관절염을 가진 대상자의 가족지지, 자가 간호 및 삶의 질과의 관계

선은경,박소연,박일지,서가은,손용숙,손인옥,용진선 가톨릭대학교 간호대학 호스피스 교육연구소 2006 호스피스논집 Vol.10 No.-

Purpose : The purpose of this study was to investigate relationships among family support, self-care, and quality of life of patients with arthritis through a survey. That will be basic data to plan nursing intervention for promoting quality of life for patients with arthritis. Method : The convenient sample of this study consisted of 120 patients with arthritis and data were collected using questionnaires during August 2006 from two OPDs of rheumatoid centers in C University hospitals. The study instruments were used to measure Self Care (So, 1992), Family Support (Kang, 1984), and Quality of Life (Ro, 1988). The data were analyzed using ANOVA, Duncan test, and Pearson correlation. Result : The mean scores were 3.56 for family support, 4.16 for self-care, and 3.19 for quality of life. The level of self-care was significantly higher in those men, having an occupation, higher income, and living with family members. The level of family support was significantly higher in those men, having an occupation, living with family members, and having a helper. The level of quality of life was significantly higher for those men, having a higher income, and shorter length of illness. Three relationships were found to be positively correlated: 1) between the levels of family support and self-care (r=.53), 2) between the levels of self-care and quality of life (r=.55), and 3) between the levels of family support and quality of life (r=.54). Conclusion: Therefore, a nursing intervention program needs to be developed to promote family support, and self-care for quality of life for patients with arthritis.

2-히드록시-3-부톡시프로필 히드록시에틸 셀룰로오스 및 이를 에피클로로히드린으로 가교시킨 수화젤의 제조와 열감응 특성

김가연(Ga Yeun Kim),이희동(Hee Dong Lee),김영호(Young Ho Kim) 한국고분자학회 2020 폴리머 Vol.44 No.4

히드록시에틸기의 치환도(DS)가 1.0이고 몰 치환도(MS)가 2.0인 히드록시에틸 셀룰로오스(HEC)에 부틸글리시딜에테르(BGE)를 반응시켜 2-히드록시-3-부톡시프로필 히드록시에틸 셀룰로오스(H-HEC)를 합성하였다. BGE 농도를 달리하여 제조된 H-HEC의 치환도에 따른 특성을 ¹H NMR, FTIR, UV-Vis 분광광도계 등을 이용하여 분석하였다. H-HEC의 수용액은 하한임계 용해온도(LCST)를 나타내어 H-HEC가 열감응형 고분자임을 보여주었다. HHEC 합성시 반응시키는 BGE의 농도가 커짐에 따라 히드록시-부톡시프로필기의 몰 치환도는 직선적으로 증가하면서 LCST는 직선적으로 감소하였다. H-HEC를 에피클로로히드린(ECH)으로 가교시켜 열감응성 수화젤을 제조하였으며, 이들의 증류수에서의 팽윤성을 측정한 결과 특정 ECH 농도로 가교시킨 경우 최대팽윤비를 나타내었다. HHEC는 셀룰로오스 II 결정구조를 유지하였지만, ECH로 가교시킨 수화젤은 결정구조를 나타내지 않았다. Hydroxyethyl cellulose (HEC) with hydroxyethyl group substitution degree (DS) 1.0 and molar substitution degree (MS) 2.0 was reacted with butyl glycidyl ether (BGE) to synthesize 2-hydroxy-3-butoxypropyl hydroxyethyl cellulose (H-HEC). The properties of H-HEC prepared by varying BGE concentrations were analyzed using ¹H NMR, FTIR, and UV-Vis spectrophotometer. The aqueous solution of H-HEC showed a lower critical solution temperature (LCST), indicating that H-HEC is a thermoresponsive polymer. As the concentration of reacting BGE during H-HEC synthesis increased, the MS of hydroxy-butoxypropyl group increased linearly and LCST decreased linearly. H-HEC was crosslinked with epichlorohydrin (ECH) to prepare a thermoresponsive hydrogel. Measurement of the swelling property in distilled water showed a maximum swelling ratio when H-HEC was crosslinked at a certain ECH concentration. H-HEC retained the Cellulose II crystal structure, but the hydrogel obtained by crosslinking with ECH showed no crystal structure.

