임신악조를 경험하는 임부들의 식이에 관한 조사 연구

이미라 中央醫學社 1975 中央醫學 Vol.29 No.5

This study is made to observe the change in amount of food intake and food preference of the pregnant women who experience nausea. 185 women, who visited parental clinic in their ante partum course and delivered in Seoul National University Hospital, from Nov. 1, 1974 to June 30 1975, were chosen for this study. They were asked whether there is a change in amount of food intake, according to place and person with whom they eat; and whether they like each spice and each taste, temperature and solidity of food, or not. Also they were asked what the agreeable eating method is and kinds of food they like or dislike during the period of nausea. The results are reviewed statistically and they are as follows: 1) 90 subjects(49. 65%, P<0. 001) eat poorly at home; 134(72.43%, P <0. 001) eat well outdoors. 2) 80 subjects (43. 2%, P<0. 05) eat poorly alone; 117(69.6%, P<0. 001) eat well with their husband, 93 (52.84%, P<0.001) with relatives on their side, and 75 (42. 13%, P<0. 005) with friends. :3) Cold food is agreeable to 119 subjects (64. 32%, P<0.001) ; warm food disagreeable to 89 (48. 11%, P<0.001). Hot temperature of food is agreeable to 86(46.49%) and also disagreeable to 85 (45.94%). 4) Solid food is disagreeable to 89 subjects (48. 11%, P<0.001) ; moderately solid food agreeable to 97(52.43%, P<0.001), soft food to 86 (46.49%, P<0.001), and liquid to 103(55.68%, P<0.001). 5) In main dishes, foods tasting hot is agreeable to 103 subjects (55.68%, P< 0. 001) and sour to 92 (49. 73%, P<0. 001) ; foods tasting salty disagreeable to 108 (58. 38%. P<0. 001), and sweet to 83 (44.86%, P<0.001). In dessert, foods tasting sour is agreeable to 100 subjects (54. 06%, P<0.001), and sweet to 98 (52.97%, P<0. 001) ; foods tasting salty disagreeable to 112(60.54%, P<0. 001). 6) Moderately seasoned foods is agreeable to 83 subjects (44. 8%, p<0. 001) ; simply seasoned foods disagreeable to 100 (54.06%, P<0.001). Highly seasoned foods is agreeable to 80 (43. 24%) and also disagreeable to 76 (41. 08%). 7) The agreeable spices are hot bean paste in 105 subjects (56. 75%, P<0. 001) red pepper in 88 (47.57%, P<0.001) and bean paste in 84(45.41%, P<0. 001) . The disagreeable ones are soy sauce in 99 (53. 1%, P<0. 001), garlic in 96 (51.89%, P<0.001), welsh onion in 89 (48. 11%, P<0.001) and sesame oil and other oils in 85(45.95%, P<0.001). 8) The agreeable eating methods are eating rice and soup or water mixed in 104` subjects (56.22%, P<0. 001) and eating rice and other dishes mixed in 92(49. 73 %, P<O. 001). The disagreeable ones are eating rice and soup separately in 86 (46.49%, p<O. 001) and drinking water after finishing rice and other dishes in 81(43.78%, P<0.001). 9) Foods which pregnant women prefer are fruits in 78 subjects (42. 16%), meat in 41 (42.16%), foods made sixth flour in 28 (15. 113%), and radish or other, vegetables in 21 (11. 35%). 10) Foods which pregnant women dislike are kimchi in 43 subjects (23.24%),, meat and fried foods in 20 (10.81%) respectively, and fishes in 18 (9.72%).

