국민건강보험공단 자료를 활용한 전립샘암 발생의 위험요인 연구: 연령별 BMI 영향

김혜심 ( Hye Sim Kim ),고태화 ( Tae Hwa Go ),강대용 ( Dae Ryong Kang ),정재흥 ( Jae Hung Jung ),권성원 ( Sung Won Kwon ),김세철 ( Sae Chul Kim ),송재만 ( Jae Mann Song ),정현철 ( Hyun Chul Chung ),고상백 ( Sang Baek Koh ) 한국보건정보통계학회(구 한국보건통계학회) 2019 보건정보통계학회지 Vol.44 No.4

Objectives: To provide evidences for effective management and prevention of prostate cancer (PCa) by analyzing risk factors of prostate cancer in Korea. Methods: This study utilized the Korean National Health Insurance Service data of patients diagnosed with PCa between 2013 and 2017 and the risk factors were identified using the health checkup records from 2009 to 2010. To identify risk factors that affect the incidence of prostate cancer, the Cox proportional hazard model was used to analyze. Results: The hazard ratio (HR) of incidence of PCa was 1.37 times higher (95% CI, 1.22-1.56) people with body mass index (BMI) over 30.0 k/m2 than those with BMI below 18.5 k/m2. And age stratification analysis has shown that increased BMI at 50 years old or older increases the risk of incidence prostate cancer from 1.35 to 2.38. Conclusions: Among the many risk factors affecting the development of prostate cancer, BMI has been identified as a risk factor for most ages. Therefore, it is necessary to consider the results of this study when establishing a policy for preventing the occurrence of prostate cancer. Through this, it is expected that not only the prevention of early prostate cancer but also the cost of socioeconomic loss can be lowered by lowering the incidence of prostate cancer.

우리나라 전립샘비대증 유병률: 국민건강보험공단자료를 이용하여

김혜심 ( Hye Sim Kim ),고태화 ( Tae Hwa Go ),강대용 ( Dae Ryong Kang ),정재흥 ( Jae Hung Jung ),권성원 ( Sung Won Kwon ),김세철 ( Sae Chul Kim ),송재만 ( Jae Mann Song ),정현철 ( Hyun Chul Chung ),고상백 ( Sang Baek Koh ) 한국보건정보통계학회(구 한국보건통계학회) 2018 보건정보통계학회지 Vol.43 No.3

Objectives: To provide evidences for effective management and prevention of benign prostate hyperplasia (BPH) by analyzing the status of the prevalence of BPH in Korea. Methods: This study was conducted on patients diagnosed with BPH from the claim data of the Korean National Health Insurance Service between 2012 and 2016. We calculated the age-standardization prevalence of patients with BPH and conducted comparative analysis by region and year. Results: The prevalence of age-standardization was 10,847.09 per 100,000 population in 2012 (95% CI, 10,828.72-10,865.47) and 23,552.31 in 2016 (95% CI, 23,526.70-23,577.92). According to comparative analysis by administrative districts, the cumulative prevalence was the highest at in Daejeon (26,076.23, 95% CI, 25,912.82-26,239.64) and the lowest in Ulsan (20,966.97, 95% CI, 20,795.85-21,138.08) in 2016. Also, the proportion of patients who did not visit continuously was 23.5% in 2013 and 37.1% in 2016. Conclusions: The prevalence of BPH increased by 46% in 2016 compared to 2012, and the prevalence increased with age. Therefore, in order to prevent BPH related health problem, it is necessary to develop a systematic management and preventive policy for a super-aged society.

일부 간호사의 근무환경에 따른 직업적 손상 및 신체적 ․ 정신적 건강상태 비교

김혜심(Kim, Hye-Sim),김윤신(Kim, Yoon-shin),홍민희(Hong, Min-hee),김진욱(Kim, Jin-Uk) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.1

