천 개의 단풍나무

양현주 상상인 2022 상상인 Vol.- No.3

벨마비 입원환자 35례에 대한 임상보고 조기 한방치료가 벨마비에서 House-Brackmann grade에 미치는 영향을 중심으로

양현주,주현아,백상철,박진수,홍석훈,Yang, Hyun-Ju,Joo, Hyun-A,Baek, Sang-Chul,Park, Jin-Soo,Hong, Seok-Hoon 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.3

Objective : This study was designed to evaluate the influence of time from onset of Bell's palsy until commenced Oriental medicine therapy on Bell's palsy. Methods : We investigated 35 cases of patients with peripheral facial palsy who visited Wonkwang University Oriental Hospital from 10th, December 2010 to 31st August, 2011 and classified them as time from onset of Bell's palsy until commenced Oriental medicine therapy. Time from onset of Bell's palsy until commenced Oriental medicine therapy of Group A was within 3 days. Group B was from 4 days to 8 days. We evaluate the treatment effect of each group by House-Brackmann grade before treatment and 1,3 week treatment. Results : 1. There was a statistical difference in period from onset of Bell's palsy until commenced Oriental medicine therapy between Group A and Group B. 2. There was a statistical difference after 1 week treatment in Group B. 3. There was a statistical difference after 3 weeks treatment in both Group A and B.3. After 3 week treatment, there was statistical significant difference in decreased value of House-Brackmann grade between Group A and Group B. Group A showed more recovery compared with Group B. Conclusions : 1. These results suggest that early oriental medicine treatment could be more effective in recovery of Bell's palsy. 2. Further studies will be required to identify the beneficial effect of early oriental medicine treatment in bell's palsy.

유치원 일과에서 최대-최소 촉구 전략 사용이 발달지체 유아의 일상생활기술에 미치는 효과

양현주,정선화 한국특수교육학회 2021 한국특수교육학회 학술대회 Vol.2021 No.-

Workload, Work-Related Symptoms, and Rewards of Nurses during the COVID-19 Pandemic

양현주,김윤경,김세련,김유진,김유빈,김태훈,한지혜,홍예나 부산대학교 간호과학연구소 2023 글로벌 건강과 간호 Vol.13 No.1

Purpose: This study aimed to compare the workload, work-related symptoms, perceived rewards, and expected rewards of frontline and non-frontline nurses during the coronavirus (COVID-19) pandemic and investigates the organizational strategies required by nurses to cope with its prolongment. Methods: A cross-sectional study involving 99 nurses, including frontline (n=67) and non-frontline nurses (n=32) working in a tertiary hospital with a dedicated ward for COVID-19 was conducted. The data were collected from December 2021 to January 2022. Data were analyzed using descriptive statistics, the x 2 test, Fisher’s exact test, and independent t-tests, and Mann Whitney U test. Results: Non-frontline nurses had heavier workloads and more severe work-related symptoms including burnout, stress, and fatigue than frontline nurses. Nurses’ perceived rewards for infection management and control were not equally distributed between the two groups. Nurses expected financial rewards including non-financial and reputation-related rewards. Conclusion: To prepare for future pandemics, medical stakeholders should develop effective strategies that include workforce management, equity-based rewards systems, and regular education and training in infection management and control for healthcare professionals.

