자궁적출술을 경험한 여성의 통증과 냉증완화를 위한 쑥뜸요법 효과의 예비연구

신경림,곽순애,신수진 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The Purpose of this pilot study was to identify the effects of hand moxibustion therapy to decrease pain and relieve coldness of the body in women who had a hysterectomy. The conceptual framework of this study was derived from Ying-Yang, Khi and other corresponding theories. The data were collected from February to May 1997 A Graphic Rating scale was used to measure the degree of pain and Digital Infrared Thermographic Imaging(D.I.T.I) was used to examine the degree of coldness. The subjects were women who resided in Seoul and had a hysterectomy within five years. An experimental group was composed of five women who received moxibustion and a control group was composed of five who did not. The research procedure began with having both the experimental group and control group describe their general characteristics and the degree of pain they perceived. Then, Digital Infrared Thermographic Imaging(D.I.T.I) was conducted. Moxibustion was only given to the experimental group on both hands twice every day for a total of five weeks. Their perception of pain and D.I.T.I were examined weekly. The control group received no therapy. After finishing therapy. the perception of pain and D.I.T.I for both groups were also measured. According to this study, moxibustion therapy resulted in a change of body temperature on the right shoulder joint(p=0.00074), abdomen(p=0.0047), waist(p=0.0068) and hands(p=0.0317) respectively. Also, the study results showed significant decrease (p=0.0001) in pain over time and significant improvement over body coldness.

노인의 대체요법 이용 양상에 대한 조사연구

신경림,박선영,신수진 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to describe the using pattern of alternative therapies in the elderly. Method: 197 subjects, persons who were more than 60 years old, we interviewed. We modified and complemented Shin's(2000) instrument in accordance with purpose of this study. Data were analyzed statistically by using SAS program. Result: 1. It was shown that 66.84% of subjects have utilized one or more types of alternative therapy. 2. It was shown that the most frequently used types are acupuncture (48.83%), and ethmoid bone therapy (42.75%). 3. Acupuncture was shown to be the most satisfactory type of therapy (14.50%). 4. There was a significant difference in the use ratio by sex; female 73.47% and male 60.20%. 5. Among users of alternative therapies, the most frequent responses to each question were as follows: 1. Motive of Use - "for complete cure of symptoms" (32.31%). 2. Side effects - "no side effects" (95.97%). Conclusion: We found that elderly persons used alternative therapies more frequently than others perpulations. Diet therapy and Hand therapy were most commonly used in older people. Although the elderly use alternative therapy, they cannot place confidence in its scientific reliability. Therefore, we need to examine the effects of alternative therapy.

도서지역 여성의 요실금 및 하부요로증상에 관한 연구

신경림,박선영 성인간호학회 2001 성인간호학회지 Vol.13 No.2

The purpose of this study was to identify the frequency of Urinary Incontinence and lower urinary tract symptoms, to identify life style problems for UI Women In an Island. The sample consisted of 88 worsen In an Island, a urinary symptom questionnaire developed by Jackson. et al and a demographic questionnaire were used to collect the data. The results of study were as following. 1. It was reported that the subjects have experienced UI and various lower urinary symptoms such as stress incontinence, nocturia, intermittency, abnormal stream, feeling of incomplete emptying and also they have experienced some degree of 'bother' 2. It was reported that the subjects have experienced various life style problems for UI 3. There was significant relationship between age and urgency (p=0.0262), bladder pain (p=0.0268), abnormal strength of stream (p=0.0074), inability to stop midstream (p=0.0026), and ability to perform daily tasks (p=0.0488), 4. There was a significant relationship between the number of discharges and urgency (p=0.0273), abnormal strength of stream (p=0.0307), and inability to stop midstream (p=0.0122). 5. There was a significant relationship between menopause and bladder pain (p=0.0020), abnormal strength of stream (p=0.0245), and inability to stop midstream (p =0.0002). 6. There was a significant relationship between the degree of experiences for lower urinary tract symptoms and life style behavior. Therefore, based on the results, a developing and carrying out of adequate UI care program is needed

