일부 사업장 건강증진사업 실태조사 및 요인분석

이경화,이원철,이강숙,홍현숙,송연이 가톨릭대학교 산업의학센터 2000 韓國의 産業醫學 Vol.39 No.2

For the purpose of access the health promotion activities in 138 worksite which had more than 50 workers, we surveyed the questionnaire on May and September 1998. The results of survey were as follows: 1.59 companies(45.1%) were conducting the health promotion activities. Most of them were manufacturing and located Kyung-sang province and had nurses as a health manager. 2.Companies operating the health promotion activities had significant higher degree of satisfaction and usage of welfare facilities than non-operating companies. 3.The level of knowledge for regulations, professional skills, and performance related health promotion was low in all companies. Top manager's interest and will for investment to health promotion was significant lower in non-operating companies. 4.The reasons why the health promotion program was not operated, were low budget, top manager's indifference, lack of information, work overloading, no human resource, an insufficient governmental support in order. 5.The most necessary items for program were education and promotion, budget, and governmental support. Needed personnel were nurses, fitness trainner, and necessary program were health management, exercise, nutrition, and stress counselling. For comparing before and after IMF, amount of budget was decreased. In conclusion, this study suggested that major barriers to conduct health promotion activities were lack of budget, lower interest of top managers, and insufficient professional information, therefore detail health promotion program would be developed and supported by government.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

간호교육 성과 측정 도구의 탐색

이향련 ( Lee Hyang Yeon1 ),오가실 ( Oh Ka Sil2 ),안양희 ( Ahn Yang Heui3 ),이숙자 ( Lee Sook Ja4 ),김인자 ( Kim Inja5 ) 경희대학교 동서의학연구소 2010 동서간호학연구지 Vol.16 No.1

