장애아동의 가족탄력성에 영향을 미치는 요인에 관한 연구

김미옥,Kim, Mi-Ok 한국사회복지학회 2001 한국사회복지학 Vol.47 No.-

Little empirical study has been conducted concerning family resilience of family of children with disabilities. The purpose of this study is to examine the variables that may influence the level of family resilience and family resilience level of family of children with disabilities. This study used the sampled of 363 family of children with disabilities selected from 17 community rehabilitation centers. The measurement of family resilience composed of the base of Walsh(1998)'s theory. And using confirmatory factor analysis, it was confirmed that the scale has three factor such as belief system, organizational pattern and communication process. This study showed that using 5 points scale, mean of belief system is 3.62. And mean of organizational pattern is 3.38 and mean of communication process is 3.73. In identifying predictor of the family resilience, this study used variables from the following aspects: perspective of disability of children, intra-aspect of family, extra-aspect of family. Using Regression analysis, it was found that attitude of family of disability and spouse relationship influenced all sub-aspect of family resilience. Specially, helping of professional influenced belief system, accept of disability influenced organizational pattern. And positive expectation of family of disability influenced communication process. This finding give us significant practical implications for social work intervention & the direction of future research in family resilience.

미국 버지니아주 거주 한국인과 미국인의 건강상태 인식도 및 짠맛 기호도 비교

김미옥,Kim, Mi-Ok 한국식품영양학회 2014 韓國食品營養學會誌 Vol.27 No.4

This study was conducted as a comparative analysis, using the SPSS 17.0 program for a survey conducted from March to July 2013, on the level of perception and preference factors of Koreans and Americans residing in Virginia, USA(89 male and female adults of 20 years of age or above). For the information on the degree of obesity, a survey was used and the subjects provided with their heights and weights. The researcher used this data to calculated their BMI and distinguished the degrees of obesity. For the BMI, the obesity diagnosis of Korean Society for the Study of Obesity was used for Koreans, and the WHO's obesity diagnosis on adults were employed for Americans. First, regarding the Korean participants, the level of obesity appeared in the order of normal (79.6%), overweight (14.3%), and underweight (6.1%). Also, the level of perceptions of their health conditions appeared in the order of average (51.7%) and good (34.7%). No one perceived their health to be in poor condition. Meanwhile, for the American participants, the order was as follows: overweight at about 45%, normal weight at about 35%, obesity at about 12.5%, and underweight at about 7.5%. In terms of the level of perception of health during ordinary times, about 55% of the American participants answered that they are in good health. Therefore, the Americans were found to perceive their health to be in relatively better condition than the Koreans residing in the USA. Also, concerning the level of interest in health while eating food at ordinary times, the American participants were discovered to be more interested (about 62.5%) than the Korean participants. The research on their preference for salty taste was conducted as a survey, and the subjects were asked to choose an item according to their subjective feeling. Regarding the preference for salty taste, both Koreans and Americans residing in the USA responded as moderate. However, a higher proportion of Americans than Koreans responded to favor salty taste. Concerning the reason for their preference for salty taste, Koreans responded with various reasons whereas Americans mostly responded that it is because they eat salty food frequently. For any changes in dietary behavior related to eating salty food, both Korean and American respondents thought that the amount of their daily intake of salt is appropriate and that they consider taste as most important in selecting a snack. Based on the above data, the results of this research indicate a need for actual improvement in the diet with regard to salty food along with diverse policies for promoting life with a low salt diet in future.

안양천 생태계의 회복과 주민의식

김미옥,Kim, Mi-Ok 한국하천협회 2007 하천과 문화 Vol.3 No.3

제9회 산업보건학술제 포스터 - 충북 일부지역의 소음노출 근로자 5년간 청력검사결과 분석

김미옥,Kim, Mi-Ok 대한산업보건협회 2017 산업보건 Vol.345 No.-

연구장비 Grid

김미옥,Kim, Mi-Ok 한국과학기술정보연구원 2002 지식정보인프라 Vol.8 No.-

연구장비 Grid는 고속의 네트웍으로 첨단연구장비를 연결하여 연구장비 전용망을 구성하고, 연구장비 망에 접속 가능한 모든 연구자들에게 이용이 편리한 표준화된 미들웨어를 제공하여 장비와 연구자 간의 거리와 상관없이 연구자가 원격지의 장비를 제어하고, 실시간으로 데이터를 처리함과 동시에 화상 대화를 통해 다른 연구자들과 실험 과정 및 결과에 대한 토론을 수행할 수 있다. 이러한 기능을 제공하는 연구장비 Grid가 구축되면 국내 연구장비 공동활용 활성화는 물론 해외 첨단연구장비를 사용할 수 있고, 또한 해외연구자 및 북한연구자와도 공동연구를 수행할 수 있을 것이다.