4년제 간호대학(과) 실습 비 및 실습기자재 표준안 개발을 위한 기초조사연구

신경림,박경숙,안양희,정승교,서연옥 성인간호학회 2003 성인간호학회지 Vol.15 No.2

To describe the states of the laboratory facilities, equipment and expenses for practice in a four-year nursing schools and to analyze mandatory requirements for laboratory facilities and equipment. Method: A descriptive survey research design was used. The participants were 49 of the 4-year nursing schools across the nation. The data were collected by e-mail. The return rate were questionnaires was 63.3%(n=31). Result: In 2001 the total expenses for laboratory practice were 21,865,230won and the average per student was 102,418won. Types of laboratories included single and complex. The mean size for laboratories was 318.7 m^2 and mean size for laboratories for fundamental nursing was 161.1m^2. The range for number of students in a laboratory class was 20-30 for eight universities(30.8%). Among required laboratory equipment, items that were mercury and aneroid sphygmomanometers for children, electronic sphygmomanometers. Bell type fetal stetho-scopes, sheepskin, beds for children, for gynecology, and electronic hilo beds. Among the elective equipment, items that were deficient in 50% of the universities were O^2 tents, and incentive spirometers. The number of items that needs to add to the equipment and 22 for elective equipment. Conclusion: A standardized mandatory list of equipment for laboratory facilities and expenses for practice in 4-year nursing schools needs to be developed.

재미 한민족 여성의 갈등과 삶 : 중년이민 1세 여성건강을 중심으로

신경림 이화여대 한국여성연구소 1995 여성학논집 Vol.12 No.-

This study was designed to determine the correlates of depression among Korean-American immigrant women between the ages of 35 and 55 who have resided in the U.S. for 10 years or less. A convenience sample of 180 such women was employed from six cities; LA, Chicago, New York, Philadephia, Miami and Washingto D.C. Depression was measured by the Center for Epidemiological Studies Depression Scale (Radloff, 1977). The predictors of depression included acculturative stress, measured by the Acculturative Stress Scale(Salgado de Snyder, 1986); utilization of social support, measured by the Inventory of Socially Supportive Behaviors (Barrera, 1981); and Self-Esteem, measured by the Rosenberg Self-Esteem Scale (Rosenberg, 1979). Also assessed were Socio-economic Status, age, length of residence in the United States, religion, level of education, marital status, and occupational level. Results indicated that depression was related positively to acculturative stress (r=.25,p<.05) and negatively to self-esteem (r=.20,p<.001) and socio-economic status (r=.15,p<.001). However depression was not related to social support. (r=-.09,p<519) Result indicated that the pooled sample of Korean-American wome tended to manifest greater depression than nonclinical norm groups, but they were not ty pically as depressed as women in the same age range being treated for depression. Depression was found to be significantly related to marital status. Results were interpreted as indicating the need for policies aimed at mitigating the occurrence of depression among Korean-American immigrant women. Ⅰ. 서 론 1. 연구의 필요성 및 목적 2. 연구목적 3. 가 설 Ⅱ. 문헌고찰 1. 한국인들의 미국 이민사 2. 문화이입상의 스트레스 3. 우울증 4. 사회적 지지 5. 사회 경제적 지위 6. 자아존중감 Ⅲ. 연구방법 1. 연구설계 2. 연구대상,자료수집기간 및 방법 3. 연구도구 4. 예비조사 5. 자료분석 Ⅳ. 연구결과 1. 대상자의 일반적 특성 2. 가설검증 3. 연구제한점 Ⅴ. 논의 1. 문화 이입상의 스트레스 2. 사회 경제적 지위 3. 자아 존중감 4. 사회적 지지 Ⅵ. 결론 및 제언 1. 결 론 2. 제 언 참고문헌 영문초록

문제중심학습(Problem Based Learning; PBL) 패키지 개발 : 지각·조정장애상황을 중심으로

김애리,김영경,송영선,신경림,안혜정,이지순,조계화 성인간호학회 2001 성인간호학회지 Vol.13 No.3

The Purpose of this study is to present an actual example for procedures for developing a PBL package based on philosophical backgrounds derived from Problem-based learning. To perform a systemic study on the operations of an intergrated curricula under multi-disciplines, a research team made up of several professors with different academic backgrounds was formed. Among the four situations for the patients with perception-adjustment disorder, especially a procedure for the development of PBL package which can be used in the emergency room situation has been proposed. The little(2000)'s PBL package model has been applied for this study. Tha package includes course objectives, learning objectives, concept map, situation scenario. tutor guide, and evaluation method. It is believed that learning objectives achievement procedures designed as a part of a problem-based learning package development procedures for the nursing of patients with perception-adjustment can be achieved at the same level as the learning objectives for the science of nursing founded by the Korean Nurses Association.

