마음챙김-자기자비(Mindful Self-Compassion: MSC) 프로그램이 상담자의 공감피로, 공감만족, 소진에 미치는 영향

조윤숙(Yun Sook Cho) 한국명상학회 2018 한국명상학회지 Vol.8 No.1

본 연구의 목적은 마음챙김-자기자비 프로그램이 외상을 경험한 내담자들을 상담하며 간접 외상을 경험하게 되는 상담자의 공감피로, 공감만족, 소진에 미치는 영향을 알아보기 위해 수 행하였다. Neff와 Germer(2013)가 개발한 MSC(Mindful Self-Compassion)프로그램을 토대로 상담자 에게 적합하게 보완하였고, 서울지역에서 상담사로 근무 중인 22명을 각각 11명씩 실험집단 과 통제집단으로 나누어 주 1회 120분씩 8회 동안 실시하였다. 연구 측정도구로 마음챙김, 자 기자비, 전문가의 삶의 질(공감피로, 공감만족, 소진)척도를 사용하였다. 분석결과 실험집단의 공감만족은 유의미하게 증가하였는데, 마음챙김, 자기자비, 공감피로, 소진은 다소 긍정적으로 변하였으나 통계적으로 유의미하지는 않았다. 실험집단을 상담경력에 따라 2개 집단(5년 이 하, 6년 이상)으로 나누어 분석 하였을 때, 5년 이하 집단에서 마음챙김과 공감만족이 유의미 하게 증가되었고 소진은 유의미하게 감소되었다. 상담 장면에서 내담자 치료를 위한 마음챙 김-자기자비 활용이 아닌 상담사 스스로를 위한 삶의 질을 높이고, 성장과 자기돌봄에 대한 구체적 방안으로 제시된 연구라는데 의의가 있다. 마지막으로 본 연구의 제한점과 후속 연구 를 위한 제언을 하였다. This study investigated the effects of mindfulness self compassion (MSC) program on counselors compassion fatigue, compassion satisfaction and burnout, and on counselors who experienced indirect trauma. Based on the MSC program developed by Neff and Germer (2013), the study was modified to suit the characteristics of the participating counselors. The study subjects, made of twenty-two counselors working in Seoul were divided into two groups of eleven members each: One the experimental group and the other control group. The study was conducted over a eight week period, meeting weekly for a 120 minute session. Mindfulness, Self-compassion, Professional Quality of Life Scale R-Version 5 (compassion fatigue, compassion satisfaction and burnout) scales were used as measurement tools. The analysis shows that compassion satisfaction level of the experimental group increased significantly. The measurements for mindfulness, compassion fatigue, compassion satisfaction and burnout appear to have changed somewhat positively but they are not statistically significant. when the experimental group was examined in two sub-groups depending on the length of their counseling career (less than 5 years, more than 6 years), in less than 5 years group, mindfulness and compassion satisfaction were significantly increased and burnout was significantly decreased. It is meaningful that the study is presented as a concrete plan to improve the quality of life, growth and self-care for the counselors themselves, rather than mindfulness and self-compassion for the treatment of client s in the counseling scene. Lastly, the limitations of this study are discussed and suggestions for future research were made.

