혈액투석 : 혈액 투석 중 운동치료가 운동 능력 및 삶의 질에 미치는 영향

오지은 ( Ji Eun Oh ),송영수 ( Young Soo Song ),김수진 ( Soo Jin Kim ),김선영 ( Sun Young Kim ),최은희 ( Eun Hee Choi ),남희승 ( Hee Seung Nam ),지은희 ( Eun Hee Ji ),김아람 ( A Ram Kim ),이지연 ( Ji Yeon Lee ),최승욱 ( Seung Wook 대한신장학회 2008 춘계학술대회 초록집 Vol.28 No.1

일 도농복합지역 주민의 정신질환자에 대한 태도 및 정신보건문제와 정신보건사업에 대한 인식도에 관한 연구

지은희(Eun Hee Ji),연병길(Byeong Kil Yeon),한창환(Chang Hwan Han),홍나래(Narei Hong),최수련(Soo Ryun Choi),권희정(Hee Jung Kwon) 대한사회정신의학회 2008 사회정신의학 Vol.13 No.1

연구목적 본 연구는 아산시 지역주민의 정신질환자에 대한 태도 및 지역사회 정신보건사업에 대한 인식도를 조사함으로써 향후 아산시 정신보건사업 계획을 수립하는데 있어 기초자료로 활용하기 위함이다. 방 법 2007년 2월 아산시 온양3동과 도고면에 거주하는 만 20세 이상 만 70세 미만 성인을 모집단으로 하였으며 최종 대상자는 310명이었다. 연구도구는 Community Attitude to the Mentally Ill Inventory(CAMI)를 사용하였다. 결 과 아산시 지역 주민의 정신질환자에 대한 태도는 덜 권위적이고 동정적으로 전반적으로 긍정적인 태도를 보였으나 정신보건문 제와 정신보건사업에 대한 인식도는 굉장히 낮은 것으로 나타났다. 저학력, 불교, 도고면 주민, 농업에 종사, 월수입 300만원 이상, 정신질환자와 접촉이 많은 집단에서 상대적으로 부정적인 태도를 보였고 특히 저학력층과 농업에 종사하는 집단은 정신보건 문제와 사업에 대한 인식도도 낮았다. 결 론 정신질환자에게 부정적인 태도를 갖고 있는 대상을 우선적으로 정신질환자에 대한 오해와 편견을 교정시키기 위한 교육을 시행하여야 할 것으로 생각된다. 또한 정신보건문제 및 정신보건사업에 대한 인식도가 낮으므로 그에 대한 정확한 지식의 제공 및홍보가 지속적으로 이루어져야 한다. Objectives:The purpose of this survey is to get basic data to develop plan and strategy of community mental health care services in Asan city. So the authors investigated the attitudes toward mentally ill and the knowledge about mental illness and mental health care services among the residents of Asan city. Methods:The subjects of this study are the 310 persons aged between 20 and 69 who live in Onyang 3-dong and Dogo-myeon, Asan-si, Chungcheongnam-do. Tool of the study is Community Attitudes to the Mentally Ill Inventory (CAMI). Results:The residents of Asan city showed generally positive attitudes to mentally ill. But they lacked the knowledge about mental illness and mental health care services. The lower educated, buddist, farmers, persons who live in Dogo-myeon, persons whose monthly income are above three million won, persons who have experience for contacting mentally ill showed more negative attitudes to the mentally ill. The lower educated and farmers lacked overall awareness of mental illness and mental health care services, too. Conclusion:The community education to reduce the prejudice and misunderstanding against the mentally ill should be actively and intensively concentrated upon the persons who showed negative attitude. Furthermore, systematic public education and information should be constantly delivered to community residents to improve the awareness of mental illness and mental health care services

병원 외래고객 만족도 평가의 의료서비스 최적화 방법 적용

지은희 ( Ji Eun Hee ),강성홍 ( Kang Sung Hong ),김유미 ( Kim Yoo Mi ) 한국보건사회연구원 2017 保健社會硏究 Vol.37 No.1

