다 통일에 대한 국민적 관심과 통일의 필요성에 대한 인식이 증대된 한 해였다. 그러나 남북정상회담 이후 2년여 동안 진행되어온 남북 교류의 진전과 부침은 우리에게 희망과 실망을 동시에 안겨주며, 통일을 위해서는 지속적이고 꾸준한 교류와 철저한 준비가 필요함을 인식시켜주고 있다. 특히 청소년들의 통일의식이 점점 희박해져가고 있다는 사실은 학교 통일 교육의 중요성을 더욱 강조하고 있다(한국교육개발원, 2000). 그동안 6차 교육과정에 의거한 윤리과 중심의 학교 통일 교육은 내용과 방법이라는 측면에서 비판을 받아온 것이 사실이다. 먼저 내용의 경우, 거시적이고 추상적인 정치․경제․통일 정책 등으로 일관된 교과 내용과 자유민주주의체제의 우월성에 기반한 북한 사회 비판 위주의 내용에 대한 문제점을 들 수 있다(박찬석, 2000, p. 50). 이러한 문제점을 극복하기 위해서, 학교 통일 교육의 교과내용은 보다 실질적이고 구체적인 북한 이해를 토대로 하는 동시에 냉전적이고 우파 편향적인 시각을 극복하는 방향으로 전개되어야 할 것이다.

응급센터 내 외래운영

정순미,김인병,김경환 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

Background: Authors investigated the out patient management trial running in our ED. This ED is a local emergency center with over 39,000 visits a year. The OPD(Out-Patient Department) in ED was designed to give feed-back on the medical examination and treatments done by house-staffs of emergency medicine and also to experience the satisfaction of treating OPD patients at a regular schedule, which emergency medicine is most deficient of. Methods: All patients visiting the OPD in ED for 5 months were included. Patient's characteristics, diagnoses, number of follow-up visits, complications and referred cases were retrospectively reviewed. A survey on satisfaction of the OPD patients were done. Faculties of emergency medicine were also surveyed. Results: 735 patients(4.7% of total 15,570 ED visits) have visited the OPD in ED during the 5 months, 38% of these patients were less than 10 years of age. The common diagnoses were lacerations, burns, dog bites, nail injuries etc. in order of frequency. The average number of follow-up visits were 2.8 times. Patients with nail injuries and distal finger tip fractures visited most frequently averaging 5.7 times. 7 complications were found. 7 patients were referred to specialists. 87% of OPD patients were satisfied with the treatment given. Remaining 13% expressed unsatisfied opinions such as complexity of administration in ED(6.5%), overcrowding(3.3%), long waiting time and changing of physicians. All three of the faculties were more than moderately satisfied with OPD in ED. Conclusion: OPD in ED satisfied the patients and the emergency physicians. This could be suggested as a way of managing patients at an OPD basis in a residency training hospital.

동물병원 동물보건사의 직무배태성이 직무만족도와 이직의도에 미치는 영향

정순미,김충희 한국보건기초의학회 2019 한국보건기초의학회지 Vol.12 No.2

This study was attempted to investigate the correlations between the job embeddedness of animal hygienists working at animal hospitals and their job satisfaction and turnover intentions to identify the foregoing correlations with a view to presenting basic data to seek ways to reduce the turnover intentions of animal hygienists and improve their job embeddedness and job satisfaction. Data were received from 96 animal hygienists working in various regions in the whole country and analyzed with descriptive statistics and Pearson’s correlation coefficient program using the SPSS WIN 25.0 program. The reliability was measured by obtaining Chronbach’s α values. The correlations between job satisfaction and the subfactors of job embeddedness were shown to be significant in the positive direction with values as follows; fit to organization (r=0.31, p<0.001), link to organization (r=0.32, p<0.001), and sacrifice to organization (r=0.43, p<0.001), indicating that the higher the job embeddedness, the higher the job satisfaction. The turnover intention, however, showed correlations with the subfactors of job embeddedness in the negative direction with values as follows: fit to organization (r=0.30, p<0.005), link to organization (r=0.19), and sacrifice to organization (r=0.50, p<0.001). In particular, sacrifice to organization showed a strong correlation in the negative direction, indicating that sacrifice to organization, which is a subfactor of job embeddedness, increased turnover intentions. The score of turnover intentions of animal hygienists was 2.84 points, which is lower than the result of a previous study conducted with nurses. The lower turnover intentions are considered attributable to the nature of animal hospitals where animal hygienists work with companion animals such as dogs and cats so that job satisfaction is shown to be high in cases where animal hygienists are in favor of companion animals. Since the profession animal hygienist was newly made by the amendment of the Veterinarians Act in August 2019, in order for animal hygienists to settle as a good occupational group.

