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혈액투석환자의 우울, 자아존중감, 가족지지가 절망감에 미치는 영향
최인,한숙정 사단법인 인문사회과학기술융합학회 2015 예술인문사회융합멀티미디어논문지 Vol.5 No.4
The study is to examine the effects of depression, self-esteem and family support to hopelessness of patients taking hemodialysis. The Subjects were 147 patients who were taking hemodialysis three times a week in a hospital and clinic which is located in B city in Gyonggi-do. Data collection was performed from the 1st to 10th in September, 2014. Subjects’ average age was 52.4, male patients were 54.%, high school graduates were 48.3%, 57.1% had a religion, 85.7% had no jobs, 74.1% were economically difficult, most of them were taking hemodialysis three times a week. From the study, having a religion(β= .109), depression(β= .338), self-esteem(β= -.567), family support(β= -.137) were shown to affect the degree of hopelessness significantly, and adj R2 were 57.5. Findings suggest that intervention aiming at decrease of depression, nurturing of self-esteem, and improvement of family support are expected to lead to the decrease of hopelessness of patients taking hemodialysis. 본 연구는 혈액투석 중인 만성신부전환자의 우울, 자아존중감, 가족지지가 절망감에 미치는 영향을 규명하고자, 경기도 B시 소재 병원 및 의원에서 3회/주 혈액투석을 받고 있는 환자 147명을 대상으로 2014년 9월1일부터 10일까지 설문조사를 실시하였다. 대상자의 평균연령은 52,4세, 남성 54%, 고졸 48%, 종교가 있는 사람이 57.1%, 직업 없는 사람 85.7%, 경제상태 어려운 사람 74.1%, 투석횟수 3회/주 96.6%이었다. 종교(β= .109), 우울(β= .338), 자아존중감(β= -.567), 가족지지(β= -.137)는 절망감에 유의한 영향을 주는 것으로 나타났으며, 57.5%(adj R2)의 설명력을 나타내었다. 따라서 혈액투석환자의 우울감소, 자아존중감 증진 및 가족지지 향상을 통해 절망감을 감소시킬 수 있는 간호중재프로그램이 개발되어야할 필요가 있겠다.
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최인,황혜민 대한의료커뮤니케이션학회 2015 의료커뮤니케이션 Vol.10 No.1
Purpose: The purpose of the study was to explore discrimination, hopelessness and suicidal ideation and to identify related factors in elderly. Methods:A cross-sectional study was used to study 178 elderly, recruited from welfare center in Gyeonggi-do. The data was collected survey interview between 1 December and 20 December in 2014. Demographic factors, The Ageism Survey, Beck’s the hopelessness scale (BHPL), Suicide ideation Scale were investigated. Results:The major findings of this study were as follows: 1) Significant factors of suicidal ideation by Subject Characteristics were gender (t=2.56, p=.013), educational level (F=5.26, p=.006), perceived economic level(F=-3.18, p=.002), chronic disease (t=-1.99, p=.049), family type(t=4.12, p=.018). 2) A statistically significant relationship between hopelessness (r=.42, p<.001), ageism (r=.46, p<.001)and suicidal ideation. 3) The results of the regression analyses showed that ageism, hopelessness, gender and family type were statistically significant in predicting patients’ suicidal ideation. Conclusion:The result of this review provide a better understanding of ageism, hopelessness and suicidal ideation in elderly. Suicidal prevention program for elderly should be focused on results of the study.
