사회적 지지와 사회적 부정성이 농촌 노인의 우울감에 미치는 영향에 관한 연구

박영란(Park, Yeong-Ran),박경순(Park. Kyung-Soon),정은화(Jung, Eun-Hwa) 한국정신건강사회복지학회 2014 정신보건과 사회사업 Vol.42 No.2

본 연구는 농촌 노인의 사회적 관계가 정신건강에 미치는 영향을 분석함에 있어서 특히 사회적 관계의 긍정적 차원인 사회적 지지와 부정적 차원인 사회적 부정성이 농촌 노인의 우울감에 미치는 영향력의 차이를 검증하는 데 목적이 있다. 이와 더불어 사회적 지지원의 유형에 따라 사회적 지지와 사회적 부정성이 우울감에 미치는 영향의 차이를 확인하였다. 이를 위해 구조화된 설문지를 사용하여 경기도 K군 1개 면의 노인을 전수 조사한 “한국인의 사회적 삶, 건강한 노화에 대한 조사(KSHAP: Korean Social Life, Health and Aging Project)” 자료 중에서 60세 이상의 유배우자 노인 569명을 분석의 대상으로 하였다. 연구 결과에 따르면 사회적 지지와 사회적 부정성은 농촌 노인의 우울감에 유의미한 영향을 주는 것으로 나타났는데, 사회적 부정성의 영향력이 사회적 지지보다 더 크게 나타났다. 사회적 지지원의 유형별로 살펴보면 배우자의 사회적 지지와 사회적 부정성은 우울감에 유의미한 영향을 미치는 것으로 나타났으며, 친구(이웃)의 경우에는 사회적 부정성만이 우울감에 영향을 주는 것으로 나타났다. 그러나 가족(친척)은 사회적 지지와 사회적 부정성 모두에서 영향력이 유의미하지 않은 것으로 나타났다. 이러한 결과를 바탕으로 농촌 노인의 정신건강 증진을 위한 긍정적 사회적 관계 형성의 중요성 및 실천적 함의를 제시하였다. In order to examine the effects of social relationship on mental health of the rural elderly, this study especially focused on testing the differential effects of social support and social negativity on their depressive symptoms. Data from 「Korean Social Life, Health and Aging Project(KSHAP)」 was used for analyzing 569 elderly aged over 60 who were living with spouses. The results showed that both social support and social negativity had statistically significant impact on rural elderly’s depressive symptoms. Furthermore, social negativity showed more influence on depressive symptoms than social support. Both social support and social negativity from spouse had statistically significant effect on depressive symptoms. However, for friends and neighbors, only social negativity showed statistically significant effect on depressive symptoms. Social support and negativity of family members did not have any significant impact. Implications for paying more attention to the quality of social relationships and for fostering more positive relationships within social network of the rural elderly were suggested.

An Exploratory Analysis of the Effects of Gyungrodang Use on Depression among Rural Elderly

박영란(Yeong Ran Park),염유식(Yoo sik Youm),정은화(Eun Hwa Jung),추상희(Sang Hui Chu),김현창(Hyeon Chang Kim) 연세대학교 사회복지연구소 2014 한국사회복지조사연구 Vol.40 No.-

