바람직한 인성교육을 위한 사관생도 훈육기법 개발 -MBTI-

이희경 ( Hee Kyeong Lee ),강점숙 ( Jum Sook Kang ),김봉정 ( Bong Jung Kim ) 국군간호사관학교 군진간호연구소 2004 군진간호연구 Vol.22 No.-

근로자의 상실치아 실태와 관련요인

이경수 ( Kyeong Soo Lee ),엄숙 ( Suk Eom ),김경원 ( Kyung Won Kim ),이희경 ( Hee Kyung Lee ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.4

This study was conducted to investigate the health behavior and the oral health status of workers engaged in a manufacturing business, and to analyze the related factors that affect their number if teeth loss. References for the study involved the materials of 526 individuals whose occupational categories are of a manufacturing business, amongst the survey participants in seven city or gun (county) area including Gyeongsan-si, Gyeongju-si, Mungyeong-si, Chilgok-gun, Yecheon-gun and Sangju-gun for the Community Health Survey (CHS) conducted in 2008. The CHS 2008 was conducted for three months from September to November 2008, and the survey details utilized in the study included the number of loss of teeth and teeth-brushing frequency, which was a part of CHS questionnaires and also additionally included for the study. The analysis with respect to the number of teeth loss on sociodemographic factors, was found to be significantly related to the age, educational status, average monthly income and occupation (p<.01). In the x2-test in terms of the oral health status and the number of teeth loss, it was found that the teeth-brushing after lunch (p<.05) and an experience in an oral examination were statistically significant factors (p<.01). According to the multiple-regression analysis with the number of teeth loss being a dependent variable, the age, educational status, marital status and subjective oral health status were the statistically significant (p<.01). In conclusion, it is important to provide education on the teeth-brushing subjected to workers engaged in a manufacturing business with many dental caries and low educational status, and to recommend a regular scaling as well as to establish policy for creating conditions upon an oral health check-up and a tooth scaling and thus allow the maintenance of an oral health.

임플란트 시술환자의 시술 전.후의 저작능력과 삶의 질 비교

김경원,이경수,강복수,김우식,이희경,Kim, Kyeong-Won,Lee, Kyeong-Soo,Kang, Pock-Soo,Kim, Woo-Shik,Lee, Hee-Kyeong 대한치과보철학회 2009 대한치과보철학회지 Vol.47 No.2

연구목적: 임플란트 시술을 받는 환자가 크게 증가하는 시점에 임플란트 시술환자를 시술 전후로 추적 조사하여 시술 전후의 저작능력을 평가하고, 시술 전후의 환자 만족도와 삶의 질의 변화를 비교하기 위하여 연구를 수행하였다. 연구 재료 및 방법: 대구광역시와 울산광역시에 있는 6개의 치과 의원에서 2006년 12월부터 2007년 10월까지 임플란트 시술을 받은 20세 이상의 성인 환자 109명을 대상으로 임플란트 시술 전후에 설문조사를 실시하여 임플란트 치료선택동기, 저작능력, 환자만족도, 권유의향, 삶의 질을 비교분석하였다. 결과: 임플란트 선택 동기는 '치아기능의 회복을 위하여'가 45.9%로 가장 많았고, 치료 시 가장 걱정되는 것은 '치료실패와 부작용'이 38.5%로 가장 많았다. 임플란트 시술에 대한 만족도는 시술 전 30.37점에서 시술 후 45.01점으로 시술 전후의 만족도 점수가 유의한 차이가 있었으며(P<.001), 치료에 대한 만족도는 '만족한다'라고 답한 사람이 91.8%였으며, 연구대상자의 89%가 가족이나 주위에 임플란트를 '권유할 의향이 있다'라고 응답했다. 섭취가능 식품에 대한 설문을 이용하여 측정한 저작능력 점수는 임플란트 시술 전 15.24점에서 임플란트 시술 후 19.11점으로 시술 전후의 저작능력 점수가 유의한 차이가 있었으며(P<.001), 삶의 질 점수도 임플란트 시술 전 9.99점에서 시술 후 11.17점으로 시술 전후 유의한 차이가 있었다(P<.001). 결론: 이 연구 결과를 통해 치아 질환, 치아상실로 인하여 저하된 저작 능력이 임플란트를 통하여 유의하게 개선됨을 확인할 수 있었다. 향후 임플란트를 시술한 상실치아 수나 상실 부위에 따른 임플란트 시술환자의 만족도에 대한 연구가 필요하며, 시술 후 장기간의 경과 후 평가 및 연구대상자 확대를 통한 연구를 시행할 필요가 있다고 생각한다. Statement of problem: Recently the populations of patients receiving implant surgery are greatly increase for maintaining oral health. Purpose: This study was conducted for implanted patients to assess the chewing ability patient satisfaction level and changes in quality of life before and after the implant surgery. Material and methods: The current study subjected 109 adult patients, older than 20 years of age, who received implant surgery from December, 2006 to October, 2007 at the 6 dental clinics located at Daegu and Ulsan metropolitan cities. Twice of surveys were conducted for the patients before and after receiving the dental implant surgery. Results: As the motivation of receiving implant surgery, 45.9% of the patients selected the surgery for the chance o "f chewing function recovery", and " failure of treatment and complications" was found to be the most worrisome at the time of surgery by recording 38.5%.The satisfaction level before the implant surgery scored 30.37, while the score was increased to 45.01 after the surgery by showing a significant difference before and after receiving the surgery(P<.001). Regard on the surgery, 91.8% of the patients responded as "Satisfy", and 89% of the study subjects responded that they have willingness to recommend the surgery to their families and friends. The chewing ability score measured by using the surveys on edible foods, the score before the surgery was 15.24, while the score was increased to 19.11 after the surgery by showing a significant difference before and after receiving the surgery(P<.001). The quality of life score was also found to be increased to 11.17 after the surgery from 9.99 before the surgery by showing a significant difference(P<.001). Conclusion: In a future, the studies on the numbers of implanted loss teeth and the location of tooth loss are necessary, more long-term follow study are needed, and it is thought to be necessary to enlarge the sample size of subjects in conducting the studies.

