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.

중학교 가정과 '인간발달과 가족관계' 영역의 교육자료 (CD-Rom) 개발 및 현장 적용 연구 : 실천적 추론 수업을 중심으로

유태명,장혜경,유지연,김주연,김항아,김효순 한국 가정과 교육 학회 2000 한국가정과교육학회지 Vol.12 No.3

The purpose of this study is to develop lesson plans. teaching guide, and teaching materials applying practical reasoning teaching model in the area of 'human development and family relationship' in middle school home economics. The practical reasoning teaching model consists of five factors: Desired results, Awareness of context. Alternative approaches, Consequences of action, and Action. This study based on practical reasoning has following process: Curriculum development, Developing lesson plan. teaching material, and teaching guide. Experimental teaching and evaluation, Feedback, Production of CD-Rom. Teaching guide includes lesson Plan. workbook, multimedia materials and teaching resources, Especially teaching guide in CD-Rom can be used effectively in the actual teaching. In the classroom, this teaching model accomplished active and interesting Participation of teachers and students. It is proposed that practical reasoning teaching model should be applied to other areas of home economics. In addition, various teaching materials based on Practical reasoning need to be developed.

치매환자 조호자를 위한 교육지지프로그램의 효과성에 관한 비교연구

송 흡(Heup Song),강재명(Jae Myeong Kang),김병규(Steven B. Kim),조성진(Seong Jin Cho),윤선경(Seon kyung Yun),윤혜진(Hye jin Yoon),연병길(Byeong Kil Yeon) 대한노인정신의학회 2017 노인정신의학 Vol.21 No.1

Objective:We studied the effect of Hyu-Sig-Gong-Gan and Hye-Ah-Rim on several evaluations and compared the two programs. We then investigated factors associated with the difference between pre- and post-ratings. Methods:Thirty-six patients were randomized to Hyu-Sig-Gong-Gan (n=23) or Hye-Ah-Rim (n=13). We tested for the effect of each program on several evaluations and compared the two programs through Zarit Burden Interview (ZBI), Center for Epidemiologic Studies-Depression Scale, Dementia Attitude Scale (DAS)-intelligence, DAS-comfort and DAS-total. We then investigated whether the difference between pre- and post-rating depends on other factors. Results:We observed significant positive effect of Hyu-Sig-Gong-Gan on DAS-comfort (t=1.843, p=0.039) and significant positive effect of Hye-Ah-Rim on ZBI (t=-2.327, p=0.019), DAS-comfort (t=2.241, p=0.022), and EuroQol-5 Dimensions-Visual Analogue Scale (t=2.537, p=0.013). For comparing the two programs, we found a lack of evidence for the difference in any of the five commonly observed evaluations. In the secondary analysis, we observed a strong trend that the two programs were particularly effective for caregivers with negative pre-ratings. Conclusion:The two programs showed positive effects on the various evaluations, but some evaluations could not reach statistical significance. The programs appear to be particularly helpful for those who are in need before the program participation.

Clopidogrel에 의해 발생된 전신 염증 반응 증후군 1례

김민환,김종훈,박경일,박혜연,황철웅,김의석,도준형,남궁준,이성윤,이원로 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Clopidogrel bisulfate, a widely used inhibitor of platelet aggregation, is considered at least as safe as aspirin. We describe a 61 year old male patient who developed a systemic inflammatory response syndrome consisting of high fever, rash, chills, impaired liver function, and mild leukopenia after receiving clopidogrel after coronary angiography and stent implantation. The reaction resolved promptly after withdrawal of the drug, thus making the diagnosis of a clopidogrel induced reaction highly probable.