논문은 경로당을 이용하는 노인과 이용하지 않는 농촌 노인들의 특성을 비교하고, 경로당 이용이 이들의 우울감에 미치는 영향을 파악하는데 목적이 있다. 본 논문에서는「한국인의 사회적 삶, 건강과 노화에 대한 조사(KSHAP; Korean Social Life, Health and Aging Project)」연구에서 K군 1개 면의 노인을 전수 조사한 자료 가운데 711명의 자료를 분석하였다. 자료 분석 결과에 의하면 경로당을 이용하는 노인이 이용하지 않는 노인보다 연령이 낮고, 학력이 낮으며, 일을 더 많이 하고, 주관적으로 더 건강하게 느끼며, 우울감도 더 낮은 것으로 나타났다. 조사대상자의 인구학적 특성과 경제적 상태 및 건강을 통제한 다중회귀분석 결과 경로당 이용은 농촌노인의 우울감에 통계적으로 유의미한 영향을 미치는 것으로 밝혀졌다. 이와 같은 분석 결과를 토대로 고령화 현상이 두드러지는 농촌에서 생활밀착형 여가복지시설인 경로당 이용에 대한 접근성을 제고하고, 경로당 비이용자에 대해 보다 많은 관심을 기울일 필요가 있음을 제안하였다. The purpose of this study was to analyze the effects of Gyungrodang use on depression among the elderly living in rural areas. Data from Korean Social Life, Health and Aging Project(KSHAP)」was used for analyzing the experiences of seven hundred and eleven elderly living in one rural village of a province located in the northeastern part of Korea. Comparative analysis was carried out in order to delineate the characteristics of those who utilized Gyungrodang and those who did not. The effects of Gyungrodang use on depression among the participants was explored as well. Results from data analysis showed that those elderly who use Gyungrodang had lower level of depression even after controlling for socio-demographic characteristics, economic and health status. Implications were drawn for improving the accessibility of Gyungrodang and for paying more attention to its non-users in rural areas.

Preoperative 2D-echocardiographic assessment of pulmonary arterial pressure in subgroups of liver transplantation recipients

박정찬,Park Myung Soo,Kwon Ji-Hye,Oh Ah Ran,Lee Seung-Hwa,Choi Gyu-Seong,Kim Jong Man,Kim Keoungah,김갑수 대한마취통증의학회 2021 Anesthesia and pain medicine Vol.16 No.4

Background: The clinical efficacy of preoperative 2D-echocardiographic assessment of pulmonary arterial pressure (PAP) has not been evaluated fully in liver transplantation (LT) recipients.Methods: From October 2010 to February 2017, a total of 344 LT recipients who underwent preoperative 2D-echocardiography and intraoperative right heart catheterization (RHC) was enrolled and stratified according to etiology, disease progression, and clinical setting. The correlation of right ventricular systolic pressure (RVSP) on preoperative 2D-echocardiography with mean and systolic PAP on intraoperative RHC was evaluated, and the predictive value of RVSP > 50 mmHg to identify mean PAP > 35 mmHg was estimated.Results: In the overall population, significant but weak correlations were observed (R = 0.27; P < 0.001 for systolic PAP, R = 0.24; P < 0.001 for mean PAP). The positive and negative predictive values of RVSP > 50 mmHg identifying mean PAP > 35 mmHg were 37.5% and 49.9%, respectively. In the subgroup analyses, correlations were not significant in recipients of deceased donor type LT (R = 0.129; P = 0.224 for systolic PAP, R = 0.163; P = 0.126 for mean PAP) or in recipients with poorly controlled ascites (R = 0.215; P = 0.072 for systolic PAP, R = 0.21; P = 0.079 for mean PAP). Conclusion: In LT recipients, the correlation between RVSP on preoperative 2D-echocardiography and PAP on intraoperative RHC was weak; thus, preoperative 2D-echocardiography might not be the optimal tool for predicting intraoperative PAP. In LT candidates at risk of pulmonary hypertension, RHC should be considered.

임상간호사의 고통경험, 공감역량 및 돌봄행위가 임종간호수행에 미치는 영향

조계화,박애란,이진주,최수정,Jo, Kae Hwa,Park, Ae Ran,Lee, Jin Ju,Choi, Su Jung 한국호스피스완화의료학회 2015 한국호스피스.완화의료학회지 Vol.18 No.4

