성인의 수면의 질 향상을 위한 감각통합중재의 효과: 단일사례 연구

홍초롱,유은영,박지혁,박혜연 대한감각통합치료학회 2019 대한감각통합치료학회지 Vol.17 No.2

Objective : The purpose of this study was to investigate the effects of a sensory integration intervention to improve sleep quality in adults. Methods : The subjects of the study were three sleepless adults with sensory defensiveness. This study applied a multiple baseline design out of a single-subject study, with the process comprising 4 basic lines, 7 basic lines, and 14 basic lines. The intervention was conducted 3 times per week for a total of 12 times. Overall sleep time, sleep latency, and the number of times that participants awoke at night were measured during every session. Sleep quality, sensory integration capabilities (including sensory defensiveness), and sleep satisfaction were measured before and after treatment. Results : A visual analysis of total sleep time, sleep latency, and number of waking times during the night as measured daily after the sensory integration intervention was applied showed no noticeable improvement in any of the subjects. Conclusion : This study is meaningful in that it applied a sensory integration intervention to adults and proposed sensory integration therapy as a new method of intervention to treat sleep disorders. 목적 : 본 연구는 감각통합중재가 감각방어가 있는 성인의 수면의 질 향상에 미치는 영향을 알아보고자 하였다. 연구방법 : 감각방어가 있는 비숙면군 성인 3명을 대상으로 연구 설계는 단일대상연구(single subject research)중 다중기초선 설계를 사용하였다. 기초선 기간은 대상자 1은 4회기, 대상자 2는 7회기, 대상자 3은 14회기로 하였고, 중재기간은 총 4주로 주 3회씩 총 12회기 개별 감각통합치료를 제공하였다. 모든 회기에는 총 수면시간, 수면 잠복기, 밤 중 깨기 횟수를 측정하였고 중재 전 후로 수면의 질 변화, 감각방어를 포함한 감각통합능력의 변화와 대상자의 수면 만족도 변화를 알아보았다. 연구결과 : 감각통합중재 적용 후 총 수면시간, 수면잠복기, 밤 중 깨기 횟수를 시각적으로 분석한 결과 모든 대상자에게서 눈에 띄는 향상은 보이지 않았다. 그러나 중재 전 후 평가에서 수면의 질과 대상자가 직접 보고한 수면만족도가 큰 폭으로 향상되었다. 또한 모든 대상자의 감각통합운동능력은 큰 폭의 향상을 보였다. 그러나 감각처리영역에서 일부 대상자는 눈에 띄는 변화가 없는 것으로 나타났다. 결론 : 본 연구는 성인에게 감각통합중재를 적용했다는 것과 감각통합치료를 수면장애치료를 위한 새로운 중재방법으로 제안했다는 점에서 의의가 있다.

성인에게 적용된 감각통합 중재에 대한 체계적 고찰

홍초롱,이선희,박혜연 대한감각통합치료학회 2018 대한감각통합치료학회지 Vol.16 No.1

목적 : 본 연구는 성인을 대상으로 한 감각통합 중재를 체계적으로 분석함으로써 감각 통합 중재를 성인에게 적용할 수 있음을 알리고 그 근거를 제공하는 것을 목적으로 한다. 연구방법 : 전자 데이터베이스인 Pubmed, Scopus, SAGE Journal, Medline, RISS 데이터베이스를 사용하여 1980년부 터 2017년까지의 논문을 검색하였다. 주요 검색어는“(sensory integration OR sensory processing OR sensory integrative OR sensory based OR sensory defensiveness) AND adult” 를 사용하였다. 최종적으로 8편의 논문을 본 연구의 분석대상으로 선정하였다. 선정된 논문은 Patient, Intervention, Comparison, Outcome(PICO) 형식을 사용하여 연구대상자, 중재 방법, 종속변인, 결과를 정리하였다. 결과 : 연구 대상자 유형에는 학습장애, 지적장애, 감각처리에 어려움이 있는 성인, 치매가 있었다. 종속변인에 따른 평가도구와 중재방법은 진단의 특성과 연구자의 연구 의도에 따라 다양하였으며, 중재결과는 대부분의 연구에서 효과적 인 것으로 나타났다. 결론 : 본 연구를 통하여 감각통합중재가 성인에게 적용될 수 있음과 그 효과를 확인할 수 있었다. 이는 작업치료사에게 임상적 근거를 제공하고자 하였으며, 추후에는 본 연구결과를 바탕으로 성인을 대상으로 감각통합중재를 적용하는 방법 에 대한 근거 마련을 위한 연구가 진행되어야 할 것이다. Objective : The purpose of this systematic review was to inform intervention of sensory integration in adult patients and to provide evidence regarding occupational therapy. Methods : Studies for this review were collected by searching the Pubmed, Scopus, SAGE Journal, Medline, RISS database for articles from 1980 to 2017, using the following keywords: “(sensory integration OR sensory processing OR sensory integrative OR sensory based OR sensory defensiveness) AND adult” A total of 8 studies were included in the analysis. The selected papers were analyzed by using PICO (Patient, Intervention, Comparison, Outcome) framework. Results : The participants' diagnoses were learning disabilities, intellectual disability, dementia and sensory processing disorder. Assessment tools and intervention methods varied according to the researcher’s intent. In most studies, sensory integration intervention was shown to be effective. Conclusion : This study was able to confirm that sensory integration intervention was available and effective for adult patients. This was intended to provide clinical evidence for occupational therapists, and further studies should be conducted to establish the application of sensory integration interventions to adults based on this study.

