니코틴 의존의 심리사회적 치료

이 은(Eun Lee),김경란(Kyung-Ran Kim),남궁기(Kee-Namkoong) 한국중독정신의학회 2008 중독정신의학 Vol.12 No.1

Tobacco use, the most common cause of death and diseases, has been decreased by the world’s efforts for the past 20 years. However, tobacco use does not decrease as much as expected, which may be due to nicotine dependence. When viewed in terms of nicotine-dependence, antismoking campaigns or the effort of quitting smoking by individuals’ own is difficult reality. According to statistics, most Korean smokers try to quit smoking with-out any help of consultation or treatment, and only 7 percent of those who do succeed in quitting smoking for one year. According to the cognitive theory, chronic tobacco use is reinforced by positive reinforcers such as tension relief and weight reduction, and by negative reinforcers such as weight gain and withdrawal symptoms. Psychosocial interventions refer to the skills and techniques that are critical for the care of all patients with nicotine dependence. These interventions have been reported to be effective in increasing quitting rates.

여성 알코올 의존:임상적 특징과 치료

이 은(Eun Lee),박상진(Sangjin Park) 한국중독정신의학회 2006 중독정신의학 Vol.10 No.2

There have been increased opportunities for women to take over traditional male roles, which enabled and encouraged women to have increased social drinking, consequently causing alcohol dependence. This review explores characteristics and treatment issues of female patients with alcohol dependence. Recent evidences suggest that alcohol-related problems develop later but progress rapidly in women. Women are more likely to have alcohol-related physical and psychological problems with smaller amount and shorter overall period of alcohol consumption than men. Also, they seemed to have more alcohol-induced cognitive and emotional disturbances. Gender issues and cultural factors may be contributory to this. it may be due to combination effect of gender and culture. There are also evidences that women may have more premorbid psychiatric problems than men. There was a significantly higher lifetime prevalence of psychiatric comorbidity in women than in men with alcohol dependence.

노인요양제도의 수발과 관련된 한국과 일본의 환경 비교

이 시 진(Si-Jin Lee),이 은 영(Eun-Young Lee,이 혜 진(Hey-Jin Lee) 대구보건대학 2008 대구보건대학 論文集 Vol.28 No.-

The study which shows sith theoretical data presented the client schedule of facility about Long-term Care insurance of Japan. And the process of service and the part of facility showed with the photograph. On the other side, the contents which executes from facility of Korea introduced. Also the founndation goal of korean facility and key note of Long-Term Care of Japan presented. Like this things leads, the study is will smoothly contribute for the settlement which the Long-Term Care Insurance System is enforced from Korea. The worker which does a best safely from day-service of Japan leads the service of direction adout Long-Term Care of korea. That becomes the big help. Finally, in camparison with Long-Term Care Insurance Korea and Japan, inorder to develop Long-Term Care System of Korea honestly, the study desires the central operating body does the fundamental self-govening body and National Health Insurance Corporation Supports with the setup.

결혼이주여성을 위한 다문화가정 지원사업의 경제성 분석

이 경 은(Lee Keung-Eun),박 창 제(Park Chang-Je) 한국가족학회 2009 가족과 문화 Vol.21 No.4

본 연구는 경북지역 다문화 가정방문지원사업을 중심으로 경제성을 분석하여 정책적 함의를 도출하고 사회복지사업의 타당성 평가와 관련된 학술적 연구기반을 확대하는 데 목적이 있다. 본 조사는 사업 전후 조사를 하였고, 사전 및 사후 각 401명의 응답지가 본 연구 대상으로 사용되었다. 조사결과는 다음과 같다. 첫째, 비용⋅효과분석방법을 이용하여 경제성을 평가한 결과 결혼이주여성을 위한 다문화 가정방문지원 사업이 가져온 문화적응의 사회적 편익이 사회적 비용을 크게 초과할 것으로 추정된다. 둘째, 비용⋅효과분석결과 결혼이주여성을 위한 다문화가정 방문지원사업이 가져온 부정적 정신건강의 감소로 인한 사회적 편익은 사회적 비용보다 아주 클 것으로 추정된다. 나아가 본 연구의 결과는 사회복지분야에서 경제성 평가의 유용성을 확인하였다. The purpose of this study is to evaluate economically the “home visiting supporting program” which was run by the supporting centers for multicultural families in Kyungpook Province. This evaluation was conducted by the pre-post test. The study subjects were female marital immigrants who were involved in the “home visiting supporting program” run by 10 supporting centers for muticultural families in Kyungpook Province at 2008. In the first survey, data of 640 marital immigrant women were collected. Six months later, data of 599 marital immigrant women were collected in second survey. Since the main objective of this study was to determine the cost-effectiveness of this programs, 401 same cases for pre-post test were examined for this study. Findings and implications of this study are summarized as follows. First, based on economic evaluation, it is estimated that social benefit of cultural adaptation improvement brought by home visiting supporting program for marital immigrant women exceeds their social cost substantially. Second, based on economic evaluation, it is also estimated that social benefit of negative mental health reduction brought by home visiting supporting program for marital immigrant women exceeds their social cost largely. Based on these results, it is thought that economic evaluation in social work area would be employed largely.

