자기 효능의 개념 분석

서순림,이은남,박송자,양영희,이동숙,최은옥,구미옥,김인자,이인숙,김성재,박영임,이은옥 서울대학교 간호대학 간호과학연구소 1997 간호학 논문집 Vol.11 No.1

Today human needs for health promotion and maintenance are increasing. The nursing progression has a great responsibility for helping clients to practice good health behavior. self efficacy was found to be potent predictor in initiating and maintaining the health-related behavior. Therefore, the concept is important in nursig intervention for change of health behavior. The purpose of this paper was to analyze and clarify the meaning of the concept, self efficacy. This study used Walder & Avant's process of concept analysis. Critical attributes of self efficacy were : 1) positive perception of his won capability; 2) intrapersonal strength; 3) possibility of being learned; 4) individuality; 5) specificity; 6) generalizability. Antecedents of self efficacy consist of those facts that 1) new situation occurs; 2) individuals have needs to change the new situation; 3) there are some required actions in new situation. Consequences occurring as a result of self efficacy consist of those facts that 1) individual initiates the of failure; 5) cope with the situation; 6) controls the situation; 7) the level of self efficacy is enhanced; 8) the level of self-esteem is enhanced.

가평 전주이씨묘 출토복식 고찰

최연우,박윤미,김윤경,김지희,박양희,이선우,차서연,편나영,황혜남,Choi, Yeon Woo,Park, Yoon Mee,Kim, Yoon Gyung,Kim, Ji Hee,Park, Yang Hee,Lee, Seon U,Cha, Seo Yeon,Pyeon, Na Young,Hwang, Hye Nam 한국의류학회 2017 한국의류학회지 Vol.41 No.5

In 1995, the costumes were restored in an unknown woman's tomb at the Jeonju Lee's family cemetery in Gapyeong, Gyeonggi-Do, and there are currently nine items remaining. In this study, we first introduced these 9 relics to academia and analyzed the morphological characteristics of the costumes. We also estimated the time and person of burial compared with costumes unearthed from other burials. Jeogories (short jacket) are all four items. One of these items was unusual in shape, and the upper part of the seop (gusset) was wrinkled and shaped. This type of Jeogori appears only till the 1520s in other tombs. There are also two skirts, one of which is characterized by a superimposed pattern. The top and bottom / middle part of the skirt were rolled up, and the skirt, which was double-rolled up in this way, was first discovered. An analysis of the shape of Jeogori and skirt indicated that the person buried in the Jeonju Lee's family tomb was believed to have survived until the early 16th century. Based on these estimated periods, as a result of looking at the genealogy of Jeonju Lee's family, it was concluded that the tomb was probably a woman named Lee Geum Myeong (李金命) born in the mid-15C and died between the late 15C and the early 16C.

유분증 아동을 위한 배변훈련프로그램의 효과 연구

이양희,조영숙,구미향 대한소아청소년정신의학회 2001 소아청소년정신의학 Vol.12 No.2

훈련의 조건과 목표행동의 기준을 변화시키는 설계(changing conditions and changing criterion design)를 사용하여 일차적 유분증과 이차적 유분증이 있는 아동 2명을 각각 행동치료하였다. 측정된 종속변인은 바람직한 배변행동의 증가와 부적절한 배변행동의 감소였다. 과제분석과 체계적인 강화를 사용하여 아동을 치료한 결과 각각 처치 12주와 13주 후에 아동의 유분증은 제거되었다. 치료 종결 두 달 후의 follow-up에서도 부적절한 배변행동은 보고되지 않았으며 바람직한 배변행동이 가정이외의 곳으로 일반화되었음이 보고되었다. This article describes and illustrates cases the treatment of primary and secondary encopresis using a changing conditions and criterion design with two subjects. The dependent variables measured were increase in appropriate toileting behavior and decrease in inappropriate toileting behavior. After 12 and 13 weeks of treatment encopresis was completely eliminated. In a two-month follow-up and one year follow-up inappropriate toileting behavior was not reported. Appropriate toileting behavior was also reported generalized to settings outside the home.

上流 傳統住居 海南 綠雨堂 硏究 : 農業生産과 儒敎原理의 양측면으로

이희봉,이향미 중앙대학교 건설환경연구소 2000 環境科學硏究 Vol.11 No.2

The purpose of this study is to search for the design principle of the Noku-Dang, an upper class house, in Chosun dynasty. Main method is the ethnographic interview with participan observation, based on cultural anthropology. Not only dominant ideology of Confucianism in Chosun dynasty, but also practical agricultural management has influenced the form of the Noku-Dang. Precedent studies have prescribed that Anchae, woman's quarter, is closed and quiet space by the Confucianism, however this study shows that it is semi-opened space by argricultural practical works. Location of the Sarangchae, master's quarter, was properly designed to control every agricultural management. Hojip, servant houses, suround the mansion with mutual cooperative economic relation instead of surbordinate relation.

