임상 간호원의 업무 스트레스 요인에 관한 연구

최미혜 최신의학사 1987 最新醫學 Vol.30 No.10

학교부적응 청소년을 위한 드라마 활용 연구: 해결중심 집단상담 실천가의 경험을 기반으로

최미혜 한국청소년학회 2022 청소년학연구 Vol.29 No.9

This study has been conducted using a qualitative research method that is to explore what drama activities for a solution focused group counseling program mean, and what types of interactions take place between the practitioner and youths and how they react to each other. Data were collected through in-depth interviews from 4 participants who have over ten years experienced professionals in solution-focused counseling, drama or psychodrama, and social work with school maladjusted youth. As a result of data analysis by phenomenological analysis, data has derived 29 theme clusters and lastly 7 categories, and identified. They are‘encountering with the adolescents who are in need’,‘the resistance of the students and rapport between a practitioner and the students in the beginning of drama activities’,‘the reaction of the adolescents in drama activities’,‘the practitioner’s roles’,‘the strengthens of drama activities’,‘the moment for the patience and wisdom’, and‘future path of drama activities’. This result of the study will devote to utilizing group counseling and drama activities for the school maladjusted group students effectively. In addition, it may have implications to find out contributing factors in terms of positive adjustment at school and personality development of youths. 본 연구는 학교부적응 청소년을 위한 해결중심의 집단 상담 프로그램으로 진행되는 드라마 활동이 무엇을 의미하며, 실천가와 청소년들 사이에 어떤 상호작용이 일어나고 반응하는지를 살펴보는 질적 연구이다. 본 연구는 드라마활동을 진행하는 실천가 4명을 심층 면접하였다. 이들은 10여년 이상의 해결중심 상담 유경험자이며, 드라마 또는 심리극 진행 전문가들이며, 또한 공통적으로 학교 부적응 청소년들을 돕고 있는 사회복지사들이다. 참여자들로부터 수집된 내용을 현상학적 방법으로 분석한 결과 7개의 주제와 29개의 중심 의미를 도출하였다. 분석결과 7개 주제 모음은‘도움이 필요한 청소년들과 시작된 만남’,‘드라마 활동의 전개에서 청소년들의 저항과 라포’,‘드라마 활동에서 청소년들의 반응’,‘실천가의 역할’,‘드라마 활동의 강점’,‘인내와 지혜가 필요한 순간들’, 그리고‘드라마 활동이 나아갈 길’이다. 이러한 연구 결과는 해결중심 실천가들이 학교부적응 청소년들을 위한 집단 상담이나 드라마를 효과적으로 활용하는데 기여를 할 것이다. 더불어 학교생활의 긍정적 적응과 인성발달에 기여하는 요소가 무엇인지 밝히는데 함의를 가질 수 있다.

골연하 결손부에서 조직유도재생술의 장기적 방사선학적 변화 관찰

최미혜,박진우,서조영,이재목,Choi, Mi-Hye,Park, Jin-Woo,Suh, Jo-Young,Lee, Jae-Mok 대한치주과학회 2007 Journal of Periodontal & Implant Science Vol.37 No.2

Periodontal surgery as part of the treatment of periodontal disease is mainly performed 1) to gain access to diseased areas for adequate cleaning; 2) to achieve pocket reduction or elimination; and 3) to restore the periodontal tissues lost through the disease; i.e., a new attachment formation of periodontal regeneration. To accomplish the latter, often referred to as the ultimate goal of periodontal therapy, a number of surgical procedures have been advocated throughout the years. Clinical studies have demonstrated that considerable gain of clinical attachment and bone can be achieved following guided tissue regeneration (GTR) therapy of intrabony defects. The aim of this study was to analyse the radiographic bone changes 2-year after GTR using a bone graft material and nonresorbable membrane. Patients attending the department of periodontics of Kyungpook National University Hospital were studied. Patients had clinical and radiographic evidence of intrabony defect(s), 33 sites of 30 patients aged 32 to 56 (mean age 45.6) were treated by GTR with a bone graft material and nonresorbable membrane. Baseline and 2-year follow-up radiographs were collected and evaluated for this study. Radiographic assessment includes a bone fill, bone crest change, defect resolution, and % of defect resolution. Pre- and post-treatment differences between variables (maxilla and mandible, defect depth, defect angle, bone graft materials) using the paired t-test were examined. We observed $2.86{\pm}1,87mm$ of bone fill, $065{\pm}0.79mm$ of crestal resorption, $3.49{\pm}2.11mm$ of defect resolution, and $44.42{\pm}19.51%$ of percentage of defect resolution. Mandible, deeper initial defect depth, narrower initial defect angle showed greater bone fill, defect resolution, and % of defect resolution. But no difference was observed between xenograft and allograft. Outcome of GTR as a therapy of intrabony defect was better than other therapy, but herein, good oral hygiene maintenance as a anti-infective treatment and periodic recall check of patients are essential.

