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최자은,황선경,Choi, Ja Eun,Hwang, Sun-Kyung 한국중환자간호학회 2019 중환자간호학회지 Vol.12 No.2
Purpose : The aims of this study were to identify the incidence of pressure ulcers and to compare the predictive validities of pressure ulcer risk assessment scales among trauma patients. Methods : This was a prospective observational study. A total of 155 patients admitted to a trauma intensive care unit in a university hospital were enrolled. The predictive validity of the Braden, Cubbin & Jackson, and Waterlow scales were assessed based on the sensitivity, specificity, positive and negative predictive values, and area under the receiver operating characteristic curve (AUC). Results : Of the patients, 14 (9.0%) subsequently developed pressure ulcers. The sensitivity, specificity, positive predictive values, and negative predictive values were 78.6%, 75.9%, 24.4%, and 97.3%, respectively, for the Braden scale (cut-off point of 12); 85.7%, 68.8%, 21.4%, and 98.0%, respectively, for the Cubbin & Jackson scale (cut-off point of 26); and 71.4%, 87.2%, 35.7%, and 96.9%, respectively, for the Waterlow scale (cut-off point of 18). The AUCs were 0.88 (Waterlow), 0.86 (Braden), and 0.85 (Cubbin & Jackson). Conclusion : The findings indicate that the predictive validity values of the Waterlow, Braden, and Cubbin & Jackson scales were similarly high. However, further studies need to also consider clinical usefulness of the scales.
2012년도 경기도 D 중학교 학생들의 치과 진료에 대한 공포 및 불안에 관한 연구
최자은(Ja-Eun Choi),양현주(Hyun-Ju Yang),안소연(So-Youn An) 대한치과의사협회 2013 대한치과의사협회지 Vol.51 No.7
Pediatric and adolescent dental anxiety and fear have been researched in the connection with behavior modification for a long time and this dental anxiety can persist until the adulthoods resulting in extreme fear of and avoidance of dental treatments and causes oral health deterioration. However, the domestic researches regarding adolescent dental anxiety and fear are insufficient. For this reason, this study aims to examine the level of fear and the influential factors affecting their dental fear and to utilize the result as the basic materials in the dental management. The subjects were the students from a middle school located in Gyeonggi-Do. The school was selected by convenient sampling and self-answered questionnaire was filled in by the students. The distribution of responses in each category of fear was examined by frequency analysis. The analysis was conducted using cross tabulation in order to examine the difference between male students and female students and using independent sample t-test in order to compare the fear score of each category. The study results showed the fear score of female students for the category ‘causing irritation during the dental treatments’ was significantly higher in statistics(p<0.05). Therefore, these results should be reflected to the dental care environments in order for the adolescent to reduce the dental anxiety and fear.
최자은 ( Ja Eun Choi ),경민선 ( Min Sun Kyung ),박성택 ( Sung Taek Park ),김홍배 ( Hong Bae Kim ),박성호 ( Sung Ho Park ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.5
The most commonly detected foreign body in the abdominal cavity is surgical gauze or sponge, which is followed by intrauterine devices penetrating the uterine cavity. However, to the best of our knowledge, there has been no case report of a foreign body in the abdomen misdiagnosed as an ovarian cyst, in the literature. Thus, we report 1 case of a 41-year-old woman with an umbrella handle in the abdominal cavity, which was misdiagnosed as the ovarian cyst.
일반논문 : 박근혜정부의 공공기관 개혁정책 방향과 과제: 언론보도 내용분석을 중심으로
최자은 ( Ja Eun Choi ),박정수 ( Jhung Soo Park ) 서울대학교 한국행정연구소 2014 行政論叢 Vol.52 No.4
본 연구는 박근혜 정부의 공공기관 개혁정책을 언론보도 내용분석을 통해 살펴보는데 목적이 있다. 분석 결과 박근혜 정부의 공공기관 개혁정책은 소프트웨어적 개혁중심, 자율 및 책임강조, 조직 및 인사관리 중심의 공공기관 개혁정책을 해 온 것으로 나타났다. 이는 신공공관리에 근거한 역대 정부의 공공기관 개혁정책과 유사한 방향을 취하고 있음을 알 수 있다. 박근혜 정부는 정부 및 공기업이 처한 대내외적 환경이 역대 정부와 달라졌음에도 불구하고 정부의 공공기관 개혁정책이 상당부분 역대 정부와 유사하다는 점을 언론보도 내용분석을 통해 알 수 있었다. 앞으로 박근혜 정부의 공공기관 개혁정책이 역대 정부와 다른 방향을 모색하고 있다면 공공기관 환경 변화, 시민거버넌스, 협업, 다양한 이해관계자와의 설득과 합의 등의 거버넌스적이고 협력적인 측면을 보다 지향하는 방식으로 추진될 필요가 있으며 언론을 통해 협의되고 설득될 때에 성공적인 공공기관 개혁이 가능할 것이다. This paper aims to analyze media coverage and conduct a content analysis to make comparisons between reforms implemented by the current government and previous administrations, and their different approaches. According to the research on media coverage for Park`s first one year and two months presidency, the press shows differences in their reporting propensity but concludes that it is similar with former governments in terms of their initial reform plan for public institutions and policy based on the New Public Management, particularly focusing on software-centered reform, autonomy and responsibility, and organizational and HR management. The attitudes of media coverage vary depending on the internal and external environment faced by the government and the public, even when current and former governments took a similar stance in public institution reforms. To sum up, the study shows that the current government`s reforms are similar to those of former governments based on New Public Management. Therefore, it is desirable to encourage collaboration and civil governance for consensus and agreement considering changing environment and culture within public institutions by inviting various stakeholders in order to conduct successful reform of those public institutions.
