고위험 신생아에서 Bayley 발달 검사 결과에 영향을 미치는 신경발달 예후인자에 대한 연구

우미경,김동욱,허경,심규홍,최명재 대한소아청소년과학회 2009 Clinical and Experimental Pediatrics (CEP) Vol.52 No.11

Purpose:To identify the risk factors for poor neurodevelopmental outcomes in high-risk neonates. Methods:We studied 94 infants admitted to the neonatal intensive care unit at the Sanggye Paik Hospital between January 2002 and November 2005 and evaluated the follow-up data. The following events were considered as risk factors: ≤32 weeks of gestation, very low birth weight, Apgar scores of less than 5, neonatal resuscitation, neonatal seizure, congenital infection, and abnormalities in cranial ultrasound or magnetic resonance imaging (MRI). The infants who had any one of these risk factors were included. They were evaluated at their mean corrected age of 13.84±8.03 months. Mental and Psychomotor Developmental Indices (MDI, PDI) were determined by a clinical psychologist using the Bayley Scales of Infant Development II. Results:The mean MDI and PDI of all the patients were 96.28±26.70 and 94.00±22.80, respectively. Abnormalities on cranial ultrasound or MRI were significant predictors of both low MDI (P<0.05) and low PDI (P<0.001). These abnormalities showed a stronger association with low PDI than with low MDI. The infants with periventricular leukomalacia had the lowest MDI and PDI (70.10±28.68 and 69.70±24.91, respectively). Apgar score at 1 minute and very low birth weight were also significant predictors for low PDI (P<0.05, P<0.05, respectively). Conclusion:Image findings with cranial ultrasound or MRI were the strongest predictors of neurodevelopmental outcome. Periventricular leukomalacia was the best predictive factor for mental and psychomotor development. 목 적:신생아 집중치료술이 발달함에 따라 미숙아 및 극소 저체중 출생아 등의 고위험 신생아의 생존율이 크게 향상되었다. 따라서 이러한 고위험 신생아의 생존율 향상과 더불어 생존 환아에서 발육 지연, 뇌성마비, 청력 저하 등 신경학적 발달 이상을 보이는 환아의 수도 증가하여 이들 환아들의 이상을 보다 조기에 발견하기 위해 추적 관찰의 필요성이 증대되고 있다. 저자들은 신생아 집중 치료실에서 치료 후 퇴원한 환아 중 위험한 주산기 인자들로 인하여 발달 이상의 위험도가 상대적으로 높아 고위험 신생아로 추적 관리를 받고 있는 환아에서 Bayley 발달 검사를 이용하여 발달 이상의 위험 인자를 확인하기 위하여 연구를 시행하였다. 방 법:2002년 1월부터 2005년 11월까지 인제대학교 의과대학 상계백병원 신생아 집중 치료실에 입원하였던 신생아 중에서 퇴원 후 외래에서 추적 관리하였던 환아 중 Bayley 발달 검사를 시행한 94례를 대상으로 하였다. 연구 대상은 32주 미만의 재태 연령, 극소 저체중 출생아, 5점 이하의 Apgar 점수, 뇌 초음파 및 자기 공명 검사상 뇌실 내 출혈 혹은 뇌실주위 백색질 연화증 등의 이상, 신생아 소생술을 시행한 경우, 신생아 경련 또는 선천성 감염 중 한 가지 이상의 요인이 있었던 환아이다. 대상 환아들의 발달 검사로 Bayley 발달 검사(Bayley Scales of Infant Development Ⅱ)를 임상심리치료사가 시행하였고, MDI와 PDI를 분석에 이용하였다. 결 과:뇌 초음파 및 자기 공명 검사는 MDI, PDI와 각각 통계적인 연관성을 보였으며(P<0.05, P<0.001), 뇌실주위 백색질 연화증의 경우 MDI는 70.10±28.68, PDI는 69.70±24.91로 의미 있게 낮은 점수를 보였다. MDI보다 PDI가 뇌의 영상학적 검사 소견과 상관관계가 더 큰 것으로 나타났다. PDI는 1분 Apgar 점수 및 극소 저체중 출생아와도 유의한 상관관계가 있었다(P<0.05, P<0.05). Bayley 발달 검사 결과는 성별, 재태 연령, 신생아 소생술 여부, 신생아 경련과 유의한 연관성이 없었다. 결 론:신생아 집중 치료실에서 치료받은 고위험 신생아를 추적 관찰하며 Bayley 발달 검사를 시행하였을 때, 검사 결과에 독립적으로 영향을 미치는 위험 인자는 뇌의 영상학적 검사 소견, 1분 Apgar 점수 및 극소 저체중 출생아였다. 그 중 뇌의 영상학적 검사 소견상 이상이 있는 경우 발달 장애의 가능성이 가장 높고, 그 외의 위험 요인에 대해서도 주기적인 추적 관찰이 중요할 것으로 생각된다.