유아교사의 녹색성장교육에 대한 인식 수준 및 의미 탐색

지옥정 ( Ok Jong Ji ),이희경 ( Hee Kyeong Lee ),장정애 ( Jung Ae Jang ) 미래유아교육학회 2013 미래유아교육학회지 Vol.20 No.2

본 연구는 유아교사의 녹색성장교육에 대한 인식 수준과 그 의미를 분석해 보는데 목적이 있다. 연구 방법으로 전국의 유치원과 어린이집 교사 657명을 대상으로 인식 설문조사를 하였으며 그 중 16명을 대상으로 인식하고 있는 것에 대한 의미 분석 포커스 인터뷰를 실시하였다. 연구결과, 첫째, 유아교사는 녹색성장과 지속가능발전 교육의 의미, 녹색성장교육 관련 정책 및 법규에 대한 인식 정도는 낮은데 비해 녹색성장교육의 필요성은 높게 인식하고 있었으며 녹색성장교육의 효율적 실행을 위한 지원 요구가 높았다. 둘째, 인식의 의미와 관련하여 유아교사는 녹색성장교육의 의미를 자연보호교육 정도로 생각하거나 지속가능발전교육과 별개로 생각하는 등 정확하게 인식하지 못하고 있는 경우가 대부분이었다. 결론적으로 유아교사를 대상으로 한 녹색성장교육에 대한 바른 인식교육이 우선되어야 할 것이며 더불어 녹색성장교육의 바른 현장 적용을 위한 다양한 지원 방안이 모색되어야 할 것이다. The purpose of this study was to analyze the meaning of awareness and awareness level of green growth education of early childhood teachers. For the study, 657 early childhood teachers participated for questionnaires in all over the country by mail and personal visitation and then i6 early childhood teachers participated for focus group interviews. The results from the study were followings: First, early childhood teachers` awareness level about necessity of green growth education for young children was high, but awareness level about meaning of ESD & green growth education, laws & policy on green growth education, were relatively low. Also, they asked various supports for effective green growth education. Secondly, the most of early childhood teachers didn`t recognize dearly the difference of green growth education and former environmental education, Also, they didn`t know the relation of green growth education and ESD. In conclusion, first of all, in-service education about green growth education for correct recognition of early childhood teachers will be required. In addition, various methods for supporting of green growth education for young children will be more studied further.

