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.

백혈병환자의 요추천자 후 침상안정시간에 따를 두통과 요통의 차이

정영남 ( Young Nam Jeong ),이향련 ( Hyang Yeon Lee ),박영미 ( Young Mi Park ) 경희대학교 동서의학연구소 2008 동서간호학연구지 Vol.14 No.1

요추천자 후 침상안정을 취한 군(침상안정군)과 취하 지 않은 군(활동군)간의 두통의 발생 빈도를 비교하는 여러 연구가 있었으나, 어느 연구에서도 두 군간의 유 의한 차이를 발견하지 못하였다 (Carbaat & Crevel, 1981;Dieterich& Brandt 1985). 하지만 아직 대부 분의 병원에서는 요추천자 후 침상안정을 권하고 있는 실정이다 만약 요추천자 후 침상안정이 반드시 필요하지 않다면 피검자는 검사 후 일상생활에 바로 임할 수 있으므로 간호측면이나 시간적, 경제적 측면에서 많은 효과를 기대할 수 있을 것이다(KWon et al., 1997) . 실 제 서울시내 몇몇 종합병원의 경우를 보면, 성인 백혈병 환자의 요추천자가 시행된 후 대부분이 최소 6시간 이상 침상안정을 시키고 있었으며. 요추천자 후 6시간 이상 침상안정을 하는 환자들은 요통, 식사문제, 각종 검사의 지연, 생리적 현상 등을 참아 하는 고통을 갖게 된다. 특히 외래에서 요추천자를 시행한 경우에는 침상부족이라는 현실적 여건들이 6시간 침상안정을 철저히 준수하기 어렵게 한다고 사료된다. 본 연구에서 시도한 백혈병 환자의 요추천자 후 l시 간 침상안정과 6시간 침상안정에 따른 두통과 요통의 차이는 없었다. 이는 침상안정 시간이 척추마취 후 두 통 및 요통 발생에 영향을 주지 않았음을 확인한 Lee 와 mm (1996) 의 연구결과와, 소아종양환아를 대상으로 요추천자 후 1시간 및 6시간 침상안정 시간에 따라 두 통, 동반증상 및 두통의 강도는 유의한 차이가 없었다 는 Park과 Lee (1997) 의 연구결과와 유사하였다. 또한 18, 60세의 성인 신경계 환자 300명을 대상으로 전혀 침상 안정을 시키지 않은 군과 6시간 침상 안정 (3시간 은 앙와위, 3시간은 복위) 을 시킨 군의 천자 후 두통은 차이가 없음을 입증하여 침상안정을 하지 않는 것이 더 나을 것이라고 주장한 Vil血媤 등 (1988) 의 연구와 유사 하며 이는 6시간 이상 침상안정이 필요하지 않음을 시 사하고 있다. 다만 관찰할 수 있는 시간을 갖는다는 의 미에서 수평자세로 잠시 뉘어 놓는다 (Hong, 1993) 의 ‘잠지를 1시간 정도로 생각하면 무리가 없을 것으로 판단하게 된다는 근거 하에 본 연구에서 요추천자 후 l시 간 침상안정군과 6시간 침상안정군으로 구분하여 두통 정도를 비교하였을 때 두 군간에 통증 차이는 없었으며 통계적으로도 유의한 차이가 없었다 (U= 234. 0, P=. 498). 요추천자 후 요통 정도는 1시간 침상안정군과 6시간 침상안정군간에 통계적으로 유의하지 않아서 (u= 238. q p=. 532), 1시간 침상안정과 6시간 침상안정에 따른 요 통의 차이는 없는 것으로 나타났다. 이는 척추마취 환 자를 대상으로 침상안정 시간에 따른 요통의 발생률에 서 가능한 한 빨리 움직일 수 있도록 한 군이 요통 발생빈도가 적었다는 Lee와 mm (1996) 의 연구결과와 유 사하였다. 그러나 요통 점수에서 l시간 침상안정군의 평균점수보다 6시간 침상안정군의 평균점수가 높게 나 온 것은 대상자를 일찍 움직이게 하여 침상안정 시 히 리에 가해질 스트레스를 줄여 주었기 때문이 아닌가라는 견해를 피력한 Brattebo 등 (1993) 의 연구와도 관련성이 있었다. 통계적으로 유의하지 않았지만 6시간 동 안 침상안정을 시킨 군에시 요통 점수가 높은 것은 요 추천자라는 시술로 인한 스트레스 혹은 한국인에게 익숙하지 않은 침대 생활과 침대 매트리스로 얻어진 gj리 의 불펀감이 포함되었으리라 생각 되어진다. 이상으로 종합해 보면 연구대상이 백혈병으로 입원한 환자로 국한함으로써 전채 백혈병 대상자에게 연구결과를 일반화 하기는 어려우나 대상자 대부분이 움직일 수 있고 정상적인 일상생활을 할 수 있다는 점을 감안할 때 본 연구결과에서 나타난 것처럼 침상안정시간에 다른 두통과 요통정도에 차이가 없다면, l시간 이상 침상 안정을 지속하는 것이 꼭 필요한 것은 아니라고 생각된 다. 추후 연구로는 침상안정 기간 중 지속적으로 두통을 호소하는 환자에게 침상안정을 시키되 침상안정기간 동안 두통의 완화 정도 상대도 계속적으로 연구할 필요 가 있다고 사료된다. Purpose: This study was conducted for an evidence-based nursing intervention on bed rest period after puncture, by confirming whether there was a difference in scores of headache and back pain between the 1-hour bed rest group and the 6-hour bed rest group following lumbar puncture in patients with leukemia. Method: The subjects were 45 inpatients of the department of hematology at a general hospital in Seoul, from January 1 to March 31, 2005. There were 21 patients in the 1-hour bed rest group and 24 patients in the 6-hour bed rest group. A graphic rating scale was used to measure headaches and back pains. Collected data were analyzed With SPSS 12.0. Non-parametric statistics were used to analyze the data. Results: There was no significant difference between the 1-hour bed rest group and the 6-hour bed rest group in the headache level and back pain level. Conclusion: Therefore, it is considered that a long period of bed rest over 6 hours after lumbar puncture is not a necessary nursing intervention, and repeated studies are required to confirm the result.

