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      • 말기 암 환자 가족 간병인의 삶의 질

        정진규,김성수,강동수,김성민,이동훈,한경희,김종성,Jung, Jin-Gyu,Kim, Sung-Soo,Kang, Dong-Soo,Kim, Sung-Min,Lee, Dong-Hoon,Han, Kyung-Hee,Kim, Jong-Sung 한국호스피스완화의료학회 2006 한국호스피스.완화의료학회지 Vol.9 No.1

        목적: 말기 암환자 증가로 호스피스에 대한 관심은 증가되고 있으나 이들을 간병하는 보호자에 대한 관심은 아직까지 병원 및 호스피스 프로그램에서 미흡하다. 본 연구는 말기 암 환자를 간병하는 가족 내 주간병인의 건강 관련 삶의 질을 평가하고 이들의 건강 관련 삶의 질에 영향을 미치는 요소를 알아보기 위하여 시행하였다. 방법: 2005년 3월부터 2006년 1월까지 대전의 일개 대학병원 종양 내과에 입원한 말기 암 환자들의 가족 간병인 81명을 대상으로 하여 건강 관련 삶의 질을 평가하였다. 평가설문내용에는 삶의 질을 평가하기 위한 도구로 36-items Short-form, Health Survey (SF-36) 한글판을 사용하였고 조사대상자들의 일반적인 사항과 환자와 간병인의 특성에 관한 내용을 포함하였다. 결과: 간병군의 삶의 질 평균(${\pm}SD$)점수는 47.9 (${\pm}20.7$)점이었다. 65세 이상인 경우, 여성인 경우, 간병기간이 1년 이상으로 길어질 경우, 일일 평균 간병시간이 8시간 이상인 경우, 간병에 환자가 많은 도움을 필요로 하는 경우, 경제적 부담이 큰 경우, 간병인이 부모 또는 배우자인 경우, 대증적 치료만 받고 있는 경우, 병원에 대한 만족도가 낮은 경우 간병인의 삶의 질이 저하되는 것으로 나타났으며, 다중회귀분석을 실시한 결과 간병시간, 경제적 부담도, 치료형태; 대증적 치료만 받는 경우, 간병기간, 성별, 도움이 필요한 ADLs (Activities of daily livings) 문항수 순서로 삶의 질 점수에 영향을 주었고, 이들의 설명력은 63.9% (P=0.044)였다. 결론: 말기암 환자 가족간병인의 삶의 질과 관련된 많은 요인 중 간병시간과 경제적 부담이 가족간병인의 삶의 질에 많은 영향을 주는 교정 가능한 인자로 나타났다. 말기 암 환자 간병인의 간병 시간 및 경제적 부담을 감축하기 위한 사회적 지원이 필요하다. 봉사자와의 관계는 매우 좋다가 81.2%로 대부분을 차지하였고, 병원직원과의 관계는 매우 좋다가 69.7%였고, 다음은 대체로 좋다가 21.2%의 순이었다. 봉사활동에 대해 가족이나 친구의 지지는 어떠한가는 매우 좋다가 83.2%로 대부분을 차지하였다. 2. 대상자의 자원봉사활동 만족도는 평점 $3.09{\pm}0.49$(도구범위 $1{\sim}4$점)로 중간정도이었다. 영역별로 살펴보았을 때 만족도가 가장 높았던 영역은 사회적 접촉영역($3.48{\pm}0.61$)이었고, 다음은 성취영역($3.43{\pm}0.53$), 사회적 인정영역($3.35{\pm}0.70$)의 순이었다. 만족도가 가장 낮았던 영역은 사회적 교환영역($1.65{\pm}0.63$)이었다. 3. 대상자의 인구사회학적 특성에 따른 봉사활동 만족도를 분석한 결과 성별(t=2.038, P=0.044), 결혼상태(F=3.806, P=0.013)에 따라 유의한 차이를 보였다. 4. 대상자의 자원봉사활동 실태에 따른 봉사활동 만족도를 분석한 결과병원봉사활동기간(F=3.326, P=0.008), 봉사활동을 하는 주된 이유(F=2.707, P=0.035), 봉사활동을 위한 교육을 받은 여부(t=-1.982, P=0.050), 봉사활동의 평가 빈도(F=7.877, P=0.000), 봉사활동이 자신의 기술이나 능력에 적합도(F=2.712, P=0.049), 관리자와의 관계(t=-2.517, P=0.013), 다른 병원직원과의 관계(F=5.202, P=0.007), 자원봉사자로서의 활동에 대해 가족이나 친지로부터의 지지(t=-3.394, P=0.001)에 따라 봉사활동 만족도가 유의하게 차이가 있는 것으로 나타났다. 결론: 자원봉사활동 만족도는 중간정도이었고, 봉사활동 만족도는 대상자의 인구사회학적 특성에 따라서는 성별(t=2.038, P=0. Purpose: Terminal cancer influences on patients as well as their family members. This research was performed to evaluate the quality of lift of primary family caregivers and to investigate the influencing factors. Methods: The results of survey were collected from 81 family caregivers who were taking care of hospitalized terminal cancer patients at an oncology department of university hospital in Daejeon from March 2005 to January 2006 with questionnaires. The questionnaires were consisted of the general characteristics of the subjects, and 36-items short-form Health Survey (SE-36) Korean version to evaluate the quality of life of family caregivers, the characteristics of patients and family caregivers' caring trait. Results: Family caregivers' mean (${\pm}SD$) SF-36 score was 47.9 (${\pm}20.7$). Influential factors on family caregivers' life quality were daily raring hours, economic burden, type of treatment; only supportive care, caring duration, sex, the numbers of ADLs (activity of daily livings) items that patients needed help in order by stepwised multiple logistic regression analysis (overall $R^2=0.639$, P=0.044). Conclusion: Daily raring hours and economic burden were two influential modifiable factors on family caregivers' quality of life. Therefore, social supportive systems are required to reduce family caregivers' daily caring hour and economic burden.