일반세션 2.부동산 거래와 개발 : 액티브시니어 친화형 주거단지 계획요소 연구

우미경,유민태,박태원 한국부동산분석학회 2014 부동산분석학회 학술발표논문집 Vol.2014 No.-

논문편 : 일부 도시 직업인 및 학생의 아침 식사를 중심으로 한 식생태에 관한 연구

우미경,현태선,이심열,모수미 ( Mee Kyung Woo,Tae Sun Hyun,Sim Yeol Lee,Su Mi Mo ) 대한가정학회 1986 Human Ecology Research(HER) Vol.24 No.3

초등학교 아동들이 지각한 부모의 심리통제와 자아존중감의 관계: 부적응적 자기지향 완벽주의의 매개효과

우미경,박영신 한국심리학회산하학교심리학회 2012 한국심리학회지 학교 Vol.9 No.2

본 연구에서는 초등학교 아동들이 지각한 부모의 심리통제와 자아존중감의 관계를 알아보고, 부모의 심리통제가 자아존중감에 영향을 미치는 과정에서 부적응적 자기지향 완벽주의가 매개역할을 하는지를 알아보았다. 대구․경북지역에 거주하고 있는 초등학교 5학년과 6학년 아동 423명이 참여하여 부와 모의 심리통제, 부적응적 자기지향 완벽주의와 네 영역의 자아존중감-일반적 자아존중감, 사회적 자아존중감, 가족 자아존중감과 학교 자아존중감-을 평가하였다. 아동들이 부와 모의 심리통제를 높게 지각할수록 낮은 자아존중감과 높은 부적응적 자기지향 완벽주의를 나타내었고, 부적응적 자기지향 완벽주의가 높을수록 낮은 자아존중감을 나타내었다. 회귀분석과 매개효과분석 결과, 부와 모의 심리통제는 자아존중감의 하위 영역 가운데 특히 학교 자아존중감에 크게 영향을 미쳤으며, 이 과정에서 아동의 부적응적 자기지향 완벽주의가 부분 매개 역할을 하는 것으로 나타났다. 따라서 부모의 심리통제는 아동들의 건강한 심리적 발달을 돕기 위해서 지양되어야 할 양육방식으로 시사된다. This study aims to investigate the relationship between perceived parental psychological control and self- esteem, as well as to examine the mediating role of maladaptive self-oriented perfectionism, in elementary school children. The participants were 423 fifth- and sixth-grade children in the Daegu and Kyungpook areas of Korea. Children evaluated their mother's and father's psychological control; maladaptive self- oriented perfectionism; and self-esteem in four areas-general, social, family and school. Children tended to display lower self-esteem and higher maladaptive self-oriented perfectionism when they perceived parental psychological control to be high. Those exhibiting high maladaptive self-oriented perfectionism also tended to display lower self-esteem. Maladaptive self-oriented perfectionism partially mediated the relationship between perceived parental psychological control and school self-esteem. These results suggested that high parental psychological control is a poor parenting style for furthering children's healthy psychological development.

