전문가 집단이 경험하는 노인 클라이언트와의 관계형성 및 서비스 경험에 대한 질적연구

오혜인(Oh, Hye-In),주경희(Ju, Kyung-Hee),김주현(Kim, Ju-Hyun),정순둘(Jung, Soon-Dul) 한국인구학회 2016 한국인구학 Vol.39 No.3

본 연구의 목적은 전문가집단과 노인클라이언트의 관계형성 경험을 이해하고자 하는 것으로, 이러한 목적을 달성하기 위해 의료, 사회서비스, 금융, 법률의 4가지 분야에서 현직으로 일하고 있는 전문가 15명을 대상으로 심층면담을 통해 자료를 수집하고, 근거이론방법을 활용하여 자료를 분석하였다. 분석결과, 89개의 개념, 20개의 하위범주, 9개의 범주가 관찰되었으며. 이를 바탕으로 패러다임모형을 도출하였다. 또한, 선택코딩 과정에서 속성-범주를 바탕으로 노인클라이언트와 관계형성을 맺는 전문가의 모습을 “통합형”, “객관형”, “회피형”으로 유형화함으로써, 관계형성의 모습을 다양하게 살펴보고자 하였다. 마지막으로 연구결과에 근거한 실천적 지침들을 제언하고 있다. The purpose of this study is to examine age-perspective experience, meaning, and context of interaction between elderly as a service user and professionals as a service provider. Medical (health care provider including doctor, nurse, pharmacist and physical therapist), social service (social worker and civil servant), law (lawyer and legal staff) and finance (banker and insurance seller) fields were included. Researchers collected data through individual interview with 17 professionals. Upon in-depth analysis, 89 concepts, 20 categories, and 9 themes were drawn from the experience of interaction between elderly and professionals. When professionals try to build an intimate relationship with elderly, they use special strategy such as listening carefully to their concern rather than rational one, and denying traditional age-related standards. Through these attempts, there was an increase in the level of closeness to the elderly for the professionals. As the result, elderly became loyal customers and professionals could provide better service to aged consumers. Findings suggest that each professional group should consider establishing practical standards and policies to promote quality of life of elderly.

발달장애인의 자기결정(Self-determination) 지원 과정에 대한 맥락-패턴분석

이아영(Lee, Ahyoung),오혜인(Oh, Hye In) 한국정신건강사회복지학회 2021 정신보건과 사회사업 Vol.49 No.3

본 연구는 발달장애인, 치매노인 등 인지적 제약이 있는 사람들의 자기결정을 지원하는 과정에서 당사자의 자기결정을 최대한 보장하면서 적합한 의사결정을 지원할 수 있는 상호작용의 맥락과 패턴을 탐색적으로 분석한 연구이다. 이를 위해 본 연구는 그 중 인지적 장애의 정도가 심한 발달장애인(지적장애인과 자폐성장애인)의 자기결정에 대한 지원과정의 구성요소를 심층인터뷰와 문헌연구를 통해 추출해 낸 뒤, 맥락-패턴분석방법을 적용하여 자기결정지원을 입체적으로 분석하였다. 연구결과, 자기결정지원의 네 가지 맥락(지속적 맥락, 관계적 맥락, 내재적 맥락, 원리 및 토대맥락)과 패턴(선호/욕구파악, 정보제공, 선택지제시, 설득 및 심의, 주체적 결정지원, 환류)을 도출하였다. 본 연구의 결과를 토대로 향후 발달장애인의 자기결정을 지원하는 과정에서 보다 실천적인 토대로써 본 연구의 결과가 활용될 수 있기를 기대한다. This study explores the context and patterns of interactions in supporting self-determination of people with cognitive limitations, such as people with developmental disabilities and elderly people with dementia. To this end, this study extracted the components of the support process for self-determination of developmental disabilities(intellectual and autistic disabilities) and applied context-pattern analysis to derive the context and pattern of self-determination support. To this end, in this study, the components of self-determination support were extracted through related literature and theories such as Deci and Ryan(1985)’s ‘Self-Determination Theory(SDT)’, Wehmeyer(1999)’s ‘A functional model of self-determination’, Avery and Stancliffe"s ‘An ecological theory of self-determination’, etc. In addition, in-depth interview materials of five disabled people and five caregivers were used to extract additional components. Based on this, the components were reconstructed by using context-pattern analysis. As a result, four contexts(continuous context, relational context, intrinsic context, principle and foundation) and patterns(understanding preferences and needs, providing information, choice-making, deliberation, subjective decision support, reflux) of self-determination support were derived. Based on the results of this study, we hope that the results of this study can be used as a more practical basis in supporting self-determination of people with developmental disabilities in the future.

