부모사별 이후 발생하는 부정적 생활사건이 청소년의 우울,불안에 미치는 영향 -영적 안녕감의 조절효과-

차유림 ( Yu Rim Cha ) 기독교학문연구회 2012 신앙과 학문 Vol.17 No.2

본 연구는 부모사별 청소년의 우울·불안에 부모사별 이후 발생하는 부정적 생활사건이 미치는 영향을 살펴보고, 부정적 생활사건이 우울·불안에 미치는 영향을 영적 안녕감이 조절하는지 확인하는 것에 목적을 두었다. 이를 위해 2011년 3월부터 10월까지 서울, 경기, 대전광역시, 경북, 경남, 전남, 제주 지역에 거주하고 있는 부모사별 청소년들을 대상으로 자기기입식 설문조사를 실시하였으며, 총 192명의 자료가 분석에 사용되었다. 변수간의 관계와 조절효과를 검증하기 위해 회귀분석방법을 적용하였다. 연구 결과는 다음과 같다. 첫째, 부정적 생활사건과 우울·불안이 정(+)적 상관관계를 갖는 것으로 나타나 부정적 생활사건을 많이 경험할수록 우울·불안의 수준이 높아지는 것을 확인하였다. 둘째, 영적 안녕감의 정도에 따라 부정적 생활사건과 부모사별 청소년의 우울·불안간의 관계가 달라진다는 것을 검증하였다. 본 연구는 부모사별 청소년의 우울·불안에 대한 부정적 생활사건의 영향력과, 부정적 생활사건의 우울·불안에 대한 영향에 대해 영적 안녕감이 조절효과를 갖는다는 것을 검증함으로써 우리나라에서 아직까지 많은 연구가 이루어지지 못한 부모사별 청소년의 적응에 대한 이해 수준을 높이고, 부모사별 청소년의 적응과 관련된 실천적 개입의 기초 자료를 제공하였다는 데 의의가 있다. This study examined the relationship between negative life events and depression-anxiety of parentally bereaved adolescents. Also the moderating effect of spiritual well-being on negative life events was examined. The sample included 192 bereaved adolescents ages 13 to 18 years(boys: 62.0%, girls: 38.0%/father death: 78.1%, mother death: 21.9%/anticipated death: 64.6%, sudden death: 35.4%). Community agencies represented the most common sources of referral. In order to examine main effect and moderating effect, multiple regression analysis were performed. The statistical package SPSS/PC V.17 was used. Major findings in this study are as follows: First, the study findings suggested that negative life events were positively related to depression and anxiety of bereaved adolescents. Second, regression analysis revealed that the negative life events were moderated by the spiritual well-being. This study is the first to examine the relations of negative life events, spiritual well-being and depression-anxiety of parentally bereaved adolescents of Korea. The finding indicated that the level of negative life events influence the level of depression-anxiety. And the level of spiritual well-being moderated the influence of negative life events on depression-anxiety. This result demonstrated that spiritual well-being played a crucial role in the depression-anxiety problems of the bereaved adolescents. These findings suggest that social work practice should consider spiritual well-being as an important aspect of adjustment after bereavement. Also various programs suitable for the parentally bereaved adolescents should be developed.

