임상 간호원의 업무 스트레스 요인에 관한 연구

최미혜 최신의학사 1987 最新醫學 Vol.30 No.10

북한이탈 대학생의 적응 스트레스 및 대처 경험에 관한 질적 연구

최미혜 한국학교사회복지학회 2016 학교사회복지 Vol.0 No.35

This study is a qualitative research which refers to identify the adjusting process and the stress response, and also to seek life experience and meaning in terms of coping strategies of North Korean defectors among undergraduate students in Korea. This study recruited 8 participants using snowballing sampling approaches are college students who are North Korean defectors at 4 different universities in Seoul and Kyoung-gi-do. Collected data through in-depth interviews from 8 participants has derived 20 theme clusters and 4 categories using Colaizzi's phenomenological method of data analysis. The 4 main categories consisted of, ‘the first step to a new beginning', ‘the pains of my past still remains in my heart' ‘experiencing stress of the difference between compare and contrast’, and‘coping efforts and great resources hidden inside me’. To be specific, the results shows communication problems, cultural heterogeneity, the difference of education background and approach, relationship problems and south Koreans’prejudices, economic problems, emotional problems and fear for the future as their stress. It also shows economic coping experiences, active behavioral attitude in relationship, volunteer work, nobleness and patience, academic efforts, social supports, and having a dream as their coping experiences and potential resources. This results of the study lead us to find the stress responses of North Korean defectors among undergraduate students in their view, and it is valuable to understand their unique coping skills and internal strengths and resources. Theses attempts will devote to providing basic data in oder to develop social welfare services and policies including effective and successful adjustment to college life. 본 연구는 북한이탈 대학생의 대학생활에 관한 적응과정과 스트레스가 무엇인지를 밝히며 그에 대처하는 삶의 경험과 의미를 탐색하는 질적 연구이다. 본 연구의 참여자들은 서울특별시와 경기도에 소재하는 4개의 대학에 재학 중인 남녀 북한이탈 대학생 8명이며, 눈덩이 표집방법으로 실시하였다. 심층면접으로 얻은 자료를 Colaizzi의 분석방법을 이용하여 4개의 범주와 20개의 주제모음이 조직화하였다. 4개의 주요범주는 ‘새로운 시작의 발걸음’, ‘여전히 아픈 과거의 상처들’, ‘차이와 다름의 경계에서 겪는 스트레스’, 그리고 ‘대처하는 노력과 잠재된 자원’으로 제시되었다. 좀 더 구체적으로는 북한이탈 대학생이 겪는 스트레스로는 의사소통의 어려움, 문화적 차이에서 오는 이질감, 교육의 배경과 방법의 차이, 관계의 어려움과 편견, 어려운 경제적 상황, 정서적 고통, 미래에 대한 두려움 등이며, 이들이 보여준 대처 경험과 잠재적 자원은 경제적인 노력, 적극적 대인관계의 대처, 자원봉사, 당당함과 인내심, 실력을 위한 노력, 주변의 지지, 꿈을 가짐 등으로 나타났다. 본 연구결과는 북한이탈 대학생이 겪는 스트레스를 그들의 입장에서 파악하며, 또한 이들이 대처하는 삶의 독특한 방식이나 내재적인 힘과 자원을 이해하는데 가치가 있다. 이런 시도는 이들의 효과적이고 성공적인 남한 대학생활의 적응을 위한 복지적 서비스와 정책을 모색하는데 기초적인 자료를 제공하는데 기여할 것이다.