불안장애 및 주요우울장애 환자의 우울 증상의 차이

양현주,김대호,장은영,박선철,박용천 대한신경정신의학회 2011 신경정신의학 Vol.50 No.4

Objectives Depressive symptoms are often exhibited by individuals with anxiety disorders. Co-morbidity with depressive disorder is associated with more severe symptoms and poorer outcomes in the course of illness. In this study we investigated the symptomatic and sociodemographic correlates of depressive symptoms in anxiety disorders and compared them with those in major depressive disorder. Methods At a psychiatric ward of a university-affiliated hospital, 192 outpatients with anxiety disorders and 119 with major depressive disorder (MDD) were recruited for a consecutive sample. They completed a questionnaire that included Symptom Checklist-90-Revised (SCL-90-R), Beck Depression Inventory (BDI), State and Trait Anxiety Inventory, and socio-demographic variables. Results Compared to those with depressive disorders, patients with anxiety disorders showed significantly lower levels of depressive symptoms. However, the difference was confined to the negative attitude sub-scale of BDI, not somatic symptoms and performance difficulty. Multiple regression analysis showed factors that a Global Severity Index of SCL-90-R, state anxiety, lower education, and older age predicted depression in anxiety disorders. In contrast, the Global Severity Index and trait anxiety were extracted for MDD. Conclusion This cross-sectional study indicated that depressive symptoms in anxiety disorders can be differentiated from those of MDD so as to lower level of the core cognitive symptoms of depression. Further studies may benefit from looking at both depressive symptoms and co-morbid depressive diagnosis. Objectives Depressive symptoms are often exhibited by individuals with anxiety disorders. Co-morbidity with depressive disorder is associated with more severe symptoms and poorer outcomes in the course of illness. In this study we investigated the symptomatic and sociodemographic correlates of depressive symptoms in anxiety disorders and compared them with those in major depressive disorder. Methods At a psychiatric ward of a university-affiliated hospital, 192 outpatients with anxiety disorders and 119 with major depressive disorder (MDD) were recruited for a consecutive sample. They completed a questionnaire that included Symptom Checklist-90-Revised (SCL-90-R), Beck Depression Inventory (BDI), State and Trait Anxiety Inventory, and socio-demographic variables. Results Compared to those with depressive disorders, patients with anxiety disorders showed significantly lower levels of depressive symptoms. However, the difference was confined to the negative attitude sub-scale of BDI, not somatic symptoms and performance difficulty. Multiple regression analysis showed factors that a Global Severity Index of SCL-90-R, state anxiety, lower education, and older age predicted depression in anxiety disorders. In contrast, the Global Severity Index and trait anxiety were extracted for MDD. Conclusion This cross-sectional study indicated that depressive symptoms in anxiety disorders can be differentiated from those of MDD so as to lower level of the core cognitive symptoms of depression. Further studies may benefit from looking at both depressive symptoms and co-morbid depressive diagnosis.

시뮬레이션 실습을 연계한 근거기반실무 교육 수업모형 개발 및 효과

양현주,박미라,제남주 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.6

This study was conducted to provide basic data for evidence-based practical training of nursing university students and to improve their ability of evidence-based practice. The developed instructional model is about applying the 5 steps of the evidence-based practice linked with simulation practice. The model is a program consisting of 8 sessions(total 32 hours) in which theoretical & practical classes about evidence-based practice and situation-specific simulation practices are cross-designed and applied. In order to verify the effective teaching time of the instructional model, group 1 was instructed to conduct a evidence-based practical training after the simulation practice, and group 2 was instructed to conduct a simulation practice after the evidence-based practical training. The results of this study showed that group 1 had higher level of knowledge and capacity in evidence-based practice than group 2, but there was no statistically significant difference in beliefs. Therefore, in order to enhance the effectiveness of the evidence-based practical training, it is more effective to carry out the evidence-based practical training after the clinical & simulation training experience or repeat the education. This study has limitations due to not being able to observe the persistence of educational effect and the lack of a pure control group. Thus, a follow-up study is needed. 본 연구는 간호대학생의 근거기반실무 교육을 위한 기초자료 제공 및 근거기반실무에 관한 역량 증진을 위해 시행되었다. 개발된 수업모형은 시뮬레이션 실습을 연계한 근거기반실무 5단계를 적용하는 내용으로, 근거기반실무에 관한 이론 및 실기수업과 상황별 시뮬레이션 실습을 교차 설계하여 적용하는 8회기(총 32시간)로 구성된 프로그램이다. 수업모형의 효과적인 교육시기 확인을 위해 그룹 1은 시뮬레이션 실습 후 근거기반실무 교육, 그룹 2는 근거기반실무 교육 후 시뮬레이션 실습을 진행하도록 하였다. 본 연구결과 그룹 1은 그룹 2보다 근거기반실무에 대한 지식수준과 역량이 높았으나, 신념은 통계적으로 유의한 차이가 없음을 확인하였다. 따라서 근거기반실무 교육의 효과를 높이기 위해서는 임상 및 시뮬레이션 실습 경험 후에 근거기반실무 교육을 시행하거나 반복 교육하는 것이 효과적일 것으로 생각된다. 본 연구는 순수 대조군을 두지 못한 것과 교육효과에 대한 지속성을 확인하지 못한 제한점이 있어 후속연구가 필요하다.