골목상권 소상공인 지원사업 개선방안 연구 -강북구 인수동 골목상권 점포개선 사례를 중심으로-

조윤숙 ( Yun Sook Cho ),오창호 ( Changho Oh ) 한국유통물류정책학회 2022 유통물류연구 Vol.9 No.2

골목상권과 소상공인 지원의 필요성이 공감을 얻고 다양한 차원에서 골목상권과 소상공인을 돕는 정책들이 집행되고 있지만, 실제로 쇠락하는 골목상권에서 뚜렷한 개선의 효과를 보았다는 사례를 찾아보기 어렵다. 이는 지원정책의 설계와 집행에 문제가 있기 때문이다. 이 연구는 기존에 집행된 정책사업의 문제를 짚어보고 대안을 마련하기 위해 강북구 인수동 골목상권의 점포개선 사업 사례를 분석하였다. 기존의 정책사업은 상권과 점포 상황에 맞추어 집행되는 것이 아니라 설계된 정책에 따라 자금을 집행하고 사업을 수행하는 것에 초점이 맞추어져 있다. 이러한 사업방식을 ‘업종전문가 참여 진단중심형 지역상권 지원정책’이라고 한다면 이번 인수동 골목상권 점포개선사업은 ‘지역전문가 주도 진단-실행 통합형 지역상권 활성화 프로젝트’라 할 수 있다. 인수동 골목상권 점포개선 사업에서는 지역전문가의 주도로 사회적경제 영역과 지역의 민·관·학 거버넌스를 활용하여 상권과 점포 상황과 소비자인 주민의 눈높이에 맞는 점포개선을 목표로 총 8단계에 걸친 사업을 진행했다. 주민과 점포주의 긍정적인 평가를 받았던 강북구 인수동 골목상권 점포개선 프로젝트 사례는 추후 골목상권 활성화 및 소상공인 점포지원 사업 정책 개선에 도움을 줄 것으로 기대한다. Although there are a variety of policies to help small business, it’s hard to find successful cases achieving the expected results. That’s from the wrong process of designing and executing polices. With the intention of figuring out the problems of current policies, this study describes the case of store rebuilding(improvement) project in Insu-dong allley market(commercial district). Current policies for small business named alley market policy focusing only diagnosis by industry experts are not executed according to the situation of each market, but rather aiming at doing only through pre-designed way. However, new approach of insu-dong alley market case named alley market policy integrating diagnosis-execution by local specialist panned out 8 stage activities aiming at store rebuilding just fitted for each store situation and market demand by local specialist. It was also supported by local public-private governance with university, social-economy sector, city-revitalizing sector, local business. As a result, this project ended with high level of satisfaction of participants. We can find the implications for reforming small business policy from this project case of Iusu alley market rebuilding.

Amphetamine 중독에 의한 횡문근 융해 급성신부전

조윤숙(Yun Sook Cho),김태형(Tae Hyung Kim),김형완(Hyoung Wan Kim),김봉룡(Bong Ryong Kim),김준완(Joon Wan Kim),박정진(Jeong Jin Park),손인(In Sohn) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.3

Amphetamine toxicity is well known in western countries since several decades ago. Taken in excessive amount, amphetamine causes systemic symptoms such as hyperpyrexia, tachycardia, hyperkinesia, delirium, seizure and circulatory collapse. Acute renal failure following amphetamine ingestion is caused by the direct toxicity of the drug, circulatory collapse, coagulopathy, retroperitoneal hematoma or tubular ob-struction by rhabdomyolysis. This is a case of a am-phetamine intoxicated 41-year male patient presenting with features of acute renal failure, which is not accompanied by circulatory collapse, nor by coagulo-pathy. Muscle enzymes and bone scan findings were compatible with nontraumatic muscle injuries, and the renal pathology was tubular necrosis with specific myoglobin casts. Therefore a drug induced rhabdo-myolysis causing myoglobinuric tubular injury is highly suspected. The fact that the outcome of the renal disease itself was good despite fatal dosage of this drug is also compatible with myoglobinuric renal failures reported by foreign authors. This is probably the first reported case of acute renal failure caused by amphetamine associated rhabdomyolysis in Korea.

지역사회 네트워크의 협력이 사회적기업의 창업 성공에 미치는 영향: 한신대 캠퍼스타운 창업팀 ‘낙과유수’ 사례연구

조윤숙(Cho, Yun sook) 사회적기업연구원 2021 사회적기업연구 Vol.14 No.1

십이지장궤양 환자에서 Helicobacer pylori 의 박멸이 궤양 재발에 미치는 영향에 관한 연구

김나영(Na Young Kim),윤여학(Yeo Hak Yoon),조윤숙(Yun Suk Cho),채봉남(Bong Nam Chae),최진용(Chin Yong Choi),이계희(Kye Heui Lee),손인(In Son),박성훈(Sung Hoon Park),구명숙(Myoung Sook Koo),최신은(Shin Eun Choi) 대한내과학회 1993 대한내과학회지 Vol.45 No.3