老後扶養意識에 關한 硏究 : Based on married group reside in Seoul 서울시에 거주하는 기혼자를 중심으로

우미경,서병숙 漢陽大學校 韓國生活科學硏究所 1989 韓國 生活 科學 硏究 Vol.- No.7

This research in intended to reveal the aged support consciousness & related factors and suggest a data which will need to set standard of aged support. Aged support consciousness device into aged support responsibility consciousness of relation with new & old generation, attitude to aged life-style in according to the review of previous studies. The date for this study was obtained from the survey of the 411 married persons whoreside in the city of Seoul. Such methods as frequency, chi-square, t- test & one way ANOVA were used for the statistical analysis for this study. The findings of this study can be summurized as follows : 1.In a situation of live-together or live separate with aged & his married-sons & daughters, rate of live together with the eldest son increase as he grow older. Form the result of aged general situation, financial self dependence of aged which evaluated by supporters, was low, generally. And, lots of aged suffered by healthy-problem. 2.Family - consciousness exit traditional-tendency along with morderntendency. especially, the male, the eldest son & the older people have more traditional family consciousness tendency than the female, the elder sons and daughters & the young people. Most of married thought that support was responsibility of family. But they seemed to have fully self-dependent consciousness toward aged support attitude of themselves. Married, as a supporter, thought there's gap between old & new generation caused by difference of living environment. So the best way to solve this problem is try to understand each generation sincerely. Married recognize the most discontent problem of aged is mental loneliness. Also physical healthy-problem, problem between new & old generation & financial problem turned out to be serious problem of aged. In aged life style they have a live -separate or oriented consciousness. 3.Aged support consciousness of married was affected by the factors of social-population such as sex, education level, everage income per month, order of birth situation, live together or seperate situation with aged & marital satisfaction.

산업재해환자 가족원의 부담감과 적응에 관한 연구

우미경,우선혜 한국직업건강간호학회 2006 한국직업건강간호학회지 Vol.15 No.2

대전지역 직장 중년 남성의 건강 및 영양 상태 조사

우미경,김성애 대한지역사회영양학회 1997 대한지역사회영양학회지 Vol.2 No.3

This study was conducted to investigate the health and nutritional status of 123 middle aged men at their worksite in Taejon. The results of this study on the factors that influence their health and nutritional status were as follows : 1) 74.8$\%$ of the subjects had history in the order of alimentary, heat, liver, diabetic and pulmonary diseases. 30.3$\%$ stopped smoking at 42.3% yrs. and 74.5$\%$ smoked more than 10 cigarets per day. Also 71.9$\%$ drank 2-3 times per week and 35.3$\%$ drank 1-2 times per week. 91.4$\%$ exercised more than 30min every day. 2) 54.4% showed concerns about their health whereas 20.3$\%$ were afraid that they night get sick. 3) 90.4$\%$ ate regularly and 54.5$\%$ worried about their cholesterol, salt, fat and MSG intakes. 48.7$\%$ ate out 1-2times per week and their favorite foods eaten outside were Korea. 4) 41.5$\%$ were classified as 'normal A', 30.9$\%$ 'normal B' group and high blood pressure and liber diseases in 'doubtful for disease' group were pointed out from their 1996 health check ups. 5) By Broca index, 39.8$\%$ were overweight and 9.8% were obese however by BMI only 23.6% were overweight. According to the relationship between calculated and self recognized obesity, 62.4$\%$ categorized themselves into the right weight range but 34.3$\%$ thought they were thinner than they were. 6) 43.9$\%$ were border line in cholesterol intake and 12.1$\%$ needed medical care for high blood cholesterol. 7) The Average energy intake was 1970.6㎉(80.9$\%$ RDA) with a 65 :19 : 16 ratio of carbohydrate : protein : fat. Protein, Fe, thiamin, riboflavin, niacin and Vit. A. 8) Occupation, regularity of meals, partner's job, income. smoking, alcohol drinking, health concerns and eating out were the factors that influenced the subject's nutrient intakes and health status. from this study, it was found that middle aged men needs to know their health and nutritional status and to be educated correct health and nutritional information through formal or informal channel. The worksite is the vest place to do this and we want these results to be used to develop the nutrition education program for middle aged men at the worksite.

