농촌병원과 도시 종합병원 외래환자의 수진행동에 관한 비교연구

민현옥,이종숙 中央醫學社 1993 中央醫學 Vol.58 No.11

In order to know the sick role behavior of outpatients who visiting the Hospitals in City and Rural, this questionnaire survey was conducted from Dec, 1990 to Feb, 1991 in the five selected hospitals; 3 general hospitals in Taejeon City al d 2 general hospitals in Chungnam provincial for 876 outpatients. The major findings of this survey were as follows: 1. A total of 49.3 % of the study population were male and female were 50.7 % and average age were 40.14 years old. 2. The average time spent on diagnosis and treatment in hospitals was 138.6 minutes, the spent times were longer in hospitals in city than one in Rural area. 3. The average time spent on diagnosis and treatments by departments was 168.7 min. in internal medicine, 136.1 min. in orthopedic surgery, 104.4 min. in obstetrics and gynecology, 86.8 min. in general surgery, 81.4 min. in pediatrics. 4. The previous medical facility from which patients were transport were 37.2 % in clinic, 16.4 % in hospital, 4.2 % in health center and subcenter and 38.8 % in no transfarted medical facility. 5. The Routes of hospital choice were 30.9 % in patients' own first choice, 35.8 in transferred from other facility on patients' own decision, 26.5 % in recommended by other medical facility. 6. The reasons of hospital choice were 32.1 % in previous experience and familiarity, 26.6 % in bad treatments in previous hospitals, 28.0 % in good facility and equipment. 7. The dissatisfaction against currently treating hospital were 58.9 % in long waiting time, 16.4 % in insufficient explanation of disease, 16.5 % in unkindness, 13.4 % in diagnosis time is too short, 26.6 % in no dissatisfaction. 8. The attitude on medical care delivery system were 34.8 % in acceptable, 23.4 % in not acceptable, 36.5 % in don't know.

입원한 암환자와 일반환자에서 지각되는 불안도의 비교

민현옥,송재순 中央醫學社 1994 中央醫學 Vol.59 No.10

For the purpose to find out the comparison of degree of anxiety perception between cancer and non-cancer patients, the author surveyed 122 cancer patients and 117 noncancer patients admitted in Chungnam National University Hospital from December 16, 1992 to February 15, 1993. The Results of this study can be summarized as followings: 1. In cancer group a total of 64.8 % of the study population were male, female were 35.2 %. In non-cancer group, a total of 58.1 % of the study population were male, female were 41.9.%. Cancer patients showed lower score of anxiety perception than non-cancer patients, but there was no significant difference in frequency of anxiety between both the groups. 2. Degree of anxiety of 20 years old showed the highest among the subjects. In cancer patients showed similar degree of anxiety by sex and in non-cancer patients showed female higher than male. 3. Degree of anxiety by occupation was significantly in cancer and non-cancer groups (p < 0.05). Entirety maintenance responsibility group and self change of medical treatment group were showed that degree of anxiety was decreased. 4. As duration of illness was increased, the degree of anxiety increased significantly in cancer group (p 0.05), and increasing of number of admission, awareness of diagnosis and existing of past history were showed that degree of anxiety increased in cancer and noncancer groups. 5. As the grade of pain was increased in cancer and non-cancer groups, the degree of anxiety increased and significantly (p < 0.001). 6. Variables predicted the degree of anxiety by multiple regression analysis were pain, maintenance responsibility in cancer group, and pain, religion, occupation, past history in non-cancer group.

일부 종합병원 입원 노인환자의 일상생활 능력에 대한 평가

이성희,민현옥 中央醫學社 1993 中央醫學 Vol.58 No.9

This study was conducted to investigate the evaluation of activity of daily living for elderly patients admitted in three general hospitals in Taejon from Nov. 1990 to Jan. 1991. The number of study subjects were 260 persons. The contents of questionnaires were general characteristics of subjects: sex, age, education, marital status, family size, kinds of diseases; (IDC classification), status of hospitalization, ADL (Activity of daily living), length of hospital days and discharged status of inpatients etc. The results were as follow: 1. In both sex, hospitalized distribution of the elderly inpatients was higher in internal Medicine departments than Minor departments. 2. By sex, distribution of Neoplasms, Cerebrovasular disease, disease of the respiratory system and disease of the genitourinary system were higher in male compared to female, but disease of heart disease, musculoskeletal disease, disease of the digestive system, metabolic disorder and disease of the nervous system and sense organ were higher in female than male. 3. By all group, there was a clear differences among each age groups, but musculoskeletal disease, disease of the digestive system and cerebrovascular disease were higher than other diseases. 4. By ADL scores, There was more decrease in order age group, female group, No spouse group and No occupation group. By department of hospitalized, the ADL was high scores in Minor departments and department of General surgery, internal medicine and others were lower scores. By disease groups, ADL score was highest in disease of the nervous system and sense organs group and lowest in cerebrovascular disease group. 5. Mean length of hospital days were 23.4 days and there was the longest days in musculoskeletal disease but the shortest days in disease of the nervous system and sense organs. 6. By the status of discharge, improve was 53.1 % and unimproved 21.5 %, there was significantly different between status of discharge and each disease group.