장기입원환자 관리 방해요인

이경석,윤석만,권희,이호,김혜경,조미자,한규남,김명성 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Background: Recently the health insurance review agency tried to cut off the cost of unnecessary hospital stay. It is important to reduce the prolonged occupation of the hospital beds. However, there are some obstacles of the management for the prolonged bed occupation. We report our experiences and the problems of bed-control. Methods: To increase the rate of effective bed-usage, a task force was made. This team was consisted of 4 dctors, 2 nurses and 2 personnel of the administrative department. From December 20th 2001 to May 17th 2002, the task force analysed the rate, number and causes of the prolonged (more than 60 days, regardless of the disease entities) bed occupation. We announced and explained the necessity of bed-control and actively pressed to reduce the prolonged bed occupation. Results: The number of the prolonged bed occupation was 71 at the beginning of the management. It was reduced to 46 at best, then turned back to 65 at the end. It seems to be impossible to reduce the prolonged bed occupation until there are sufficient numbers of long-term care facilities. Aggressive bed control makes the sick patients to move every two or three months, it is never desirable. Conclusion: We cannot expect any Quality Improvements without improvement of the wrong system. Prior to the management for the prolonged bed occupation, it is necessary to build a sufficient number of long-term care facilities.

사범대학 지리교육과의 교육과정 개선 방안

이희열,주미순 한국지리환경교육학회 2003 한국지리환경교육학회지 Vol.11 No.3

1990년대 이후 중등교사를 양성하는 사범대학 교육과정은 변화를 겪고 있다. 그 과정에서 교과교육학의 중요성이 부각되면서, 교과교육학이 사범대학 교육과정의 독특한 한 영역을 이루게 되었다. 본 연구의 목적은 변화하는 사범대학 교육과정에서 중요한 영역으로 등장한 교과교육학을 바탕으로 새로운 교육과정 구성안을 제시하는 것이다. 이에 부가하여 교과교육학과 교과내용학 연계과목 중에 경제지리교육론 교과에 대한 명세의 예시를 제시한다. 연구과정에서 제시한 새로운 교육과정 모델은 일반 교육학에 기반을 둔 교과 교육학, 세부 전공 영역 의 학문적·이론적 업적에 바탕을 둔 교과 내용학, 이 두 영역을 연계할 뿐 아니라 중등학교 교육과정의 변화를 기반으로 하는 교과내용학과 교과교육학 연계 과목 등으로 구성된다. 특히 교과교육학과 교과내용학의 연계과목은 일반교육학과 교과내용학 뿐만아니라 중등학교 교육과정의 변화를 반영할 수 있도록 유연적인 것이라야 한다. 지리교육과 교육과정에서 교과내용학과 교과교육학 연계 과목에 대한 개발·연구 뿐만아니라 이 영역에 속하는 교과목들에 대한 명세 작성이 이루어질 필요가 있다. The educational curriculums for training geography teachers in colleges of education across Korea have changed steadily since the 1990's. Generic educational theories and practices need to be further developed and specified to meet the demands from individual discipline courses. Interdisciplinary education has become a unique field of teacher education curriculum along with the academic attention from the educators concerned. This study attempts to propose a new model of geography teacher education curriculum based on the interdisciplinary pedagogy. The model includes general educational theories and practices, interdisciplinary learning, and the speciality in geography teacher education program. It is to improve and excel the quality of general education and secondary schooling in disciplinary instruction and curriculum both. The study also suggests that the interdisciplinary education should be flexible to practice and open to change academically and pedagogically. Finally, this study promotes further studies and comprehensive research on the interdisciplinary education and the study courses for better geography teacher education in a college of education.