본 연구는 의료서비스 최적화 방법론에 따라 병원 외래고객 만족도 조사를 설계하여 분석하였다. 설문조사 항목은 병원 외래의 서비스 청사진을 작성한 후 이를 기반으로 설계하였으며, 설문조사는 고객(외래환자 1,677명) 및 직원(909명)의 시각을 모두 반영할 수 있도록 현장실사 방법에 따라서 시행하였다¹⁾. 분석방법은 기술통계, 분산분석 및 최적의 개선대안을 선정하는데 도움이 되도록 대화식 의사결정나무 기법을 활용하였다. 직원의 외래서비스 전체만족도 점수는 71.4점이였으며 환자의 외래서비스 전체만족도 점수는 83.3점으로 환자의 만족도가 더 높게 나타났다. 고객의 외래서비스 만족도에 가장 낮은 부분은 이용절차로 나타났고, 전체만족도를 상승시키기 위한 개선방안으로 진료만족, 재이용, 추천의사에 있어 이용절차의 개선을 제시하였을 때 만족도는 상승하는 것으로 나타났다. 연구 결과 의료서비스 최적화 방법을 활용하여 의료기관별 맞춤형설문도구 개발이 가능하였고, 고객과 직원의 서비스 갭을 확인하였으며, 직원의 직급, 직종에 따른 만족도 차이를 확인하였다. 또한 의료기관의 개선전략을 수립함에 있어 대화식 의사결정나무 기법을 이용하여 실무자의 의견을 반영한 대안을 개발할 수 있음을 확인하였다. 본 연구를 통하여 의료서비스 최적화 방법을 병원 고객만족도 평가에 도입하는 것이 유용하다고 평가되며 향후 고객만족도 이외에도 다양한 의료서비스 분야에 확대 적용하는 노력이 필요하다. This study designed and analyzed a outpatient satisfaction survey based on service optimization method. The items of the survey were designed based on a outpatient service blueprint. The survey was conducted of 1,677 outpatients and 909 hospital workers using walk through audit (WtA) method. Descriptive analysis, ANOVA, and interactive decision tree were used for analysis, especially interactive decision tree was analyzed for selecting the optimum solution of improving outpatients` satisfaction. Overall score for staff and outpatient was 74.1 and 83.3 respectively. The lowest score in the sector of outpatient service was the process of service. For improving overall score of outpatient satisfaction, the process of outpatient service should be improved for the aspects of revisit and recommendation intention. We could confirmed the usefulness of the service optimization method for designing the customized survey tools, detecting the gap between staff and outpatient, differences of job type and job position, and developing alternatives to improve patient satisfaction based on staff opinion using interactive decision tree. Through this study, we concluded that it is useful to apply the service optimization method to the hospital customer satisfaction assessment. It is necessary to expand further research into various field not only patient satisfaction study.

돼지감자 분말 첨가 묵의 생리활성성분 분석 및 품질평가

김미혜,김혜연,한정순,지은희,김애정,Kim, Mi-Hye,Kim, Hye-Yeon,Han, Jung-Soon,Ji, Eun-Hee,Kim, Ae-Jung 한국식품영양학회 2015 韓國食品營養學會誌 Vol.28 No.4

This study was performed to investigate the physiological functionality of jerusalem artichokes and to define its antioxidant potential. The study also evaluated mook prepared with jerusalem artichokes powder as a new functional food for ameliorating Diabetes Mellitus. Regarding the chromaticity of mook prepared with jerusalem artichoke, lightness decreased as the amount of jerusalem artichoke increased (p < 0.05), while the redness and yellowness values increased significantly (p < 0.05). Regarding the mechanical properties, hardness, springiness, chewiness, gumminess, and cohesiveness decreased significantly as the amount of jerusalem artichoke increased (p < 0.05). The total polyphenol and flavonoid contents of JA30 were 7.36 mg TAE/g and 2.15 mg RE/g, respectively, which were higher than those of the control group(3.50 mg TAE/g and 0.76 mg RE/g, respectively). The DPPH and ABTS scavenging abilities ($IC_{50}$) for JA30 were 4.40 and 5.70 mg/mL, respectively, indicating a higher radical scavenging ability than the control group (7.59 and 7.24 mg/mL, respectively). The ${\alpha}-glucosidase$ inhibitory effect ($IC_{50}$) of JA30 and the control group was 18.91 and 24.01 mg/mL, respectively. Based on the above-described results, mook containing jerusalem artichoke powder is expected to ameliorate diabetes with antioxidant activity, ${\alpha}-glucosidase$ inhibitory effect, and sensory factor. Also, it is believed that this functional material has the potential to improve health.