목적: 본 연구의 목적은 임상간호사의 임종간호수행에 미치는 영향요인을 파악하는 것이다. 방법: 대구 경북지방의 임상간호사 175명을 대상으로 하였으며, 자가 보고식 설문지로 자료를 수집하였으며, IBM SPSS WIN 19.0 program을 이용하여 데이터를 분석하였다. 결과: 임상간호사의 고통경험, 공감역량, 돌봄행위 및 임종간호수행 간에는 유의한 상관관계가 있었다. 임종간호수행에 영향을 미치는 요인에는 부서, 공감역량 및 돌봄행위가 통계적으로 유의한 예측변인으로 나타났으며, 이들 변인의 설명력은 43.52%였다. 결론: 본 연구의 결과 임상간호사의 임종간호수행 능력은 공감역량과 돌봄행위 역량의 증진을 통해 높아질 수 있음을 시사한다. Purpose: This study was performed to identify factors affecting terminal care performance of clinical nurses. Methods: The participants in this study were 175 nurses working in hospitals in Daegu and North Gyeongsang Province. Data were collected using a self-reported questionnaire and were analyzed with the IBM SPSS WIN 19.0 program. Results: Nurses' terminal care performance was significantly related with suffering experience, empathy ability and caring behaviors. Significant predictors for terminal care performance were their department, empathy ability and caring behaviors. These factors explained 43.52% of the variance in terminal care performance of clinical nurses. Conclusion: Our study results suggest that terminal care performance of clinical nurses can be strengthened by improving empathy ability and caring behaviors.

통합적 완화 돌봄 중재가 말기암환자의 삶의 질에 미치는 효과: 메타분석

조계화,박애란,이진주,Jo, Kae Hwa,Park, Ae Ran,Lee, Jin Ju 한국호스피스완화의료학회 2015 한국호스피스.완화의료학회지 Vol.18 No.2

목적: 본 연구는 통합적 완화 돌봄 중재연구가 말기 암환자의 삶의 질에 미치는 효과 크기를 분석하기 위한 메타분석 연구이다. 방법: 말기 환자와 통합적 완화 돌봄 중재 및 연구 설계를 나타내는 용어들을 병합하여 PubMed, Cochrane Library CENTRAL, LWW (Ovid), CINAHL 및 국내 데이터 베이스에서 검색하였다. 논문의 질평가는 RCT 연구인 경우 RoB 도구를 사용하였으며, Non-RCT 연구인 경우는 RoBANS를 사용하였다. 중재의 효과크기는 Stata 10 프로그램으로 메타분석 하였다. 결과: 8편의 연구가 최종선정 되었으며, 총 대상자의 수는 356명이었다. 통합적 완화 돌봄 중재는 평균 6.5주, 5.6 세션으로 이루어졌으며, 한 세션당 평균 47.8분이 소요되었다. 효과는 동질성 및 하위그룹 분석을 실시하였다. 통합적 완화 돌봄 중재의 효과는 삶의 질(ES=1.83, P=0.018, $l^2=92%$), 영적 안녕(ES=0.78, P=0.040, $l^2=0$), 우울(ES=0.86, P<0.001, $l^2=32$) 및 불안(ES=0.69, P=0.041, $l^2=71.1$)에서 효과가 있었다. 그러나 말기암환자의 통증(ES=0.365, P=0.230, $l^2=69.8$)에는 효과가 없었다. 결론: 이상의 결과로 통합적 완화 돌봄 중재는 비록 통증은 완화시키지는 못했으나 우울과 불안을 감소시키고 영적 안녕과 삶의 질을 높이는 것으로 나타나, 통합적 완화 돌봄 중재는 말기암환자의 사회심리영적 차원의 삶의 질을 증진시킬 수 있다고 본다. Purpose: This study was conducted to evaluate the effects of integrated palliative care intervention on quality of life in terminally ill patients. Methods: A comprehensive literature search was performed via PubMed, Cochrane Library CENTRAL, LWW (Ovid), CINAHL and several Korean databases. The main search strategy was to combine terms indicating palliative care intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non-randomized studies. Data were analyzed by the Stata 10 program. Results: Eight clinical trials met the inclusion criteria with a total of 356 participants. Integrated palliative care interventions were administered for a mean of 6.5 weeks, 5.6 sessions and an average of 47.8 minutes per session. Effect sizes were heterogeneous, and subgroup analysis was done. Integrated palliative care interventions had a significant effect on quality of life (ES=1.83, P=0.018, $l^2=92%$), spiritual well-being (ES=0.78, P=0.040, $l^2=0$), depression (ES=0.86, P<0.001, $l^2=32$) and anxiety (ES=0.69, P=0.041, $l^2=71.1$). But integrated palliative care interventions had no significant effect on pain (ES=0.365, P=0.230, $l^2=69.8$). Conclusion: Results support findings that integrated palliative care interventions were helpful in lessening depression and anxiety and improving quality of life and spiritual well-being, however, the interventions did not assist pain management in terminal cancer patients. These findings suggest that various integrated palliative care interventions can assist terminal cancer patients with better quality of life in the socio-psycho-spiritual dimension.

