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일개 독립형 호스피스 기관의 가정호스피스 이용자 특성 및 서비스 제공 실태
김형숙,전경자,손영순,Kim, Hyoung Suk,June, Kyung Ja,Son, Young Sun 한국호스피스완화의료학회 2016 한국호스피스.완화의료학회지 Vol.19 No.2
목적: 본 연구는 독립형 호스피스기관의 가정호스피스 서비스에 등록한 말기환자의 특성과 가정호스피스 서비스 제공 실태를 파악하여 가정호스피스 서비스 모델 개발을 위한 기초자료를 제공하기 위하여 수행되었다. 방법: 일개 독립형 호스피스기관의 가정호스피스에 등록하여 방문서비스를 받고, 2014년 1월 1일부터 2014년 12월 31일 사이에 서비스가 종료된 말기환자의 의무기록지 75개를 후향적으로 분석하였다. 결과: 등록 환자의 54.7%가 자가 의뢰를 통하여 가정 호스피스를 이용하였다. 종료 후 25.3%가 가정에서 임종하였고, 50.7%는 호스피스병동, 22.6%는 대학병원이나 요양병원으로 입원하였다. 등록 당시 97.3%가 암성질환이었으며, 비암성질환으로 가정호스피스를 이용한 경우는 2.7%였다. 등록 환자의 58.7%가 임종기에 있었으며, 34.7%는 거의 완전한 와상 상태에 있어 전반적으로 낮은 활동수준을 보였다. 등록 당시 환자들이 가진 신체 증상은 통증(89.4%), 수면장애(71.2%), 배변문제(47.8%), 배뇨문제(35.8%) 순으로 나타났다. 전체 환자의 77.4%가 1개월 이내에 서비스가 종결되었다. 환자들에 대한 가정방문 횟수는 평균 3.25회로 전체 환자의 82.7%가 5회 미만의 가정방문을 받고 서비스가 종결되었으며, 전화상담 횟수는 평균 3.4회였다. 의사 방문 횟수는 평균 1.21회였으며, 이는 불안정기에 유의하게 증가하였다. 결론: 독립형 호스피스기관을 이용하는 환자의 특성과 서비스 제공 형태를 반영한 가정호스피스 서비스 모델 개발이 필요하다. Purpose: This study was conducted to investigate patients' characteristics and actual conditions of home-based services offered by a free-standing hospice center. Methods: A retrospective review was performed with the medical records of 75 patients who received home-based hospice care from a free-standing hospice center from January 2014 through December 2014. Results: Most patients (54.7%) were enrolled via self-directed referral. The reason for the service termination was death at home 25.3%, admission to a hospice ward 50.7%, hospitalization 22.6% and patients' refusal 2.7%. Seventy three patients had cancer, and two patients had ALS. Among all, 58.7% were in a dying phase, and 34.7% were almost completely bedfast at the time of their enrollment in this study. When they enrolled, the patients' physical symptoms were characterized as pain (89.4%), sleep disturbance (71.2%), urinary difficulties (35.8%) and defecation difficulties (47.8%). Among all, 77.4% terminated the home visit service within one month. The mean frequency of the home visits was 3.25 (${\pm}3.98$), and less than five in 82.7% of patients. The mean frequency of the phone service was 3.40 (${\pm}3.12$). The frequency of doctor's home visits was $1.21{\pm}0.79$ on average, and the figure increased when patients' conditions turned unstable. Conclusion: It is necessary to develop a home-based hospice care model with consideration of patients' characteristics and the actual service conditions delivered by free-standing hospice facilities.