STS powder의 무전해 니켈 도금

이종권,박소연,하미영,김소연 순천향대학교 부설 산업기술연구소 2006 순천향 산업기술연구소논문집 Vol.12 No.1

Nickel was electroless-plating on 304L stainless steel powder. To obtain uniform coating and dispersion of powder, the bath was continuously agitated with magnetic stirrer. The pH and bath temperatures were varied. The tested conditions were in the range of pH4∼10, 65℃ respectively. The coating morphologies were examined by SEM/EDS. The optimum condition was pH9 at 65℃.

청소년의 인터넷 관련비행과 관련 변인간의 경로 분석모델

이경님,하연미 대한가정학회 2004 Human Ecology Research(HER) Vol.42 No.5

This study examined the direct and indirect influences of adolescents self-esteem, impulsiveness, departments of school, perceived communications with mothers and peer support on internet-related delinquencies. The study consisted of 555 second-year students from a vocational, academic oriented girl s high schools that were located in Busan. Data analysk was made through TweWay ANOVA, Pearson s Correlation, Multiple Regression, and Path Anaiysk by using SPSS WIN 10.0. The results of this study is described as follows. First, intemet-related delinquencies were committed by male students more than by female students. Second, problematic communications with mothers was most directly influenced by internet-related delinquencies of high school students of both sexes and was indirectly influenced by self-esteem and impulsivene~~. Third, w a ~ directly influenced by intemet-related delinquencies in both male and female students. In male students, their school departments indirectly influend internet-related delinquencies by way of open communication with mothers, peer support, self-esteem, and impulsiveness. In female students, school departments directly influenced on intemet-related delinquencies and indirectly by way of peer support, self-esteem and impulsiveness. Intemet-rehtd delinquencies by male and female students were not directly influenced by peer support and self-esteem. But peer support did have indirect effects on intemet-related delinquencies by way of self-esteem and impulsiveness, and self-esteem also had indirect effects by way of impulsiveness.