정상체중 여자청소년의 신체질량지수(BMI)가 신체상, 스트레스, 행복감에 미치는 영향 연구 : 신체상과 스트레스의 이중매개효과를 중심으로

최미혜 충북연구원 2017 지역정책연구 Vol.28 No.2

This study was an attempt to examine the relationship between body mass index(BMI) of normal weight female adolescents with body image, stress, happiness. In particular, path analysis was performed to verify the double-mediated effect of the body image and stress. Youth health behavior online survey 10th(2011), the 10th(2012), the 11th(2013) data has been utilized to analyze data, analysis tools were used by the SPSS 20.0 and AMOS 21.0. The main analysis result, Despite normal weight body mass index, body index is to increase body image, distorted body image is to increase the stress, stress appeared to negatively affect the happiness. In addition, stress and body image showed that the effect of a significant mediating effect in the relationship between the variables. Through this, the body mass index and body image in women of normal weight youth could see that the main factors affecting the happiness and stress. 본 연구는 정상체중 여자청소년의 신체질량지수(BMI)가 신체상, 스트레스를 매개로 행복감에 미치는 영향을 살펴보고자 시도되었다. 특히, 신체상과 스트레스가 신체질량지수와 행복감 간의 관계에서 작용하고 있는 이중매개효과에 대한 검증을 위해 경로분석을 수행하였다. 분석자료로는 청소년건강행태 온라인조사 9차(2011)년도, 10차(2013)년도 자료가 활용되었고, 분석도구로는 SPSS 20.0과 AMOS 21.0이 사용되었다. 주요 분석결과, 신체질량지수(BMI)가 높을수록 살찐편이라는 왜곡된 신체상이 강하고, 살찐편이라는 왜곡된 신체상이 강할수록 스트레스가 높고, 스트레스가 높을수록 행복감은 낮아지는 것으로 나타났다. 또한, 신체상과 스트레스는 신체질량지수(BMI)와 행복감 간의 관계 내에서 간접효과를 나타내며 매개변수로서 작용하고 있음을 보였다. 종합적으로, 신체질량지수에서 행복감으로 가는 직접경로 및 간접경로를 합한 총효과는 부적 영향을 미치는 것으로 추정되었다. 이를 통해, 정상체중 여자청소년의 신체질량지수 및 신체상은 개인의 스트레스와 행복감에 영향을 미치는 주요 요인임을 살펴볼 수 있었다.

Gene expression pattern during osteogenic differentiation of human periodontal ligament cells in vitro

최미혜,노우창,박진우,이재목,서조영 대한치주과학회 2011 Journal of Periodontal & Implant Science Vol.41 No.4

Purpose: Periodontal ligament (PDL) cell differentiation into osteoblasts is important in bone formation. Bone formation is a complex biological process and involves several tightly regulated gene expression patterns of bone-related proteins. The expression patterns of bone related proteins are regulated in a temporal manner both in vivo and in vitro. The aim of this study was to observe the gene expression profile in PDL cell proliferation, differentiation, and mineralization in vitro. Methods: PDL cells were grown until confluence, which were then designated as day 0, and nodule formation was induced by the addition of 50 μg/mL ascorbic acid, 10 mM β-glycerophosphate, and 100 nM dexamethasone to the medium. The dishes were stained with Alizarin Red S on days 1, 7, 14, and 21. Real-time polymerase chain reaction was performed for the detection of various genes on days 0, 1, 7, 14, and 21. Results: On day 0 with a confluent monolayer, in the active proliferative stage, c-myc gene expression was observed at its maximal level. On day 7 with a multilayer, alkaline phosphatase, bone morphogenetic protein (BMP)-2, and BMP-4 gene expression had increased and this was followed by maximal expression of osteocalcin on day 14 with the initiation of nodule mineralization. In relationship to apoptosis, c-fos gene expression peaked on day 21 and was characterized by the post-mineralization stage. Here, various genes were regulated in a temporal manner during PDL fibroblast proliferation, extracellular matrix maturation, and mineralization. The gene expression pattern was similar. Conclusions: We can speculate that the gene expression pattern occurs during PDL cell proliferation, differentiation, and mineralization. On the basis of these results, it might be possible to understand the various factors that influence PDL cell proliferation, extracellular matrix maturation, and mineralization with regard to gene expression patterns. Purpose: Periodontal ligament (PDL) cell differentiation into osteoblasts is important in bone formation. Bone formation is a complex biological process and involves several tightly regulated gene expression patterns of bone-related proteins. The expression patterns of bone related proteins are regulated in a temporal manner both in vivo and in vitro. The aim of this study was to observe the gene expression profile in PDL cell proliferation, differentiation, and mineralization in vitro. Methods: PDL cells were grown until confluence, which were then designated as day 0, and nodule formation was induced by the addition of 50 μg/mL ascorbic acid, 10 mM β-glycerophosphate, and 100 nM dexamethasone to the medium. The dishes were stained with Alizarin Red S on days 1, 7, 14, and 21. Real-time polymerase chain reaction was performed for the detection of various genes on days 0, 1, 7, 14, and 21. Results: On day 0 with a confluent monolayer, in the active proliferative stage, c-myc gene expression was observed at its maximal level. On day 7 with a multilayer, alkaline phosphatase, bone morphogenetic protein (BMP)-2, and BMP-4 gene expression had increased and this was followed by maximal expression of osteocalcin on day 14 with the initiation of nodule mineralization. In relationship to apoptosis, c-fos gene expression peaked on day 21 and was characterized by the post-mineralization stage. Here, various genes were regulated in a temporal manner during PDL fibroblast proliferation, extracellular matrix maturation, and mineralization. The gene expression pattern was similar. Conclusions: We can speculate that the gene expression pattern occurs during PDL cell proliferation, differentiation, and mineralization. On the basis of these results, it might be possible to understand the various factors that influence PDL cell proliferation, extracellular matrix maturation, and mineralization with regard to gene expression patterns.

