Predictive Validity of the Postpartum Depression Predictors Inventory-Revised

윤지향,정인숙 한국간호과학회 2011 Asian Nursing Research Vol.5 No.4

Purpose: This study aimed to investigate the predictive validity of three versions of the Postpartum Depression Predictors Inventory-Revised (PDPI-R) in Korea. Methods: A descriptive cross-sectional design with a self-administered questionnaire, including 43 items of the PDPI-R, using the Edinburgh Postpartum Depression Scale as the gold standard was used. Data were collected from 316 women within 6 weeks after childbirth in Busan, Korea, from August to November 2010. Results: The postpartum depression and postpartum depressive symptom (PDS) rate was 22.5%. The area under the curve of the receiver operating characteristic curve was .882 for the prenatal version of the PDPI-R and .927 for the full version. The sensitivity and specificity were 87.3% and 85.1%, respectively, at a cutoff point of 9.5 for the full version, and 91.5% and 66.1%, respectively, at a cutoff point of 5.5 for the prenatal version. The Hosmer-Lemeshow goodness-of-fit statistics was 3.554 (p ¼ .829) for the prenatal version and 8.305 (p ¼ .404) for the full version; this showed a good degree of correspondence between the estimated and observed probabilities of PDS. By age, education, and socioeconomic groups, the discrimination and calibration were generally good for both the prenatal and full versions. Conclusion: The PDPI-R showed good predictive validity among women in Korea. It is recommended that the prenatal version of the PDPI-R be used to predict PDS for pregnant women and the full version of the PDPI-R be used for women during the postpartum period.

원발성 식도 분석

윤지향,이옥재,이은정,김홍준,김형준,김현진,김태효,정운태 대한소화기내시경학회 2003 Clinical Endoscopy Vol.27 No.3

Bezoar is a persistent concretion of indigestible materials, usually found in the stomach, and most cases have been managed by surgical methods. Esophageal bezoars are very rare and have been mainly reported in patients with esophageal motility or anatomical abnormalities. We experienced a case of primary esophageal bezoar dissolved with pancreatic enzyme extracts. A 79-year-old man complained of dysphagia of a 15-day duration. Esophagoscopy revealed a large, yellow-brownish, round, hard mass obstructing the esophageal lumen and a deep ulcer, 30 cm from the incisor teeth. Multiple attempts to break or retrieve it were tried, but failed. He accepted surgical treatment and took a pancreatic enzyme preparation during preoperative evaluation of his heart problem. After 20 days, his symptom was relieved, and bezoar disappeared completely on a follow-up endoscopy. Esophageal manometry disclosed nonspecific esophageal motility disorder. (Korean J Gastrointest Endosc 2003;27:143-147) 분석은 섭취한 물질이 위장관 내에서 장기간 배출되지 못하고 축적되어 형성된 것으로, 대부분 위에서 관찰된다. 식도에서 발생하는 경우는 매우 드물며 위로부터 역류하여 이차적으로 식도 분석이 발생할 수 있고, 원발성 분석은 주로 식도의 운동 장애 질환이나 식도의 해부학적 이상을 동반한 경우에 발생한다. 국내에서는 원발성 식도 분석의 보고가 없었다. 과거에는 주로 수술로써 치료하였으나, 최근에는 용해요법, 내시경적 제거술 등 비수술적인 치료가 사용되고 있다. 저자들은 식도의 운동장애를 가진 환자에서 원발성으로 발생한 식도 분석을 췌장 효소를 투여하여 합병증 없이 성공적으로 치료하였기에 문헌고찰과 함께 보고하며, 식도의 경우에도 식물성 분석은 수술을 결정하기 전에 췌효소제를 이용한 용해 요법이 일차적인 치료로 추천된다.