영구치의 선천적 결손을 동반한 복합 치아종

김하나,김재곤,백병주,한지혜,양연미 大韓小兒齒科學會 2007 大韓小兒齒科學會誌 Vol.34 No.4

치아종은 치아조직의 비정상적인 과성장으로인해 형성되는 외배엽성 상피세포와 중배엽세포로 구성된 혼합종양이다. 양성 치성 종양 중에서 가장 흔하며 신생물이라기보다 과오종으로 보고 있다. 치아종은 악골내 모든 부위에서 발생할 수 있지만 치아와 유사한 복합 치아종은 비교적 상악 전치부에 호발하고,불규칙한 형태를 나타내는 복잡 치아종은 하악 구치부에 호발한다. 일반적인 증상이 없어 일상적인 방사선 검사에서 주로 발견되며 영구치의 맹출지연이나 매복,유치의 만기잔존 등의 원인이 될 수 있지만 영구치의 선천적 결손을 동반한 증례는 매우 드물다 치료는 외과적 제거가 추천되며 완전한 적출시 재발은 드물다. 본 증례는 영구치의 선천적 결손을 동반한 복합 치아종 환자에 대하여 보고하는 바이다. Odontoma is the most common benign odontogenic tumors, and have been defined as mixed odontogenic tumor composed of epithelial and mesenchymal cells. Odontoma is believed to be hamartomatous rather than neoplastic in nature. The classification by WHO divides odontoma into 2 groups such as complex odontoma and compound odontoma. Compound odontoma comprises dental tissues, resembling the morphology of a tooth and has predilection for the anterior maxilla, In contrast, complex odontoma has unorganized mass, not resembling the normal tooth and has predilection for the posterior mandible. Odontoma is almost asymptomatic, so it is usually found on routine radiographic examination. Common presenting symptom is impacted or unerupted permanent teeth and retained primary teeth, but coexistent odontoma and congenital missing of permanent teeth is a very rare condition. The recommended treatment for an odontoma is conservative surgical excision, with care taken to remove the surrounding soft tissue. This report presents 2 patients with compound odontoma of the mandible who have congenital missing of the permanent teeth.

초등학교 고학년 학생의 구강보건에 관한 인식 및 행동

김영경,문혁수,정재연,한수진,이병진,김은경,정혜련 韓國學校保健學會 2001 韓國學校保健學會誌 Vol.14 No.1

The purpose of this study was to collect basic data for the development of effective oral health education program in elementary school. The subjects in this study were 604 fourth-year, fifth-year and sixth-year students of an elementary school in Seoul. Oral health awareness and behaviors were surveyed and analyzed. The findings of this study were as follows: 1. The most common time for toothbrushing was after dinner(62.0%) and before bedtime(62.3%). By school year, the largest number who brushed their teeth after dinner were fourth and fifth graders while the greatest number who did so after breakfast were sixth graders Seventy-four percent of respondents brushed the teeth twice or more a day. By school year, the fifth-year students brushed their teeth the least while girls outperformed the boys in daily toothbrushing frequency(p<0.05). Regarding the intake of cariogenic food, 62.1% took that kind of food once or more a day. By school year, the fifth graders took the most (p<0.05), and girls took more cariogenic food than the boys(p<0.05). 2. Ninety percent of the respondents had visited a dental clinic. By grade, the sixth-year students had visited a dental clinic more frequently and girls more frequently than boys. Eighty percent of the respondents visited a dental clinic to receive treatment but just 12.3% visited a dental clinic to prevent oral diseases. Concerning the fetor of dental treatment only 14.4% expressed fear. School year made no difference, yet the percentage of girls who experienced fear was higher than that of boys(P<0.05). Regarding preventive treatment, 39.7% experienced pit and fissure sealing and 24.2% experienced the application of fluorides. All the students hadn't much experience in preventive treatment regardless of school year -- gender didn't make a difference. 3. Fourty-six percent of respondents had a preference for the fluoride mouth rinsing program; 38.4% wanted that grogram to continue. As to the reason for preference, 38.2% preferred it because of the prevention of dental caries, 43.0%, the largest percentage, didn't favor it because they found it too much trouble to do(some of the respondents gave two different answers). 4. Despite an increase in the frequency of toothbrushing at the right time, they still took cariogenic food frequently Their visit to a dental clinics also aimed at treatment more than at prevention, and they had very narrow experience of preventive treatment. Furthermore, the fluoride mouth rinsing program failed to draw their interest. Therefore, it is recommended that a successful real health education program should be developed.