중년 남성의 직장내 영양교육 프로그램 개발 및 평가

우미경,제갈성아,김성애 대한지역사회영양학회 1998 대한지역사회영양학회지 Vol.3 No.2

The purpose of this study was to develop, implement and evaluate a nutrition education program for middle aged men at a worksite. To be read easily, induce interest, and selected at need, seven 6-page leaflet aets were developed, which was the most preferable from chosen by the subjects. The contents of leaflet set were [Changing life style], [Good food habit],[Weight control and diet],[Cardiovascualr disease and diet], [Alimentary disease and diet],[Diaabetes and diet],and [Liver disease and diet]. Nutrition education was provided for 61 middle aged men(30 professors, 31 office workers) at a worksite from 40 mins to one hour. And the level of nutrition knowledge and nutrition attitude were tested to evaluate the effects of the nutrition education program with a developed leaflet set before and after nutrition education. After the nutrition deucation. the nutrition knowledge score had increased significantly at p<0.001, from average 9.3 point to 11.4 point. The level of nutrition knowledge was increased significantly at p<0.001, and the prevalence of misconceptions and the uncertainty of knowledge were decreased significantly at p<0.05. There was a significant difference between professors and office workers both before and after the program. Also, there was a significant increase in the attitude about nutrition score after the program and this means that the subjects were flexibly more open minded about nutrition than before(from 39.9 point, at p<0.001). The difference in the nutrition attitude score between professors and office workers was not significant both before and after the nutrition deucation. The developed leaflet set was evaluated very positively in understanding, interest, timing, and usage by the subjects.

요로감염 영아에서 배뇨성방광요도조영술이 필요한가?

우미경,김문섭,구자욱,Woo, Mi-Kyeong,Kim, Mun-Sub,Koo, Ja-Wook 대한소아신장학회 2008 Childhood kidney diseases Vol.12 No.1