경제활동 노인의 연령차별 경험에 관한 근거이론적 접근

김주현(Ju Hyun Kim),주경희(Kyong Hee Ju),오혜인(Hye In Oh) 한국노인복지학회 2013 노인복지연구 Vol.0 No.60

본 연구는 경제활동 노인의 연령차별의 경험을 근거이론방법을 토대로 분석하고자 하였으며 구체적인 연구문제로 노동시장에서의 연령차별이 나타나는 주요 원인이 무엇이고 어떠한 과정과 구조를 통해 심화되는가, 그리고 어떤 방식으로 연령차별을 극복하고 있는가를 살펴보고자 하였다. 이를 위하여 경제활동 노인 18명을 대상으로 개인면접을 하여 근거이론방법으로 분석하였다. 그 결과 107의 개념, 45개의 하위범주, 15개의 범주 및 연령차별 경험 패러다임이 도출되었다. 연령차별의 인과적 조건은 나이듦에 대한 인식과 노후에 대한 불안 이었으며, 맥락적 조건은 사회활동과 가족 내의 지위의 달라짐과 내적 변화를 직면하고 사회적 배제의 경험이었으며, 중심현상은 생산적인 삶으로의 추구와 고령노동자의 서러움이었다. 중재적 조건으로 가족의 지지와 근로동기의 강화 그리고 활동중지에 대한 두려움이 나타났다. 참여자들은 작용/상호작용 전략으로 소극적 및 적극적 대응을 사용하였으며, 이를 통하여 삶의 질이 향상되고 노동현장에 끝까지 살아남거나 완전 은퇴를 하는 모습을 보여주었다. 참여자들의 경제활동과정에서 나타난 연령차별의 양상과 대응분석을 함으로써 향후 고령사회를 대비하여 노인인력활성화차원의 정책에 있어서 연령차별을 줄이기 위한 실천적 제안을 제시하였다. Using a grounded theory approach, this study investigates the causes, processes, and structures which are used to intensify ageism in the labor market as well as the strategies employed by older adults to overcome bias and discrimination. Through a grounded theory analysis of 18 in-depth interviews with working elderly individuals, 15 categories, 45 subcategories, and 107 concepts, and paradigms in the experience of ageism are identified. Causal conditions of ageism are negative perceptions about ageing and anxiety about old age by the working elderly. Contextual conditions are changes in older individuals` status within the family, social participation and exclusion, and psychological changes that older individuals face. The main phenomena identified are the pursuit of productive life and anxiety of the working elderly, while intervening conditions are family supports, the motivation to work, and anxiety of being laid off. In order to overcome ageism, the elderly actively and passively engage in action and interaction strategies which improve their quality of life and prolong their time in the workforce; many workers tend to meet the retirement age without layoff by employing such strategies. These findings have policy implications; ageism may be reduced and employment for the elderly may be facilitated by identifying conditions of ageism and analyzing older workers` reactions toward ageism and the strategies used to overcome this type of discrimination.

국내 HMR제품의 나트륨 저감화를 위한 탐색적 분석

오혜인(Hye-In Oh),최은경(Eun-Kyoung Choi),전은영(Eun-Yeoung Jeon),조미숙(Mi-Sook Cho),오지은(Ji-Eun Oh) 한국콘텐츠학회 2019 한국콘텐츠학회논문지 Vol.19 No.3