사회복지학 전공 대학생을 위한 죽음 관련 교과목 고찰

차유림(Yu-rim Cha) K교육연구학회 2022 사회과학리뷰 Vol.7 No.3

본 연구는 사회복지학 전공 대학생에게 죽음 관련 교과목을 정규 교과로 개설하여 실시하고 있는 국내외 사례를 분석하고 고찰함으로써 사회복지학 전공 대학생들의 죽음 관련 사회복지 실천역량을 강화할 수 있는 교과목 개발을 위한 기초자료로 활용하는 것을 목적으로 한다. 이를 위해 국내외 3개 대학의 교과목 교육 내용과 교육 방법을 분석하였다. 연구 결과는 다음과 같다. 첫째, 각 대학에서는 교육 내용을 개인적 차원의 전문가적 차원으로 구분하여 학생들이 죽음과 관련된 지식, 기술, 태도를 습득하고 유능감을 향상할 수 있도록 돕고 있다. 둘째, 각 대학에서는 교육 내용이 효과적으로 전달될 수 있도록 강의, 토론, 특강, 활동 등의 다양한 교육 방법을 활용하고 있다. 본 연구는 사회복지학을 전공하는 학생들이 죽음과 관련된 지식을 습득하고 개입기술을 익혀 사회복지 실천역량을 강화할 수 있는 교과목 개발을 위한 기초자료로 활용할 수 있다는 점에서 연구의 의의가 있으며, 연구 결과를 바탕으로 향후 연구과제를 제안하였다. This study reviewed death-related subjects for college students majoring in social work to use as basic data for developing subjects that can strengthen the death-related practice capabilities of students. The curriculum contents and teaching methods of subjects at three colleges were analyzed. The results of the study are as follows. First, each college divides curriculum contents into an individual level and expert level to help students acquire knowledge, skills, and attitudes related to death and improve their ability. Second, each college uses various teaching methods such as lectures, discussions, special lectures, and activities so that the curriculum contents can be effectively delivered. This study is meaningful in that it can be used as basic data for developing subjects that students majoring in social work can get death-related knowledge, learn intervention skills, and strengthen their social work practice capabilities. Based on the research results, future research tasks were proposed.

사회복지사를 위한 죽음 교육, 어떻게 할 것인가?

차유림(Cha, Yu-rim) 사회복지정책실천회 2020 사회복지정책과 실천 Vol.6 No.3

사회복지사는 사회복지 실천현장에서 다양한 죽음을 경험한다. 본 연구의 목적은 죽음을 경험한 클라이언트와 일하는 것이 사회복지사들에게 미치는 영향을 파악하고, 국내외에서 사회복지사 및 일반인들을 대상으로 실시되고 있는 죽음 교육 내용을 살펴봄으로써 우리나라에서 실행할 수 있는 죽음 교육 방안을 제언하는데 있다. 사회복지사들은 죽음을 경험하는 클라이언트와 함께 하면서 다양한 신체적, 정서적, 행동적 영향을 받게 된다. 죽음 교육을 실시하게 되면 이러한 영향들로부터 생겨날 수 있는 부정적 결과를 예방하는 데 효과가 있을 뿐만 아니라, 사회복지사들이 죽음과 관련된 지식 및 실천기술을 습득함으로써 전문가로서 성장하는 데 도움을 얻을 수 있다. 미국의 경우 죽음과 상실, 애도과정에 대한 개념 이해, 대상별 이해, 방법별 이해를 목적으로 교육을 실시하고 있으며, 호주의 경우 죽음 이전과 죽어가는 과정, 죽음 이후로 나누어 사회복지사들이 학습해야할 지식과 실천방법을 교육하고 있다. 우리나라의 경우, 사회복지사를 대상으로 죽음 교육을 실행하려할 때 한국사회복지사협회가 주체가 되고, 사회복지사가 개인적･전문적 차원에서 도움을 받을 수 있는 내용으로 교육을 구성하며, 교육의 효과를 체계적으로 평가하는 작업이 필요하다는 것을 제언하였다. Social workers experience various deaths at social work settings. The purpose of this study is to identify the impact of working with clients who have experienced death on social workers and to suggest a death education plan that can be implemented by reviewing the death education contents being conducted for social workers. Social workers are subject to a variety of physical, emotional and behavioral influences while working with clients experiencing death. Providing death education is not only effective in preventing negative consequences that may arise from these effects, but also in helping social workers grow up as professionals by acquiring knowledge and practice skills related to death. In the United States, education is provided for the purpose of understanding the concept of death and loss, mourning process, understanding by subject, and understanding by method. In Australia, the knowledge and practice that social workers should learn before and after death are taught. In the case of Korea, it was suggested that the Korea Association of Social Workers should be the main body when trying to implement death education for social workers, organize education on a personal and professional level, and systematically evaluate the effectiveness of education.

