여성결혼이민자의 한국어읽기능력과 관련 요인

양숙자,안지숙,한은주 한국자료분석학회 2013 Journal of the Korean Data Analysis Society Vol.15 No.5

The purpose of this study was to investigate level of Korean reading comprehension proficiency and its related sociodemographic characteristics among married immigrant women in Korea. Data was collected from 193 married immigrant women who came from China, Vietnam, the Philippines, and other countries. Korean reading comprehension proficiency was measured using 30 items of reading section from Test of Proficiency in Korean (TOPIK) (Cronbach’s α=.886) by National Institute for International Education. The average score of Korean reading comprehension proficiency was 70.71. Married immigrant women from Japanese and Mongolia (F=5.51, p<.011), with longer time since immigration (F=24.54, p<.001), higher educational attainment (F=12.79, p<.001), more number of family (F=5.30, p=.006), and more number of parity (F=8.93, p<.001) reported greater levels of Korean reading comprehension proficiency. Also, married immigrant women with higher level of subjective Korean speaking proficiency (F=29.30, p<.001), subjective Korean listening proficiency (F=28.63, p<.001), subjective Korean reading comprehension proficiency (F=27.82, p<.001), and subjective Korean writing proficiency (F=27.93, p<.001) reported higher score of Korean reading comprehension proficiency. These findings can be used for community health care providers to develop health education programs or information materials about health promotion and management for married immigrant women. 본 연구는 여성결혼이민자를 대상으로 한국어읽기능력과 이와 관련된 요인을 파악하기 위한 서술적 조사연구이다. 연구대상은 한국인 남성과 국제 결혼하여 국내 거주하고 있는 여성결혼이민자 193명이었으며, 한국어읽기능력은 한국어능력시험 공인기관인 국립국제교육원의 한국어능력시험(Test of Proficiency in Korean, TOPIK)의 읽기영역 30개 문항으로 평가하였다. 연구 대상자의 한국어읽기능력은 70.71점(100점 만점)이었으며, 문항유형별로 평균 정답률은 문맥에 알맞은 말 찾기가 87.8%로 가장 높았으나, 맥락에 맞는 어휘 고르기는 45.6%로 가장 낮았다. 한국어읽기능력은 거주지(F=6.77, p=.001), 출신국(F=5.51, p<.001), 한국체류기간(F=24.54, p<.001), 교육수준(F=12.79, p<.001), 동거가족수(F=5.30, p=.006), 자녀수(F=8.93, p<.001)에 따라 차이가 있는 것으로 나타났다. 주관적 한국어능력의 말하기(F=29.30, p<.001), 듣기(F=28.63, p<.001), 쓰기(F=27.93, p<.001), 읽기(F=27.82, p<.001)를 잘 한다고 할수록 한국어읽기능력이 더 높은 것으로 나타났다. 여성결혼이민자의 사회문화적응 수준의 지표인 한국어읽기능력에 대한 정보는 이들의 언어 수준에 맞는 건강유지․증진 및 건강관리에 필요한 건강정보 자료를 개발하는데 유용하게 활용될 것이다.

