자기 효능의 개념 분석

서순림,이은남,박송자,양영희,이동숙,최은옥,구미옥,김인자,이인숙,김성재,박영임,이은옥 서울대학교 간호대학 간호과학연구소 1997 간호학 논문집 Vol.11 No.1

Today human needs for health promotion and maintenance are increasing. The nursing progression has a great responsibility for helping clients to practice good health behavior. self efficacy was found to be potent predictor in initiating and maintaining the health-related behavior. Therefore, the concept is important in nursig intervention for change of health behavior. The purpose of this paper was to analyze and clarify the meaning of the concept, self efficacy. This study used Walder & Avant's process of concept analysis. Critical attributes of self efficacy were : 1) positive perception of his won capability; 2) intrapersonal strength; 3) possibility of being learned; 4) individuality; 5) specificity; 6) generalizability. Antecedents of self efficacy consist of those facts that 1) new situation occurs; 2) individuals have needs to change the new situation; 3) there are some required actions in new situation. Consequences occurring as a result of self efficacy consist of those facts that 1) individual initiates the of failure; 5) cope with the situation; 6) controls the situation; 7) the level of self efficacy is enhanced; 8) the level of self-esteem is enhanced.

하루 콩단백질 25g 섭취를 위한 메뉴작성 및 영양성분 분석

한재숙,김정애,서봉순,이연정,서향순,조연숙,한경필,이신정,오옥희,우경자,조은자,구성자,김수진,李承彦,南出隆久 동아시아식생활학회 2002 동아시아식생활학회지 Vol.12 No.2

The purpose of this study was to develop menus for daily intake of 25g soybean protein and to analyse nutrients of these foods. Analytical values were compared to the theoretical one using the food composition table and recommended dietary allowances for Koreans (7th revision). The results are as follows. 1. Soybean curd residue stew, Soybean curd, Kimchi saute, and hard boiled soybean and lotus root were selected for the menu for January, of which the content of soy bean protein(SBP) was 33.1g, soybean stew, soybean curd and soybean sprout saute, and Italian deep fried soybean curd were for February, of which the content of SBP was 35.0g. The content of SBP in soybean paste soup with soybean curd, fried soybean curd and fried soybean curd roll, the menu for March, was 24.9g. That of April were soybean curd gratin with soymilk, soybean curd and ham with garlic dressing and the content of SBP was 26.3g. That of May were soybean porridge, soybean flour cake with honey (Dasik), soybean sprout soup and the content of SBP was 26.7g. That of June were soymilk, pan-fried soybean curd, steamed soybean curd with chicken and the content of SBP was 28.4g. That of July were noodle with soymilk, mapatofu, soybean curd salad and the content of SBP was 24.7g. That of August were soybean sprout with mustard dressing, Tossed green pepper with raw soybean flour, Tofu and Kimchi stew, soybean curd steak and the content of SBP was 26.2g. That of September were Chinese cabbage soup with raw soybean flour, sweet and sour tofu and the content of SBP was 23.2g. That of Oct. were Fermented soybean stew, soybean pan cake and the content of SBP was 24.3g. That of November were not-pressed soybean curd casserole, pan-fried mashed soybean curd with egg, stir frying deep-fried soybean curd with vegetables and the content of SBP was 22.4g. That of December were soybean curd and mushroom casserole, fried soybean curd and vegetables, hard boiled soybean curd and the content of SBP was 28.9g. 2. The ratio of the analytical value over theoretical value (A/B%) of one serving in kcal, carbohydrate, protein, fat, ash and dietary fiber were 57.7~107.7%, 42.9~131.9%, 79.2~118.3%, 54.5~100%, 40.7~80.8% and 42.1~113.2%, respectively. 3. The ratio of A/B% of one serving in Ca, K, Na, P and Fe were 44.1~93.6%, 59.0~153.1%, 53.1~117.7% 64.6%~138.8 and 33.8~77.3%, respectively. That in Fe was the lowest among minerals. 4. The ratio of analytical value over Korean R.D.A(A/C%) in Ca was relatively higher (22.0~85.9%) than that in kcal(18~63%). 5. The ratio of A/C% in Fe was 25.1~64.3% and lower than that in Ca and protein in general.

