노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

정지형 자전거 운동 훈련이 건강한 여성의 체구성,심폐기능 및 유연성에 미치는 효과

김동옥,최정숙,안혜영,민혜숙,이경숙,박연환,송미령,최명애,최정안,김매자 서울대학교 간호대학 간호과학연구소 1999 간호학 논문집 Vol.13 No.1

The purpose of this study was to determine the changes in body composition, cardiopulmonary function, and flexibility following 8 weeks' bicycle ergometer exercise training. The subjects of this research consisted of healthy adult women between 30 and 40 years of age. Initial intensity of bicycle ergometer exercise was based on the target heart rate equivalent to 55% of maximal oxygen uptake, and intensity of the exercise increased by 5% every 2 weeks. Body composition, cardiopulmonary function at rest and during maximal exercise, as well as flexibility were determined before and after 8 weeks of bicycle ergometer exercise training. Masimal exercise was performed on the treadmill according to Bruce Protocol. The results obtained were as follows; 1. There were o changes in body weight, percent body fat, fat body weight, and lean body weight as well. The ventilation volume for 1 minute, respiratory quotient and expired CO₂ volume have not changed significantly after the training, either. 2. As a result of training, resting systolic and diastolic blood pressure decreased significantly(p<.05) 3. Maximal heart rate, maximal oxygen consumption and maximal running time increased significantly after the training(p<.05) 4. Pelvic flexibility increased slightly after the training, however, it did not reach the statistical significance. Trunk flexion forward increased significantly after the training(p<.05). From these results, it may be concluded that 8 weeks bicycle ergometr training improve the cardiopulmonary function and flexibility in healthy adult women between 30-40 years of age.

항만하역 근로자들의 직업적 특성과 사회심리적 스트레스에 관한 연구

최은경,이종태,손혜숙,이성훈 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective : The objective of this study is to evaluate the job characteristics of container terminal workers by applying the Job Strain model, and to assess the relationship among the general characteristics, job characteristics and psychosocial distress. Methods and Material : A self-administrated questionnaire survey was performed in Busan. The subjects were consisted of 100 white-collar workers and 100 blue-collar workers. We used Karaseks Job Content Questionnaire for evaluation of the job characteristics and Psychosocial well-being index (PWI) for measuring the extent of their psychosocial stress. Results : In white-collar workers, the skill discretion, created skill, decision-making authority, decision-making latitude, psychological job demand, and supervisor support of the job characteristics were significantly high, while in blue-collar workers physicalexertion was significantly high. PWl reveals that blue-collar workers were mere stressed than white-collar workers, especially, the factor 2, 3 and 4 were significantly increased; whereas, in white-collar workers, only the index of factor 1 was significantly increased. And PWl scores were significantly increased in the lower social support and psychological job demand. blue-collar workers had increased odds ratio of 2.66(95% CI:1.11-6.41) compared with white-collar workers. The unmarried workers increased odds ratio of 3.54(95% CI;1.18-10.62) compared with married workers. And workers who have not own house increased odds ratio of 2.35(95% CI;1.15-4.79) compared with workers who have own house. Particularly, odds ratio of work-shift in blue-collar workers was 11.10(2.14-57.64). (multiple logistic regression analysis PWI). Conclusion : The results of this study correspond with the fact that The more job demand is high and Job control is low, the more job stress is high. Job stress of blue-collar workers was comparatively higher than that of white-collar workers, sleeping, smoking, and work shifting turned out to be a main cause that increases stress. Therefore, in order to decrease the job stress, a health promotion program to change the health behaviors should be activated and an organized job stress management program should be introduced. Especially, working condition for blue-collar such as physical exertion and work-shift should be improved.

