중년기 및 노년기 류마티스 관절염 환자의 삶의 질과 자살 생각

은영 한국노년학연구회 2022 한국 노년학연구 Vol.31 No.3

The quality of life of patients with rheumatoid arthritis (RA) is very poor due to pain or weakness. This study was to examine the relationship between quality of life and suicidal ideation based on the medical history and age of middle-aged and older RA patients, and it was conducted with the aim of exploring nursing interventions to improve the quality of life of RA patients. The research participants were 1,546 community dwellers (297 men & 1,249 women) who aged 40 years or older with RA among the Korea National Health and Nutrition Examination Survey (KNHANES) respondents from 2007 to 2020, while the research data were a part of the KNHANES’ raw data which composed of 15 questions; demographic data of the patients, disease-related characteristics, suicide-related information, and responses of the EQ-5D scale. The results showed that the RA patients who reported to have suicidal ideation were about 15.8% of them (n=244), and their data analyzed the risk of suicidal ideation depending on the patients’ medical history or age through logistic regression analyses. Regardless of the patient’s age or medical history, the more discomfort caused by RA, the greater the risk of suicidal thoughts. As for the older patients, the overall pain and discomfort were more severe than the younger patients. It means that quality of life of people who suffer from RA in old age might become poorer due to both RA itself and senility. Thus, the need for nursing intervention that can maintain and enhance physical activity-related exercise skills of RA patients was highlighted in the context of improving the quality of life for hospitalized as well as community-dwelling patients.

노인환자의 초조행위에 대한 사정과 관리

은영 대한간호협회 1990 대한간호 Vol.29 No.4

캡사이신이 중년여성의 복부비만에 미치는 영향

은영,임미혜 대전대학교 기초과학연구소 2019 自然科學 Vol.30 No.-

The purpose of this study was to determine potential effects of capsaicin on reduction of abdominal obesity in regard to care for abdominal obesity. In order to achieve the purpose, the researcher of this study selected and asked total 16 middle-aged women at age of 40 to 60, who lived in Daejeon, had previous experiences of pregnancy and birth and had WHR (waist hip ratio) over 0.80 to participate in a 5-week abdominal care program twice a week in combination with capsaicin prescription from June 20 to August 5, 2011. They were divided into two random groups and received meridian abdominal massage for 20 min in each session. After that experimental group were applied 0.3% of capsaicin oil, control group were applied jojoba oil and both groups were wrapped with gypsum mask for 20 min. Before and after perfoming this program, the subjects took physical measurements(waist measure, subcutaneous fat thickness, body weight and WHR), body composition analysis(BMI (body mass index), body fat mass and body fat rate) and blood component measurements(T-Cho, HDL-Cho, LDL-Cho, TG and Glu) As a result, both experimental group and control group has shown effective reduction in waist circumference, sucutaneous fat thickness, body weight, WHR, BMI, body fat mass and body fat rate. The result of the experimental group particularly exceeded on waist circumference, body fat mass and body fat rate. The results were proved to be statistically significant. According to blood component measurements, Glu, T-Cho and TG, which were known as a risk factors of cardiovascular and metabolic diseases, reduced only in the experimental group and showed statistical significance. These findings demonstrated that the experimental group showed more effective improvement in body fat mass, body fat rate and waist circumference than the control group, and the experimental group showed more effective variations in T-Cho, TG and Glu than control group. Based on these data, it was expected that the use of prescribed capsaicin as an external preparation will contribute to the effective care in the abdominal obesity of middle-aged women.

만성질환자의 노인 배우자의 부담감

은영,최경숙,김수진 노인간호학회 1999 노인간호학회지 Vol.1 No.2

Arthritis as one of the chronic illnesses requiring management over a long period of time which puts great burden on patients, their family and society. For patients with chronic illnesses, providing a social support is important and the most important source is their spouses. Therefore we assessed the burden of older husbands of female arthritic patients and also determined the factors affecting burden. The sample used in this study was 68female arthritic patients and their spouses who were over sixty years old. The tool for assessing spouses' burden was the revised version of subjective and objective parameters developed by Montgomery et al (1985). The results were as follows : 1. General characteristics of patients and older spouses : mean age of the patients (60.8 years) : educational level (elementary school 42.6%, high school 25%) ; mean marital age (39.2years) , average duration since diagnosis (11.2years) ; standard drug therapy was chosen. Average occurrence of discomfort by patients was (3.39 with a rangel-5) ; severity of pain (3.84) ; and dependency (3.13) , mean age of husbands (66.2years) ; Educational level (mostly college and high school completion) ; average income per month (l,092,500won) ; number of husbands having discomfort or disease (38(55.9%)) ; husband's rating of their spouses disease severity (3.97). 2. Husbands' burden : The average burden in subjective items (23.4, range 6-36) and objective items (36.0, range 10-60) ; average total burden was (59.9, range 16-96). 3. Burden and general characteristics: Husband's total burden correlated with patient's age((F=3.668, p=0.010); number of family members((F=5.344, p=0.007). Husband's objective burden correlated with the educational level of patients(F=3.811, p=0.008) and family income(F=3.546, p=0.016). 4. Linear correlation analysis on burden: The husbands' total burden is explained in 19.4% by number of family members. The husbands' objective burden is explained in 22.0% by patients' educational level and the number of family members. In conclusion, husbands' level of burden is affected by various factors and therefore nursing strategies for, relief of the burden of older husbands should be individualized taking these factors into consideration.

