반정량 식품섭취빈도조사의 응답에 관한 인지면접연구

이경실(Lee Gyeong Sil1),백희영(Paik Hee Young),이명선(Yi Myung Sun),정효지(Joung Hyo Jee) 韓國營養學會 2007 Journal of Nutrition and Health Vol.40 No.6

The purpose of this research was to understand how individuals reflect on the frequency and quantity of foods that they consume. Participants selected 5 males and 15 females aged 30 years or older were first interviewed on the frequency of their food consumption. Then based on this data, they were given a cognitive interview using the method of verbal proving. The individual cognitive interviews were recorded with consent while being conducted after complete approval by the Seoul National University Institution Review Board. The recorded material was evaluated using a thematic analysis after transcribing them into text. By analyzing stages of reflection, the major barriers to make the device difficult are revealed: 1) More difficulty in remembering events over the course of a full year due to diversification in the types of food that people consume 2) difficulty calculating the average for seasonal foods 3) difficulty estimating the amount of consumption from the photos presented 4) difficulty estimating amount of consumption from the quantity presented 5) difficulty processing foods that people think are healthy and foods are unhealthy simultaneously 6) difficulty having to consider foods where target food goes in as an ingredient; 7) difficulties arising from having to increase frequency when the amount consumed is higher than the quantity that is presented 8) difficulty having to combine the frequency and quantity of each food item when numerous foods are clustered into one category. These findings show that the less participants were involved in cooking, the more diverse their eating habits were, and the more they tried to adhere to rules of filling out the questionnaire, the more it was difficult for them to come up with an answer to the question being asked. It therefore seems necessary to construct a Food Frequency questionnaire that is attentive to these problems that arise from the recall stages.

간호교육 성과 측정 도구의 탐색

이향련 ( Lee Hyang Yeon1 ),오가실 ( Oh Ka Sil2 ),안양희 ( Ahn Yang Heui3 ),이숙자 ( Lee Sook Ja4 ),김인자 ( Kim Inja5 ) 경희대학교 동서의학연구소 2010 동서간호학연구지 Vol.16 No.1

