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전화상담이 치매노인 간호제공자의 소진경험, 우울, 삶의 질, 지각된 건강상태에 미치는 영향
이해정,김기련,서지민 성인간호학회 2003 성인간호학회지 Vol.15 No.3
Purpose: The purpose of this study is to identify the effects of telephonic counseling on burnout, depression, life satisfaction, and perceived physical health among family caregivers of older adults with dementia. Method: Subjects were randomly assigned into telephonic counseling group (n=21) and the comparison group (n=32). A weekly telephone counseling was conducted by research assistants for 12 weeks. T-test were used to answer the research questions. Result: 1) There were no significant differences between the two groups on the level of burnout, depression, life satisfaction, and perceived physical health after telephone counseling. 2) Spouse caregivers under the telephone counseling tended to report higher perceived physical health than comparison group at the post-test (t=-1.88, p=.08). Spouse caregivers under the telephone counseling tended to report higher emotional exhaustion and lower feeling of self achievement. 3) Daughter-in-law caregivers under telephone counseling showed increased feeling of self achievement, improved physical health condition, and decreased depression. Conclusion : This study showed potential effects of the problem-solving telephone counseling to improve perceived physical health and to reduce the level of burnout and depression. The findings suggest the necessity of screening most vulnerable subgroups of caregivers to increase the effectiveness of nursing intervention such as telephone counseling.
이재천,박주상,윤지열,정두련,문희범,우준희,류지소 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.1
과민역글로불린 E 증후군은 영유아기부터 반복적인 부비동, 호흡기감염 및 농양의 형성, 습진성 피부 질환 및 혈청 면역글로불린 E의 상승을 보이는 드문 질환이다. 특징적으로 농양은 발열이나 균혈증을 동반하지 않으며, 포도상구균이 흔한 원인균이며, 배농 및 항균제 정주로 효과적으로 치료된다. 향후 병태생리 및 치료에 대한 연구가 필 요하다. 저자들은 성인기에 발병한 반복적인 피하 농양 형성, 습진성 피부질환, 혈청 면역글로불린 E의 상승 등으로 과면역글포블린 E 증후군으로 진단된 증례를 국내 최초로 보고하는 바이다. Hyperimmunoglobulin E syndrome, rarely reported, is a syndrome of hyperimniunoglo-bulinemia E. eczematous skin lesion, and recurrent staphylococcal infections on respiratory system and skin with abscess formation, mostly from early in life. The abscess is not accompamed with fever and bacteremia, that is a characteristic 'cold abscess' We report a case of 56 year-old woman who manifested this syndrome from adulthood. with the review of literatures.
임사비나,임형택,박히준,장지련,최일환,이석찬,김대수,신희섭 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2004 東西醫學硏究所 論文集 Vol.2004 No.-
Objective : Acupuncture has been used for treatment of numerous disorders, especially for pain control in Oriental Medicine. However, the mechanism of pain control by acupuncture was not clear until now. This study was performed to prove analgesic mechanism of acupuncture treatment at acupoint ST_(36) by observing the changes of abdominal pain and c-Fos expression in the thalamus. Methods : Abdominal pain was induced by acetic acid, and the changes of writhing reflex after acupuncture treatment an ST_(36) and non-acupoints were measured. c-Fos immunohistochemistry was also performed to study the changes of the neuronal activity in the thalamus. Results : The writhing reflex decrease significantly after acupuncturing at ST_(36) compared with control group(p<0.05). The changes of the writhing reflex by non-acupoint acupuncture treatment also showed significant decrease compared with control group(p<0.05). c-Fos expression in the thalamus, especially periventricular part was significantly decreased after acupuncturing at ST_(36) compared with control groups(p<0.05). Conclusion : This study shows that the acupuncture has the analgesic effect in the abdominal pain induced by acetic acid and the thalamus might be a important area for this mechanism.
Risk factors for poor prognosis in nosocomial infective endocarditis
( Ji-won Hwang ),( Seung Woo Park ),( Eun Jeong Cho ),( Ga Yeon Lee ),( Eun Kyoung Kim ),( Sung-a Chang ),( Sung-ji Park ),( Sang-chol Lee ),( Cheol-in Kang ),( Doo Ryeon Chung ),( Kyong Ran Peck ),( 대한내과학회 2018 The Korean Journal of Internal Medicine Vol.33 No.1
Background/Aims: The aim of our study was to compare the characteristics of nosocomial infective endocarditis (NIE) with community-acquired infective endocarditis (CIE) and to determine independent risk factors for in-hospital death. Methods: We retrospectively reviewed the medical records of 560 patients diagnosed with infective endocarditis. NIE was defined by a diagnosis made > 72 hours after hospital admission or within 2 months of hospital discharge. Results: Among the 560 cases reviewed, 121 were classified as NIE. Compared with patients with CIE, patients with NIE were older (mean ± SD, 51.30±18.01 vs. 59.76±14.87, p < 0.001). The in-hospital death rate of the NIE group was much higher than that of the CIE group (27.3% vs. 5.9%, p < 0.001). More patients with NIE had central intravenous catheters, and were undergoing hemodialysis (p < 0.001). Methicillin-resistant Staphylococcus aureus (MRSA) was the most common causal microorganism of NIE, and MRSA (p < 0.001) and fungus (p = 0.002) were more common in NIE compared with CIE. On multiple analysis, age, liver cirrhosis, cancer chemotherapy, central intravenous catheter, hemodialysis, and genitourinary tract manipulation were independent clinical risk factors for NIE. Among the patients with NIE, 33 died during their hospital admission. The independent risk factors for in-hospital death were older age (adjusted odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01 to 1.07; p = 0.037) and chemotherapy for malignancy (adjusted OR, 3.89; 95% CI, 1.18 to 12.87; p = 0.026). Conclusions: Because of the considerable incidence of NIE and its poor prognosis, we should pay attention to early diagnosis and active management of NIE, especially for older patients and patients receiving chemotherapy.
