중년기 남성의 건강증진행위와 자기효능과의 관계연구

이재온,정연강,한승의 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.1

This study examines conduct to improve the health of middle-aged men and self-efficacy, and investigates their connection in order to propose and administer the basic material for a nurse-arbitrated method to promote health improvement conduct. The subjects of this study were randomly chosen middle-aged men living in Seoul. Data collection took place from September 1, 2001 until October 23rd, the data collection method used was a self-administered questionnaire. A total of 102 records were used in the analysis. The collected redords used SPSS/PC+ and were verified through descriptions, t-test, ANOVA, scheffe test, and the Pearson Correlation Coefficient. The study conclusions are as follows; 1) On a scale of 5, the degree of self-realization condust was an average of 3.64(SD=.57) health improvement conduct was an average of 3.24(SD=.54), health responsibility conduct 3.03(SD=.86), exercise and nutrition conduct 3.03(SD=.63) personal relationship support conduct 3.46(SD=.78), stress management conduct 3.02(SD=.67) in order, with self-realization conduct being highest and stress management conduct being lowest.. 2) On a scale to 5, the degree of self-efficacy was an average of 3.44(SD=.58), high in comparison. 3) In the verified results of the degree of health improvement conduct following general characteristics and health habits, there was a difference according to religion and eating habits, tastes, preferred foods, smoking term, and exercise also showed differences. 4) In the verified results of the degree of self=efficacy following general characteristics and health habits, there were differences according to educational background, religion and family standard of living, and eating habits, tastes, drinking preferences, smoking term, and exercise also showed differences. 5) If there is an ordered correlation relationship betweem health improvement conduct and self-efficacy, when self-efficacy is recorded as being high, the degree of health improvement conduct also appears as high. In conclusion, when the degree of self-efficacy of middle-aged men is recorded as being high, the degree of health improvement conduct will also be high.Consequently, in order to achieve conduct to improve the health of middle-aged men, the development of an arbitration program to improve self-efficacy is needed.

저강도 초음파치료기 노블라이프가 상부 승모근 통증에 미치는 영향

이재온,최종덕,정낙수,최규환 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.2

수면장애 노인에 대한 귀자극요법의 적용효과

이재온 ( Jae On Lee ),권영숙 ( Young Sook Kwon ) 경희대학교 동서의학연구소 2009 동서간호학연구지 Vol.15 No.1