모녀간 피부 특성의 상관관계에 대한 연구

조가영 ( Ga Young Cho ),김지연 ( Jee Yeun Kim ),염명훈 ( Myeong Hun Yeom ),조준철 ( Jun Chul Cho ),김종일 ( Jong Il Kim ),김윤범 ( Yoon Bum Kim ) 대한한방부인과학회 2012 大韓韓方婦人科學會誌 Vol.25 No.4

Objectives: It is well known that genetic factors and environmental factors play major role in aging skin. In general, son and daughter take after their parents in appearance. But comparability of skin properties in Korean family has not been well estimated. So we evaluated the correlation of skin properties in Korean mother-daughter pairs. Methods: 10 couples of mother and daughter pair(n=20) participate in this study. Mothers and daughters were aged 50.6±2.459 and 23.8±2.15 years, respectively. Skin moisture, sebum, skin color and elasticity is measured using non-invasive method: Corneometer CM825, Sebumeter(MPA580), Mexameter MX18, Cutometer MPA580. Statistical analysis program we used is Minitab 14 Korea. Results: The Skin moisture of mother group was significantly higher than daughter group. And skin elasticity(R2) of the daughter group was significantly higher than mother group. In the results of correlation analysis between mother and daughter pairs, skin elasticity(R2) had high positive correlation(r=0.729, p=0.026). But skin moisture, sebum, melanin index, erythema index and skin elasticity(R5) did not be confirmed a significant correlation. Conclusions: Skin elasticity(R2) is the only factor that showed high positive correlation significantly in mother and daughter pairs. Mother and daughter share the genetic factors and environmental factors that influence skin aging. So, mother`s aging pattern will be a good guide for anti-aging of daughters.

논문 : 베이비붐 세대의 은퇴 후 사회적 건강을 배려한 노인 주거 공간 선호연구

윤가영 ( Ga Young Youn ),이연숙 ( Yeun Sook Lee ) 디자인융복합학회 2013 디자인융복합연구 Vol.12 No.6

빠르게 진전하고 있는 고령화는 고령자에게 이전 시대보다 노후 삶의 기간을 급속도로 연장시키고 있고 이에 따라 신체적·심리적·사회적 건강 등 총체적건강이 부각되고 있으며 사회적 건강을 조명하여 고려된 것은 거의 드문 실정이다. 본 연구의 목적은 베이비붐 세대의 은퇴 후 사회적 건강을 배려한 주거선호를 파악하고자 하는 것이다. 이에 앞으로 노후의 삶에 보다 적합한 주택을 계획하는데 다양한 대안을 제시할 수 있을 것이라 여겨진다. 본 연구는 다양한 노인주택 유형을 대상으로 노후의 생활을 부부동거와 건강상태에 따라 4가지 상황으로 설정한 선행연구를 기준으로 노년기를 세분하여 상황별 주거요구 및 선호를 파악하고자 하였고 자료는 문헌조사를 바탕으로 실증연구를 시행하였다. 본 연구의 결과, 베이비붐 세대가 전반적으로 도시근교를 선호하는 것으로 보아 도심 상경을 통해 도심에서 직장 생활을 영위한 사람들로서 익숙해진 도심을 떠나 지방 이주를 기대하기 어려운 상황으로 보인다고 할 수 있다. 이는 사회적 건강과의 관계를 다룸으로서 주거환경의 방향을 보다 종합적으로 제시하고 노인주택의 계획과 개발을 바람직하게 고무시키는데 활용될 수 있는 자료로써 의미가 있다. Rapid aging society has extended the span of aged life of the elderly people in rapid speed and the importance of holistic health including the elderly people`s physical, psychological and social health has been emphasized in these years but considerations for their social health have not been made sufficiently so far. The purpose of this study is to identify the residential preferences in consideration of social health of the retiring baby boomer generation and intends to propose diverse alternatives in designing the elderly homes suitable for the aged life. This study researched the residential preferences and requirements for the aged life according to detailed situations of the aged years by the criteria of previous studies that have classified the situations of the aged people`s life into four categories according to their matrimonial life and health conditions in relation with diverse types of elderly houses. Data were gathered from literature studies and practical researches were accomplished. The results of Because this study has researched the issue of social health of the aged life and suggested an ideal direction of residential environments comprehensively it is meaningful as references useful to promote a desirable planning and development of elderly houses.

HOUSING MOBILITY PROPENSITY AMONG THE KOREAN ELDERLY

Lee, Yeun-Sook,Lee, Sook-Young,Byun, Hear-Yung,Park, Jun-Ga The Korean Housing Association 1999 한국주거학회 논문집 Vol.10 No.3

The purpose of this study was to find the degree of satisfaction of the Korean elderly with their existing residential environment and their propensity to move. The data were collected through interviews and structured questionnaires. The subjects were 1,200 nationwide elderly over the age of 60 selected by probability sampling proportionate to size. cluster and random sampling method. The data were analyzed with frequency. percentage. and $X^2$-test using the SAS package. The major findings were as follows: Most subjects were satisfied with their housing environment and had no intention of moving. The subjects were highly satisfied with their residential environment. did not tend to move. This result does not necessarily mean that there is no need for better housing and no need to design elderly housing in Korea. It implies the need for community integrated housing development with flexible service system.