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전시와 권력: 1960~1970년대 한국 현대미술에 작용한 권력
김형숙,Kim, Hyung-Sook 한국미술이론학회 2005 미술이론과 현장 Vol.3 No.-
Contemporary Korean art in the 1960s and the 1970s reflects the social and political contexts in Korea from the 5 16 revolution through the Yoo Shin period. This paper investigates whether art has been free from power or not. It examines the power embedded in contemporary Korean art in the 1960s and the 1970s. This paper examines the historical moments of the Korean Art Exhibition, focusing on the complications between the abstract and figurative artworks of the 1960s. One of the significant art exhibitions since the 8 15 liberation of Korea, the Korean Art Exhibition witnessed conflict among Korean artists who wanted to have power in the art world of Korea. Institutional contradiction based on factionalism and conservatism prevailed in the Korean Art Exhibition was attacked by the avant-garde young artists in the 1960s. With the contact of Abstract Expressionism, young artists' generation participated in the The Wall Exhibition. This exhibition challenged and established moral principles and visualized individual expression and creation similar to the Informal movement in the West. In the world of the traditional painting of Korea, the Mook Lim Exhibition of 1960, organized by young artists of traditional painting, advocated the modernization of Soo Mook paintings. Additionally, abstract sculptures in metal engraving were the new trends in the Korean Art Exhibition. In the 1970s, the economic development and establishment of a dictatorial government made the society stiffen. Abstract expression died out and monochrome painting was the most influential in the 1970s. After the exhibition of Five Korean Artists, Five White Colors in the Tokyo Central Art Museum in 1976, monochrome paintings were formally discussed in Korea. 'Flatness' 'physicality of material' 'action' 'post-image' 'post-subjectivity' and 'oriental spirituality' were the critical terms in mentioning the monochrome paintings of the 1970s. 'Korean beauty' was discussed, focusing on the beauty of white which was addressed by not only Yanagi Muneyoshi but also the policy of national rehabilitation under the Yoo Shin government. At this time, the monochrome paintings of the 1970s in Korea, addressing art for art's sake, cutting of communication with the masses, and elitism, came to be authorized.
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일부 대학생들의 라면 섭취 관련 식행동과 국물 섭취 실태 조사
김형숙(Hyung Sook Kim),이은영(Eun Young Lee),김경민(Kyung Min Kim),김경원(Kyung Won Kim),변진원(Jin Won Pyun),정상진(Sang Jin Chung),권영혜(Young Hye Kwon),여익현(Ik Hyun Yeo),이상윤(Sang Yun Lee),남기선(Ki Sun Nam) 대한지역사회영양학회 2013 대한지역사회영양학회지 Vol.18 No.4
High intakes of sodium may increase the risk of hypertension or cardiovascular diseases. According to the 2010 Korea National Health and Nutrition Survey, the average intake of sodium was 4,878 mg/day with salt, kimchi, soy sauce, fermented soybean paste and Ramyeon being the five main sources of sodium. In order to identify solutions to reduce the intake of sodium, we investigated the intake patterns and eating behaviors of Ramyeon among 347 college students (male 146, female 201) using survey questionnaires. The average age of study subjects was 23.7 years for males and 20.5 years for females. The average Body Mass Index (kg/m2) was 21.9 for males and 20.1 for females. The average frequency of Ramyeon intake was 2.0 times/week. The main reason for eating Ramyeon was convenience (56%), followed by good taste (27%), low price (11%) and other reasons (9%). The criteria for choosing Ramyeon were taste (72%), convenience (14%), price (7%), nutrition (1%), and the other factors (2%). Males` average intake of Ramyeon soup (61%) was higher than that of the females (36%). The estimated intake of Ramyeon soup by survey showed a positive correlation with the measured intake of Ramyeon soup. Sodium contents of Ramyeon were measured separately for the noodles and the soup, which were 1,185 mg/serving and 1,148 mg/serving each. Therefore, the amount of sodium intake can be reduced if students eat less Ramyeon soup. Also, we observed that dietary behaviors and soup intakes of Ramyeon between the sexes were different. Appropriate nutritional education for proper eating habits may help decrease the intake of sodium. (Korean J Community Nutr 18(4) : 365~371, 2013)
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예비유아교사의 창의·인성 증진을 위한 「창의·인성교육의 이론과 실제」강좌 개발
김형재(Hyoung-Jai Kim),구성수(Sung-Soo Koo),김형숙(Hyung-Sook Kim),김경숙(Kyoung-Suk Kim),김정빈(Jeong-Bien Kim),허수윤(Su-Yun Heo) 한국산학기술학회 2014 한국산학기술학회 학술대회 Vol.2014 No.2
본 연구에서는 예비유아교사들의 창의․인성을 증진시키고자 「창의․인성교육의 이론과 실제」강좌를 개발하고자 하였다. 본 「창의․인성교육의 이론과 실제」강좌를 개발한 절차는 창의·인성교육 강좌 개발의 필요성 진단, 창의·인성교육의 기본방향 설정, 팀티칭 교수학방법 적용, 「창의․인성교육의 이론과 실제」강좌 시안 구성 및 개발, 최종 「창의․인성교육의 이론과 실제」강좌 완성의 총 5단계를 거쳤다. 이에 「창의․인성교육의 이론과 실제」강좌의 교육과정은 총 3시간씩 10주로 구성되었으며, 각 전문가별 활동은 총 8개가 개발되었다.