성인 발달장애 자녀를 둔 중고령 어머니의 사회참여경험에 관한 질적 사례연구

홍초롱,황영현 한국장애인개발원 2023 장애인복지연구 Vol.14 No.2

The purpose of this study is to examine the social participation experiences of middle-aged mothers who experienced social exclusion while caring for their children with developmental disabilities, and to seek policy and practical measures to support families of people with developmental disabilities. To conduct this study, in-depth interviews were conducted with six mothers who were the primary caregivers of adults with developmental disabilities. As a result of the analysis, 4 core themes, 8 high-level categories, and 17 low-level categories were derived. The core themes of social participation experience that emerged in the process of caring for children with developmental disabilities are as follows. First, a mother facing a disability throws herself. Second, speak out to a world that turns its back on your child. Third, Expansion of social participation and reduction of relationships. Fourth, Changes in social participation of aging mothers. Through this study, we were able to examine how primary caregivers speak out on behalf of their children and become more active in social participation due to the exclusion they experience depending on the child's life cycle. In addition, it was possible to observe how middle-aged mother’s social participation was reduced, maintained, or matured. Based on the research results, the need for parent education and peer counseling services utilizing the social participation experiences of ‘middle-aged mothers’ was presented.

간호사의 감정노동, 자아존중감과 직무태도에 관한 연구

홍상회;박상미;이은경;이윤주;우영화;김효진;최민선;김혜민;장혜윤;최경진;함초롱 중앙대학교 의과대학 간호학과 간호과학연구소 2008 중앙간호논문집 Vol.12 No.-

The purpose of this study is to explore the effect of nurses' emotional labor. self-esteem and job attitude This study was conduded by 192 nurses who attend the general hospital The collected data was analyzed by the SPSS WIN 12.0 program The result of the study is as follow: The job attitude at the total of 11 questions and 55 perfect score appeared with average 35(±6.23). Among the rest the job satisfadion in 30 perfect scores 20.10(is ±5.60) points. 'When completing a task, feels accomplishing feel' : this item was 3.88(±1.01) with was highest. The organized immersion item in 25 perfect scores 16.460(is±4.22) points. ‘Our hospitals the possibility of doing a best in business accomplishment in order to be. make an aspiration have and they make do as a favor and an item there is. 3.62(±.96) with was highest. The self-esteem and job attitude(r=.190 and p=.001) appeared with the fact that is a positive relationship, the self-esteem and emotional labor( r = -.151 and p = .05) appeared with the fact that is relationship of inverse correlation. In the above. selecting and arranging nursed to be, there will be needed both positioning in the appropriate station with the strong intention reflected by one's opinion that multiplies the self-esteem and the continuous education and training in order to control and manage oneself.