임상실습 교육개선을 위한 간호학생의 간호활동시간 분석

이애경,김정애,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2001 京福論叢 Vol.5 No.-

신규간호사의 능력은 간호학생 때의 다양한 임상경험에 기초를 둔다. 따라서, 간호대학의 교수, 병원 지도자, 임상지도자는 간호학생들이 다양한 지식을 획득하고 간호기술을 경험할 수 있도록 도와주는 중요한 역할을 한다. 이 연구의 목적은 이러한 간호학생들의 임상실습에서 수행하는 간호활동과 간호활동 시간을 분석하고자 하는데 있다. 연구결과 간호학생 1인당 직접간호활동 시간은 185.5분(직접간호비율은 56.7%)으로 141.65분(간접간호 비율은 43.3%)인 간접간호활동 시간보다 많았다. 직접간호활동 시간 중 활력징후 측정이 51.9분으로 가장 많은 시간을 차지하였고, 간접간호활동 시간 중에는 차트보기가 22.98분으로 가장 많은 시간을 차지하였다. 전반적으로 기본적인 임상간호 수행기술에 소요되는 시간이 고도의 숙련된 간호기술을 수행하는데 드는 시간보다 많은 것으로 나타났다. 따라서, 본 연구결과를 토대로 간호대학의 지도자와 병원의 지도자 및 임상지도자가 함께 임상실습 교육과정의 지침서와 평가서를 평가할 필요가 있다고 제언하는 바이다. The competence of newly graduated nurses is based on various clinical experiences gained when they were students. Therefore, professors in nursing schools, directors in hospitals or preceptors must play a critical role in assisting them to obtain various knowledge and experienced nursing skills. The purpose of this study is to investigate nursing care activities and nursing care hours practiced by nursing students in clinical experience. The results of this study showed that the direct nursing care hours per each nursing student are 185.5 mins(direct nursing care rate 56.7%) and it is higher than indirect nursing care hours, 141.65 mins(indirect nursing care rate 43.3%). The hours of checking vital signs are the longest(51.9mins) among the direct nursing care activities, and the hours of reviewing chart are the longest(22.98mins) among the indirect nursing care activities. In general, the time of performing basic clinical nursing technique was higher than that of performing high skilled nursing technique. And nursing observation was higher than that of directly performing task. So, we suggest based on the results of this study as follows. It is needed for nursing instructors in nursing schools and hospitals together to evaluate the guidelines and check-list of clinical practice courses.

각 국가별 치과의료보장의 유형과 치과의료보험급여화에 관한 연구

이미희 제주관광대학 2001 論文集 Vol.7 No.-

치과의 진료는 발치, 충전, 치료에 한하므로 치아결손에 따른 보철을 실시하였을 경우에는 이에 소요된 비용은 본인이 전액 부담하고 있다. 우리나라는 상당수의 국민들이 아직도 과중한 진료비 부담 때문에 치아결손부를 방치하고 있거나 아니면 의료기관을 이용하지 않고 부정구강 진료업소에서 보철진료를 받고 있는 실정이다. 본 논문에서는 부정구강진료에 대한 예방책의 하나로써 외국의 의치보철실시에 관한 사례를 연구하므로서 의료보험의 요양급여화의 필요성을 제시한다. Research shows that, when dental-medical security was adopted, 45.4% of the old people who were over sixty-five needed a full denture: 28% of them needed a full denture in an upper jaw and 19.6% needed it in a lower jaw. According to the Data in 1995, 4% of old people who were aged from 65 to 74 needed afull denture in the upper jaw was 3% and in the lower jaw was 1%. The denture-need rate in 1995 is very different from the full denture need rate in 1978. The data in 1978 show that the partial denture installation rate of those who were over sixty-five in case of the upper jaw was 19.5% and of the lower jaw was 9.9%. The total partial denture installation rate in 1978 was 29.4%. That teels the difference between in 1978 and in 1995. The rate in 1995 is 24.5% higer than in 1978. It is reporated that in case of the upper jaw, the partial denture-need rate was 29.2% and in case of the lower jaw, 33.5%-the total was 62.7%- in 1978. If the installation rate and the need rate were mixed, the total partial denture need rate is 67.6%. The data in 1995 reported that the partial denture need rate of the upper jaw was 12.0% and that of the lower jaw was 18.2% and the total was 30.2%. So the installation rate and the need rate made 59.5% in 1995. In Japan, the old people aged over seventy have the benefits of the denture from medical system and in England the old people aged over sixty-five are exempted from individual of expenditure. Medicare in America provides the old over sixty five with good medical service and in Alberta, Canada, those who are over sixty-four are supplied with the expense of the denture by medical ibsurance system. The countries which inclued the denture installation into the expense list of the medical insurance system are carrying the inclusive grant. The Dutch children and adolescences under nineteen are furnished Br and Crown by the medical insurance system. In Danmark.