간호사가 지각하는 죽음에 대한 인식과 삶의 의미

윤지향(Youn, Ji Hyang),하주영(Ha, Ju Young) 기본간호학회 2013 기본간호학회지 Vol.20 No.4

Purpose: This study was done to investigate nurses" awareness of death and the meaning of life and identify factors influencing the meaning of life. Methods: Participants were 198 women nurses who had experienced the death of patients. They answered a self-administered questionnaire including demographics, awareness of death scale and meaning in life II scale. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, and multiple regression (enter method). Results: The average score for awareness of death was 127.3±10.14. This score is moderate not biased toward positive or negative. The average score for meaning of life was 130.3±9.42 with 51% for loss steps, 45.5% for pursuit steps and 3.5% for discovery steps to the meaning of life. Factors affecting the meaning of life were religion, Buddhism (β =6.25, p=.015) or Atheist (β =5.91, p=.017), educational level, Master"s or higher (β =16.22, p=.003), work department, special department (β =3.49, p=.017). Conclusions: Results of the study indicate a need to provide nursing programs that will promote nurses" spiritual and inner maturity.

산후우울증 관련요인

윤지향(Youn, Ji Hyang),정인숙(Jeong, Ihn Sook) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.2

Purpose: This prospective cohort study was done to investigate recall bias to antepartum variables measured at postpartum periods and predictors of postpartum depression. Methods: Participants were 215 women who answered a self-administered questionnaire which included demographics, Postpartum Depression Predictors Inventory-Revised and Korean version of Edinburgh Postpartum Depression Scale at antepartum 36-40 weeks and postpartum 2 weeks and 6 weeks. Data were analyzed using kappa, and hierarchical multiple logistic regression. Results: Agreement between antepartum variables at both antepartum and two postpartum periods was relatively high (κ=.55- .95). Postpartum depression rates were 36.3% and 36.7% at two follow-up points. In hierarchical multiple logistic regression analysis, prenatal depression (OR=4.32, 95% CI: 1.41-13.19; OR=5.19, 95% CI: 1.41-19.08), social support (OR=1.40, 95% CI: 1.18-1.66; OR=1.27, 95% CI: 1.06-1.53) and maternity blues (OR=4.75, 95% CI: 1.89-11.98; OR=4.22, 95% CI: 1.60-11.12) were commonly associated with postpartum depression at two follow-up points. Child care stress (OR=1.85, 95% CI: 1.01-3.37) was only associated with postpartum depression at 2 weeks postpartum and pregnancy intendedness (OR=1.57, 95% CI: 1.09-2.27) was only associated with postpartum depression at 6 weeks postpartum. Conclusions: The results indicate a need to apply nursing interventions such as prenatal education and counseling with families from antenatal period.

성인의 청력장애 판정에서 순음청력검사 및 청성뇌간반응과 청성지속반응의 상관관계 비교

안용휘,윤지향,오현식,이은섭,김동현,윤지은,심현준 대한이비인후과학회 부산,울산,경남 지부회 2017 임상이비인후과 Vol.28 No.2

Background and Objectives:To compare correlation between the pure tone audiometry (PTA), the auditory brainstem response (ABR) and the auditory steady-state response (ASSR) for the assessment of hearing disability in adults. Subjects and Methods:One hundred sixty adult patients who underwent ASSR for the disability evaluation of hearing from 2010 to 2016 were enrolled to this study. Correlations between PTA, ABR and ASSR thresholds were analyzed. Results:Both ABR and ABBR showed a positive linear correlation with the average hearing threshold of PTA, but the correlation between ASSR and PTA was significantly higher than that between ABR and ABR. The highest correlation between ASSR and PTA was observed at an average of 2 kHz; ABR and PTA at 4 kHz. The lowest correlation between ASSR and PTA was observed at an average of 4 kHz ; ABR and PTA at 0.5 kHz. Conclusions:Compared to ABR, ASSR showed greater correlation with PTA to assess the hearing disability in adults. ASSR can provide additional audiometric information for accurately predicting the hearing level.

