전,후기 노인의 건강행위, 건강상태와 건강관련 삶의 질

정영해 ( Young Hae Chung ),조유향 ( Yoo Hyang Cho ) 대한보건협회 2014 대한보건연구 Vol.40 No.1

연구목적 : 본 연구는 노년 전기와 후기 노인의 건강행위, 건강상태와 건강관련 삶의 질 수준을 파악하고, 관련요인을 파악 하고자 한 것이다. 연구방법 : 2010년 국민건강영양조사 제5기 1차년도 원자료를 사용하여 65세 이상 노인 1,339명을 대상으로 교육, 경제수준, 운동, 흡연, 음주, 만성질병, 성별, 거주지역, 동거인, 주관적건강상태, BMI 및 EQ-5D를 건강설문-검진조사가중치를 사례 수에 맞추어 활용하였으며 SPSS 20.0을 이용하여 분석하였다. 노년전기군(<75세)과 노년후기군(≥75세)을 카이제곱검정과 t-검정으로 비교하였으며, 후진제거방식 회귀분석으로 두 군의 건강관련 삶의 질 관련요인을 비교하였다. 연구결과 : 여성노인이 58.4%로 많았으며, 교육수준은 초졸 이하가 3/4으로, 노년후기군은 여성노인과 초졸 이하가 더 많았고, 노년전기군에는 중졸, 고졸, 대졸이상 노인과 배우자와 함께하는 비율이 많았다. 흡연율 13.3%, 음주율 46.9%, 운동실천율 47.8%, 만성질환율 80.3%이었는데, 노년전기군의 경우 음주와 운동실천율 및 비만이 높았고, 노년후기군은 저체중, 우울증상, 자살을 생각해본 적과 주관적인 건강상태가 유의하게 높았다. 노년전기군의 삶의 질은 노년후기군에 비해 유의하게 높았으며, 삶의 질을 구성한 각 항목은 모두 노년전기군에서 유의하게 낮아 노년후기군보다 삶의 질이 더 좋았다. 노년전기군의 삶의 질 관련요인은 성별, 주관적 건강상태, BMI로 나타났고, 노년후기군에서는 경제수준, 만성질환 유무와 주관적 건강상태가 삶의 질과 관련되었다. 결론 : 노인의 삶의 질을 높이기 위하여, 노년 전기에는 체중관리에 초점을 맞추고 성별에 따라 차별화된 서비스를 제공하며 노년 후기에는 경제상태와 교육수준에 따른 서비스를 제공하고, 전·후기 노인 모두 만성질관관리, 건강관리, 및 일상생활능력 향상을 위한 서비스를 제공되어야 함을 제안한다. Objectives: The purpose of this study was to investigate the difference in quality of life and related factors among the elderly by the young and the old-old. Methods: Elderly data of 1,339 case from National Health and Nutrition Examination Survey (Korea Center for Disease Control, 2010) were analyzed with SPSS 20.0, using complex survey data analysis methods. Most of the instruments were used according to the original survey while some were re-categorized. Gender, education, living area, income status, factors considered to be related to quality of life such as exercise, smoking and drinking habits, existence of chronic diseases, perceived health, and BMI were explored for their relationship with quality of life. Significance level was set to .05. Results: In this study, 58.4% of the subject were female, and approximately 3/4 had education below elementary school. However, there were more female, more elementary school education, and fewer living with significant others among the old-old. Underweight, depression, and suicidal thoughts were more prevalent among the old-old. The old-old perceived their health worse. Quality of life scores were lower for the old-old. In terms of health behaviors, there were more drinking, exercising, and overweight among the young-old. Factors related to quality of life turned out to be gender, perceived health and BMI among the young-old and education, economic status, and perceived health among the old-old. Conclusion: We recommend differentiated health policy and health programs for the young- and the old-old.

젊은 성인에서 흡연에 의한 상완동맥 내피기능의 부전에 관한 연구

이상철,권영주,방덕원,이선해,이보영,김지욱,김영훈,온영근,현민수,김성구 순천향의학연구소 2002 Journal of Soonchunhyang Medical Science Vol.8 No.1

Background and Objectives : Cigarette smoking is a major factor and the most modifiable risk factor for atherosclerosis. Endothelial dysfunction is an early event in atherosclerosis, before the structural change of the systemic arteries. We hypothesized that endothelial dysfunction might be present in the systemic arteries of young adult smokers and that this might be dose-dependent phenomenon. Therefore, we try to certify that smoking is associated with endothelial dysfunction in healthy young adults without other risk factor of atherosclerosis. Subjects and Methods : we studied noninvasively 29 subjects aged 3 to 4 decades without other risk factor of atherosclerosis, they were composed of the two groups, current smokers(n=15) and nonsmokers(n=14). Smoking history varied from 3 to 20 pack years. Using high-resolution ultrasound, vessel diameter and mean flow rate were measured at rest, during reactive hyperemia(with flow-mediated endothelium-dependent dilation), and after sublingual nitroglycerin(NG-induced endothelium-independent vasodilation). Result : Flow mediated endothelium dependent dilation was observed in the control subjects (9.4±3.44%) but was impaired in the smokers(5.8±2.51%)(p=0.004). NG-induced endothelium independent dilation is no difference in all subjects. Conclusion : Cigarette smoking is associated with endothelial dysfunction in healthy young adults.