간호학과 졸업생들의 간호교육 성과 측정 도구를 규명하기 위하여 시행한 본 연구에서는 의사소통, 전문직관, 지도력, 비판적 사고를 측정하는 도구들을 탐색하여 타당도와 신뢰도를 규명하였다. 의사소통 능력을 측정한 지지적 의사소통 능력 측정 도구의 경우 신뢰도가 Cronbach’s=.78로 비교적 신뢰도가 좋은 것으로 나타났다. 또한 타당도에서는 수렴타당도로 본의사소통 능력과의 상관계수가 .24 (p<.001), 구성타당도로 본집단타당도에서는 다른 학년에 비하여 4학년의 평균점수가 유의하게 높아 의사소통을 측정하는 도구로 활용할 가치가 있다고 판단하였다. 아직 이 도구를 사용한 논문을 찾을 수 없었으나 대인관계를 손상시키지 않으면서 정확하고 정직하게 의사를 전달하면서, 문제를 해결하는 동안 의사소통하는 사람간의 긍정적인 관계를 보존하는 것을 측정하는(Whetten & Cameron, (1998) 본 도구는 인간관계를 중요시하는 간호학의 전인적 간호를 증진시키는 특징이 포함되어 있어 간호학 교육 성과를 측정하는 도구로 활용할 가치가 있다. 또한 수렴타당도를 측정하기 위하여 선택한 의사소통 측정도구보다 문항수가 적어 효율성도 높다. 지금까지 간호학생을 대상으로 의사소통을 측정한 연구들도 면접을 통한 질적인 자료로 측정하거나(LeBlanc et al., 2009), 연구자들이 개발한 도구(Rosenzweig et al., 2008; Yoo & Yoo, 2001)로 측정하고 있어 효율적이면서 객관적인 도구로써 유용할 것으로 생각한다.전문직관은 신뢰도가 Cronbach’s a=.87로 매우 높게 나타났다. 수렴타당도로 본 Yeun 등(2005)이 개발한 간호전문직관과의 상관계수도 .23으로 유의하였고, 구성타당도를 보기위한 집단 비교법에서는 4학년의 점수가 가장 높았으나 유의하게 차이가 있는 학년은 2학년으로 나타나 간호학 교육 성과도구로 채택하는데 큰 문제가 없는 것으로 판단하였다. 항목이 19개로 구성되어 있어 효율성 측면에서 볼 때 Yeun 등(2005)의 도구보다 활용성이 높다. 특히 주위 다른 사람들과 비교하여 자신의 태도를 측정하고 있어 일반적인 간호사에 대한 의견을 묻는 Yeun등(2005)의 도구에 비하여 개인적인 전문직관을 더 민감하게 측정할 것으로 생각한다. 지도력은 신뢰도가 Cronbach’s α=.94로 가장 높았으며 수렴타당도로 본 지도력 도구와의 상관계수도 .16으로 통계적으로 유의하였다. 구성타당도로 본 집단비교에서는 4학년의 점수가 가장 높았으나 유의한 차이가 있는 학년은 2학년이었다. 문항수가 40문항으로 다소 긴 편이어서 효율성이 떨어지기는 하나 간호 실무에서 4년제 학부 학생의 지도력 특성을 측정하기 위해 개발된 도구라는 점에서 활용할 가치가 있다. 비판적 사고를 측정하기 위하여 선택한 Yoon (2004)의 도구는 신뢰도가 Cronbach’s α=.87로 상당히 높은 편이고, 집단비교법에서도 4학년이 다른 학년에 비하여 유의하게 높아 구성타당도도 만족할 만한 수준이었다. 그런데 본 연구자들이 개발한 비판적 사고 기술 도구와의 상관관계가 유의하지 않아 수렴 타당도가 인정되지 않았다. 이는 몇 가지로 해석할 수 있는데 첫째는 비판적 사고 기술과 비판적 사고 성향이 다를 수 있다는 것이다. 즉 Yoon (2004)의 도구는 비판적 사고 성향을 측정하는 도구이고 연구자들이 개발한 도구는 비판적 사고 기술을 측정하는 도구이기 때문이었던 것으로 보인다, 이러한 해석은 비판적 사고 기술과 사고 성향 간에는 유의한 상관관계가 없다는연구 결과가 뒷받침한다(Raymond, Rachel, & Jenny, 2002). 그러나 두 개념간에 상관관계가 있다는 연구결과도 있어(Profetto-Mcgrath, 2003) 이 두 개념 간의 관계에 대한 심층적인 연구가 더 필요하다. 두 번째는 비판적 사고 성향을 측정하는 Yoon (2004)의 도구는 정답이 존재하지 않으나 비판적 사고 기술을 측정하는 도구는 정답이 있는 도구인데 자료를 수집할때 이를 설명하지 않고 측정하여 두 도구의 상관관계가 없는 것으로 나올 가능성도 배제할 수 없다. 성향을 측정하는 것과 달리 정답이 있다고 하는 경우는 본인의 생각과 다르더라도 비판적 사고 기술에 해당하는 내용을 선택할 수 있으나 정답이 없다고 생각하는 경우는 설령 비판적 사고 기술에 해당하는 내용이라고 판단하더라도 본인의 성향과는 다르기 때문에 다른 내용을 선택할 수 있기 때문이다. 또한 성향과 기술이라는 특성이 다른 측면을 측정하는 과정에서 성향은 Likert 척도로 기술은 이분법으로 측정한 것도 상관관계를 떨어뜨린 이유로 보인다. 세 번째는 Yoon (2004)의 도구는 이미 몇 연구에서 사용하여 왔으나 아직도 더 검증이 필요하고, 본 연구자들이 개발한 도구도 신뢰도가 낮아 신뢰도와 타당도를 높이기 위한 작업이 더 필요함을 나타낸다고도 볼 수 있다. 현재 가장 많이 사용하는 도구인 Facione과 Facione (1994)이 개발한 California Critical Thinking Disposition Inventory (CCTDI)를 활용하는 방법도 있으나 75문항으로 긴 편이어서 효율성이 떨어지고 사용하기 위하여 많은 비용을 지불하여야 하므로 비경제적인 측면이 있다. 결론적으로 본 연구에서 규명한 네 도구는 신뢰도와 타당도가 비교적 높게 나타나 간호교육기관에서 사용할 수 있을 것으로 판단하였다. 비판적 사고 측정 도구는 수렴 타당도가 낮게 나와 비판적 기술과 성향을 구분하여 측정하여야 한다고 판단하였다. Purpose: The purpose of this study was to identify and evaluate outcome measurement scales of nursing education such as communication, professionalism, leadership, and critical thinking. Methods: A methodological study design was used to evaluate the reliability and validity of the scales. Survey was done to the students (n=407) enrolled in baccalaureate nursing schools. Using convenience sampling method, we tried to include all grades of students. Internal consistency, convergent validity and group comparison were used to evaluate the reliability and validity of the scales. Results: All scales were reliable and valid. Only convergent validity of the scale to measure critical thinking was relatively low. It suggested that critical thinking skill and disposition might be measured separately. Also it was inefficient to measure the nursing education outcomes with separate scales. Conclusions: It is recommended to develop a new integrative scale to measure nursing education outcomes. Also it is necessary to set the norm of nursing students to evaluate nursing education outcomes for the quality control of nursing education.