간호학과 졸업생들의 간호교육 성과 측정 도구를 규명하기 위하여 시행한 본 연구에서는 의사소통, 전문직관, 지도력, 비판적 사고를 측정하는 도구들을 탐색하여 타당도와 신뢰도를 규명하였다. 의사소통 능력을 측정한 지지적 의사소통 능력 측정 도구의 경우 신뢰도가 Cronbach’s=.78로 비교적 신뢰도가 좋은 것으로 나타났다. 또한 타당도에서는 수렴타당도로 본의사소통 능력과의 상관계수가 .24 (p<.001), 구성타당도로 본집단타당도에서는 다른 학년에 비하여 4학년의 평균점수가 유의하게 높아 의사소통을 측정하는 도구로 활용할 가치가 있다고 판단하였다. 아직 이 도구를 사용한 논문을 찾을 수 없었으나 대인관계를 손상시키지 않으면서 정확하고 정직하게 의사를 전달하면서, 문제를 해결하는 동안 의사소통하는 사람간의 긍정적인 관계를 보존하는 것을 측정하는(Whetten & Cameron, (1998) 본 도구는 인간관계를 중요시하는 간호학의 전인적 간호를 증진시키는 특징이 포함되어 있어 간호학 교육 성과를 측정하는 도구로 활용할 가치가 있다. 또한 수렴타당도를 측정하기 위하여 선택한 의사소통 측정도구보다 문항수가 적어 효율성도 높다. 지금까지 간호학생을 대상으로 의사소통을 측정한 연구들도 면접을 통한 질적인 자료로 측정하거나(LeBlanc et al., 2009), 연구자들이 개발한 도구(Rosenzweig et al., 2008; Yoo & Yoo, 2001)로 측정하고 있어 효율적이면서 객관적인 도구로써 유용할 것으로 생각한다.전문직관은 신뢰도가 Cronbach’s a=.87로 매우 높게 나타났다. 수렴타당도로 본 Yeun 등(2005)이 개발한 간호전문직관과의 상관계수도 .23으로 유의하였고, 구성타당도를 보기위한 집단 비교법에서는 4학년의 점수가 가장 높았으나 유의하게 차이가 있는 학년은 2학년으로 나타나 간호학 교육 성과도구로 채택하는데 큰 문제가 없는 것으로 판단하였다. 항목이 19개로 구성되어 있어 효율성 측면에서 볼 때 Yeun 등(2005)의 도구보다 활용성이 높다. 특히 주위 다른 사람들과 비교하여 자신의 태도를 측정하고 있어 일반적인 간호사에 대한 의견을 묻는 Yeun등(2005)의 도구에 비하여 개인적인 전문직관을 더 민감하게 측정할 것으로 생각한다. 지도력은 신뢰도가 Cronbach’s α=.94로 가장 높았으며 수렴타당도로 본 지도력 도구와의 상관계수도 .16으로 통계적으로 유의하였다. 구성타당도로 본 집단비교에서는 4학년의 점수가 가장 높았으나 유의한 차이가 있는 학년은 2학년이었다. 문항수가 40문항으로 다소 긴 편이어서 효율성이 떨어지기는 하나 간호 실무에서 4년제 학부 학생의 지도력 특성을 측정하기 위해 개발된 도구라는 점에서 활용할 가치가 있다. 비판적 사고를 측정하기 위하여 선택한 Yoon (2004)의 도구는 신뢰도가 Cronbach’s α=.87로 상당히 높은 편이고, 집단비교법에서도 4학년이 다른 학년에 비하여 유의하게 높아 구성타당도도 만족할 만한 수준이었다. 그런데 본 연구자들이 개발한 비판적 사고 기술 도구와의 상관관계가 유의하지 않아 수렴 타당도가 인정되지 않았다. 이는 몇 가지로 해석할 수 있는데 첫째는 비판적 사고 기술과 비판적 사고 성향이 다를 수 있다는 것이다. 즉 Yoon (2004)의 도구는 비판적 사고 성향을 측정하는 도구이고 연구자들이 개발한 도구는 비판적 사고 기술을 측정하는 도구이기 때문이었던 것으로 보인다, 이러한 해석은 비판적 사고 기술과 사고 성향 간에는 유의한 상관관계가 없다는연구 결과가 뒷받침한다(Raymond, Rachel, & Jenny, 2002). 그러나 두 개념간에 상관관계가 있다는 연구결과도 있어(Profetto-Mcgrath, 2003) 이 두 개념 간의 관계에 대한 심층적인 연구가 더 필요하다. 두 번째는 비판적 사고 성향을 측정하는 Yoon (2004)의 도구는 정답이 존재하지 않으나 비판적 사고 기술을 측정하는 도구는 정답이 있는 도구인데 자료를 수집할때 이를 설명하지 않고 측정하여 두 도구의 상관관계가 없는 것으로 나올 가능성도 배제할 수 없다. 성향을 측정하는 것과 달리 정답이 있다고 하는 경우는 본인의 생각과 다르더라도 비판적 사고 기술에 해당하는 내용을 선택할 수 있으나 정답이 없다고 생각하는 경우는 설령 비판적 사고 기술에 해당하는 내용이라고 판단하더라도 본인의 성향과는 다르기 때문에 다른 내용을 선택할 수 있기 때문이다. 또한 성향과 기술이라는 특성이 다른 측면을 측정하는 과정에서 성향은 Likert 척도로 기술은 이분법으로 측정한 것도 상관관계를 떨어뜨린 이유로 보인다. 세 번째는 Yoon (2004)의 도구는 이미 몇 연구에서 사용하여 왔으나 아직도 더 검증이 필요하고, 본 연구자들이 개발한 도구도 신뢰도가 낮아 신뢰도와 타당도를 높이기 위한 작업이 더 필요함을 나타낸다고도 볼 수 있다. 현재 가장 많이 사용하는 도구인 Facione과 Facione (1994)이 개발한 California Critical Thinking Disposition Inventory (CCTDI)를 활용하는 방법도 있으나 75문항으로 긴 편이어서 효율성이 떨어지고 사용하기 위하여 많은 비용을 지불하여야 하므로 비경제적인 측면이 있다. 결론적으로 본 연구에서 규명한 네 도구는 신뢰도와 타당도가 비교적 높게 나타나 간호교육기관에서 사용할 수 있을 것으로 판단하였다. 비판적 사고 측정 도구는 수렴 타당도가 낮게 나와 비판적 기술과 성향을 구분하여 측정하여야 한다고 판단하였다. Purpose: The purpose of this study was to identify and evaluate outcome measurement scales of nursing education such as communication, professionalism, leadership, and critical thinking. Methods: A methodological study design was used to evaluate the reliability and validity of the scales. Survey was done to the students (n=407) enrolled in baccalaureate nursing schools. Using convenience sampling method, we tried to include all grades of students. Internal consistency, convergent validity and group comparison were used to evaluate the reliability and validity of the scales. Results: All scales were reliable and valid. Only convergent validity of the scale to measure critical thinking was relatively low. It suggested that critical thinking skill and disposition might be measured separately. Also it was inefficient to measure the nursing education outcomes with separate scales. Conclusions: It is recommended to develop a new integrative scale to measure nursing education outcomes. Also it is necessary to set the norm of nursing students to evaluate nursing education outcomes for the quality control of nursing education.