골연하 결손부에서 조직유도재생술의 장기적 방사선학적 변화 관찰

최미혜,박진우,서조영,이재목,Choi, Mi-Hye,Park, Jin-Woo,Suh, Jo-Young,Lee, Jae-Mok 대한치주과학회 2007 Journal of Periodontal & Implant Science Vol.37 No.2

Periodontal surgery as part of the treatment of periodontal disease is mainly performed 1) to gain access to diseased areas for adequate cleaning; 2) to achieve pocket reduction or elimination; and 3) to restore the periodontal tissues lost through the disease; i.e., a new attachment formation of periodontal regeneration. To accomplish the latter, often referred to as the ultimate goal of periodontal therapy, a number of surgical procedures have been advocated throughout the years. Clinical studies have demonstrated that considerable gain of clinical attachment and bone can be achieved following guided tissue regeneration (GTR) therapy of intrabony defects. The aim of this study was to analyse the radiographic bone changes 2-year after GTR using a bone graft material and nonresorbable membrane. Patients attending the department of periodontics of Kyungpook National University Hospital were studied. Patients had clinical and radiographic evidence of intrabony defect(s), 33 sites of 30 patients aged 32 to 56 (mean age 45.6) were treated by GTR with a bone graft material and nonresorbable membrane. Baseline and 2-year follow-up radiographs were collected and evaluated for this study. Radiographic assessment includes a bone fill, bone crest change, defect resolution, and % of defect resolution. Pre- and post-treatment differences between variables (maxilla and mandible, defect depth, defect angle, bone graft materials) using the paired t-test were examined. We observed $2.86{\pm}1,87mm$ of bone fill, $065{\pm}0.79mm$ of crestal resorption, $3.49{\pm}2.11mm$ of defect resolution, and $44.42{\pm}19.51%$ of percentage of defect resolution. Mandible, deeper initial defect depth, narrower initial defect angle showed greater bone fill, defect resolution, and % of defect resolution. But no difference was observed between xenograft and allograft. Outcome of GTR as a therapy of intrabony defect was better than other therapy, but herein, good oral hygiene maintenance as a anti-infective treatment and periodic recall check of patients are essential.

