외상중환자의 욕창 위험사정 도구의 타당도 비교

최자은,황선경,Choi, Ja Eun,Hwang, Sun-Kyung 한국중환자간호학회 2019 중환자간호학회지 Vol.12 No.2

Purpose : The aims of this study were to identify the incidence of pressure ulcers and to compare the predictive validities of pressure ulcer risk assessment scales among trauma patients. Methods : This was a prospective observational study. A total of 155 patients admitted to a trauma intensive care unit in a university hospital were enrolled. The predictive validity of the Braden, Cubbin & Jackson, and Waterlow scales were assessed based on the sensitivity, specificity, positive and negative predictive values, and area under the receiver operating characteristic curve (AUC). Results : Of the patients, 14 (9.0%) subsequently developed pressure ulcers. The sensitivity, specificity, positive predictive values, and negative predictive values were 78.6%, 75.9%, 24.4%, and 97.3%, respectively, for the Braden scale (cut-off point of 12); 85.7%, 68.8%, 21.4%, and 98.0%, respectively, for the Cubbin & Jackson scale (cut-off point of 26); and 71.4%, 87.2%, 35.7%, and 96.9%, respectively, for the Waterlow scale (cut-off point of 18). The AUCs were 0.88 (Waterlow), 0.86 (Braden), and 0.85 (Cubbin & Jackson). Conclusion : The findings indicate that the predictive validity values of the Waterlow, Braden, and Cubbin & Jackson scales were similarly high. However, further studies need to also consider clinical usefulness of the scales.

학령기 아동의 또래관계 관련변인들 간의 관계 구조분석

최자은(Choi, Ja-Eun),문대근(Moon, Dae-Gun),문수백(Moon, Soo-Back) 가정과삶의질학회 2013 가정과삶의질연구 Vol.31 No.1

2012년도 경기도 D 중학교 학생들의 치과 진료에 대한 공포 및 불안에 관한 연구

최자은(Ja-Eun Choi),양현주(Hyun-Ju Yang),안소연(So-Youn An) 대한치과의사협회 2013 대한치과의사협회지 Vol.51 No.7

Pediatric and adolescent dental anxiety and fear have been researched in the connection with behavior modification for a long time and this dental anxiety can persist until the adulthoods resulting in extreme fear of and avoidance of dental treatments and causes oral health deterioration. However, the domestic researches regarding adolescent dental anxiety and fear are insufficient. For this reason, this study aims to examine the level of fear and the influential factors affecting their dental fear and to utilize the result as the basic materials in the dental management. The subjects were the students from a middle school located in Gyeonggi-Do. The school was selected by convenient sampling and self-answered questionnaire was filled in by the students. The distribution of responses in each category of fear was examined by frequency analysis. The analysis was conducted using cross tabulation in order to examine the difference between male students and female students and using independent sample t-test in order to compare the fear score of each category. The study results showed the fear score of female students for the category ‘causing irritation during the dental treatments’ was significantly higher in statistics(p<0.05). Therefore, these results should be reflected to the dental care environments in order for the adolescent to reduce the dental anxiety and fear.

난소낭종으로 오인된 복강내 이물질

최자은 ( Ja Eun Choi ),경민선 ( Min Sun Kyung ),박성택 ( Sung Taek Park ),김홍배 ( Hong Bae Kim ),박성호 ( Sung Ho Park ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.5

The most commonly detected foreign body in the abdominal cavity is surgical gauze or sponge, which is followed by intrauterine devices penetrating the uterine cavity. However, to the best of our knowledge, there has been no case report of a foreign body in the abdomen misdiagnosed as an ovarian cyst, in the literature. Thus, we report 1 case of a 41-year-old woman with an umbrella handle in the abdominal cavity, which was misdiagnosed as the ovarian cyst.