노인의 차별경험이 삶의 의미에 미치는 영향

홍초롱(Cho Rong Hong),최유나(Yuna Choi),남석인(Seok In Nam) 한국노년학회 2024 한국노년학 Vol.44 No.1

본 연구는 노인의 차별경험이 삶의 의미에 영향을 미치는 경로에서 자아존중감과 자율성의 순차적 매개효과를 검증하는데 목적이 있다. 이를 위해 서울 2곳과 경기도 1곳의 노인복지관을 이용하는 65세 이상의 노인 중 성별과 75세 연령기준 비율을 고려하여 연구참여자를 모집하였다. 2018년 5월부터 7월까지 대면 설문조사를 실시하였으며, 최종적으로 200명의 자료를 분석에 활용하였다. 분석 방법으로는 SPSS PROCESS macro 프로그램을 활용하여 매개변수가 2개인 다중매개모형 검증을 통해 이중매개효과를 확인하였으며, 부트스트랩을 활용하여 매개효과의 유의성을 검증하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 노인의 차별경험은 자아존중감에, 자아존중감은 자율성에 각각 유의한 영향을 미치는 것으로 나타났으나, 노인의 차별경험이 자율성과 삶의 의미에 미치는 직접효과는 유의하지 않았다. 둘째, 노인의 차별경험과 삶의 의미의 관계에서 자아존중감과 자율성을 순차적으로 경유하여 삶의 의미에 이르는 경로만이 유의한 것으로 나타나 순차적 매개효과가 확인되었다. 이러한 결과를 바탕으로 차별을 경험한 노인의 삶의 의미증진을 위한 정책적, 실천적 함의를 제시하였다. The aim of this study is to investigate the sequential mediating effects of self-esteem and autonomy in the pathway through which experiences of discrimination impact the meaning in life among older adults. To accomplish this, among the elderly aged 65 or older who use two senior welfare centers in Seoul and one in Gyeonggi-do, the study subjects were recruited by considering the ratio based on gender and 75 years of age. A face-to-face survey was conducted from May to July 2018. Data from 200 participants were ultimately analyzed. The SPSS PROCESS macro program was employed as the analytical tool to validate the dual mediation effect through a multi-mediator model with two parameters, and the significance of the mediation effect was confirmed using bootstrapping. The primary findings of this study are as follows: First, it was demonstrated that experiences of discrimination among older adults significantly influenced their self-esteem. Additionally, self-esteem exhibited a substantial effect on autonomy. However, the direct effect of experiences of discrimination on autonomy and the meaning in life among older adults was not found to be statistically significant. Second, in the relationship between experiences of discrimination and the meaning in life among older adults, only the pathway that traversed through self-esteem and autonomy sequentially was identified as significant, thereby confirming the presence of a sequential mediating effect. Based on these results, recommendations were provided in terms of social welfare policies and practical interventions aimed at enhancing the meaning in life for older adults who have encountered experiences of discrimination.

허혈성 뇌졸중의 위험 인자로서의 아포지방단백 B/A1 비

함초롱,홍기숙 이화여자대학교 의과학연구소 2012 EMJ (Ewha medical journal) Vol.35 No.1

Objectives: According to current knowledge, apolipoprotein B/A1 (apoB/A1) ratio is like to be risk factor in coronary artery disease. There is evidence form case-control studies that apoB/A1 ratio may be a superior to LDL and HDL cholesterol in discriminating coronary artery disease case subject from control subject. However, relationship between apoB/A1 ratio and cerebral ischemic stroke is undefined. The main object of this study is to determine whether the risk of cerebral ischemic stroke is related to levels of apoB/A1. Methods: The study group included 643 patients (Men, 372; Women, 271) who diagnosed cerebral ischemic stroke between January 2008 to December 2010. The control groups were composed of 378 patients (Men, 139; Women, 239) who diagnosed other neurological disease. The correlation between lipid profiles and odds ratio of 10 preliminary risk factors (total cholesterol, triglyceride, LDL, HDL, apoA1, apoB, apoB/A1 ratio, non HDL, total cholesterol/HDL ratio, LDL/HDL ratio) for stroke were analyzed. Results: ApoB/A1 ratio was significantly increased in case patients compared with control subjects. Multivariate logistic regression analysis identified decrease of apoB/A1 ratio (odds ratio [OR], 1.583; 95% confidence intercal [CI], 1.105∼2.269) as significantly associated with stroke. Individual apoA1 (OR, 1.303; 95% CI, 0.967∼1.755) and apoB (OR, 1.397; 95% CI, 0.773∼2.523) were also not significantly associated with cerebral ischemic stroke. Conclusion: Increase of apoB/A1 ratio is associated with an increase risk of cerebral ischemic stroke. Use of apoB/A1 ratio is efficient as conventional lipids, for the identification of subjects at increased risk of stroke. So apoB/A1 ratio to standard lipid profile testing could improve the evaluation of risk factors of cerebral ischemic stroke.