Survey on Satisfaction with Korean Medicine Treatment and Motives for Visiting Korean Medicine Hospital for Cancer Patients: Report of 100 Case

오현묵,김슬기,박찬란,고명현,박소정,조종관,박지혜,유화승,이남헌,손창규,조정효,Oh, Hyeon-muk,Kim, Sul-ki,Park, Chan-ran,Ko, Myung-hyun,Park, So-jung,Cho, Chong-kwan,Park, Ji-hye,Yoo, Hwa-seung,Lee, Nam-hun,Son, Chang-gue,Cho, Jung-hyo The Society of Internal Korean Medicine 2021 大韓韓方內科學會誌 Vol.42 No.4

목적: 본 연구는 대전대학교 부속 한방병원에서 암을 주소로 입원치료를 받은 환자를 대상으로 내원 동기 및 만족도를 평가하고자 한다. 방법: 총 100명의 입원환자를 대상으로 의료서비스 만족도 측정을 위한 설문조사를 실시하였다. 통계분석은 독립표본 T검정(Independent t-test), 분산 분석(ANOVA)을 사용하였다. 결과: 암환자들이 한방병원에 내원한 주된 동기는 '암의 전이 및 재발을 예방하기 위해서'로 조사되었다. 환자들은 한방 치료 중 침과 뜸에 대해 가장 높은 만족도를 보였다. 5점 척도로 구성된 만족도 조사에서 한의사 서비스와 관련된 만족도는 평균 4.80점, 의료서비스 이용 관련 만족도는 4.68점으로 나타났다. 결론: 대부분의 암환자는 한방병원의 의료서비스에 만족하는 것으로 나타났고 성별, 연령 및 직업에 따른 한방 의료서비스 만족도에는 유의한 차이가 없었다. Objectives: This study aimed to evaluate the degree of satisfaction of cancer patients and to understand their motives for visiting Korean Medicine Hospital in order to increase satisfaction with Korean medicine among cancer patients. Methods: Data collection was conducted in the form of a survey of 100 inpatients who responded to a self-report questionnaire. Independent t-test and analysis of variance (ANOVA) were used for data analysis. Results: The main reason for visiting Korean Medicine Hospital was to prevent metastasis or recurrence of cancer. Patients showed the highest satisfaction with acupuncture and moxibustion. The average degree of satisfaction related to the doctor service was, on a 5-point scale, 4.80, and that of using procedure was 4.68. Conclusion: Most of the cancer patients are satisfied with the medical services in Korean Medicine Hospital. There were no significant differences in satisfaction degree by gender, age, or occupation.

