선천성 심장질환아의 수술후 활동제한 기간에 따른 사지근 위축 변화에 관한 연구

최명애,Choe Myoung Ae 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.1

In order to investigate the effects of a decreased activity on skinfold thickness, circumference and muscle strength of the extremities during the recovery period following heart surgery, skinfold thickness, circumference and muscle strength of the extremities were measured on days 0, 3, 6, and 9 following the surgery, and compared with those on the arrival day of intensive care unit. Skinfold thickness was measured using a skinfold caliper(Saehan Cor., Korea), circumference of the limbs were measured with a tape measure, upper extremity strength was determined using the Takei grip dynamometer and lower extremity strength was measured by pressing the flatfoot on an electronic digital health meter while tying on a bed. Results from this study were thus : 1. Skinfold thickness of triceps, quadriceps and gastrocnemius muscle on days 3, 6, 9 following the heart surgery was not significantly different from that of on the day of operation. 2. Circumference of midupperarm and midthigh on days 3, 6, 9 following the heart surgery was not significantly different from that of on the day of operation. Circumference of midcalf on days 3, 6 following the heart surgery was not significantly different from that of on the day of operation, while that of midcalf on day 9 following the surgery decreased significantly compared with that of on the day of operation. 3. Muscle strength of the upper extremity was not significantly different from that of on the day of operation, while that of the lower extremity on day 9 following the surgery decreased significantly compared with that of on the day of operation. From these results, it may be concluded that circumference and muscle strength of lower extremity can be decreased due to the postoperative inactivity following heart surgery in congenital heart disease children.

젊은 여성의 발동작과 몇몇 하퇴근 근전도와의 관계

최명애,신동훈,Choe, Myoung-Ae,Shin, Dong-Hoon 대한생리학회 1984 대한생리학회지 Vol.18 No.1

As the crippled persons work mostly in a sitting position and would be engaged in a foot-pressing job, it is necessary to assess their degree of participation of important muscles in various modes of foot activities. In this regard, it deems to be urgent to establish the reference standards for healthy persons. The present study has been undertaken to determine the degree of participation of the M. tibialis anterior, M. gastrocnemius and M. soleus in heel pressing, foot-flat pressing and forefoot pressing motion under varying forces, and in order to compare the electrical activities of three muscles with each other, and to analyse the time sequence between force and appearance or disappearance of EMG recording. Sixty-three healthy young women ranging from age of 18 to 23 were examined. The results obtained were as follows: 1. Participation of three muscles in foot movement under varying forces: A) Both gastrocnemius muscles or left soleus muscle did not contribute to heel pressing motion. Activity of both tibialis anterior muscles was the greatest among three muscles at heel pressing motion and the degree of their activities was proportional to force. B) Activities of left tibialis anterior muscle and both gastrocnemius muscles were negligible under 3 kg force at foot-flat pressing movement. Left gastrocnemius muscle did not contribute to foot-flat pressing under 6 or 9 kg force. Although activities of both soleus muscles and both tibialis anterior muscles were small, the degree of their activities increased with force at foot-flat pressing movement. C) Activities of both tibialis anterior muscles were negligible under 3 kg force at forefoot pressing motion. Activity of both soleus muscles was the greatest among 3 muscles and the degree of their activities increased with force at forefoot pressing motion. Both tibialis anterior muscles participated in forefoot pressing motion with severe exertion. 2. Electrical activities by foot movement under varying forces : A) Electrical activities were prominent in both tibialis anterior muscles and the level of their activities was linear with force at heel pressing motion. The degree of participation of both soleus muscles was small at heel pressing motion. B) Electrical activity of tibialis anterior muscle was the greatest among 3 muscles at foot-flat pressing movement and was followed by that of soleus muscle. Level of electrical activities increased with force in left soleus muscle and right tibialis anterior muscle at foot-flat pressing movement. C) Electrical activity of both soleua muscles was the greatest among 3 muscles at forefoot pressing movement and that of tibialis anterior muscle was next to soleus muscle. Level of electrical activities was proportional to force in left tibialis anterior muscle, right gastrocnemius muscle and both soleus muscles at forefoot pressing movement. 3. Time between starting signal and initiation of contraction of heel pressing and forefoot pressing motion in 3 muscles was longer than that of foot-flat pressing movement. Time of relaxation in 3 muscles was longer than that of contraction under varying forces. EMG recording appeared before initiation of contraction in both tibialis anterior muscles at heel pressing motion and in both soleus muscles at forefoot pressing movement under varying forces. Time of initiation of contraction was similar in both sides of tibialis anterior muscles under varying forces and time of onset of contraction at foot-flat pressing motion was the shortest. 4. Forefoot pressing movement would be encouraged in paralysis of tibialis anterior muscle, while heel pressing motion would be encouraged in paralysis of triceps surae muscle.