국제선 항공사 기내서비스에 대한 불만족과 불평행동유형에 관한 연구

양현주 한국관광정책학회 2003 觀光政策學硏究 Vol.9 No.2

The deepening of competition in the airline industry made the motive to evoke the quality management which emphasizes the quality side in the airline service. Espesially, in the service the fact that the customer's loyalty extent is desided buy how the dissatisfaction than satisfaction is dissolved, the complaint which customers feel is controlled and deserved and repurchase intention become higher means the treatment of complaint behavior of dissatisfied customers became key factor in the customer management. Customers have five fundamental alternatives when they have dissatisfied with a purchase or some aspect of it; take no action, discontinue use of the service, tell friends and others about their problem, complain to cabin manager, complain to sort of consumer protection group and KNTO(Korea National Tourism Organization) For the reserch, this study collected 240 questionnaires targeted to native passengers who come to Korea at the Inchon international airport terminal and set up five hypothesis and used muitiful regression analysis, paired-sample T-test, crosstabulations analysis. According to survey, 1st, Evaluation factor of cabin service quality is positively related to customer's satisfaction. 2nd, There is significant difference between the attribution of cabin service quality and subject of dissatisfaction. Specially, They are dissatisfied by the human professionalism such as cabin crew's clean appearance, courteous cabin crew, pertinent service procedures. 3rd, Dissatisfied passengers than satisfied passengers show strong complaint behavior. 4th, Rutine object passengers than object passengers show strong complaint behavior. 5th, Dissatisfied passengers using national airlines were more likely to refuse to use them again than those using foreign airlines. As a result of the reserch, it could be helpful for the airline industry to establish marketing strategy by understanding dissatisfied factors and complaining behaviors of airline passengers. Finally, Airline management should make more efforts to improve service quality.

간호․간병통합서비스병동 간호사의 이직의도 경로분석

양현주,방설영,박미라,제남주 한국디지털정책학회 2019 디지털융복합연구 Vol.17 No.3

The purpose of this study is to provide basic data for effective human resource management by clarifying the relationship among ward operation support system of ward nurse, nursing performance, job satisfaction, burnout and turnover intention. The subjects of this study were 137 nurses working at comprehensive nursing care service wards of less than 500 beds in B and C city. Data were collected using structured questionnaires, and analysis was conducted using SPSS/WIN 21.0 and AMOS 18.0 programs. As a result of the path analysis, variables directly affecting the turnover intention of nurses working at the comprehensive nursing care service wards are ward operation support system and burnout, and indirect influences are nursing performance and job satisfaction. Burnout has the most direct effect on turnover intention, which is directly influenced by job satisfaction and nursing performance. Ward operation support system was confirmed to have a direct effect on job satisfaction. Therefore, in order to reduce the turnover intention of nurses working at the comprehensive nursing care service wards, strengthening ward operation support system in order to improve job satisfaction and measures to reduce the burnout and burden of nursing performance are needed. 본 연구는 간호·간병통합서비스병동 간호사의 병동운영지원체계, 간호수행도, 직무만족, 소진과 이직의도 간의 인과관계를 확인함으로써 효율적인 인적자원 관리를 위한 기초자료를 제시하고자 시도되었다. 연구대상은 B시, C시 소재 500병상 미만 규모의 간호·간병통합서비스병동 간호사 137명이었으며, 구조화된 설문지를 이용하여 자료를 수집하였고 수집된 자료는 SPSS/WIN 21.0과 AMOS 18.0으로 분석하였다. 경로분석 결과, 간호·간병통합서비스병동 간호사의 이직의도에 직접적인 영향을 미치는 변수는 병동운영지원체계와 소진이었으며, 간접적인 영향을 미치는 변수는 간호수행도와 직무만족이었다. 이직의도에 직접적인 효과가 가장 큰 것은 소진이었으며, 소진은 간호수행도와 직무만족에 직접적인 영향을 받았고, 직무만족은 병동지원체계의 직접적인 영향을 받는 것을 확인하였다. 따라서 간호·간병통합서비스병동 간호사의 이직의도를 감소시키기 위해서는 병동운영지원체계를 강화하여 직무만족을 향상시키고, 간호수행에 대한 부담과 소진을 감소시키는 방안이 마련되어야 할 것이다.