본 연구는 간호계에서 한국적 간호중재의 필요성이 주창되면서 시도되고 있는 이압요법의 우리말 표기인 귀자극요법을 수면장애 노인에게 적용해보는 연구이다. 2000년 무렵부터 피 내침에 의한 이압요법(耳壓療法)이 우리나라 간호계에서 시도 되었고 노인들의 수면장애에 효과가 있다는 보고도 몇 편 발표 되었다. 귀자극요법의 한 종류인 압환법(壓丸法)은 간호에 적용한 사례들이 소수 있었으나 아직 초기 단계이며, 수면장애에 대 해 적용한 사례는 없었다. 이에 노인들에게 흔한 건강문제인 수 변장애에 대해 압환법(壓丸法)으로 귀자극요법을 적용하여 간 호중재 효과를 보고자본 연구를 시도하였다. 본 연구에서는 수면장애가 있는 실험군 노인들에게 왕부류 씨앗으로 4주 동안, 주 1회씩 귀자극요법을 적용하였다. 아무런 처치룹 하지 않은 대조군에 비해, 귀자극 처치를 받은 실험 군에서 처치 후 수면측정 점수(t=-4.717,p<.001)와 수면만족 도 점수(t=-6.095, p<.001)에서 통계적으로 유의한 차이를 보였다. 이러한 결과는, 피내침에 의한 이압요법이 불면중에 효과가 있었지만(Sok & Kim, 2000, 2005-a, 2006-a), 씨앗으로도 귀자극요법에 효과가 있음을 보여주는 것이다. 왕부류 씨앗을 이용한 귀자극요법이 효과가 있었다는 본 연구결과와 다른 연구도 있었다. Suen 등(2007)은 요통 노인에게 3주 동안 실험군에게는 자석 알갱이를 적용하고, 대조군에게는 왕부류 씨앗을 적용하였는데, 자석 알갱이를 적용한 실험군에서는 유 의한 통증 완화가 나티났지만, 왕부류 씨앗을 적용한 대조군에 서는 유의한 변화가 나타나지 않았다고 하였다. 우리나라에서 압훤법에 의한 귀자극요법 연구로는 두통 환자에게 게르마늄 소재의 구형 알갱이를 적용한 사례와 백개자 씨앗을 적용한 연구, 월경곤란에 백개자 씨앗을 적용한 연구 등에서 모두 효과가 있는 것으로 보고되었다(Bae et al., 2005; Lee, 2005; Lee, 2006; Lee, 2007). Barker 등(2006)은 병원으로 이송 중인 급성 고관절 환자 중 대조군에게는 고관절 반응점이 아닌 곳에 플라스틱 구슬을 부착하고, 실험군에게는 골반부 반응점에 구슬을 부착하였는데, 실험군이 통증과 불안을 덜 느꼈고 심박동수 도 낮았다고 하였다. 수면장애뿐 아니라 노인의 만성질환에도 적용해보거나 대조군에게 적용하는 재료나 적용하는 처치 등을 달리 하여 적용해 보는 연구도 필요하다고 본다 첩압을 하는 부위와 기통환을 첩압하는 개수에 대해, Oleson (2003)은 불면증 첩압부위로서, 불면중1, 불변증2, 송과부, 심장, 마스터뇌증, 영점, 신문, 시상점, 앞이막 후두, 뇌, 신장 등 12개 부위를 제시하였다. 그러나, 본 연구에서는 수면장애에 대 한 효과는 있으면서, 대상자나 간호중재를 하는 입장에서 부담 이 되지 않도록 첩압 위치를 신문, 심장, 수전, 뒷머리, 이애비 반응점으로 제한하였지만(Kim et al. 2008) 중재효과가 있는 것으로 나타났다. Sok과 Kim (2000, 2005-a, 2006-a)은 불 면증 노인에게 이압요볍 적용 시 이배혈 위 자리에 매침법으로 4일 처치하거나, 진정(鎭靜)과 백령(百靈)에 4일 매치하거나 3 일 동안 매치하고,4회 반복 적용하는 방법을 적용하였다. Lee 와 Kim (2007)은 혈액투석 환자의 수면장애 해소를 위해 신문 (神門), (신)(腎), 心(심), 침(枕)에 번갈아가며 이압칩을 매침한 후 누르게 하는 방법으로 2주간 6회 시행하였었다. 백개자 씨앗으로 첩압한 연구에서 두통에 신문, 액점, 침점, 태양점. 내분비점 (Lee & Kim, 2006),월경불편감에 대해, 교감, 자궁, 신문, 내 분비접 (Kim, 2006), 두통에 신문, 피질하, 내분비, 앞머리점 등을 적용하여서,5개 내외의 반응점에 적은 첩압을 하는 것도 좋다고 판단하였다. 금번 연구에 사용된 왕부류씨앗은 통경락 (通經絡)작용이 우수하고, 백개자 씨앗보다 크고 단단하여 첩압하기에 용이하였다. 지역사회노인에게 압환법을 적용하는 것이 바람직하다고 판단하는 이유는 씨앗을 활용히는 것은 칩(needles)만큼이나 감 염의 위험은 적으면서 효과는 있다는 점이다(Oleson,2003). T침을 이용한 이압요법으로 하절기에 오랜 시간 매치할 경우 감염의 우려가 있고 특히 지역사회노인은 간호사가 수시로 확인하고 점검하기 어려우므로 지역사회에서 수면장애에 귀자극 요법을 적용한다면 압환법으로 하는것이 더 효과적이라고 판단된다. 압환법에 의한 귀자극요법은 한방과 갈등의 소지가 없고 대상자의 약물치료 중단우려도 없고, 환자에게 불편감을 주지 않는 비침습적 중재로서 짧은 시간에 시술할 수 있다는 점에서 간호중재로 권장할 수 있을 것이다(Barker et al. 2006). 의사가 원인치료를 해야하거나 진정제,수면제를 처방해야하는 상황이아니라면, 대상자의 건강문제를 완화시킬 수 있는 좋은 간호중재가 될 수 있을 것이다. 본 연구의 의의는 노인의 수면장애에 대해 기존의 피내침에 의한 이압요법뿐 아니라,씨앗에 의한 귀자극요법도 효과가 있으므로 간호중재로서 확대하여 적용해볼 수 있을 것이라는 점이다. 그럼에도 불구하고 본 연구는 진행상 몇 가지의 제한점을 가지고 있었다. 연구 결과에 영향을 주지 않도록 1개 시의 다른 구에 속한 노인복지관에서 연구를 진행하였으나 실험군과 대조 군이 연령면에 유의한 차이가 있어서 연구 결과에 영향을 미쳤을 가능성이 있다 즉, 가설은 지지되었지만 실험군과 대조군 의 연령면에서 동질성이 확보되지 않았던 것은 제한점이었다. 수면은 객관적 점수보다 주관적 호소가 중요하다고 보아 수면 측정 접수가 60점 만점에 46점으로 수면상태가 양호한 대상자 도 실험군, 대조군에서 각각 1명씩 있었으나 연구 대상에서 이 들을 배제하지 않았다. 다음 연구에서는 수면측정 점수가 일정 범위내의 대상자로 한정하는 것이 연구결과를 정확하게 얻는데 더 용이하리라 본다. 또한 특정 지역에서,적은 인원을 대상으로 연구가 진행되었다는 점에서 연구결과를 일반화해서 해석하기는 어려울 것이다. This study was conducted to investigate the effects of auriculotherapy on sleep disorders in the elderly. Methods: The study was a quasi-experimental design with a non-equivalent control group pre-post post-test. The participants were 43 elderly, members of community senior centers, experimental group were 23 elderly, and control group were 20 elder-ly. For the experimental group, small seeds (semen vaccaria) were applied to five locations of both auricular skin surfaces: shen men, heart, anterior lobe, occiput, and spleen of posterior surface. The seeds were applied every week, and remained in surfaces for 5 days. The procedure were repeated 4 times. The control group was not treated. The collected data were statistically processed using SPSS 12.0 version and the data was analyzed for descriptive statistics and t-test. Results: The experimental group had a greater improvement in sleep scale score (t=-4.717, p<.00l) and sleep satisfaction score (t=-6.095, p<.00l) as compared to the control group. Conclusions: Auriculotherapy by small seeds (semen vaccaria) is effective in allaying sleep disorders in the elderly. The results may be useful to community health nurses.