암환자가 지각한 사회적지지, 희망과 삶의 질과의 관계

태영숙,강은실,이명화,박금자 고신대학교 전인간호과학연구소 2002 전인간호과학연구 학술모음집 Vol.- No.-

The Relationship among Percieved Social Support, Hope and Quality of Life of Cancer Patients Tae, Young Sook. Kong, Eun Sil. Lee, Myung Hwa. Park, Geum Ja The purpose of this study was to investigate the relationship among percieved social support, hope and Quality of life of the cancer patients and to gain the baseline data for development of nursing intervention program for promoting quality of life in cancer patients. The design of this study was a cross sectional correlational survey. The subjects were 220 out and in-cancer patients in 5 general hospitals in Pusan The data were collected from July 2 to August 1,2001. The instruments were the Percieved social support scale(16 items, 5 point scale) had developed by Tae(1986), Hope scale(12 items, 4point scale) developed by Nowotny(1989) and Quality of life scale(31 items, 10 point scale) developed by Tae et. al(2000). The data was analyzed by the SPSS/PC+ program using frequency & percentage, item mean & standard deviation, t-test, ANOVA & Scheffe test, Pearson's correlation coefficient. The results of this study was as follows : 1) The item mean score of quality of life was 6.05±1.16 (range 0-10) .The heighest score of subarea of the quality of life was the spiritual wellbeing area (7.09±1.63) and the lowest score was social wellbeing area(5.53±1.65). The mean score of perceived social support was 52.65±10.32 (최고 1, 최저 80). The mean score of family support was32.71±6.66 (range 1- 40) and the mean score of medical team support was 19.93±5.95 (range 1- 40). The mean score of Hope was 37.02±5.64 (range 1-48). 2) There were statistically significant difference in the score of quality of life according to the life effect of religion (F=3.97, p=0.00), treatment method(F=2.94, p=0.01), area of diagnosis (F=3.48, p=0.01), stage of disease (F=13.74, p= 0.00). 3) There was significant correlation between perceived social support(r=0.44, p= 0.000 ; family support: r=0.334, p=0.000, medical support; r=0.395, p=0.000), hope(r=0.563, p= 0.000) and quality of life. In conclusion, there was a significant relationship among perceived social support, hope and quality of life. Therefore perceived social support, hope intervention programs should be developed to improve the quality of life in cancer patients.