고령화 한국사회의 부양체계 구축을 위한 연구

김미혜(Kim, Mee Hye),신경림(Shin, Kyung Rim),강미선(Kang, Mi Sun),강인(Kang, In) 한국노년학회 2006 한국노년학 Vol.26 No.3

본 연구는 한국 노인들의 성공적 노후 삶의 유형별로 경제적 부양, 서비스 부양, 정서적 부양에 있어서의 주부양제공자와 대체부양제공자를 분석하였다. 이를 통하여 가족, 사회, 국가 간의 부양역할을 조화롭게 조정, 보완하는 부양체계 구축을 모색하여 노인들이 성공적 노후에 근접할 수 있도록 돕고자 한다. 서울시와 경기도에 거주하는 노인 483명을 대상으로 지난 6개월 내에 부양을 받은 경험이 있는지 여부와 부양 종류별로 가장 도움이 되는 주부양제공자와 주부양제공자로부터의 부양이 어려울 때 부양을 대신 제공해주길 기대하는 대체부양제공자를 조사하였다. 한국 노인에게 있어서 중요한 부양제공자는 배우자, 장남과 기타 자녀, 친구, 이웃 등의 순서로 드러났다. 다만 성공적 노후 삶의 유형에 따라 부양의 종류별로 노인들이 선호하는 부양제공자들의 순위에 있어서 약간의 변동이 있는데, 이는 배우자, 장남, 기타 자녀 등의 가족 구성원의 존재 여부, 그들의 부양과 관련된 재정적 능력 등의 요인이 작용하기 때문이었다. 이러한 가족에 의한 부양을 선호하는 노인들의 부양실태를 반영하여 경제적 부양을 하는 가족에 대한 재정적 지원, 재가노인복지서비스를 위한 고령친화산업의 활성화, 그리고 노년기 부부관계와 친구관계 관리를 위한 프로그램 개발 등이 요구된다. The purposes of this study were to analyze the care system in aged Korea and make the suggestions which can harmonize the care roles between family and government. The survey was done to 483 elderly living in Seoul and Kyung-gi province with a standardized questionnaire during October 2004. The elderly was asked whether s/he had received financial, daily living activity and emotional cares during last 6 months, who had been the main care-giver, and whom s/he had expected the alternative care-giver. As a result, we found the primary care-giver in order from spouse, the first son, other adult children, friends and neighborhood and public service. The small differences among the successful life types were found in the order of the primary care-giver due to existence of family members such as spouse, first son, and other children as well as the financial ability to pay for care. Reflecting these results, we suggested to support financially to adult children who provide financial care; to activate 60+ market industry for service ; to develop the marriage encounter and friendship program.

황사 기간 동안에 어린이, 성인, 노인에서의 자각증상과 예방행동에 대한 조사연구

이보은,하은희,박혜숙,권지숙,신경림 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: Recently there are scientific evidences for the health effects of Asian dust-storms. Particularly in 2002, the daily average of PM_(10) exceeded 600 and 700 ㎍/㎥ in March and April respectively. We examined the effects of Asian dust-storms on perceived symptoms and preventive behaviors among children, adults, and elders. Method: The subjects of this study were 425 children, 444 adults and 60 elders. A questionnaire survey was carried out on the children and the adults by teachers and on the elders by interviewers to obtain information on demographic variables, perceived symptoms and preventive behaviors, previous respiratory disease, environmental tobacco smoke, and proximity between the house and the road during Asian dust-storms. We analyzed using descriptive statistics, X_(2) test and multiple logistic regression models. After adjustment for potential confounders, we estimated the odds ratios and 95% confidence intervals of the children and the elders for perceived symptoms and preventive behaviors. Result: The elders had a significantly higher prevalence of respiratory symptoms than the other groups. The children had a significantly higher prevalence than the adults in getting URI (1.51), coughing (1.68), rhinorrhea (1.46), fever (2.39) and medication for allergy or asthma (1.90). The children had better behaviors than the elders in closing windows (3.57), taking less outdoor recreational activity (2.59) and staying home (2.60).

