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      • 임신악조를 경험하는 임부들의 식이에 관한 조사 연구

        이미라 中央醫學社 1975 中央醫學 Vol.29 No.5

        This study is made to observe the change in amount of food intake and food preference of the pregnant women who experience nausea. 185 women, who visited parental clinic in their ante partum course and delivered in Seoul National University Hospital, from Nov. 1, 1974 to June 30 1975, were chosen for this study. They were asked whether there is a change in amount of food intake, according to place and person with whom they eat; and whether they like each spice and each taste, temperature and solidity of food, or not. Also they were asked what the agreeable eating method is and kinds of food they like or dislike during the period of nausea. The results are reviewed statistically and they are as follows: 1) 90 subjects(49. 65%, P<0. 001) eat poorly at home; 134(72.43%, P <0. 001) eat well outdoors. 2) 80 subjects (43. 2%, P<0. 05) eat poorly alone; 117(69.6%, P<0. 001) eat well with their husband, 93 (52.84%, P<0.001) with relatives on their side, and 75 (42. 13%, P<0. 005) with friends. :3) Cold food is agreeable to 119 subjects (64. 32%, P<0.001) ; warm food disagreeable to 89 (48. 11%, P<0.001). Hot temperature of food is agreeable to 86(46.49%) and also disagreeable to 85 (45.94%). 4) Solid food is disagreeable to 89 subjects (48. 11%, P<0.001) ; moderately solid food agreeable to 97(52.43%, P<0.001), soft food to 86 (46.49%, P<0.001), and liquid to 103(55.68%, P<0.001). 5) In main dishes, foods tasting hot is agreeable to 103 subjects (55.68%, P< 0. 001) and sour to 92 (49. 73%, P<0. 001) ; foods tasting salty disagreeable to 108 (58. 38%. P<0. 001), and sweet to 83 (44.86%, P<0.001). In dessert, foods tasting sour is agreeable to 100 subjects (54. 06%, P<0.001), and sweet to 98 (52.97%, P<0. 001) ; foods tasting salty disagreeable to 112(60.54%, P<0. 001). 6) Moderately seasoned foods is agreeable to 83 subjects (44. 8%, p<0. 001) ; simply seasoned foods disagreeable to 100 (54.06%, P<0.001). Highly seasoned foods is agreeable to 80 (43. 24%) and also disagreeable to 76 (41. 08%). 7) The agreeable spices are hot bean paste in 105 subjects (56. 75%, P<0. 001) red pepper in 88 (47.57%, P<0.001) and bean paste in 84(45.41%, P<0. 001) . The disagreeable ones are soy sauce in 99 (53. 1%, P<0. 001), garlic in 96 (51.89%, P<0.001), welsh onion in 89 (48. 11%, P<0.001) and sesame oil and other oils in 85(45.95%, P<0.001). 8) The agreeable eating methods are eating rice and soup or water mixed in 104` subjects (56.22%, P<0. 001) and eating rice and other dishes mixed in 92(49. 73 %, P<O. 001). The disagreeable ones are eating rice and soup separately in 86 (46.49%, p<O. 001) and drinking water after finishing rice and other dishes in 81(43.78%, P<0.001). 9) Foods which pregnant women prefer are fruits in 78 subjects (42. 16%), meat in 41 (42.16%), foods made sixth flour in 28 (15. 113%), and radish or other, vegetables in 21 (11. 35%). 10) Foods which pregnant women dislike are kimchi in 43 subjects (23.24%),, meat and fried foods in 20 (10.81%) respectively, and fishes in 18 (9.72%).

