초·중·고등학교 학생·학부모·일반교사의 보건교육 영역별 요구도와 보건교육

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: The purpose of this study was to identify the needs of health education in students, their parents and teachers in the elementary, middle and high schools and the current situation of health education class. Method: The subjects of this study were a total of 9450 persons including students, their parents and teachers from 279 schools throughout the country. They were selected through convenient sampling. Data were analyzed through x^(2)­test and ANOVA. Result: Students, their parents and teachers replied that 18 dimensions of health education class (DHEC) are necessary. The four DHEC - healthier life style, sex education, mental health and safety education - showed high educational needs in students, their parents, and teacher. High school students had higher educational need of 'symptom management for daily living' than elementary and middle school students. Students, their parents and teachers in elementary school had higher educational needs of 17 DHEC that those in middle and high school. The percentages of schools with health education class taught by health teachers were 99.2%, 75.5% and 66.0% respectively in elementary, middle and high schools. Health education was given mainly using physical education classes at elementary schools, and creative class hours at middle and high schools. In general, health education took 1-3 hours per week at elementary schools, and less than an hour at middle and high schools. Conclusion: Therefore, based on the results, systematic health education class should begin from elementary school to meet the need of health education in students, their parents and teachers, and further study should be made on the number of hours required and the amount of contents of 18 DHEC.

초·중·고등학교 학생, 학부모, 일반교사의 보건교육 요구

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Purpose : The purpose of this study was to identify needs of health education of the students, parents, general teachers, and health teacher of the elementary, middle, and high schools. Method : 279 schools of elementary, middle, and high school were sampled nonproportionally during the period from June 28 to July 26, 2004 . The data were collected by the questionnaire from 1,888 students, 1,876 parents, 1,695 general teachers, 279 health teachers. A frequency, % and χ2-test were used to analysis by SAS program. Result : 1. It showed that 98.1% of elementary school students, 92.3% of middle school students, 89.6% of high school students answered that they need health education. The most of students, parents, and general teachers had high interests in health education. 2. In the case of students, main causes of needs of health education was 'to prevent diseases or accidents''. But parents answered that it was 'to build up a healthier behavior'. General teachers answered that it was 'more effective systematic and continuous health education'. 3. Over 80% of students, parents, and general teachers about the question of who qualified person is to teach health education as a regular class responded that health teacher is available. Especially 93% of elementary school students answered like that. 4. The most of students, parents, and general teachers answered that health education in the classroom is favorable 1 to 2 hours per week. Conclusion : As results of the study , the majority of students, parents, general teachers agreed needs of health education. Therefore, on the basis of this study, systematic and continuous health education is necessary. Additionally the establishment of independent health subject is required certainly.