사별 가족 연구 동향 분석 : 1994년부터 2013년 상반기까지

차유림,Cha, Yu Rim 한국호스피스완화의료학회 2014 한국호스피스.완화의료학회지 Vol.17 No.3

목적 : 본 연구는 문헌연구방법을 통해 지금까지 국내에서 진행된 사별 가족 연구 동향을 살펴봄으로써 이후 연구의 방향성을 제시하는 데 그 목적을 두었다. 방법 : 국내에서 1994년부터 2013년 상반기까지 사별 가족을 대상으로 발표된 학위논문과 학술지 총 97편을 연구대상으로 설정하고, 시기별, 대상별, 목적별로 구분한 후 주요 특징을 제시하였다. 결과 : 첫째, 이전 시기에 비해 2010년 이후부터 사별 가족 연구의 증가 추세가 뚜렷하게 나타난다. 둘째, 가족 전체를 대상으로 하는 연구 빈도가 가장 높았으며, 남편과 사별한 중년 여성 배우자를 대상으로 하는 연구들이 활발하게 진행되고 있다. 셋째, 관련 변인간 관계를 검증한 연구가 가장 많은 것으로 확인되었다. 결론 : 후속 연구를 통해서 사별 가족에게 영향을 미치는 것으로 보고되고 있는 다양한 변수들을 통합적으로 이해하기 위한 노력이 필요하며, 체계적 검토방법을 활용한 개입 효과성 평가가 이루어져야 하고, 배우자를 사별한 중년 남성, 자녀를 사별한 부모, 부모를 사별한 자녀들을 대상으로 하는 질적 연구가 시행되어야 함을 제시하였다. Purpose: This study was conducted to identify the current status of studies of bereaved families in Korea. Methods: We reviewed 97 studies of bereaved families, which were published between 1994 and 2013 in Korea. The studies were classified in three groups according to time, subjects, and topic. Results: First, the number of bereaved family-related studies has increased since 2010. Second, most studies focused on the whole family, and middle-age widows were also popular subjects. Third, the most popular topic was a relationship between certain variables. Conclusion: First, variables and their relations among themselves should be approached through an integrated study. Second, a systematic review is needed to assess the effects of interventions on the bereaved. Third, a qualitative research method is needed to broaden and deepen our understanding about the middle-age widowers, parents who lost their children and children who lost their parents.

인터넷 사이트를 통해 살펴본 의료사고 및 의료분쟁의 현황에 관한 분석

차유림,권정승,최종훈,김종열,Cha, Yu-Rim,Kwon, Jeong-Seung,Choi, Jong-Hoon,Kim, Chong-Youl 대한안면통증구강내과학회 2006 Journal of Oral Medicine and Pain Vol.31 No.4

The increasing tendency of medical disputes is one of the remarkable social phenomena. Especially we must not overlook the phenomenon that production and circulation of information related to medical accidents is increasing rapidly through the internet. In this research, we evaluated the web sites which provide the information related to medical accidents using the keyword "medical accidents" in March 2006, and classified the 28 web sites according to the kinds of establishers. We also analyzed the contents of the sites, and checked and compared the current status of the web sites and problems that have to be improved. Finally, we suggested the possible solutions to prevent medical accidents. The detailed results were listed below. 1. Medical practitioners, general public, and lawyers were all familiar with and prefer the term "medical accidents" mainly. 2. In the number of sites searched by the keyword "medical accidents", lawyer had the most sites and medical practitioners had the least ones. 3. Many sites by general public and lawyers had their own medical record analysts but there was little professional analysts for dentistry. 4. General public were more interested in the prevention of medical accidents but the lawyers were more interested in the process after medical accidents. The sites by medical practitioners dealt with the least remedies of medical accidents, compared with other sites. 5. General public wanted the third party such as government intervention into the disputes including the medical dispute arbitration law or/and the establishment of independent medical dispute judgment institution. 6. In the comparison among the establishers of web sites, medical practitioners dealt with the least examples of medical accidents. 7. The suggestion of cases in counseling articles related to dental accidents were considered less importantly than the reality. 8. Whereas there were many articles about domestic cases related to the bloody dental treatment, in the open counseling articles the number of dental treatment regarding to non insurance treatment was large. 9. In comparing offered information of medical accidents based on the establishers, general public offered vocabularies, lawyers offered related laws and medical practitioners offered medical knowledge relatively. 10. They all cited the news pressed by the media to offer the current status of domestic medical accidents. Especially among the web sites by general public, NGOs provided the plentiful statistical data related to medical accidents. 11. The web sites that collect the medical accidents were only two. As a result of our research, we found out that, in the flood of information, medical disputes can be occurred by the wrong information from third party, and the medical practitioners have the most passive attitudes on the medical accidents. Thus, it is crucial to have the mutual interchange and exchange of information between lawyer, patients and medical practitioners, so that based on clear mutual comprehension we can solve the accidents and disputes more positively and actively.