Background: The recurrence rate of duodenal ulcer (DU) within 12 months after treatment is 70~90%. Since the identification of Helicobacter pylori (H. pylori) which has been confirmed to be the major causal agent of chronic antral gastritis, the close linkage between the chronic antral gastritis and DU, and the presence of H. pylori in the stomach of more than 90% of patients with DV have stimulated studies on the use of anti-H. pylori antimicrobial agents in DU. However, the definition of eradication related with the time at which assessment is made after the completion of therapy has not been unified, and moreover, there is no general agreement on how H. pylori should be eradicated. Methods: This study was performed for 190 DU patients and four different methods -culture, Gram stain of touch print, H&E stain, mucosal urease test-were taken for H. pylori test just before treating to identify the infection rate of H. pylori in DU patients, immediately after each 6 week ulcer therapy to assess the negative conversion rate of H. pylori, and 4 weeks later after the completion of ulcer therapy to find the eradication rate of H. pylori in each treatment group (cimetidine, omeprazole, colloidal bismuth subcitrate (CBS), CBS and metronidazole double therapy, CBS, metronidazole and amoxicillin triple therapy). To detect DU recurrence, the gastroscopy was performed at 6, 12 and 18 months after therapy. Results : 1) The infection rate of H. pylori in DU patients in Korea was 94.2%. 2) The negative conversion rate of U. pylori immediately after the therapy in cimetidine group was 0%, and that of omeprazole group was 16.7% but one half of the negative converted cases was converted to be positive 4 weeks later after the completion of therapy, so the eradication rate was 8.3%. In CBS group, the negative conversion rate was 33.3% but in all of these patients H. pylori convereted to be positive, so the eradication rate was 0%. In double therapy group, the negative conversion rate was 81.0% but 61.5% of these patients persisted to be negative 4 weeks later after therapy, so the eradication rate was 47.1% which is higher than that of cimetidine, of omeprazole, of CBS group. In triple therapy group, the negative conversion rate of H. pylori was 96.7%, and 92% of these patients persisted to be negative, so the eradication rate was 88.5%, which is higher than that of double therapy group. 3) The DU recurrence rate of cimetidine group was 63.6% in 1 year and 81.8% in 18 months later, respectively, and in omeprazole group that was 58.3% both in 1 year and 18 months later. In CBS group, that was 33.3% in 1 year and 44.4% in 1H months later. In double therapy group, that was 12.5% in 1 year and 18.8% in 18 months later, respectively. In triple therapy group, that was both 3.8% in 1 year and 18 months later. 4) When all of these patients were classified into two groups according to the eradication of H. pylori, the recurrence rate was 0% in the 32 patients with H. pylori eradicated, and that WBS 57.1% (24 patients) in the 42 patients with H. pylori not eradicated. Conclusion : From these results, we can conclude that in order to evaluate the eradication of H. pylori, it is more precise to assess the H. pylori 4 weeks later after the completion of therapy than immediately after the therapy, and the eradication of H. pylori in DU patients reduces the recurrence of DU.

정맥영양의 조제와 감염관리

최지형 ( Ji Hyeong Choe ),백진희 ( Jin Hee Baek ),조윤희 ( Yun Hee Jo ),조윤숙 ( Yoon Sook Cho ) 한국정맥경장영양학회 2018 한국정맥경장영양학회지 Vol.10 No.2

Recently, in Korea, the importance of preparation and use of injectable drugs has been emphasized due to successive fatal accidents caused by injection infections. Parenteral nutrition (PN) has also been identified as a cause of infection. Cases of infection due to PN have been reported not only in Korea, but also abroad, and contamination occurs mainly during the preparation of PN. Because sterile preparation and compounding of injections are very important for infection control and patient safety, this article reviews the major guidelines outlined thus far. The Korea Ministry of Food and Drug Safety in 2006 published guidelines and the KSHP (Korean Society of Health-System Pharmacists) recently issued guidelines for the aseptic preparation of injections. In addition, as US guidelines, the ASHP (American Society of Health-System Pharmacists) guidelines and United States Pharmacopeia (USP) <797> are also reviewed. The recent guidelines published by the KSHP have significance in that they were adopted in accordance with the domestic reality, even though they conform to foreign guidelines, and are expected to be guidelines for hospital pharmacists performing aseptic preparation work. In addition, the Korea Ministry of Health and Welfare is considering appropriate guidelines for the safe management of medications, training staff for infection prevention and strengthening staff capacity. Furthermore, the gradual expansion of aseptic compounding facilities and human resources, as well as the provision of adequate medical costs are also considered. Based on the establishment and standardization of injectable drugs compounding guidelines for Korean hospitals, it is believed that if human resources and facilities are supported and medical charges are improved, it will be possible to expect the safer preparation and use of injections.

십이지장궤양 치료방법에 따른 Helicobacter pylori의 박멸에 관한 연구

최진용(Jin Yong Choi),김나영(Na Young Kim),윤여학(Yeo Hak Yoon),조윤숙(Yun Sook Cho),채봉남(Bong Nam Chae),이계희(Kye Heui Lee) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.1

