치매주간보호 이용 치매 노인의 이용기간에 따른 인지기능, 우울, 신체기능 및 일상생활활동 변화 경향

김화순(Kim, Hwasoon),박미연(Park, Miyoun),박민지(Park, Min-Ji),이해리(Lee, Hae Ri),정지혜(Jeong, Ji Hye),허지영(Heo, Jiyoung) 한국기본간호학회 2024 기본간호학회지 Vol.31 No.2

Purpose: This study aimed to identify trends in changes of cognitive function, physical function, depression, and activities of daily living (ADL) among people with dementia who had used day care centers for at least 12 months, through the analysis of data collected from day care center records. Methods: The participants in this descriptive survey were 63 older people with dementia. Data were collected from two dementia day care centers located in Incheon city. General characteristics and disease related characteristics were analyzed in terms of the frequency, percentage, mean, and standard deviation. Correlations between major variables were analyzed using Pearson correlation coefficient. Cognitive function, depression, physical performance, and ADL were analyzed using the mean, standard deviation, Wilcoxon signed-rank test, and Friedman test. Results: The mean age of the participants was 77.33±6.73 years (range, 58 to 91 years) when they began attending the centers. Cognitive function significantly increased at 3 months (18.63±5.06), 6 months (18.73±5.20), and 12 months (18.63±5.43) compared to baseline (17.41±4.77). Depression significantly decreased at 3 months(2.94±2.96), 6 months (3.13±3.14), and 12 months (2.81±3.27) compared to baseline (5.20±3.87). At 3 months, 6 months, and 12 months, the physical function score (respectively 10.19±2.90, 10.33±2.84, 10.11±2.55) increased significantly compared to baseline (9.13±3.01). ADLs decreased at 3 months (8.51±1.92), 6 months (8.67±2.12), and 12 months (8.89±2.19) compared to baseline (8.41±1.88). Conclusion: Without receiving customized day care service for dementia, cognitive function and physical function will decline and depressive feelings will increase. Therefore, delaying cognitive decline, reducing depression, and improving physical function through the use of day care services, especially at an early stage are essential to strengthen and maintain aging in place.

기계환기기 치료 환자들의 진정상태유지를 위한 투약양상 및 사정내용에 대한 일 조사연구

김화순(Kim Hwa-Soon) 기본간호학회 2002 기본간호학회지 Vol.9 No.3

치매노인의 삶의 질에 영향을 미치는 요인

김화순(Kim, Hwasoon),이영휘(Lee, Young Whee),최성희(Choi, Sung Hee),함연숙(Ham, Youn Suk) 기본간호학회 2018 기본간호학회지 Vol.25 No.2

Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders.

혈액투석 중 저강도운동이 환자의 피로, 일상생활활동수행, 긍정심리자본 및 혈압에 미치는 효과

김의정(Kim, Eui Jeung),이현숙(Lee, Hyun Suk),신희정(Shin, Hee Jeo),홍미정(Hong, Mi Jeong),김소영(Kim, So Young),김선애(Kim, Seon Ae),김화순(Kim, Hwasoon) 기본간호학회 2019 기본간호학회지 Vol.26 No.1

Purpose: The purpose of this study was to estimate the effects of a video low intensity exercise program provided during hemodialysis on fatigue, activity of daily living, positive psychological capital and blood pressure of patients being treated. Methods: A non-equivalent control group pre-post test design was used. Participants were 85 hemodialysis patients assigned to either the experimental group (n=41) or the control group (n=44). The experimental group exercised for about 25 minutes 3 times a week for 8 weeks. Data analyses involved descriptive statistics, x² test, t-test, multiple regression and repeated measure ANOVA using SPSS/WIN 23.0. Results: The exercise intervention significantly reduced post hemodialysis fatigue and significantly increased positive psychological capital. There was a significant interaction effect on time by group in blood pressure. Systolic blood pressure changes in the experimental group were stable but, changes in the control group tended to increase gradually. Conclusion: To reduce fatigue and increase positive psychological capital for hemodialysis patients, providing exercise during hemodialysis is recommended. Furthermore individualized exercise in terms of intensity, time, duration, etc should be developed and tested. Also, to reduce drastic blood pressure changes during hemodialysis, exercise should be provided.