부모-자녀 친밀·지지 관계, 교사의 정서적 지지가 아동의 자아탄력성에 미치는 효과: 아동의 정서조절 매개효과 검증
최자은(Choi Ja-eun) 한국인간발달학회 2019 人間發達硏究 Vol.26 No.2
이 연구의 목적은 부모-자녀 친밀·지지 관계, 교사의 정서적 지지, 아동의 정서조절, 아동의 자아탄력성 간의 구조적 관계를 분석하고 아동의 정서조절이 부모-자녀 친밀·지지 관계, 교사의 정서적 지지와 아동의 자아탄력성 사이를 매개하는지 확인하는 것이다. 이를 위해 D시의 초등학교 5-6학년 남녀 아동 669명을 대상으로 자기보고식 질문지 조사를 실시하였다. 수집된 자료는 SPSS 24.0, AMOS 24.0 프로그램을 이용하여 분석하고 SRMR, RMSEA, CFI, TLI.를 통해 모델부합도를 평가하였다. 연구의 결과는 다음과 같다. 첫째, 아동의 정서조절은 아동의 자아탄력성에 영향을 미쳤다. 둘째, 부모-자녀 친밀․지지 관계와 교사의 정서적 지지는 아동의 정서조절에 직접영향을 미쳤다. 셋째, 아동의 정서조절은 부모-자녀 친밀·지지 관계와 아동의 자아탄력성 사이를 매개하였다. 넷째, 아동의 정서조절은 교사의 정서적 지지와 아동의 자아탄력성 사이를 매개하였다. 본 연구 결과를 통해 아동의 정서조절이 아동의 자아탄력성 증진에 있어 직·간접적인 영향을 미치는 중요 변인이며 부모-자녀 친밀·지지 관계와 교사의 정서적 지지는 아동의 정서조절과 자아탄력성과 같은 개인역량 증진의 기본이 됨을 확인하였다. The purpose of present study were to investigate structural relationships among the related variables of school-age children’s self-resilience. and to investigate the mediating effect of children’s emotion regulation on parents-children intimacy-support relationship, teacher’s emotional support and children’s self-resilience. The participants in this study were 669 of the 5th and the 6th grade children in the region of D city. The major findings were as Follows. First, children’s emotion regulation affected directly on children’s self-resilience. Second, parents-children intimacy-support relationship, teacher’s emotional support affected directly on children’s emotion regulation. Third, children’s emotion regulation mediated between parents-children intimacy-support relationship, teacher’s emotional support and children’s self-resilience. These results suggest that children’s emotion regulation is an important variable that direct or indirect influences the children’s self-resilience. Parent-children intimacy-support relationship, teacher’s emotional support are the basis for promoting individual competence, such as children’s emotion regulation and children’s self-resilience.
요추 추간판탈출증 환자에 대한 통합적 중재접근의 효과: 단일사례연구
이재홍,손종찬,구성린,이석훈,이동훈,신용웅,최자은,한재경,김동한,김정민,김민철,장진아,황성현,권원안,Lee, Jae-Hong,Son, Jong-Chan,Koo, Seong-Rin,Lee, Seok-Hun,Lee, Dong-Hun,Shin, Yong-Wung,Choi, Ja-Eun,Han, Jae-Kyoung,Kim, Dong-Han,Kim, Jeong-Mi 대한고유수용성신경근촉진법학회 2012 PNF and Movement Vol.10 No.2
Purpose : The purpose of this case report was to examine the effects of intergrative intervention approach on a patient with lumbar herniated nucleus pulposus (HNP). Methods : The subject was a 53 years old woman with lumbar HNP. The subject received conventional physical therapy combined with exercise therapy and manual therapy. Pain on visual analog scale (VAS), finger to floor (FTF), lumbar lateral flexion, L5 motor, and straight Leg-Raising (SLR) were evaluated at baseline and after 4 weeks. Results : The change of VAS, FTF, left lateral flexion, and right lateral flexion were decreased (9 vs. 5, 41 vs, 25, 56 vs. 42, 54 vs. 41, respectively) and the change of L5 motor and SLR were increased (Fair vs. Fair+, 60 vs. 75, respectively). Conclusion : Our findings suggest that Integrative intervention may be considered in patient with lumbar HNP.