여성노인의 굽은 자세, 신체수행능력과 심리사회학적 요인 간의 상관성

장현정,김성렬,권춘숙,Jang, Hyun-Jeong,Kim, Seong-Yeol,Kwon, Chun-Suk 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.5

Purpose: Flexed posture commonly increases with age in older women and is characterized by an excessive curvature in the thoracic spine (kyphosis), forward head posture, and decline in height. This study was conducted in order to determine the relationship between flexed posture, physical performance, and psychosocial factors in community dwelling elderly women in Korea. Methods: Fifty-two subjects with thoracic kyphosis of $40^{\circ}C$ or greater participated in this study. Flexed posture was measured using kyphosis angle (KA), forward head posture (FHP), and round shoulder (RS), and physical performance was evaluated using the short physical performance battery (SPPB), grip strength, and static and dynamic balance. Psychosocial factors were measured using depression and the quality of life (QOL). All data were analyzed using SPSS 18.0 software for windows. Results: KA showed significant correlation with SPPB score (r=-0.447) and dynamic balance (r=0.426) (p<0.05) depression (r=0.405) and QOL (r=-0.464) but not with grip strength and static balance in elderly individuals. FHP and RS showed significant correlation with SPPB score (r=0.002, r=-0341) and dynamic balance (r=-0.278, r=0.346) (p<0.05) but not with psychosocial factors. Conclusion: These findings suggest that flexed posture provides meaningful information about physical performance and psychosocial factors in elderly women. Our data suggest that the flexed posture may need to be addressed as part of the health management process for elderly women.

간호학생의 사회적 지지, 진로결정 자기효능감이 취업스트레스에 미치는 영향

장현정,이정화,Jang, Hyun-Jung,Lee, Jeong-Hwa 중소기업융합학회 2020 융합정보논문지 Vol.10 No.9

The purpose of this study was to investigate the degree of social support, career decision-making self-efficacy, and Job-Seeking Stress of nursing students, and identify influencing factors of Job-Seeking Stress. A convenience sample of 228 nursing students was conducted from in three departments of nursing. Data were analyzed through descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple regression analysis using IBM SPSS 21.0 program. The higher the social support and career decision self-efficacy, the lower the Job-Seeking Stress. The factors influencing Job-Seeking Stress were social support, first hope career, job readiness, career decision-making self-efficacy, and the explanatory power of these variables for Job-Seeking Stress was 19%. Therefore, in order to prevent, cope with, and mitigate the Job-Seeking Stress of nursing students, it is necessary to develop and apply differentiated Career education programs to increase social support and career decision-making self-efficacy. 본 연구는 간호학생의 사회적 지지, 진로결정 자기효능감 및 취업스트레스 정도를 파악하고, 취업스트레스에 영향을 미치는 요인을 규명하기 위해 시도된 서술적 조사연구이다. 3개 대학 간호학과 재학 중인 228명을 편의표집하였고, 수집된 자료는 IBM SPSS 21.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, Multiple Regression으로 분석하였다. 연구 결과 사회적 지지와 진로결정 자기효능감이 높을수록 취업스트레스는 낮게 나타났다. 취업스트레스에 영향을 미치는 요인은 사회적 지지, 첫 희망진로, 취업준비정도, 진로결정 자기효능감 순이었으며, 취업스트레스에 대한 이들 변수의 설명력은 19%로 나타났다. 따라서, 간호학생의 취업스트레스 예방, 대처 및 완화를 위해서는 사회적 지지와 진로결정 자기효능감 증가를 위한 차별화된 취업진로교육 프로그램의 개발 및 적용이 필요하다.

파악력의 강도가 두 가지 팔 자세에서 어깨근육 근활성도에 미치는 영향

장현정(Jang, Hyun-Jeong),김지선(Kim, Ji-Seon),최종덕(Choi, Jong-Duk),김선엽(Kim, Sun-Youb) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.3