타이치 운동이 혈압과 심폐기능에 미치는 영향에 대한 논문 분석

은영,이혜영,최정현,이은옥,Eun, Young,Lee, Hea-Young,Choi, Jung-Hyun,Lee, Eun-Ok 대한근관절건강학회 2005 근관절건강학회지 Vol.12 No.2

Purpose: The purpose of this study is to analyze the effect of Tai Chi exercise on Cardiorespiratory function and to identify directions for future research. Method: 19 articles from Medline search of english journals(1981-2004) and 2 from Korean nursing journals were surveyed. The contents analysis were focused on outcome measures and relative factors regarding cardiopulmonary function. Results: There are 21 articles including 8 articles with quasi experimental design, 7 articles with randomized controlled design and 6 articles with comparative non experimental research design. The major subjects of research were older adults, but hypertensive patients, cardiac rehabilitative patient, and osteoarthritic patient also included. The major style of Tai Chi was Yang style with 108-form. The duration of Tai Chi exercise was from 12weeks to 13.2 years in comparative non experimental studies, but 6 weeks to 16weeks in randomized controlled experimental studies. The most effective duration for cardiopulmonary function was over 16weeks. The variables for cardiopulmonary function were blood pressure, heart rate and cardiopulmonary function via $VO_2$ max(ml/kg/min). To reduce the blood pressure in the result was found in 2 articles, to reduce the heart beat was found in 1 article, to improve the cardiopulmonary function via $VO_2$ max in results were found in 7 articles(73%) among 11 articles. Conclusion: The Tai Chi exercise over 16weeks improves the cardiopulmonary function. It is suggested that to verify the effect of Tai Chi on cardiopulmonary function, the difference of gender, age, health status will be identified through repeated experiments.

한국여성의 유방암 조기검진 관련 요인

은영,구미옥,최경숙,전명희,Eunice E. Lee 한국간호과학회 2008 한국간호과학회 학술대회 Vol.2008 No.10

자기통제의 개념 분석

은영,이인숙,이경숙,송경자,최은옥,서순림,양영희,박영임,구미옥,김성재,김인자,이은남,박송자,이동숙,이은옥,Eun, Young,Lee, In-Sook,Lee, Keung-Sook,Song, Keung-Ja,Choi, Eun-Ok,Shu, Soon-Rim,Yang, Young-Hee,Park, Young-Im,Gu, Mee-Ok,Kim, Sung-Jae,Kim 한국간호과학회 1999 Journal of Korean Academy of Nursing Vol.29 No.4

Today human needs for health promotion and maintenance are increasing. The nursing profession as a great responsibility to develop the knowledge for helping clients to practice good health behavior under self-control. But there are few studies about the concept of self-control, or the operational definition of self-control. The purpose of this study was to analyze and clarify the meaning of the concept of self-control. This study used Walker and Avant's process of concept analysis. Antecedents of self control consist of 1) perception of the conflict situation to change his or her behavior ; 2) perception of self as the causes of the barrier for a certain behavior ; 3) internal standard or belief such as self-efficacy and learned resourcefulness ; 4) internal motivation for change of behavior. Critical attributes of self-control were 1) goal-orientation ; 2) self-decision ; 3) time sequence ; 4) effort ; 5) possibility of being learned ; 6) individuality ; 7) social desirability. Consequences occurring as a results of self-control consist of 1) achievement of the controlled behavior whose purposes were planned ; 2) enhancement of the internal standard such as self-efficacy and learned resourcefulness ; 3) eventual elevation of physical and emotional wellness. Therefore, this concept is defined as a cognitive behavior which is attempted by his or her decision when one is confronted with the conflict situation, which is characterized by being changed by time, learned by effort and individual characteristics. One is taking such behavior with the perception of self as the causative barrier for a certain behavior, planning a specific objective for a certain behavior which demands self sacrifice, supplies the internal reward, is socially desirable with the internal standard of self-efficacy and learned resourcefulness and environmental factors.

피부자극을 이용한 통증완화에 대한 일 연구

은영 中央醫學社 1991 中央醫學 Vol.56 No.9

The purpose of this study was to investigate the effect of ice massage for the relief of the intradermal injection pain. Thirty three subjects were randomly assigned to control group, directly applied group, counterirritated group. Subjects rated the degree of injection pain before and after each therapy. Visual analogue scale, Korean pain rating scale, and pulse rate were used for measurement of pain. The results of the study were as follows: 1. The direct ice massage group showed lowest pain score among other groups in KPRS scale, but it was not statistically significant at 0.01 level. 2. The counter-site ice massage group showed lowest pain score among other groups in VAS scale, but it was not statistically significant at 0.01 level. Therefore ice massage was relatively effective in relieving the intradermal injection pain.

[시대공감] 육식이 불법이 된 세상

은영 오늘의 문예비평 2021 오늘의 문예비평 Vol.- No.122

간호대학생의 일병동 실습 경험에 관한 연구

은영 慶尙大學校 1996 論文集 Vol.35 No.2

Clinical practice in nursing education provides an oppurtunity for students, through the process of applying theoretical knowledge to practice and training nursing skills, to be an elaborated novice of nursing profession. The purpose of this study is to ecamine what is it that nursing students do in a clinical area. The perspective of activities was chosen to liiustrate, through the self-reporting of activity check list, the pattern and utilization of time during a scheduled clinical experience for nursing students. Findings are summerized in three categories of time for training the nursing skill, time for applying the nursing process, time for attending the seminar. The time for training the nursing skill constituted 46.8% of all clinical practice time. Time for applying the nursing process used 17.5% of all time. Time for attending the seminar used 23.1% of all time. Nursing students want to take active role in clinical practice, but inappropriate role model, paucity of learning material, inadequate interpersonal relationship, overload of homework were obstacles to be active learners. To improve the problem-solving , we should change the practice mode, especially to lengthen the time for applying the nursing process and to shorten the time for training the nursing skill and get rid of the obstacles to active learning.