'가계도' 작성을 통한 바람직한 가족윤리의 모색

정순미 한국도덕윤리과교육학회 1996 도덕윤리과교육 Vol.- No.7

제 1 부 체제 통합과 변화 : 자본주의체제의 적응 메커니즘 : 진화론적 시각에서

정순미 한국체계과학회 1997 21세기 한국의 국가정책과 체계론적 사고 Vol.- No.-

공동체주의적 자유주의 정의관의 모색

정순미 서울대학교 1995 社會와 思想 Vol.14 No.1

저체온증과 동반된 고혈압성 뇌출혈 1례

정순미,김태경,김인병,김경환 대한응급의학회 2002 대한응급의학회지 Vol.13 No.1

Hypothermia is not an uncommon condition that emergency physicians meet in their emergency department services. Most cases involve mild hypothermia and are rewarmed will without any complication or sequelae. Hypothermia is well known to be correlated with drug intoxication, such as with alcohol. Since alcohol adds to the suppressive effect on central nervous system due to hyporthermia, most intoxicated patients are so deeply drunk that they look comatous. We report the case of a 41- year old male drunk and semi-comatous and who had been left in his car for more than 12 hours on a freezing cold night. He arrived at our emergency department with a body temperature of 27.3℃. The patient was warmed with active rewarming, and during procedure, the patient appeared markedly hypertensive, instead of showing rewarming shock. After initial stabilization the patient was taken for a cerebral CT scan and was found to have a large amount of intracranial hemorrhage. He was treated conservatively in the intensive care unit and was discharged as a hopeless case.

질식성 심정지 모델에서 Epinephrine과 Vasopressin의 비교

정순미,박원녕,정성필,황태식,장문준,이한식 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.1

Background : Vasopressin has recently been recognized to have greater effect on improving blood flow to myocardium and brain during cardiac resuscitation than epinephrine and also improves rates of ROSC(return of spontaneous circulation) and survival in pre-hospital and in-hospital prolonged refractory cardiac arrest patients who did not respond to the standard epinephrine treatment. This study was designed to investigate the effects of vasopressin on ROSC rates and survival rates in rat asphyxia arrest model. Method & Material : Thirty male sprague-Dawley rats were used. Anesthesia was induced with halothane and nitrous oxide and ventilatory care was maintained. EtCO₂ was adjusted to 30-40㎜Hg and halothane was maintained. Right internal carotid artery and right femoral vein were cannulated and EKG electrodes were attached. After 10 minutes of asphyxia, group 1 was treated with 1ml of saline, group 2 with 1ml (0.001㎎/100g) of epinephrine and groups 3 with 1ml (0.16u/100g) of vasopressin for resuscitation. Statistical significance was an analyzed by SPSS with ANOVA and chi-square tests. Results : No significant difference were seen in baseline measurements. There ROSC and three 60 minutes survivals were found in group 1, whereas nine ROSC and eight 60 minutes survivals were obtained in groups 1 and all of the subjects in group 3 showed ROSC and 60 minutes survival, but no statistical differences were seen between groups 2 and 3. Conclusion : Vasopressin seems to have similar effect on improving ROSC and survival rates compared to epinephrine in rat asphyxia models.

체간안정화 운동프로그램이 한센병력노인의 발바닥 감각상태에 따른 정적,동적 균형에 미치는 영향

정순미 ( Soon Mi Jung ) 한국전문물리치료학회 2011 한국전문물리치료학회지 Vol.18 No.1

This study was to investigate the positive effects of specially designed trunk-stabilization exercise program on lower extremity balance of elderly with history of leprosy. In this participants, lower extremity functions has been undermined by the development of damage in peripheral nerves. A total of 40 elderly with history of leprosy were divided into 2 groups of equal size (n1, 2=20): a group that participated in the exercise program, and a control group that did not exercise but did continue to engage in normal daily activities (including walking). The exercise group exercised for 60 minutes 2 days a week for 12 weeks. Static balance ability was measured by asking study participants to a one leg standing test: dynamic balancing ability was measured with a tandem walking test and a timed up-and-go test. The participants in the exercise program and the control group were tested before and after completion of the exercise program for comparison, and then divided according to their ability to feel sensory in the soles of their feet into the categories of normal sensory group: group with sensory loss in one foot: and group with sensory loss in both feet. The participants in the exercise program showed a positive, statistically significant difference in static balance compared with the control group (p<.05) as measured using the one leg standing test. Similarly, the participants in dynamic balance (p<.05) as measured using the tandem walking and timed up-and-go tests. Finally, these improvements were related to the severity of sensory loss in the soles of the feet for all study participants.