재벌기업의 언론통제에 관한 연구

이미라 충남대학교 법경대학 경영동우회 1998 經友論集 Vol.29 No.-

능동적 힘과 정치

이미라 중앙대학교 중앙철학연구소 2022 철학탐구 Vol.67 No.-

For Nietzsche, active force is a term that has 'a new beginning', and politics is a term that has the anti-chronic nature, as key elements, and at first glance the two terms seem friendly. However, the concept of active force has been treated as an obstacle to the expansion of Nietzsche's thinking into a political dimension in that it is carried out on a personal level, and has an element of strength. This paper argues that active force can be better enhanced in collective and political activities in that the 'new beginning' of active force itself is already political, and that 'new beginning' is possible through coexistence and contact with heterogeneous things. Its basis is a physiological point of view. On the one hand, it shows that strong people who have active force as a component also have a tendency to gather in terms of enhancing power, and on the other hand, in terms of affect, it shows that strong people can also gather by the pleasure of unity. Based on this discussion, we try to reinterpret Nietzsche's statements, which have been interpreted as claiming the incompatibility of the two terms, while analyzing the way active force operates within a group through the concept of affection. 니체의 사유에서 능동적 힘은 ‘새로운 시작’을, 정치는 반시대성을 핵심요소로 갖는 용어다. 얼핏 두 용어는 친화적인 것처럼 보인다. 그러나 개인적 차원에서 발휘되고 영위된다는 점, 강자의 성분을 갖고 있다는 점 등을 이유로, 능동적 힘 개념은 니체의 사유를 집단적·정치적 차원으로 확장하는 데 방해 요소로서 취급 당해왔다. 본 논문은 능동적 힘의 ‘새로운 시작’ 자체가 이미 정치적이라는 점, ‘새로운 시작’은 이질적인 것과의 공존과 접촉을 통해 가능하다는 점에서, 능동적 힘이 집단적·정치적 활동 속에서 더 잘 고양될 수 있다는 주장을 편다. 그 근거로서 생리학적 관점에서, 한편으로는 힘의 고양 측면에서 능동적 힘을 성분으로 갖는 강자 역시 모이는 성향을 갖고 있다는 점을, 다른 한편으로는 감응(affect)의 측면에서 강자 역시 단결의 쾌감에 의해 모일 수 있다는 점을 보인다. 이에 대한 논의를 바탕으로 두 용어의 비친화성을 주장한다고 해석되어 왔던 니체의 진술들을 친화성의 관점에서 재해석을 시도하는 한편, 능동적 힘이 집단 안에서 작동하는 방식을 촉발(affection) 개념을 통해 분석한다.

Roy 적응모형 근거한 모성간호학 교육과정

이미라 중앙대학교 의과대학 의과학연구소 1987 中央醫大誌 Vol.12 No.4

Maternity nursing aims to help the pregnant womem and her family keep their health during the period of pregnancy and childbirth. Most of the nursing theorist agree on the poinion that nursing focus it's attention on human and his need, not on disease. But, maternity nursing have framed a theory based on medical model. Consequently, there was discrepancy between the educational objectives and the theoretical framework in maternity nursing, and this made the nursing students loose their interests of learning, and think that nursing is hard to understand. This study was made to revise the curriculum content of maternity nursingaccording to the newly developed nursing model for the purpose of increasing the degree of learning satisfaction of the nursing students and providing good quality of care to the client. To provide the function of curriculum revision, educational philosophy of Chung Ang University and department of nursing, assumption and philosophy of maternity nursing, and twelve nursing modela were reviewed. Among twelve nursing models, Roy's adaption model was selected, because it was thought to be easy for the nurses who were familiar with nursing based on medical model to understand. Revision of maternity nursing curriculum was progressed as follows. First of all, new educational objectives were stated as follows. Completing the course of maternity nursing, students are able: 1. to do first level assessment to the client who are experiencing pregnancy and childbirth. 2. to do second level assessment with thw stimuli which caused ineffective response in the client. 3. to describe the ineffective responses in terms of nursing diagnosis. 4. to plan nursing intervnetion to change or to reduce the stimuli which caused ineffective response. 5. to evaluate the results of nursing intervention. Then, present curriculum content was classified according to Roy's adaptation model and serveral assessment tools were developed as needed. Recommendations for further studies are as follows. What stimuli influence role function mode of the client during the ppregnancy? What is the effective nursing intervention to keep the teen-aged pregnant women and unmarried pregnant womem adapt positively to their problem? What stimuli influence self concept mode of the client during the labor? What is the effective nursing intervention to help the client greving over loss of new born infant and having anomalous one? What are the ineffective responses that can happen in role function mode and interdependence mode during labor? What is the effective nursing intervention to reduce postpartal biue during the puerperal period? What are the ineffective responses that can happen in interdependence mode during the puerperal period? What nursing diagnosis can be derived from four adaption mode during the period of pregnancy, labor and puerperium?