朝鮮時代 女性의 頭飾에 관한 연구

이선재,고미연 숙명여자대학교 건강ㆍ생활과학연구소 1997 生活科學硏究誌 Vol.12 No.1

The purpose of this study was to arrange Cho Sun Dynasty woven hair styles and hair decoration and hat. Due to this government regulation, the hair style of woven, EUNJUN MEURI(얹은 머리) was replaced by JOK MEURI(쪽머리). The hair styles of women during the period of middle and latter part of Cho Sun Dynasty were variously beautified and they may be classfied into QUEN MEURI(큰머리), EUNJUN MEURI(얹은머리), JOK MEURI(쪽머리), JOJIN MEURI(조진머리), SAYANGGAE(생머리), GHOPJI MEURI(첩지머리) and TTAEUN MEURI(땋아늘인 머리) etc. EUNJUN MEURI(얹은머리) withbig wig was popular until the proclamationof prohibition by king Jeong-Jo in Cho Sun Dynasty. And DDELGAM(떨잠) used in EUNJUN MEURI(얹은머리). Veil essentially created as a result of the social rule imposed on women in during of the Cho Sun Dynasty. Veil was used in many different ways as an official cap. There were many kind of veil such as NEOUL(너울), MYUNSA(면사), CHANGUI(장의), SSEUGAECHIMA(쓰개치마), JEONMO(전모), CHEONUI(천의), CHAAEK(차액) in this Dynasty. Warm hat is thought to have been originated at the first to adapt to the climate. We can pressent YIAM(이엄) as the typical model, and warming hats which were differentiated from YIAM(이엄) appeared with various ornamental characteristics. The representative warming hats of this age were NAMBAWI(남바위), PUNGCHAE(풍차), CHOBAWI(조바위), AYAM(아얌), KULLE(굴레), etc. The materials used were various. Most of the textile was silk with the lining of cotton or cotton flannel.

동북아 지역의 외래어 수용 양상에 대한 연구

이화연,강윤옥,이미숙 이화여자대학교 영미학연구소 2005 영어학 연구 Vol.- No.10

The primary aim of this study is to examine the different patterns of accepting foreign cultures through a cross-linguistic analysis of loan words in Korean, Chinese, and Japanese. Based on the data collected from 2000 to 2002, the investigator analysed the loan words of Korean, Chinese, and Japanese in terms of five different categories: IT(Information Technology), high-technology, computer, internet, and multi-media broadcasting. This study also investigated the characteristics of individual loan words, their transcribed patterns, and their specific features of word formation. The results of the study showed the similarities and differences of patterns in formulating loan words among the three East-Asian countries.

흉추의 병적골절을 보인 심한 신성 골이영양증 1례 : 증례 보고

이송주,이은미,임학,정연순,장재호 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

A 33-year-old woman presented with tingling sensation and weakness in the both hands and feet. She had a diagnosis of secondary hyperparathyroidism caused by renal failure. Her height was shortened due to severe kyphosis. On plain radiograph, there were fractures on both femoral necks and pathologic fracture on thoracic vertebra. An MRI scan of the spine demonstrated a expansile, heterogeneous hypointense lesion of the 2nd thoracic spine, which remained hypointense on T2 images. Following total parathyroidectomy the patient underwent a thoracic decompression and spinal stabilization from the back. Hyperparathyroidism may cause brown tumor and tumor associated pathologic fracture in the spine. Involvement of the spine with neural compression is extremely rare. An early spinal decompression with parathyroidectomy leads to remission of symptoms.

학령기 아동이 지각한 부모의 양육행동 및 학교적응에 따른 아동의 우울성향

이영미,민하영 대한가정학회 2004 Human Ecology Research(HER) Vol.42 No.4

This study investigated the effect of parental behavior and schod adjustment on the depression of schod aged children. The subjects were 386 6th (206 boys and 180 girls) hrn 6 elementary schools in Seoul and Kyounggi Province. Questionnaires were used to investigate the children s depression, school adjustment and parental behavior. Data were analyzed by SPSS-WIN program, including mean, standard deviation, correlational analysis, ANOVA, and regression. Results were as follows. (1) The children who perceived their parents support and warmth as higher were less depressive than those who perceived them as lower. (2) The children who were good at school Were less depressive than those who were not. (3) There were interaction effects of the children's school adjustment and parental behavior perceived by chiien on their depression. The regression analysis showed that the children's school adjustment was more influential on the depression of school aged chiien than the parental behavior perceived chiien.