Gene expression pattern during osteogenic differentiation of human periodontal ligament cells in vitro

최미혜,노우창,박진우,이재목,서조영 대한치주과학회 2011 Journal of Periodontal & Implant Science Vol.41 No.4

Purpose: Periodontal ligament (PDL) cell differentiation into osteoblasts is important in bone formation. Bone formation is a complex biological process and involves several tightly regulated gene expression patterns of bone-related proteins. The expression patterns of bone related proteins are regulated in a temporal manner both in vivo and in vitro. The aim of this study was to observe the gene expression profile in PDL cell proliferation, differentiation, and mineralization in vitro. Methods: PDL cells were grown until confluence, which were then designated as day 0, and nodule formation was induced by the addition of 50 μg/mL ascorbic acid, 10 mM β-glycerophosphate, and 100 nM dexamethasone to the medium. The dishes were stained with Alizarin Red S on days 1, 7, 14, and 21. Real-time polymerase chain reaction was performed for the detection of various genes on days 0, 1, 7, 14, and 21. Results: On day 0 with a confluent monolayer, in the active proliferative stage, c-myc gene expression was observed at its maximal level. On day 7 with a multilayer, alkaline phosphatase, bone morphogenetic protein (BMP)-2, and BMP-4 gene expression had increased and this was followed by maximal expression of osteocalcin on day 14 with the initiation of nodule mineralization. In relationship to apoptosis, c-fos gene expression peaked on day 21 and was characterized by the post-mineralization stage. Here, various genes were regulated in a temporal manner during PDL fibroblast proliferation, extracellular matrix maturation, and mineralization. The gene expression pattern was similar. Conclusions: We can speculate that the gene expression pattern occurs during PDL cell proliferation, differentiation, and mineralization. On the basis of these results, it might be possible to understand the various factors that influence PDL cell proliferation, extracellular matrix maturation, and mineralization with regard to gene expression patterns. Purpose: Periodontal ligament (PDL) cell differentiation into osteoblasts is important in bone formation. Bone formation is a complex biological process and involves several tightly regulated gene expression patterns of bone-related proteins. The expression patterns of bone related proteins are regulated in a temporal manner both in vivo and in vitro. The aim of this study was to observe the gene expression profile in PDL cell proliferation, differentiation, and mineralization in vitro. Methods: PDL cells were grown until confluence, which were then designated as day 0, and nodule formation was induced by the addition of 50 μg/mL ascorbic acid, 10 mM β-glycerophosphate, and 100 nM dexamethasone to the medium. The dishes were stained with Alizarin Red S on days 1, 7, 14, and 21. Real-time polymerase chain reaction was performed for the detection of various genes on days 0, 1, 7, 14, and 21. Results: On day 0 with a confluent monolayer, in the active proliferative stage, c-myc gene expression was observed at its maximal level. On day 7 with a multilayer, alkaline phosphatase, bone morphogenetic protein (BMP)-2, and BMP-4 gene expression had increased and this was followed by maximal expression of osteocalcin on day 14 with the initiation of nodule mineralization. In relationship to apoptosis, c-fos gene expression peaked on day 21 and was characterized by the post-mineralization stage. Here, various genes were regulated in a temporal manner during PDL fibroblast proliferation, extracellular matrix maturation, and mineralization. The gene expression pattern was similar. Conclusions: We can speculate that the gene expression pattern occurs during PDL cell proliferation, differentiation, and mineralization. On the basis of these results, it might be possible to understand the various factors that influence PDL cell proliferation, extracellular matrix maturation, and mineralization with regard to gene expression patterns.

