말기암환자 가족 간병인의 간병 부담과 관련된 요인

이지혜,박현경,황인철,김효민,고수진,김영성,이용주,최윤선,황선욱,안홍엽,Lee, Jee Hye,Park, Hyun Kyung,Hwang, In Cheol,Kim, Hyo Min,Koh, Su-Jin,Kim, Young Sung,Lee, Yong Joo,Choi, Youn Seon,Hwang, Sun Wook,Ahn, Hong Yup 한국호스피스완화의료학회 2016 한국호스피스.완화의료학회지 Vol.19 No.1

목적: 말기암환자 가족 간병인의 간병 부담을 줄이는 것은 가족뿐 아니라 환자를 위해서도 중요하다. 본 연구에서는 말기암환자 가족 간병인의 간병 부담과 관련된 요인에 대해 살펴보았다. 방법: 국내 7개 기관의 완화의료병동에서 입원치료를 받는 말기암환자의 가족 간병인 289명의 자료를 분석하였다. 간병인이 느끼는 주관적 간병 부담은 암환자 가족 돌봄 경험 평가도구를 사용하였고, 5가지 차원에서 단계적 변수 선정을 사용한 로지스틱 회귀 모형을 통해 유의한 인자를 확인하였다. 결과: 간병부담의 각 차원에서 다양한 인자들과의 관련성이 확인되었다. 감정적 요인은 가장 폭넓은 영향을 미쳤는데, 감정적 스트레스를 가진 군은 그렇지 않은 군에 비해, 생활패턴이 변할 가능성이 2.54배(95% confidence interval, 1.29~5.02), 가족의 협조가 부족할 가능성이 2.27배(1.04~4.97), 그리고 신체적 부담이 커질 가능성이 5.44배(2.50~11.88)였다. 가족기능은 가족의 협조부족을 매우 잘 반영하였으며, 심한 가족기능 장애를 보일 경우 경제적 부담과도 관련이 있었다. 종교를 가진 군과 동반질환이 없는 군에서 오히려 간병 부담이 더 높은 것으로 나타났으며, 간병기간과 하루 중 간병시간은 생활패턴의 변화와 신체적 부담을 유의하게 예측하였다. 직업을 가지고 있거나, 사회적 지지가 부족하거나, 자주 방문하지 못하는 가족 간병인은 낮은 자아 존중감을 보였다. 결론: 본 연구 결과에 의하면, 가족 간병인의 간병 부담을 파악하기 위해서는 그들의 정서상태와 가족기능을 파악하는 것이 도움이 되며, 사회적 지지체계를 포함하여 경제적 부담을 완화시키는 노력이 필요하겠다. Purpose: It is important to alleviate care burden for terminal cancer patients and their families. This study investigated the factors associated with care burden among family caregivers (FCs) of terminally ill cancer patients. Methods: We analyzed data from 289 FCs of terminal cancer patients who were admitted to palliative care units of seven medical centers in Korea. Care burden was assessed using the Korean version of Caregiver Reaction Assessment (CRA) scale which comprises five domains. A multivariate logistic regression model with stepwise variable selection was used to identify factors associated with care burden. Results: Diverse associating factors were identified in each CRA domain. Emotional factors had broad influence on care burden. FCs with emotional distress were more likely to experience changes to their daily routine (adjusted odds ratio (aOR), 2.54; 95% confidence interval (CI), 1.29~5.02), lack of family support (aOR, 2.27; 95% CI, 1.04~4.97) and health issues (aOR, 5.44; 2.50~11.88). Family functionality clearly reflected a lack of support, and severe family dysfunction was linked to financial issues as well. FCs without religion or comorbid conditions felt more burdened. The caregiving duration and daily caregiving hours significantly predicted FCs' lifestyle changes and physical burden. FCs who were employed, had weak social support or could not visit frequently, had a low self-esteem. Conclusion: This study indicates that it is helpful to understand FCs' emotional status and family functions to assess their care burden. Thus, efforts are needed to lessen their financial burden through social support systems.