N/A The recurrence rate of duodenal ulcer(DU) within 12 months after treatment has been re- duced to 0-27% with eradication of Helicobacter pylori(H. pylori) from 50-90% without eradi- cation. This study was conducted to find the ideal method of treatment in the aspects of erad- ication of H. pylori, symptom reduction, and side effect among the three treatment methods. This study was performed for 73 patients with DU, and four different methods, for identifying H. Pylori infection-Gram stain of touch print, culture, H&E stain, CLO test-were taken just be- fore treatment and taken 4 weeks later after the completion of ulcer therapy to find the eradi- cation rate of H. pylori in three treatment groups. The first treatment group consisted of col- loidal bismuth subcitrate(CBS) 240mg twice a day, metronidazole 250mg thrice, and amoxicillin 500mg thrice for 6 weeks(Group I, n=28), the second group omeprazole 20mg once a day for 6 weeks and amoxicillin 500mg thrice for the first two weeks(Group II, n=l3), and the third group ranitidine 150mg twice a day or omeprazole 20mg once for 4 weeks and thereafter CBS 120mg four times a day, metronidazole 500mg thrice and amoxicillin 500mg four times for 2 weeks(Group III, n=32). The degree of symptom reduction and frequency of side effect in each treatment group were evaluated during the treatment period. The eradication rate of H. pylori was 89.3% in Group I, 23.1% in Group II, and 87.5% in Group Ill, In Group I, more than 50% of symptom reduction within 1 week was 55.6%, within 2 weeks 22.2% and after 2 weeks 22.2%; in Group II, more than 50% of symptom reduction within 1 week was 100%; in Group III, the same rate of reduction within 1 week was 96.6% and within 2 weeks 3.4%. The frequency of side effect in Group I was 21.2% including 5 patients (15.2%) in whom the medication could not be completed due to major side effect; the frequen- cy of side effect in Group II was 0%; that in Group lIl was 21.9/, in all of whom the side effect was minor so the medication could be completed. From these results, we concluded that in the aspect of eradication of H. pylori, the triple therapies for 6 or 2 weeks(Group I and Ill) are better than omeprazole and amoxicillin therapy(Group II), and in the aspect of symptom reduction, the triple therapy for 2 weeks after ranitidine or omeprazole for 4 weeks(Group Ill) is better than the triple therapy for 6 weeks (Grup I ). (Korean J Gastroenterol 1994; 26: 47 55)

국내 지역사회/일차의료 고위험의약품 목록 도출

이수현(Suhyun Lee),아영미(Young-Mi Ah),허규남(Kyu Nam Heo),이아영(Ah Young Lee),민상일(Sang il Min),김아정(A Jeong Kim),김성환(Sung Hwan Kim),조윤희(Yun Hee Jo),조윤숙(Yoon-Sook Cho),한지민(Ji Min Han),이주연(Ju-Yeun Lee) 대한약학회 2022 약학회지 Vol.66 No.5

Despite the fact that a considerable number of preventable adverse events are managed in primary care settings, medication-related risks have been evaluated mainly through hospital admissions. While interest in high-alert medication management in the community and primary care settings is increasing internationally, Korea does not have accreditation for the same and lacks established standards for high-alert medications. Therefore, this study aimed to develop a nationallevel list of high-alert medications for community and primary care. The candidates for the high-alert medication list included medications recommended by Institute for Safe Medication Practices and those suggested by each guideline of the World Health Organization, Japan and Korea. We analyzed the adverse events related to medication errors reported by the patients' safety reporting system. Seven experts working in the community and primary care settings evaluated the adequacy and priority of the candidate medications. The final list included 20 high-alert medications, including nine essential and eleven optional medications. The national-level list of high-alert medications which we developed may be useful in formulating accreditation guidelines or treatment standards for community and primary care patients.

브롬산염 중독에 의한 급성 췌장염 1예

이상희,최욱렬,임채남,원경헌,조윤숙,임선희,김나영,이계희 大韓消化器病學會 1998 大韓消化器病學會誌 Vol.32 No.6

상륙 중독에 의해 급성 신부전 및 기타 증상이 발현되었던 1예

이상희,강삼식,원경헌,최신은,조윤숙,임채남,최욱렬 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.4

Phytolaccae had been used as a pharmaceutical drug or food But nowadays, due to its toxicity, Phytolaccae is rarely used and cases of patients poisoned with it are seldom reported. The case presented here was of 43 year-old male who after ingesting extract of Phytolacca esculenta suffered from abdominal pain, diarrhea, nausea, vomiting, tachycardia, hypotension, pruritus, paresthesia, oliguria and azotemia. Kidney biopsy revealed tubular necrosis and some protein casts in tubular lumens. These findings suggested that acute renal failure was mainly caused by nephrotoxicity of Phytolacca extracts. Through continuous arteriovenous hemofiltration and two times of hemodialysis, he was completely recovered from acute renal failure. Other symptoms also disappeared by symptomatic management, but paresthesia of both lower extremities still remained. So we reported this case with a brief review of literature.