목적 : 요로감염 환아에서 VCUG는 VUR을 찾아내는데 필수적인 검사이다. 그러나 최근 요로감염 소아 환자에서 신장초음파와 DMSA 신스캔이 모두 정상인 경우 VCUG의 필요성에 대하여 논란이 있다. 이에 신장초음파와 DMSA 신스캔이 정상인 요로감염증 환아에서 VCUG의 필요성을 알아보고자 본 연구를 시행하였다. 방법 : 2002년 2월에서2007년 7월까지 본원에서 방광천자요(57명), 도뇨관 채뇨(58명), 채뇨백뇨(동일균주 2회 양성: 2명) 등으로 진단된 1세 미만의 요로감염 영아(117명)를 대상으로 하였다. 모든 환아들은 신장초음파, DMSA 신스캔, VCUG를 시행하였으며, 신장초음파, DMSA 신스캔의 이상 유무에 따른 VUR의 동반 여부를 비교 분석하였다. 결과 : 총 환아 중 남아가 96명(82%), 여아가 21명(18%)이었으며, VUR을 보인 환아는 28명(23.9%)이었다. 신장초음파에서 이상 소견이 있는 환아 38명(32.5%) 중 11명(11/38, 28.9%), 신장초음파가 정상인 환아 79명(67.5%) 중 17명(17/79, 21.5%)에서 VUR이 동반되었고, DMSA 신스캔 상 이상소견이 있는 환아 35명(29.9%) 중 18명(18/35, 51.4%), DMSA 신스캔이 정상인 환아 82명(70.1%) 중 10명(10/82, 12.2%)에서 VUR이 동반되었다. 신장초음파와 DMSA 신스캔 모두 정상소견을 보인 환아는 59명(50.4%)이었으며 이 중 VUR이 없는 환아는 52명(88.1%), VUR을 보인 환아는 7명(11.9%)이었다. 3명은 grade I-II, 2명은 grade III, 2명은 grade IV의 고도 역류 소견을 보였고, 그 중 1명은 양측성으로 우측은 grade IV, 좌측은 grade III의 VUR을 보였다. 결론 : 요로감염이 있는 영아에서 신장초음파와 DMSA 신스캔 소견이 정상일 경우 VUR이 동반되지 않을 경우(negative predictive value)는 88.1% 였으나, 같은 환자군에서 VUR이 동반된 경우는 11.9%이었으며 이 중 2명에서 고도 역류가 있었다. 그러므로 영아 요로감염증의 경우 신장초음파와 DMSA 신스캔이 정상 소견을 보여도 VCUG는 반드시 시행하여야 할 것으로 사료된다. Purpose: This study was performed to assess necessity of voiding cystourethrography (VCUG) for infants with urinary tract infection (UTI) who had both normal renal sonography and normal DMSA renal scans. Methods: We reviewed 117 infants hospitalized for UTI between February 2002 and July 2007 at Sanggye Paik Hospital. The diagnosis of UTI was made by culture from a urine specimen obtained by suprapubic puncture(n=57), catheterization(n=58), or collection bag method (n=2, twice positive culture of the same organism). All patients had undergone renal sonography, DMSA renal scan and VCUG. Children with both normal renal sonography and normal DMSA renal scans were evaluated for the presence or severity of vesicoureteral reflux (VUR). Results: Of the 117 patients, 96 were boys and 21 were girls. 28 patients(23.9%) had VUR. 59(50.4%) showed both normal renal sonography and normal DMSA renal scans. Among these 59 patients, 7(11.9%) showed VUR. Three of them had grade I-II reflux, two grade III reflux, and the other two grade IV reflux. One of them showed bilateral VUR, grade IV reflux on the right and grade III on the left. Conclusion: Although the negative predictive value of both normal renal sonography and normal DMSA renal scan for VUR was 88.1%, 7 patients had VUR and two of them had high grade reflux(grade IV). So, we suggest that VCUG should be performed in infants with UTI despite both normal renal sonography and normal DMSA renal scans.

비만여성의 직장생활 경험과정

우미경(Woo Mi-kyung),김현숙(Kim Hyun-suk),지은주(Ji Eun-joo) 질적연구학회 2009 질적연구 Vol.10 No.2

Purpose: The purpose of this study is to develop a substantial theory which explains the behaviors of obese women and by which the care to be provided for them is to be improved. For theses purposes, this study suggests that how the women feel their physical and psychological disadvantages in workplace and how they come over their inferiors and integrate their experiences into something meaningful for them. Methods: The methods was the grounded theory by Strausss & Corbin (1998m 2008), and the six participants in this study were the women who lived in the metropolitans or smaller cities and had more than 30% of Body Mass Index (BMI), while they kept it more than one year. Results: In the process of the study, 73 concepts, 23 subcategories, and 11 categories were produced. The experiences of them in workplace were recurrent over time. The recurrence could be classified into four phases: Awareness phase, adjustment phase, adaptation phase and acceptance phase. The core category of their thoughts arisen during being in workplace was 'let's live my live with present appearance being accepted', and including it other types of thoughts could largely be broken down into three types when were classified in relation with the relevance: Optimistic type, stress type and desperate type. Conclusion: In conclusion, the finding of this study found that obese women in workplace had a recurrent experience of self awareness, adjustment, adaption, and acceptance, and they used several strategies, whether failed or succeeded, in the process of them.