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      • KCI등재

        40대 유방암 생존자의 우울 · 불안 위험요인

        황숙연(Sook Yeon Hwang) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.2

        본 연구는 우리나라에서 가장 유방암 발생률이 높은 40대 유방암 생존자들의 우울과 불안의 정도를 파악하고 그 위험요인들을 검토하기 위해 수행되었다. 자료 수집은 유방암으로 진단 받은 40-49세 유방암 생존자 중 연구에 동의하고 설문지를 완성한 609명을 대상으로 이루어졌다. CES-D와 GAD-7을 사용하여 측정된 우울과 불안의 평균점수는 각각 16.35(SD=9.24), 4.25(SD=4.17)였으며, 절단점을 기준으로 우울군은 전체의 47.7%, 불안군은 10.3%로 나타났다. BPI-K로 측정된 통증강도 평균은 1.91(SD=1.60)이었으며, 전체의 82.8%가 통증을 호소하였고 10.9%가 중증도 이상의 통증을 보고하였다. 위계적 회귀분석결과 최종모델에서 통증 일상생활방해정도, 직업 없음, 동거가족유형과 과거 정신과 질환이 우울의 유의미한 위험요인으로 나타났고, 불안의 위험요인은 통증 일상생활방해정도, 직업 없음 및 과거 정신과질환으로 나타났다. 이러한 결과는 우리나라 40대 유방암 생존자의 우울과 불안 유병률이 높으며, 우울과 불안의 위험요인에 초점을 두어 위험군에 대한 적절한 심리사회적 개입이 제공되어야 함을 지적해주고 있다. This study was performed to examine the prevalence of and risk factors for depression and anxiety among breast cancer survivors in their 40s. Completed questionnaires were collected from 609 breast cancer survivors in their 40s who agreed to participate the study. The mean scores of CES-D and GAD-7 were 16.35(SD=9.24) and 4.25(SD=4.17), respectively. Nearly 47.7% of the participants had depression and 10.3% had anxiety. The mean score of pain severity was 1.91(SD=1.60) and 10.9% of the participants reported more than moderate pain. The final model in the hierarchical regression analysis showed that pain interference, unemployment, the type of live-in partner, and past psychiatric disease were the significant risk factors for depression, and pain interference, unemployment and past psychiatric disease for anxiety. These results show the prevalence of depression and anxiety among breast cancer survivors in their 40s is high and suggest appropriate psychosocial intervention should be provided for high risk groups based on those risk factors.

      • KCI등재

        공텍스트co-textes와의 관계 속에서 단편소설 읽기 (1)

        황숙진(Sookjin HWANG) 프랑스학회 2017 프랑스학연구 Vol.81 No.-

        Notre étude a pour but d élaborer une base théorique qui permettrait une lecture de la nouvelle en relation avec ses « co-textes » et d essayer de lire Tombouctou de Guy de Maupassant dans le réseau de ses « co-textes » qui varient en fonction de ses publications. Les défenseurs de la nouvelle ne cessent de mettre en cause le fait qu elle est souvent définie comme « une sorte de roman ». Car pour eux, la nouvelle est un genre autonome avec ses traits spécifiques et distinctifs, par nature, de ceux du roman. Ils s efforcent donc d analyser chaque nouvelle à part comme nous le faisons avec les romans, pour définir « le nouvellistique » qui constitue l essence de ce genre. Cependant, cette approche générique suppose à tort que chaque nouvelle se lise en tant que telle, d une façon indépendante, en négligeant notre expérience de lecture de fictions courtes, souvent appelées « nouvelles ». Ces dernières sont publiées presque toujours, à cause de l exigence éditoriale, avec d autres textes dans des ouvrages sous la forme de journal, magazine, recueil, anthologie, etc. Par conséquent, elles se lisent nécessairement avec et dans le réseau de leurs « co-textes », qui varient selon le contexte de chaque publication ainsi que celui de chaque lecteur. En un mot, une fiction courte complète se comprend presque toujours, au-delà d elle-même, sous l effet de textes voisins également auto-suffisants. A cet égard, nous avons tenté de lire Tombouctou de Guy de Maupassant en relation avec ses « co-textes » et nous avons pu constater qu une lecture d une fiction courte dépend de ses « co-textes » changeants.