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군인들의 우울 및 자살사고에 따른 풍경구성법(LMT) 반응특성연구
최인,오종은 한국예술치료학회 2013 한국예술치료학회지 Vol.13 No.2
본 연구는 군인들의 우울 및 자살사고에 따른 풍경구성법 반응특성이 어떠한지를 분 석하고, 군인들의 우울 및 자살사고를 측정하는 진단도구로서 풍경구성법의 유용성을 검증하는데 목적을 두었다. 연구대상은 경기 지역에 군복무중인 육군 304명을 대상으 로 하였으며, 연구도구로는 우울척도검사와 자살사고척도검사 및 가이토우(2012)의 풍 경구성법을 사용하였다. 풍경구성법 해석지표는 기정희(2009)의 풍경구성법 해석지표 와 채점기준을 본 연구에 맞게 재구성하여 사용하였으며, 구성지표(통합성. 공간사용. 형태의 사실성. 소묘선의 질. 테두리선과의 관계, 집의 형태에서 출입구, 다리, 부가요 소) 8개와 채색지표(채색정도, 요소채색의 적절성, 요소채색의 안정성, 색의 수, 혼색) 5개로 구분하여 반응특성을 분석하였다. 연구의 결과, 군인들의 풍경구성법 반응특성 은 우울 수준에 따라 유의미한 차이를 보였다. 구성지표 8개 중에서 통합성, 형태의 사실성, 집의 형태에서 출입구가, 채색지표 5개 중에서 채색의 적절성, 채색의 안정성 에 유의미한 차이가 나타났고, 군인들의 자살사고에 따른 풍경구성법의 구성지표 전 체는 유의미한 차이가 없었지만, 채색지표 5개 중에서 채색의 적절성에서 유의미한 차이가 있는 것으로 나타났다. 따라서, 군인들의 우울 및 자살사고에 따른 풍경구성법 반응특성이 유의미한 차이가 있는 것으로 나타나 풍경구성법이 군인들의 우울 및 자 살사고를 측정하는데 유용한 진단도구가 될 수 있음을 제시하고자 한다.
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Dental Care of Head & Neck Cancer Patients
최인 고신대학교(의대) 고신대학교 의과대학 학술지 1986 고신대학교 의과대학 학술지 Vol.2 No.1
Oral/dental care is an important consideration in all patients but is essential in patients undergoing anticancer therapy because the complications of oral cavity associated with head & neck cancer therapy are substantial. The systemic defensive mechanism of the patient is decreased due to anticancer therapy, especially by immunomyelosuppression. As a result of the decrease in defensive mechanism, a oral tissue may respond to mild irritation (example : an ill-fitting denture), and then becoming excessively inflammed. A greater than normal susceptivillity to infection also result from the systemic defensive mechanisms bein lowered. This result can curtail the effectiveness of the therapeutic action, delaying further scheduled treatment. The cancer therapy is chiefly performed with chemotherapy & radiotherapy and the complications of the chemotherapy are infection, mucositis, hemorrhage, and pain. On the other hand, the complications of radiotherapy including mucositis, xerostomia, loss of taste, loss of the elasticity of skin of neck, osteoradionecrosis, fibrosis of the temporomandibular joint, and radiation induced dental caries may follow. To avoid the above complications, the dentist must do an oral screening examination before cancer therapy (example : observing presence of dental calculus, broken teeth & faulty restorations, periodontal disease or prosthodontic appliance). Then, upen resolution of all complications, a prosthetic appliance may be fabricated. Thus, the period of hospitalization & treatment fee is minimized for a patient. In conclusion : the dental oncologist must strive to maintain a healthy oral/dental condition in the patient in cooperation with the chief medical doctor.
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JUVENILE ACTIVE OSSIFYING FIBROMA 의 치험례
최인,Choi, In 대한악안면성형재건외과학회 1991 Maxillofacial Plastic Reconstructive Surgery Vol.13 No.2
Ossifying fibroma is a rare benign tumor of the maxilla and the mandible. And its nosology and diagnosis have had many problems. It occurs more common in young adult, especially in female, and there is a predilection for the mandible. The lesion is generally asymptomatic and recurrence is rare after conservative excision. Among ossifying fibroma, juvenile active ossifying fibroma grows rapidly, produces many symptoms, and frequently recurs after conservative excision. Authers experienced a case of juvenile active ossifying fibroma which recurred after two times of conservative surgery, and report is with review of the literatures.
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최인,문홍섭 한국병원약사회 1998 병원약사회지 Vol.15 No.3
In our ongoing efforts to reduce drug expenditure, we are planning to the wound-rounding system by pharmacists. The purpose of the wound-rounding system were 1) education of nurses about drug storing conditions, 2) understanding of drug consuming pattern, 3) managing of drug that was not used for patients. We are expect some benefits in various area such as service for patients, hospital management and raising of pharmacist degree.
KCI
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