연명의료에 대한 노인 환자와 보호자 간 인식 비교

양숙자,황혜영 한국의료윤리학회 2016 한국의료윤리학회지 Vol.19 No.4

The purpose of this study was to compare the perceptions of elderly patients and their caregivers toward life-sustaining treatment (LST). This study was a descriptive investigation using a structured questionnaire administered to ninety elderly patients and their main caregivers. The data were collected from three general hospitals in Seoul and analyzed using IBM SPSS Statistics version 23. The significant differences between the perceptions of the elderly patients and those of their caregivers are as follows: the experience of having heard of LST (χ2=3.90, p=.048), the time required to determine the need for an LST (χ2=13.49, p=.010), the main reason for the need for LST (χ2=12.18, p=.014), opinions on hospice palliative care (χ2=9.45, p=.002), the appropriate person to act as a patient’s surrogate (χ2=6.77, p=.034), and the requirements for acting as a surrogate (χ2=21.61, p<.001). Study findings indicate that both groups have a high level of interest in self-determination and Korean society is following the standard of substituted judgement, which presumes the opinion of the patient from a surrogate’s point of view. Therefore, developing guidelines for LST decision-making that takes into account the cultural features of South Korea could contribute to LST decision-making that respects the patients’ self-determination. 본 연구는 노인 환자와 그 보호자 쌍의 연명의료에 대한 인식을 비교하여 환자의 자기결정권을 존중 하는 연명의료 결정을 위한 기초자료를 제공하고자 수행된 서술적 조사연구이다. 자료 수집은 서울시 소재 종합병원급 이상의 의료기관에 입원 중인 노인 환자와 그 보호자 90쌍, 총 180명을 대상으로 2015 년 11월 9일부터 2016년 1월 29일까지 진행되었다. 수집된 자료는 IBM SPSS Statistics version 23 프로그 램을 이용하여 분석하였다. 연구 결과 연명의료에 대한 인식은 연명의료 관련 경험, 자기결정권에 따른 연명의료 결정, 대리결정에 따른 연명의료 결정으로 분류되었다. 연명의료 관련 경험에서는 ‘연명의료 에 대하여 들어본 경험이 있는지 여부(χ2=3.90, p=.048)’, 자기결정권에 따른 연명의료 결정에서는 ‘연 명의료 결정 시기(χ2=13.49, p=.010)’, ‘연명의료 결정 요인(χ2=12.18, p=.014)’, ‘호스피스ㆍ완화의료 에 대한 의견(χ2=9.45, p=.002)’, 대리결정에 따른 연명의료 결정에서는 ‘환자의 대리인으로 가장 적절 한 사람(χ2=6.77, p=.034)’, ‘대리인 지정 시 가장 중요한 요건(χ2=21.61, p<.001)’에 대한 인식에서 노 인 환자와 보호자 간 유의한 차이를 보였다. 이를 통해 두 집단 모두 환자의 자기결정권에 대한 높은 관 심과 존중 의식을 보이고 있으며, 현재 한국 사회는 대리인의 관점에서 환자의 뜻을 추정하는 대리 판단 (substituted judgement) 표준을 따라가고 있음을 추측할 수 있다. 따라서 대한민국의 문화적 특수성까지 고려한 연명의료 결정 지침을 마련하는 것은 환자의 자기결정권을 존중하는 연명의료 결정에 실제적으 로 기여할 수 있을 것으로 기대된다.

지역사회중심 재활서비스를 위한 재가 장애인의 요구 사정에 관한 연구

양숙자,김희정,Yang, Sook-Ja,Kim, Hee-Jeoung 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

This study was carried out to idenify the health problems and needs of crippled persons in order to develop a community based rehabilitation service program through public health center. Information on health problems and needs were obtained from 120 crippled persons staying at home by questionaire and a measuring ADL. The results were summarized as follows 1. Among 120 subjects, male crippled (70.3%) outnumbered female crippled (29.7%). Many crippled persons belonged to the 40-49 age group (33.6%) while others were over 60 years (17.4%). There were 36.8% crippled persons with an elementary education, 26.5% had completed high school, 14.5% had completed middle school. 31% of the crippled persons were employed but most of them had unskilled jobs. 80% of the respondents replied that their monthly income was under 800,000 won. 2. The major causes of their handicap were due to acquired factors(92%) such as accidents, in fectious & communicable diseases and chronic diseases rather than congenital factors(8%). Crippled persons who belong to the first grade of disabilities were 14.8%, the second grade 35.7%, the third grade 21.7%, the forth grade 12.2%, the fifth grade 12.2% and the sixth grade 3.5%. 3. This study measured the degree of the ADL of crippled persons by a modified Barthel Index including 11 items. 73.5% of them were fully independent, 8.5% required minimal help, 2.7% required moderate help, 6.0% required substantial help and 9.4% were unable to perform task. In response to the 11 items of ADL, crippled persons required more help in stair climbing, ambulation and bathing than in other items. 4. In responding to concerning health problems, 10.3% of the subjects replied with incontinence, 8.5% malnutrition, 7.6% fecal incontinence and bedsores 2.6%. Chronic diseases which needs treatment were chronic pain(61.0 %), hypertension(16.5%) and diabetes(16.5%) 5. To the question of what type of rehabilitation services subjects required, chronic diseases management(52.1%) and physical therapy (41.2%) were the highest. The most important social welfare services subjects required were economics support (51.3%) and introductions to job opportunities(42%).

