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연구논문 : 새터민 중고령자의 남한에서의 치료추구행위 경험에 대한 연구
최명애 ( Myoung Ae Choe ),최정안 ( Jung An Choi ) 서울대학교 통일평화연구원 2009 통일과 평화 Vol.1 No.1
본 연구의 목적은 새터민 중고령자의 남한에서의 치료추구행위 경험을 파악하기 위함이다. 연구참여자는 서울에 거주하는 40세 이상의 새터민으로 남한에 거주하는 동안 적어도 한 가지 이상의 만성질환을 앓은 경험이 있는 자로 하였다. 치료추구와 관련된 경험을 도출하기 위하여 심층면담을 실시하였으며 주로 연구참여자들의 거주지에서 이루어졌다. 심층면담 자료를 질적 주제 내용 분석방법으로 분석한 결과, 새터민 중고령자들이 남한에서 경험했던 치료추구행위와 관련된 경험은 ``치료와 관련된 새로운 경험`` 그리고 ``치료추구행위 행태``로 나타났다. 치료와 관련된 새로운 경험은 세부 주제로 ``남한에서 확인한 몸의 이상 상태``, ``낯선 치료환경``, ``의료비 혜택과 부담`` 그리고 ``건강증진에 대한 관심증가``로 나타났다. 치료추구행위 행태와 관련된 세부주제는 ``의료 전문가 지시 이행하기``, ``자가 처방으로 증상 관리하기``, ``보완·대체요법 추구하기``로 나타났다. 본 연구 결과를 바탕으로 건강전문가들은 새터민들에게 체계적이고 구체적인 건강관리를 제공할 필요가 있다. Purpose: The purpose of this study was to explore treatment-seeking behavior of middle-aged and old-age Saetomins in South Korea. Method: The participants for this study were 11 Saetomins aged over 40 years and living in Seoul. They experienced at least one chronic disease while staying in South Korea. An in-depth interview of the 11 subjects on their experiences was conducted at their residence places. Content analysis was conducted on the qualitative data. Results: Two broad themes were identified from our content analysis; ⑴ new experience related to treatment, and ⑵ types of treatment-seeking behavior. Under the heading of major theme 1, four sub-themes were identified; ⒜ physical abnormalities that were discovered after arriving in South Korea, ⒝ an unfamiliar treatment environment, ⒞ the cost and the benefit of the medical treatment, ⒟ an increased concern about one`s improving health. Under the heading of major theme 2, three sub-themes were identified; ⒜ being compliant with medical care, ⒝ managing symptoms with self-treatment, ⒞ seeking complementary and alternative treatment. Conclusion: Based on the results, we draw the conclusion that the Saetomins pursued various treatment-seeking behaviors. Therefore, the health care providers should provide systematic and specific health care services for Saetomins.
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과민성 장 증후군의 특성과 병태생리 및 위험요인에 대한 고찰
박미정,최명애,김금순,홍해숙,이경숙,정재심,채영란,안경주,신기수,최정안,Park, Mi-Jung,Choe, Myung-Ae,Kim, Keum-Soon,Hong, Hae-Sook,Lee, Kyung-Sook,Jeong, Jae-Sim,Chae, Young-Ran,An, Gyeong-Ju,Shin, Ki-Soo,Choi, Jung-An 한국재활간호학회 2005 재활간호학회지 Vol.8 No.2
Purpose: Irritable bowel syndrome (IBS) is frequently yet little understood disease. Review was performed to promote understanding on the characteristics, pathophysiology, and risk factors of IBS. Content: IBS is characterized by abdominal discomfort associated with pain and altered bowel function; structural and biochemical abnormalities are absent. Generally IBS is more prevalent in women and people with higher educational and social background, but there are some controversies. IBS is diagnosed by the Rome II or Manning criteria after excluding organic gastrointestinal diseases. The pathophysioloy is explained by abnormal control mechanism of central and enteric nervous system. Mucosal immunity, secretions, and neurotransmitter are also associated with the hypersensitivity and motility change of bowel function. Stress is known as a major triggering factor and contributed to symptoms. Other risk factors are genetic elements, childhood experiences, inflammation, anxiety, depression, diet, and sleep disorders.
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율동 훈련의 폐경기 여성의 불편감, 혈중지질 농도 및 삶의 질에 미치는 영향
최정안,최명애 서울대학교 간호대학 간호과학연구소 1999 간호학 논문집 Vol.13 No.2
Regular long term dance movement is considered to be one of the effective ways to change blood lipids level and to decrease menopausal discomforts, and then to induce improvement of quality of life in menopausal women. This study was focused on the effect of dance movement training on total cholesterol concentration, HDL-cholesterol concentration, LDL-cholesterol concentration, triglyceride concentration, atherognic index, menopausal discomforts, and quality of life. Thirty subjects, aged between 45 and 59 years who have experienced menopausal discomforts in Kyung Gi province, were chosen. Fifteen experimental groups subjects participated in a 12 week dance movement program. The dance movement program was developed on the basis of Korean traditional dance and music. The program consists of 50 minutes of dance, 3 times a week for 12 weeks. In the 50 minute workout, there were 15 minutes of warm-up dance, 25 minutes of conditioning dance and 10 minutes of cool-down dance. The intensity for the conditioning phase was at between 50% and 70% of age-adjusted maximum heart rates. Total cholesterol concentration, HDL-cholesterol concentration, LDL-choleserol concentration, triglyceride concentration, atherogenic index, menopausal discomforts, and quality of life were measured prior to and after the experimental treatment. The data were analysed using the SPSSWIN program. Ordinary statistical methods were applied to calculations of mean values and standard deviations. The independent two tailed t-test and Fisher's exact test were used to compare the general characteristics, extraneous variables, and the other variables between the experimental and control group. The independent one tailed t-test was used for testing the significance of the difference. The results were obtained as follows: 1) Score of menopausal discomforts of the experimental group was significantly lower than that of the control group after 12 weeks of dance movement training(t=-2.73, p=.006) 2) No significant differences in total cholesterol concentration(t=.407, p=.344), LDL-cholesterol concentration (t=.342, p=.368), triglyceride concentration (t=-.849, p=.202), and atherogenic index(t=-.793, p=.218) were observed between the experimental groups and control and the other variables between the experimental and control group. The independent one atherogenic index(t=-.793, p=.218) were observed between the experimental group and control group. And HDL-cholesterol concentration (t=2.056, p=.025) after 12 weeks of dance movement training was significantly higher than that of the control group. 3) Score of quality of life of the experimental groups was significantly higher than of the control group after 12 weeks of dance movement training (t=3.456, p=.002).
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