본 연구는 국, 탕, 찌개류 HMR제품의 영양라벨을 분석하여 제품 선택 시 소비자에게 적합한 정보를 제공하며 국가 정책 수립 시 현황에 관한 기초자료를 제공하고자 진행되었다. 기존 연구에서 외식 및 급식메뉴의 나트륨 함량을 구하고 이를 비교한 연구는 다수 존재하나 가정간편식 제품의 영양성분을 비교한 연구는 드물다. 따라서 본 연구에서는 국내에서 시판중인 국류 57개, 탕류 75개, 찌개류 44개로 총 176개의 국, 탕, 찌개류 HMR 제품의 영양라벨을 분석하였다. 제품의 메뉴 빈도에서 국류는 축하 또는 기념 등 목적이 있는 제품, 탕류는 동물성 단백질 위주의 식품, 찌개류는 대중적 제품이 다수를 차지하였다. 제품의 1포장단위당 중량 및 9가지 주요영양성분을 비교분석한 결과, 평균 나트륨 함량은 국류가 1558.5mg, 탕류가 1472.3mg, 찌개류가 2118.0mg으로 찌개류가 가장 높게 나타났다. 보관방법에 따른 분석결과 평균 나트륨 함량은 냉동(-18℃이하)가 2022.9mg, 냉장(-2~10℃)이 1676.7mg, 실온(1~35℃)이 1250.9mg순으로 높게 나타났다. 따라서 HMR제품의 나트륨 저감화를 위해서는 찌개류와 냉동제품을 우선적으로 고려해야 하겠다. The purpose of this study was to analyze the nutrition labeling of Guk, Tang, Jjigae HMR products to provide consumers with appropriate information when selecting products, and to provide basic data on the national policies. In this study, nutritional labels of 176 products were analyzed with 57 Guk, 75 Tang, 44 Jjigae. In the menu frequency of products, Guk has the products of the specific purposes, Tang has animal protein product, Jjigae has popular products. As a result of comparing the portion size and 9 major nutrients of the product, the average sodium content of Guk was 1558.5 mg, Tang was 1472.3mg, Jjigae was 2118.0mg. By the storage temperature, the average sodium content of HMR product was 2022.9mg in freezing(below –18℃), 1676.7mg in cold(-2~10℃), and 1250.9mg in room temperature(1~35℃). Therefore, it is necessary to focus on the sodium content of Frozen products in the attempt of reducing sodium in HMR products.

울금과 강황의 항산화 및 항염증 활성 비교연구

오혜인 ( Hye In Oh ),박한별 ( Han Byeol Park ),주미선 ( Mi Sun Ju ),정선용 ( Sun Yong Jung ),오명숙 ( Myung Sook Oh ) 대한본초학회 2010 大韓本草學會誌 Vol.25 No.1

Objectives: In this study, we compared the anti-oxidant and anti-inflammatory activities of Curcumae longae Radix (CLRa) and Curcumae longae Rhizoma (CLRh). Methods: We performed 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical and 2,2-azinobis-3-ethyl-benzothiazoline-6-sulfonic acid (ABTS) cation scavenging assays, and determined total polyphenolic content to examine the anti-oxidant effects of CLRa and CLRh. We also evaluated the anti-oxidant effects of CLRa and CLRh against hydrogen peroxide (H2O2)-induced toxicity in PC12 cells using thiazolyl blue tetrazolium bromide (MTT) and reactive oxygen species (ROS) assays. Next, to compare the anti-inflammatory effects of CLRa and CLRh against lipopolysaccharide (LPS)-induced inflammation in microglia BV2 cells, we measured nitric oxide (NO) assay and inducible nitrite synthase (iNOS) using Western blotting analysis. Results: CLRa showed higher activity in DPPH and ABTS assays and lower total polyphenolic contents compared with CLRh. In PC12 cells, CLRa and CLRh showed no difference in H2O2-induced cell toxicity and ROS overproduction. In BV2 cells, CLRa showed higher effect than CLRh in NO and iNOS production induced by LPS. Conclusions: These results demonstrate that CLRa has higher radical scavenging activities and anti-inflammatory effect in BV2 cells comparing CLRh. However, CLRa and CLRh have no effect and no difference in H2O2-induced toxicity.

유아 대상 채소와 과일, 유제품의 충분한 섭취를 위한 영양교육 실시 및 효과 평가

오수민(Su Min Oh),유예리(Ye Lee Yu),최혜인(Hye In Choi),김경원(Kyung Won Kim) 대한지역사회영양학회 2012 대한지역사회영양학회지 Vol.17 No.5

The purpose of the study was to implement and evaluate a nutrition education program for preschool children. Applying the PRECEDE-PROCEED model, the nutrition education program was developed and focused on changing beliefs, increasing nutrition knowledge and consumption of vegetables & fruits (V/F) and dairy foods. Subjects were children attending a childcare center in Seoulwho were grouped into education (n = 33) and control group (n = 32). Education group received four sessions of nutrition education during 2011 fall. Both groups completed the questionnaire at pretest and posttest, measuring nutrition knowledge, beliefs, and preferences of V/F and eating behaviors. Compared to control group, education group made significant gains in total score of nutrition knowledge after the education (p < 0.05). In addition, the pretest-posttest changes in total score of beliefs regarding V/F consumption and eating behaviors were higher in the education group than in the control group (p < 0.05). Two groups were significantly different in the pretest-posttest changes in specific beliefs regarding the benefits of V/F consumption and some eating behavior. However, there were no changes in the preferences of vegetables or fruits between the two groups after the education. The consumption of V/F and dairy foods was not significantly different after the education. This study revealed that nutrition education for preschoolers was effective in improving nutrition knowledge and perceived benefits regarding V/F consumption and specific eating behavior. This study suggested that more intensive education is needed to induce changes in eating behaviors. This program can be used in nutrition education of children at the childcare centers or kindergartens.