제오급와동(第五級窩洞) 수복(修復)에 사용(使用)되는 수종(數種) 충전재(充塡材)의 변연누출(邊緣漏出) 비교(比較)

김미옥,조규징,Kim, Mi-Ok,Cho, Kyew-Zeung 대한치과보존학회 1989 Restorative Dentistry & Endodontics Vol.14 No.2

발거된 소구치 80개의 협, 설면에 교합면쪽의 법량질변연과 치은쪽의 상아질변연을 부여한 제 5급와동을 형성한 후, 각 20개씩 4개의 군으로 나누었다. 각 군별로 초미세입자형 광중합 복합레진과 법랑질접착체인 Durafill$^{(R)}$-Durafill bond$^{(R)}$, Bisfil M$^{(R)}$-Resin bond$^{(R)}$, 초미세입자형 복합레진과 상아질 접착제인 Silux$^{(R)}$-Scotchbond$^{(R)}$ 그리고 글라스 아이오노머 시멘트인 Fuji ionomer$^{(R)}$로 충전하였다. 온도변화는 $40^{\circ}C$와 $60^{\circ}C$의 2% methylene blue 용액에 각각 30초간 침척을 반복시킨 후 $37^{\circ}C$ 동용액에 24시간 경과시켜 법랑질변연부와 상아질변연부에서의 색소침투를 관찰하므로써 변연누출의 정도률 비교한 바 다움과 같은 결과를 얻었다. 1. 법랑질변연부에서 Durafill$^{(R)}$-Durafill bond$^{(R)}$, Bisfil M$^{(R)}$-Resin bond$^{(R)}$ 및 Silux$^{(R)}$-Scotchbond$^{(R)}$군 상호간에는 대차가 없었으나(P>0.05), 3군 공히 Fuji ionomer$^{(R)}$군보다는 변연누출이 적었다(P<0.01). 2. 상아질변연부에서는 Silux$^{(R)}$-Scotchbond$^{(R)}$군과 Fuji ionomer$^{(R)}$군이 각각 Durafill$^{(R)}$-Durafill bond$^{(R)}$군 및 Bisfil M$^{(R)}$-Resin bond$^{(R)}$군에 비해 변연누출이 적었다(P<0.01). 3. 충전한 모든군의 5급 와동에서 법랑질변연부가 상아질변연부보다 변연누출이 적었다(P<0.01). The purpose of the study is to evaluate the degree of the marginal leakage of class V cavities with 4 brands of esthetic filling materials by means of the dye penetration at the enamel & dentinal margins. 160 cavities of class V were prepared on the buccal & lingual surfaces of 80 extracted premolar teeth, which divided into 4 groups. The four groups of cavities were filled with Durafill$^{(R)}$-Durafill bond$^{(R)}$(KuIzer & Co GmbH), Bisfil M$^{(R)}$-Resin bond$^{(R)}$(BISCO Inc.), Silux$^{(R)}$-Scotchbond$^{(R)}$(3M Co.) and Fuji ionomer$^{(R)}$(type II, G-C Co.) each. All specimens were immersed in 2% methylene blue dye solution for 24 hours at $37^{\circ}C$ after a 30-second thermocycling at $4^{\circ}C$ and $60^{\circ}C$ and longitudinally sectioned with diamond disk into two parts. The results were as follows : 1. At enamel margins, the group filled with Durafill$^{(R)}$-Durafill bond$^{(R)}$, Bisfil M$^{(R)}$-Resin bond$^{(R)}$ and Silux$^{(R)}$-Scotchbond$^{(R)}$ show no significant difference each other(p>0.05), and the above groups show less marginal leakage comparing with the group filled with Fuji ionomer$^{(R)}$(p<0.01). 2. At dentinal margins, the group filled with Silux$^{(R)}$-Scotchbond$^{(R)}$ or Fuji ionomer$^{(R)}$ show less marginal leakage than that with Durafill$^{(R)}$-Durafill bond$^{(R)}$ or Bisfil M$^{(R)}$-Resin bond$^{(R)}$(p<0.01). 3. The enamel margins show less marginal leakage than dentinal margins in all the class V cavities(p<0.01).