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.

北漢江 源流水城의 生態學的 硏究 1.鎭東里 溪谷 一帶의 植生

李愚喆,鄭蓮淑,白元基 江原大學校 附設 環境硏究所 1991 環境硏究 Vol.8 No.-

The flora of vascular plants and the forest structure in Mt. Chombong were studied from 1987 to 1990. 106 families, 413 genera, 801 species, 36 varieties, 17 formaties of vascular plants were classified. Of these, 35 taxa including Megaleranthis saniculifolia and Hanabusaya asiatica are endemics. Phytosociological studies indicated that the vegetation were divided into Quercus mongolica association two subassociation, Abies holophylla and Acer mono. Along the altitude gradient, the importance value of Q. mongolica was the highest at all the stand except for Betula davurica and Acer mono at 800m. Frequency distribution of DBH showed convex form in Q. mongolica but L form in Acer pseudo-sisboldianum. This means there are no natural regeneration fo Q. mongolica, recently.

유아 무용 교육이 유아의 긍정적 자아개념에 미치는 영향

이광욱,조연숙,정일호,강성환 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.4

The purpose of this study was to examine through 24weeks whether dance education with 6-year old preschool-Kindergarten may increase positive self-concepts. The results of analysis of self-concept's change that the dance education served K kindergarten and not in the S kindergarten in Seoul were as follows. 1. There is a statistically significant relation of the generally satisfactory self-concepts between the two preschool-Kindergarten groups(P<0.05). It means that the development of satisfactory self-concepts are generally influenced by dance education programs. 2. There was no statistically significant relation of the same-aged children's self-concepts between the two preschool-Kindergarten groups (P>0.05). It means that the same-age children's self-concepts are not influenced effectively by dance education programs. 3. There was no statistically significant relation of the children's self-concepts about their teachers and kindergartens between the preschool-Kindergarten groups(P<0.05). It means that their teachers and kindergartens the children's self-concepts are not influenced effectively by dance education programs. 4. There was no statistically significant relation of the children's self-concepts about their classes between the two preschool-Kindergarten groups(P<0.05). It means that the children's self-concepts about their classes are not influenced by dance education programs. 5. There was no statistically significant relation of the children's self-concepts about their physical exercises between the two preschool-Kindergarten groups(P<0.05). It means that the children's self-concepts about their physical exercises are not influenced by dance education programs.

Estradiol에 의한 흰쥐-자궁의 수축 기능과 Polyamine 대사의 변동에 관한 연구

이명아,고재홍,이영재,신경호,전보권,천연숙 고려대학교 의과대학 1995 고려대 의대 잡지 Vol.32 No.3

The polyamines have been postulated to be essential in most processes associated with both hypertrophy and hyperplasia. The effects of estrogen on uterine contractility vary with animal species, and most reports have shown that in vitro contractility of rat uterus is decreased after estrogen treatment, but estrogen increases polyamine contents in castrated rat uterus. This study was carried out to investigate whether the regulation of polyamine metabolism may be instrumental in the contractile response of castrated nonpregnant uterus of female SD rats to electrical field stimulation (40 V, 100 μsec : EFS). Estradiol (E2) increased uterine contents of putrescine (PT), spermidine (SPD), and spermine (SPM). These E2 effects were inhibited by tamoxifen or DFMO, but E2-incuced increase of uterine SPM content was enhanced by aminoguanidine. E2 decreased the amplitude of force developed in the rhythmic spontaneous contraction of rat uterus, but it exaggerated the increase of uterine contraction force in response to EFS. The E2-dependent exaggeration was inhibited by tamoxifen, DFMO, or indomethacin, but was significantly enhanced by aminoguanidine. The synergism between E2 and aminoguanidine on uterine contractility was little affected by indomethacin. These results suggest that E2-dependent increase of uterine contractility may be ascribed partly to increase of uterus polyamines.