2011 동아시아 간호포럼(EAFONS) 초록분석을 통한 아시아 간호연구의 동향 분석

최명애(Choe, Myoung-Ae),방경숙(Bang, Kyung-Sook),김남초(Kim, Nam-Cho),김신정(Kim, Shin-Jeong),김용순(Kim, Yong-Soon),김화순(Kim, Hwasoon),류은정(Ryu, Eunjun),박영임(Park, Young-Im),소향숙(So, Hyang Sook),신성례(Shin, Sung Rae),오경옥 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.2

Purpose: The purpose of this study was to identify the current status of Asian research and suggest a direction for the future development of nursing research in Asian countries Methods: To examine the current status of Asian nursing research, 539 abstracts presented at the 2011 East Asian Forum of Nursing Scholars in Seoul were analyzed according to the structured analysis format. Results: The results showed that most of the studies (77.6%) were quantitative design, but qualitative design was also conducted. Most of quantitative studies were quasi experimental designs and questionnaires are most frequently used for data collection. Only 8.5% of the studies used physiological measures. Key words were categorized into four nursing metaparadigms: clients, environment, health and nursing. The most frequently mentioned domain was health. Main themes of research were elderly, chronic disease, health promotion, and nurse/nursing management. Most frequently used key words were elderly, social support, depression, and stress. Conclusion: Major trends were similar in Asian countries, and mostly conducted with quantitative designs. Research topics were varied and major interests in nursing research topics were elderly, health promotion, and mental health in all countries. We need to develop nursing science based on closer communication and cooperation among Asian countries.

국군간호 생도의 교육과정중 신체적성 변화에 관한 연구

최명애 ( Myoung Ae Choe ) 국군의무사령부 1976 대한군진의학학술지 Vol.7 No.1

연구논문 : 새터민 중고령자의 남한에서의 치료추구행위 경험에 대한 연구

최명애 ( Myoung Ae Choe ),최정안 ( Jung An Choi ) 서울대학교 통일평화연구원 2009 통일과 평화 Vol.1 No.1

본 연구의 목적은 새터민 중고령자의 남한에서의 치료추구행위 경험을 파악하기 위함이다. 연구참여자는 서울에 거주하는 40세 이상의 새터민으로 남한에 거주하는 동안 적어도 한 가지 이상의 만성질환을 앓은 경험이 있는 자로 하였다. 치료추구와 관련된 경험을 도출하기 위하여 심층면담을 실시하였으며 주로 연구참여자들의 거주지에서 이루어졌다. 심층면담 자료를 질적 주제 내용 분석방법으로 분석한 결과, 새터민 중고령자들이 남한에서 경험했던 치료추구행위와 관련된 경험은 ``치료와 관련된 새로운 경험`` 그리고 ``치료추구행위 행태``로 나타났다. 치료와 관련된 새로운 경험은 세부 주제로 ``남한에서 확인한 몸의 이상 상태``, ``낯선 치료환경``, ``의료비 혜택과 부담`` 그리고 ``건강증진에 대한 관심증가``로 나타났다. 치료추구행위 행태와 관련된 세부주제는 ``의료 전문가 지시 이행하기``, ``자가 처방으로 증상 관리하기``, ``보완·대체요법 추구하기``로 나타났다. 본 연구 결과를 바탕으로 건강전문가들은 새터민들에게 체계적이고 구체적인 건강관리를 제공할 필요가 있다. Purpose: The purpose of this study was to explore treatment-seeking behavior of middle-aged and old-age Saetomins in South Korea. Method: The participants for this study were 11 Saetomins aged over 40 years and living in Seoul. They experienced at least one chronic disease while staying in South Korea. An in-depth interview of the 11 subjects on their experiences was conducted at their residence places. Content analysis was conducted on the qualitative data. Results: Two broad themes were identified from our content analysis; ⑴ new experience related to treatment, and ⑵ types of treatment-seeking behavior. Under the heading of major theme 1, four sub-themes were identified; ⒜ physical abnormalities that were discovered after arriving in South Korea, ⒝ an unfamiliar treatment environment, ⒞ the cost and the benefit of the medical treatment, ⒟ an increased concern about one`s improving health. Under the heading of major theme 2, three sub-themes were identified; ⒜ being compliant with medical care, ⒝ managing symptoms with self-treatment, ⒞ seeking complementary and alternative treatment. Conclusion: Based on the results, we draw the conclusion that the Saetomins pursued various treatment-seeking behaviors. Therefore, the health care providers should provide systematic and specific health care services for Saetomins.