A Study on the Riboflavin Nutritional Status by Biochemical Tests in Healthy Female College Students in Korea

Il Eun Lee(李 - 恩),Hee Young Paik(白喜英) 韓國營養學會 1985 Journal of Nutrition and Health Vol.18 No.4

간호대학생의 동기강화 모델을 적용한 복습 프로그램 실행연구

김숙정(Kim, SookJung),이 은(Lee Eun) 학습자중심교과교육학회 2018 학습자중심교과교육연구 Vol.18 No.13

본 연구는 동기강화모델을 적용하여 수업의 질적 개선을 시도한 복습프로그램 실행연구로서, 학습동기를 강화하고 학습의 질적인 변화를 이루기 위해 시도되었다. 연구대상자는 G시의 G대학교 간호학과 2학년 재학생으로 2013년부터 2017년까지 기본간호학 수업을 받은 학생 636명이 참여하였다. 동기강화 모델을 적용하여 연구자가 계획단계에서 개발한 EMPOWER 단계의 동기강화복습프로그램을 실행하면서 매 학기 학생들의 학습효과 변화를 관찰하였으며 성찰 · 재계획의 나선형적 순환과정으로 수업을 진행하였고, 수집된 자료는 SPSS 20.0 프로그램을 이용하여 분석하였다. 결과는 처음 3년간은 효과가 크지 않았고, 4년째 2학기는 좋은 성적보다 생계유지 요구가 더 큰 일부 학생들의 요구에 따라 실행하지 못했으나 5년째는 복습프로 그램 경험, 학습효과와 만족도, 학습성과, 강의평가가 크게 상승하였으며, 줄탁(啐啄) 서포터즈 활동 경험에 대한 성찰문에서 학습의 개선 효과가 질적으로 변화되어 동기 강화 복습프로그램이 효과적인 학습법임을 확인하였다. 따라서 본 연구의 결과를 반영한 새로운 교수법을 개발할 것을 제안한다. The purpose of this study was to applied EMPOWER steps of motivation with review program for the quality of fundamental nursing education. Participants were 636 students from 2013 to 2017 took the fundamentals of nursing classes at G university in G city. The study included spiral circular processes of planning, action, observation, reflection and re-planning for 5 years. The data were analyzed using SPSS 20.0 program. The results did not work very well during the first three years, but the fifth year saw a significant increase in the review program experience, learning effects and satisfaction. Through the analysis of the Jultak(啐啄) Supporters self-reflection journals, It has been shown that a motivational/empowerment review program is effective learning method that improves the effectiveness of learning qualitatively. Therefore, it is suggested to develop new teaching methods that reflect the results of this study.

알코올 의존 환자에서 사진자극과 문자자극에 대한 암묵적 연상검사 결과 비교

전철인(Cheol-In Jeon),이영렬(Young-Ryeol Lee),이 은(Eun Lee),이재원(Jaewon Lee),이수정(Soo Jung Lee),안석균(Suk Kyooun An),박진영(Jin-Young Park) 한국중독정신의학회 2010 중독정신의학 Vol.14 No.2

Objectives:The Implicit Association Test (IAT) is a paradigm designed to assess individual difference in implicit cognition. This study investigated the difference of IAT effect of alcohol related pictures and words in alcohol dependent patients, heavy drinkers and control subjects. Methods:23 alcohol dependence patients, 23 heavy drinkers and 22 controls were included. All subjects per-formed two IAT, one of which was composed of alcohol related pictures and the other was made of words. Results:Repeated measurement ANOVA showed significant main effect of ‘Type of stimuli’ [F(1,65)=29.38, p<0.001], and IAT effect was more prominent by words than pictures. But there was no significant interaction of ‘Type of stimuli’ and ‘Group’ [F(1,65)=1.466, p= 0.238]. In between group analysis, there was the significant main effect of ‘Gorup’ [F(2,65)=4.007, p=0.023], and control group had significantly negative implicit cognition to alcohol than heavy drinker group. Conclusion:IAT effect was marked in alcohol related word than picture. But IAT effect pattern of each group was not changed by stimulus. Overall alcohol related word and picture show difference in IAT effect power but both alcohol related picture and word IAT was useful for estimate alcohol related implicit cognition.