본 연구는 파악력의 강도가 두 가지 팔 자세에서 어깨근육 근활성도에 어떠한 영향을 미치는지 알아보기 위 하여 실시되었다. 건강한 성인 22명(남 11명, 여 11명)을 대상으로 실시하였고, 4가지 파악력(최대 파악력의 0%, 30%, 50%, 70%)을 팔의 중립 자세와 팔 90° 거상 자세에서 적용 했을 때 상승모근, 하승모근, 극하근, 전삼각근, 후삼각근 의 근활성도를 표면 근전도를 이용하여 측정하였다. 팔 중립 자세에서는 파악력의 강도에 따라 극하근, 전삼각근, 후 삼각근이 유의한 차이를 보였고(p<0.05), 팔 90° 거상 자세에서는 전삼각근, 후삼각근이 유의한 차이를 보였다 (p<0.05). 본 연구의 결과, 2가지 팔의 자세에서 각각 파악력의 강도에 따라 어깨근육 근활성도가 변화됨을 확인하였다. 손 쥐기 과제를 중립자세에서 실시할 경우 어깨관절 안정근인 극하근이 활성화되고, 팔 90° 거상 자세에서는 삼 각근을 억제된다는 점을 고려하여, 손을 사용하는 작업 시 인간공학적 접근으로 어깨 손상의 예방과 손상 후 재활 훈련 시 효율적인 전략으로 사용할 수 있을 것으로 여겨진다. This study aimed to investigate the effect of hand grip force on the activity of shoulder muscles in 2 arm postures. The muscle activity of the upper trapezius, lower trapezius, infraspinatus, anterior deltoid, and posterior deltoid muscles in 22 healthy subjects (11 men and 11 women) were measured using surface electrodes during 4 hand gripping tasks (0%, 30%, 50%, and 70% of maximum voluntary contraction) in 2 shoulder positions (neutral position and 90° elevation position). Among changing grip force significantly differenced infraspinatus, anterior deltoid, and posterior deltoid muscles' activity in the shoulder neutral position(p<0.05). In the shoulder 90° elevation position, anterior deltoid, posterior deltoid muscles' activity was significantly differenced (p<0.05). Hand gripping was found to alter muscle activation. The hand grip task activated the infraspinatus muscle in the neutral position and inhibited the deltoid muscle in the 90° elevation position. This finding may prove useful for the development preventative measures and rehabilitation strategies for shoulder injuries.

비특이성 경부통 환자의 경부통/경부기능장애와 상지 기능장애 간의 상관성

장현정(Jang, Hyun-Jeong),김선엽(Kim, Sun-Youb),전재국(Jeon, Jae-Guk),신의주(Shin, Eui-Ju) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.6

본 연구는 비특이성 경부통 환자의 경부통증수준과 상지 기능장애간에 상관성을 알아보고자 실시하였다. 경 부통증과 경부기능장애는 Northwick Park Neck Pain Questionnaire(NPQ)로 상지 기능장애는 상지기능장애 설문지 (disabilities of arm, shoulder, hand questionnaire; DASH)를 이용하여 평가하였다. 잠재적인 교란변수로 작용할 수 있 는 심리학적 변수는 통증 자아효능감(Pain Self Efficacy; PES)과 공포회피반응 설문지(fear-avoidence beliefs questionnaire; FABQ)를 이용하여 측정하였다. 분석 결과, NPQ 점수와 DASH 점수는 피어슨 상관 계수가 0.628점의 양의 상관관계가 있었으며, PES과 FABQ 점수와도 유의한 상관성을 나타내었다. 이 결과를 통해 경부통 환자의 경 부통 및 경부기능장애 수준과 상지 기능장애 수준 간에 상관성이 나타날 수 있음을 알 수 있었다. 또한 통증에 대한 부정적인 인식과 공포회피반응이 심한 환자의 경우 상지 기능평가에 직접적인 영향을 줄 수 있는 것으로 확인되었 다. 이에 경부통 환자의 관리 시 상지 기능장애와 심리학적 요인을 평가하여야만 할 것이다. The purpose of this study was to investigate the relationship between neck pain and upper limb disability in patients with non-specific neck pain (n=132) recruited from physiotherapy departments in the Korea. Baseline neck pain/disability was measured using the Northwick Park Neck Pain Questionnaire (NPQ) and upper limb disability was measured using the Disabilities of Arm, Shoulder, Hand questionnaire (DASH). A range of baseline psychosocial variables were measured as potential confounding variables. Pairwise analysis revealed a positive correlation between NPQ score and DASH score (Pearsons’ r=0.628, p<0.05). This study provides preliminary evidence that patients with severe neck pain/disability also report severe upper limb disability. The presence of severe neck pain or low pain self efficacy and high fear-avoidence beliefs questionnaire should clinicians towards a careful examination of upper limb function in patients presenting with neck pain. Our data suggest the upper limb disability may need to be addressed as part of the neck management process.