성인간호학회지 논문(1989-2000)의 내용과 경향 분석

서문자,김소선,송미순,이명선,오의금,신경림,김옥수,이숙자,이영자,오효숙,정재심,김철규 성인간호학회 2001 성인간호학회지 Vol.13 No.4

"Journal of Korean Academy of Adult Nursing" has been published since 1989 and more than 330 articles have been published up 2000. We reviewed all the articles published in this journal to analyze the contents and trend of published articles and to find out the way of improvement both in quantity and quality of studies in this area. The results are as follows : 1) Ninety percent of articles were quantitative studies. Experimental design was used in 16.1% and quasi-experimental design was adapted in 73.6% of articles. Qualitative research were 10.3% of total articles reviewed. 2) Only 5.1% of articles described theoretical framework and 73.6% of experimentally designed articles included research hypotheses. 3) Among experimental studies, only one was true experimental studie design. Eighty nine point three persent had descriptive survey method among non-experimental studies. Amog the thirty four qualitative studies, phenomenologic(73.5%), grounded theory(14.7%), and ethnographic (11.8%) design were used. 4) Most of research subject were patients and few healthy people, healthcare worker, and patient family. 5) Psychosocial data collection method which used questionnaire were 53.7% and interview. physical measurement, observation were used in 22.8%. 8.2% 5.4% of articles respectively. 6) Total number of keywords were 692, and average number of key words per article was 2.2. Health-related keyword was the most frequently used according to four metaparadigm of nursing (human, health, nursing, and environment). Environment related keyword was rarely appeared. The number and quality of nursing research in "Journal of Korean Academy of Adult Nursing" have been improved continuously. It is difficult to find out special trend or characteristics which is unique in this journal because of relatively short history of adult nursing studies. This review study was performed to analyze adult nursing studies only in the view of quantitative aspect, but it is needed to analyse qualitatively to find philosophical or theoretical trend in nursing.

Descriptive Epidemiology of Cholangiocarcinoma and Clonorchiasis in Korea

Shin, Hai-Rim,Oh, Jin-Kyoung,Lim, Min Kyung,Shin, Aesun,Kong, Hyun-Joo,Jung, Kyu-Won,Won, Young-Joo,Park, Sohee,Park, Sang-Jae,Hong, Sung-Tae The Korean Academy of Medical Sciences 2010 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.25 No.7

<P>In 2009, infection with the liver fluke <I>Clonorchis sinensis</I> (<I>C. sinensis</I>) was classified as 'carcinogenic to humans' (Group 1) based on its involvement in the etiology of cholangiocarcinoma by the International Agency for Research on Cancer. However, little is known about the descriptive epidemiology of cholangiocarcinoma in Korea. We examined incidence trends of intrahepatic and extrahepatic cholangiocarcinomas, using data from the Korea National Cancer Incidence database for 1999-2005. The prevalence of <I>C. sinensis</I> infection was estimated from a recent population-based survey in rural endemic areas. Cholangiocarcinoma incidence rates are currently rising, even while primary liver cancer incidence rates are decreasing. Annual percent changes in cholangiocarcinoma incidence rates were 8% for males and 11% in females. Known areas of <I>C. sinensis</I> endemicity showed high incidence rates of cholangiocarcinoma. The positivity of <I>C. sinensis</I> eggs in stool samples from endemic areas was more than 25% of adults tested during 2005-2008. From a meta-analysis, the summary odds ratio for cholangiocarcinoma due to <I>C. sinensis</I> infection was 4.7 (95% confidence interval: 2.2-9.8). Approximately 10% of cholangiocarcinomas in Korea were caused by chronic <I>C. sinensis</I> infections. More specific policies, including health education and an extensive effort for early detection in endemic areas, are needed.</P>