한국군 병사에서의 브루가다형 심전도의 유병율

황일웅 ( Hwang Il-ung ),이희경 ( Lee Hee Kyeong ),고재경 ( Ko Jae Kyung ),고현범 ( Ko Hyun Bum ),김경애 ( Kim Kyung Ae ),최훈정 ( Choi Hun Jung ) 국군의무사령부 2010 대한군진의학학술지 Vol.41 No.1

Objective: Brugada syndrome(BS), accounting for 40∼60% of indiopathic ventricular fibrillation(VF), is one of main causes of sudden cardiac deaths(SCD) in the young. It shows high incidence in Asean countries and extreme male predominance. Patients with BS are usually asymptomatic but become fatal when the VF is triggered. Typical Brugada-type ECG shows RBBB with the elevation of ST segment in V1∼3 without structural abnormalities. The prevalence of Brugada-type ECG has been reported 0.05%(Europe)∼ 0.4%(Japan). To find soldiers who have Brugada-type ECG but asymptomatic, a ECG screening was performed to 10,182 soldiers. Method: The authors used special ECGs mounted with CDMA wireless modem. After being checked the quality, every ECG was transmitted to a server computer located in 400km far from the base. BP were recorded. Every soldier was inquired about the history of the syncope and the SCD of family member. ECGs were interpreted by 13 cardiologists who specialized in ECG. The ECGs found out positive were reviewed by another 3 cardiologists. Results: Of 10,182 soldiers, 51(0.5%) showed Brugada-type ECG. 1 was type 1, 33 were type 2, 17 were type 3. 14 had histories of syncope. 3 experienced multiple episodes of syncope. 8 had family histories of sudden death. 1 of 51 confirmed as a brugada syndrome after EP study following flecainide provocation test. Conclusions: Prevalence of Brugada type ECG in korean young male is pretty high. The prevalence of general population may be higher than the result of this study.

일부 농촌지역 60세 이상 노인의 생활습관병이 구강건강에 미치는 영향

박정혜(Jung-Hye Park),이희경(Hee-kyung Lee),이경수(Kyeong-Soo Lee),장은진(Eun Jin Jang) 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.3

당뇨병, 고혈압, 비만, 고콜레스테롤혈증이 노인의 구강건강상태에 미치는 영향을 파악하고 구강질환의 예방 및 치료의 기초자료를 마련하고자 2006년과 2007년에 성주군에 소재한 보건소에서 시행하는 건강검진을 받은 만 60세 이상의 노인을 대상으로 설문조사와 구강검사를 실시하고 이 대상자 중 2000년과 2001년에 조사되어 6년간 추적 관찰된 399명을 대상으로 분석하였다. 당뇨병, 고혈압, 비만과 고콜레스테롤혈증 유병기간에 따라서 당뇨병은 우식치아 수와 우식경험 영구치아 수, 고혈압은 결손치아 수와 우식경험 영구치아 수, 비만과 고콜레스테롤혈증은 결손치아수와 우식경험영구치아 수가 증가하는 것으로 나타났고 (p<0.05), 두 가지 이상 질병 보유군에서결손치아 수와 우식경험영구치아 수가 유의하게 많은 것으로 나타났다(p<0.01). 단순회귀분석 결과 당뇨병의 유병기간이 길수록 우식치아 수가 증가하고, 고혈압과 비만의 유병기간이 길수록 결손치아 수가 증가하는 것으로 나타났으며, 4가지 질병의 유병기간이 길수록 우식경험영구치아 수도 증가하는 것으로 나타났다. 다변량 회귀분석 결과 각 질병의 유병기간이 길수록 결손치아 수가 증가하는 것으로 나타났고, 당뇨병, 고혈압, 비만 등 각 질병의 유병기간이 길수록 그리고 보유질병 수가 많을수록 우식경험 영구치아 수가 증가하는 것으로 나타났다. 이와 같이 당뇨병, 고혈압, 비만, 고콜레스테롤 혈증 환자가 구강질환 발생위험이 상당히 높게 나타났다. 따라서 이들 생활습관병의 예방 및 관리는 구강건강상태에 크게 기여할 것이다. Objectives: The purpose of this study was to analyze the influence of four lifestyle-related diseases, diabetes, hypertension, obesity and hypercholesterolemia, on oral health in the rural elderly in Korea. Methods: We enrolled 399 subjects over 60 years of age over a six year period, year 2000-2006/ year 2001-2007. All subjects received a routine health examination as part of a program conducted by the National Health Insurance Corporation at Seongju-gun Public Health Center in Gyeongsangbuk-do Province, South Korea. All subjects were surveyed and examined to determine their general and oral health statuses. Results: Our results suggest that the duration of lifestyle-related diseases has a significant influence on oral health. The following factors were all significant in the results of analyses: duration of diabetes, tooth decay, which teeth had decayed, missing and filled teeth(DMFT), duration of hypertension, and duration of obesity and hypercholesterolemia(p<0.05). Our results also suggest that the number of lifestyle related diseases has a significant influence on oral health. Subjects with more than two diseases had significantly greater numbers of missing teeth and greater numbers of DMFT(p<0.01). The results of simple regression analysis indicate that patients exhibiting longer durations of diabetes also exhibit more tooth decay, and that patients exhibiting longer durations of hypertension and obesity are characterized by greater numbers of missing teeth. The longer the duration of any of the four lifestyle-related diseases we considered, the more DMFT we observed. Multiple regression analyses also demonstrated that longer duration of lifestyle-related disease was associated with greater numbers of missing teeth. As the number of lifestyle-related diseases increased, DMFT also increased. Conclusions: In summary, lifestyle-related diseases such as diabetes, hypertension, obesity and hypercholesterolemia have significant influences on oral health in the elderly. In this context, the prevention and management of lifestyle-related disease is critical for the maintenance and promotion of oral health.