      • KCI등재후보

        당뇨병 환자 교육에 따른 지식, 자기효능감 및 자기관리행위의 변화

        정진규(Jin-Gyu Jung),정은영(Eun-Young Chung),김아련(A-Ryeon Kim),박현진(Hyun-Jin Park),김윤정(Yun-Jung Kim),반영화(Young-Hwa Ban),김종성(Jong-Sung Kim),윤석준(Seok-Joon Yoon),김순영(Soon-Young Kim),안순기(Soon-Ki Ahn),남해성(Hae-Sung 한국농촌의학 지역보건학회 2017 농촌의학·지역보건 Vol.42 No.4

        본 연구는 2014년 5월부터 2015년 5월까지 세종특별자치시 고혈압 · 당뇨병 등록교육센터에서 교육받은 당뇨병 환자 39명을 대상으로 교육 프로그램의 효과를 평가하고자 실시되었다. 프로그램은 제2형 당뇨병에 대한 질환, 영양, 운동 등에 관한 내용으로 2일 동안 2회의 세션(세션 당 45 분)으로 구성되었다. 교육 전에 당뇨병에 관한 지식, 자기효능감, 자기관리행위 등을 평가하였고, 교육 직후에 지식과 자기효능감 평가, 교육 후 12주째에 자기관리행위를 평가하여 다음과 같은 결과를 얻었다. 당뇨병 지식 점수(10점 만점)는 프로그램 전후 평균 5.72점에서 8.21점으로 유의하게 증가하였고 (p<0.001), 자기효능감 점수(10점 만점)는 프로그램 전후 6.88점에서 8.16점으로 유의하게 증가하였다 (p<0.001). 자기관리행위 점수는 프로그램 전 5점 만점 중 3.59점이었던 것이 프로그램 종료 12주째에 4.35점으로 유의하게 증가하였다(p<0.001). 본 프로그램은 당뇨병 지식, 자기효능감, 자기관리행위 등의 향상을 통해 등록환자의 효과적인 당뇨병 관리에 기여할 수 있을 것으로 사료된다. Objective: This study was aimed to evaluate the effectiveness of the diabetes education program implemented in a community hypertension and diabetes education center. Methods: Participants were thirty nine diabetic patients who received the education program in the center from May 2014 through May 2015. The education program consisted of two sessions for 2 days (45 minutes per session) regarding clinical information, nutrition and exercise for type 2 diabetes patients. Initially, they were assessed for general characteristics, knowledge on diabetes, self-efficacy and self-care behaviors. Reassessment was performed on their knowledge and self-efficacy directly after the program, and on self-care behaviors at 12 weeks after the program. Results: The mean score of diabetes knowledge was significantly increased from 5.27±2.10 to 8.21±1.20 (p<0.001) between before and after the program. The self-efficacy score was also significantly increased from 6.88±1.72 to 8.16±1.47 (p<0.001). The self-care behavior score was significantly increased from 3.59±1.89 before the program to 4.35±1.29 (p<0.001) at 12 weeks after the program. Conclusion: The diabetes education program may be effective on the improvement of knowledge, self-efficacy and self-care behaviors in type 2 diabetic patients.

      • KCI등재
      • KCI등재

        New Urbanism의 인간중심적 계획이념에 관한 연구

        김태경(Kim Tae-kyung),정진규(Jung Jin-gyu) 경기연구원 2010 GRI 연구논총 Vol.12 No.1

