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대장암 환자의 기분 상태, 사회적 지지, 증상경험과 삶의 질의 관계
서현정,류은정,함미영 대한종양간호학회 2018 Asian Oncology Nursing Vol.18 No.2
Purpose: This study is to determine the effects of Colorectal Neoplasms patients’ stage, location of disease, functional status (physiological factor), mood (psychological factor), and social support (situational factor) on their symptom experience, and to verify the relationship between symptom experience and the quality of life. Methods: The Theory of Unpleasant Symptoms was the framework for the study. A descriptive correlational design was used in analysis of data obtained from a sample of 113 Colorectal Neoplasms patients who were undergoing chemotherapy. Results: Total mood disturbance and symptom experiences were negatively correlated with physical component score (PCS) and mental component score (MCS) of quality of life (r -.33 to r=-.51, p<.001; r=.40 to r=.50, p<.001). Multiple regression analysis revealed that the functional status and symptoms interference variables explained 29.2% of the variance in PCS of quality of life. Symptoms interference and age explained 30.6% of the variance in MCS of quality of life. Conclusion: Although overall depression levels were low in this sample, these findings suggest that insomnia and fatigue are related to depression and that depression is more closely associated with quality of life than are insomnia and fatigue.
도심지 터널식 지하공동구의 화재예방 및 안전관리를 위한 위험성 평가 시나리오 구축
서현정,최현라,이민철,송창근 한국방재학회 2019 한국방재학회논문집 Vol.19 No.1
공동구는 도시민의 일상생활에 필수적인 통신, 전력, 냉⋅난방시설의 공급에 있어 도심 공간 활용의 효율성을 가진 지하 중요 기반 시설물이다. 또한 지하공간이라는 특수성으로 인해 안전한 유지관리가 중요하며, 시설을 시공하는 과정에서 작업자의 안전성 확보 또한 중요한 문제이다. 특히 시공 중인 공동구에서의 화재 사고 발생 시 화재의 빠른 확산과 고밀도의 연기 발생으로 인한 위험성이 높아 계획 설계단계 시 화재안전성을 확보하기 위한 위험성 평가가 중요 안전 활동 중 하나이다. 따라서 본 연구에서는 시공 중인 공동구에서 발생 가능한 화재사고를 예방하고, 해당 시설물의 안전관리를 통하여 대형재해 발생을 예방할 수 있도록 위험성 평가기법 중 원인결과분석(Cause consequence analysis; CCA) 기법을 활용하여 해당 시설물의 시공 중 발생 가능한 잠재위험성에 대한 화재사고 시나리오를 작성하였다. 본 연구결과는 공동구 시공 중 발생 가능한 사고 예측 및 재해예방 매뉴얼 개발을 위한 기초데이터로 활용될 수 있을 것으로 기대된다. Underground urban utility tunnels are essential facilities in city centers, with an excellent space efficiency in providing communication, power, cooling, and heating facilities. Due to the distinct characteristics of the underground space, it is important to ensure the safety of workers during the construction of these facilities, and to prevent fire spreading through the long line of the utility tunnels. In particular, in case of a fire accident at a construction site, fire risk is very potential due to the fast spread of fire and the generation of high-density smoke. Therefore, to prevent fire accidents at construction sites and large scale disasters through safety management facilities, a fire accident scenario was prepared in this study accounting for potential hazards during the construction of the facility by using the cause consequence analysis (CCA) as a method of risk assessment. The results of this study are expected to be used as a basis for accident prediction and for the development of a disaster prevention manual when constructing underground urban utility tunnels.