시험자와 의뢰자의 임상연구코디네이터의 근무환경과활용방안에 대한 인식

정인숙,최상민,윤지향,윤은화 대한임상약리학회 2012 Translational and Clinical Pharmacology Vol.20 No.1

Background: This study was aimed to investigate the perception on working conditions and utilization of clinical research coordinators (CRCs) among investigators and sponsors. Methods: The participants of this cross-section study were 114 investigators and 138 sponsors including clinical research associates (CRAs) who have worked with CRCs. Data was collected with paper or electronic form of self-administered questionnaires and analyzed with descriptive statistics and χ2 test or t test. Results: Among investigators and sponsors, 56.1 % and 95.0 % perceived regular full-time positions as proper type of CRC employment, respectively. Those who perceived monthly salary with incentive as proper payment system were 67.5 % of investigators and 68.8 % of sponsors. The proper salary for 2-year CRCs and 5-year CRCs were significantly higher in sponsors than investigators. Investigators perceived CRCs could handle 3 studies as the same time and 5 studies per year. In regard to the difficulty in utilizing CRCs, 68.4 % of investigators perceived lack of experienced CRCs and 84.8 % of sponsors did frequent turnover. Those who responded pooling CRCs by hospital or clinical trial centers as a good solution to hire CRCs easily were 81.6 % of investigators and 58.0 % of sponsors. Conclusion: Almost all investigators and sponsors perceived CRCs were helpful for improving the quality of clinical trials. We recommend each institution or clinical trial centers could introduce the central CRCs' employment and management with proper salary and workload based on the results to maintain experienced CRCs and lessen the turnover of CRCs. Background: This study was aimed to investigate the perception on working conditions and utilization of clinical research coordinators (CRCs) among investigators and sponsors. Methods: The participants of this cross-section study were 114 investigators and 138 sponsors including clinical research associates (CRAs) who have worked with CRCs. Data was collected with paper or electronic form of self-administered questionnaires and analyzed with descriptive statistics and χ2 test or t test. Results: Among investigators and sponsors, 56.1 % and 95.0 % perceived regular full-time positions as proper type of CRC employment, respectively. Those who perceived monthly salary with incentive as proper payment system were 67.5 % of investigators and 68.8 % of sponsors. The proper salary for 2-year CRCs and 5-year CRCs were significantly higher in sponsors than investigators. Investigators perceived CRCs could handle 3 studies as the same time and 5 studies per year. In regard to the difficulty in utilizing CRCs, 68.4 % of investigators perceived lack of experienced CRCs and 84.8 % of sponsors did frequent turnover. Those who responded pooling CRCs by hospital or clinical trial centers as a good solution to hire CRCs easily were 81.6 % of investigators and 58.0 % of sponsors. Conclusion: Almost all investigators and sponsors perceived CRCs were helpful for improving the quality of clinical trials. We recommend each institution or clinical trial centers could introduce the central CRCs' employment and management with proper salary and workload based on the results to maintain experienced CRCs and lessen the turnover of CRCs.

시험자와 의뢰자의 임상연구코디네이터의 근무환경과 활용방안에 대한 인식

정인숙,최상민,윤지향,윤은화,Jeong, Ihn-Sook,Choe, Sang-Min,Yoon, Ji-Hyang,Yun, Eun-Hwa 대한임상약리학회 2012 臨床藥理學會誌 Vol.20 No.1

Background: This study was aimed to investigate the perception on working conditions and utilization of clinical research coordinators (CRCs) among investigators and sponsors. Methods: The participants of this cross-section study were 114 investigators and 138 sponsors including clinical research associates (CRAs) who have worked with CRCs. Data was collected with paper or electronic form of self-administered questionnaires and analyzed with descriptive statistics and ${\chi}^2$ test or t test. Results: Among investigators and sponsors, 56.1% and 95.0% perceived regular full-time positions as proper type of CRC employment, respectively. Those who perceived monthly salary with incentive as proper payment system were 67.5% of investigators and 68.8% of sponsors. The proper salary for 2-year CRCs and 5-year CRCs were significantly higher in sponsors than investigators. Investigators perceived CRCs could handle 3 studies as the same time and 5 studies per year. In regard to the difficulty in utilizing CRCs, 68.4% of investigators perceived lack of experienced CRCs and 84.8% of sponsors did frequent turnover. Those who responded pooling CRCs by hospital or clinical trial centers as a good solution to hire CRCs easily were 81.6% of investigators and 58.0% of sponsors. Conclusion: Almost all investigators and sponsors perceived CRCs were helpful for improving the quality of clinical trials. We recommend each institution or clinical trial centers could introduce the central CRCs' employment and management with proper salary and workload based on the results to maintain experienced CRCs and lessen the turnover of CRCs.