한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

아동의 치과치료시 보호자와 아동의 분리에 대한 보호자 선호도 조사

서은영,이종갑 大韓小兒齒科學會 1995 大韓小兒齒科學會誌 Vol.22 No.2

In order to be the guide in deciding the method of child management and communication in dental treatment procedure of children, the parental preference and reasons for the preference of separation with the child during dental treatment were surveyed and analyzed. The target of survey was the parents of the new patients who visited department of pediatric dentistry at Yonsei University dental hospital during July and August of 1933, and followings are the results. 1. 81% of answered parents preferred to be with the child during the dental treatment. 2. There was a tendency for the parents to prefer the separation as the child got older.(p<0.05) 3. There was a tendency for the parents to prefer the separation as the child has the dental experiances and the previous dental attitudes of the child was satisfactory.(p<0.05, p<0.1) 4. There was a tendency for the parents to prefer the separation as the child has the brothers and sisters who have dental experiances.(p<0.05) 5. The attitudes of the children become satisfactory as the children got older and the behavior during dental procedure of parents and the brothers and sisters of the patient got better.(p<0.05) 6. There was a tendency for parents to prefer to use physical restraining appliances as the children's previous behavior during the dental treatment was negative.(p<0.05) When analyzing the results, one can conclude that the dentists should explain the desirable attitudes of the parents during the children's first visit to dental office and allow the parents to be with the children during the treatment procedure, and when the separation is needed in the future visits, the objectives of the separation should be explained and ask for the help of parents.

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

자원동원성 연구논문 분석

서순림,이은옥,김정희 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The purpose of this study was to identify the trends of resourcefulness research studies for suggesting the future direction of study. Study design, types of subjects, measurement tools, study concept, and outcome were examined by reviewing 61 research studies published from 1980 to 1999. The results were as follows : 1.There were 24 works in the 1980s and 37 works in 1990, according to the published year of resourcefulness study. Non- experimental studies like descriptive study, correlational study and comparative study were more frequent than experimental studies. 2.Research studies that consisted of 30- 100 subjects were the most numerous with 27 studies in all. The majority of study subjects was shown as healthy students and depressive patients. 3. Most studies used Rosenbaum's Self Control Scheduls(SCS) for assessing resourcefulness. Reliabilities of resourcefulness researches were cronbach α=.70 or more. According to statisitical tests done for internal validity, SCS was negatively correlated to maladaptation. Factor analysis revealed that the most parsimonious structure was 3 to 6 factors. The total communality variance in the SCS was about 40%. Other tools used with the SCS were about coping, depression, satisfaction of life and symptoms, self management and health promotion. 4.In correlational studies, concepts like depression, anxiety, and psychological symptoms were related to resourcefulness negatively. Adaptive functioning, life satisfaction and self achievement had positive correlations to resourcefulness. 5.Studies on comparison between a healthy person and depressive patient or smoker and non-smoker were done. There were coping, depression. symptom, self efficacy, health problem and self-control as comparative concepts. 6.Study subjects consisted of depressive patients in 9 of 18 experimental studies. The majority of studies were done with cognitive-behavioral therapy as an experimental intervention. The most effective treatment was revealed in high resourcefulness group. Since the above findings, resourcefulness research increased since 1980 and mostly non-experimental design for quantitative study were done. In the field of nursing, research about resourcefulness was in an initial stage. It is expected that further research needed to be done. Recommendations on the basis of the present research suggest that it is necessary to replicate studies, develop nursing intervention enhancing resourcefulness and apply it to patients with chronic diseases including cancer.

Castillo-Morales 장치를 이용한 구강안면 기능이상 아동의 치험 증례

서은영,이종갑,최병재 大韓小兒齒科學會 1992 大韓小兒齒科學會誌 Vol.19 No.2

There are use of anticholinergic drug, radiotherapy, chin pressure device, oral musculature training, behavioral technique, EMG auditory feedback and surgical method in treatment of children with orofacial dysfuntion. Castillo-Morales(1977) developed "orofacial regulation therapy" for treatment of children with swallowing, drinking, articulation dysfunction & drooling. This combine manual stimmulation & facilitation program and Castillo-Morales appliance, which induces upward & backward repositioning of tongue and lip seal. The subjects chosen for the study were 2 children who visited department of pediatric dentistry at Yonsei Universty dental Hospital : they had orofacial dysfunction and drooling & open mouth state were their chief complaints. Casillo-morales appliance which stimulates perioral muscles and induces repositionging of tongue was used, and the following conclusion were drawn ; 1. Mouth closure was induced as an immediate response of tongue to the palatal stimulator : however, complete mouth closure was not achieved due to incomplete stimulation of upper lip muscles. 2. Drooling, abnormal feeding, swallowing are pre-requisites for the jaw stability, sealing of upper & lower lip, and voluntary swallowing action ; therefore, Castillo-Morales appliance combined with head & neck control appliance, posture control, and muscle stimulation exercise therapies are recommended. 3. For the satisfactory results, long lasting therapy(for over 1~2 years) is required. 4. Further development of scientific methods to quantify drooling is needed.