심장 수혜 경험에 대한 현상학적 연구

이은숙,이미라 중앙대학교 의과대학 간호학과 간호과학연구소 1997 간호과학연구 Vol.1 No.1

The purpose of this study was to present basic data in the nursing practice for the management of heart transplantation recipient by understanding the nature and the meaning of heart transplantation recipients experiences. The research subjects were 10 heart trans-plantation recipients who had transplanted from Nov. 1992 to Aug. 1995 and hospitalized or discharged from A. hospital in Seoul. Data were collected by the author through in-depth interviews from Jan. to Aug. in 1995. Interviews were tape recorded. And then transcribed. Data were analyzed by Van Kamm's Phenomeno-logical method. The experiences of heart trans-plantation recipients were analyzed pre and post transplantation. The results of this study are as follows; 1. Pre-Transplantation experience 9 common factors from 45 descriptive expressions were grouped under 3 higher categories. 5 common factors such as「Impendence」,「Doubt to transplantation」,「Pain」,「Dread」,「Fretfulness」were categorized <Crisis>. 2 factors such as「death」.「Self-abandonment」were categorized <Despair>. 2 factors such as 「Dependence of faith」 were categorized <Support>. Namely, it appeared that recipients had experienced crisis, despair, and support before transplantation. 2. Post-transplantation experience 17 common factors from 73 descriptive expression were grouped under 5 higher categories. 6 common factors such as「Rapid recovery」,「Gratitude」,「Relief」,「Generosity」,「Re-birth」,「Identification」were categorized <Satisfaction>. 5 common factors such as「Annoyance of routine medication」,「Weakness」,「Weight change」,「Financial burden」,「Difficulty to sleeping」,「stress to isolation」were categorized <Feel unwell>. 2 common factors such as 「Adaptation to difficulty of daily living」,「Financial burden」were categorized <Burden>. 1 common factor such as「Expectation to residual life」was categorized <Expectation> 2 common factor such as「Depersonality」, 「Strange feeling」 were categorized <Deperxonality>. Namely, it appeared that recipients had experienced satisfaction, feel unwell, burden, expectation, and depersonality after transplantation. In conclusion, these results indicate the need for a truthful care by medical staff in which heart transplantation recipients and his family are supported to emotional and educational part from pre-transplantation care reach to follow-up management. And intervention basd on these results should be developed that are tailored to particular need of this very specialized group of heart recipient and his family.

심근 경색증 환자들이 지각하는 희망원에 대한 연구

김순옥,이미라 성인간호학회 1992 성인간호학회지 Vol.4 No.1

This study aims to ascertain the resources of hope found and entertained by the myocardial infarction patient through their own efforts, so that their life span could be prolonged and they could have the better quality of life with their incessant will to take over the sick-role behavior of serious and chronic myocardial infarction relying on their resources of hope. The subjects of this study are those male patients who were hospitalized at one Hospital in Seoul for January-March of 1992, whose ages range over 30-60, whose first symptoms of disease appeared 6 days before, and who had their own insight into their diseases. The data for this study were collected through the undstructured open-ended interview with every patient for 3-4 times and 1-3 hours each time. The collected data were analyzed following Giorgi's phenomenological analysis method. The results of this study are as follows : 1. The hope of subjects was found to be divided into the presently one and the futuristic one, in the dimension of time. Most of the resources of the resources of hope to be felt in the present time were the earthly ones, such as physician, health care team, family, visitors, physician's skill, newly developed medical maes, efficiency of the advanced surgical operation and so forth. The most powerful resource of hope was the physician in charge. Most of the resources of hope to be felt in the future were earthly ones, such as the possibility of advancement of medical science, patient's will to take over Suggestions for further studies are as follows : For the patients of reinfraction or of more heart attacks, it is necessary to ascertain what resources of hope still exsist among them.