부모-자녀 친밀·지지 관계, 교사의 정서적 지지가 아동의 자아탄력성에 미치는 효과: 아동의 정서조절 매개효과 검증

최자은(Choi Ja-eun) 한국인간발달학회 2019 人間發達硏究 Vol.26 No.2

이 연구의 목적은 부모-자녀 친밀·지지 관계, 교사의 정서적 지지, 아동의 정서조절, 아동의 자아탄력성 간의 구조적 관계를 분석하고 아동의 정서조절이 부모-자녀 친밀·지지 관계, 교사의 정서적 지지와 아동의 자아탄력성 사이를 매개하는지 확인하는 것이다. 이를 위해 D시의 초등학교 5-6학년 남녀 아동 669명을 대상으로 자기보고식 질문지 조사를 실시하였다. 수집된 자료는 SPSS 24.0, AMOS 24.0 프로그램을 이용하여 분석하고 SRMR, RMSEA, CFI, TLI.를 통해 모델부합도를 평가하였다. 연구의 결과는 다음과 같다. 첫째, 아동의 정서조절은 아동의 자아탄력성에 영향을 미쳤다. 둘째, 부모-자녀 친밀․지지 관계와 교사의 정서적 지지는 아동의 정서조절에 직접영향을 미쳤다. 셋째, 아동의 정서조절은 부모-자녀 친밀·지지 관계와 아동의 자아탄력성 사이를 매개하였다. 넷째, 아동의 정서조절은 교사의 정서적 지지와 아동의 자아탄력성 사이를 매개하였다. 본 연구 결과를 통해 아동의 정서조절이 아동의 자아탄력성 증진에 있어 직·간접적인 영향을 미치는 중요 변인이며 부모-자녀 친밀·지지 관계와 교사의 정서적 지지는 아동의 정서조절과 자아탄력성과 같은 개인역량 증진의 기본이 됨을 확인하였다. The purpose of present study were to investigate structural relationships among the related variables of school-age children’s self-resilience. and to investigate the mediating effect of children’s emotion regulation on parents-children intimacy-support relationship, teacher’s emotional support and children’s self-resilience. The participants in this study were 669 of the 5th and the 6th grade children in the region of D city. The major findings were as Follows. First, children’s emotion regulation affected directly on children’s self-resilience. Second, parents-children intimacy-support relationship, teacher’s emotional support affected directly on children’s emotion regulation. Third, children’s emotion regulation mediated between parents-children intimacy-support relationship, teacher’s emotional support and children’s self-resilience. These results suggest that children’s emotion regulation is an important variable that direct or indirect influences the children’s self-resilience. Parent-children intimacy-support relationship, teacher’s emotional support are the basis for promoting individual competence, such as children’s emotion regulation and children’s self-resilience.

관광객의 나이와 위험지각에 따른 기술준비도 차이가 모바일 관광 앱 이용의도에 미치는 영향

최자은(Choi, Ja-Eun),유동호(Yoo, Dong-Ho),조승아(Cho, Seung-A) 한국관광레저학회 2014 관광레저연구 Vol.26 No.4

