논문편 : 1980년과 1990년 도시주부의 생활시간 비교

임정빈,임혜경 ( Jeong Bin Im,Hae Kyung Lim ) 대한가정학회 1992 Family and Environment Research Vol.30 No.4

중년여성의 건강증진 프로그램 개발에 관한 연구

차영남,김금자,임혜경,장효순,한혜실,Cha, Young-Nam,Kim, Keum-Ja,Lim, Hye-Kyung,Jang, Hyo-Soon,Han, Hae-Sil 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest -posttest design. The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students. The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week. There was a pretest before the program and a posttest after the 6 week program. The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC. The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities. 2. The first hypothesis, 'The level of self efficacy of the experimental group will be higher than that of the control group.' was supported(F=10.154, p=.002). The second hypothesis, 'The degree of health promotive behaviors in the experimental group will be higher than that of the control group.' was supported(F=17.349, p=.000). 3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000). 4. The significant variables for health promotion behaviors were religion(t= -1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t= -3.06, p=.00) in socio-demographic characteristics. In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women. The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.

Valproic Acid가 사춘기 여아의 난소에 미치는 영향

문은경(Eun Kyoung Moon),임혜경(Hae Kyung Lim),유재홍(Jea Hong Yoo),이건수 (Keon Su Lee) 대한소아신경학회 2001 대한소아신경학회지 Vol.9 No.1

목적: Valproic acid는 소아와 성인 모두에게서 광범위하게 쓰이며, 전신 발작과 부분 발작 등 여러 종류의 경련에 치료 효과와 안전성이 입증된 항경련제이다. 지금까지 보고된 흔한 위장관계의 부작용과 체중 증가, 간독성, 그리고 드물게는 신경계 부작용 외에, 여성에서 특히 20세 이전부터 valproic acid를 복용한 경우 안드로젠과잉증과 다낭성 난포 등의 발생이 보고되고 있다. 이에 저자는 valproic acid가 소아와 청소년기의 여아들에서 생식 내분비계에 미치는 영향에 대해 알아보기 위해, valproic acid를 복용 중인 다양한 시기의 사춘기 여아를 대상으로 체형, 난소의 형태 및 성호르몬에 대한 연구를 실시하였다. 방법: 2000년 1월부터 7월까지 충남대학교병원 소아과에서 간질로 진단받고 valproic acid를 복용하고 있는 환아 중 8세에서 18세까지의 여아 23례를 대상으로, 경련의 형태와 투여된 valproic acid의 용량과 기간을 조사 후, 신장과 체중을 측정하여 Body Mass Index를 산출하였다. 사춘기의 단계는 Tanner stage에 따라 결정하였고, 초음파로 직장을 통하여 난소 여포를 관찰하여 다낭성 난포를 진단하였다. 혈중 성호르몬의 농도 측정은 채혈을 통하여 free testosterone, sex hormone-binding globulin(SHBG), luteinizing hormone(LH), follicle-stimulating hormone(FSH), estradiol 등을 측정하였다. 결과: Valproic acid를 투여 중인 간질 환아 23명 중 5명은 사춘기 전기였으며, 13명은 사춘기였고, 5명은 사춘기 후기에 해당하였으며, 이중 비만에 속하는 환아는 2명이었다. 평균 혈청 SHBG, LH, FSH, estradiol의 혈중 농도는 기준치와 비교시, 사춘기전기, 사춘기, 사춘기후기 모두에서 정상에 속하였다. 규칙적인 월경 주기를 갖는 정상 여아에서의 다낭성 난포의 발생율이 9%인데 비해, 본 연구에서는 valproic acid를 복용중인 20명의 여아 중 다낭성 난포의 발생은 5명으로 25%에 해당하였다. 결론: Valproic acid를 투여 중인 여아에서 규칙적인 난소의 초음파 검사는 필요한 것으로 사료된다. 하지만, 난소의 형태학적 변화가 valproic acid에 의해서 유발되는 지의 여부를 결정하기 위해서는 더 깊은 연구가 필요할 것으로 사료된다. Purpose: Valproic acid is effective and safe in adults and children for the treatment of a variety of seizure types. But, according to the recent reports, this drug induce hyperandrogenism, obesity, and polycystic ovaries, particularly when the medication is stared before the age of 20. This research was designed to study the effect of valproic acid on ovary of pubertal child. Methods: The sample group consisted of 23 girls who were diagnosed to epilepsy by our department of pediatrics, and were taking valproic acid from January 2000 to July 2000. They were evaluated reproductive endocrine function with the serum sex hormones and ultrasonographic study of ovary. Results: 1) The mean serum sex hormones concentration of prepubertal, pubertal, and postpubertal girls taking valproic acid were belong to the normal range of reference values of textbook of Nelson and Park's report. 2) The obesity were seen in two of the 23 girls taking valproic acid. 3) The rate of polycystic ovaries in normal girls with regular menstruation has been reported in 9%, but, in our report, polycystic ovaries were seen in five of the 20 girls taking valproic acid(25%). Conclusion: Ultrasinographic study of ovaries is required for the girls taking valproic acid. If the problems from the polycystic ovary are developed on patients taking valproic acid, the substitution of other anticonvulsant drug for valproic acid may be required. However, further study was needed to clarify whether this ovarian morphologic changes were elicited by valproic acid or not.