골형성 종양의 골조직에서 비교원성 골단백질의 분포

김미숙,이승철,박희경,채종민 慶北大學校 醫科大學 1995 慶北醫大誌 Vol.36 No.3

목적 : 골조직내에는 여러 가지 비교원성 단백질이 포함되어 있다. 이들 단백질은 골 구성 세포들의 분화, 성장 및 골조직 형성을 조절하는 것으로 알려져 있다. 본 연구는 골 조직에서 발생하는 각종 종양에서 비교원성 단백질의 분포를 관찰하여 이를 골종양 감별 진단적 표지자로서의 가치를 규명하고자 한다. 대상 및 방법 : 1990년부터 1995년 4월까지 경북대학교병원에서 각 종 골종양을 수술하여 얻은 조직을 osteocalcin, osteonectin, 및 단구-대식구 항원에 대한 면역조직화학적 방법으로 염색을 하여 이들 단백의 분포를 관찰하였다. 결과 : osteocalcin 및 osteonectin은 골육종 및 골모 세포종에서 강한 양성 반응을 보였다. 그리고 osteonectin은 일부 연골 형성 종양 및 거대세포 종양에도 부분적인 양성 반응을 보였고 osteocalcin은 거대세포 종양에도 양성 반응을 보였다. Ewing 육종, 악성 림프종, 및 골수종 등은 osteonectin 및 osteocalcin 모두 음성 반응을 나타내었다. 그리고 단구-대식구 항원에 대한 반응은 거대세포 종양에서 강하게 발현하였다. 결과 및 결론 : 이상의 성적으로 보아 osteocalcin 및 osteonectin은 골형성 종양의 감별 진단에 유효하며 단구-대식구 항원 검사는 거대세포종 진단에 도움이 될 것이라고 생각된다. To ascertain the effective value of non-collagenous bone proteins as a diagnostic marker of osteogenic neoplasm, the expressions of osteonectin and osteocalcin, together with monocyte-macrophage antigen were evaluated in tissue sections obtained from primary bone tumors. Osteonectin and osteocalcin were detected in entire neoplastic component of osteogenic bone tumors and giant cell tumors. Osteonectin was also demonstrated in neoplastic component of some cartilage-forming tumors, whereas osteocalcin was specifically detected in bone forming tumor with osteoblastic differentiation. osteonectin and osteocalcin were not detected in Ewing's sarcoma, malignant lymphoma, and multiple myeloma. On the other hand, monocyte-macrophage antibody positive stains in the mononuclear and multinucleated giant cell components of giant cell tumor and the reactive multinucleated giant cells of entire primary bone tumors were observed. The results suggested that osteonectin and oiteocalcin as well as monocyte-macrophage antigen may be helpful in the histologic diagnosis of bone tumors, particularly osteocalcin is expected to be more useful for the diagnosis of osteosarcomas.

수용성 키토산 유도체를 이용한 방사성 스트론튬의 시험관내 흡착능 및 마우스내 체외배출 효과

김희경,송해미,조덕제,조만기,이정석,이응호 동서대학교 부설 연구소 1996 연구소 논문집 Vol.1 No.-

키토산은 천연착화제로서 효용가치가 높은 무독성의 천연고분자로서 키틴으로부터 탈아세틸화시킨 유도체이다. 키토산에 인산기을 도입한 Water-solubel phosphorylated Chitosam(WSPC)의 Sr에 대한 시험관내 흡착률은 pH 3에서는 97.8%이었으나, pH 5와 pH 7에서는 모두 100%이었다. WSPC를 농도별(0.01%, 0.1%, 1%)로 희석하여 11주령의 ICR 수컷 마우스의 위내로 투여한 직후 Sr을 같은 경로로 처리한 다음, WSPC의 Sr에 대한 체외 배출효과와 골내 잔존률을 평가하였다. 또한 Sr와 농도별 WSPC 처리후 6일째에 척추, 두개골, 대퇴골, 경골, 치아 및 꼬리뼈 등에 대해 Sr 잔존율을 측정하였다. 0.01-0.1% 사이의 WSPC를 접종한 마우스 투여군이 Sr만 경구 투요한 대조군에 비하여 골조직에 잔존하는 Sr의 침착률이 낮게 나타났다.(P<0.01). 또한 방사성 스트론튬의 분뇨를 �蔥�배출 효과 역시 WSPC 처리군이 대조군에 비해 유의성이 인정되었고(P<0.05), 대체로 WSPC 농도가 높을수록 그 효과는 비례하였다.(P<0.05). 본 실험에 사용된 WSPC는 체내에 유입된 Sr을 제거하는데 효과가 인정되어 방사성 스트론튬의 방어약제중 하나로 활용할 수 있다고 판단되었다.