중환자의 체중변화와 섭취량과 배설량 균형과의 관계

김화순(Kim, Hwasoon),이영휘(Lee, Young Whee),이지수(Lee, Ji Soo),이진영(Lee, Jin Young),추상순(Choo, Sang Soon),이보경(Lee, Bo Gyeong) 기본간호학회 2011 기본간호학회지 Vol.18 No.2

Purpose: The purpose of this study was to identify differences between intake and output balance and body weight changes and to identify factors related to differences in critically ill patients. Methods: The participants for this descriptive correlational study were 65 medical surgical ICU patients. The data were collected from patient medical records. Results: Mean age of the patients was 63.80 years (±15.21). Body weight changes for 48 hours averaged 281.54g (±2210.48). I&O balance for 48 hours corrected for insensible loss averaged 398.1ml. Differences ranged from 45mL to 7,535mL. In the distribution of absolute difference between body weight change and intake and output balance, only 40% of the patients were within less than 1,000 mL. Factors relating to accurate measure of intake and output were ventilation methods, respiration patterns, and edema status. Conclusion: Although mean values of weight change and I&O balance for all patients were very close, the range of differences was very wide indicating that, for many patients, intake and output is not an appropriate indicator of body fluid balance. Therefore, because of the frequency fever and/or hyperventilation, nurses need to use caution when using intake and output balance only to estimate current body fluid status for critically ill patients.

Fiction and Playing in The Invention of Love

Kim, Hwa Soon(김화순) 한국현대영미드라마학회 2003 현대영미드라마 Vol.16 No.1

보육교사의 정서지능 및 직무만족도가 이직의도에 미치는 영향

김화순(Hwa Soon Kim),문혁준(Hyuk Jun Moon) 가톨릭대학교 생활과학연구소 2016 생활과학연구논집 Vol.35 No.1

This study looks at the turnover intention of child-care teachers, emotional intelligence in the child care teachers, job satisfaction, and investigate the impact on turnover intention. The results of this study were as follows. First, emotional Intelligence of child care teachers in accordance with the socio-demographic variables were significantly in age, education and experience. Second, job satisfaction of child care teachers in accordance with the socio-demographic variables were significantly in age, education and pay, experience, establishment types full. Third, turnover intention of child care teacher in accordance with the socio-demographic variables were significantly in education, pay, establishment types. Fourth, emotional intelligence and overall job satisfaction are correlated. Fifth, look at the relative influence of socio-demographic background(education, pay, establishment types), job satisfaction, emotional intelligence on turnover intention, Child care teachers support facilities(national and public, work/corporate) is also a lower turnover intention than the unsupported facilities(private, homes).