      • KCI등재

        능동적 힘과 정치

        이미라 중앙대학교 중앙철학연구소 2022 철학탐구 Vol.67 No.-

        For Nietzsche, active force is a term that has 'a new beginning', and politics is a term that has the anti-chronic nature, as key elements, and at first glance the two terms seem friendly. However, the concept of active force has been treated as an obstacle to the expansion of Nietzsche's thinking into a political dimension in that it is carried out on a personal level, and has an element of strength. This paper argues that active force can be better enhanced in collective and political activities in that the 'new beginning' of active force itself is already political, and that 'new beginning' is possible through coexistence and contact with heterogeneous things. Its basis is a physiological point of view. On the one hand, it shows that strong people who have active force as a component also have a tendency to gather in terms of enhancing power, and on the other hand, in terms of affect, it shows that strong people can also gather by the pleasure of unity. Based on this discussion, we try to reinterpret Nietzsche's statements, which have been interpreted as claiming the incompatibility of the two terms, while analyzing the way active force operates within a group through the concept of affection. 니체의 사유에서 능동적 힘은 ‘새로운 시작’을, 정치는 반시대성을 핵심요소로 갖는 용어다. 얼핏 두 용어는 친화적인 것처럼 보인다. 그러나 개인적 차원에서 발휘되고 영위된다는 점, 강자의 성분을 갖고 있다는 점 등을 이유로, 능동적 힘 개념은 니체의 사유를 집단적·정치적 차원으로 확장하는 데 방해 요소로서 취급 당해왔다. 본 논문은 능동적 힘의 ‘새로운 시작’ 자체가 이미 정치적이라는 점, ‘새로운 시작’은 이질적인 것과의 공존과 접촉을 통해 가능하다는 점에서, 능동적 힘이 집단적·정치적 활동 속에서 더 잘 고양될 수 있다는 주장을 편다. 그 근거로서 생리학적 관점에서, 한편으로는 힘의 고양 측면에서 능동적 힘을 성분으로 갖는 강자 역시 모이는 성향을 갖고 있다는 점을, 다른 한편으로는 감응(affect)의 측면에서 강자 역시 단결의 쾌감에 의해 모일 수 있다는 점을 보인다. 이에 대한 논의를 바탕으로 두 용어의 비친화성을 주장한다고 해석되어 왔던 니체의 진술들을 친화성의 관점에서 재해석을 시도하는 한편, 능동적 힘이 집단 안에서 작동하는 방식을 촉발(affection) 개념을 통해 분석한다.

      • Roy 적응모형 근거한 모성간호학 교육과정

        이미라 중앙대학교 의과대학 의과학연구소 1987 中央醫大誌 Vol.12 No.4

        Maternity nursing aims to help the pregnant womem and her family keep their health during the period of pregnancy and childbirth. Most of the nursing theorist agree on the poinion that nursing focus it's attention on human and his need, not on disease. But, maternity nursing have framed a theory based on medical model. Consequently, there was discrepancy between the educational objectives and the theoretical framework in maternity nursing, and this made the nursing students loose their interests of learning, and think that nursing is hard to understand. This study was made to revise the curriculum content of maternity nursingaccording to the newly developed nursing model for the purpose of increasing the degree of learning satisfaction of the nursing students and providing good quality of care to the client. To provide the function of curriculum revision, educational philosophy of Chung Ang University and department of nursing, assumption and philosophy of maternity nursing, and twelve nursing modela were reviewed. Among twelve nursing models, Roy's adaption model was selected, because it was thought to be easy for the nurses who were familiar with nursing based on medical model to understand. Revision of maternity nursing curriculum was progressed as follows. First of all, new educational objectives were stated as follows. Completing the course of maternity nursing, students are able: 1. to do first level assessment to the client who are experiencing pregnancy and childbirth. 2. to do second level assessment with thw stimuli which caused ineffective response in the client. 3. to describe the ineffective responses in terms of nursing diagnosis. 4. to plan nursing intervnetion to change or to reduce the stimuli which caused ineffective response. 5. to evaluate the results of nursing intervention. Then, present curriculum content was classified according to Roy's adaptation model and serveral assessment tools were developed as needed. Recommendations for further studies are as follows. What stimuli influence role function mode of the client during the ppregnancy? What is the effective nursing intervention to keep the teen-aged pregnant women and unmarried pregnant womem adapt positively to their problem? What stimuli influence self concept mode of the client during the labor? What is the effective nursing intervention to help the client greving over loss of new born infant and having anomalous one? What are the ineffective responses that can happen in role function mode and interdependence mode during labor? What is the effective nursing intervention to reduce postpartal biue during the puerperal period? What are the ineffective responses that can happen in interdependence mode during the puerperal period? What nursing diagnosis can be derived from four adaption mode during the period of pregnancy, labor and puerperium?