임상연구코디네이터의 직무만족

정인숙,황윤선,정정희,윤지향,이은주,서승희 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.10

고연령 미혼여성의 건강검진에 영향을 미치는 요인

하주영 ( Ha Ju Young ),윤지향 ( Youn Ji Hyang ),이영숙 ( Lee Yeong Suk ),이현정 ( Lee Hyun Jung ) 여성건강간호학회 2014 여성건강간호학회지 Vol.20 No.1

Purpose: This study was to investigate factors that influence health examination for unmarried women. Methods: A correlation study was carried out with 144 unmarried women with an age range of 35~49 years through self-administered questionnaires. This questionnaire included Health Belief Model modifying factors (demographic ·sociological, structural, and cues to action variables). Data were analyzed using descriptive statistics, x2-test, multi-ple logistic regression. Results: The mean age of participants was 37.2± 2.67 years. Rates for breast cancer, cervical cancer and comprehensive health examination were each 34.7%, 38.2% and 94%. In multiple logistic regression analysis, influencing factors on physical examination were age(OR=0.06, 95% CI: 0.02~0.26), personal medical insurance (OR=6.30, 95% CI: 1.60~24.82), housemate (OR=7.63, 95% CI: 2.58~22.52), exercise (OR=3.72, 95%CI: 1.37~10.12) in breast cancer examination, and age (OR=0.08, 95% CI: 0.02~0.34; OR=0.07, 95% CI:0.01~0.85), personal medical insurance (OR=14.17, 95% CI: 2.94~68.23), sexual experiences (OR=3.38, 95% CI:1.28~8.91), drinking (OR=2.92, 95% CI: 1.14~7.49) in cervical cancer examination. Conclusion: The results em-phasize the necessity of preparing nursing education and intervention in consideration of associated factors which influence on the health examination in unmarried women. Key Words: Early detection of cancer, Single person, Women

내시경적으로 제거한 식도의 과립 세포 종양 -증례보고 및 국내 문헌 고찰-

하종,이옥재,조활석,정태식,윤지향,이은정,민현주,김태효,정운태,조중현 대한소화기내시경학회 2003 Clinical Endoscopy Vol.26 No.2

Granular cell tumor is a benign tumor, commonly found in the skin, tongue, and breast but rarely in the esophagus. A 44-year-old man was referred from the private clinic because of an esophageal lesion found on endoscopy. Esophagoscopy revealed a white-yellowish polypoid lesion covered with normal looking mucosa in the upper esophagus. It was movable within the wall by pushing with forceps. Endoscopic polypectomy after ligation with elastic "O" band was performed without complication. Histologic diagnosis of granular cell tumor was made. It was stained strongly positive for S-100 protein. Another 20 cases of esophageal granular cell tumors reported in Korean literature were reviewed. (Korean J Gastrointest Endosc 2003;26:84-89) 과립세포종은 양성 종양으로 피부, 구강, 유방 등에서는 흔하지만, 식도에서는 드물게 발생한다. 저자들은 식후 상복부 불편감으로 위내시경 검사를 받은 후 식도의 점막하종양을 발견하고 내원한 44세 남자에서, ‘O’형 밴드 결찰술을 이용한 용종절제술을 시행하고 조직학적으로 과립세포종으로 확진하였기에 국내의 문헌고찰을 중심으로 보고한다.