노년기에 사별을 경험한 여성노인의 삶의 경험에 관한 현상학적 연구

최미혜 한국노인복지학회 2014 노인복지연구 Vol.0 No.66

This study is a qualitative research using a phenomenological research design which refers tounderstand elderly women’s adjustment process for independent living and to find out themeaning of feeling and experience regarding their lives after the loss of their husbands throughdeath. Data were collected by 8 in-depth interviews. Data has derived 23 theme clusters andlastly 7 categories using Colaizzi’s phenomenological method of data analysis. These women haveexperienced ‘the visiting a variety of psychological phenomenon’ and have identified ‘the changesin physical condition’. They also have experienced ‘the changing of living conditions’ and haverecovered from their depression through ‘the meaning of social support’. Moreover, these womenhave discovered their potential and resilience pursuing ‘the vigor of their lives focusing on socialactivities’, and have developed their lives ‘preparing for their death positively’. Moreover, thesewomen have discovered their potential and resilience pursuing ‘the vigor of their lives focusingon social activities’, and have developed their lives ‘preparing for their death positively’. Theresults of the study leads these women, themselves, not only to understand their lives and tofind out what maladjustment is and what difficulties they had faced, but also to solve theirdifficulties. 본 연구는 배우자와 사별한 여성노인들을 대상으로 그들의 홀로서기 적응과정을 이해하고, 이들이 느끼고 경험한 삶의 내용들의 의미가 무엇인지 밝히고자 현상학적 방법을 사용한 질적 연구이다. 본 연구의 참여자는 65~80세에 해당하는 여성 노인 8명이다. 이 8명의 연구 참여자들에 대해 심층면접을 통해 얻은 자료를 Colaizzi의 분석방법을 이용하여 23개의 주제 모음을 조직화하였으며, 범주 7개가 도출되었다. 이 여성 노인들은 남편과 사별 후 ‘찾아오는 다양한 심리적 손님들’을 경험하였으며, ‘달라지는 신체적 건강상태’의 특징을 지닌다. 그리고 사별 이후 ‘변화되는 삶의 거주 형태’를 경험하였고 ‘주변의 지지가 주는 의미’로 활기를 되찾기도 하였다. 또한 ‘외부활동에 몰두하면서 찾아오는 삶의 활력’으로 자신의 잠재력과 회복력을 확인하였으며 가장 친밀하게 지내던 배우자의 죽음을 겪은 후 ‘긍정적으로죽음을 준비하는 삶’으로 나아가게 되었다. 이 연구 결과를 통해 여성 노인 스스로가 사별이후 자신의 삶을 이해하고 부적응이나 어려움을 탐색하는 것뿐만 아니라 그들이 가진 자원, 기회, 잠재력을 사용하여 어려움을 극복하는 방안을 모색하는데 본 연구는 의의를 두고있다.

특수형태근로종사자의 감정노동에 관한 연구 : 학습지교사를 중심으로

최미혜 한국통합사례관리학회 2020 한국케어매니지먼트연구 Vol.0 No.36

This study is a qualitative research that identifies a home study teacher’s adaptive capacity and limitations based on the understanding regarding various and unique experiences of emotional labor which is required in a home study teacher’s workplace. This study’s participants are 12 home study teachers who are working in each three companies. Data were collected by 12 in-depth interviews that has derived 21 theme clusters and lastly 6 categories, using Giorgi phenomenological method of data analysis. The main categories ‘seeking hope in the job search’, ‘facing a big gap between reality and ideal’, ‘confirming the identity in ones’ own way’, ‘the influence of burnout’, ‘emotional labor strategies’, and ‘mind-punctuating and re-reaping. This study’s result shows that the home study teacher is required to adjust emotional labor. It also shows that the home study teacher’s is making an efforts to overcome his or her burnout caused by emotional labor. Finally, this study will be used as a base data which seeks for social work service and practical plan regarding adjustment and limitation of the strategies in the home study teacher’s emotional labor belong to special type workers.