본 연구는 간호사들의 근무환경에 따른 직업적 손상 및 신체적, 정신적 건강상태를 비교분석하기 위해 실시되었다. 서울의 한 대학병원에 근무하는 192명의 간호사를 조사대상으로 하였다. 근무환경과 직업적 손상에 따른 건강상태의 각각의 범주를 분석한 결과 신체적, 정신적 건강에 의미있는 차이가 있음을 발견하였다. 교대근무는 고정근무에 비해 직업적 손상과 상당한 관련이 있었다. 또한 밤근무가 다른 근무형태에 비해 간호사들의 신체적, 정신적 건강에 부정적 영향을 미치고 있음이 확인되었다. 따라서 근무환경과 직업적 손상에 의한 그들의 건강상 문제를 고려하여 근무체계가 개발되어야 할 필요가 있다. 그리고 밤근무자들을 위한 추가적인 지원 및 효과적인 밤근무를 위한 연구를 해야 할 것이다. This study was conducted to compare and analyse work-related injuries, physical and mental health status of nurses according to working environment. The subjects were 192 nurses working at a university hospital in Seoul. After analyzing each categories of health status by working environment and work-related injuries, meaningful differences were found physical and mental health status. And shift work was significantly related to work-related injuries compared to non-shift work. In addition, it was confirmed that nurses have negative influences from night work in physical and mental health compared to other work pattern. Thus, it would be necessary to improve working system with considering their health problems caused by working environment and work-related injuries. And we will have to be a study for effective night work and additional support for night workers.

의사소통 모래상자를 이용한 가족모래놀이치료가 아동의 부모-자녀 간 의사소통, 아동의 부적응 행동 및 자아존중감에 미치는 효과

김혜심(Hye Sim Kim),김진서(Jin Seo Kim),주혜령(Hye-Ryung Joo) 한국모래놀이치료학회 2022 모래놀이상담연구 Vol.18 No.2

본 연구의 목적은 의사소통 모래상자를 이용한 가족모래놀이치료가 부적응 아동의 부모-자녀 간 의사소통과 아동의 부적응 행동 및 자아존중감에 미치는 효과를 살펴보는 데 있다. 의사소통 모래상자를 이용한 가족모래놀이치료는 서울소재 어린이집의 만 5세 부적응 아동과 부모 두 가족을 대상으로 주 1회 60분씩 총 8회기의 프로그램으로 진행되었다. 의사소통 모래상자를 이용한 가족모래놀이치료의 회기 구성은 친해지기, 나의 가족 표현하기, 나를 표현하고 발견하기, 동적인 가족 표현하기, 무인도에서의 가족, 가족과 소통하기, 사랑하는 가족, 행복한 미래 등의 주제로 구성되었다. 부적응 아동의 부모-자녀 간 의사소통을 분석하기 위해 부모의 의사소통 검사와 담임교사의 아동의 부적응 행동 및 자아존중감 검사 그리고 가족 구성원의 KFD를 사전·사후로 실시하여 분석하였고 모래놀이에서의 가족 역동성과 모래상자의 변화 과정을 탐색하였다. 의사소통 모래상자를 이용한 부적응 아동의 가족모래놀이치료 결과는 첫째, 부모-자녀 간 의사소통이 긍정적으로 변화하였다. 둘째, 가정과 기관에서 아동의 부적응 행동이 감소하는 모습을 보였다. 셋째, 아동들의 자아존중감이 증진되었다. 본 연구는 부적응 아동의 가족을 대상으로 서로의 감정을 표현하는 의사소통과 아동의 부적응 행동 감소 및 자아존중감 증진에 의사소통 모래상자를 이용한 가족모래놀이치료의 효과를 확인하는 계기가 되었으며 아버지가 가족 구성원으로서 가족모래놀이치료에 함께 참여하고 협력했다는 점에서 의의가 있다. The purpose of this study was to examine the effects of family sand play therapy using communication sandboxes on parent-child communication, maladaptive behavior, and self-esteem in maladjusted children. The family sandplay therapy using the communication sandbox was conducted as a program for a total of 8 sessions of 60 minutes once a week for a 5-year-old maladjusted child and two parents at a daycare center I in Seoul. The composition of the session of family sandplay therapy using the communication sandbox is to get acquainted, express my family, express and discover myself, express a dynamic family, family on an uninhabited island, communicate with family, love family, happy future, etc. made up of themes. In order to analyze the parent-child communication of maladjusted children, parent-child communication tests, maladaptive behavior and self-esteem tests of children, the KFD of family members was conducted before and after the analysis, and the family dynamics in sandplay and the change process of the sandbox were explored. The results of this study shows, first, communication between parents and children changed positively. Second, children’s maladaptive behavior was reduced and in particular, they showed a stable social-emotional appearance, Third, self-esteem was improved. This study confirmed the effectiveness of family sand play therapy using communication sandboxes in reducing maladaptive behaviors and promoting self-esteem and communication in expressing each other’s feelings for families of maladjusted children. Also this study is significant in that the father participated and cooperated in family therapy as a family member.

