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      • KCI등재

        심폐소생술금지(Do-Not-Resuscitate)에 대한 환자보호자의 윤리적 인식 및 태도

        송경옥,조현숙 병원간호사회 2010 임상간호연구 Vol.16 No.3

        Purpose: The purpose of this study was to investigate the ethical awareness and attitude of patients' families towards Do-Not-Resuscitate(DNR), and thus provide basic information required to develop Korean appropriate DNR instructions and practice informed consent for DNR. Methods: During April 2010, 219 patient family members visiting the hospital were surveyed using a questionnaire. Results: Most of the participants preferred DNR to meaningless treatment for incurable patients. They recognized the necessity of explaining DNR to the patient with a terminal disease. They also requested DNR orders for themselves if they were in the same medical condition. In making a DNR decision, the patient's family agreed and preferred that it reflect the opinion of the patient and the doctor in charge. They also agreed that treatment should be given with the best efforts even if a DNR decision had been made for the patient. Conclusion: To make a decision on DNR for a patient who is terminally ill or for whom survival is not possible, a practice of informed consent and guidelines for executing the DNR reflecting the patient's opinion are required.

      • KCI등재

        한국어판 정신건강회복척도(MHRM-K)의 신뢰도와 타당도 평가

        송경옥 한국정신건강사회복지학회 2010 정신보건과 사회사업 Vol. No.

        MHRM was developed by Young and Bullock for the purpose of meauring mental health recovery in 1999. This study examined the reliability and the validity of the Korean version of the Mental Health Recovery Measure(MHRM-K). MHRM-K was constituted with the 28 items excluded 16th and 30th items from MHRM(2005). The validation of MHRM-K examined through the confirmatory factor analysis and the correlation analysis with the empowerment scale, the basic functioning scale for people with the mental illness and the psychiatric symptom related scale. MHRM-K was correlated with the empowerment scale and basic functioning scale for people with mental illness significant positively, but not correlated with symptom related items likewise the psychiatric diagnostic criteria. The reliability of MHRM-K(28items) was α=.95(N=319). The mean of MHRM-K=82/112(SD=20) was higher than MHRM=80/120(30items, SD=20) from Bullock's research report in 2005. This study has the limitation that the objective were the people with mental illness who have been already trained in community rehabilitation centers or vocational training centers. In spite of this limitation, the result of validation of MHRM-K will encourage and support application of the recovery paradigm based practice and further research about recovery oriented community mental health service in Korea. 본 연구는 정신보건서비스의 효과성 및 정신장애인의 회복과정을 측정하는 정신건강회복척도(Mental Health Recovery Measure, 이하 MHRM로 약술. Bullock, 2005)의 한국어 번역본에 대한 신뢰도와 타당도를 평가하여 한국어판 정신건강회복척도(Mental Health Recovery Measure, 이하 MHRM-K로 약술)를 소개하기 위한 것이다. 연구방법은 요인분석을 통해 MHRM의 30문항보다 2개 문항이 적어진 28문항의 척도를 확립하였고, 이에 대해 임파워먼트척도 및 정신장애인의 일반기능척도와 상관관계를 비교하여 수렴타당도를 검증하였다. 정신과적 증상척도, 유병기간과 같은 정신과적 증상 관련 특성들과의 상관관계 분석을 통해 판별타당도를 검증하였다. 연구 결과 기존 유사 개념 척도들과는 높은 정적 상관관계를 보였으며 이론적으로 연관성이 낮은 특성들과는 부적관계를 보이거나 유의미한 상관관계를 보이지 않아 수렴타당도 및 판별타당도가 검증되었다. 내적 일치도 방법을 사용한 한국어판 정신건강회복척도의 신뢰도는 α=.95(N=319)로 매우 높았으며 이를 통해 한국어 번역본의 사용 가능성을 검증하였다. 회복 패러다임은 정신질환의 만성성보다는 회복 가능성에 초점을 두고, 정신과적 증상이 있더라도 보다 더 의미 있는 역할의 수행을 통해 정신질환으로부터 회복할 수 있다는 신념과 희망을 강조하고 있다. 본 연구 결과는 이러한 회복 패러다임에 대한 근간의 학계 및 실천 현장의 연구 활동에 기본 도구를 제공하는 것이다. 정신보건사회복지에 있어 새로운 패러다임인 회복패러다임에 기초한 측정 도구 중 하나인 본 한국어판 정신건강회복척도의 소개로 관련 연구 및 현장 적용성에 대한 논의가 보다 더 활발해 질 것으로 기대한다.