운동과 AMP-activated protein kinase의 관계

강성훈(Kang Sung-Hwun),차유림(Cha Yu-Rim),여남회(Yeo Nam-Hwoeh) 동아대학교 스포츠과학연구소 2007 스포츠科學硏究論文集 Vol.25 No.-

  2000년 당뇨병 치료의 직접 비용은 약 920억이며, 간접비용은 약 400억 정도로 추정되고 있다(WHO). 다양한 인슐린 치료 또는 대체 복용약이 개발되었고 치료에 활용하고 있으나 새로운 예방과 치료적 전략이 필요하다. 최근 연구들에 따르면, 당뇨병 환자에서 AMPK는 운동 트레이닝의 역할과 관련하여 당뇨병 치료에 중요한 역할을 하는 것으로 예측되고 있다.<BR>  본 연구는 최근 연구되고 있는 AMPK의 2형 당뇨에 대한 치료적 대사 기전과 운동과의 관련성을 조사하기 위한 것으로 선행 연구들을 고찰하여 다음과 같은 결론을 얻었다.<BR>  AMPK는 에너지 감각기관 효소이며 몇몇 세포 형성 과정과 대사의 조절에서 중심적인 역할을 한다. 2형 당뇨병, 비만, 이상지질혈증, 고혈압 그리고 허혈성 심장질환과 같은 질병의 치료에서 AMPK 경로는 유용한 것으로 증명 되고 있다. 이러한 AMPK의 대사경로에서 운동 트레이닝의 자극은 흥미를 유발하는 주제가 될 수 있으며, 대사증후군의 개선에 유용한 자료가 될 수 있음을 시사한다.   AMPK is an enzyme that works as a fuel gauge which becomes activated in situations of energy consumption. AMPK functions to restore cellular ATP levels by modifying diverse metabolic and cellular pathways. That is activated during exercise and is involved in contraction-stimulated glucose transport and  fatty acid oxidation in the skeletal muscle. Also, AMPK is an energy-sensing enzyme which plays a central role in the regulation of several metabolic cellular processes. Accumulating evidence suggests that targeting the AMPK pathway could prove useful in the treatment of diseases such as type 2 diabetes, obesity, dyslipidaemia, hypertension and ischaemic heart disease. AMPK has an important role in the regulation of exercise capacity and glucose transport in skeletal muscle. Specially, AMPK α2 is necessary for mitochondrial respiration inhibition-induced, but is not essential for hyperosmolarity-induced and contraction-induced glucose transport in skeletal muscle. Therefore, exercise stimulus in pathway of AMPK suggested that is interested induced theme and effect of metabolic syndrome cure.