골프연습장 고객의 라이프스타일과 이용의도에 관한 연구

이종희,한광령,강신일 경희대학교 체육과학연구소 2004 體育學論文集 Vol.32 No.-

The purpose of the study was to examine the relationship among life-style and perceived service quality and intention of using of golfer's of participating golf exercise places. In order to achieve this purpose four research questions were established. The first question we that there will be relationship controlling to variables between lifestyle and perception of service quality of golf participators. Second one was that there will be relationship controlling to variables between lifestyle and consumer intention of golf participators. Third one was that there will be influence golfer's lifestyle, perceptions of service quality and consumer intention of participating on golf exercise places. 400 of above 30 age persons completed questionnaires. Of participations valid data were 378. They completed a modified inventory on the life-style, perception of service quality, and consumer's intention. More details, lifestyle Scale modified by Su, and perception of service quality by go, and consumer intention scale by Beard & Ragheb were using after modifying scale to investigate the purpose of this study. Results were analysed in quantitative approaches. Data were collected through self-administered survey. The three most meaningful results of the study were as follows; First, there was influenced to relationship between lifestyle and perception of service quality. Second, there was influenced to relationship between lifestyle and consumer's intention. Third, there was influenced to relationship among lifestyle, perception of service quality and consumer's intention.

Dexamethasone 투여에 의한 마우스 간에서의 항산화 효소들의 활성 변화

이은실 외 중앙대학교 의과대학 의학연구소 2005 中央醫大誌 Vol.30 No.3·4

Dexamethasone, a widely used agent for septic shock therapy and immunosuppressoin, was injected intraperitoneally to mice three times at doses of 2.5 mg/kg, 5 mg/kg and 10 mg/kg at 6 hour intervals and reactive oxygen species and antioxidant enzymes in liver were measured. Dexamethasone injections significantly reduced superoxide radical (p<0.01) and xanthine oxidase activity (p<0.05 at 10mg/kg). A cytosolic antioxidant enzyme, Cu,Zn-SOD activity was significantly increased by dexamethasone treatment, whereas dexamethasone treatment reduced activity of a mitochondrial antioxidant enzyme, Mn-SOD. Glutathione peroxidase and catalase activities were decreased by dexamethasone treatment. Catalase protein level was significantly reduced by dexamethasone treatment, while it had no effect on glutathione peroxidase protein level. When normal liver was treated with dexamethasone, catalase activity was reduced in a dose-dependent manner, whereas its had no effect on glutathione peroxidase. Thus, these effects of dexamethasone treatment on various antioxidant enzyme activities in liver suggested that this anti-inflammatory drug could modulate oxidative stress under a variety of inflammatory conditions.

의료보험 고액진료비 환자의 특성연구

문옥륜,강선희,이은표,좌용권,이현실 韓國保健行政學會 1993 보건행정학회지 Vol.3 No.1

A small number of high cost patients usually spend a larger proportion of scarce health resources. Korea is no exception. Under the national health insurance, 12% of the insured persons have consumed approximately half of the national health insurance expenditures. Therefore, it is necessary to identify the characteristics of the high cost patient group, if we would like to reduce them. This study has defined high cost patients as those who have spent one and half million won and over Per 6 months. The study reveals that high cost users are those who have a longer length of stays(LOS), 40 days of LOS in the 6 months, have multiple admissions, 2 to 3 admissions per 6 months and are the eiderly patients. They have Spent 814, 126won per day on the average, and commonly suffered from malignant neoplasms, circulatory diseases, fracture, diabetes mellitus, etc. Unlike the case of western developed countries, early readmissions are not the major causes of high cost spending in Korea. Undoubtedly, a lengthy admission is the main cause of large spending. Health policies should vigorously be explored to respond appropriately. There are evidences that hospital beds are often misused. As the Korean health care system is lacking in a mechanism of patient evaluation under the fee-for-service remuneration system, an idea of progressive patient care needs to be tested. The Government should set up health policy to diversify the role of long-term care facilities and encourage people to establish them. Further studies are needed to identify factors influencing large medical bills necessary for formulating the health policy on cost containment.