      • KCI등재
      • KCI등재후보

        서울시 거주 노인의 경제활동과 사회복지서비스 이용이 삶의 질에 미치는 영향: 사회활동의 조절효과를 중심으로

        이미라 동의대학교 지방자치연구소 2018 공공정책연구 Vol.35 No.1

        본 연구는 서울시 거주 노인의 삶의 질에 영향을 미치는 요인을 살펴보기 위해 경제활동 경험과 사회복지서비스 이용이 삶의 질에 미치는 영향력을 살펴보고, 이 과정에서 사회활동의 조절효과를 검증하고자 하였다. 이를 위해 「2015년 서울복지실태조사」자료 를 활용하였고, 원자료 중 가구주의 연령이 만 60세 이상인 960명 의 설문 내용을 분석에 사용하였다. 연구결과를 살펴보면, 사회활동을 잘 하는 사람의 경우에는 삶 의 질에 미치는 영향들 중 경제활동이 덜 중요하지만, 사회활동을 많이 하지 않는 사람들에게는 경제활동이 삶의 질에 더욱 중요한 영향을 미친다는 것을 확인할 수 있었다. 그리고 사회복지서비스 이용과 삶의 질의 관계에서 사회활동은 조절효과를 하지 못하는 것으로 나타났다. 이상의 결과를 토대로 서울시 노인복지 정책에 대한 함의를 제시하였다.

      • 중년여성의 운동 예측모형

        이미라,소희영 충남대학교 간호과학연구소 2002 충남대 간호학술지 Vol.5 No.1

        This study was conducted to test the hypothetical model designed to explain exercise behavior of middle-aged women. This hypothetical model was based on behavior-related theories and exercise-related literature. Exogenous variables were exercise habit and perceived subjective norm. Endogenous variables were exercise benefit, exercise barrier, exercise-related affect, exercise self-efficacy, exercise intention, and exercise. A convenience sample of 152 middle-aged women was studied. SAS PC Program and LISREL 8.12a program were used for descriptive statistics and linear structural relationship(LISREL) modeling. The results were as follows. 1)The overall fit of the hypothetical model was acceptable(χ2 34.86(p=0.0015), χ2/df 2.49, RMSEA 0.09, standardized RMR 0.05, GFI 0.95, AGFI 0.85, NFI 0.92, NNFI 0.87, CFI 0.95). 2)The results of statistical testing of hypotheses were as follows. (1)The varibles in this hypothetical model explained 95% of the variance of the exercise behavior. (2)Habit was the most important variable to explain exercise behavior, followed by self-efficacy, barrier, affect and benefit. Subjective norm and intention were not significant predictors of exercise behavior. Habit and self-efficacy had a significant direct effect on exercise behavior. Barrier and intention did not directly influence on exercise behavior. Habit, benefit, barrier and affect had a significant indirect effect on exercise behavior through other variables in this hypothetical model. Norm had no indirect effect on exercise behavior. (3)The direct path between habit and benefit, habit and barrier, habit and self-efficacy, norm and barrier, benefit and affect, barrier and self-efficacy, and affect and self-efficacy were significant. The indirect path between habit and affect, habit and self-efficacy, benefit and self-efficacy, benefit and intention were significant. In conclusion, this study verified that the hypothetical model constructed in this study could be used effectively as a reference for further structural modeling or interventional studies.