초등학교 야구선수들의 등속성 근력 및 심폐지구력에 관한 연구

박일봉(Park Il-Bong),강성훈(Kang Sung-Hwun),차유림(Cha Yu-Rim),오경식(Oh Kyung-Sik),여남회(Yeo Nam-Hwoeh) 동아대학교 스포츠과학연구소 2005 스포츠科學硏究論文集 Vol.23 No.-

The purpose of this study was to investigate the result of on body composition, isokinetic muscle strength and cardiopulmonary in elementary school baseball player. The subjects consisted of 12aged male, who were divided into one group of 8 trained more than 2 years baseball experience and another group of 8 normal subjects. Cardiopulmonary metabolic variables were treasured during graded maximal exercise utilizing a treadmill. Also body composition and cybex isokinetic muscle strength were measured. The following conclusion was made in result of the test for the subjects. The height, weight and BMI, the player groups were shown to be higher significantly(p v.05) than normal groups. In isokiretic muscle strength, the player groups showed to be higher the significant(p <.05) than normal groups in cybex isokinetic muscle strength factor. In VO₂max, the player groups showed to be higher the significant(p <.05) than normal groups. From the result of this study, it can be concluded that elementary baseball players shown to be higher than normal groups for body composition, isokinetic muscle and cardiopulmonary.

요가운동 프로그램수행이 폐경 전,후 중년 여성의 카테콜아민과 성장호르몬에 미치는 영향

여남회 ( Nam Hwoeh Yeo ),오경식 ( Kyung Sik Oh ),차유림 ( Yu Rim Cha ),강성훈 ( Sung Hwun Kang ) 한국스포츠정책과학원(구 한국스포츠개발원) 2008 체육과학연구 Vol.19 No.1

본 연구는 폐경전과 폐경후 중년여성을 대상으로 요가운동 프로그램수행이 호흡순환기능, 카테콜아민 그리고 성장호르몬에 미치는 영향을 구명하고자 실시되었다. 연구 피험자들은 폐경전 그룹(n=7)과 폐경후 그룹(n=7)으로 무작위 추출에 의해 참여하였다. 모든 피험자들은 12주간, 주 3일, 일일 60분간 요가의 20가지 아사나(자세)를 최대산소섭취량의 60%에 해당되는 운동강도로 실시하였다. 피험자들의 혈액샘플은 안정시에 채혈하여, 그 즉시 혈장으로 분리하고 냉동 보관한 뒤 분석하였다. 그 결과 체중, 체질량지수, LDL콜레스테롤, 중성지방은 두 그룹 모두 유의하게 감소하였으며, HDL콜레스테롤은 유의하게 증가하였다. 총 콜레스테롤은 폐경후 그룹에서만 유의하게 감소하였다. 또한 체중 당 최대산소섭취량은 두 그룹 모두 유의하게 증가하였으며, 최대 환기량은 폐경전 그룹에서만 유의하게 증가하였다. 도파민은 폐경후 그룹에서만 유의하게 증가하였으나, 성장호르몬은 두 그룹 모두 유의하게 증가하였다. 따라서 12주간의 요가 운동 프로그램의 수행은 폐경 전과 폐경후 중년 여성들의 신체구성과 호흡순환기능의 향상은 물론 중추신경전달 호르몬의 분비에도 긍정적인 효과를 가져왔다. 특히, 호르몬의 변화는 폐경 전 여성들보다 폐경후 여성들에서 더욱 효과적인 것으로 사료된다. 이는 폐경으로 인하여 일어난 중추신경 호르몬 감수성의 감소를 요가와 같은 운동을 통하여 중추신경계를 자극하므로써 향상시킬 수 있음을 시사한다. The purpose of the present study was to investigate the effect of yoga exercise program on cardiopulmonary functions, catecholamine, and growth hormone in pre and postmenopausal middle aged women. The subjects of this study were divided into premenopausal group(n=7) and postmenopausal group(n=7) randomly. Both groups performed yoga exercise program for 60min as 60% of VO2max with 20 types of asana per day and 3 days a week for total 12weeks program. Blood samples of each subject were analyzed with affinity chromatography and serum. The results showed that weight, BMI, LDL-C, and TG of both groups decreased significantly(p<.05) and HDL-C increased significantly(p<.05). TC decreased significantly(p<.05) in only postmenopausal group. In cardiopulmonary functions, VO2max/kg of both groups enhanced significantly (p<.05). However, VEmax increased significantly(p<.05) in only premenopausal group. Dopamine only increased significantly(p<.05) in postmenopausal but growth hormone increased significantly (p<.05) in both groups. Therefore, 12weeks yoga exercise program affected improvement of body composition and cardiopulmonary functions as well as beneficial secretion of central neurotransmitter hormones in pre and postmenopausal middle aged women. Especially, as seeing the result of hormone alterations, postmenopausal women may effect more than premenopausal women. This results suggests that yoga exercise program may enhance sensitivity of reduced central neurotransmitter hormones on account of menopause as stimulation of central nervous system.