『철쭉제』의 유해 찾기, 장례 모티프의 상징적 의미와 해한 구조에 대한 연구

이순옥(Lee soon ok),임선애(Lim seon ae) 한국문화융합학회 2021 문화와 융합 Vol.43 No.4

『철쭉제』는 불효의 한을 심리적 기제로 하여 아버지의 유해 찾기와 유해의 안장의례가 중심서사를 이루는 작품으로 죽음과 재생의 제의 구조를 통해 한을 극복한 조화의 세계를 보여준다. 본 연구는 문순태의 『철쭉제』에 나타난 효 의식을 고찰하고 아버지의 유해 찾기 모티프와 장례의례 모티프를 통한 해한의 제의 구조를 고찰한다. 문순태의 『철쭉제』의 핵심 서사는 아버지의시신을 찾아 장례를 치러 효를 다하려는 아들의 엿새 동안의 지리산 등정으로 구성되며, 전반부서사는 나의 아버지에 대한 불효의 한과 한의 해소로 구성되고, 후반부 서사는 ‘나’와 ‘박판돌’ 가족의 비극적인 가족사로 구성된다. 특히 작품의 중심 모티프인 유해 찾기 모티프는 망자의 한을위로하는 의례로 기능하며, 인물 간에 소통의 통로를 마련하여 화해의 국면으로 전환하는 계기가된다. 또한 과거라는 시간 속에 봉인된 조부와 부친의 숨겨진 진실이 드러나면서 주인공의 참회와반성의 계기가 마련된다. 반면 제의 모티프는 죽음을 통한 재생의 과정을 구현하여, 어긋난 세계를 새로운 조화의 세계로 출발하게 한다. ‘철쭉꽃’이 가진 신성성을 매개로 베풀어지는 제의는곧 혼돈의 세계에서 질서를 부여하여 상실된 에너지를 회복하는 역할을 한다. 『철쭉제』는 개인의생의 위기, 집단의 총체적 위기를 극복하고 새로운 희망, 새로운 질서를 탄생시키는 제의에 대한소설적인 기술이다. 『철쭉제』는 효라는 유교적 가치, 유해 찾기, 상 제례를 모티프로 통해 죽음-재생의 세계를 구현하는 제의로서 한 맺힘-한 풀림의 해한 구조를 서사화한 것이다. ”The Azalea Festival” is a work that consists of the central narrative of father’s search for the remains and the saddle ritual of the remains, based on the psychological basis of the ill-fated resentment, and shows the world of harmony that overcame it through the structure of death and regeneration. The core narrative of Moon Soon-tae’s “The Azalea Festival” consists of the six-day climb of Jirisan Mountain, where he tries to find his father’s body and perform a funeral, and the second half of the story consists of the tragic family history of “I” and “Park Pan-dol. In particular, the find remains motif, which is the central motif of the work, serves as a rite of consolation for the deceased, and provides a channel of communication between the characters to change the phase of reconciliation. In addition, the hidden truth of the grandfather and father sealed in the time of the past is revealed, providing an opportunity for the main character’s penance and reflection. On the other hand, the motif of the offering embodies the process of regeneration through death, starting a new world of harmony. The offer, which is carried out through the medium of the sacredness of the azalea flower, serves to restore lost energy by giving order in the world of chaos. “The Royal Azalea Festival” is an epic story about the Confucian values of filial piety, the search for dead bodies, and the ritual for mourning through motifs, which unravels the resentment of being united and united.

국내에서 유행하는 HIV의 전파 경로에 따른 Subtype 분포

이주실,남정구,김성순,강춘,최병선,김옥진,박미선,성봉모,서순덕,전수경,변승옥,신영오,조해월 대한감염학회 2001 감염 Vol.33 No.5

Background : Previous data have been reported that subtype B is prevalent in South Korea, but neither the extent nor the proportion of subtypes could be evaluated. This study was designed to analyze the distribution of HIV-1 subtypes, temporal instructions and transmission dynamics between epidemiological groups. Methods : 1,280 Koreans had been diagnosed as HIV seropositive during the period 1985 to 2000. Among them, 134 individuals were selected for this molecular epidemiological study. 134 DNAs were isolated from uncultured or cultured peripheral blood mononuclear cells. V3-V5 (0.7 kb) fragment of HIV-1 env gene was amplified by nested polymerase chain reaction and was sequenced. Results : HIV-1 isolates from thirty-seven homosexuals were all subtype B (100%). On the other hand, 66 isolates from 94 heterosexuals were subtype B (70%) and 28 were non B subtypes (30% : 13 A, 4 C, 2 D, 8 E , 1 G). Only subtype B strains were isolated from 73 males who were infected with HIV inside Korea while 16 B and 20 non B subtype strains were isolated from 36 males who were HIV infected outside of Korea. However, B and non B strains were isolated half and half from females who were infected inside Korea except one. Conclusion : The HIV-1 subtype B strains are prevalent in Korea from the early HIV infection until present in both homo and heterosexuals. Non B strains have been transmitted from men who were infected outside Korea to their spouses and casual partners. So, we need further study to monitor subtype B and non B HIV transmission in epidemiological groups of Korea, (Korean J Infect Dis 33:311∼318, 2001)

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

2.5% Pentothal sodium 전처치가 Propofol 정주시 발생되는 통증에 미치는 효과

옥시영,김순임,김선종 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3

Background: propofol has a high incidence of pain with intravenous injection, and many different methods have been used to minimize the incidence and severity of this pain. In this study, we have compared the effect of saline pretreatment with that of 2.5% pentothal 50 mg pretreatment of propofol injection pain. Methods: Sixty two patients scheduled for general anesthesia were randomly divided into two groups. each patient received one of the pretreatment drugs via 18 g angiocatheter inserted in the antecubital fossa. Control group (n=31)received 2 ml of 0.9% saline pretreatment, 2.5% pentothal group (n=31) received 50 mg of pentothal pretreatment followed intravenous injection of 2 mg/kg of propofol at a rate of 1 ml/sec. After 50 mg of propofol were injected, patients were assessed for pain score. The severity of pain was classified as 0, 1, 2, 3 (none, mild, moderate, severe) by one observer. Results: The severity of pain were significantly reduced in 2.5% pentothal group compared with ontrol group for intravenous injection fo propofol (p<0.05) but incidence is similar. Conclusions: 2.5% pentothal 2 ml (50 mg) pretreatment could significantly reduce the sever the severity of pain for intravenous injection of propofol.