내과계 중환자들의 예후 판정에 었어서 제 7병일 APACHE III 점수의 임상적 유용성

김미옥,윤수미,박은주,손장원,양석철,윤호주,신동호,박성수,Kim, Mi-Ok,Yun, Soo-Mi,Park, Eun-Joo,Sohn, Jang-Won,Yang, Seok-Chul,Yoon, Ho-Joo,Shin, Dong-Ho,Park, Sung-Soo 대한결핵및호흡기학회 2001 Tuberculosis and Respiratory Diseases Vol.50 No.2

연구배경 : 중환자의 예후를 계량화 하려는 채점 체계 중 APACHE III 체계는 중환자실 제1병일 접수는 물론 일 갱선점수도 중환자의 예후를 예측할 수 있는 것으로 알려져 왔다. 평균 재원일이 외국과 비교하여 3-4배의 차이가 나는 점을 감안하면, 일 갱신점수는 예후를 판정하는 지표로서 경제적 효율성이 떨어진다. 이에 제7병일(평균 중간 재원일)의 APACHE III 점수의 임상적 유용성에 관해 알아 보고자 하였다. 방 법 : 1997년 6월부터 1998년 4월까지 한양대학교 구리병원 내파계 중환자실에 입원한 241명의 제1병일과 7병일 APACHE III 점수를 조사하여 생존군과 비생존군 간의 차이를 분석하였다. 결 과 : 전체 환자 수는 241명으로 이 중 사망자가 65명으로 26.6%의 사망률을 나타내었으며 평균 재원일 수는 $10.3{\pm}13.8$일이였다. 제1병일 APACHE III 점수는 $59.7{\pm}30.9$, 제7병일 APACHE III 점수는, $37.9{\pm}27.7$점이였다. 제1병일과 제7병일 APACHE III 점수는 생존군과 비생존군에서 $49.9{\pm}23.8$, $86.3{\pm}32.3$점, $30.1{\pm}18.5$, $81.1{\pm}30.4$점으로 유의한 차이를 보였다(P<0.0001, P<0.0001). APACHE III 점수가 사망률에 미치는 영향을 알아보기 위하여 로지스틱 회귀분석을 시행한 결과 제1병일과 제7병영일의 비차비(odds ratio)는 각각 1.0507, 1.0779로 유의한 결과를 나타내었다(P<0.0001). 결 론 : 이상의 결과로서 제1병일 APACHE III 점수 뿐 아니라 제7병일 점수 또한 사망률 예측과 입원 후 치료 경과에 의해 변화된 예후를 평가하기에 유용한 척도임을 알 수 있었다. 평균 중간 재원일인 제7병일 APACHE III 점수는 일 갱선점수가 경제적으로 물적, 인적 비용이 많이 드는 상황에서 비용효과면에서 임상의에게 도움을 줄 수 있다고 판단된다. Background : Most current research using prognostic scoring systems in critically ill patients have focused on prediction using the first intensive care unit (ICU) day data or daily updated data. Usually the mean ICU length of stay in Korea is longer than in the western world. Consequently, a more cost-effective and practical prognostic parameter is required. The principal aim of this study was to assess the prognostic value of the seventh day(7th day : the average mean ICU length of stay) APACHE III score in a medical intensive care unit. Methods : 241 medical ICU patients from July 1997 to April 1998 were enrolled. The 1st and 7th scores were measured by using the APACHE III scoring system and compared between survivors and non-survivors. Logistic regression analysis was performed to determine the relationship between the $1^{st}$ and $7^{th}$ APACHE III scores and the mortality risk. Results : 1 )The mean length of stay in the ICU was $10.3{\pm}13.8$ days. 2)The mean $1^{st}$ and $7^{th}$ day APACHE III scores were $59.7{\pm}30.9$ and $37.9{\pm}27.7$. 3) The mean $1^{st}$ day APACHE III score was significantly lower in survivors than in non- survivors($49.9{\pm}23.8$ vs $86.3{\pm}32.3$, P<0.0001). 4)The mean $7^{th}$ day APACHE III score was significantly lower in survivors than in non- survivors($30.1{\pm}18.5$ vs $80.1{\pm}30.4$, P<0.0001). 5)The odds ratios among the $1^{st}$ and $7^{th}$ day APACHE III scores and the mortality rate were 1.0507 and 1.0779 respectively. Conclusion : These results suggest that the seventh day APACHE III score is as useful in predicting the outcome as is such like the first day APACHE III score. Therefore, in comparison to the daily APACHE III score, measuring the $1^{st}$ and $7^{th}$ day APACHE III scores are also useful for predicting the prognosis of critically ill patients in terms of cost-effectiveness. It is suggested that the $7^{th}$ day APACHE III score is useful for predicting the clinical outcome.