일부지역 고교생의 체격과 비만의 시계열적 변화에 관한 연구

이옥경,민현옥,이태용 中央醫學社 1993 中央醫學 Vol.58 No.8

From the total 2,431 high school students who were born between 1973 and 1975. 608 boys and 617 girls of high schools of Taejon city high schools and 587 boys and 619 girls of high schools in Non-san. I have compared and analyzed the changing pattern of their heights and weights based on their indices of physique and change of their growth pattern from the age of six to seventeen. The conclusions obtained from this study were as follows: 1. The height of the urban students were taller than that of the rural area by 1.1 Cm?1.3 Cm, and the weight was heavier by 0.4 Kg?2.9 Kg. 2. From the age 6 to 9, the boys were taller than the girls by 0.5 Cm, but from the age 10 to 12 the height of boys and the girls was reversed. However, from the age 13, the boys became taller than girls and the difference reached about 11.3 Cm at age 17. But the revision of weight between boys and girls was showed from the age 10 to 13. 3. R?hrer indices of the rural were higher than that of urban students during the age 6 to 9, but after age 10, the students of urban area were more obese. And at the boys were more obese than the girls during age 6 to 10 but it was reversed after age 11. 4. Out of total 2,431 students, 105 students were obese at the age 6 in 12.8 to 38.1 percent of these students obesity was continued, and the rate of obesity was highest at age 12, as 38.1 %. 5. The tracking of obesity in urban students was increased to 20.1 %, until age 12, after then it was decreased gradually but, there are no significant tendency in rural students. In both sexes, the tracking of obesity was highest at age 12, boys 20.1 % and girls 18.2 %. 6. Correlation coefficient between physical grade and Rohrer index was highest at the 2nd grade of senior high school, but the values were not high in general (p < 0.05).

장애아 부모의 스트레스와 적응:어머니와 아버지의 비교

소희영,김봉옥,민현옥 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

Stress in families with children who have disabilities is usually assessed solely from a maternal perspective. But whole family should be regareded as a client of rehabilitation team. The purpose of this study were to compare perceived stressor, belief and coping strategies of parents who have children with disabilities and to examine similarities and differences of mother and father in their perceptions of stressors, beliefs, and coping. Hemovich's Parent Perception Inventory was used for data collection. A sample of 70 mothers and 51 fathers of children with disabilities participated in the study. Data was collected from 1995. Dez. to 1996. Mar. Statistical tests in SAS were used to analyze data. Frequencies, means, standard deviations were determined. ANOVA and t-tests identified differences between variables. The results are as follows: 1. There was no statistically significant difference in stressor between mother and father. 2. There was no statistically significant difference in belief between mother and father. 3. There was no statistically significant difference in degree of applying coping strategy between mother and father. To summerize, it appears that fathers and mothers of children with severe disabilities differ little in their perceptions of stress and coping. With awareness and knowledge of parent concerns and coping, the health care provider can more effectively integrate holistic family-centered coping in the fabric of caregiving for the family having a child with special health care need, thus preventing family dysfunction. For the health care provider, and important implication has do with developing a family-focused way of viewing concepts of health and illness. It is important for rehabilitation nurses to develop a partnership with parents in which they serve as consultant to families.

일부 대학생들의 건강증진행위

김현리(Kim, Hyun-Li),민현옥(Min, Hyun-OK) 한국보건간호학회 1995 韓國保健看護學會誌 Vol.9 No.2

심신장애아 어머니의 장애아에 대한 신체상과 어머니의 자아개념에 관한 연구

박인숙,한진숙,문영숙,민현옥 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

This study is intended to verify a theoretical fact that body image about mentally retarded and physically handicapped child viewed by his/her mother is correlated with the mother's self concept, and to provide basic data for nursing intervention through which his or her mother's possible negative self concept may be changed to positive self concept. The subjects of this study were 74 mothers whose children attended W school (for mentally retarded children and physically handicapped children) in Taecjon City. The tools for this study were Semantic Differential Scale (10 items) developed by Osgood, Body Cayhexis Scale (43 items) by Secord & Jourard, Perceptual Self (20 items) by Choi, Jung Hun, and Self Esteem (10 items) by Rosenberg. The period for data collection was from November 1 to November 30, 1995. The data were analyzed by use of percentage, t-test, ANOVA and Pearson-Correlation Coefficient. The results of the study were as follows; 1. The relationship between body image and general characteristics of subjects showed a statistical significant difference according to diagnosis. In the diagnosis, Semantic differential scale of Body image (P<.05), body Cathexis Scale of Body image (P<.05), total Body image (P<.001) showed statistical significant difference. 2. The relationship between self concept and general characteristics of subjects showed a statistical significant difference according to Mother's education level, Child's birth order. In the mothers's age, perceptual self (P<.05), total self concept (P<.05), In the Mother's education level, perceptual self (P<.01), total self concept (P<.01). In the Child's birth order, self esteem (P<.05) showed statistical significant difference. 3. The correlation between body image were viewed by mothers and self concept of mothers showed statistical significant difference in the body image (Semantic differential scale) and self concept (perceptual self) (P<.01).