품종 및 재배시기에 따른 조와 기장의 항산화성분 및 항산화활성

우관식(Koan Sik Woo),이재생(Jae Saeng Lee),고지연(Jee Yeon Ko),송석보(Seuk Bo Song),서혜인(Hye In Seo),서명철(Myung Chul Seo),오병근(Byeong Geun Oh),곽도연(Do Yeon Kwak),남민희(Min Hee Nam),오인석(In Seok Oh),정헌상(Heon Sang Jeong) 한국식품영양과학회 2012 한국식품영양과학회지 Vol.41 No.3

조와 기장의 항산화성분 및 항산화활성에 미치는 재배시기의 영향을 규명하고자 재배시기를 달리하여 수확된 시료메탄올 추출물의 항산화성분 및 항산화활성을 분석하였다. 재배시기에 따른 조와 기장 메탄올 추출물의 총 폴리페놀, 플라보노이드, 탄닌 등의 항산화성분의 함량과 DPPH 및 ABTS radical 소거활성은 품종 및 재배시기별로 유의적인 차이를 보이는 것으로 나타났다. 총 폴리페놀 함량은 황금조, 청차조, 삼다메 및 경관1호의 경우 만기재배에서, 경관2호는 보통기재배에서, 강해조는 조기와 만기재배에서 비교적 높은 함량을 보였고 기장의 경우 전체적으로 만기재배에서 높은 함량을 나타냈다. 총 플라보노이드 함량은 황금조와 경관2호는 보통기재배에서, 청차조, 삼다메 및 경관1호는 조기재배에서, 강해조는 만기재배에 높은 함량을 보였고 기장은 만기재배에서 높은 함량을 보였다. 총 탄닌 함량은 황금조는 조기재배에서, 청차조, 삼다메 및 강해조는 만기재배에서, 경관2호는 보통기재배에 높은 함량을 보였고 기장은 만기재배에서 조기나 보통기재배보다 높은 함량을 보였다. 조의 DPPH radical 소거활성은 황금조, 삼다메 및 강해조는 만기재배에서, 청차조와 경관2호는 보통기재배에서, 경관1호는 조기재배에서 높은 활성을 나타냈으며, 기장은 전체적으로 만기재배에서 높은 활성을 나타내었다. ABTS radical 소거활성은 황금조, 경관1호 및 강해조는 만기재배에서, 청차조, 삼다메 및 경관2호는 보통기재배에서 높은 활성을 나타내었고 기장은 만기재배에서 높은 활성을 나타내었다. 이상의 항산화성분 함량 및 항산화활성을 분석한 결과에서 조의 경우 조기재배보다는 보통기 내지 만기재배가 유리할 것으로 보이며, 기장은 만기재배가 유리할 것으로 생각된다. Effects of cultivation time on the antioxidant contents and activities of foxtail millet and proso millet were determined. The cultivation times were early-season (ES), normal-season (NS), and late-season (LS), and the cultivated varieties were Hwanggeum-cho (HGC), Cheongcha-cho (CCC), Samdamae (SDM), Gyeongkwan 1 (GK 1), Gyeongkwan 2 (GK 2), Ganghae-cho (GHC), Hwanggeum-gijang (HGG), Manhongchal-gijang (MHCG), Byeoruk-gijang (BRG), Norangchal-gijang (NRG), and Whin-gijang (WG). The total polyphenol, flavonoid, tannin content, and DPPH and ABTS radical scavenging activities of the methanolic extracts of foxtail millet and proso millet showed significant differences according to cultivation variety and time. The highest total polyphenol content of foxtail millet was 29.33 ㎎ of gallic acid equivalent (GAE)/g of sample in GK 1 at LS, whereas that of proso millet was 23.48 ㎎ of GAE/g of sample in BRG at LS. The highest total flavonoid content of foxtail millet was 2.12 ㎎ of catechin equivalent (CE)/g of sample in CCC at ES, whereas that of proso millet was 4.49 ㎎ of CE/g of sample in BRG at LS. The highest total tannin content of foxtail millet was 14.07 ㎎ of tannic acid equivalent (TAE)/g of sample in SDM at LS, whereas that of proso millet was 15.59 ㎎ of TAE/g of sample in BRG at LS. The highest DPPH radical scavenging activity of foxtail millet was 7.71 ㎎ of TE/g of sample in CCC at NS, whereas that of proso millet was 12.66 ㎎ of TE/g of sample in BRG at LS. The highest ABTS radical scavenging activity of foxtail millet was 8.05 ㎎ of TE/g of sample in GK 1 at LS, whereas that of proso millet was 34.46 ㎎ of TE/g of sample in BRG at LS. Generally, HGC, GK 1, and GHC had more beneficial effects at LS than ES or NS, whereas CCC, SDM, and GK 2 had more beneficial effects at NS than ES or LS, and proso millet had more beneficial effects at LS than ES or NS.