압박띠와 Lidocaine 전처치 및 Pentothal 전처치를 이용한 Propfol 정주통의 예방효과

옥시영,김순임,김선종 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3

Background: Pain on injection of propofol is a common problem, the cause of which remains unknown, We evaluated the effect of a tourniquet with intravenous lidocaine and pentothal pretreatments, to decrease the incidence and intensity of pain during intravenous propofol injection. Methods: One hundred fifty five patients scheduled for general anesthesia were randomly divided into three groups. Each patient received one of the pretreatment drugs via 18 G angiocatheter inserted in the antecubital fossa. Control group (CG) (n=31) recived 2 ml normal saline and lidocaine group (LG) (n=31) received 40 mg (2%, 2 ml) and pentothal group (PG) (n=31) received 50 mg (2.5%, 2 ml) and lidocaine tourniquet group (LTG) (n=31) received 40 m g(2%, 2ml) under tourniquest 1 minute inflated and pentothal tourniquet group(PTG) (n=31) received 50 mg (2.5%, 2 ml) under tourniquet 1 minute inflated followed intravenous injection of 2 mg/kg of propofol at a rate of 1 ml/sec. after 50 mg of proplfol were injected, patients were assessed for pain score. The severity of pain was classified as 0, 1, 2, 3 (none, mild, moderate, severe) by one observer. Results: The severity and incidence of pain were significantly reduced in lidocaine group and pentothal group compared with control group for intravenous injection of propofol (P<0.05). But effect of tourniquet is minimal. And the quantity and quality of analgesic effect of lidocaine and petothal on propofol iv injection is similar. Conclusions: Lidocaine 40 mg or pentothal 50 mg pretreatment to induction by propofol revealed a good analgesic effect for propofol injection pain. But effect of tourniquest is minimal.

Lidocaine과 Pentotal 전투여가 Propofol 정주 시 발생되는 혈관통에 미치는 영향

옥시영,김순임,김선종 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3

Background: Propofol is a good induction agent. But it has a disadvantage of pain on intravenous injection. Pretreatment of lidocaine or pentothal have been reported to reduce pain on injection. Thus we have evaluated the quantity and quality of analgesic effect of lidocaine and pentothal. Methods: Ninety three patients scheduled for general anesthesia were randomly divided into three groups. Each patient received one of the pretreatment drugs via 18 G angiocatheter inserted in the antecubital fossa. Control group (n=31) received 2 ml normal saline and lidocaine group (n=31) received 40 mg (2%, 2ml) and petothal group (n=31) received 50 mg (2.5%, 2 ml) followed intravenous injection of 2 mg/kg of propofol at a rate of 1 ml/sec.After 50 mg of propofol were injected, patients were assessed for pain score. The severity of pain was classified as 0,1, 2, 3 (none, mild, moderate, severe) by one observer. Results: The severity and incidence of pain were significantly reduced in lidocaine group and pentothal group compared with control group for intravenous injection of propofol (P<0.05). And the incidence of pain in lidocaine group and pentothal group is similar but severity of pain is more reduced in lidocaine group Conclusions: Lidocaine 40 mg or pentohal 50 mg pretreatment to induction by propofol revealed a good analgesic effect for propofol injection pain. And lidocaine is more effective for iv propofol injection pain.