Exploring Tourists’ Korean Food Satisfaction across Culture, Gender, and Education

Lee, Jee Hye(이지혜) 한국관광레저학회 2015 관광레저연구 Vol.27 No.5

영양지식 확신도가 건강관련행동의도에 끼치는 영향력 검증

이지혜(Jee Hye Lee),김학선(Hak Seon Kim) 한국조리학회 2013 한국조리학회지 Vol.19 No.4

The trend of increasing consumption of less nutritious foods makes the college years a critical period to enlighten young adults regarding healthy living, nutrition knowledge, and physical activity. This current study aims (a) to examine the influence of confidence in nutrition knowledge on college students` health-related behavioral intentions, and (b) to investigate the moderating effect of gender on relationship between confidence in nutrition knowledge and college students` health-related behavioral intentions. The results provide empirical evidence of college students` health behaviors showing that confidence in nutrition knowledge leads to an increase in behavioral intention to eat healthy food and to involve in physical activities. Also, the greater influence of confidence in nutrition knowledge on behavioral intention to eat healthy food is found among females students than male students. This study contributes to university foodservice literature and operators by providing useful information.

P-87 : 가축분뇨의 전처리 방법에 따른 BMP test

이지혜 ( Jee Hye Lee ),박광수 ( Gwang Su Park ),진설교 ( Xue Jiao Chen ),이상협 ( Sang Hyeub Lee ),민경석 ( Kyung Sok Min ) 한국물환경학회(구 한국수질보전학회) 2013 한국물환경학회·대한상하수도학회 공동 춘계학술발표회 Vol.2013 No.-

어린이급식관리지원센터의 영양 및 위생,안전관리 방문교육지원 효과 -울산지역을 중심으로-

이지혜 ( Jee Hye Lee ) 대한영양사협회 2016 대한영양사협회 학술지 Vol.22 No.1

The purpose of this current study was to examine the effects of nutrition and food safety management support by the Center for Children’s Foodservice Management (CCFSM) in foodservice facilities for children in the Ulsan area. From December 2014 to July 2015, the status of nutrition practices and hygiene practices was assessed by dietitians using nutrition and hygiene practice checklists. The subjects of study were 48 institutional foodservice facilities for children. Some nutrition practice items showed significant increases in average scores of ‘using CCFSM menus (P<0.001), revising menus (P<0.05), and reconfirm menus (P<0.01)’ from pre-support to post-support. Regarding hygiene practices, some items between pre-support to post-support showed significant increases in average scores of ‘having equipment for hand washing & disinfecting’ (P<0.01),‘wearing disinfected clothing for kitchen hygienically’ (P<0.05), ‘proper sterilization’ (P<0.05), ‘recording the origin of ingredients’ (P<0.01), ‘use of different knives/cutting boards’ (P<0.05), and ‘an appropriate thawing process’ (P<0.05) from pre-support to post-support. Based on the above results, we found that nutrition and hygiene management support by CCFSM in foodservice facilities for children had a positive influence on status of some nutrition and food safety practices.

청소년들의 아토피 피부염과 식품섭취빈도에 관한 연구: 청소년건강행태온라인조사 자료를 중심으로

이지혜 ( Jee Hye Lee ) 대한영양사협회 2016 대한영양사협회 학술지 Vol.22 No.2

The aim of this study was to explore the relationship between demographic characteristics and atopic derma-titis, along with adolescents` body mass index. Also, this study explored the association between dietary intakes (fruits, soda, caffeinated beverages, instant food, cracker, vegetables, and milk) of adolescents and atopic dermatitis. Korea Youth Risk Behavior Web-based Survey for 2014 was used for data analysis, in which a to-tal of 3,532,149 middle and high school students participated. Data were analyzed by descriptive analysis and logistic regression based on the complex sample design using SPSS ver.20.0 statistics. The results showed that males had a higher prevalence rate of atopic dermatitis than females. The significant association between body mass index and atopic dermatitis was found (F=46.625, P<0.001). Students who have higher levels of body mass index showed a higher prevalence rate of atopic dermatitis. Finally, the findings showed that the intake of vegetable and milk had associations with atopic dermatitis (F=6.795, P<0.001). Greater vegetable intake was associated with less atopic dermatitis whereas greater milk intake was associated with more atopic dermatitis prevalence. Based on the above results, we found that demographic characteristics, body mass index, and some dietary food intakes of adolescents had influences on prevalence rate of atopic dermatitis.