남한기업의 탈북이주민 노동력 평가

김화순 ( Wha Soon Kim ) 북한연구학회 2011 北韓硏究學會報 Vol.15 No.2

그간 탈북민 일자리 연구와 관련 조사들이 많이 이루어져왔으나, 기업인의 관점에서 탈북민 노동력을 평가한 연구는 없었다. 본 연구는 탈북민 최대 밀집지역인 서울남부 지역 사업장 307개(탈북민 채용기업체 100개, 미채용기업 207개)를 조사하여, 노동력 수요요인, 노동력 활용장애요인을 파악하고, 외국인 및 내국인 노동력과의 비교 평가하였다. 탈북민 노동력을 주로 활용하는 기업은 근로여건이 열악한 인력부족 기업체들이었다. 이들 기업들은 탈북민 인력관리 시, 문화적 차이 때문에 애로를 겪었지만, 좋은 조건의 탈북민 고용지원금의 유인에 끌려 또 항상적 인력부족 때문에 탈북민 노동력을 고용하고 있었다. 채용기업들의 외국인, 내국인, 탈북민 노동력 선호도를 살펴본 결과, 기업들은 내국인을 가장 선호하였고, 외국인보다는 탈북민근로자를 선호하였다. 기업들은 탈북민들에게 내국인보다는 약간 낮은 임금을 주고 있었으나 탈북민들의 생산성에 비한다면 높은 임금이라고 보고 있었다. 채용기업주의 절반가량은 앞으로 추가 채용할 의사를 갖고 있었다. 향후, 한국사회에서 탈북민 근로자들은 부족한 내국인 노동력을 대신하면서 외국인 근로자보다는 조금 더 선호되는 대체인력으로 인력부족업종 분야에서 자리 잡아 나갈 것으로 전망된다. 남는 문제는 두 가지이다. 첫째, 인력이 항상적으로 부족하고 국내 근로자들이 기피하는 기업에게 구태여 정부의 지원금을 줄 때 발생하는 시중효과 문제와 근로조건이 열악한 기업체의 탈북민 고용선호가 탈북민의 사회통합에 미칠 부정적 영향이다. 이를 연구의 후속과제로 제안하고자 한다. There have been high interest in and surveys on jobs for North Korean Migrants, but few studies have been made to evaluate the labor force of North Korean Migrants from entrepreneurs` viewpoint. Thus this study purposed to identify factors related to the demand of labor force and obstacles to the use of labor force, and to compare labor force between aliens and natives by surveying 307 workplaces (100 companies with North Korean Migrant employees and 207 without) in the southern area of Seoul having the largest population of North Korean Migrants. Summing up the results, companies utilizing the labor force of North Korean Migrants were mostly businesses with poor working condition and under labor shortage. Despite difficulties in labor force management resulting from cultural differences, they employed North Korean Migrants as they were attracted by the government`s subsidies for the employment of North Korean Migrants and they were always short of labor force. In the results of surveying companies` labor force preference for aliens, natives, and North Korean Migrants, they preferred natives most, and preferred North Korean Migrants to aliens. They paid North Korean Migrants a somewhat lower wage than that to natives but considered the wage high for their productivity. Around half of the employers had the intention to employ more North Korean Migrants. As North Korean Migrant workers are expected to fill the shortage of labor force in future Korean society, they will be settled as substitute labor force preferred to alien workers particularly in industrial areas under labor shortage. There are two questions to be answered. One is whether the government should grant subsidies to companies that are always under labor shortage and avoided by native workers and the other is how the social integration of North Korean Migrants can be achieved if only companies with relatively poor working condition prefer the employment of North Korean Migrants. These questions are suggested as tasks for future research.

첫 직장과 결혼 : 북한 여성의 직장진출과 진로분화

김화순(Kim, Wha Soon),안지영(Ahn, Ji young),함연희(Ham, Yeon hee) 건국대학교 인문학연구원 2020 통일인문학 Vol.84 No.-