항경련제가 갑상선기능에 미치는 영향

서은숙,이동환,문경상 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

Object: Many studies on the effect of long-term treatment with anticonvulsant on thyroid function in children have been reported. Because the mechanism and metabolism of each drugs are different, the effect of anticonvulsants on thyroid function is controversial. And it has been reported that competitive binding with serum protein, increased intrahepatic excretion and more recently effects on hypothalamus and pituitary gland make changes in thyroid hormones. Therefore, we checked T₃, T₄, TSH levels of the patients who have been taking anticonvulsants for more than 1 years, in order to the influence of carbamazepine and valproic acid on thyroid function. Method: 38 patients (male 18, female 18) who have been diagnosed as epilepsy during the period of Jan 1996 to Dec 1996 at SoonChunHyang University Hospital, and being treated with anticonvulsant, the serum levels of triiodothyronine(T₃) thyroxine(T₄) and TSH were measured were measured by RIA. Result: Of these 38 patients, 18 were males and 18 were females. The mean age of the patients was 9.46 ±3.86(2 to 17 years old) years old. In 10 cases were treated with valproic acid, in 7 cases received carbamazepine and in 11 cases were treated with combined therapy. In valproic acid treated group, T₃, T₄, TSH levels were 145.05±25.34ng/dl, 8.86±2.17㎍/dl, 2.73±0.86 μU/ml respectively. In Carbamazepine treated group. T₃, T₄, TSH levels were group, T₃, T₄, TSH levels were 162.06 ±26.78ng/dl, 9.66 ±4.18㎍/dl 2.01 ±0.78 μU/ml respectively. Although the levels of T₃, T₄, TSH were within normal range, they were relatively decreased compared to the control group. The carbamazepine treated group was revield lower T₃, T₄ levels compared to those treated with valproic acid, but we couldn't find out statistical significance. Conclusion: In our study we found out long-term treatment with anticonvulsants including carbamzepine and valproic acid had effects on thyroid function and follow-up test with larger group of patients should be proceeded.

노인의 원예치료프로그램에 대한 선호도 연구

이명희,박선희,임선영,정은경,서정근 한국식물인간환경학회 2000 인간식물환경학회지 Vol.3 No.4

This study was performed on 10 older adult at Cheonan City Day care facility for once a week for 15weeks. And then preference was examined through investigation of interesting, work-attitude, feeling reaction. The results were as follows ; 1.Preference of activities which used various plants such as 'Dish garden', which satisfied needs for health of older adult such as 'Aromatherapy' was high on Interesting. 2.Preference of skilled activities by repetition such as 'Making flower basket' was high on Work-Attitude. 3.Preference of activities which they can express their own idea such as 'Making flower basket', which feel accomplishment through products was high on Feeling Reaction.

어린이집 이용 어머니의 욕구에 관한 연구

이종춘,서은원 東國專門大學 1998 金龜論叢 Vol.6 No.1

사회변화와 가족생활의 변화 속에서 과거에는 가정에서 수행되던 자녀의 보호와 교육 등에 결함이 생기게 되어, 이제는 자녀들의 보호·교육을 가정에서만 담당하기가 힘들게 되었으므로 보육사업을 통한 사회적 해결책을 모색하게 되었는데 이 같은 어린이집을 이용하는 어머니들의 욕구를 충족시키고 보다 나은 서비스를 제공하기 위해 몇가지 방안을 제안하면 다음과 같다. 첫째, 보육대상면에서 대상의 확대와 함께 유아에서 영아로의 저연령 추세에 부응한 프로그램개발과 더불어 적극적인 대응이 있어야 한다. 둘째, 보육프로그램면에서 교육, 부모교육, 영양 및 건강 등의 보호중심의 프로그램의 개발은 물론 지속적인 연구가 요청된다. 셋째, 인력면에서 현재의 교육중심에서 복지 프로그램 중심의 전환이 요청된다. 넷째, 재정면에서 저소득층 취업모의 이용료 부담의 경감 등을 위해서 과감한 재정적 지원이 시급하다. 다섯째, 보육시설의 수요면에서 급증하는 욕구를 해결하기 위해서는 시설의 양적인 확충은 물론 질적인 면에서의 재고가 절실하다.