노인의 사회적 건강 측면에서 본 주택유형별 사회적 관계성 연구

이연숙(Lee, Yeun-Sook),윤가영(Youn, Ga-Young),장재우(Chang, Jae-woo),안창헌(Ahn, Chang-Houn) 한국실내디자인학회 2013 한국실내디자인학회논문집 Vol.22 No.5

Rapidly aging society extends the span of aged life of the elderly people longer than before and this trend raises the issue of holistic health of the aged including their physical, psychological and social health making it necessary to study for environmental development to support this trend. This study intends to explore the direction of residential planning to support the deterioration phenomenon of social networks due to aging. Social networks here are treated as basic conditions for social health. This study researched the diverse types of elderly housings in preparation for the aged society and their spatial characteristics, social affordance characteristics and their potentials for social interactions from the viewpoint of their social relations. literature studies with contents analysis method was used. The results of this study were arranged primarily according to the characteristics of social relations by types of housings. Socially integrated types of housings can be found as inclusive housing type as they have both social characteristics that can be found in houses in general and the elderly housings, they should be considered as desirable types in Korea where collective houses are most popular. Form the existing housing plans housing plan direction should move toward socially integrated housing plans that can protect the elderly people collectively and the direction of housing plans here means the direction from more macro-perspective viewpoint. Therefore, the results of this study are meaningful in adding interpretation from the viewpoint of social relations respective housings and promoting housings for the elderly people more desirably.

지역사회 기반 참여모형(CBPR)을 중심으로 한 고혈압·당뇨병환자의 전문가 치주질환관리프로그램 평가

박수경 ( Su-kyung Park ),이가영 ( Ga-yeong Lee ),김연주 ( Yeun-ju Kim ),이민영 ( Min-young Lee ),변도화 ( Do-hwa Byun ),김경희 ( Kyung-hee Kim ),손효림 ( Hyo-rim Son ),김춘배 ( Chun-bae Kim ),안양희 ( Yang-heui Ahn ),김남희 ( Nam- 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.1

Objectives: To evaluate the Community-Based Participatory Research (CBPR) professional periodontal care program model for patients with hypertension and diabetes. Methods: This descriptive case study included 151 participants of the professional periodontal care program. The CBPR-based professional periodontal care program consists of 5-steps: `Issue identification and prioritization` (Step 1), `Strategy development` (Step 2), `Entry into community` (Step 3), `Implementation` (Step 4), and `Transition` (Step 5). Quantitative data were analyzed using frequency analysis, and descriptive data with PASW 23.0 (SPSS Inc., Chicago, IL, USA). The results of the Focus group interview (FGI) were classified as `general opinions regarding the program planning and operation receptiveness`, `sustainability`, `potential spread of the program`, and `improvement of program`. The interviews were qualitative research involving seven people. Results: 1. Participants increased their interest in health and oral health by managing their hypertension, diabetes, and periodontal disease using community resources. Through this, healthy practices and improved awareness helped to prevent complications and manage periodontal diseases. 2. Community organizations actively cooperated, resulting in positive changes in oral health practices (increased registration of patients in education centers for hypertension and diabetes, and increased number of patients visiting the local dental clinic). In the future, it was positive to participate in the program continuously. Conclusions: The most important step is `Entry into community`, which has led to active participation and cooperation of community organizations and participants. Therefore, community organizations and strategy development should be discussed, and the role of community leaders should be emphasized to build cooperative relationships. In addition, participation in and collaboration with health-based projects should be achieved through a search of various community organizations.