일 대학병원 중환자실 간호사의 음독자살시도 환자 간호 경험: 포커스 그룹 연구

김미옥,조흥돈,봉은경,손연정,박영수,Kim, Mi Ok,Cho, Heung Don,Bong, Eun Kyung,Son, Youn-Jung,Park, Young-Su 한국중환자간호학회 2013 중환자간호학회지 Vol.6 No.1

Purpose: This study to describe experiences of nurses who work in intensive care units (ICUs) where they frequently encounter patients with attempted suicide by drug ingestion. Methods: Data were collected by 2 focus group interviews with 9 ICU nurses. The interview were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: The results of data analysis, five themes were drawn: 'Confusion about for the attempted suicidal patient care', 'Helplessness for dying with attempted suicidal patients', 'Guilty for insufficient care', 'Ambivalence for the attempted suicidal patients', 'Recognition of need for professional approach'. Conclusion: The results of this study help us to understand patients who attempted suicide through the ICU nurses' experience. It would be useful to develop effective education programs for ICU nurses to preventive strategies for patients who are high risk of recurrence of suicidal crisis situation.

장애인의 임파워먼트 과정에 관한 연구 - 성인기 이전의 경험을 중심으로 -

김미옥(Kim Mi-Ok),김희성(Kim Hee-Sung),이민영(Lee Min-Young) 한국사회복지학회 2005 한국사회복지학 Vol.57 No.1

본 연구는 ‘장애인의 임파워먼트 과정은 어떠한가’라는 연구 질문을 가지고 장애인의 성인기 이전 임파워먼트 과정과 결과를 심층적으로 탐색한 것이다. 이를 위해 장애대학생 11명을 심층면접 한 후, 스트라우스와 코빈(Strauss & Corbin, 1998)의 근거이론 방법을 활용하여 분석하였다. 연구 참여자들의 근거자료를 분석한 결과 장애인의 성인기 이전 임파워먼트 과정의 중심현상은 '한계를 딛고 일어섬'인 것으로 분석되었다. 이에 대한 인과적 조건은 '그냥 살음'과 '장애 인식'이며, 맥락적 조건은 '배제당함', '그래도 바래봄', '좌절함'으로 나타났다. 장애인들은 한계를 딛고 일어서는 과정에서 '끈기있게 해냄'과 '지지 받음'의 조건에 의해 중재 받았으며, ‘생활방식을 터득함’, ‘주도적으로 살음’의 상호작용전략을 활용하는 것으로 나타났다. 또한 임파워먼트의 결과로 장애인은 ‘자기조절감을 얻음’, ‘배려심을 갖게 됨’, ‘사회에 참여함’의 모습을 갖는 것으로 파악되었다. 이러한 결과를 통해 핵심범주는 ‘장애인으로서 주도적인 삶의 방식을 터득하여 당당하게 함께 살아감’으로 구체화되었고, 이는 장애인 임파워먼트의 3유형 즉, 사회변화 주도형, 개인발전 추구형, 소극적 노력형으로 유형화할 수 있었다. 장애인의 임파워먼트는 ‘단절단계’, ‘일어섬의 단계’, ‘터득하는 단계’, ‘당당하게 함께 하는 단계’의 과정으로 이루어지며 특히 장애인의 임파워먼트는 한번으로 종결되는 것이 아니라 생애주기에 따라 반복되고 발전하는 순환적 구조를 가지는 것으로 나타났다. 이와 같은 연구 결과는 장애인의 성인기 이전 발달과정에 기초하여 이들의 보편성과 특수성에 기초한 임파워먼트 과정 및 결과를 규명함으로써 이론 구축 및 장애인복지에 그 함의가 있다. This study was performed to analyze empowerment process of the disabled. Participants were 11 disabled college students and they were individually face-to-face in-depth interviewed until data were saturated. This study used the grounded theory approach based on Strauss and Corbin(1998). With the qualitative constant comparative analysis, 105 concepts, 22 subcategories, and 12 categories were generated. In the axial coding, a paradigm model was proposed as follows : The central phenomenon of the empowerment process of the disabled adolescents was 'Rising from the Limits'. The causal conditions were 'Just living' and 'realizing disabilities'. The contextual conditions were 'Being excluded', 'But wishing', and 'Breaking down'. The intervening conditions were 'Without giving up' and 'Taking support'. The action/interaction strategies were 'Grasping own lifestyle' and 'Being proactive'. The consequences were 'Acquiring the self-control', 'Getting generosity', and 'Participating in society'. In the selective coding, the core category was 'to live together stately with grasping own lifestyle pro-actively as the disabled'. Based on the core category, three types and 4 stages of the empowerment process of the disabled adolescents were found. The types were 'Social change oriented type', 'Self-development oriented type', and 'Passive effort oriented type' and the stages took 'Isolation stage', 'Rising stage', 'Mastering stage' and 'Stately being together stage'. In particular, this process had the circulation structure of which these 4 stages are not terminated, and developed and repeated. In conclusion, these results convey to us the understanding and knowledge about empowerment process of the disabled as their healthy -whole and unique- development process. And some implications and suggestions for the social work services and theories about the disabled focusing on the pre-adulthood period.