        New urbanism is a kind of new movement to reform the pattern of conventional urban development. Although there are urban structural and sociological aspects of new urbanism, integration of the two different views is most important. The purpose of human-centered new urbanism will be social mix through frequent social interaction which can be made using mixed land use, increase in development density, supplements of pedestrian road, public transit facilities, and well connected road. Some of scholars criticize that new urbanism is not a viable option to replace the traditional development pattern. However, this kind of view passes over substantial effects of new urbanism by only focussing on the physical and economic aspects of new urbanism. New urbanism makes it possible to raise sense of community and cause social mix of different social classes. This study seeks to bridge the gap of the previous studies. In addition, this study provides various examples of new urbanism through case studies of several American cities including Portland, and also of several Korean cities, which provide fruitful implication to urban policy makers.

      • 고전압맥동전류가 통각과민 백서의 통각역치 및 유해성 굴곡반사에 미치는 영향

        김수현,문달주,최석주,정대인,이정우,정진규,김태열,Kim, Su-Hyon,Moon, Dal-Ju,Choi, Sug-Ju,Jung, Dae-In,Lee, Jung-Woo,Jeong, Jin-Gyu,Kim, Tae-Youl 대한물리치료학회 2006 대한물리치료학회지 Vol.18 No.2

        Purpose: This study conducted quantitative sensory test and nociceptive flexion reflex(NFR) measurement to examine degree of pain depending on polarity of high voltage pulsed current(HVPC) of hyperalgesia site in hyperalgesia rat by local thermal injury. mechanical pain threshold, thermal pain threshold and root mean square of NFR were measured. Methods: This study was conducted with control group I of hyperalgesia rat at hind paw by thermal injury and experimental groups divided into cathodal HVPC group II, anodal HVPC group III and alternate HVPC group IV. It measured pain threshold and root mean square(RMS) of NFR and obtained the following results. Results: Mechanical pain threshold of hyperalgeisa site was significantly increased at groups II, III and IV applying HVPC group compared to control group, but there was no difference among HVPC groups. Thermal pain threshold of hyperalgesia site showed a significant increase in group II. Group III showed significant difference after 4 days of hyperalgesia. RMS of NFR at hyperalgeisa site was significantly reduced in group II after 2 days of hyperalgesia. Group III showed significant decrease after 5 and 6 days of hyperalgesia. Conclusion: Consequently it was found that application of HVPC of hyperalgesia site increased pain threshold at hyperalgesia site by mechanical stimuli and thermal stimuli. NFR by electrical stimuli was similar to pain threshold by mechanical stimuli. Effects by polarity of HVPC showed the greatest reduction of hyperalgesia when cathodal electrode was used.

