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한국 요실금 여성노인의 생애이야기-내러티브 분석적 접근
이봉숙(Yih, Bong-Sook),이명선(Yi, Myungsun) 한국간호과학회 2009 Journal of Korean Academy of Nursing Vol.39 No.2
Purpose: The purpose of this study was to investigate the experience of urinary incontinence (UI) for elderly Korean women using a narrative approach. Methods: The data were collected using individual in-depth interviews with 15 community-dwelling elderly women who had UI for at least 1 yr. The narratives of the life stories of these women were analyzed from the actor’s perspective, motivation and purpose of actions, and action toward goal achievement. Also the narratives on UI were analyzed according to cognition, behavior, and evaluation of UI. Results: Three major types of the life stories emerged from the analysis. First, the conquest narrative type reflects active characteristics of narrators within the circumstances of the sociocultural context. Second, the patience narrative is characterized as having flexibility between self determination for goal achievement and the boundary of the sociocultural context. Lastly, the compliance narrative reflected characteristics of narrators who easily adapt their way of life to circumstances. In terms of UI, the narrators in all three types lacked awareness of UI as an illness condition. Three different reasons are specifically identified according to the narrative types. Conclusion: The results of this study indicate that the concept and the illness behaviors related to UI in elderly Korean women with UI were closely related to the way of women’s lives within the sociocultural and historical context.
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김정순,이수일,정영인,황인경,이봉숙,김민정,초의수,전진호,정인숙,Kim, Jung-Soon,Lee, Su-Ill,Chung, Young-In,Hwang, In-Kyung,Yih, Bong-Sook,Kim, Min-Jeong,Cho, Eu-Soo,Chun, Jin-Ho,Jeong, Ihn-Sook 대한예방의학회 2003 예방의학회지 Vol.36 No.1
Objectives : To investigate the prevalence of cognitive impairment and dementia in elderly people, aged 65 or above, residing in Busan Metropolitan City. Methods : Total of 1,101 old people, aged 65 or above, living in Busan as of December 31, 2001 were selected using stratified three-stage cluster sampling. Cognitive impairment was determined from the MMSE-K score, and dementia confirmed from five psychometric measures and the Barthel index. The crude prevalence, sex-age adjusted for the Korean population, were obtained. Results : With the cut-off point for cognitive impairment was set at 24 points, or below, on the MMSE-K scale, the crude rate of cognitive impairment was 29.3% (15.7% for men and 37.5% for women), and the sex-age adjusted prevalence was 30.5% (17.5% for men and 37.0% for women). When the cut-off point for cognitive impairment was set at 20 points, or below, on the MMSE-K scale, the crude rate of cognitive impairments were 10.0% (4.1% for men and 13.5% for women), and 10.6% (4.7% for men and 13.1% for women), respectively. The crude dementia, and the sex-age adjusted rates were 7.4% (2.4% for men and 10.5% for women), and 8.0% (2.7% for men and 10.0% for women), respectively. Conclusions : The prevalence of dementia in this study was somewhat lower than that reported by other domestic and foreign studies. Our results related to the difference in time and space, diagnostic tools, response rates, and distribution of male and female subjects, etc.
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이명선(Yi Myung Sun),노동영(Noh Dong Young),김금자(Kim Kum Ja),이봉숙(Yih Bong Sook) 대한종양간호학회 2007 Asian Oncology Nursing Vol.7 No.2
Purpose: The purpose of this study was to analyze the data regarding questions raised by women with breast cancer through Internet counseling in Korea. Methods: The data were collected from one internet web-site, providing counseling by physicians. A total of 617 questions were analyzed by content analysis method. Results: About 90 percent of the counselees were patients themselves. But most of the general and health-related characteristics of them were not known from the data. As a result of content analysis, 617 questions were grouped into 9 major categories. The most common major category was identified as “life after treatment” (212 questions, 34.2%), followed by “chemotherapy” (139 questions, 22.3%) and “hormone therapy” (115 questions, 18.9%). Questions regarding “physical symptoms” were the most frequent one in the major categories of “life after treatment”, “chemotherapy”, and “radiotherapy,” while questions regarding “psychological problems” were the least. Conclusion: The findings of this study indicate that it is important for health professionals to provide continuous on-line informational support to women with breast cancer, even after all the treatment is over, especially focusing on physical symptoms. In addition, off-line program needs to be reinforced to provide emotional support that is not well delivered by on-line program.
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