모유영양아와 인공영양아의 피하지방 및 상완위의 성장발육 상태 : 영아의 피하지방 및 상완위 발육상태

최경숙,최혜미,구재옥,임경숙,김주혜,김숙배 동아시아식생활학회 1997 동아시아식생활학회지 Vol.7 No.1

One- to three- month-old infants (n=232) were compared their upper arm cumference and skinfold thickness(triceps, subscapular) by feeding methods in cross-sectional study. There were two groups : breast-fed(BF) and formula-fed groups(FF). As reported previously^(7)), weight, length, head and chest circumferences of these infants were good, and overall growth status was not significantly different by feeding methods, but weight, weight velocity and chest circumference of formula-fed infants were higher than breast-feds at 3 month, significantly. Here, the triceps skinfold thickness of infants at 1, 2, and 3 postpartum months were 7.4, 9.5 and 10.5 ㎜, respectively. The triceps skinfold thickness of breast-fed infants were higher than formula-feds at 1 and 2 postpartum month, but at 3 month, that of formula-fed infants was greater than breast-fed infants, insignificantly. The subscapular skinfold thickness of infants were 6.4, 9.2 and 10.6 ㎜ at 1 to 3 postpartum months, respectively. The upper arm circumference of infants were 11.7, 13.4, 14.3㎝, and the arm muscle diameter were 34.5, 39.3 and 41.7㎝ at one to three postpartum months, respectively. The upper arm circumference of male infants was higher than females at 2, 3 postpartum months. Overall, there were no significant differences between feeding methods in triceps and subscapular skinfold thickness, upper arm circumference and arm muscle diameter. But 3-month-old formula-fed male infants showed bigger significantly in arm circumference than the breast-feds. From this survey, long-term survey on growth and body composition of large scales might be necessary to determine the effect of feeding methods of infants after 3 months and to set proper body composition standard for infant.

대학생의 가족주의 가치관과 부모부양의식에 관한 연구

최승원,정혜정,서병숙 漢陽大學校 韓國生活科學硏究所 1997 韓國 生活 科學 硏究 Vol.- No.15

The purpose of this study is to investigate the trend of the familism and the awareness of parent-supporting, how socio-demographic variables affect the concept of familism and how the concept of familism affact the awareness of parent-supporting. The data were collected from 191 university students. A brief summary of the result of this study is as following: (1) Most respondents appeared to have the modern familism-individualism. (2) The awareness of parent supporting was reported highly: the order of the awareness of parent supporting was as follow : financial supporting, service supporting, emotional supporting. (3) Male students tran lemale ones and the older group than younger ones have the traditional familism. The male students have higher awareness of financial supporting than emale students. The older group than younger ones have high awareness of emotional supporting. The respondents who have the older father than younger ones have high service supporting. (4) The socio-demographic variable which affects on the familism is sex; male students have more the concept of traditional tendency than female students haute. (5) The variable which affects the awareness of parent supporting strongly is the familism. That is to say, the more the familism, the more the awareness of the parent supporting.

쌍생아에서 발생한 급성 골수성백혈병 -증례보고-

이혜수,최호열,박숙자 대한병리학회 1982 Journal of Pathology and Translational Medicine Vol.16 No.4