부여 왕흥사지 출토 특수기와(치미) 소개

양숙자,임영옥 한국기와학회 2016 한국기와학회 연구발표회 Vol.23 No.-

국내 여성결혼이민자의 출신국별 건강행위와 관련 요인

양숙자 지역사회간호학회 2011 지역사회간호학회지 Vol.22 No.1

Purpose: This study aimed to assess the prevalence of smoking, alcohol consumption, physical activity and diet and to identify sociodemographic factors related with health behaviors among Asian immigrant women in Korea by ethnicity. Methods: A cross‐sectional study using structured questionnaires was conducted in 396 immigrant women from China, Vietnam, and the Philippines to Korea through international marriage. The associations between health behaviors and sociodemographic characteristics were assessed using multivariate logistic regression analyses. Results: The prevalence of current smoking, alcohol consumption, physical inactivity, and abnormal diet were 4.2%, 7.6%, 49.3%, and 31.9%, respectively. The prevalence of current smoking (7.6%) and physical inactivity (56.7%) was highest in Chinese immigrant women. However, the prevalence of current smoking (2.7%) and alcohol consumption (3.8%) were lowest in Vietnamese immigrant women. Immigrant women who had been living in Korea for a long time since immigration (≥ 5 years) had a higher prevalence of alcohol consumption compared to those of who had been living in Korea for a short time since immigration (< 5 years) (OR=2.95, 95% CI=1.74-5.01). Conclusion: Health promotion programs for immigrant women should be differentiated based on health behaviors and their related factors by ethnicity.

대도시 저소득측 지역사뢰 노인의 영양 위험도와 관련 요인에 관한 연구

양숙자 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.4

Nutritional Risk and Its Contributing Factors in the Low-income Elderly in Urban Areas Purpose : This study was to evaluate the nutritional status of low-income elders in urban areas and factors affecting their nutritional risk. Method: A cross-sectional analysis was conducted. The subjects were 300 elders selected from home visiting clients of DongJack Public Health Center. Data were collected using a questionnaire containing question on socio- demographic characteristics, health behavior and disease, dietary pattern, Nutritional Screening Initiative, Geriatric Depression Scale and Barthel Index for ADL. Collected data were analyzed through descriptive statistics, -test and multiple regression analysis using SPSS. Results: Of the subjects, 63% had high nutritional risk, 21.3% moderate nutritional risk, and 15.7% good nutritional risk. NSI score was significantly different according to economic status, subjective health condition, medication, dental health, depression, regularity, of diet and meal with family. Multiple regression analysis revealed that depression, subjective health condition, dental health and regularity of diet and meal with family explain 38.1% of nutritional risk. Conclusion: It is necessary to evaluate nutritional status and to control nutritional risk factors such as depression, dental health, regularity of diet and meal with family for improving the health of the low-income elderly.