불임 여성의 부부친밀감, 성 의사소통 및 성만족도

김미옥(Kim, Mi-Ok) 한국웰니스학회 2016 한국웰니스학회지 Vol.11 No.1

본 연구는 불임 여성의 성 관련 문제에 대한 이해를 높이기 위해, 불임 여성이 경험하는 부부의 친밀감과 성의사소통 및 성만족도 정도를 파악하고, 성만족도에 영향을 미치는 요인을 파악하고자 시도되었다. 불임 여성의 성만족도 정도는 3.22±.46로 1~5점 점수범위에서 중간 정도로 질병으로 인해 성문제를 경험하는 여성과 그 배우자의 경우와 유사한 수준으로 나타나 이들의 성문제를 조기에 사정하고 적절한 중재를 시행해야 할 필요가 있음을 알 수 있었다. 또한 본 연구에서 불임 여성의 성만족도에 영향을 미치는 첫 번째 요인은 성 의사소통, 두 번째 요인으로 부부의 친밀감이 보고 되어 불임 여성의 성만족도에 부부의 상호작용이 근간이 됨을 알 수 있었다. 즉, 임신은 부부의 공동 과업으로 불임의 진단과 치료과정이라는 일련의 사건을 경험하는 동안 불임 여성 개인이 느끼는 성만족도는 배우자의 이해와 지지를 기반으로 하는 상호작용의 큰 틀안에서 변화하고 조정될 수 있으므로 부부의 상호간의 이해를 도우고, 적극적으로 상호작용할 수 있도록 중재 기틀을 마련할 필요가 있겠다. This study aimed to improve the understanding of infertile women’s sexual problems by assessing their marital intimacy, sex communication, and sexual satisfaction and identifying factors on their sexual satisfaction. Infertile women’s sexual satisfaction was found to be comparable to that of the women with sexual problems from illness and their spouses, averaging 3.22±.46 out of 1 to 5 scale. Therefore, it is necessary to assess the infertile women’s sexual problems at an early stage and apply appropriate interventions. We also identified the sex-related communication as the most influencing factor and the marital intimacy as the second most influencing factor on the infertile women’s sexual satisfaction, and concluded that their sexual satisfaction is based on their marital interactions. As pregnancy is a collaborative result, during the infertility diagnosis and treatment the infertile women’s sexual satisfaction can change based on the spouses’ understanding and support. Therefore, an intervention program needs to promote mutual understandings of the couples and active interactions between them.