감초추출물의 지방세포와 조골세포에 대한 분화효과

서초롱(Cho-Rong Seo),변종선(Jong Seon Byun),안재진(Jae Jin An),이재환(JaeHwan Lee),홍정우(Joung-Woo Hong),장상호(Sang Ho Jang),박계원(Kye Won Park) 한국식품영양과학회 2013 한국식품영양과학회지 Vol.42 No.7

창과감초(Glycyrrhiza inflata Batal)는 한약재의 조화를 돕고 해독, 항염증, 항궤양 등의 약리작용으로 한방에서 널리 이용되는 약용식물이다. 본 연구에서는 지방세포와 조골세포에서 감초의 생리활성을 확인하고자 감초에탄올추출물(GBE)을 이용하여 세포분화 촉진여부를 조사하였다. GBE의 세포독성여부를 통해 안전하다고 확인된 1~30 μg/mL의 농도 내에서 실험이 진행되었고 지방세포 분화조건에서 다분화능 세포 C3H10T1/2과 지방전구세포 3T3-L1의 Oil Red O 염색을 통해 GBE의 지방세포분화 촉진효과를 확인할 수 있었다. 또한 지방세포의 핵심전사조절인자인 PPARγ와 그의 표지유전자 aP2, AdipoQ, C/EBPα의 발현량 증가를 통해 GBE의 지방세포분화 촉진효과를 재확인하였다. 이와 일관된 결과로서 조골세포 분화조건에서 다분화능 세포 C3H10T1/2과 조골전구세포 MC3T3-E1의 ALP 염색을 통해 GBE의 조골세포분화 촉진효과를 확인하였고 조골세포 표지유전자인 ALP, RUNX2, osterix, collagen의 발현량 증가를 통해 GBE의 조골세포분화 촉진효과를 재확인하였다. 이에 따라 본 연구에서는 GBE의 지방세포와 조골세포 분화효과를 매개하는 감초의 구성성분을 조사하기 위해 GA(glycyrrhizic acid)와 LA(licochalcone A)의 분화촉진 여부를 확인한 결과, GA는 영향을 주지 않으나 LA가 GBE의 세포분화효과를 매개한다고 사료된다. 따라서 본 연구에서는 제2형 당뇨와 그에 수반되는 골질환과 골다공증에 대한 치료 소재로서 GBE와 그의 생리활성을 매개할 수 있는 LA의 가능성을 보았으며 GBE에서 분리되는 다양한 화합물의 동정 및 생리활성 효과, LA와의 상승효과 등의 추후 연구가 기대된다. Glycyrrhiza inflata Batal, an important species of licorice, is one of the most widely used medicinal plants for over 4000 years. Glycyrrhiza plant species has been well known for its various therapeutic activities such as anti-inflammatory, anti-allergic, and anti-ulcer. The purpose of this study was to determine the effects of Glycyrrhiza inflata Batal ethanol extracts (GBE) on adipocyte and osteoblast differentiation. Mesenchymal C3H10T1/2 cells were treated with sub-cytotoxic doses of GBE, and its effects on adipocyte differentiation were assessed. We found that GBE dose-dependently increased lipid accumulation and also induced the expression of adipocyte markers, such as PPARγ and its target genes, aP2, and adiponectin, in C3H10T1/2 cells. Consistently, similar effects of GBE on lipid accumulation were also observed in preadipocyte 3T3-L1 cells that further supports the pro-adipogenic activities of GBE. We also investigated the effects of GBE on osteoblast differentiation of mesenchymal C3H10T1/2 cells. As a results, we found that GBE increased the activity of alkaline phosphatase in a dose-dependent manner and also promoted the expression of osteoblast markers, such as ALP and RUNX2, during osteoblast differentiation of C3H10T1/2 cells. Similar pro-osteogenic effects of GBE were also observed in preosteoblast MC3T3-E1 cells. Finally, our data show that a major bioactive compound found in Glycyrrhiza inflata Batal, licochalcone A (LA) but not glycyrrhizic acid (GA), can mediate the pro-adipogenic and pro-osteogenic effects of GBE. Taken together, this study provides data to show the possibility of GBE and its bioactive component LA as putative strategies for type 2 diabetes and bone diseases.

Fenpyrazamine 생태 독성 및 함유품목의 위해성 평가

홍순성,정미혜,유아선,박초롱,박경훈,박재읍,장근복 한국농약과학회 2012 한국농약과학회 학술발표대회 논문집 Vol.2012 No.4

어린이 교육프로그램을 통한 익산시 어린이의 신체성장에 대한 조사

박초롱,홍다정,최정남,유란희,최일숙 한국식생활문화학회 2017 한국식생활문화학회학술대회논문집 Vol.2017 No.05

Bacillus subtilis M 27 원제 생태독성 및 함유품목의 생태위해성 평가

박초롱,홍순성,정미혜,유아선,박경훈,박재읍 한국농약과학회 2012 한국농약과학회 학술발표대회 논문집 Vol.2012 No.4