노인의 건강상태와 건강관련 생활습관, 일상생활 수행능력 및 신체 생리 지수의 한일 비교 연구

최명애(Choe Myoung Ae),채영란(Chae Young Ran),김증임(Kim Jeung Im),전미양(Jeon Mi Yang) 한국성인간호학회 2006 성인간호학회지 Vol.18 No.4

한국간호연구의 동향

최명애(Choe, Myoung-Ae),김남초(Kim, Nam Cho),김경미(Kim, Kyung Mi),김성재(Kim, Sung Jae),박경숙(Park, Kyung Sook),변영순(Byeon, Young Soon),신성례(Shin, Sung Rae),양수(Yang, Soo),이경숙(Lee, Kyung Sook),이은현(Lee, Eun Hyun),이인숙( 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.5

Purpose: The purpose of this study was to identify trends for studies published in the Journal of Korean Academy of Nursing and journals published by member societies from inaugural issues to 2010. Methods: A total of 6890 studies were analyzed using descriptive statistics. Results: Quantitative studies accounted for 83.6% while qualitative studies accounted for 14.4%. Most frequently used research designs were quasi-experimental (91.1%) for experimental research and survey (85.2%) for non-experimental research. Most frequent study participants were healthy people (35.8%), most frequent nursing interventions, nursing skills (53.5%), and 39.8% used knowledge, attitude and behavior outcomes for dependent variables. Most frequently used keyword was elderly. Survey studies decreased from 1991 to 2010 by approximately 50%, while qualitative studies increased by about 20%. True experimental research (1.2%) showed no significant changes. Studies focusing on healthy populations increased from 2001-2005 (37.5%) to 2006-2010 (41.0%). From 1970 to 2010, studies using questionnaire accounted for over 50% whereas physiological measurement, approximately 5% only. Experimental studies using nursing skill interventions increased from 1970-1980 (30.4%) to 2006-2010 (64.0%). No significant changes were noted in studies using knowledge, attitude and behavior (39.9%) as dependent variables. Conclusion: The results suggest that further expansion of true experimental, qualitative studies and physiological measurements are needed.

한국판 노인 신체활동 측정도구(Korean version of Physical Activity Scale for the Elderly: K-PASE)의 평가

최명애 ( Myoung Ae Choe ),김증임 ( Jeung Im Kim ),전미양 ( Mi Yang Jeon ),채영란 ( Young Ran Chae ) 여성건강간호학회 2010 여성건강간호학회지 Vol.16 No.1

젊은여성에서 9주간의 계단운동훈련이 심폐기능에 미치는 효과

최명애 ( Myoung Ae Choe ),유정희 ( Chung Hee You ),안경애 ( Kyeung Ae Ahn ) 서울대학교 간호과학연구소 1998 간호학 논문집 Vol.3 No.1

특별기고 : 기초간호과학의 조망

최명애 ( Myoung Ae Choe ) 서울대학교 간호과학연구소 2012 간호학의 지평 Vol.9 No.2

This article describes the development, evaluation and dissemination of biological nursing (bionursing) science courses established in Korea. Prior to this innovation the subject such as anatomy, physiology, biochemistry, microbiology, pharmacology and pathology were taught by non-nursing faculties, such as basic medical science faculty members. And it often did not meet and satisfy the needs of most undergraduate nursing students. To meet these needs, we have developed four bionursing courses by overhauling individual courses and integrating these by creating new titles, objectives, and contents. In this process, the Korean Society of Biological Nursing has made enormous efforts to standardize the contents of the courses and to develop standard syllabus of four bionursing subjects. This article also suggests for further development of bionursing science such as enhanced linkage of the contents of bionursing science courses with clinical practice, reinforcement of teaching competency of professors, and activation of researches using various biological measurement to provide concrete evidences for nursing practice.