발반사 마사지를 받는 중년여성과 일반중년여성간의 증상 비교에 관한 연구

이금재,이재온,왕명자 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.2

This is a comparative descriptive study conducted for 178 middle-aged women who were residing in Seoul and aged between 41 to 64(95 in control group, and 83 in experimental group). The study was aimed to examine their climacteric symptoms, degree of fatigue, depression, anxiety and quality of sleep and to examine the differences on the symptoms between the two groups. Data were collected from April 1 to may 15, 2002 through self-statement using structured questionnaires. The collected data were verified with descriptive statistics, ?-test, t-test, ANOVA using SPSS/PC(+). The results are as follows. 1) The average scores of the climacteric symptoms were 1.56 .36 for the control group, and 1.55 .33 for the group taking relexzone massage, showing no significant difference between the groups(t=.15, p=.88). 2) The average scores of the degree of fatigue were 2.17 .65 for the control group, and 2.40 .66 for the group taking relexzone massage, showing a significant difference between the groups.(t=-2.31, p=.02) 3) The average scores of depression were 1.91 .50 for the control group, and 2.05 .42 for the group taking relexzone massage, showing a significant difference between the groups(t=-1.99, p=.05). 4) The average scores of anxiety were 1.54 .60 for the control group, and 1.57 .53 for the group taking relexzone massage, showing no significant difference between the groups(t=-.33, p=.74). 5) The average scores of quality of sleep were 2.97 .49 for the control group, and 2.98 .42 for the group taking relexzone massage, showing no significant difference between the groups(t=-.08, p=.93).