인슐린 의존형 당뇨병으로 진단 받은 청소년의 질병에 대한주관적 인식 유형

최미혜,권은경,김수강 한국아동간호학회 2006 Child Health Nursing Research Vol.12 No.3

=A Study on Subjective Perception of Their Diseaseby Adolescents with IDDM*

여성의 자기의식, 신체 이미지가 반복되는 미용수술 행위에 미치는 영향

최미혜,김경희,김주덕 한국미용학회 2008 한국미용학회 추계학술발표회 Vol.2008 No.1

학교부적응 청소년을 위한 드라마 활용 연구: 해결중심 집단상담 실천가의 경험을 기반으로

최미혜 한국청소년학회 2022 청소년학연구 Vol.29 No.9

This study has been conducted using a qualitative research method that is to explore what drama activities for a solution focused group counseling program mean, and what types of interactions take place between the practitioner and youths and how they react to each other. Data were collected through in-depth interviews from 4 participants who have over ten years experienced professionals in solution-focused counseling, drama or psychodrama, and social work with school maladjusted youth. As a result of data analysis by phenomenological analysis, data has derived 29 theme clusters and lastly 7 categories, and identified. They are‘encountering with the adolescents who are in need’,‘the resistance of the students and rapport between a practitioner and the students in the beginning of drama activities’,‘the reaction of the adolescents in drama activities’,‘the practitioner’s roles’,‘the strengthens of drama activities’,‘the moment for the patience and wisdom’, and‘future path of drama activities’. This result of the study will devote to utilizing group counseling and drama activities for the school maladjusted group students effectively. In addition, it may have implications to find out contributing factors in terms of positive adjustment at school and personality development of youths. 본 연구는 학교부적응 청소년을 위한 해결중심의 집단 상담 프로그램으로 진행되는 드라마 활동이 무엇을 의미하며, 실천가와 청소년들 사이에 어떤 상호작용이 일어나고 반응하는지를 살펴보는 질적 연구이다. 본 연구는 드라마활동을 진행하는 실천가 4명을 심층 면접하였다. 이들은 10여년 이상의 해결중심 상담 유경험자이며, 드라마 또는 심리극 진행 전문가들이며, 또한 공통적으로 학교 부적응 청소년들을 돕고 있는 사회복지사들이다. 참여자들로부터 수집된 내용을 현상학적 방법으로 분석한 결과 7개의 주제와 29개의 중심 의미를 도출하였다. 분석결과 7개 주제 모음은‘도움이 필요한 청소년들과 시작된 만남’,‘드라마 활동의 전개에서 청소년들의 저항과 라포’,‘드라마 활동에서 청소년들의 반응’,‘실천가의 역할’,‘드라마 활동의 강점’,‘인내와 지혜가 필요한 순간들’, 그리고‘드라마 활동이 나아갈 길’이다. 이러한 연구 결과는 해결중심 실천가들이 학교부적응 청소년들을 위한 집단 상담이나 드라마를 효과적으로 활용하는데 기여를 할 것이다. 더불어 학교생활의 긍정적 적응과 인성발달에 기여하는 요소가 무엇인지 밝히는데 함의를 가질 수 있다.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

급성 림프구성 백혈병 환아에서 항암화학요법 후 사용되는 Filgrastim과 Lenograstim의 효과 비교

최미혜,강래영,김귀숙,박경호,손인자,오정미 한국병원약사회 2008 병원약사회지 Vol.25 No.4

Granulocyte colony-stimulating factor(G-CSF) has been incorporated into the treatment regimens of many patients in an effort to decrease the risk of neutropenic complications, including febrile neutropenia after myelosuppressive chemotherapy regimens. In doing so, it could significantly reduce incidence and severity of neutropenic infection, thus decreasing morbidity and health care expenditure. Two formulations of recombinant human G-CSF(rhG-CSF), one non-glycosylated(filgrastim) and one glycosylated(lenograstim), are available. This study was undertaken to compare the hematologic effects of filgrastim and lenograstim after chemotherapy in children with acute lymphoblastic leukemia(ALL). From September 2005 to August 2006, 157 cases(87 filgratim, 70 lenograstim) with acute lymphoblastic leukemia who had received G-CSF after chemotherapy at Seoul National University Hospital department of pediatrics were studied. We retrospectively analyzed the duration of G-CSF treatment, neutropenia and the frequency of neutropenic fever, IV antibiotic treatment. There was no significant difference in duration of GCSF treatment(5.3±3.7 vs 4.6±3.1 days, filgrastim vs lenograstim, Mean±SD), time to absolute neutrophil count(ANC) recovery to above 500/mm3(5.1±3.7 vs 4.7±3.0 days), febrile days(2.3±1.6 vs 2.3±1.5 days), and duration of antibiotic treatment(6.0±3.0 vs 5.7±2.7 days) Also, frequency of neutropenic fever and antibiotic treatment were similar in both groups. In summary, in terms of their clinical effect on neutropenia, the two G-CSF preparations appeared to have identical activity. A large-scale randomized prospective studies are necessary to confirm and evaluate the efficacy of two types of G-CSF.