친환경아파트의 실내공간에 사용된 계획요소 사례연구

이송현;황연숙 한양대학교 2005 韓國 生活 科學 硏究 Vol.25 No.2

The awareness of ecological friendliness has been emerging in the recent years, and the application to housing is quite notable. The purpose of this study is to evaluate environment-friendly planning factor in Environment-friendly Housing. For this purpose, this study has analyzed 4 Apartments in Environment-friendly Apartment Certification. The findings of this study are as follows: The application of environment-friendly planning factor in interior space are limited. Most of Apartments are located in south. The variability of floor plan is not applied but the built-in storage is well-applied. Environment-friendly finishing material and the garden-style balconies were applied in a passive way. This analysis showed current status of interior planning factor of unit apartment in Environment-friendly Housing Certification and basic information for future direction.

한국인 영양권장량의 산정 기준에 관한 고찰 : Comparative study of Korean recommended dietary allowances with Japanese dietary allowances and American recommended dietary allowance 일본인 영양소요량 및 미국인 영양권장량과의 비교 검토

이연숙,박동연 서울大學校 農科大學 1986 서울대농학연구지 Vol.11 No.1

This paper is a comparison of Korean Recommended Dietary Allowances (RDA) with Japanese Dietary Allowances and American RDA to investigate some bases for estimation of Korean RDA and to suggest what data are necessary for revision of Korean RDA. More precise data of nutrient requirements from physiological, environmental, and nutritional studies on Korean subjects are needed to establish Korean RDA. That is; mean values and data on the growth of body size in age group are fundamental to establish Korean reference body size. For establishing RDA for energy, changes of energy need for basal metabolism and physical activity and daily activity time allotments according to changes of korean living condition are fundamental. For establishing RDA for protein, obligatory nitrogen losses of an adult and efficiency of utilization of protein in Korean diet are needed. For vitamins, the data of the blood level, urinary excretion and related enzyme activity are significant. For minerals, minumum requirement of maintenance and availability of dietary minerals should be studied. More experimental data about growth factors; the changes of body composition and the storage of nutrients (especially protein and minerals) are fundamental for infants, children, and adolescences. For pregnant woman, the more accurate data of the nutrient requirements in change of physiological condition in a pregnant woman herself, weight gain of fetus and growth of organs according to fetal age, and body composition of fetus and fetal appendage are necessary. In lactating woman, daily milk production, composition of milk, and changes of these two being caused by lactating environment should be investigated. In environmental aspects, stress, climate, and safty level, etc. should be studied, too.

아동실 환경특성이 아동의 자아존중감에 미치는 영향에 관한 연구

이연숙,황연숙,장윤정 대한건축학회 2004 대한건축학회논문집 Vol.20 No.6

This study investigated the physical environmental characteristics of elementary school children's rooms, and assessed the extent to which environmental characteristics influence the children's self-esteem. Survey questionnaires were given to 221 elementary school children in the lower grades, and frequency analysis, t-tests, analysis of variance(ANOVA), Duncan's MRT tests, and multi regression analysis were mainly employed for data analysis. The findings of the study indicated that the most negatively ranked characteristics of children's rooms were territoriality, ability to express, and creativity. The respondents' evaluation of the rooms differed by children's grade, housing type, housing size, and children's roo m size. For example, children in the first grade were more critical about safety and privacy, while those in the third grade were negative about social interaction. Meanwhile, children's self-esteem was very dependent on the extent to which children's rooms provide convenience, order, and safety. Therefore, the results of this study can be utilized to justify the importance of physical environments to children's self-esteem.