서현정,장안수,백애린,박종숙,이준혁,박성우,김도진,박춘식 대한결핵 및 호흡기학회 2013 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.116 No.-
Background: Airway hyperresponsiveness (AHR) is a characteristic feature of asthma, and methacholine bronchial provocation test (MBPT) have been widely used to document and quantitate AHR. Objective: We serially checked MBPT in patients with asthma and compared clinical profiles according to AHR change. Methods: We enrolled 323 asthmatics from Soonchunhyang University Bucheon hospital cohort who had serially checked MPBT. Second MPT was done when patients were well controlled during anti asthma medication according to GINA guideline. Patients were grouped into responder and non-responder by MPT result. Results: Follow up period of MBPT in patients with asthma was 9.3yrs. PC20 was changed from 5.98±0.46 mg/dl at initials to 8.1±0.53 mg/dl at follow up. Compared with non-responder asthmatics, Responder group had longer duration of asthma and lower initial PC20. As compared with non-responder asthmatics, responder asthmatics showed atopic family history. Questionnaire of quality of life were more improved in responder group than in non responder group. Follow up PC 20 was higher in responder asthmatics than those of non-responder. FEV1, FVC, and FEV1/FVC were serially respectively increased. PC20 was serially decreased. First PC20 correlated with second PC20. There were no differences between sex, atopy, asthma exacerbation, accompanying diseases, beta agonist response near fatal attack. Conclusions: Our data indicate that serial methacholine provocation test may be helpful to provide a physiologic rationale for asthma therapy.Background: Airway hyperresponsiveness (AHR) is a characteristic feature of asthma, and methacholine bronchial provocation test (MBPT) have been widely used to document and quantitate AHR. Objective: We serially checked MBPT in patients with asthma and compared clinical profiles according to AHR change. Methods: We enrolled 323 asthmatics from Soonchunhyang University Bucheon hospital cohort who had serially checked MPBT. Second MPT was done when patients were well controlled during anti asthma medication according to GINA guideline. Patients were grouped into responder and non-responder by MPT result. Results: Follow up period of MBPT in patients with asthma was 9.3yrs. PC20 was changed from 5.98±0.46 mg/dl at initials to 8.1±0.53 mg/dl at follow up. Compared with non-responder asthmatics, Responder group had longer duration of asthma and lower initial PC20. As compared with non-responder asthmatics, responder asthmatics showed atopic family history. Questionnaire of quality of life were more improved in responder group than in non responder group. Follow up PC 20 was higher in responder asthmatics than those of non-responder. FEV1, FVC, and FEV1/FVC were serially respectively increased. PC20 was serially decreased. First PC20 correlated with second PC20. There were no differences between sex, atopy, asthma exacerbation, accompanying diseases, beta agonist response near fatal attack. Conclusions: Our data indicate that serial methacholine provocation test may be helpful to provide a physiologic rationale for asthma therapy.
업무상 재해 경험의 심리적 극복에 대한 이론적 모형: 극복 이론과 반응(EVLN) 모형의 적용을 중심으로
서현정,도보람 한국기업경영학회 2023 기업경영연구 Vol.30 No.3
본 연구에서는 극복 이론과 불만족 반응 모형(EVLN)을 업무상 재해 맥락에 도입하여, 업무상 재해 경험 극복의 심리적 기제와 그 결과인 극복 행동을 고찰하는 이론적 모형을 제시한다. 구체적으로 본 연구는 업무상 재해 경험으로 인한 극복의 심리적 기제를 감정 중심과 문제 중심으로 구분하고, 감정 중심 극복은 순응과 태만행동으로, 문제 중심 극복의 경우 발언과 이탈 행동으로 이어짐을 제안하며 각 경우의 예시 행동을 현장의 업무상 재해 맥락에서 제공한다. 또한 구성원들이 높은 자기효능감, 조직지원인식 및 직무열의를 가질 때, 발언이나순응행동과 같이 건설적이고 능동적인 업무상 재해 극복 행동이 더 강하게 증대될 것이라 제시한다. 마지막으로심리적 안전 풍토와 임파워먼트 풍토가 높은 조직 환경일수록 업무상 재해를 경험한 구성원의 자기효능감, 조직지원인식 및 직무열의가 감소에 부의 영향을 미칠 것으로 제안한다.