신종 인플루엔자 A(HIN1) 환자에서 인후부 바이러스 배출 변화

황일웅 ( Hwang Il Ung ),이희경 ( Lee Hee Kyeong ),서미영 ( Seo Hi Young ),김재표 ( Kim Jae Pyo ),서유빈 ( Seo Yu Bin ) 국군의무사령부 2010 대한군진의학학술지 Vol.41 No.1

Objective: To assess the duration of Viral shedding in the patients infected with pandemic influenza A(H1N1) virus Method: 33 patients who was confirmed as Pandemic influeza A(H1N1) infection with RT-PCR were followed to find how long they could shed the virus from throats. Pharyngeal swabs were taken from each patient on the day 5, 7, 10 after onset of symptoms. and tested by PCR. Results: mean age of patients was 21.5 years. Fever and cough were the most common symptoms. Of 33, 9 were prescribed Olseltamivir, and 24 were not. The former group showed rapid drop of virus shedding after day 5 but no statistical significance was found d/t small number of cases. 21 cases(63.6%) were positive on day 5, 6 cases(18.2%) on day 7, and 0 case(0%) on day 10 Conclusions: In some cases, pandemic influenza A(H1N1) virus is shedding from the patients' throat and may have infectivity even on the 7th day after symptom . Further reseach including viral culture is needed to assess accurate shedding duration of live virus.

한국군 신병에서 수막알균의 보균율과 혈청형의 변화

황일웅 ( Hwang Il Ung ),이희경 ( Lee Hee Kyeong ),서미영 ( Seo Mi Young ),김재표 ( Kim Jae Pyo ),서유빈 ( Seo Yu Bin ),방연주 ( Bang Yeon Ju ) 국군의무사령부 2010 대한군진의학학술지 Vol.41 No.1

Objective: Carriage rate of Neisseria Meningitidis is known to be very high in the group of university students and army population although the general carriage rate is about 10%. 60∼ 80% of carriage rate was reported in the army population. To gain current information about the nasopharyngeal carriage of Neisseria meningitidis, this study was carried out. Method: 391 recruits of Korean army were swabbed two times. 1st swab was taken on the day of beginning of the army training and 2nd was done 5 weeks later. Results: Overall carriage rate was 17.6%(69) at first swabs and raised to 21.7%(85) at the second. Of 69 isolates from 1st swabs, 4 serogroups including B, C, W135, E29 were identified and 39.1%(278) were done as non-groupable. Results of serogrouping 85 isolates from the 2nd swabs were same with the 1st examination. B, C, W135, E29, non-groupable were identified. Serogroup B account for 31%(22) of 1st isolates and 60%(51) of 2nd isolates. 17 positive results converted into negative at 2nd swab. Conclusion: The carriage rate of the army recruits was higher than normal population but didn't go up so high as reported. Only 4 goups which are likely to causes disease were identified. Duration of carriage should be evaluated in the following study with longer follow up.

군 병원 간호부서의 핵심성과지표 개발

윤원숙 ( Won Sook Yoon ),이희경 ( Hee Kyeong Lee ),맹순주 ( Soon Ju Maeng ),송주희 ( Ju Hee Song ) 국군간호사관학교 군진간호연구소 2012 군진간호연구 Vol.30 No.1

Purpose : The aim of this study is to identify the key performance index(KPI) to be used in the nursing departments of the military hospitals using the Balanced Scorecard(BSC) by Kaplan and Norton(1992). Methods : Four questionnaires were developed and used. A convenience sample of 56 nursing officers with more than 12 years of working experience were selected from the military hospitals across the country. They were requested to complete the four questionnaires over a period of 4 months. Results : The mission and vision for the nursing departments were created. Twenty one practical strategies and 50 KPIs were identified, and the 50 KPIs which were classified into the 4 perspectives of the BSC, 6 into the financial part, 18 into the customer part, 14 into the internal business process part and 12 into the studying and growth part, respectively. Conclusion : The results of this study are expected to serve as indicators of nursing practical outcomes in the nursing departments, and to contribute to developing the vision and mission of the military hospitals.