중년기 남성의 스트레스와 갱년기 증상

한경임,정연강,이재온 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.3

This study investigated stress and the extent of climacteric symptoms in mid-life men, and examined their relationship in order to better understand the stress and climacteric symptom experiences of mid-life men, and thereby attempted to offer basic materials for the development of a health improvement program that may help increase the quality of life of mid-life men. Three hundred mid-life men whose ages were between 40 and 59 and resided in the Seoul area were subjects of this study. The data were analyzed with the SAS PC program using descriptive statistics to analyze subjects' general characteristics and variables of stress and the extent of climacteric symptoms of the subjects. The relationship between stress and climacteric symptoms were examined by the Pearson Correlation Coefficient, and stress and the extent of climacteric symptoms in relation to the general characteristics were analyzed by T-test and ANOVA. The study conclusions are as follows: 1. Subjects general characteristics The average age of the subjects was 46 and47.0% of them reported ages between 40 and 45. Of the subjects, 98% were married. In marriage satisfaction, those who were generally satisfied with their married life comprised 62.0% of the subjects. In terms of level of education, 95.7% were educated above the high school level. In occupational background, 59.7% had occupations related to technologies. As for religion, 42.7% had no religion. In number of children, 67.3% had 2 children. In residential status, 79.3% were living in their own homes. In terms of living arrangements,87.7% of the subjects were living in the form of nuclear families. 2. Stress and the extent of climacteric symptoms The level of stress was scored as 2.94±0.74, and considering that the overall examination score is 27.16±1.32, the subjects' stress level was not viewed as particularly high. The average score of the extent of climacteric symptoms was 35.37±0.27. The extent of sub-domains of climacteric symptoms included skeleton symptoms (39.37±2.81), joint pain (39.16±3.66), vasomotor symptoms (35.39±3.01), other symptoms (36.99±3.02), psychological symptoms (34.68±3.01), urogenic symptoms (35.03±3.27), and cardiovascular symptoms (33.70±2.78). 3. General characteristics in relation to the stress level The subjects' general characteristics that were significantly related to the level of stress were marriage status (F=4.38, p=.001), marriage satisfaction (F=4.56, p=.001), educational background (F=2.68, p=.012), and age(F=2.48, p=.033). 4. General characteristics in relation to the level of climacteric symptoms The subjects' general characteristics that were significantly related to the level of climacteric symptoms were educational background (F=3.26,p=.007), age (F=2.58, p=.027), marriage status (F=2.62, p=.025), and marriage satisfaction(F=2.78. p=.032). 5. The correlation between stress and climacteric symptoms The subjects' level of stress and climacteric symptoms were significantly related to each other (r=0.578, p=0.000). The subjects' level of stress was correlated with sub-domains of the climacteric symptoms including psychological symptoms (r=0.579, p=0.000), joint pain (r=0.479, p=0.000), skeleton symptoms (r=0.477, p=0.000), other symptoms (r=0.467, p=0.000), vasomotor symptoms (r=0.4615, p=0.000), cardiovascular symptoms (r=0.458, p=0.000), urogenic symptoms (r=0.401, p=0.000). In summary, the climacteric symptoms suffered by mid-life men are positively correlated with their level of stress. In addition, the climacteric symptoms were affected by the level of stress.

무릎운동훈련들이 안쪽빗넓은근과 가쪽넓은근의 수축 개시시간에 미치는 효과

김명진,김지원,이재온,박경희,신화경 한국전문물리치료학회 2001 한국전문물리치료학회지 Vol.8 No.2

The purpose of this study was to investigate the effect of knee exercises on the onset times of vastus medialis oblique muscle (VMO) and vastus lateralis muscle (VL) and in healthy subjects. Fifteen subjects (7 men, 8 women) in a mean age of 25.4 years participated in the study. Electromyographic (EMG) signals were recorded from the VMO and VL under four exercises. Knee exercises consisted of open kinematic terminal knee extension, straight leg raising, isometric hip adduction exercise, and closed kinematic terminal knee extension. No significant differences were found in the onset times of EMG activities of VMO and VL in the four exercises. There were also no significant differences among the exercises. These results coincided with previous studies that found no difference between onset of VMO and VL. However, it is difficult to say that there is no difference between onset of VMO and VL in healthy subjects. To confirm this results, further researches that follow same onset determination metod and exercises are needed. Not only is the study of onset time of muscle needed, but also the studies of the amount of activation and the rate of increase of muscle activation are needed.

발 반사마사지가 여대생의 변비완화에 미치는 효과

노승옥 ( Seung Ok Ro ),이재온 ( Jae On Lee ),양경숙 ( Kyung Sook Yang ) 한국여성건강간호학회 2007 여성건강간호학회지 Vol.13 No.3

이압요법이 여대생의 월경통, 월경곤란증 및 학업 스트레스에 미치는 효과

노승옥(Ro, Seung-Ok),이혜영(Lee, Hea-Young),이재온(Lee, Jaeon),김미영(Kim, Miyoung) 한국성인간호학회 2013 성인간호학회지 Vol.25 No.3

보완 대체요법을 적용한 투석환자의 간호중재 프로그램

김문실 ( Mun Sil Kim ),이금재 ( Geum Jae Lee ),김경원 ( Kyung Won Kim ),곽순애 ( Soon Ae Kwak ),하혜정 ( Hye Jung Ha ),이재온 ( Jae On Lee ) 이화여자대학교 간호과학연구소 2003 Health & Nursing Vol.15 No.2