The Impact of Self-Image Congruence on Customers` Attitudes toward Ethnic Cuisine

Lee, Jee Hye(이지혜),Hwang, Johye(황조혜) 한국관광레저학회 2014 관광레저연구 Vol.26 No.4

길거리 음식의 지각된 위험이 가치 및 행동의도에 미치는 영향

이지혜(Jee Hye Lee),서경화(Kyung Hwa Seo) 한국조리학회 2019 한국조리학회지 Vol.25 No.8

대학생의 ‘14데이’에 대한 인식과 구매행태 및 만족도

이지혜(Jee Hye Lee),이아름(A Rym Lee),이경원(Kyung Won Lee),김민정(Min Jeung Kim) 충북대학교 생활과학연구소 2012 생활과학연구논총 Vol.16 No.2

The purpose of this study is to examine college students' perception about expenditures to celebrate ‘14day’s including Valentine's Day and White Day and their purchasing satisfaction. To this end, this study looked at how much they knew about 12 ‘14day’s, their preferences, and perception about purchase of relevant goods for presents, and their expenditure patterns. The results of this study are as follows. First, college students know best about Valentine's Day in February and White Day in March among the 12 ‘14day’s. They were also the days they wanted to celebrate most. Second, in their expenditure patterns regarding the ‘14day’s, 72.4% of students had purchased relevant goods and 27% had not. Third, although the presents related to the ‘14day’s were foods, most students had purchased them at fancy stationeries or on the street. This result suggests that there is a possibility that food safety problems may occur. Fourth, most students spent no more than 20,000 won and they mostly thought it was appropriate. Fifth, mostly they did not have any plan for expenditures to purchase presents for the ‘14day’s but they utilized part of their pocket money. On the other hand, less than 15% had purchased goods with a certain plan. This means that they did not establish budgets for specific consumptions and education for reasonable consumption is necessary. Sixth, satisfaction degree for prices was lowest and satisfaction degree for packaging was highest. This is probably a result that shows a problem that excessive packaging is raising prices of products.

장기요양노인환자들에 대한 구강체조가 구강기능 향상에 미치는 영향

이지혜 ( Jee Hye Lee ),권호근 ( Ho Keun Kwon ),이윤희 ( Yun Hui Lee ),이민호 ( Min Ho Lee ),이희경 ( Hee Kyung Lee ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.3

Objectives. The purpose of this study was to provide basic data for development of oral exercise for the elderly under the long-term care insurance system in Korea from December 2007 to June 2008. Methods. Fifty three patients of a nursing facility in Ch`onan were selected to be the intervention group, and fifty two patients of a nursing facility in Geochang, Gyeongsangbuk-do were recruited to be the control group. Both groups were provided with the oral exams and oral function exams, only that the intervention group performed the oral exercise five times per week for three months. Results. After the experiment, statistically significant differences between the two groups were observed. First, the repetitive swallowing test showed a different result between the two groups by 2.2 in the intervention group after the program while it declined by 0.1 in the control group (p<0.01). The number of phonation showed a contrast between the two groups: an increase by 4.4 for the intervention group and a decrease by 0.2 for the control group, with adjusted baseline status (p<0.01). Salivation was also influenced: an increase by 6.4mm from the intervention group and an increase by 0.4mm from the control group were shown (p<0.01). The maximum opening showed an increase by 0.4cm and a decrease by 0.3cm for the intervention group and the control group, respectively, with adjusted baseline status (p<0.01). Lastly, the right cheek ballooning function test showed a decline in capacity by 7.7% in the control group and an improvement by 22.6% in the intervention group (p<0.05). Conclusions. These results supported that the three-month oral exercise improves oral function amongst the elderly.