자기공명영상으로 진단한 태아와 동반된 완전포상기태

성혜인 ( Hye In Sung ),신영옥 ( Young Ok Shin ),연현경 ( Hyeon Kyeong Yeon ),이오영 ( Oh Young Lee ),정은환 ( Eun Hwan Jeong ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.6

Hydatidiform mole with coexistent fetus is very rare, arising about 1 in 20,000 to 100,000 pregnancies. There are limited data to guide the management and treatment. Also it is a dilemma to decide continuation or termination of pregnancy. We experienced a case of hydatidiform mole with a coexistent fetus which was diagnosed with magnetic resonance imaging in a woman of 13th weeks of pregnancy. After termination of pregnancy, the patient treated with prophylactic chemotherapy. We report the case with a brief review of literature.

세계유산제도를 통한 ‘살아있는 유산’ 보존과 지역정체성 찾기 - 부산 피란민 생활 주거지를 사례로 -

오혜인(Hye-In Oh),김숙진(Sook-Jin Kim) 한국문화역사지리학회 2020 문화 역사 지리 Vol.32 No.3

‘살아있는 유산(living heritage)’은 유산과 연결된 지역공동체의 생활적 차원을 강조하는 것으로, 지역공동체가 삶을 영위함에 따라 유산에 변화가 진행되고 있는 것이 특징이다. 이 유산은 변화가 현재진행형이라는 점에서 원형 보존의 원칙을 내세우는 우리나라 문화재보호법 속에서 보존의 대상이 되기 어렵다는 한계가 있다. 본 논문에서는 부산광역시의 피란민 생활주거지의 세계유산 등재 시도 사례를 통해 개발 중심의 도시 속에 방치된 유산을 살아있는 유산이라는 새로운 개념을 적용하여 보호조치를 마련함과 동시에 지역 정체성 회복의 가능성을 보여준다. 문화재보호법으로 문화재 지정이 되지 못한 살아있는 유산이 우회 경로를 통해 보존될 수 있는 가능성을 보여주었다는 측면에서 부산시 피란민 생활 주거지 사례는 긍정적으로 평가할 수 있다. 다만 실제로 이를 추진하는 과정에 서 노정된 문제점 또한 주목할 필요가 있다. ‘Living heritage’ emphasizes the living dimension of local community of heritage and thus implies its natural transformation. The Cultural Heritage Protection Act in Korea has a limit in including living heritage due to its fundamental principle emphasizing the preservation of the original state of heritage. This paper argues that the conservation of living heritage is not only a way to conserve historical and cultural value of real-life places under development pressure, but can also contribute to the restoration of local identity. The case of Busan refugee living quarters can be evaluated positively in that it shows the possibility of being conserved via a bypass route. However, it is also worth paying attention to the problems that have occurred in actual nomination process.

노인의료전문가 집단의 연령주의 및 연령통합 인식에 관한 연구

오혜인 ( Oh Hye In ),주경희 ( Ju Kyong Hee ),김주현 ( Kim Ju Hyun ) 한국가족사회복지학회 2018 한국가족복지학 Vol.61 No.-

Using a Consensus Qualitative Research approach, this study aimed to identify the ageism and explore age-integration as a solution of age discrimination that occurs during the delivery of medical services by nine healthcare professionals who have experience in treating elderly patients. There were two-sided confession has shown by health care professionals about the Ageism. They reported that they don’t discriminate by age. However, They also appealed an inconvenience due to the elderly. There were real Ageism in the Healthcare Professional site as a way of Unsuitable care, elderly alienation and dependence on caregivers, polarization of medical service and double discrimination against poor elderly. They found it difficult to offer age integrated health care as a means to mitigate or solve. However they have sought to break barriers to communication, provided a comfortable environment not only for senior citizens but also for all others, and have diversified institutional and service standards. To ensure the healthy life and proper medical service of the rapidly increasing elderly patients, we proposed to do critical review of the factors in the Korean medical system that accelerate the Ageism, reorganization of the health care system for the poor elderly, including the curriculum associated with age-integrating within the health care professional education system, raising the Geriatric Medical Service and the relating professionals and improvements in perception of the health care domains for the