낮은 자존감으로 부적응 행동을 보이는 유아의 모래놀이치료 사례 연구

김혜심(Kim, Hye Sim) 한국생애놀이치료학회 2021 한국생애놀이치료학회지 Vol.4 No.-

본 연구는 낮은 자존감으로 부적응 행동을 보이는 만 5세 여아의 모래놀이치료에서 유아의 긍정적인 자아개념 형성과 자존감 발달을 살펴본 것이다. 부모 초기면접, 어린이집 담임교사 상담, 유아 심리검사 결과를 토대로 총 20회기 모래놀이치료, 매 회기 10분 부모상담, 총 5회 교사상담을 8개월간 진행하였다. 모래상자에 표현된 놀이 주제와 흐름에 따라 초기, 중기, 종결단계로 나누어 내용을 분석하였고 그에 따른 유아의 심리적 변화와 자존감 발달 과정에 대해 고찰하였다. 또한 모와 교사 상담을 통해 가정과 어린이집에서의 부적응 행동 양상 변화를 살펴보았다. 연구 결과는 첫째, 유아는 치료자와 모자일체성과 같은 신뢰로운 관계를 형성하고 자유롭게 감정을 표현하였다. 둘째, 모래놀이 주제와 내용이 초기 단계에서는 혐오적이고 혼란스러웠으나 중기 단계에는 창작과 생산작업을 통해 부정적인 감정을 보상받고 긍정적인 모성상을 표현하였으며 종결단계에는 천지개벽과 대변혁 후 마침내 지상낙원으로 변화하면서 유아의 긍정적인 자아개념 형성과 자존감 발달을 보여주었다. 셋째, 모 및 담임교사와의 상담 결과 유아의 사회관계가 긍정적으로 변화되었으며 학습에 자신감을 보이고 문제해결을 위해 노력하는 등 부적응 행동이 사라지게 되었다. 결론적으로 본 사례연구는 모래놀이치료가 유아의 자아개념 형성과 자존감 발달을 돕는데 긍정적인 영향을 주었다는 점에서 의의가 있다. This study examines the formation of positive self-concept and development of self-esteem in the sandplay therapy of a 5-year-old girl who exhibits maladaptive behavior with low self-esteem. Based on the results of the initial parent interview, the daycare center teacher s consultation, and the infant psychological test, a total of 20 sessions of sandplay therapy, 10 minutes of parental counseling each session, and a total of 5 teacher counseling sessions were conducted for 8 months. According to the play theme and flow expressed in the sandbox, the contents were analyzed by dividing it into early, middle, and final stages, and the psychological changes and self-esteem development process of children were considered. In addition, the changes in maladaptive behavior patterns at home and daycare centers were examined through parent-teacher counseling. The results of the study were that first, infants formed a trusting relationship with the therapist and mother and child, and expressed their feelings freely. Second, the theme and content of sand play were disgusting and confusing in the early stage, but in the middle stage, negative emotions were compensated through creation and production work and positive motherhood was expressed. It showed the formation of positive self-concept and development of self-esteem in children. Third, as a result of counseling with the mother and homeroom teacher, the social relationship of children was positively changed, and maladaptive behaviors such as showing confidence in learning and making efforts to solve problems disappeared. In conclusion, this case study is meaningful in that sandplay therapy had a positive effect on helping infants form self-concept and self-esteem.