청소년기 여성의 가족폭력 피해에 관한 연구

김경희,권혜진,최미혜,정연강 韓國學校保建學會 1996 韓國學校保健學會誌 Vol.9 No.2

This study is designed to contribute to the intervention of adolescent domestic violence by understanding the experience of the victims, better. The data were coiiected through a series of interviews with 3 subjects singled out at each stage of research. With the permission of the subjects, the interviews were recorded and transcribed. The interviews lasted from two and a half to 8 hours. The data were analyzed in the framework of grounded theory as mapped out by Strauss & Corbin (1990). The major findings of this research are as follows : The core category was found to be the adaptation of "Jitnulim" or "Being suppressed" . The sub-categories identified in the process of grounded data analysis were 'roughness', 'wildness', 'driving', 'challenging', 'being strapped', 'being pressed', 'erupting', 'being horrified', 'being hardened', 'being connected', 'being seen', 'being helpful', being led', 'sprouting', 'being off , 'being cast out', 'shaking off,' getting out', 'covering-up', 'waiting', 'ruling', 'common placeness', 'overcoming', 'getting united', 'fa11ing behind', 'falling in', 'being mixed up', 'ruthlessness', 'estrangement', 'difficulty', 'being overwhelmed', 'feeling regreful', 'being pressed','hesitating', and 'shying off'. These categories were again grouped into 11 categories including 'threatening', 'straightjacketing', 'alliance', 'phenomenon','pattern of support','system of support','challenging','calming-down','being relieved','being hardened and entangled','being entangled'. The following four theses were confirmed on the basis of the reifetitive relation: 1) If the episodes of violence are frequent and serious, with the resulting straightjacketing being stronger the victim's family relations are coherent and the subject's support pattern is highly mature. Concrete the responses to the straighjacketing regulted in a'calming-down' which gradually relieved. 2) If the episodes of violence were frequent and serious, with the resulting straightjacketing being strong the victim's family relations and incoherent and the suhjects supporter is immature but strong the support type is superficial and the responses to the straightjacketing result in a bouncing-off which gets entangled with the passage of time. 3) If the episodes of the violence are frequent and serious, the straighljacketing is strong, but the family relations are and the subject's support system is mature and strong the responses to the straightjacketing result in a calming-down which gets partly relieved but partly entangled. 4) If the episodes of the violence are frequent and serious with the resulting straightiacketing being strong, the victim's family relations are incoherent, the subject's support system is immature, and the support type is immature the responses to the straightjacketing result in a 'bouncing-off' which gets entangled and partly hardened with time.

성역할, 의복동조성이 유행추구성향과 혁신추구성향에 미치는 영향

김연희;서민정;윤송이;이규혜 한양대학교 2006 韓國 生活 科學 硏究 Vol.26 No.1

Conformity and nonconformity in dress are the two driving forces that make diffusion of new styles. More fundamental personal attributes that affect individuality in dress are masculine or feminine sex roles. Researchers reported that little differences were found between men and women in terms of conformity values. Fashion and clothing products are related to hedonic shopping and major hedonic shopping orientations in clothing shopping behavior of college students were often reported. This study was aimed to empirically test the effect of personality traits of masculinity-femininity on nonconformity and conformity in dress; the effects of nonconformity and conformity on major hedonic shopping orientations. A survey questionnaire was developed for the empirical research. Data from 181 students were used for statistical analysis using structural equation modeling. A conceptual model with masculinity and femininity as two exogenous variables, two shopping orientations as endogenous variables and nonconformity-conformity as two mediating variables were analyzed. Results confirm the significant structural paths from masculinity to nonconformity, from femininity to conformity and from nonconformity to novelty-seeking and conformity to fashion seeking) were statistically significant. The results of this study suggested that The personality traits and shopping orientation were antecedents and consequences of nonconformity-conformity in dress and clearer relationships do exist in the flow.