산복사나무 열매의 수확시기별 생리활성물질 함량 비교

오경주,김민정,한정순,지은희,김애정,Oh, Kyoung-Joo,Kim, Min-Jeong,Han, Jung-Soon,Ji, Eun-Hee,Kim, Ae-Jung 한국식품영양학회 2015 韓國食品營養學會誌 Vol.28 No.4

This study was performed to determine the optimal month of harvest between May and July for wild peach (Prunus davidiana) by comparison of functional materials. The general composition, amino acid and vitamin (A, C, and E) content, and antioxidant activity were determined. With respect to the general composition of wild peach according to the month of harvest, wild peach harvested in May (HMP) and July (HJP) contained mostly carbohydrate, the contents of which amounted to 77.37 g/100 g and 77.92 g/100 g, respectively. The total amino acid content of HMP and HJP were 675.29 mg% and 573.25 mg%, respectively. Regarding the vitamin contents, vitamin A (retinol), E (${\alpha}-tocopherol$) and C in HMP were higher than those in HJP. The total polyphenol content of HMP (218.37 mg TAE/g) was higher than that of HJP (71.45 mg TAE/g). The total flavonoid content of HMP (64.95 mg RE/g) was also higher than that of HJP (32.67 mg RE/g). Moreover, the DPPH and ABTS radical scavenging activities ($IC_{50}$) were higher in HMP ($137.18{\mu}g/mL$ and $157.15{\mu}g/mL$) than those in HJP ($160.10 {\mu}g/mL$ and $186.01 {\mu}g/mL$), meaning that the former produces better antioxidant effects. It can be concluded that wild peach harvested in May contained higher functional materials such as vitamins and amino acids and had a higher antioxidant effect, than wild peach harvested in july.

위염치료제의 임상시험평가지침 연구

송윤경,진선경,한의식,안미령,정주연,이이다,조일영,김동섭,지은희,박효영,오정미,신원,이선희,김인규,Song, Yun-Kyoung,Jin, Sun-Kyung,Han, Eui-Sik,Ahn, Mee-Ryung,Jung, Ju-Yeon,Lee, Rhee-Da,Cho, Il-Yong,Kim, Dong-Sub,Ji, Eun-Hee,Park, Hyo-Young,Oh, 대한약학회 2011 약학회지 Vol.55 No.4

Gastritis is the most common disease among Korean. The demand for the development of gastritis drugs has been increasing. Currently, however, there is no guideline available for the clinical evaluation of gastritis drugs worldwide. As a consequence, domestic and international pharmaceutical companies make errors in the drug development processes, and it becomes difficult for them to establish the scientific validity and objectivity of newly developed drugs. The objective of this study was to develop the Guideline for Clinical Trials Evaluation of Gastritis which can be used in improving the quality and consistency of clinical trials. First, we collected and reviewed the clinical trials on gastritis drugs that were available from Japan Pharmaceuticals and Medical Devices Agency and Korea Food and Drug Administration (KFDA), and investigated the recent research trends on clinical trials of gastritis drugs. Reviewers from KFDA and National Institute of Food and Drug Safety Evaluation and scientific experts from the pharmaceutical industries developed the guidelines through regularly scheduled meetings. Opinions and consultation from academic fields and industry experts were also obtained. This project will provide the clinical trial practitioners, investigator and reviewers the scientific and rational guidelines for performance and evaluation of clinical trials for gastritis drugs. Furthermore, we hope this guideline contributes to establishing the national competitiveness, improving the quality of clinical trial, and encouraging researches on drug development for gastritis.