연구포스터 발표 : 치주인대세포의 광물화 형성과정 시 발현되는 다양한 유전자 양상의 검토

최미혜,박진우,이재목,서조영 대한치주과학회 2006 대한치주과학회 학술대회자료집 Vol.2006 No.2

「비정규직 보호법」의 경로변화 연구:역사적 제도주의와 이익집단 위상변동의 결합모형을 중심으로

최미혜,박용성 한국노동연구원 2020 노동정책연구 Vol.20 No.3

This study aims at analyzing the policy change of the Non-regular employment protection act in Korea by using the combined model of historical institutionalism and interest group standing change framework. The case was analyzed through a path-dependent and path-evolution model based on the historical new institutional perspective. In addition, the external factors (institutional and issue context) and internal factors(movement of actors) were analyzed through the interest group standing change framework. This paper argues that Non-regular employment protection system was introduced on the condition of contingency and critical junctures, but path evolution perspective was developed by the influence of external and internal factors. The policy change process was a gradual policy changing process that new contents were partly added to an existing system. 본 연구는「비정규직 보호법」의 경로변천 과정을 역사적 제도주의와 이익집단 위상변동의 결합모형을 통해 분석하였다. 먼저, 역사적 신제도주의적 관점에 기반을 둔 경로의존 및 경로진화모형을 통해 사례를 살펴보고자 하였다. 아울러 제도의 지속 및 변화라는 양상에 영향을 미치는 추동 기제로서 제도 외부적 요인(제도적 및 이슈적 맥락)과 제도 내부적 요인(행위자의 움직임)을 살펴보기 위하여 이익집단 위상변동모형을 일부 활용하였다. 연구결과,「비정규직 보호법」은 IMF라는 결정적 시기와 김대중 정부 출범이라는 우연성에 의해 경로가 시작되었고, 기존의 법안, 외부적 및 내부적 요인에 영향을 받으며 점진적인 층화(대규모, 소규모)의 형태로서 경로진화가 진행되었다. 즉, 본 연구에서 구축한 결합모형이 사례분석에 적합한 분석틀인 것으로 나타났다. 분석결과를 토대로, 향후「비정규직 보호법」의 정책변화 방향을 예측해보고, 이와 함께 논의될 필요성이 있는 이슈에 대해 분석하였다.