새로운 구조의 2단 결합선로형 방향성 결합기의 최적설계에 관한 연구

김동일,이연혜 韓國海洋大學校電波通信硏究所 1999 電波通信硏究所論文集 Vol.1 No.-

결합선로형 방향성 결합기(Parallel Coupled-line Directional Coupler)는 구조적으로 2축 대칭의 특성과 출력포트간 출력신호가 90˚의 위상차를 가지면서 하이브리드 링, 브랜치 라인 등의 방향성 결합기보다 대역폭이 넓은 장점을 가지고 있다. 특히, 정보통신량의 증가에 따른 마이크로파/밀리미터파대의 회로의 광대역의 특성이 요구되므로 통신시스템의 광대역화를 위한 소자로 결합선로 방향성 결합기는 적합하다. 그러나 밀결합으로 인하여 매우 좁은 선로 폭과 선로 간격으로 구현하기 어려운 단점을 가지고 있다. 종래에 제안되어 있는 결합선로 2개와 전송선로로 구성된 2단 결합선로형 결합기와 광대역화를 위해 다단으로 결합선로를 구성한 있으며 2단 결합선로형 방향성 결합기는 약결합으로도 3 ㏈ 결합도가 구현 가능하지만, 대역폭이 감소하는 제약이 있다. 본 논문에서는 2단 결합선로형 방향성 결합기를 결합도가 다른 결합선로로 구성된 1축 대칭인 구조로 하고, 양면기판과 다층기판을 이용하였다. 새로운 구조의 2단 결합선로형 방향성 결합기를 CAD로 설계한 결과 100 % 이상의 광대역화가 실현되었다. 이들 중 대표적인 경우를 실제로 제작하여 실측한 결과 중심주파수 3 ㎓에서 약 2 ㎓의 대역폭을 확장시켰다.

입원 정신질환자들의 수면의 질과 관련요인에 관한 연구

김명주,윤혜은,박연주,류소연 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S

본 연구는 입원 정신질환자들의 생활습관과 수면의 질과의 관련요인을 알아보고자 시도되었다. 전남 나주시 국립나주병원 개방병동에 입원한 정신질환자 154명을 대상으로 2008년 7월 17일부터 7월 25일까지 인구사회학적 특성, 임상적 특성, 입원 생활습관, 입원병력특성 등을 설문지 및 병록지로 조사하였으며, Leeds Sleep Evaluation Questionnaire(LSEQ) 변형도구를 이용하여 수면의 질을 측정하였다. 입원 정신질환자들의 수면의 질 점수는 17.53±5.03점이었으며, 단순분석상에서 수면의 질은 인구사회학적 특성 등과는 관련이 없었다. 그러나 다중회귀분석 결과 과체중군에서, 입원횟수가 많을수록, 통증 정도가 심할수록 수면의 질은 나빴다. 반면, 수면제를 복용한 사람이 복용하지 않은 사람에 비해 수면의 질이 좋았다. 생활습관과 수면의 질과 유의한 차이가 없었던 것은 입원이라는 동일 환경의 한계 때문이라고 생각된다. 이상의 결과로 볼 때 입원 정신질환자들의 수면의 질을 높이기 위해서는 수면제 복용의 약물치료와 함께 체중조절을 고려하고, 통증에 대한 적극적인 대처가 이루어져야 할 것으로 생각된다. Objectives : This study was performed to identify the relations between daily habits and quality of sleep of the psychiatric inpatients. Methods: We interviewed 154 the psychiatric inpatients of open ward in Naju national hospital, Chonnam Naju, from July 17, 2008 to July 25 of the same year. Data was collected using disease records and a questionnaire about socio- demographic characteristics, clinical characteristics, habits in hospital, and characteristics in history of hospitalization. And we measured the quality of sleep using the subjective sleep questionnaire modified from Leeds Sleep Evaluation Questionnaire (LSEQ). Results: The scores of quality of sleep of inpatients were 17.53±5.03. Quality of sleep had no statistically significant relationship with various characteristics in the simple analysis. However, as a result of the multiple regression analysis, the sleep quality of the overweight group was low, and the higher frequency of hospitalization and more pain they had, the worse sleep quality was. However, the sleep quality of those who took hypnotics was higher than that of those who did not. Conclusions: This study suggests that there was no significant difference between daily habits in the hospital and the sleep quality because of limits to the same environment of being in hospital. Based on the results above, in order to enhance the sleep quality of the psychiatric inpatients, we should consider both medication which takes hypnotics and weight control and actively deal with the pain.