백제 사비도성 고지형면 복원의 시론적 검토-GIS분석법을 활용하여-

양숙자,김성태,조용태 한국대학박물관협회 2015 고문화 Vol.86 No.-

This research will focus on the reconstruction of Sa-bi period(in Baekje) topography(geomorphic surface) for use spatial statistics technique(kriging) through strata of historical site. As a result, We reconstruct historical topography that reflect characteristic of research site and recognize complexion that valley width and depth of past topography is bigger than present. Past topography of Gu-a ri area in Buyeo show the valley in southwest slope of Mt.Bu-so and the valley evolve upper shallow valley in present topography. Hence, past topopgraphy progressed erosion cause by stream or gully. In addition to that, topographic profile line based in road remains of Guan-Buk ri site setted for identification of topographic characteristics. As a result, high possibility of remains loss by denudation(or grading) can be observed in southern part of Guan-Buk ri site that across profile line A-A' and the complexion, estimate at recession of watershed by headward erosion revealed in southern part of Buyeo Girls’High School. And that means watershed of past topography in Ssang-buk ri area must be biased to eastward approximately 50m. Profile line A-A' traverse slope distal of Mt. Bu-so and watershed. Northern hill distal of Junglimsaji in profile line B-B' show complexion of artificial grading (or dissection) and place in Junglimsaji show strong sedimentation. Profile line B-B' traverse connected valley plain that start in southern place of Buyeo Girls’ High School and western slope of Mt.Keumsung. 본 연구에서는 백제 사비기의 고지형면 복원을 위하여 부여 사비도성 내 발굴 유적의 백제 사비기층의 해발고도값을 이용하여 공간통계학적 기법 중 하나인 크리깅을 시도하였다. 그 결과, 연구지역의 특성이 반영된 고지형면을 복원할 수 있었으며, 현재의 지형면에 비해 고지형면의 곡의 폭과 깊이가 컸던 양상이 확인되었다. 특히 부여읍 구아리 일대의 고지형면에서는 부소산 남서사면의 말단에서 곡이 확인되었고 곡의 상부인 현 지형면의 천곡(淺谷)과 연속적으로 발달하여, 해당지점의 사비기 고지형면은 우곡 또는 항상천(恒常川)에 의해 침식이 진행되어 있음을 알 수 있었다. 또한, 고지형면의 지형적 특질을 좀더 자세히 살펴보기 위해, 관북리 유적의 도로유구를 기준으로 측선을 설정, 단면 양상을 확인해 보았다. 그 결과 측선A-A'가 통과하는 관북리 유적 다 지구의 남쪽은 지형의 삭평으로 인한 유구의 유실 가능성이 높음을 확인하였고, 현재 부여여자고등학교 남쪽 일대에서 곡두의 두부침식(頭部浸蝕)으로 인한 분수계의 후퇴로 추정되는 양상이 관찰되었다. 즉 사비기의 쌍북리 일대 해당 지형면의 분수계는 지금보다 동쪽으로 50m 가량 치우쳐 있었던 것으로 생각되며, 측선 A-A'는 부소산의 사면 말단과 분수계를 가로지르는 양상을 보이고 있다. 측선 B-B'의 경우 정림사지 북쪽 구릉의 말단에서 현지형면을 지시하는 등고선의 인위적인 삭평(혹은 절개)양상이 확인되었고, 정림사지가 위치한 지형면에서 퇴적 양상이 가장 강했던 것으로 추정할 수 있다. 측선 B-B'는 부여여자고등학교 남쪽 일대에서 시작하는 곡저와 금성산 서쪽사면에서 시작하는 곡저가 연결되는 지점을 남북으로 가로지르는 양상을보이고 있었음을 확인할 수 있었다.

한국 거주 여성결혼이민자의 빈혈과 위험요인

양숙자 한국자료분석학회 2010 Journal of the Korean Data Analysis Society Vol.12 No.5

본 연구는 국내 거주하고 있는 아시아 국가 출신 여성결혼이민자를 대상으로 빈혈의 유병률을 조사하고, 빈혈의 위험요인을 파악하는데 있다. 연구대상은 도시와 농촌 8개 지역에서 편의추출한 총 533명의 아시아 출신 여성결혼이민자이며, 구조화된 설문조사와 혈액검사를 실시하여 두 조사를 모두 완료한 총 389명(73.0%)을 분석대상으로 하였다. 자료분석은 SPSS Win 17.0을 활용하여 서술통계, chi-square test, 다중 로지스틱 회귀분석을 실시하였다. 연구결과, 전체 조사 대상자의 빈혈 유병률은 25.7% 이었으며, 빈혈 위험요인은 거주지, 한국체류기간, 자녀수, 임신과정에서의 부정적인 경험 등이었다: 도시보다는 농촌에서, 한국 체류기간이 짧을수록, 자녀가 없는 여성 보다는 2명의 자녀를 둔 여성, 그리고 유산, 사산, 조산, 저체중아 출산을 1회 이상 경험한 여성에서 빈혈 유병률이 높았다. 본 연구 결과를 바탕으로 여성결혼이민자의 효과적인 빈혈 예방 및 관리를 위해 충분한 영양섭취가 가능한 식습관, 기생충감염에 대비한 구충제 복용, 특히 임신부 또는 수유부에게 철분제제를 적극 지원하도록 해야 할 것이다. Purpose: This study examined the prevalence and associations of anemia and sociodemographic and health related factors among Asian immigrant women in Korea. Methods: Data were collected from blood test for assessing anemia and standardized questionnaires from 389 adult women from China, Vietnam, the Philippines, and other Asian countries. Data were analysed with descriptive statistics, chi-square test and multiple logistic regression using SPSS Win 17.0. Results: The anemia prevalence of immigrant women was 25.7%. Th anemia prevalence of immigrant women was higher in those of rural area(35.9%) and in those of having adverse pregnancy outcomes(46.5%). Adjusted for sociodemographic and health related factors, individuals with rural area residence, more parity, lesser length of residence since immigration, and adverse pregnancy outcomes, were more likely to have anemia. Conclusion: Public health efforts should be targeted to be Asian immigrant women to prevent anemia and possible adverse health effects.