액션러닝기반 부모교육 프로그램이 장애아동 어머니의 가족탄력성에 미치는 효과

김은라(Kim Eun-Ra),박재국(Park Jae-Kook),임혜경(Lim, Hae-Kyung),임세령(Im Se-Ryeong) 부산대학교 교육발전연구소 2019 교육혁신연구 Vol.29 No.2

연구목적: 본 연구는 액션러닝기반 부모교육 프로그램이 장애아동 어머니의 가족탄력성에 미치는 효과를 살펴보는데 있다. 연구방법: 본 연구의 목적을 위해 U시 소재 장애인부모회의 도움을 얻어 장애자녀를 둔 어머니 20명을 7주간 총 21회기의 액션러닝기반 부모교육 프로그램을 진행하였다. 이 때 프로그램의 효과성 검증을 위하여 프로그램 적용 전-후 가족탄력성에 대한 설문조사를 실시하였으며, 프로그램 전체 과정에 대한 참여자의 성찰일지를 기록하도록 하였다. 연구결과: 첫째, 액션러닝기반 부모교육 프로그램은 장애아 어머니의 가족탄력성 증진에 유의한 효과가 있음이 확인되었으며, 가족탄력성의 하위 영역인 신념체계, 조직패턴, 의사소통과정에 대해서도 유의미한 효과성이 검증되었다. 둘째, 액션러닝기반 부모교육 프로그램의 만족도도 긍정적인 수준으로 나타났으며, 성찰일지 분석을 통해 액션러닝 기법을 활용한 프로그램의 효과에 만족하고 있는 것으로 확인되었다. 논의 및 결론: 본 연구에서 적용한 액션러닝기반 부모교육 프로그램은 장애아 어머니의 가족탄력성 증진을 위한 실제적인 전략이 될 수 있으며, 이를 활용하여 장애아 부모의 다양한 역량 증진에도 적용될 수 있을 것으로 여겨진다. Purpose: The purpose of this study was to explore the effectiveness of parent education program based on action learning technique for facilitating family resilience of mothers of children with disabilities. Method: 20 mothers of children with disabilities participated in this program consisting of 21 sessions. In order to verify the effectiveness of the action learning program, the subjects completed questionnaires before and after participating in the program and were asked to complete a self-reflection diary of their opinions on the program. Results: First, the level of family resilience was improved significantly and so were sub-factors of family resilience. Second, the subjects were satisfied with the effectiveness of parent education program which applied an action learning method. Conclusion: Based on these results, the effectiveness of parent education program that was useful in enhancing the family resilience of mothers of children with disabilities was identified and practical strategies to improve the family resilience of mothers of children with disabilities were suggested.

Mycoplasma Pneumoniae 폐렴 환아에서의 Polymerase Chain Reaction 법과 혈청학적 검사법의 상관성에 관한 연구

정용헌,임혜경 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

A study was done on 58 cases of children with pneumonia, admitted to the pediatric department of Chungnam National University Hospital during the period of 9 months from Feb. to Sept. 1997, in age between 2 years and 12 years, to confirm the correlation between mycoplasma antibody, cold agglutinin and PCR test. The results were as followings. 1. The total numbers of PCR positive to mycoplasma pneumoniae were 30 cases and those of PCR negative 28 cases. 2. In PCR positive group, distribution of cold agglutinin values over 1:64 and below 1:32 showed 56.7% and 43.4% in early stage, those values 94.5% and 5.6% respectively in later stage. Distribution of mycoplasma antibody over 1:160 shoved 60% and below 1:80 40% in early stage, 1005 and 0% in later stage. 3. In PCR negative group, cold agglutinin values showed wide ranges of 1:2 to over 1:64, mycoplasma antibody showed mostly below 1:40. 4. In PCR positive group, mycopasma antibody values were correlated with cold agglutinin value in later stage It's concluded that PCR test in highly correlated with mycoplasma antibody test.