본 연구는 첫 직장 진출 시기를 중심으로 고난의 행군기 전후부터 김정은 정권의 등장 전까지 북한여성의 직업생활을 분석하였다. 연구방법으로는 국내 북한이탈주민 중 북한을 떠난 열일곱 사례 면접과 관련 내용을 다룬 북한영화 분석을 병행하여 북한여성들의 진로분화를 규명하였다. 본 연구를 통해 발견한 사실은 세 가지이다. 첫째, 북한여성들은 고등학교 졸업 직후 대학, 직장진출, 군대라는 세 가지 경로로 분화된다. 둘째, 결혼 이후 여성들의 진로는 재분화된다. 셋째, 면접사례의 직업경로를 유형화한 결과 세 가지 진로유형이 추출되었다. 가장 다수를 점하는 유형은 <시장진출형>이며, 입당/대졸 등 일정한 자격을 갖추어 발전을 도모하는 <여성간부 발전유형>, 대학을 나와 직장에 들어갔다가 결혼 이후 다시 직장으로 복귀하는 <결혼이후 직장지속형>이다.이 연구의 학술적 의의는 고난의 행군전후 북한여성의 직업생활에 주목하여 여성은 결혼을 기점으로 진로가 재분화된다는 사실을 밝혔다는 점이다. 향후 여성 세대주와 북한여성 진로유형에 대한 후속연구가 필요하다. This study analyzed the professional lives of North Korean women before and after their first job placement and marriage between the years of struggle and 2019. The research method identified the differentiation of North Korean women"s careers by analyzing 17 cases of interviews and related contents of North Korean films among defectors in South Korea from 2010 to 2019. This study obtained the following three findings. First, North Korean women are divided into three channels: college, work, and military rights after high school. Second, after marriage, women"s careers are divided again. Third, three career types were extracted as a result of the interviews. The most common types are "market-type" and "women"s executives" type of hope" and "high-educated workplace type" that leave college and goes back to work after marriage. The academic significance of this research is that it revealed that women"s careers will be re-differentiated from marriage, paying attention to North Korean women"s professional life until recently after the march of hardship. A follow-up study on future female generation owners and North Korean female career types is needed.

탈북인의 신민적 정치참여

김화순 ( Kim Wha-soon ),전태국 ( Jeon Tae-kook ) 서울대학교 통일평화연구원 2018 통일과 평화 Vol.10 No.1

이 연구는 지난 정부에서 수년간 탈북인들이 돈으로 매수되어 친정부 시위와 국정원의 비밀댓글 공작에 동원되었던 사건들에서 보인 탈북인의 독특한 신민적 정치참여 행태를 이론적으로 탐구하는 것을 목적으로 하였다. 국가권력의 동원과정에서 드러난 탈북인의 신민적 정치참여는 ‘탈북’이라는 경험을 공유한 집단에 고유한 정치지향성의 분출로 보아야 할 것인가? 아니면, 북한에서 초기 정치사회화의 효과로 북한주민의 특성이라고 일반화할 수 있는가? 한국 상황에서 탈북인이 생존하기 위한 합리적 선택의 결과라고 보아야 할 것인가? 분단체제에서 남북한 주민 양자에게 배태되어진 분단인 고유의 정치지향성이 표출된 것인가? 이러한 질문들은 오늘날 평화체제 이행과정의 문 앞에 서있는 남북 주민 사회통합에서 중요한 함의를 지닌다. 본 연구에서는 칼 마르크스(Karl Marx)의 캐릭터가면과 그것의 응용으로서 문화가면의 개념에 근거하여 탈북인과 남한인을 비교함으로서 남북한 주민 양자에게 배태된 정치지향성을 살펴보았고, 이주자 정치사회화이론에 비추어 탈북인 정치참여 행위를 해석하였다. 저항이론, 노출이론, 전이이론의 설명력을 비교하였다. This study aims to theoretically explore the subject political participation behavior of North Korean defectors for many years in the previous government, which could have been observed in their paid extreme right-wing political activities mobilized for hyper pro-governmental demonstrations and illegal clandestine operation of ‘troll farm’ by NIS as part of a part-time job. Should we account such subject political behaviors of North Korean defectors revealed in the process of mobilization of state power to be an eruption of the political orientations specific to the groups sharing an experience of ‘escaping from North Korea’? Or is it correct to generalize such subject political attitudes as a national trait of North Koreans influenced by early political socialization in North Korea? Is it proper to regard this subject political participation as the result of their rational choice to survive in the South Korean situation? Or an expression of the unique political orientation of both Koreans due to the divided system? These questions have important implications for social integration of the residents of North and South Korea standing at the door of the transition process to peace system. In this study, based on the Marx's concept of ‘character masks’ and cultural masks as its application, we compared the political orientation of North Korean defectors and South Koreans. We interpreted the political participation behavior of the North Korean defectors in the light of the immigrant political socialization theories. We compared explanatory power of resistance theory, exposure theory, and trasferability theory.