유방암 여성이 인식한 배우자와의 친밀감과 삶의 질

정재원(Chung ChaeWeon),황은경(Hwang EunKyung),황신우(Hwang ShinWoo) 대한종양간호학회 2009 Asian Oncology Nursing Vol.9 No.2

Purpose: The study was aimed to investigate the levels of marital intimacy and quality of life (QOL) among women with breast cancer. Methods: As a descriptive study, a total of 67 married women with breast cancer was recruited via convenient sampling from a breast clinic in an university hospital. A structured, self-reported questionnaire was administered to the participants. Results: The most participants were housewives in their 40s and 50s, and were in high socioeconomic status. Two thirds of women perceived the marital intimacy with their spouse were increased after the diagnosis of breast cancer. Women’s marital intimacy significantly differed by their levels of education. The level of cognitive intimacy was the highest among the subscales, whereas, sexual intimacy was the lowest. The family factor of QOL showed the highest score, and there were differences in QOL by employment status and cancer stage. The QOL and marital intimacy were not correlated significantly. Conclusion: Further research on the couples with breast cancer and intervention for increasing their marital intimacy are needed in the future.

임신성 당뇨병을 가진 임산부를 위한 간호중재 프로그램의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰

김주희 ( Joohee Kim ),정재원 ( Chaeweon Chung ) 한국여성건강간호학회 (구 여성건강간호학회) 2021 여성건강간호학회지 Vol.27 No.1

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

체질량 지수와 생활습관에 따른 한국 가임 여성의 월경장애 유병률과 변화 추이: 국민건강보험공단 국가건강검진(2009~2016) 자료 활용

박소미(Park, SoMi),윤태웅(Yoon, Tae Woong),강대용(Kang, Dae Ryong),정재원(Chung, ChaeWeon) 한국간호과학회 2020 Journal of Korean Academy of Nursing Vol.50 No.3

Purpose: This study was performed to identify the prevalence of menstrual disorders in Korean women based on body mass index (BMI) and lifestyle factors, by utilizing the Korean National Health Insurance Database. Methods: A retrospective observational study design was used for the secondary data analysis. Data of women aged 15 to 49 years who were diagnosed with menstrual disorders were extracted from The National Health Insurance Service-National Health Screening Cohort in Korea from 2009 to 2016. The age-standardized prevalence rate of menstrual disorders was calculated using SAS version 9.4, and a Chi-square test and Cochran-Armitage test were performed. Results: In total, 2,219,445 cases were extracted from the database. The prevalence of menstrual disorders significantly increased from 8.6% to 11.6% (Z=135.16, p for trend <.001) over the past eight years. In particular, it was higher in underweight women than in women with normal weight across all years (Z=-4.18~-14.72, p <.001). Moreover, statistically significant differences in the prevalence of menstrual disorders were found to be associated with drinking and smoking in all years and with physical activity levels in part (p <.05~.001). Conclusion: These findings present compelling evidence on the prevalence of menstrual disorders based on a national database. Since the prevalence of menstrual disorders has steadily increased and differs based on BMI and lifestyle factors, educational and clinical interventions are necessary to promote risk awareness and appropriate behavioral changes among Korean women.

북한이탈 여성의 자궁경부암에 대한 인식 : 포커스그룹 면담

김진현(Jinhyun Kim),양진주(Jinju Yang),최서연(Seoyun Choi),정재원(ChaeWeon Chung) 다문화건강학회 2022 다문화건강학회지 Vol.12 No.1

Purpose: This study explored the perceptions of cervical cancer among female defectors from North Korea. Methods: Aqualitative method using focus group interviews was employed. Thirteen participants who were older than 20 when theyleft North Korea were recruited through a church-based community in Seoul. Data were collected from 3 focus group in terviews conducted in July 2021 after obtaining written consent from each participant. Each interview lasted for 40 to 50minutes and was recorded. After verbatim transcription, the data were analyzed qualitatively using the conventional con tent analysis method. Results: The following four categories were identified, each with two to three subcategories: mis conceptions about cervical cancer, barriers to knowledge acquisition, negative emotions toward the screening test, andexpectations for cervical cancer education. Conclusion: North Korean defectors have been considered particularly vulner able to cervical cancer, a major women’s health issue. Education and healthcare services need to be integrated into theservices they receive after they enter South Korea.

항암화학요법 환자의 정보요구 분석

한경자(Han Kyung Ja),이은옥(Lee Eun Ok),김매자(Kim Mae Ja),하양숙(Hah Yang Soak),박영숙(Park Young Soak),송미순(Song Mi Soon),정재원(Chung ChaeWeon),박성희(Park Sunghee),문미혜(Moon Mi Hye) 대한종양간호학회 2004 Asian Oncology Nursing Vol.4 No.2

Purpose: To exarmne Informational needs of cancer patients receiving chemotherapy Methods: A cross<br/> sectional survey design was utilized The sample was 198 cancer patients receiving chemotherapy for a diagnosis of stomach or lung cancer at a university hospital A modified version of Toronto Informational Needs Questionnaire was applied Results Subjects reported highest Informational needs In prognosis dimension. followed by the treatment dimension Including side effects and alternativetherapy Information about medical tests and follow-up care after the treatment was also in great need Dimensions of support for pattents/famlly and sexuahty were low in need The degree of informational needs was negatively correlated with patient's age and number of children Differences were found in informational needs according to the educational level employment status. and gender of the patIents. while diagnosis and treatment options did not make differences in informational needs. Conclusion: Health care professionals need to perceive informational needs of cancer patients receiving chemotherapy. and to provide them with information especially in the area of prognosis and treatment Informational intervention would be effective when it si given with consideration of patien's charactenstics