지역사회 골관절염 노인의 영양위험도 및 건강상태 평가

양숙자 지역사회간호학회 2006 지역사회간호학회지 Vol.17 No.2

Purpose: This study was to evaluate the nutritional risk and health status of ostecarthritis elderly compering with that of non-osteoarthrits elderly in urben areas. Methods: A cross-sectional analysis was conducted The subjects were 132 ostecarthritis elderly. 154 non-ostecathritis elderly. Data were collected by using a questionnaire induding Nutritional Screening Initiatives, blood test and measurement of weight & height, Collected data were analyzed through descriptive statistice and X2-test by using SPSS 12.0 Results: The percentage of high nutiritional risk among ostecarthritis elderly were higher than those among non-ostecarthritis elderly(p<0.01). When comparing the main nutritional risk factors such as 'I eat alone most of the time', 'I don't always have enough money to by', I have tooth or mouth problems that make it hard for me to eat' betwwen ostecarthritis elderly and non-osbeoarthritis elderly, significantly differences were found(p<0.05). There were no statistically significant difference in ADL, BM, Lymphocyte, Hemoglobin, Hematocrit, Albumin and total-Cholesterol between osteoarthritis elderly and non-osteoarthritis elderly. Conclusion: On the basis of this study, it is necessary to figure out the main factors of nutritional risk in arthritis elderly through the cohort study for effective prevention & control in nutritional risk.

녹나무목관 보존처리에 관한 연구 - Fenton 산화를 이용한 생재의 인공열화 연구 -

양숙자,양석진,정아름,Yang, Suk-Ja,Yang, Seok-Jin,Jeong, Ah-Reum 국립문화재연구소 2009 保存科學硏究 Vol.30 No.-

In the conservation treatment of wood remains, polymers, treatment methods, and treatment period can be varied, depending on the percentage of moisture content and species of trees. Thus, in order to apply the appropriate conservation treatment, a lot of information from the wood remains are required. Despite the information from the wood remains, testing a part of the wood remains is necessary to get information about the polymers. When the wooden coffin made of camphor trees was excavated, it was cracked in the section of radiation, and there were hairlines cracks. Therefore, without any conservation treatment, it is impossible to restore it. This experiment is for the conservation treatment of the wooden coffin excavated from Songhyun-dong tombs No 7, Changnyeong. For this experiment, I used camphor trees from Jejudo. The purpose of this experiment is to asses the possibility of preliminary testing materials before the conservation treatment on the wooden coffin. After the camphor trees from Jejudo are artificially aged by Fenton's reagent, they are As a result of oxidation by Fenton, the degree of oxidation is high in proportion to the amount of peroxide and iron sulfate. Among several samples, the sample 'na' made the most similar result to the wooden coffin from Songhyun-dong. If I use this condition to make the sample in polymer tests, it is very helpful to find the most suitable polymer for the conservation treatment of wooden coffin. After the same species of trees are oxidized by Fenton and they become the similar condition, we are able to find suitable methods of conservation treatment. The suitable methods reduce the demage of the remains and make us to get more information. Thus, we are able to carry out conservation treatment more exactly.