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      • SCOPUSKCI등재

        호도약침이 견비통에 미치는 임상적 연구

        최한나,이승훤,김철홍,윤현민,장경전,Choi, Han-Na,Lee, Seoung-Whon,Kim, Cheol-Hong,Yoon, Hyun-Min,Jang, Kyung-Jeon 대한약침학회 2011 Journal of pharmacopuncture Vol.14 No.4

        Objectives: The purpose of this study is to examine the effects of Juglandis Semen Pharmaco-puncture Therapy on Shoulder Pain. Methods & Results: Clinical studies on shoulder pain were carried out on 34 patients who were treated at Department of Acupuncture & Moxibusition, Samse Oriental Medical Hospital from June to October, 2009. Patients were divided into two groups, i.e. Sample group(Group A) and Control group(Group B). Group B were treated by body acupuncture and cupping therapies while Group A were added juglandis semen pharmacopuncture therapy to therapies of Group A. All patients of both groups were treated three times a week for three weeks. In order to evaluate pain degree, we apply Shoulder Pain and Disability Index(SPADI), Visual Analogue Scale(VAS) and the tool developed by Japan's Industrial Hygienics Society and modified by Korean Doctor. Evaluations were done after first week, second week and third week during period of treatment. Results: Both groups showed significant pain decreasing tendencies. But Group A showed more efficiency comparing to Group B. Conclusions: According to the above-mentioned results, it seems that Juglandis Semen pharmacopuncture therapy could be applied as the effective method for reducing shoulder pain.

      • 저소득 노인을 간호대상으로 한 유헬스 간호사에 관한 문화기술지

        최한나 ( Han Na Choi ),김정은 ( Jeong Eun Kim ),김미령 ( Mei Ling Jin ),이지산 ( Ji San Lee ),김석화 ( Suk Wha Kim ),정수용 ( Su Young Jeong ) 서울대학교 간호과학연구소 2014 간호학의 지평 Vol.11 No.1

        This study sought to ascertain and describe u-Health nurses (ubiquitous healthcare nurse, tele-nurse)` experiences working with low-income elders in Korea. Methods: Data were collected through semi-structured interview, focus group interviews of 6 nurses and participant observations in community places in public rental housing in the city of Seoul. The ethnographical analysis method, proposed by Spradley, was used to analyze interview data. Results: We identified two major clusters of themes on common issues and concerns experienced by nurses: "work environment" and "daily work life." In addition, ten themes and fourteen sub-themes were extracted from the field work data. Conclusion: The study provided a deeper understanding of the experiences and services of u-Health nurses in Korea, of which much remains to be understood, as the healthcare services they currently provide are limited. Moreover, its findings could empower novice nurses and expand nurse`s professional knowledge and competence.

      • KCI등재후보

        상담관계의 두 가지 측면: 작업동맹과 실제관계

        최한나 ( Han Na Choi ) 서강대학교 학생생활상담연구소 2010 人間理解 Vol.31 No.2

        본 연구는 상담 및 심리치료에서 상담자와 내담자가 형성하는 상담관계의 중요성이 강조되어왔음에도 불구하고 연구자와 실무자들이 상담관계에 대한 모호하거나 편협한 이해를 가지고 있다는 문제의식에서 출발한다. 특히 국내에서 이루어진 상담관계와 관련된 연구들은 상담관계의 한가지 특성으로 이해될 수 있는 작업동맹에 국한되어 있으며, 그 용어에 있어서도 작업동맹을 치료적 동맹, 혹은 치료적 관계라는 용어와도 혼용하여 사용해 왔다. 따라서 본 연구는 상담관계를 설명하는 이론적 측면 중에서 작업동맹과 실제관계에 대해 변별적으로 살펴보고자하였다. 이를 위해 작업동맹과 실제관계에 대한 개념, 연구동향, 그리고 상담실제에서 해당 개념들의 측정에 대한 항목으로 나눠 경험적 연구들을 고찰하였다. 이 과정에서 상담관계의 상담자-내담자 간 인식차이, 상담과정을 통한 상담관계의 발달적 특성이 상담성과에 미치는 영향, 그리고 작업동맹과 실제관계 간의 상호관련성 등을 함께 살펴봄으로써 상담관계에 대한 세분화된 이해를 높이고 상담자들을 위한 임상적 시사점을 도출하고 향후 연구를 위한 제언을 하였다. The aim of this paper is to review two theoretical perspectives of understanding therapeutic relationship in counseling and psychotherapy. Therapeutic relationship has been confused with working alliance or therapeutic alliance in previous studies on counseling relationship. In this paper, we explained how these concepts have been developed and why they have been used with confusion. We attempted to clarify therapeutic relationship using two primary perspectives: working alliance and real relationship, which are similar but theoretically different. We provided the definitions of working alliance and relationship, research trend, and empirical research in the related field. We particularly examined differences in perceptions of counseling relationship between counselors and clients, change of therapeutic relationship across the counseling sessions, and inter-relationship between working alliance and real relationship. We also discussed the limitations of previous studies on therapeutic relationship and suggested future research directions.