노인의 이동통신 기기 사용현황 및 특성

김서영(Seo Young Kim),정경미(Kyung Mi Chung),박재섭(Jae Sub Park),이 은(Eun Lee),박진영(Jin Young Park) 대한노인정신의학회 2018 노인정신의학 Vol.22 No.2

Objective:This study aims to investigate the current usage status and identify the needs of mobile devices in the geriatric population, thus grasping the accessibility and possibility of mobile devices which can be positively used to allow them to obtain health information and manage their mental health. Methods:All self-reported questionnaires, such as demographics, mobile phone usage, and several mental health-related scales, were completed by two elderly groups (14 males ; aged over 60, mean=73) who visited Seodaemun-gu center for dementia: 1) 54 feature phone and 2) 57 smartphone users. Results:The results revealed that they have had the need to receive health information and healthcare particularly on psychiatric disorders such as dementia, geriatric depression, and anxiety. The relation between wireless calling plan and the two groups was significant. The two groups showed a significant difference only in the Short form of Geriatric Depression Scale (SGDS) score; The feature phone group had significantly higher SGDS score than the smartphone group did. Conclusion:As the elderly mobile phone users showed a high level of need for health information and healthcare via their own mobile phones, the data of this study are expected to serve as a foundation for the development of elderly-friendly mobile applications and programs.

조중 삽화로 입원했던 환자의 재평가 : 혼재성 삽화 진단의 가능성

전덕인,김경란,이 은,손상준 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.4

Objective : Mixed states are difficult to define precisely and to recognize accurately. Moreover, the DSM-IV criteria for diagnosis of a mixed episode might be too restrictive. The purpose of this study was to investigate the possibility of a mixed episode in bipolar inpatients hospitalized with DSM-IV manic episodes using the Cincinnati criteria, which is a broader criteria compared to DSM-IV. Methods : Inpatient charts of manic patients were carefully evaluated to determine the presence of depressive symptoms in the Cincinnati criteria. The probable mixed patient group was compared with the definitely manic patient group on demographic and clinical variables. The predictability of depressive symptoms for a mixed episode was assessed. Results : Twenty-one out of 101 manic inpatients were possibly diagnosed as mixed episodes. They showed more psychiatric family history, comorbid personality disorder and suicide attempts. Two symptoms (suicidal ideation and helplessness or hopelessness) had good positive predictive value. Conclusion : Diagnosis of a mixed episode can be increased with careful interview and by using a broader diagnostic criteria. The presence of suicidal ideation and helplessness or hopelessness may suggest a mixed state.

자발성 종격동기종을 동반한 천식

우용문,정은정,성지석,정범진,조영준,강영모,이 은 이화여자대학교 의과학연구소 2014 EMJ (Ewha medical journal) Vol.37 No.S

종격동기종은 종격에 공기가 있는 것을 말하며 주로 기저 질환이 없는 건강한 청년기 남자에서 흔하고, 성인에서는 드문 질환이다[1]. 자발성 종격동기종은 흉부손상이나 기관지 내 시술, 식도 내 시술, 인공호흡, 심도자술, 흉부수술 등 이차적인 원인에 의해 발생하는 것이 아니라 명확히 정의된 유발요인 없이 종격에 자유공기(free air)가 누출되는 것을 말한다[2]. 대부분은 무증상이지만 목과 흉부의 통증, 호흡곤란 등을 일으킬 수 있다. 대부분의 환자에서 양호한 임상경과를 보이나 매우 드물게 생명을 위협하는 질병경과를 보일 수 있으므로 세심한 관찰이 필요하다. 천식환자에서 나타나는 자발성 종격동기종은 비교적 드문 합병증으로, 급성 악화 때 발생률은 0.2~0.3%가 보고되고 있으며 [1], 국내외에서 증례 보고가 드물게 되고 있다[3-9]. 최근 저자들은 호흡곤란과 흉통을 주 증상으로 내원한 천식 환자에서 자발성 종격동기종을 보인 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.