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여성노인 생활무용프로그램 개발을 위한 타이치 동작과 한국무용 동작의 비교: 근전도와 운동학적 분석
김형숙 ( Hyung Sook Kim ) 한국예술교육학회 2014 예술교육연구 Vol.12 No.3
본 연구의 목적은 타이치 운동과 유사한 효과를 얻을 수 있는 한국무용기반 생활무용프로그램 개발을 위해 타이치 동작과 한국무용 동작의 운동학적 특성과 근육사용 특성을 비교하는 것이었다. 이를 위하여 타이치의 초기 12가지 기본동작을 기준으로 7가지 동작을 추출하였고, 이와 유사하다고 판단한 한국무용의 움직임 7가지 동작을 선정하였다. 근골격계 질환이 없는 7명의 무용수가 실험에 참가하였고, 실험 전 타이치와 한국무용 동작을 연습하였다. 동작분석을 위해 3차원 영상분석 카메라를 이용해 무용동작 움직임 정보를 획득하고, 무게중심(COG)의 이동특성과 하지관절(엉덩관절, 무릎관절, 발목관절)의관절각 움직임과 하지근육(대퇴직근, 반건형근, 전경골근, 비복근)의 근전도를 분석하였으며 그 결과는 다음과 같다. 연구결과 COG 전후방향, 상하방향의 이동범위에서 한국무용이 타이치에 비해 큰 것으로 분석되었다. COG의 속도와 가속도 최대값은 상하 방향에서만 한국무용이 타이치보다 더 크게 나타났다. 하지 관절 각 움직임 범위와 하지 근육 중 대퇴직근, 반건양근, 비복근의 근전도 값이 타이치에 비해한국무용동작에서 크게 나타났다. 이러한 결과는 한국무용의 움직임이 타이치에 비해 상하움직임이 강조된 동작으로 구성되었음을 의미한다. 한국무용 동작은 COG의 상하움직임 특성이 강조되어 있기 때문에 하지 근력 강화측면에서만 본다면 타이치 보다 더 좋은 효과를 얻을 수 있을 것이다. The purpose of this study was to compare and investigate Korean Dance(KD) Movement and Tai Chi(TC) Movement. To provide a reinforcement of elderly women living dance program flexibility and strength is to extract the movement behavior with the same effect in the movement of the dance Korea extracts the seven motion relative to the first 12 of the basic operation of the Tai chi in this study. The kinematic data of the subjects was recorded by 8 Qualisys cameras at 100Hz. The EMG signals were measured. The results are as follows: (1) the length range of pathways of COG of body during KD was significantly larger than during TC. (2) The maximum velocity and accelerometer of COG movement during KD were larger than during TC. (3) The range of motion of Hip, Knee, and Ankle joint in KD were larger than during TC. (4) The EMG maximum value of lower extremities muscles (Rectus femoris, Semitendinosu, Gastrocnemius) were larger om KD than in TC. The characteristics of Korean dance movement was that the vertical component of the COG during KD travelled faster and wider than the vertical compoenet of COG during TC. The Korean dance have unique biomechanical characteristics that may result in special to leg strength and balance control capacity.
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