농촌지역 노인요양병원 입원환자의 간병인을 통한 구강건강관리 효과

김경원(Kyung-Won Kim),윤희정(Hee-Jung Yoon),김미령(Mie-Ryung Kim),이희경(Hee-Kyung Lee),이경수(Kyeong-Soo Lee) 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.1

이 연구는 노인장기요양보험제도가 시행되는 시점에서 구강위생상태가 개선되기 위한 우리나라 노인의 실정에 맞는 구강관리프로그램의 개발을 위한 기초 자료를 제공하고자 하는 목적으로 실시하였다. 2007년 12월에서 2008년 6월까지 충북 목천에 있는 노인요양병원 한 곳의 노인환자 53명을 관리군으로 선정하여 구강검사 및 구강위생검사를 한 후, 간병인에게 잇솔질 교육과 의치관리교육을 실시하고, 교육 받은 간병인이 1일 1회 구강위생관리를 지도하도록 하였다. 대조군으로는 대구광역시 달성군 가창에 있는 노인요양병원의 노인환자 52명을 선정하여 관리군과 같은 조사를 실시하였다. 3개월간의 구강위생관리 실시 후, 구강관리의 효과를 평가하여 다음과 같은 결과를 얻었다. 구강위생관리를 실시 전 대조군과 관리군의 일반적인 특성, 질병의 유병률, 구강상태, 구강위생 상태에는 유의한 차이가 없었고, 치아우식증에서는 유의한 차이가 있었다. 3개월 후의 두 군을 비교한 결과, 치면세균막점수는 구강관리 실시 후 관리군에서 19.0점 유의하게 감소하였고(P=0.01), 대조군에서는 1.2점 증가하였다(p=0.566). 구강관리 실시 전 치면세균막점수를 통제한 후 그 효과의 차이를 살펴본 결과 관리군과 대조군 간에 구강위생, 치면세균막 점수에서 유의한 차이가 있었다(P=0.01). 구강위생상태의 변화는 대조군에서 치면세균막이 중등도 이상 발견된 비율이 82.7%에서 76.9%로 4.8%P 감소했고 관리군은 84.9%에서 58.5%로 26.4% 감소하여 두 군 간에 유의한 차이가 있었다(p=0.004). 설태가 다량 발견된 비율은 대조군에서 90.4%에서 94.2%로 3.8% 증가했고, 관리군은 90.6%에서 59.1%로 31.5% 감소하여 두 군 간에 유의한 차이가 있었다(p=0.001). 의치 오염도는 대조군에서 중등도 이상인 비율이 75%에서 78.8%로 3.8% 증가했고, 관리군은 73.6%에서 43.4%로 30.2% 감소하여 두 군 간에 유의한 차이가 있었다(p=0.001). 이 연구는 장기요양 노인 환자들에게 3개월 동안 간병인을 통한 구강관리를 시행한 결과, 구강위생상태가 개선됨을 확인할 수 있었다. 본 연구결과는 장기요양 노인환자에 대한 구강건강관리 프로그램의 개발에 있어서 중요한 기초자료를 제공할 수 있을 것으로 사료된다. Objectives: This study was conducted to be identify the effects oral hygiene improvement of the elderly by caregiver in a rural. Methods: It recruited Fifty three elderly patients were recruited who admitted at a long-term hospital located in Mokchon city, Chungchungnam-do province. as the intervention group. Fifty two elderly patients group were selected another one long-term care hospital in Daegu city as control group. study was conducted for seven months. long-term care hospital. for seven months from Dec. 2007 to June 2008. For three months, the caregivers provide tooth brushing and cleaning artificial teeth once a day, to intervention group. once a day for three months. Results: Before the program there was no significant difference between the control and the intervention groups in general characteristics, prevalence rates of diseases, oral sanitary condition. Dental plague score was decreased significantly(p<0.001) before and after intervention in the intervention group. Using analysis of covariance for evaluation of the effect of the intervention, a significant difference was observed between the intervention group and the control group(p<0.01). Conclusions: These results were thought to be used as important basic data to develop oral health management program for elderly patients who needed long-term care.