      • KCI등재

        영상매체를 이용한 음악치료가 정서부적응 초등학생의 정서지능에 미치는 영향

        최한나 ( Han Na Choi ),이드보라 ( Debora Lee ) 한국정서·행동장애아교육학회(구 한국정서학습장애아교육학회) 2012 정서ㆍ행동장애연구 Vol.28 No.2

        이 연구의 목적은 영상매체를 이용한 음악치료가 정서부적응 초등학생의 정서지능 향상에 미치는 영향에 대해 알아보기 위한 것이다. 연구의 대상은 대구 지역에 위치한 P예술치료연구소를 통해 모집된 초등학교 1, 2학년 학생 총 24명의 학생들이었다. 실험은 주 2회씩 총 15회, 매 회기는 50분간 진행되었고 정서지능 하위영역을 고려하여 고안된 음악치료를 실시하였다. 실험에 적용된 음악치료는 클래식 음악 애니메이션 감상을 중심으로 통합적, 단계적 음악 감상 활동으로 진행되었다. 통제집단에는 음악적 처치를 하지 않았으며, 처치기간 후에 동일한 검사지로 두 집단에게 사후 검사를 실시하였다. 사전-사후 검사에 사용된 측정도구는 문용린(1997)의 ``초등학생 저학년용 정서지능 검사``로 총 22문항의 자가 보고식 검사지이다. 연구결과 영상매체를 이용한 음악치료가 정서부적응 초등학생의 정서지능에 통계적으로 유의미한 향상이 나타났다. 그러므로 정서부적응 초등학생의 정서지능 향상을 위한 영상매체를 이용한 음악치료의 적용가능성을 제시하고자 하였다. The purpose of this study was to investigate the effect of music therapy using video media on the improvement for emotional maladjustment of emotional intelligence in elementary school students. In this study, a total of 24 students were selected. They were the first- and second-graders from P Arts Therapy Institute located in Daegu. The music therapy was conducted 2 times a week, total 15 times, and each session was 50 minutes. Moreover, a music therapy program designed with consideration of subordinate domains of emotional intelligence was carried out. The music therapy using video media applied to the experiment was carried out as integrated and phase-in music appreciation activities, with the priority given to appreciation of classical music animation. In the control group, no music therapy was given, and after the period of therapy, a follow-up test was conducted on the two groups using the same test paper. The measurement tool for the pre- and post-test was self-reported test paper including a total 22 items, such as ``Emotional Intelligence Test for Low Graders in Elementary School`` of Moon Yong-rin (1997). As a result of research, it was understood that the experimental group, with music therapy for using video media improved emotional intelligence and showed more improved emotional intelligence. Therefore, emotional maladjustment of elementary school students using video madia for emotional intelligence improved the feasibility of purpose.

      • KCI등재

        Tandem 대장내시경에서 대장 용종 간과율에 영향을 주는 인자

        최한나 ( Han Na Choi ),김현희 ( Hyun Hee Kim ),오장석 ( Jang Seok Oh ),장희상 ( Hee Sang Jang ),황현식 ( Hyun Sik Hwang ),김은영 ( Eun Young Kim ),권중구 ( Joong Goo Kwon ),정진태 ( Jin Tae Jung ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.1