유치열과 영구치열의 구개 각부의 관계에 대한 연구

이용훈,백병주,양연미,이용희,김상훈,김재곤 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

본 연구는 유치열과 영구치열에서 구개의 길이, 폭, 깊이 및 치열궁의 형태 등을 조사하여 남녀간의 차이와 유치열과 영구치열간의 변화양상을 파악하는 것이다. 유치열기 아동 100명과 영구치열기 성인 100명 총 200명을 대상으로 하여 상악 석고 모형을 채득하고 3차원 laser scanner(SD Scanner, DS4060, LDI, U.S.A.)를 통한 석고 모델의 측정을 통해 cloud data, polygonization, section curve and loft surface, fit and horizontal plane (Surfacer 10.0, Imageware, U.S.A.)을 기초로 하여 구개의 폭, 길이, 높이 및 치열궁의 형태 등을 계측하였다. 통계학적 분석을 위해 t-tests가 사용되었다. 이에 다음과 같은 결론을 얻었다. 1. 구개의 계측항목에서 유치열 전방부 구개높이를 제외한 나머지 항목에서 남자가 여자보다 크게 나왔으며, 유치열은 전구개폭(p<0.05)과 후구개폭(p<0.01), 영구치열은 구개폭(p<0.05)과 전구개길이(p<0.01), 중구개, 후구개길이(p<0.05)에서 남녀간에 유의한 차이가 있었다. 2. 남녀의 구개지수에서 유치열에서는 구개장고지수(p<0.05)와 구개장폭지수(p<0.01)가 남녀간에 통계학적으로 유의한 차이가 있었다. 영구치열의 구개지수에서는 남녀간에 유의한 차이가 없었다. 3. 유치열과 영구치열의 계측항목 비교에서 후방부 구개폭이 가장 많이 증가하였으며, 다음으로 후방부 구개높이, 전방부 구개폭, 전방부 구개길이 순이었다. 전방부 구개높이와 후방부 구개길이는 오히려 감소하였다. 4. 유치열과 영구치열의 구개지수 비교에서 구개장고지수와 구개장폭지수, 후구개폭고지수는 영구치열에서 증가하였고, 나머지 지수는 감소하였다. The purpose of this study was to clarify the palatal arch length, width and height in the primary and permanent dentition. Samples were consisted of normal occlusions both in the primary dentition(50 males and 50 females) and in the permanent dentition(50 males and 50 females). With their upper plaster casts were used and through 3-dimensional laser scanning(3D Scanner, DS4060, LDI, U.S.A.), cloud data, polygonization, section curve and loft surface, fit and horizontal plane were based to measure the palatal arch length, width and height(Surfacer 10.0, Imageware, U.S.A.). T-tests were applied for the statistical analyze of the data. The results were as follows : 1. In the measurement values, the values of the male were higher than those of the female except primary anterior palatal height. There were not only statistically significant differences in anterior palatal width(p<0.05) and posterior palatal width(p<0.01) in primary dentition but palatal width(p<0.05), anterior palatal length(p<0.01), middle and posterior palatal length(p<0.05) in permanent dentition between male and female. 2. In the indices of palate, there were statistically significant differences in height-length index(p<0.05) and width-length index(p<0.01) between male and female in primary dentition. In permanent dentition, there was statistically difference between male and female. 3. In the measurement values, posterior palatal width was increased most greatly. Posterior palatal height, anterior palatal width and anterior palatal length were followed by descending order. On the other hand, anterior palatal height and posterior palatal length were decreased. 4. In the indices of palate, the height-length index, the width-length index and posterior height-width index were increased, but the others were decreased.

두피에 발생한 단발성 피지낭종 1예

이민숙,김미연,김형옥,박영민 대한피부과학회 2003 大韓皮膚科學會誌 Vol.41 No.12

A 63-year-old-man presented with an asymptomatic, solitary, yellowish papule on the scalp for one year. There was no family history of similar lesions. A punch biopsy taken from the papule Showed an oily yellowish discharge. Histopathological findings showed a thin-walled cyst lined by a stratified squamous epithelium with hyaline cuticle and no granular layer. Based on this histologic finding, we diagnosed this case as a steatocystoma simplex occurring on the scalp, an unusual site. (Korean J Dermatol 2003;41(12):1657-1658)