문제발견 및 가설설정 능력 신장 과학영재교육프로그램 개발 : 멘델의 과학적 사고과정 적용

김순옥,김봉선,서혜애,김영민,박종석 韓國英才學會 2011 영재교육연구 Vol.21 No.4

본 연구는 역사적 발견을 이루어낸 과학자 가운데 멘델(Mendel, Gregor Johann, 1822-1884)의 과학적 사고과정을 활용하여 과학영재교육프로그램을 개발하고, 이 프로그램을 학습한 학생들의 문제발견 및 가설설정 능력의 변화를 측정하여, 프로그램의 효과성을 검증하는데 목적을 두었다. 이를 위해 먼저, 멘델이 유전법칙을 확립하는 과정에서 나타낸 과학적 사고과정을 분석하여 특징적 탐구요소를 추출하였다. 추출된 탐구요소 가운데 문제발견과 가설설정을 적용한 프로그램으로서 완두를 활용한 모의실험탐구중심의 과학영재교육프로그램을 개발하였다. 개발한 과학영재교육프로그램은 대학교 부설 과학영재교육원 소속 중학교 1, 2학년 학생 19명(남학생 11명, 여학생 8명)을 대상으로 적용되었다. 적용한 결과, 학생들은 문제발견 능력의 하위요소 융통성, 정교성, 독창성이 신장되었고, 가설설정 능력의 논리성도 신장되었다. 이에 개발된 과학영재교육프로그램은 중학교 과학영재로 선발된 학생들의 문제발견 및 가설 설정 능력을 향상시키는데 효과가 있는 것으로 고찰되었다. In the process of establishing the principle of genetics, Mendel discovered problems based on various observations. Mendel’s scientific thinking ability can be effective if this ability is embedded in gifted science education programs. The study aims to develop a science gifted education program utilizing Mendel’s scientific thinking ability shown in the principles of genetics and examine students’ changes in scientific thinking ability before and after the program implementation. For the program development, first, the characteristics of Mendel’s scientific thinking ability in the process of establishing the principle of genetics were investigated and extracted the major elements of inquiry. Second, the science gifted education programs was developed by applying the inquiry elements from the Mendel's Law. The program was implemented with 19 students of 7th, 8th graders who attend the science gifted education center affiliated with university during July 2011. The Mendel's scientific thinking ability was classified into induction, deduction, and integration. The elements of inquiry extracted from the Mendel’s scientific thinking include making observation, puzzling observation, proposing causal questions, generating hypothesis, drawing inference, designing experiment, gathering and analyzing data, drawing conclusions, and making generalization. With applying these elements, the program was developed with four phases: 1st - problem finding; 2nd - hypothesis generating; 3rd - hypothesis testing and 4th - problem solving. After implementation, students’ changes in scientific thinking ability were measured. The findings from the study are as follows: First, students’ abilities of problem finding is significantly (p<.05) increased. Second, students’ abilities of hypothesis generating is significantly (p<.05) increased.

韓方看護師의 役割에 대한 硏究

옥도훈,박찬국,신순식 한국한의학연구원 1999 한국한의학연구원논문집 Vol.5 No.1

The goal of this study is to review and define the role of nurses who are engaged in Korea Oriental treatments in oriental medical hospitals. We think this study can contribute to the development of "Korea Oriental medical science & nursing science" and "Public health care". A large portion of nurses's role in Korea Medicine(KOM. 한방/한의학) is assistance to doctors treatment. But besides of these role, we think there are many things that are riskless for nurses to do alone. But in present situation, few nurses in KOM, have enough knowledge to treat these medical treatments alone. So we believe this study will provide a way for nurses to participate more actively in KOM public health care. So we believe this study will provide a way for nurses that have been practiced in oriental medical health care. With the goal of this study, we checked all medical treatments that have been practiced in oriental medical hospitals, and classified these treatments with some groups. And we organized a inquiry. At this inquiry, we ask "What is th adequate role of nurses in Korea Oriental medical treatment? & What kind of treatment can nurses do?" We got 58 responses from nationwide 121 hospitals. From these response, more than half of them said nurses can do following medical treatment in the oriental medical hospital: 1. starting and ending part of following treatments; External treatments by instrument, by hydrotherapy, by herb, by suction, moxibustion, Manipulative therapies on soft structure, Living and mind-body therapies. 2. pulling out Acupuncture. 3. boiling herb, judgement on dosing temperature, assisting in dosing, 4. assisting Diet. 5. operating from Living and mind-body therapies. 6. leading Physical training However, these results are coming out from present situation. So, after well-oriented instructions for nurses, this study will be need to carry out again. From this study, we suggest a desirable curriculum for students who study "Korea Oriental Nursing Science". That is to say, at basic course students take 4 subject for 6 credit. And at as an expert course, it should be dividend into Clinical Nursing Specialist in KOM,. Self-care Nursing Specialist and take 17credits per each course.