우리나라 전립샘비대증 발생률: 국민건강보험공단자료를 이용하여

고태화 ( Tae-hwa Go ),김혜심 ( Hye Sim Kim ),강대용 ( Dae Ryong Kang ),정재흥 ( Jae Hung Jung ),권성원 ( Sung Won Kwon ),김세철 ( Sae Chul Kim ),송재만 ( Jae Mann Song ),정현철 ( Hyun Chul Chung ),고상백 ( Sang Baek Koh ) 한국보건정보통계학회(구 한국보건통계학회) 2018 보건정보통계학회지 Vol.43 No.3

Objectives: We investigated the incidence rate of benign prostatic hyperplasia (BPH) in Korean adult males. Methods: Data were obtained from 2008 to 2016 in the National Health Insurance Service. The incidence was defined as a newly diagnosed patients with BPH in 2012-2016 after excluding patients with BPH in 2008-2011. The incidence rate was confirmed by age, administrative districts, and scale of city. Results: The age-standardized incidence rate of BPH was 16.3% from 2012 to 2016. The incidence rate was presented to be 8.9%, 16.8%, 25.0%, 26.7%, and 30.4%, respectively, in the 40s to 80s or over. According to administrative districts, the highest incidence rate was 18.2% and 17.3% in Daejeon and Gwangju, respectively, and the lowest incidence rate was 15.0% in Gangwon. And the highest incidence of 16.5% was observed in the big city among big city, small-to-medium city and rural area. Conclusions: The age-standardized incidence rate in Korea was 16.3% and incidence rate of BPH increased with age.

심리적 기제로서 마음챙김 국내 연구에 대한 체계적 문헌고찰

길경미 ( Gil Kyung-mi ),김보은 ( Kim Bo-eun ),김혜심 ( Kim Hye-sim ),이혜민 ( Lee Hye-min ) 명지대학교 아동가족심리치료센터 2021 아동가족치료연구 Vol.19 No.-

본 연구의 목적은 심리기제로서의 마음챙김에 대한 최근 국내 연구동향을 분석하는데 있다. 이를 위해 2016년부터 2020년까지 국내 등재지 및 등재후보 학술지에 게재된 마음챙김에 대한 연구 논문 총 153편을 발행연도, 연구대상, 측정도구, 관련변인, 마음챙김 증진을 위한 심리사회적 개입을 기준으로 분석하였다. 연도별 연구 현황을 살펴본 결과, 2016년부터 현재까지 마음챙김 연구가 꾸준히 지속되고 있다. 연구대상별 연구 현황을 살펴본 결과 성인 및 대학생 대상으로 한 연구가 가장 활발히 이루어지고 있으며 직업군별로는 다양한 직종을 대상으로 연구가 진행되고 있었다. 측정도구별 연구 현황을 살펴본 결과, 박성현(2006)이 개발한 마음챙김 척도(MS)가 가장 빈번하게 사용되었고, 척도의 대상은 성인에게 편중되어 있었으며 측정도구마다 마음챙김을 구성하는 하위요인이 다양했다. 관련 변인별 연구 현황을 살펴본 결과 독립변인으로서 마음챙김의 역할에 대한 연구와 특정 변인 사이에서 마음챙김의 매개, 조절 역할에 대한 연구가 대부분이었으며, 마음챙김의 선행변인에 관한 연구가 부족하였다. 마음챙김 증진을 위한 심리사회적 개입별 연구 현황을 살펴본 결과, 인지치료, 명상 및 마음챙김에 대한 연구가 많이 이루어지고 있었으나 개입 관련 연구의 양 자체가 다른 연구에 비해 제한적이었고, 초기 발달 과정 중에 있는 미취학 및 취학 아동에 대한 연구는 부족한 편이었다. 이러한 연구결과를 바탕으로 마음챙김 연구의 나아갈 방향과 향후 요구되는 연구과제들에 대하여 논의하였다. The purpose of this study is to analyze recent domestic research trends in mindfulness as a psychological mechanism. For this purpose, 153 domestic journals published in 2016-2020 were analyzed based on the year of publication, subject, tools, variables, and intervention methods for improving mindfulness. The results of this study are as follows. First, mindfulness research has continued steadily from 2016 to present. Second, the study on adults and college students is being conducted most actively and various occupational groups are being studied. Third, the mindfulness scale developed by Park Sung-hyun(2006) was used most frequently, and the object of the scale was concentrated on adults, and there was a difference in sub-factors for each measurement tool. Fourth, most of the studies revealed the independence, mediation, and moderating roles of mindfulness, and the studies on the antecedents of mindfulness were insufficient. Finally, as a result of examining the current status of psychosocial intervention to improve mindfulness, there were many studies on cognitive therapy, meditation, and mindfulness, but the amount of related studies was limited and studies on infants and school-aged children were insufficient. Based on the results of this study, future research tasks were discussed.