영도지역 남녀 중ㆍ고교 학생들의 성지식에 관한 연구

강혜숙,남은우,박성빈,최재임 고신대학교 영도발전연구소 2000 영도연구 Vol.2 No.-

The purpose of this study was to grasp the sex knowledge in middle and high school students in Youngdo-Gu, Busan, and to provide some basic data for the needs and the direction of sex education for the teenagers. The survey was conducted by using questionnaires in two middle schools and two high schools in Youngdo-Gu. The questionnaires were took back after record by the respondents. The survey was conducted at September 15∼17, 2000 and a total of 791 were completed. The respondents were 200 (25.3%) males and 199 (25.2%) females in middle schools and 196 (24.8%) males and 196 (24.8%) females in high schools. For the statistical analysis, χ2-test, t-test and one-way ANOVA were used by using SPSS/PC+ WIN 8.0 program. The conclusions based on the results obtained from this study are as follows: 1) An attitude of the sexual matters showed that boys, students and non-christians were more progressive than girls, parents and christians, respectively (p<0.01). 2) The sexual agonies of students were in order of having a date 36.2%, sexual drive 11.1%, sexual intercourse 8.8%, masturbation 8.6% and sexual abuse 6.7%. 3) The points for sexual knowledges appeared 40.6 points out of 100 points from boys and 42.3 points from girls in middle schools, and 57.3 points from boys and 66.1 points from girls in high schools. Therefore, the girls had much knowledges on sexuality than those of the boys. There were a significant differences of knowledge on sexuality between boys and girls (p<0.001). Over 60% of both boys and girls had not enough knowledges on sexually transmitted diseases (STDs). 4) Satisfaction of sex education was common or unsatisfied as over 90% of respondents. The reasons were a textbook-like general information (50%) and nothing practically to help (29%). 5) The students wanted sex education for the practice in future life such as male and female relationship with etiquette(23%); and pregnancy and delivery (17%) in middle school students, and contraceptive and abortion (34%) and preventive STDs (18%). There was not enough to understand whole adolescent in Youngdo area because the study subjects were only public middle and hight school students in Youngdo-Gu, Busan. Conclusively, it is necessary to educate to give right information of sexuality to the adolescents in Youngdo, and to have systematically sex education from the kindergartens to the high schools by long range sex educational program. Also, a proper program for integrated sex education is necessary to build healthful sexual consciousness and worth in cooperation with sex educators, universities and health centers.

低鹽食 患者의 病院食에 대한 嗜好度 및 適應實態 硏究

박영숙,최봉순,소혜경 대구효성가톨릭대학교 응용과학연구소 1993 응용과학연구논문집 Vol.2 No.-

본 연구는 대구 C 병원에 입원한 저염식 환자 51명을 대상으로 1991년 9월 5일에서 9월 20일 사이에 환자의 식이 섭취량과 저염식에 대한 이해도를 조사 하였으며 그 결과는 다음과 같다. 1. 저염식을 하는 질한으로서는 간경화증, 신부전증, 심장병 외 기타 여러 질병이었으며 남녀 모두 간경화증의 비율이 각각 73%, 44%로 가장 높았다. 2. 저염식의 1일 영양공급량 및 섭취량은 열량의 경우 공급량은 남자가 2,390kcal, 여자가 2.236kcal 이고 섭취량은 남자 1.500kcal, 여자 850kcal이며 섭취율은 남녀 각각 63%, 38%로 낮았으며 탄수화물, 단백질, 지방, Na, K, Ca, cholesterol 모두 섭취율이 낮았다. 3. 학력과 저염식에 대한 이해도는 남자의 경우 학력과 이해도 와는 상관이 없었고, 여자의 경우는 무학에서 저염식에 대해 이해하고 있는 비율이 32%로 이는 자신의 질병에 대한 관심이 높아지고 병원에서의 저염식에 대한 영양교육으로 이해도가 높아진 것으로 사료된다. 4. 짠맛에 대한 행동과 저염식에 대한 이해도는 입원전 짜게 먹는다가 남자 43%, 여자 36%로 높았으나 입원후 남자는 자신의 질병치료를 위해 그냥 먹는다가 57.7%로 높았다. 5. 저염식에서 식욕을 촉진시키는 요소로 남자는 절반이 배가 고플때였고 여자의 경우 44%가 자기가 좋아하는 음식이 나왔을 때 식욕이 가장 촉진된다고 하였으며 좋아하는 저염식의 종류는 남녀 모두 채소류를 가장 좋아했으며 다음이 어 육류, 곡류, 우유 및 유제품 순이었다. 6. 저염식에서 좋아하지 않는 음식에 대한 행동으로는 남녀 모두 43%가 전혀 먹지 않는다 였으나 남자의 경우 46%가 자신의 건강을 위해 다 먹으려고 한다였고 여자는 56%가 전혀 먹지 않는다 였다. 7. 저염식에서 주식을 남기는 이유는 남자 69%, 여자 68%가 입맛이 없어서 주식을 남기는 경향이 높았다. 8. 저염식에서 부식을 남기는 이유는 전체 47%가 간이 맞지 않아서 였으며 남자의 경우, 역시 69%가 간이 맞이 않아서 였고 여자의 경우 간이 맞지 않아서, 반찬이 맛이 없어서가 24%였다. 이러한 경우 저염식에 있어 환자가 식욕을 잃지 않도록 조리방법을 고려하여 짠맛 대신 신맛, 단맛 등으로 맛을 내거나 식염대용품을 개발, 적용하여 식염 섭취량을 줄이면서 환자들에게 충분한 영양공급 및 만족한 식사가 될 수 있도록 해야 할 것으로 사료된다. To understand the adaptability of patients to low sodium diet, a Servey on food intake and preference was carried out for 15days from 5th of september 1991. In the servey, 51 patients feeding with low sodium diet were took part during their nursing by C hospital in Taegu. The results were as follows: 1. Low sodium diet supplied to the patients who had disease in their liver, kidney and heart. Liver disease was the highest and it occupied 73 per cent of male and 43per cent of female patients, respectively. 2. The diet composed of 2,390 Kcal per day for male and 2,236 Kcal for female, Male patients took in 1,599 Kcal per day, while female patients took 850 Kcal. 3. There was little relationship between comprehension about low sodium diet and regular education level. More than 30 per cent of female patients with no regular education also understood the necessity of low sodium diet. It was caused by nutritional education during their hospital nursing. 4. Approximately 40 per cent of the patients favored salty taste before hospital nursing. However, during their medical treatment, 58 per cent of mail patients took low sodium diet in spite of poor appetite. 5. Half of male patients show stimulated appetite to low sodium diet by hunger, while half of the female patients show appetite by serving of favorite food. They favored the foods in the order of vegetables, meats, grains, milk and milk products. 6. When they lost appetite, 43 per cent of male and 56 per cent f female patients did not take the diet. However, contrastly 46 per cent of male patients tried to take much foods as possible. 7. Approximately 70 per cent of the patients did not fully intake the rice and 50 per cent of the patients did not fully intake side foods because of their poor appetite to low sodium diet.