A Lipid-Soluble Ginseng Extract Inhibits Human Large Cell Lung Cancer (NCI-H460) Cells Xenograft In Vivo and the Proliferation of Cancer Cells In Vitro

Lee, Eun-Sil,Kim, Hwan-Mook,Lee, Sung-Dong,Lee, Kwang-Seung,Park, Song-Kyu,Lee, Chang-Woo,Lee, Ki-Ho,Lee, Ki-Hoon,Lee, Jun-Soo,Hwang, Woo-Ik,In, Man-Jin,Kim, Dong-Chung The Korean Society for Applied Biological Chemistr 2010 Applied Biological Chemistry (Appl Biol Chem) Vol.53 No.3

A lipid-soluble ginseng extract possesses an anticancer activity against advanced human lung tumors in an established murine xenograft model without any sign of toxicity. The extract also shows a potent anti-proliferative activity against human cancer cell lines, leading to expansion of its preclinical applications to specific human tumor types.

Short Communications : A Lipid-Soluble Ginseng Extract Inhibits Human Large Cell Lung Cancer (NCI-H460) Cells Xenograft In Vivo and the Proliferation of Cancer Cells In Vitro

Eun Sil Lee,Hwan Mook Kim,Sung Dong Lee,Kwang Seung Lee,Song Kyu Park,Chang Woo Lee,Ki Ho Lee,Ki Hoon Lee,Jun Soo Lee,Woo Ik Hwang,Man Jin In,Dong Chung Kim 한국응용생명화학회 2010 Applied Biological Chemistry (Appl Biol Chem) Vol.53 No.3

Short Communication : A Lipid-Soluble Ginseng Extract Inhibits Human Large Cell Lung Cancer (NCI-H460) Cells Xenograft In Vivo and the Proliferation of Cancer Cells In Vitro

Eun Sil Lee,Hwan Mook Kim,Sung Dong Lee,Kwang Seung Lee,Song Kyu Park,Chang Woo Lee,Ki Ho Lee,Ki Hoon Lee,Jun Soo Lee,Woo Ik Hwang,Man Jin In,Dong Chung Kim 한국응용생명화학회 2010 Journal of Applied Biological Chemistry (J. Appl. Vol.53 No.3

A lipid-soluble ginseng extract possesses an anticancer activity against advanced human lung tumors in an established murine xenograft model without any sign of toxicity. The extract also shows a potent anti-proliferative activity against human cancer cell

Biochemical Rather than Virologic Response to Interferon Therapy may be More Closely Associated with Decrease of Hepatocellular Carcinoma Incidence in Patients with Chronic Hepatitis B

( Dan Bi Lee ),( Young Hwa Chung ),( Sae Hwan Lee ),( Yoon Seon Lee ),( Don Lee ),( Jeong Eun Hwang ),( Kang Mo Kim ),( Young Suk Lim ),( Han Chu Lee ),( Eun Sil Yu ),( Young Sang Lee ),( Dong Jin Suh 대한소화기학회 2007 Gut and Liver Vol.1 No.1

Background/Aims: The authors examined whether the response to interferon (IFN) therapy can affect the development of hepatocellular carcinoma (HCC) in chronic hepatitis B (CHB) patients. Methods: Out of 353 biopsy-proven CHB patients, 229 (65%) were treated with IFN-α for 6 to 12 months. They were followed for a median period of 75 months (range, 6-120). In patients treated with IFN, biochemical and virologic responses were evaluated at the end of treatment (EOT). The cumulative incidence rates of HCC were calculated and analyzed in relation to baseline characteristics as well as biochemical and virologic responses to IFN therapy. Results: The overall cumulative incidence of HCC was 0%, 0.8%, 3.7% and 5.5% at 3, 5, 7 and 8 years, respectively. Age, serum AFP levels and the stage of fibrosis were significantly associated with the occurrence of HCC. As a whole, IFN therapy did not affect the occurrence of HCC. Among the patients treated with IFN, biochemical responders had low HCC incidence rates compared with non-responders (p=0.018). However, the HCC incidence rates of virologic responders were not different from non-responders (p=0.203). Conclusions: Biochemical rather than virologic response to IFN therapy may be more closely associated with decrease of HCC incidence in CHB patients. (Gut and Liver 2007;1:49-55)