경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과

장현정(Jang, Hyun-Jeong),박정언(Park, Jeong-Eon) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.11

본 연구는 경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과를 파악하여 여고생들에게 효율적인 자가 간호 중재로써의 활용가능성을 검증하고자 시도된 무작위 할당 대조군 전후설계이다. 자료수집기간은 2006년 3월부터 4월 까지로, 보건실을 방문한 여고생에게 실험 전, 설문지에 통증척도인 도표 평정 척도(Grapic Rating Scale, GRS)와 분만어휘 평정척도(Adjective Labor Pain Rating Scale, ALPRS)를 작성하게 한 뒤 각 군에게 직경 12mm, 두께 3mm의 원형 자석에 800~1200Gauss의 자력이 있는 의료용 자석을 3시간동안 적용하였다. 설문지는 각각 자석 적용 직후 3시간과 제거 후 3시간 에 설문지인 GRS와 ALPRS를 작성하게 하였다. 연구결과 경혈점에 자장요법을 적용한 실험군은 적용하지 않은 대조군보다 월경통 GRS와 ALPRS가 유의하게 감소하였다. 이상의 결과로 경혈점에 적용한 자장요법이 여고생의 월경통에 통증경감에 효과가 있는 것으로 확인되었다. 따라서 비약물요법으로서의 월경통 완화를 위한 간호중재법으로 활용할 것을 기대한다. 또 한 본 연구에서 ALPRS가 월경통에 대해 타당성이 제시되었으므로 추후 연구를 통해 ALPRS의 타당도 검증을 위한 반복 연구가 필요하다. 여고생들의 월경통 경감을 위한 보완대체요법으로 적용하게 될 것을 제언한다. This study was investigate the effects of the magnetic field therapy applied to the acupuncture point on dysmenorrhea experienced by high school girls and to verify the possibility to use this therapy as an effective in-home nursing intervention. Data were collected from Feburary to April, 2006. The research procedure was that female students who visited in public health center had to fill in questionnaires with dysmenorrhea Grapic Rating Scale(GRS) and Adjective Labor Pain Rating Scale(ALPRS), the gauge of pain, before participating the experiment. And then each group was tested for 3 hours. Participants before and after applying magnetic treatment filled each questionnaires with dysmenorrhea GRS and ALPRS. The GRS points and ALPRS points in the experimental group, applied by Magnetic Field therapy on acupuncture point is lower than that in the comparison group. The above result has proved that the magnetic field therapy on acupuncture has an effect on the pain alleviation of dysmenorrhea of female students in high school. Therefore, propose this therapy to dysmenorrhea of female students. In this research, ALPRS indicated validity on dysmenorrhea, so for verifying validity, further research is necessary.

골반압박벨트가 앉아서 일어서기와 일어서서 앉기 동작 시체간근육 근활성도에 미치는 영향

장현정(Hyun-jeong Jang),김선엽(Suhn-yeop Kim),박현주(Hyun-ju Park) 한국전문물리치료학회 2013 한국전문물리치료학회지 Vol.20 No.1

The purpose of this study was to determine the effect of the pelvic compression belt (PCB) on the electromyography (EMG) activities of trunk muscles during sit-to-stand (SitTS), and stand-to-sit(StandTS) tasks. Twenty healthy subjects (7 men and 13 women) were recruited for this study. The subjects performed SitTS, and StandTS tasks, with and without a PCB. Surface EMG was used to record activity of the internal oblique (IO), external oblique (EO), rectus abdominis (RA), erector spinae(ES), and multifidus (MF) of the dominant limb. EMG activity significantly decreased in the RA (without the PCB, 8.34±6.04 %maximal voluntary isometric contraction [%MVIC]; with the PCB, 7.64±5.11%MVIC), EO (without the PCB, 14.83±11.82 %MVIC; with the PCB, 11.98±7.60 %MVIC), MF (without the PCB, 21.74±7.76 %MVIC; with the PCB, 18.50±8.04 %MVIC), and ES (without the PCB, 18.39±7.16%MVIC; with the PCB, 16.63±6.31 %MVIC) during the SitTS task and in the IO (without the PCB, 20.58±15.60 %MVIC; with the PCB, 17.27±12.32 %MVIlC), RA (without the PCB, 8.04±5.68 %MVIC; with the PCB, 7.40±4.71 %MVIC), EO (without the PCB, 13.29±8.80 %MVIC; with the PCB, 11.24±6.14%MVIC), MF (without the PCB, 18.59±7.64 %MVIC; with the PCB, 15.86±6.48 %MVIC), and ES (without the PCB, 17.14±6.44 %MVIC; with the PCB, 15.46±5.62 %MVIC) during the StandTS task when a PCB was used (p<.05). In men the EMG activity of the MF significantly decreased during the SitTS task when a PCB was used (p<.05): in women, the EMG activity of the RA, EO, MF, and ES during the SitTS task and that of the EO, MF, and ES during the SitTS task significantly decreased when a PCB was used (p<.05). In addition, the rates of change in the EMG activity of each muscle differed significantly during the SitTS and StandTS tasks before and after the use of the PCB. However, the EMG activity did not significantly differ between the male and female subjects. These findings suggest that the PCB may contribute to the modification of activation patterns of the trunk muscles during SitTS, and StandTS tasks.