Delayed Absorption of Subretinal Fluid after Retinal Reattachment Surgery and Associated Choroidal Features

Jong Min Kim,Eun Jung Lee,Ga Eun Cho,Kunho Bae,Ju Yeun Lee,Gyule Han,Se Woong Kang 대한안과학회 2017 Korean Journal of Ophthalmology Vol.31 No.5

Purpose: The aim of this study was to investigate the incidence and associated clinical factors of delayed absorption of subretinal fluid (SRF) after surgery for rhegmatogenous retinal detachment. Methods: This study involved 36 eyes of 36 consecutive patients who underwent successful surgery for rhegmatogenous retinal detachment. A complete ophthalmologic evaluation, including clinical fundus examination, optical coherence tomography, and indocyanine green angiography, was conducted before and after surgery. Delayed absorption was defined as the presence of residual concave SRF or an SRF bleb at 6 months after surgery. Clinical factors and choroidal features on indocyanine green angiography were compared according to the presence and absence of delayed absorption. Results: Eighteen of 36 eyes (50%) showed delayed absorption. Macular involvement and worse preoperative visual acuity were significantly related to the presence of delayed absorption (p = 0.001 and p = 0.034, respectively). On indocyanine green angiography, preoperative choroidal vascular hyperpermeability was noted in 70% of eyes with delayed absorption and in 14% of eyes without it (p = 0.010). Conclusions: Delayed absorption of SRF after retinal reattachment surgery was not rare, with a 50% of incidence in this study. Macula-off status was significantly related to the incidence of delayed SRF absorption, and choroidal features such as choroidal vascular hyperpermeability might be responsible in part, possibly through the resultant exudative property of choroid.

Development and Application of a Surveillance Method for Healthcare-Associated Infections in Long-Term Care Hospitals in Korea

Sun Young Jeong,JeongHwa Choi,Jae Yeun Kim,Hyuk Ga 대한노인병학회 2020 Annals of geriatric medicine and research Vol.24 No.4

Background: This study developed a surveillance method for healthcare-associated infections (HAIs) in long-term care hospitals (LTCHs) and investigated the current status of HAIs in LTCHs in Korea. Methods: We applied the HAI-related surveillance criteria for long-term care facilities developed by McGeer in six LTCHs. Results: The 197 confirmed HAIs corresponded to incidence rates of 30.38/100 inpatients and 1.57/1,000 days of hospitalization and included 84 cases of respiratory tract infection (43.8%), 78 cases of systemic infection (40.6%), 24 cases of gastrointestinal tract infection (12.5%), and 6 cases of skin and soft tissue mucosal infection (2.1%). The subtypes included 78 cases of unexplained febrile illness (40.6%); 40 cases of pneumonia (20.8%); 27 cases of lower respiratory tract infection (14.1%); 21 cases of gastroenteritis (10.9%); 9 cases of influenza-like illness (4.7%); 8 cases of common cold or pharyngitis (4.2%); 4 cases of cellulitis, soft tissue, or wound infection (2.1%); 3 cases of Clostridium difficile infection (1.6%); 1 case of conjunctivitis (0.5%); and 1 case of fungal oral/perioral and skin infection (0.5%). Conclusion: Establishing an HAI surveillance method for LTCHs and identifying HAI rates and risk factors among LTCH patients may help prevent HAIs in LTCHs in Korea.

소아에서 늑막 삼출액을 동반한 외상성 췌장 절단 및 췌장 주관 손상 1예

이가연,유혜수,이지현,최연호,허진석,Lee, Ga-Yeun,Yoo, Hye-Soo,Lee, Jee-Hyun,Choe, Yon-Ho,Heo, Jin-Seok 대한소아소화기영양학회 2007 Pediatric gastroenterology, hepatology & nutrition Vol.10 No.1

An 8-year-old boy presented with abdominal pain and poor oral intake for two months. Serum amylase and lipase levels were elevated. CT of the abdomen and chest X-ray showed two pseudocysts at the pancreatic uncinate process, pancreatitis with a parenchymal defect, a large amount of ascites, and a right pleural effusion. MR cholangiography and endoscopic retrograde cholangiopanreaticography revealed a pancreatic duct disruption. The patient was successfully treated with a chest tube placement and percutaneous drainage. After surgery, his general condition improved; the serum level of amylase normalized and the pleural effusion resolved. Pancreatic injuries are rare in pediatric blunt trauma; however, diagnostic difficulty is common with isolated blunt trauma. Therefore, a high index of suspicion should follow such an injury. We report the case of an 8-year-old boy with pancreas transection, ductal disruption, ascites, and pleural effusion who was successfully treated. 췌장 손상은 소아에서는 흔하지 않으며 임상 증상과 이학적 소견이 뚜렷하지 않아 진단이 어려운 경우가 많은데 손상 정도와 위치에 대한 정확한 평가를 바탕으로 치료가 지연되지 않도록 하여 합병증 발생을 막도록 해야 할 것이다. 저자들은 8세 남아에서 가성 낭종, 늑막 삼출액을 동반한 췌장 절단 및 췌관 손상을 진단하고 경피적 배액술을 통하여 효과적으로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.