어머니의 신경증적 성향과 완벽주의 및 심리적 통제가 유아의 내면화 문제행동에 미치는 영향

왕해경, 한세영 충북대학교 생활과학연구소 2013 생활과학연구논총 Vol.17 No.1

The purpose of this study was to examine the effects of mother's neuroticism, perfectionism and psychological control on children's internalized problem behaviors such as depression, anxiety, and withdrawal. The subjects of this study were 373 mothers of 3, 4, and 5-years-old children who were attending to 7 public kindergartens and 1 private kindergartens located in Cheongju city. The results of this study were as follows: First, it indicated that mother's neuroticism, self-oriented perfectionism, criticism, and unstable emotion had statistically significant effects on young children's depression. That is, the more neuroticism, the less self-oriented perfectionism, and the more psychological control like criticism and unstable emotion mothers showed, the higher young children's depression was. Second, it revealed that mother's neuroticism and criticism and love withdrawal had statistically significant effects on young children's anxiety. That is, children of mothers with more neuroticism and psychological control like criticism and love withdrawal showed higher anxiety. Third, it was found that only mother's neuroticism had a statistically significant effect on young children's withdrawal. That is, the more neuroticism mothers showed, the higher young children's withdrawal was.

In Vitro Fertilization and Embryo Cleavage in Canine Oocytes

Hae }ung Kim,Sang Ryeul Lee,Sin Hae Park,Sung Hyun Kim,Bong Soo Kim,Dong Hun Yoo,Sin Hae Park,Mi Jung Shin,Jae Wook Kim,Zae Young Ryoo 한국동물생명공학회(구 한국동물번식학회) 2006 Reproductive & developmental biology Vol.30 No.2

동거형태에 따른 젊은 남자성인의 식행동과 건강관련 행동의 차이

박영숙,장지혜,임은희,한재라 순천향대학교 기초과학연구소 2001 순천향자연과학연구 논문집 Vol.7 No.2

A survey was performed to 250 male young men who were living alone and shared living with friends in Chungnam province. Their average age was 22.6 years old, height was 171.8 cm, weight was 65.6 kg and BMI was 22.2 Comparing the prevalence of drinking, smoking and exercise, there were significantly different between living alone subjects and shared-living ones. The main value toward eating/meals was for hungry soultion. And we found many significant differences by living with or without companion. When young men living without companions, they shouved to be more in regular mealtimes, no-skipped meals, breakfast eating, adequate food amounts, eating-outs, etc. and to be less in pleasant mealtimes, various foods, snacking and especially late snacks. The good food intake pattern were highly scored in the alone-living group than the shared-living group, whereas the bad food intake pattern were also highly scoued in the alone-living group than the other. The latter might be due to the more food exposures because of companions. These findings could conclude that dietary behaviors of the young living alone were evaluated as good enough.

Nifedipine 투여가 선천성 고혈압 쥐의 CYP1A1과 2B1 유도에 미치는 영향

홍영숙,김형래,박혜영,배영숙,박상신 梨花女子大學校 醫科大學 醫科學硏究所 1995 EMJ (Ewha medical journal) Vol.18 No.3

Cytochrome P-450(CYP) enzymes are important in catalyzing the hiotransffrmation on manyendogeneous compounds and xenobiotics, including drugs and carcinogens. In the presentstudy, effect of nifedipine a voltage dependent calcium channel blocker on the induction ofCYP1A1 and 2B1 was investigated. Change of CYP1A1 and 2B1 activities were measuredby using specific enzyme activities and Western blot analysis. CYP1A1, as quantified by ethoxyresorufin-0-deethylase activity and Western blot with monoclonal antibody 1-7-1, increasedin liver microsome of nifedipine-treated spontaneous hypertensive rat(SHR. 30mg/kg.b.w, twicea day for 3days) but not in kidney microsome. CYP2B1, as quantified by benzyloxyresorufin-O-dealkylase activity and Western blot wit]1 monoclonal antibody 2-66-3, markedly increasedin liver microsome of nifedipine-treated SHR but slightly in kidney microsome. The resultsdemonstrate that nifedipine is a potent inducer of CYP2B1 in SHR.