        목적: 대장의 용종 간과율 및 이에 영향을 주는 인자들에 대한 결론은 아직 체계적으로 정립되어 있지 않다. 이번 연구에서는 대장의 용종 간과율을 환자수준과 용종수준 두 가지 측면으로 구분해 제시하고, 이에 영향을 주는 인자들을 시술자, 시술, 환자, 용종의 요소로 구분하여 분석하였다. 대상 및 방법: 2011년 8월부터 2013년 8월까지 대구가톨릭대학병원에서 대장내시경을 시행받은 후 생검 겸자로 제거되기 어려운 크기의 용종이 있어 6개월 내 예정된 두 번째 대장내시경을 시행받은 환자들을 대상으로 하였다. 결과: 환자수준 간과율은 59.2%로 (234/395), 절반 이상의 환자에서 간과된 용종이 존재하였다. 용종수준 간과율은 27.9%로(578/2,068) 이전 연구들의 결론과 유사하였다. 간과율은 소화기 전임의와 교수 및 개인의원 간에 차이가 없었으며, 환자 특성에 따른 간과율 차이는 없었다. 시술요소에서는 내시경을 오후에 시행하였을 때 간과율이 높았고(OR 1.632, p=0.046), 용종 특성에 따른 분석에서는 용종이 작을수록 (OR 4.595, p<0.001 in <5 mm/OR 3.447, p<0.001 in 5-10 mm), 모양이 편평할수록(OR 2.406, p<0.001 in flat/OR 1.768, p=0.002 in sessile), 좌측 대장에 위치한 경우 간과율이 높았다(OR 1.391, p=0.007). 결론: 대장 용종 진단의 정확성에 있어서 시술자의 경력은 용종 간과율에 영향을 주지 않으며, 오후에 시행된 검사에서는 검사자의 피로도가 용종 진단의 정확도를 감소시키는 요인으로 보인다. 또한 좌측 대장에 위치한 용종의 높은 간과율은 구불 결장의 큰 굴곡과 주름에 의한 것으로 생각되며 이러한 맹점에 의한 한계는 앞으로 더 향상된 대장내시경의 개발로 점차 개선할 수 있을 것으로 기대한다. Background/Aims: The miss rate of colon polyps and its related factors have not been clearly identified yet.This study aims to review the miss rate of polyps both on the patient-level and on the polyp-level and to analyze the factors affecting the miss rate such as those related to the endoscopist, procedure, patient, and polyp. Methods: From August 2011 to August 2013, patients who underwent elective second colonoscopy for resection of polyps, the sizes of which were not small enough to be resected by biopsy forceps alone at first colonoscopy, were enrolled retrospectively. Results: The miss rate on the patient-level was 59.2% (234/395) and on the polyp-level was 27.9% (578/2,068). There was no significant difference in the miss rate depending on the experience of the endoscopists or characteristics of the patients. In terms of the procedure, the miss rate was higher when the colonoscopy was performed in the afternoon (OR 1.632, p=0.046). It was found that the miss rate of polyps increased when the polyps were small (OR 4.595, p<0.001 in <5 mm/OR 3.447, p<0.001 in 5-10 mm), flat or sessile (OR 2.406, p<0.001 in flat/OR 1.768, p=0.002 in sessile), and located in the left colon (OR 1.391, p=0.007). Conclusions: The experience of endoscopists did not have influence on the accuracy of polyp detection. However, the fatigue of endoscopists in the afternoon is considered to render polyp detection less accurate. Also, the large curves and folds of the sigmoid colon are regarded as a reason for the higher miss rate of polyps in the left colon. (Korean J Gastroenterol 2014;64:24-30)

      • 헬스케어 기반의 고령 친화적 스마트홈 건축을 위한 서울지역 영구임대주택 거주노인의 건강상태 조사연구

        최한나(Choi Han-Na),김정은(Kim Jeongeun) 대한건축학회 2011 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.31 No.2(계획계)

        The purpose of this paper is to identify health management status on elderly who live in low-income permanent rental housing in order to construct smart home. In order to meet the end, a field survey and an expert survey were conducted on targeting 217 old people living in public rental housing in Gang-seo area. Finally, It suggests the model based on analyzing status of resident’s health care management and economic difficulties.

      • 저소득 임대주택 노인 거주자의 건강관리 실태에 대한 주거환경 영향요인의 재해석

        최한나(Choi Han-Na),김정은(Kim Jeongeun) 대한건축학회 2011 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.31 No.2(계획계)

        This study is conducted elderly residents living in low-income rental housing to analyze the impact of environment factors for the health care management based on the theory of Nightingale. The permanent rental housing residents who belong to the era of low-income in urban are able to meet satisfaction and affect to health on simply followed by the Nightingale"s basic living environment for the composition.Therefore, a healthy environment for the subjects of this study, the composition of the basic features for homes have enough meaning. The analysis of residential environmental factors which have effect on the problems they suffered and healthcare issues shows these are related. It shows that the way to furnish housing to the subject of study should be differentiated from the housing provision system to the ordinary people by reflecting the primary needs for the residents living in the public rental housing.

      • KCI등재

        로버트 가네(Robert Mills Gagne)의 9가지 수업사태를 활용한 피부미용교과 교수-학습지도안의 타당도 조사

        최한나 ( Han-na Choi ),최미옥 ( Mee-ok Choi ) 한국미용학회 2019 한국미용학회지 Vol.25 No.3

        Korean beauty education started at Gangneung Youngdong University in 1991 and now has master and doctoral courses at the graduate school. This phenomenon seems to reflect the need of beauty-specialist production. However, teachers are experiencing difficulties due to lack of information and reference materials in the major subject teaching. Therefore, this study investigated differences of general characteristics of teachers in Beauty High-School based on Gagne's teaching-learning guidance plan. Statistical analysis of collected data was analyzed the differences between general characteristics and teaching-learning plans of the subjects by using the SPSSWIN 21.0 program. First, in general characteristics, the gender was female (87.5%), male (12.5%) / education experience under 2~3 years (38.8%), under 3~4 years (20.0%), under 4-5 (7.5%), over 5years (6.3%) / in the form of employment, short-term (35.0%), practice teacher (28.8%), part-time teacher (20.0%), and regular teachers (appointment) (16.3%) / courses with experience in class, skin-beauty (39.7%), hair-beauty (31.0%), makeup (16.7%) and nail-art (12.7%). Second, the differences between teaching-learning guidance plans according to general characteristics, gender, education career, and employment type were not significant at the 5% level of significance, and all of them were not significant at the 5% level of significance. Although it can help students improving their academic achievement, but it is considered that there is a limit to whether they can be evaluated effectively with class satisfaction. Based on this, it is expected that indepth research will be provided by providing useful materials in beauty teaching-learning guidance plan.

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