      • KCI등재후보

        암환자의 영성 개념 분석 : 기독교, 불교, 무종교 중심으로 focusing on Christianity, Buddhism, Atheism and Agnosticism

        이미라 성인간호학회 2003 성인간호학회지 Vol.15 No.4

        Purpose: All nurses should provide spiritual care for their clients. It is especially important to care spiritually for cancer patients facing the crisis of life. Therefore, the purpose of this study is t o analyze the concept of spirituality which is one of the basic concepts for spiritual care in cancer patients. Method: The subjects of this study were 8 cancer patients: 2 Christians,3 Buddhists, and 3 persons who did not have any religion. The data was collected and analyzed by Hybrid Model. Result: The results of this study were as follows: Dimensions of spirituality(vertical dimension connected with the absolute being, horizontal dimension related t o others, existential dimension related t o seeking of meaning), attributes of spirituality(dynamic process strengthened in suffering due to struggle with cancer, connectedness with the absolute being or will and belief in oneself, transcendence of reality, meaning and purpose of life, future oriented), outcomes of spirituality(intrinsic, behavioral). Conclusion: The spirituality of cancer patients is manifested differently by his(her) religion, age, past experiences and burden of family, and is able to be strengthened with cancer. Therefore, nurses should recognize that diagnosis and deterioration of cancer is not only a spiritual crisis but can be a good chance for spiritual growth, as well.

      • <피아노 어드벤쳐 올인원>과 <피아노를 위한 음악> 비교 분석

        이미라,함인아 The Pianissimo 음악예술학회 2017 음악예술연구 Vol.7 No.1

        본 연구는 피아노 초급 교본 중 <피아노 어드벤쳐 올인원>과 <피아노를 위한 음악>을 7가지의 평가 기준에 의해 비교 분석하였다. 7가지의 평가기준은 교본 전체의 구성 및 독보 지도법, 준비 단계, 건반 익히기, 예비보, 오선보표, 조성 학습, 그리고 음악 용어이다. 특히 독보 지도법은 두교본을 비교 분석하는데 있어서 가장 특징적인 평가 기준으로, 두 교재의 가장 큰 차이점이기도 하다. <피아노 어드벤쳐 올인원>은 전통적인 ‘가운데 C 접근법’을 사용하고 있는 반면에 <피아노를 위한 음악>은 ‘여러 조성에 의한 접근법’을 사용하고 있다. 한 권의 통합 교본으로 되어 있는 <피아노 어드벤쳐 올인원>은 초급 단계에서는 조성 학습을 포함하고 있지 않지만, 예비보 사용과 연령이 낮은 학습자에게 알맞은 삽화 사용, 이론적 설명을 포함하고 있는 통합 교본이다. <피아노를 위한 음악>은 4권으로 구성되어 있으며 초급 단계부터 다양한 조성 학습과 즉흥 연주를 포함한 창작 학습을 유도하고 있다. The purpose of this study is to analyze and compare two piano method books on a beginner’s level, Piano Adventures All-in-One by Nancy & Randall Faber, and Music for Piano by Robert Pace, and the both authors are American musicologists. Seven criteria of evaluation standards are established, including general characteristics and approaches to music reading, preparation stage, piano keyboard practice, preparatory reading exercises without score, staff, tonality, and musical terms. Advantages and disadvantages of each criteria were discussed. The findings are as follows: Music for Piano by Robert Pace consists of four volumes, Creative Music, Music for Piano, Finger Builders, and Theory Papers. Each contains musical elements, which are parts of music as a big picture. Especially Music for Piano emphasizes reading skills through multi-key approach, which could be the most distinguishing point from other piano method books. From the beginner’s level, students need to learn reading music with key signature, so that students are able to have much more musical experiences. Piano Adventures All-in-One by Nancy & Randall Faber is an one volume edition and organized to stimulate children's interest in music by inserting diverse illustrations and lyrics to fit for the concerned works. For reading skills, it suggests middle C approach, which could be regarded as conventional. Both textbooks induce children to do participatory learning rather than passive learning in various ways including additional teaching materials, organized learning system, various preparatory scores, and integrated music study.

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