      • KCI등재

        단시간 등속성 운동에 따른 대퇴부 근기능 변인과 근효소 수준에 미치는 영향

        김용규(Yong Ku Kim),이혜진(Hye Jin Lee),정진규(Jin Gyu Jung) 한국운동영양학회 2001 Journal of exercise nutrition & biochemistry Vol.5 No.2

        N/A The purpose of this study examines closely influences with the Thigh muscle function and muscle enzyme level on the lines of short-time isokinetic exercise. The subject of investigation was a sample of 10 healthy males who belong to the department of physical education and 10 males other departments. Two sectors were measured and analyzed, activity of blood enzyme of muscle; LDH and CPK, which was made by repetition of motion before and after with extenion/flexion and the muscular strength and endurance of the thigh around knee joint by using biodex. This research provides the results as follows; 1. In terms of changes in the muscular strength of the two groups, such factors as flection and extension turned out to be significant(p<.01) at 60˚ /sec, the low-speed load of uniform velocity, and they proved to be significant(p<.01) at 120˚ /sec, the middle-speed load of uniform velocity. 2. In terms of changes in muscular endurance, the total work proved to be significant between the two groups when they got 30 times of flection and extension exercise at 240˚ /sec of angle speed. 3. CPK proved to be significant(p<.05) in terms of changes in the level of muscular serum enzymes after the two groups engaged in the maximum flection and extension exercise at 240˚ /sec of high speed. And athletes turned out to be higher than their counterparts in terms of increases after they took part in exercise. LDH proved to be similar between the two groups before or after exercise. The survey shows that the athletes exposed to exercise at a regular basis have higher muscular endurance and lower muscular fatigue than their counterparts. Therefore if patients suffering from problems with the muscular system are engaged in regular exercise, they can normally live soon.

      • KCI등재

        알코올중독자 자녀 선별검사 점수와 가족기능 점수가 자녀의 정신사회적 증상에 미치는 영향

        박찬일(Chan-Il Park),김종성(Jong-Sung Kim),정진규(Jin-Gyu Jung),김갑중(Gap-Jung Kim),오장균(Jang-Kyun Oh) 한국중독정신의학회 2007 중독정신의학 Vol.11 No.2

        Objectives:Alcohol dependence is known to be a disease affecting family function thereby influencing children. This study was designed to evaluate the influence of parents’ drinking and family function on their children’s psychosocial symptoms. Methods:The subjects were consisted of 187 Korean children. Effects of parents’ drinking problems on children were evaluated by the CAST-K (The Korean Version of the Children of Alcoholics Screening Test) questionnaire, family functions by Family APGAR (adaptability, partnership, growth, affection and resolve) and children’s psychosocial symptoms by PSC (Pediatric Symptomatic Checklist)-17. Results:There was a sig-nificant (p<0.01) positive correlation (r=0.374) between CAST score and PSC-17, and a significant (p<0.01) negative correlation (r=-0.302) between Family APGAR score and PSC-17. CAST-K and Family APGAR score had 21.8% explanatory power for children’s psychosocial symptoms by stepwise multiple regression analysis (p=0.000). Conclusion:The above results suggest that the drinking of parents and family dysfunction can produce child-ren’s psychosocial symptoms. When clinicians face children with psychosocial symptoms, they should evaluate the parent’s drink-ing problems and the family function. Also treating a patient with drinking problems, clinicians should evaluate whether their child-ren have psychosocial symptoms or not.

      • KCI등재후보

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