다발성 중증 외상 환자들의 치료에 대한 응급 외상팀 운영의 효과

이성화 ( Seong Hwa Lee ),조석주 ( Suck Joo Cho ),염석란 ( Seok Ran Yeom ),류지호 ( Ji Ho Ryu ),정진우 ( Jin Woo Jung ),한상균 ( Sang Kyun Han ),김용인 ( Yong In Kim ),박맹렬 ( Maeng Real Park ),김영대 ( Young Dae Kim ) 대한외상학회 2009 大韓外傷學會誌 Vol.22 No.2

Purpose: We performed this study to determine how the emergency trauma team affects the treatment of patients with multiple severe trauma and to discuss the effect and the direction of the emergency trauma team`s management. Methods: We performed a retrospective analysis of 518 patients who visited our emergency department with severe trauma from August 2006 to July 2008. We divided the severe trauma patients into 2 groups: patients before and after trauma team management (Group 1 and Group 2). Then, we compared demographic characteristics, mechanisms of injury, and treatment outcomes (lengths of stay in the ED, admission ratio, and in-hospital mortality) between the 2 groups. In the same way, patients with multiple severe trauma were divided into 2 groups, that are patients before and after trauma team management (Group 3 and Group 4) and analyzed. Results: There was no significant difference, except mean age, between groups 1 and 2. In group 4 patients, compared to group 3 patients, the lengths of stay in the ED were lower (p value<0.001), and the admission ratio were higher (p value=0.017), but there was no significant difference in the in-hospital mortality between the groups 3 and 4. Conclusion: When patients with multiple severe trauma visit the ED, the emergency trauma team`s management can decrease the lengths of stay in the ED and increase the admission ratio, but does not produce a decrease in the in-hospital mortality rate. Further investigations of emergency trauma team management are needed to improve treatment outcomes for patients with multiple severe trauma. (J Korean Soc Traumatol 2009;22:172-78)

노인이 인식한 고령친화 환경의 구성개념과 활동적 노화와의 관계에 대한 탐색적 연구

이상철(Sang Chul Lee),박영란(Yeong-Ran Park),정은화(Eun Hwa Jung) 서울연구원 2016 서울도시연구 Vol.17 No.2

암환자를 위한 통합적 완화 돌봄 측정도구 개발 및 평가

조계화(Jo, Kae Hwa),박애란(Park, Ae Ran),최수정(Choi, Su Jung),유은영(Yoo, Eun Young) 한국간호교육학회 2017 한국간호교육학회지 Vol.23 No.2

Purpose: This study was done to develop and to evaluate an integrative palliative care scale for cancer patients. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 173 cancer patients in Daegu and Gyeongbuk. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Results: Eighteen items were selected for the final scale, and categorized into 3 factors explaining 58.3% of total variance. The factors were labeled as social/environmental palliative care (9 items), psychological palliative care (4 items), and physical palliative care (3 items), and spiritually palliative care (2 items). The scores for the scale were significantly correlated with the quality of life of cancer patients. Cronbach’s alpha coefficient for the 18 items was .88. Conclusion: The above findings indicate that the integrative palliative care scale has good validity and reliability when used for cancer patients.

언어발달지연 아동의 아버지와 어머니의 자녀 양육에 대한 인식 비교

안종복(Jong Bok Ahn),박화란(Hwa Ran Park) 한국언어치료학회 2012 言語治療硏究 Vol.21 No.4

research was aimed to understand the parental attitudes of fathers and mothers of children with delayed language development aged between 30 and 36 months. A questionnaire was given to 42 fathers and 42 mothers of children who were 30∼36 months old but whose linguistic age was no more than 24 months and whose physical, social, intellectual, and hearing were confirmed to have no problem. The questionnaire is based on Seon-jeong An (2000) and amended and complimented twice so as to meet the purposes of this research. The following are the findings of this research. First, in general, mothers were more active and positive than fathers in communicating with their children. Second, both fathers and mothers had a similar level of recognition about consistent fostering of their children. Third, mothers were more active in their role than fathers. Fourth, compared to the father group, the mother group understood more accurately the essence of the problems which their children had. Fifth, the two groups had a similar level of ties with their children. Comprehensively considering the above results, it may be concluded that the mother group more clearly recognized details about fostering or educating their children including communication, parents’ role, and understanding of children’s problems, while the two groups had a similar level of recognition about basic matters of fostering or educating their children including ties with the children and consistent fostering.