고감도 Ames test(microsuspension assay)와 임파구 소핵시험법을 이용한 변이원성에 관한 조사 연구

안지영,김해준,윤인재,성영자,김영환,장영철 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.3

In order to evaluate the mutagenic effects of extractable indoor air pollutants (organic matters), we measured the mutagenic activities by sensitive microsuspension Ames test using new tester strains (YG 1024 and YG 1029). And additionally to evaluate the mutagenic effects on vital cell, we examined the frequencies of micronucleus appearing in lymphocytes from dye handling workers and controls. This study was conducted from Jan. to May, 1995. The extractable indoor air pollutants were collected by low volume air sampler in a general office room and 3 of dye handling factories. And the environment of general office room divided into 3 different groups according to the type of room heaters. To determine the frequencies of micronucleus appearing in lymphocytes, we sampled peripheral venous blood from 20 of dye handling workers and 20 of controls, and cultured, and then examined the lymphocytes. The results obtained were as follows: 1. The indirect mutagenic activities of extractable organic matters from suspended particulates collected in a general office room were higher than the direct one. 2. The strain YG 1024 was the most sensitive, and the increasing order of test strains that showed higher number of revertant were YG 1024, YG 1029, TA 100, TA 98. 3. In the general office room, the room using kerosene heater showed the highest mutagenecity, and the next was buthan gas heater, and non-heating room in order. 4. The mutagenic effects of suspended particulates in dye handling factories on the strain YG 1024 was 1.2 times higher than YG 1029. 5. The frequencies of micronucleus appearing in lymphocyte of the circulating blood of dye handling workers and the control were 5.65±2.97‰ and 4.65±0.97‰, respectively. And the difference was statistically significant.

일차성 식도이완불능증의 풍선확장술후 치료효과의 객관적 평가지표

손영해,나호영,조성범,주영은,김현수,최성규,유종선,김세종 全南大醫大 2001 전남의대학술지 Vol.37 No.2

어린이집 영유아의 성장ㆍ발달에 관한 종단적 연구(Ⅱ)

고영인,임재택,조희숙,황해익,정계숙 부산대학교 영유아보육연구소 1998 영유아보육연구 Vol.4 No.-

The purpose of this study was to investigate longitudinal growth and development of young children and follow-up effects of the educare program in the PNU Day Care Center. Particularly, the first objective of this second report of study was the comparison the entire domains of development with age between the Oct. of 1995 and the Dec. of 1998. The second objective was to analyze the developmental .changes of 5 children who entered the center in 4 years old since Oct. 1995. The subjects of this study were 448 children(241 boys, 207 girls). The instruments of this study were the KISC and KEDl-WISC(for intelligence test), the Learning Readiness Test, the Social and Emotional Scale, Height Scale and Weight Scale( for physical growth). The tests were carried out 2 times per year (the early of the year and the late of the year). Results from comparsion across the 1st through 7th tests during 3 years indicated that the mean of the height was increased about 1-8cm for all of 2-5 years old children. The mean of the weight also was increased about 1.5-4.0kg except 2 years old children. The intelligence score (T score) by KISC was increased around 6-42 points except 6 years old boys and girls. In the intelligence score by KEDl, there was improvements of average 8 points for 7 years old children. In the learning Readiness Test of 5, 6 years old children, the scores all of children except 6 years old girls got were decreased. The scores of 6 years old girls were incresed 6 points in the Dec. of 1998. In the Social and Emotional Scale, there was big improvement of scores between in the 1st test and in the 7th test. These results were discussed in the view of sample size, developmental characteristics, test instruments and educare program of the PNU day care center.

신생아의 행동반응에 대한 실무교육이 간호사와 신생아와의 유희적 상호작용에 미치는 영향

양영옥 ( Young Ok Yang ),김영혜 ( Young Hae Kim ) 부모자녀건강학회 2002 부모자녀건강학회지 Vol.5 No.1

The purpose of this study was to find out the effect of in-service education on the nurse-newborn play interaction. The research design adopted the pre-experimental design applied only for one pretest-posttest group and Barnard`s mother-infant interaction model was used as a conceptual framework. The subjects were 26 nurses who were selected from 2 nurseries in general hospital in Pusan, and 52 healthy newborns who were after 4 days from birth during data collection period at the same hospital. The data were collected from June 1st to October 5th in 2001, by video-taping for the interactive behaviors between the nurse and the newborn, played for 5 minutes in nurseries 2 weeks before and after in-service education. The in-service education consisted of the newborn`s behavior responses focused on the newborn baby`s states, behavior, cues and state modulation, 3 times per 1 week, 90 minutes per 1 time, lecture, demonstration and hand out project. The experimental tool used for this research was Ha Young-Soo`s Korean translation of the Maternal-Infant Play Interaction Scale by Thompson, Jody Baird, Sara Gordman, Bryant(1982), some parts of which were adapted to be suitable for the purpose of this research. Mother and baby scale by Wolke & James-Roberts(1987) was also modified and used as the criterion of nurse`s perception of a newborn baby. The results of this study were as follows: 1. This result supported the major hypothesis: After the intervention of in-service education, the nurse and newborn play interaction was promoted. 2. After intervention of in-service education, the nurse perception of newborn, especially the criteria of newborn`s reaction was promoted., The results of this research confirm that in-service education on the newborn`s behavior responses such as states, behavior, cues and state modulation is an effective way to improve the interaction between the nurse and the baby. It elevated the nurse`s sensitivities to the baby`s needs. Therefore, in-service education can change the conditions of current nursing practice mostly centered on physical care into a better one in which nurses consider the emotional, social, and intellectual development stages of babies. Accordingly, in-service education contributed to promoting the effective nurse-newborn play interaction so positively.