서울시내 일부 고등학교 학생들에서 학업성취도가 우울 증상에 미치는 영향

박혜숙,최경희,이보은 韓國學校保健學會 2001 韓國學校保健學會誌 Vol.14 No.2

Depression is one of the most common psychologic disorder and dealt as a major public health concern. School students have heavy school work loads and stress from various evaluations representing school performance. In this study, to examine the effect of school performance and stress on depressive symptoms, we assessed the frequency of risk factors for depressive symptoms among 2,717 high school students. From April 2001 to May 2001, using a self-reported questionnaire, we collected data on the frequency of occurrence of depressive symptoms and potential risk factors for depressive symptoms. Depressive symptoms were measured using Center Epidemiologlc Studies Depression (DES-D) index. Thirty-seven percent of high school students reported having high depressive symptoms for a week Female students had a higher prevalence of depressive symptoms than males (OR=1.44, 95% CI 1.22-1.70). In a multiple logistic regression model, we found that good perceived school performance (OR=0.43, 95% CI 0.31-0.60) had a negative association with depressive symptoms. On the contrary, we also found that stress from school performance (OR=2.03, 95% CI 1.69-2.44) associated with high depressive symptoms. In conclusion, high school students had a relatively high prevalence of depressive symptoms. Students with stress from school performance had the higher risk far depressive symptoms. Key words : Depression, risk factors, prevalence, performance, youths

다기관 전향적 임상연구를 위한 웹 데이터베이스 시스템

김혜림,최신영,유은미,박지숙 서울여자대학교 2010 정보기술논문지 Vol.8 No.-

Because many centers jointly select the subject, multi-center clinical study can promptly recruit various patient groups into the research, thus being advantageous in terms of generalization. However, prospective clinical study has difficulties in implementation, because it takes a lot of efforts to trace a large scale of subjects. The purpose of this study is to develop a web database system suitable for multi-center prospective clinical study. This study has presented three basic strategies-accurate data input, easy data tracing, and real-time data verification-to supplement the demerits of prospective clinical study. The developed system has been applied in the clinical study proceeded by the study group for Respiratory failure which is affiliated to The Korean Academy of Tuberculosis and Respiratory Diseases's Association for Research on Respiratory Failure and has been verified of its performance.