북한이탈 대학생의 적응 스트레스 및 대처 경험에 관한 질적 연구

최미혜 한국학교사회복지학회 2016 학교사회복지 Vol.0 No.35

This study is a qualitative research which refers to identify the adjusting process and the stress response, and also to seek life experience and meaning in terms of coping strategies of North Korean defectors among undergraduate students in Korea. This study recruited 8 participants using snowballing sampling approaches are college students who are North Korean defectors at 4 different universities in Seoul and Kyoung-gi-do. Collected data through in-depth interviews from 8 participants has derived 20 theme clusters and 4 categories using Colaizzi's phenomenological method of data analysis. The 4 main categories consisted of, ‘the first step to a new beginning', ‘the pains of my past still remains in my heart' ‘experiencing stress of the difference between compare and contrast’, and‘coping efforts and great resources hidden inside me’. To be specific, the results shows communication problems, cultural heterogeneity, the difference of education background and approach, relationship problems and south Koreans’prejudices, economic problems, emotional problems and fear for the future as their stress. It also shows economic coping experiences, active behavioral attitude in relationship, volunteer work, nobleness and patience, academic efforts, social supports, and having a dream as their coping experiences and potential resources. This results of the study lead us to find the stress responses of North Korean defectors among undergraduate students in their view, and it is valuable to understand their unique coping skills and internal strengths and resources. Theses attempts will devote to providing basic data in oder to develop social welfare services and policies including effective and successful adjustment to college life. 본 연구는 북한이탈 대학생의 대학생활에 관한 적응과정과 스트레스가 무엇인지를 밝히며 그에 대처하는 삶의 경험과 의미를 탐색하는 질적 연구이다. 본 연구의 참여자들은 서울특별시와 경기도에 소재하는 4개의 대학에 재학 중인 남녀 북한이탈 대학생 8명이며, 눈덩이 표집방법으로 실시하였다. 심층면접으로 얻은 자료를 Colaizzi의 분석방법을 이용하여 4개의 범주와 20개의 주제모음이 조직화하였다. 4개의 주요범주는 ‘새로운 시작의 발걸음’, ‘여전히 아픈 과거의 상처들’, ‘차이와 다름의 경계에서 겪는 스트레스’, 그리고 ‘대처하는 노력과 잠재된 자원’으로 제시되었다. 좀 더 구체적으로는 북한이탈 대학생이 겪는 스트레스로는 의사소통의 어려움, 문화적 차이에서 오는 이질감, 교육의 배경과 방법의 차이, 관계의 어려움과 편견, 어려운 경제적 상황, 정서적 고통, 미래에 대한 두려움 등이며, 이들이 보여준 대처 경험과 잠재적 자원은 경제적인 노력, 적극적 대인관계의 대처, 자원봉사, 당당함과 인내심, 실력을 위한 노력, 주변의 지지, 꿈을 가짐 등으로 나타났다. 본 연구결과는 북한이탈 대학생이 겪는 스트레스를 그들의 입장에서 파악하며, 또한 이들이 대처하는 삶의 독특한 방식이나 내재적인 힘과 자원을 이해하는데 가치가 있다. 이런 시도는 이들의 효과적이고 성공적인 남한 대학생활의 적응을 위한 복지적 서비스와 정책을 모색하는데 기초적인 자료를 제공하는데 기여할 것이다.

북한이탈 사회복지학 대학생의 대학생활 경험에관한 질적 연구

최미혜 한국청소년학회 2015 청소년학연구 Vol.22 No.10

본 연구는 증가하는 북한이탈 사회복지학전공 대학생의 대학생활 경험에 대한 내면적이며 주관적 의미를 탐색한 질적 연구이다. 본 연구의 참여자 8명을 통해 얻은 심층면접 자료를 Colaizzi의 현상학적 방법으로 분석하였다. 분석결과 참여자들의 대학생활경험 본질은 ‘꿈을 향해 거침없이 도전하기’이며 6개의 범주와 20개의 주제모음으로 조직화되었다. 6개 범주는 ‘새로운 세계를 향하여’, ‘사회복지학 대학생이 된 의미’, ‘낯섦과 혼돈 사이’, ‘대학생으로서의 인간관계’, ‘부단한 노력으로 이루는 삶’, 그리고 ‘희망이 잉태됨’으로 나타났다. 이러한 연구 결과는 북한이탈 사회복지학 대학생이 예비 사회복지사로 준비되는데 필요한 대학 생활을 이해하고 이들을 효과적으로 지원하기 위한 기초자료가 될 것이다. 또한 이들을 향한 지원은 빠르게 다문화 사회로 진입하고 있는 한국사회의 귀중한 잠재적 자원에 대한 배려로 의미와 가치를 부여할 수 있을 것이다. This study has been conducted using a qualitative research method, and it is to explore their internal and subjective meanings regarding the campus life experiences for North Korean defectors among undergraduate social work students. Data were collected through in-depth interviews from 8 participants. In addition, the data were analyzed by Colaizzi's method of phenomenological analysis. As a result of data analysis, data has derived 20 theme clusters and lastly 6 categories, and identified 'challenge without hesitation toward the dream' as the essence of the life experiences of the participants. The 6 categories consisted of 'toward a new life', 'the meaning of becoming a social work student' 'between the strangeness and the confusion', 'the relationship as a university student', 'achieving a better life through hard working', and 'desire has conceived'. The results of the study will lead us a better understanding about how North Korean defectors among undergraduate social work students prepare to be social workers and be basic resources that how we support the students effectively. Also, the support for them who can be valuable potential people of Korean society that rapidly becomes more multicultural can give meanings and values to us.