Kim Ji-Yeon,Kang Cheol-In,Lee Ji Hye,Lee Woo Joo,Huh Kyungmin,Cho Sun Young,Chung Doo Ryeon,Peck Kyong Ran 대한감염학회 2023 Infection and Chemotherapy Vol.55 No.2
Fusarium species, which are commonly found in soil, water, and organic substrates, can cause serious infections especially in immunocompromised patients. Fusarium infection is notoriously difficult to treat, because of their inherently high minimum inhibitory concentrations (MICs) to most antifungal agents. There have been limited data on invasive fusariosis in Korea. We identified 57 patients with culture-proven fusariosis at Samsung Medical Center, Seoul, Korea, from September 2003 through January 2017. Invasive fusariosis was defined as any case with at least one positive blood culture or with concurrent involvement of 2 or more non-contiguous sites. Superficial infections such as keratitis and onychomycosis were excluded. We reported 14 cases of invasive fusariosis categorized according to the European Organization for Research and Treatment of Cancer/Mycoses Study Group criteria, of which 6 cases were fusarium fungemia. Hematologic malignancies (7/14, 50%), solid organ transplantation (2/14, 14.2%), or immunosuppressive therapy (2/14, 14.2%), were the predominant underlying conditions. The overall mortality rate was 37%, however, that of disseminated fusariosis was up to 83%. Antifungal treatment with voriconazole or liposomal amphotericin B was commonly administered. In this report, we described the clinical characteristics and treatment outcomes of invasive fusariosis in Korea. Given the high mortality in disseminated cases, invasive fusariosis is becoming a therapeutic challenge to clinicians treating immunocompromised patients.
청소년이 지각한 부모의 자율성지지 및 심리적 통제와 자아탄력성의 관계에서 자기수용의 매개효과
이지련(Lee, Ji ryeon) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.21
본 연구의 목적은 부모의 자율성 지지 및 심리적 통제의 양육방식이 청소년 자녀의 자아탄력성에 미치는 영향을 청소년 자녀의 자기수용이 매개하는지를 검증하는 것이었다. 연구대상은 고등학교에 재학 중인 314명(남 167명, 여 147명)의 학생이며 부모의 자율성 지지와 심리적 통제, 자기수용, 자아탄력성을 측정하기 위한 구조화된 설문지를 통해 자료를 수집하였다. 분석방법으로는 인구 사회학적 배경을 알아보기 위하여 빈도, 백분율, 평균 및 표준편차를 산출하고 조사도구들의 신뢰도를 검증하기 위하여 내적합치도 계수인 Cronbach s 값을 구하였다. 그리고 각 변인들의 상관성 분석을 위해 Pearson의 상관관계 분석을 실시하였다. 또한 자기수용의 매개효과를 검정하기 위해 Baron과 Kenney(1986)의 회귀분석을 실시하였고 매개효과에 대한 유의도 검증을 위해 Preacher와 Sobel-검증(Z)을 실시하였다. 연구 결과, 부모의 자율성 지지와 자아탄력성은 정적 상관관계가 나타났으며 청소년의 자기수용은 그 사이에서 부분매개를 하는 것으로 분석되었다. 그리고 부모의 심리적 통제와 자아탄력성은 부적 상관관계가 나타났으며 그 사이에서 청소년의 자기수용은 부분매개를 하는 것으로 나타났다. 따라서 부모가 자율성을 지지할수록 심리적으로 통제하지 않을수록 청소년 자녀의 자아탄력성은 높아지고 교육현장과 상담현장에서 청소년들의 자아탄력성을 높이기 위해 자기 수용을 잘 할 수 있도록 돕는 일의 중요성이 확인되었다. 또한 부모교육에서 자녀의 자율성을 지지하고 심리적으로 통제하지 않고 자녀를 존중하는 양육태도의 중요성을 다시 한 번 확인하였다. The purpose of this study was to examine whether self-acceptance mediated between parental autonomy support and adolescents ego-resilience. Also, it was to investigate whether self-acceptance mediated between parental psychological control and adolescents ego-resilience. For this purpose, 314 teenage students, who live in Seoul and Daegu, completed questionnaires regarding parental autonomy support, parental psychological control, ego-resilience, and self-acceptance. Then, it was worked out through SPSS 22.0. The results of this study are as follow. First, parental autonomy support and adolescents ego-resilience were positively correlated. Also, self-acceptance partially mediated between parental autonomy support and adolescents ego-resilience. This indicates that, as teenagers perceive their parents have higher autonomy support, teenagers have higher self-acceptance and ego-resilience. Second, parental psychological control and adolescents ego-resilience were negatively correlated. Also, self-acceptance partially mediated between parental psychological control and adolescents ego-resilience. This results proposes that, as teenagers perceive their parents have lower psychological control, teenagers have higher self-acceptance and ego-resilience. Therefore, the more the parents support autonomy, the more psychological control they do, the higher the self-resilience of adolescent children, and the importance of helping self-acceptance to increase the self-elasticity of adolescents in education and counseling sites was confirmed.