      • KCI등재

        정신장애인의 회복의 인식에 관한 탐색적 고찰

        황숙연(Sook Yeon Hwang) 한국정신건강사회복지학회 2007 정신보건과 사회사업 Vol.27 No.-

        이 연구는 정신건강분야에서 새로운 패러다임으로 논의되는 회복의 개념에 대해 검토하고, 지역사회에 거주하는 우리나라의 정신장애인들의 관점에서 회복에 대한 인식을 깊이 있게 탐구하는 데 목적을 두었다. 이를 위해 우리나라의 정신 장애인들의 회복에 대한 인식을 포커스 집단을 이용하여 심층적 방법으로 알아보고 질적 방법을 통해 분석하였다. 총 16명의 정신장애인을 대상으로, 2개의 포커스 그룹 인터뷰가 실시되었으며, 연구결과 회복에 대한 인식은 최종적으로 회복의 의미, 회복에 도움이 된 요인, 회복에 방해가 된 요인, 그리고 지역사회의 의미라는 4개의 상위범주가 제시되었고, 18개의 하위범주와 총 71개의 개념이 도출되었다. 회복의 의미에는 증상의 통제, 직장을 가지고 일함, 다른 사람으로부터 인정받음, 대인관계의 유지, 독립적으로 활동함 및 희망을 가짐의 여섯 가지 하위범주가, 회복에 도움을 준 요인으로는 약물복용, 사회적 지지, 자신의 노력과 의지, 의미 있는 활동의 네 가지 하위범주가, 회복에 방해가 된 요인으로는 약물의 부작용, 증상이 나타남, 가족과 주위의 부정적 인식과 태도, 서비스의 부족과 부적합, 위축과 같은 다음의 다섯 가지 하위범주가 발견되었다. 마지막으로 회복의 환경인 지역사회의 의미와 관련해서는 고립, 인식의 괴리, 주변화가 제시되었다. 이러한 결과를 바탕으로 회복중심의 지역사회 정신건강의 이론적, 실천적 함의가 논의되었다. The aim of this study was to examine the concepts of recovery, which is considered as a new paradigm, and to explore the in-depth perception of recovery from the subjective perspectives of people with mental illness. Two focus groups were conducted with 16 mental health consumers in a community mental health center and the interview data were analyzed following constant comparison method by Strauss and Corbin. Four major themes were emerged by analysis as follows: the meaning of recovery, positive factors involved in recovery, negative factors in recovery, and the meaning of community. Under the meaning of recovery, control of symptoms, having jobs, approval from normal people, maintaining social relationship, independent social activities, and hope were found as minor themes; under the positive factors involved in recovery, taking medications, social support, continuous efforts and being involved in meaningful activities were included; under the negative factors in recovery, side effects of medication, residual symptoms, negative attitudes and perception from family and neighbors, the lack of services, and withdrawal were included. Finally, under the meaning of community, isolation, the different perceptions and marginalization were included. Based on these results, theoretical and practical implications for recovery-oriented community mental health were discussed.

      • KCI등재

        Does Chemotherapy Really Affect the Quality of Life of Women with Breast Cancer?

        황숙,장선주,박병우 한국유방암학회 2013 Journal of breast cancer Vol.16 No.2

        Purpose: The aims of this cross-sectional study were to explore and evaluate the impact of adjuvant chemotherapy on quality of life in breast cancer patients according to the survival time from surgery. Methods: Completed questionnaires were collected from 534 women with breast cancer. Clinical and sociodemographic characteristics were reviewed and Functional Assessment of Cancer Therapy-Breast cancer instrument, global quality of life, Beck Depression Inventory, and unmet sexuality needs were administered. Descriptive statistics, t-tests, chi-square tests and multiple analysis of covariance were performed while controlling for confounding variables. Results: Statistically significant differences were found between chemotherapy and no chemotherapy group on depression (p=0.026), unmet sexuality needs (p=0.010), breast cancer specific concerns (p=0.010), physical well-being (p=0.001), and emotional well-being (p=0.028). Chemotherapy effects also varied according to survival time since surgery such as for group 1 (<1 year since surgery), significant differences were found on Beck Depression Inventory (p=0.042), unmet sexuality needs (p=0.016), breast cancer subscale (p=0.004), and physical well-being (p=0.016) and for group 3 (>3 years since surgery) on depression (p=0.019) and physical well-being (p=0.028) respectively; however, there were no significant differences between chemotherapy and no chemotherapy group for group 2 (1-3 years since surgery). Conclusion: As expected, breast cancer patients who underwent adjuvant chemotherapy experienced significantly worse quality of life than those who did not receive chemotherapy. Furthermore, the adverse chemotherapy effects on the quality of life appear to vary according to the time since surgery. These results suggest that health care professionals may need to address long-term as well as short-term chemotherapy side-effects and intervene accordingly to enhance quality of life of breast cancer patients.

      • KCI등재

        반응성 이온 식각법에 의해 제작된 탄소나노튜브 전극의 전기화학적 특성

        황숙,최현광,김상효,한영문,전민현,Hwang, Sook-Hyun,Choi, Hyon-Kwang,Kim, Sang-Hyo,Han, Young-Moon,Jeon, Min-Hyon 한국재료학회 2011 한국재료학회지 Vol.21 No.2

        In this work, fabrication and electrochemical analysis of an individual multi-walled carbon nanotube (MWNT) electrode are carried out to confirm the applicability of electrochemical sensing. The reactive ion etching (RIE) process is performed to obtain sensitive MWNT electrodes. In order to characterize the electrochemical properties, an individual MWNT is cut by RIE under oxygen atmosphere into two segments with a small gap: one segment is applied to the working electrode and the other is used as a counter electrode. Electrical contacts are provided by nanolithography to the two MWNT electrodes. Dopamine is specially selected as an analytical molecule for electrochemical detection using the MWNT electrode. Using a quasi-Ag/AgCl reference electrode, which was fabricated by us, the nanoelectrodes are subjected to cyclic voltammetry inside a $2{\mu}L$ droplet of dopamine solution. In the experiment, RIE power is found to be a more effective parameter to cut an individual MWNT and to generate "broken" open state, which shows good electrochemical performance, at the end of the MWNT segments. It is found that the pico-molar level concentration of analytical molecules can be determined by an MWNT electrode. We believe that the MWNT electrode fabricated and treated by RIE has the potential for use in high-sensitivity electrochemical measurement and that the proposed scheme can contribute to device miniaturization.

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