관광지마케팅의 개념과 연구동향에 관한 고찰

최자은(Ja Eun Choi) 한양대학교 관광연구소 2002 觀光硏究論叢 Vol.14 No.-

교육연극을 활용한 성매매예방교육 프로그램 개발

배화정(Bae, Hwajung),최자은(Choi, Jaeun) 한국열린교육학회 2014 열린교육연구 Vol.22 No.1

청소년성매매가 온라인으로 주로 이루어지고 있다는 점은 청소년성매매의 음성화 현상에 대한 대안과 함께 사전예방교육의 필요성을 강하게 요구한다. 현재 의무화되어 있는 성매매예방교육은 학교로 한정되어 있어 탈학교 청소년들에게는 기회가 주어지지 않을 뿐 아니라 학교교육 역시 연1회 1시간가량 일방적 주입식의 교육으로 이루어지고 있기 때문에 얼마나 예방효과를 발휘할 수 있을지에 대해서는 의문이다.이에 본 연구에서는 기존의 교육방식에서 탈피, 교육의 효과성을 보다 높일 수 있는 방안으로 교육연극을 활용한 예방교육 프로그램을 제안하고자 한다. 총 7회기의 이 프로그램은 중등학교에서 학급별로 진행할 수 있도록 구성하였다. 주요내용은 일상생활 깊숙이 자리 잡은 성의 상품화와 성 산업의 요소들을 발견하여 이를 비판하며, 성매매 경험을 한 또래들이 다시 재 유입되지 않도록 도와줄 수 있는 방법을 모색하고, '아르바이트'와 '놀이'를 가장한 수많은 성매매의 유혹 속에서 올바른 선택을 할 수 있는데 필요한 정보 및 자기주장능력을 키울 수 있도록 하였다. 성매매예방교육이 성과를 볼 수 있도록 하기 위해서는 학생들의 성적 주체성 정립을 위해 성평등적 관점에 대한 교육, 성문화와 성문제에 대해 비판적으로 사고할 수 있는 훈련 등을 제공해 주어야 하며, 학생들의 일상에 침투해 있는 여러 유해환경들의 범위를 확대하여 유입통로를 적극적으로 차단시키는 정책들이 필요하다. This paper models an educational theater program for prevention of prostitution as a way to improve the effectiveness of the preventive programs of juvenile prostitution at middle- and high- schools which have long been blamed for its cramming method of teaching. Given the fact that juvenile prostitution has been done mainly through smart phones and via online, it is clear that we need to focus on preventive programs and come up with countermeasures of the crime hiding in shadows. The compulsory prostitution prevention programs for more than one hour per year have been already institutionalized. However, many experts remain skeptical about the effectiveness of the programs which are widely regarded as a mere formality. We analyzed the current preventive programs by conducting literature reviews and interviews with field workers, developed educational theater programs for prevention of prostitution, and then demonstrated them at community child centers. Based on the results of demonstration, this paper develops an educational theater program for middle- and high- school classrooms which consist of seven acts. The program aims to reflect from a gender perspective upon the sex industry and the commercialization of sex which have taken root in our daily lives; to find ways to prevent the relapse into prostitution; to develop the self-assertion and judgment strongly enough to overcome temptation of prostitution; and to understand how to access to community support services in crisis situations. This paper also suggests that a gender-sensitive perspective is integral to the success of prostitution prevention programs for adolescents and new policies are necessary to block up various channels in everyday life that induces adolescents to step into prostitution.

학령기 아동의 그릿, 성장 마인드셋, 기본심리욕구, 부모의 긍정적 양육태도 간의 관계 구조분석

이선형(Sun Hyung Lee),최자은(Ja Eun Choi) 가정과삶의질학회 2019 가정과삶의질연구 Vol.37 No.3

요추 추간판탈출증 환자에 대한 통합적 중재접근의 효과: 단일사례연구

이재홍,손종찬,구성린,이석훈,이동훈,신용웅,최자은,한재경,김동한,김정민,김민철,장진아,황성현,권원안,Lee, Jae-Hong,Son, Jong-Chan,Koo, Seong-Rin,Lee, Seok-Hun,Lee, Dong-Hun,Shin, Yong-Wung,Choi, Ja-Eun,Han, Jae-Kyoung,Kim, Dong-Han,Kim, Jeong-Mi 대한고유수용성신경근촉진법학회 2012 PNF and Movement Vol.10 No.2

Purpose : The purpose of this case report was to examine the effects of intergrative intervention approach on a patient with lumbar herniated nucleus pulposus (HNP). Methods : The subject was a 53 years old woman with lumbar HNP. The subject received conventional physical therapy combined with exercise therapy and manual therapy. Pain on visual analog scale (VAS), finger to floor (FTF), lumbar lateral flexion, L5 motor, and straight Leg-Raising (SLR) were evaluated at baseline and after 4 weeks. Results : The change of VAS, FTF, left lateral flexion, and right lateral flexion were decreased (9 vs. 5, 41 vs, 25, 56 vs. 42, 54 vs. 41, respectively) and the change of L5 motor and SLR were increased (Fair vs. Fair+, 60 vs. 75, respectively). Conclusion : Our findings suggest that Integrative intervention may be considered in patient with lumbar HNP.