운동과 EPO(Erythropoietin)와의 관계

강성훈(Kang Sung-Hwun),이재규(Lee Jae-Gue),양성우(Yang Sung-woo),박일봉(Park Il-Bong),차유림(Cha Yu-Rim),오경식(Oh Kyung-Sik),여남회(Yeo Nam-Hwoeh) 동아대학교 스포츠과학연구소 2005 스포츠科學硏究論文集 Vol.23 No.-

  Erythropoietin is produced mainly in the kidney and regulates erythrocyte production. It binds to a cell surface receptor and leads to intracellular activation of several kinase pathways. EPO is a hypoxia-induced hormone that is essential for normal erythropoiesis. The production of recombinant human erythropoietin has revolutionized the treatment of anemia associated with chronic renal failure and chemotherapy. EPO has similar structure and signaling mechanisms to the family of type I cytokines and is markedly induced by hypoxia. EPO is synthesize by peritubular cells in the cortex-medullary border of the kidney and in the liver during fetal and neonatal development. A variety of other tissues have been reported to express erythropoietin including bore marrow macrophages, trophoblasts, breast glands, and astrocytes.<BR>  Therefore, This study was invested relative in exercise and EPO, we had a conclusion as follows; 1) EPO is useful on polycythemia in test. 2) In patients with chronic renal insufficiency, r-HuEPO has also been shown to improve exercise capacity. 3) EPO has similar structure type I cytokines and induced by hypoxia.

운동과 2,3-DPG(diphosphoglycerate)와의 관계

강성훈(Kang Sung-Hwun),양성우(Yang Sung-woo),이재규(Lee Jae-Gue),박일봉(Park Il-Bong),차유림(Cha Yu-Rim),오경식(Oh Kyung-Sik),여남회(Yeo Nam-Hwoeh) 동아대학교 스포츠과학연구소 2005 스포츠科學硏究論文集 Vol.23 No.-

  2,3-DPG is synthesized from glycolytic intermediates by a pathway known as Rapoport-Luebering shunt. The production of 2,3-DPG depends on the relative amounts of its precursor, 1,3-DPG going into Rapoport-Leubering pathway and into the ATP-forming glycolytic pathway. Its concentration also depends on the rate of hydrolysis of 2,3-DPG The most important function of 2,3-DPG is its effect on the oxygen affinity of Hb. Normal Hb in deoxygenated state can bind 2,3-DPG in a molar ration of 1:1 which results in reduced oxygen affinity of Hb and enhanced oxygen delivery to tissues. In oxygenated state the ability of Hb to bind 2,3-DPG is decreased and most DPG is in free state. As the result the affinity of Hb to oxygen is increased and it binds more of oxygen. Changes in 2,3-DPG levels have important role in adaptation to hypoxia. In anemia and certain hypoximic conditions, 2,3-DPG level in erythrocytes increase and oxygen affinity of Hb is reduced resulting in improved delivery of oxygen to tissues. This study was invested relative in exercise and 2,3-DPG we had a conclusion as follows; 2,3-DPG was increased in anemia, congestive heart failure, heart disease, hyperthyroidism but it was decreased in diabetic. Hypoxia was decreased and extremely exercise was increased.