      • KCI등재후보
      • KCI등재

        롤랑 바르트의 기호학을 통한 올림픽 마스코트 애니메이션 광고의 의미작용에 관한 연구- 동계올림픽 마스코트를 중심으로 -

        송경옥,한석원 사단법인 한국브랜드디자인학회 2023 브랜드디자인학연구 Vol.21 No.3

        올림픽 대회는 오늘날 전 세계가 주목하는 스포츠 축제이다. 올림픽 마스코트는 역대 올림픽 대회의 전형적인 상징으로서 애니메이션 광고 형식을 통해 전달되어 언어 및 문화의 장벽을 뛰어넘어 올림픽 정신의 이념과 가치관을 대중들에게 충분히 전달할 수 있다. 본 연구는 기호학 관점을 활용하여 애니메이션 광고의 상징적 의미작용을 분석함으로써 애니메이션 광고로 올림픽 메시지를 전달하는 효과적인 방법을 도출하는 것을 목적으로 한다. 연구 방법은 롤랑 바르트 기호학 체계를 기반으로 분석 틀을 구축 및 분석하고 동계올림픽 마스코트 애니메이션 광고 사례의 기호 요소에 대해 분석하고 기호의 의미작용을 나열하는 것이다. 연구 결과는 다음과 같이 4가지 측면으로 요약하였다. 첫째, 애니메이션 광고는 재미있는 스토리를 통해 마스코트 이미지를 만든다. 둘째, 시각 기호 및 청각 기호를 이용하여 광고의 표현력과 감화력을 강화한다. 셋째, 애니메이션 광고는 마스코트 원형의 습성 및 특징을 보여주는 것을 통하여 올림픽 정신을 구현한다. 넷째, 애니메이션 광고를 통해 사람들에게 환경 보호와 지속 가능한 발전에 관심을 기울이도록 한다. 결론에 대해 말하자면, 애니메이션 광고는 올림픽의 홍보 수단으로써 이끌어 주고 교육의 역할을 할 수 있어 올림픽 대회의 홍보 효과를 강화하는 데 도움이 된다. 본 연구는 올림픽 마스코트 애니메이션 광고의 메시지 전달 방식을 이해하는 데 참고적 의미가 있다. Currently, the Olympic Games are a world-renowned sports event. In this case, the Olympic mascot, as a typical symbol of the previous Olympic Games, can be disseminated through animated advertisements, which can break through language and cultural barriers, and fully convey the concept and values of the Olympic spirit to the public. The study aims to analyze the symbolic significance of the Olympic mascot's animated advertisements through applying semiotic perspective, finding that the animated advertisement is the effective method to convey Olympic information. For the research method, it is to establish an analytical framework on the basis of Roland Barthes' semiotic system, analyze the symbolic elements of the animation advertising cases of the Winter Olympic Games' mascots, and list the function process of the symbols' meaning. The research results can be summarized in the following four aspects: firstly, the animated advertisements shape the image of the mascot through interesting stories; secondly, the visual symbols and auditory symbols are utilized to increase the expressive and infectious power of advertisements; thirdly, the animated advertisements reflect the Olympic spirit by showcasing the habits and characteristics of the mascot prototype; fourthly, animated advertisements appeal people to attach importance to environmental protection and sustainable development. In conclusion, animated advertisements, as a means of communication for the Olympics, play a guiding and educational role, which is conducive to enhancing the publicity effect of the Olympics. This study possesses reference significance for understanding the ways in which Olympic mascot's animated advertisements convey information.