증례 : 소화기 ; 췌장의 신경내분비종양으로 오인한 고형 변이성 장액성 낭종 1예

장현정 ( Hyun Jeong Jang ),김태효 ( Tae Hyo Kim ),이제운 ( Jae Un Lee ),김현식 ( Hyeon Sik Kim ),주지현 ( Ji Hyeon Ju ),정운태 ( Woon Tae Jung ),이옥재 ( Ok-jae Lee ) 대한내과학회 2015 대한내과학회지 Vol.89 No.1

췌장에서 발생하는 장액성 낭종 중에서 고형 변이성 장액 성 낭종은 매우 드물게 발생하는 질환이지만 악성 혹은 전 암성 병변과의 감별이 어려워서 수술이 필요한 다른 질환으 로 오인되는 경우가 매우 많다. 이에 저자들은 췌장의 신경 내분비종양으로 오인하고 수술을 시행하여 고형 변이성 장 액성 낭종으로 진단된 매우 드문 증례를 경험하였기에 문헌 고찰과 함께 보고한다. Rapid advancements, access to and use of imaging techniques have increased the frequency of identification of pancreatic cystic neoplasms in clinical practice. However, a diagnostic dilemma among pancreatic cystic neoplasms remains. Solid variant serous cystadenoma is extremely rare and difficult to accurately diagnose preoperatively, as they are commonly mistaken for malignant solid tumors of other types. Here, we present a case of a solid variant serous cystadenoma preoperatively misdiagnosed as a neuroendocrine tumor of the pancreas with a review of the relevant literature. (Korean J Med 2015;89:69-73)

만성 경부통 환자를 위한 복합운동프로그램의 효과

장현정 ( Jang Hyun Jeong ),김현희 ( Kim Hyun Hee ),송창호 ( Chang Ho Song ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.1

Purpose:The purpose of this study was to compare combined exercise program group to conventional physiotherapy for patients with chronic neck pain. Methods:Participants were randomly allocated to two groups by experimental(n=17) and control(n=17), Combined exercise program group involved stretching, stability, strengthening and endurance, proprioceptive exercises along with an educational programme, Patient attended for 60min, three times a weeks, Control group was treated as conventional physiotherapy on 40 min, three times a weeks. Outcome variables included pain, disability, range of motion, fatigability at 0 and 6 weeks. Results:Pain, Disability Index, Fatigability significantly decreased(p<.05) and Range of motion improved significantly after active exercise program(p<.05), In conclusion. Combined exercise program improves pain and disability, range of motion, fatigability. Conclusion:These results suggest that combined exercise program is suitable for chronic neck pain.

수질관리 : 배관재질 및 정수처리 특성이 생물막에 미치는 영향

장현정 ( Hyun Jeong Jang ),최영준 ( Young June Choi ),박인섭 ( In Seoup Park ),박용상 ( Youg Sang Park ) 한국물환경학회 ( 구 한국수질보전학회 ) 2009 공동 추계학술발표회 Vol.2009 No.-

환상형 반응기를 이용한 생물막 군집 특성 및 수질요인에 미치는 영향

장현정 ( Hyun Jeong Jang ),최영준 ( Young June Choi ),최재호 ( Jae Ho Choi ),김상은 ( Sang Eun Kim ),박인섭 ( In Seoup Park ),가종억 ( Jong Ok Ka ) 한국물환경학회 ( 구 한국수질보전학회 ) 2008 공동 추계학술발표회 Vol.2008 No.-