High Output Management 앤드류 그로브의 관리 혁명

이미라 충남대학교 법경대학 경영동우회 1996 經友論集 Vol.27 No.-

부산 창작문화 및 국악 연주문화

이미라 민족음악연구소 1991 음악과 현실 Vol.1 No.-

서울시 거주 노인의 경제활동과 사회복지서비스 이용이 삶의 질에 미치는 영향: 사회활동의 조절효과를 중심으로

이미라 동의대학교 지방자치연구소 2018 공공정책연구 Vol.35 No.1

본 연구는 서울시 거주 노인의 삶의 질에 영향을 미치는 요인을 살펴보기 위해 경제활동 경험과 사회복지서비스 이용이 삶의 질에 미치는 영향력을 살펴보고, 이 과정에서 사회활동의 조절효과를 검증하고자 하였다. 이를 위해 「2015년 서울복지실태조사」자료 를 활용하였고, 원자료 중 가구주의 연령이 만 60세 이상인 960명 의 설문 내용을 분석에 사용하였다. 연구결과를 살펴보면, 사회활동을 잘 하는 사람의 경우에는 삶 의 질에 미치는 영향들 중 경제활동이 덜 중요하지만, 사회활동을 많이 하지 않는 사람들에게는 경제활동이 삶의 질에 더욱 중요한 영향을 미친다는 것을 확인할 수 있었다. 그리고 사회복지서비스 이용과 삶의 질의 관계에서 사회활동은 조절효과를 하지 못하는 것으로 나타났다. 이상의 결과를 토대로 서울시 노인복지 정책에 대한 함의를 제시하였다.

전신마취 수술환자의 수술전후 경험

양기우,이미라 중앙대학교 의과대학 간호학과 간호과학연구소 1997 간호과학연구 Vol.1 No.1

This study was to understand the experience of patients before and after operation with General Anesthesia. and find specific nursing intervention unique to each patient. So that they could keep peaceful mind and recover sooner. Subjects were 20 adult patients who were operated under general anesthesia in a university hospital in Seoul. They did not have any complication, were alert enough to be interviewed and agreed willingly to participate in this study. Data were gathered through in-depth interview using some open and unstructured questions from June to July, 1995. Author interviewed each objective once before operation and twice after operation. Interview tooks from 20 minutes to 40 minutes. Interviews were tape recorded and transcribed by author later. Transcription tooks from 2 to 3 hours. Data were analyzed by Giorgi's phenomenological analysis method. Similar data were grouped into higher categories and named. Results were as follows. Preoperative experiences were categorized into "anxiety", "self-comfort", "transcendental attitude", "discomfort", "sleep dissatisfaction". Postoperative experiences were categorized into "discomfort", "wound pain", "satisfaction", "dissatisfaction". Before operation, most patients felt anxiety on the possibilities of postoperative pain, complication or failure of awakening from anesthesia before operation, Which caused sleep disturbance. And preoperative tests or interventions and noisy ward environment added burden. But patients tried to keep peaceful mind expecting good results or relying on medical teams. Some patients who had religion relied on God to overcome anxiety. Exposure to other's eyes and careless handing of stretcher car on which preoperative patients were lying on the way to operating room made most patient have low self esteem. After operation, patients suffered mostly from wound pain, nausea, vomiting, powerlessness, and immobilization etc. A special treatment to reduce wound pain gave patients much satisfaction. Late response of medical teams to patients's need made them unsatisfied. Patients thanked much for nurse's visit for pre-and post-operative education and nurse's concern on them Suggestions for further studies were as follows. 1) Based on this results, pro- and post-nursing interventions were to be developed. 2) Repeated studies were needed on different subjectives. 3) A suggestion of pre- and post-operative visit to surgical patients.