      • KCI등재

        제주지역 망아지에서 Rhodococcus equi 감염증의 병리학적 특징

        송경옥,양형석,손원근,김재훈,Song, Kyung-Ok,Yang, Hyoung-Seok,Son, Won-Geun,Kim, Jae-Hoon 대한수의학회 2019 大韓獸醫學會誌 Vol.59 No.3

        From 1996 to 2014, 14 foals from nine farms in Jeju were diagnosed with a Rhodococcus equi infection. Clinically, most foals showed characteristic respiratory signs, including hyperthermia and dyspnea. The seasonal occurrence of R. equi infection in foals was higher in summer, such as June (eight foals; 57.1%) and July (four foals; 28.6%), than in the other seasons. The major cases of R. equi infections were observed among two-month-old (eight foals; 57.1%) and three-month-old (three foals; 21.4%) foals. Histopathologically, bronchopneumonia, abscess, and granulomatous pneumonia were the most prevalent lesions in the lungs of foals. Colonic ulcers and submucosal abscesses were found in a foal. Some foals showed granulomatous lymphadenitis and abscesses in the mesenteric and other lymph nodes. According to the polymerase chain reaction using 10 tissue samples of foals and nine R. equi isolates, the vapA gene was detected in 11/11 (100%) foals. Immunohistochemical staining using the anti-VapA monoclonal antibody was applied to detect the R. equi VapA antigen in the organs of foals. R. equi VapA antigens were demonstrated in most lungs and some mesenteric and hilar lymph nodes of 13 foals. Isolated virulent R. equi VapA bacteria showed high sensitivity to gentamicin, quinolones, rifampin, and vancomycin.

      • 도시 재가노인의 건강관련 생활양식과 일상생활동작에 관한 연구

        송경옥,김공현 인제대학교 지역사회의학연구소 1998 硏究論文集 Vol.5 No.-

        The purpose of this study was to investigate how health related lifestyles influence activities of daily living and instrumental activities of daily living among elders living at home, and thus to provide basic data for the development of supportive elderly health care programs. 204 elders aged 65 years and over, living in Wanwol-dong of Masan City were randomly selected, and interviewed at their home with a structured questionnaire by the investigator from March 1 to 14 in 1997. SPSS WIN/PC program was used for the processing data and for providing the statistics including χ²-test and t-test. Major results were as follows : 1. There were no significant differences in economic variables activities of daily living and self-perceived health status by sex, but there were significant differences in health related practices by sex, activities of daily living by self-perceived health status, and instrumental activities of daily living by the self-perceived health status. (p$lt;0.05 or p$lt;0.01) 2. Each average score of ADL, IADL and TADL was significantly difference by self-perceived health status. (p$lt;0.01) 3. 14.7% of the subjects were not able to practice one of 10 ADL without help and there was significant difference in the distribution by sex. (p$lt;0.01) In conclusion, it is necessary to take these results into consideration in the process of developing health care programs for elders, and to conduct in-depth studies for such lifestyles which influence health of elders and reduce their ability of daily living.

      • KCI등재
      • KCI등재

        제주지역 흑염소에서 뇌염형 리스테리아증 발생 증례 보고

        송경옥 ( Kyoung Ok Song ),양형석 ( Hyoung Seok Yang ),정수교 ( Soo Kyo Jung ),강완철 ( Wan Choul Kang ),고진아 ( Jin A Ko ),이철휴 ( Chul Hue Lee ),김재훈 ( Jae Hoon Kim ) 한국가축위생학회 2014 韓國家畜衛生學會誌 Vol.37 No.1

        In February 2013, two Korean native goats with circling, dysphagia, sialorrhea, and death were submitted for necropsy to the Jeju Self-Governing Provincial Veterinary Research Institute. Histopathologically,multifocal to confluent micro-abscess composed of neutrophils and macrophages and severe mulifocal perivascular cuffing were observed in pons, medulla oblongata, and cerebellum. Isolated bacteria from the brain sample were Gram-positive coccobacilli and were confirmed as Listeria (L.) monocytogenes by VITEK and PCR analysis. Based on clinical sign, histopathology and bacterial isolation,this case was diagnosed as encephalitic listeriosis. In our best knowledge, this is the first report of encephalitic listeriosis caused by L. monocytogenes in Korean native goats in Jeju.

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