황련해독탕 및 발효황련해독탕의 항염증 효과

양현주,주현아,백상철,박진수,홍석훈,Yang, Hyun-Ju,Joo, Hyun-A,Baek, Sang-Chul,Park, Jin-Soo,Hong, Seok-Hun 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.2

Objective : Recently interest of fermented herb medicine has increased in Oriental medicine. Herb medicine fermented in a proper condition resultingly has better or new virtue by microbe. This study was designed to compare the anti-inflammatory effects of herbal decoction and fermented herbal decoction in Hwangnyeonhaedok-tang (Huanglian fiedu-tang; HHT). Methods : The effects of HHT and FHHT on anti-inflammation were measured by production of NO and pro-inflammatory cytokine productions including TNF-${\alpha}$ and IL-1${\beta}$, IL-6 in LPS induced RAW 264.7 cells. Results : 1. Cell viability in three doses of HHT extract (0.01, 0.05 and 0.10 mg/ml) and two doses of FHHT extract (0.01, 0.05 mg/ml) was more than 70% and 80% each. 2. In RAW 264.7 cells, LPS displayed significant stimulatory effects on the production of NO. However, both HHT, FHHT showed significant inhibitory effects on the production of NO. 3. Pre-treatment by HHT in a various concentrations (0.01, 0.05, 0.10, 0.50mg/ml) reduced the elevated production of TNF-${\alpha}$, IL-1${\beta}$, IL-1${\beta}$ mRNA, IL-6 mRNA. More than 0.05mg/ml concentrations of HHT reduced the production of IL-6. And TNF-${\alpha}$, IL-1${\beta}$ level of mouse serum reduced in a various dose(0.1, 0.5, 1.0g/kg). 4. Pre-treatment by FHHT in a various concentrations (0.01, 0.05, 0.10, 0.50mg/ml) reduced the elevated production of TNF-${\alpha}$. More than 0.05mg/ml concentrations of FHHT reduced the expression of TNF-${\alpha}$ mRNA. 0.1, 0.50mg/ml concentrations of FHHT reduced the production of IL-6. And IL-1${\beta}$ level of mouse serum reduced in a various dose(0.1, 0.5, 1.0g/kg). Conclusions : These results indicated that both HHT and FHHT could have anti-inflammatory capacity by inhibiting the production of NO and cytokines in vitro. But HHT has more strong anti-inflammatory effects than that of FHHT in broad outlines.

Application of Lemongrass Oil-Containing Polylactic Acid Films to the Packaging of Pork Sausages

양현주,송경빈 한국축산식품학회 2016 한국축산식품학회지 Vol.36 No.3

Polylactic acid (PLA) is a biodegradable and renewable polymer, which represents a valuable alternative to plastic packaging films, often associated with environmental problems. In this study, we tested the suitability of PLA as a biodegradable packaging film and assessed the antimicrobial activity of lemongrass oil (LO), incorporated into the PLA film in different concentrations. To obtain the optimal physical properties for PLA films, tensile strength, elongation at break, and water vapor permeability were measured under different preparation conditions. In addition, the antimicrobial activity of the LO contained in the PLA film against Listeria monocytogenes was investigated by disc diffusion and viable cell count. Among all concentrations tested, 2% LO was the most suitable in terms of antimicrobial activity and physical properties of the PLA film. Based on these results, we used the PLA film containing 2% LO to pack pork sausages; after 12 d of storage at 4°C, the population of inoculated L. monocytogenes in the sausage samples wrapped with the PLA film containing 2% LO was reduced by 1.47 Log CFU/g compared with the control samples. Our data indicate that PLA films containing 2% LO represent a valuable means for antimicrobial sausage packaging.