도시지역 청소년의 건강 위험 행위 실태조사

탁영란 (Young Ran Tak),윤이화 (E Hwa Yun) 韓國學校保健學會 2007 韓國學校保健學會誌 Vol.20 No.1

Purpose : Health Risk behaviors are a leading cause of preventable morbidity and mortality. Adolescents is a critical transitional period for establishing health behavior for healthy life. The purpose of this study was to describe the types and frequency of the health risk behaviors being performed by middle school students, examine the gender and grade differences of health risk behaviors, and identify the relationship among health risk behaviors. Methods : A total of 1952 early adolescents recruited from 7 middle schools in a district of urban setting completed questionnaires. Youth Risk Behavior Survey-Middle school questionnaires was used to identify the types of health risk behaviors among early adolescents. Data were analyzed by descriptive statistics and Chi-Square test using SAS program . Results : The results showed the frequency for most health risk behaviors and increased with advancing grade level. Males were more likely than females to behaviors related to smoking and violence, whereas females were more likely than males to have suicidal thoughts, be physical inactive and attempt to lose weight. Among health risk behaviors, the relationship of alcohol experience, smoking, and suicide was high. Conclusion : The findings identify a high risk target group among middle school adolescents and suggest that preventive intervention strategies should take into consideration the types with gender and grade, and provided the evidence that one of health risk behaviors may induce the other health risk behaviors.

경관 선호가 스트레스 회복에 미치는 영향 분석 : 한국 전통정원 경관을 대상으로

탁영란 ( Young Ran Tak ),김순애 ( Soon Ae Kim ),윤이화 ( E Hwa Yun ) 한국전통조경학회(구 한국정원학회) 2009 한국전통조경학회지 Vol.27 No.2

입원 환아 가족의 대처

탁영란,여지영,박영의,Tak Young Ran,Yo Ji Young,Park Young Yee 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.2

Nurses working with families who has a hospitalized child are aware of the complexity of the tasks and stresses they deal with new setting of environment. The challenge is to assess the family coping activity that require the most immediate intervention for the effective nursing care for child and family. This study describe the family coping inventory for the clinical guidance to identify a family coping with stressors. The purpose of this study was to look at the factors related to the family's coping activity when the child was hospitalized. The data were collected with a questionnaire between July and August, 1999, in a sample of 106 families who have hospitalized child. Family coping was assessed using Family Crisis Oriented Personal Evaluation Scale(F-COPES). Data was analyzed using correlation coefficient and analysis of variance. Positive correlation was found between social support, reframe with mobilizing the family to acquire and accept help in sub-domain of family coping. Strongest correlation existed between the family's spiritual support and total family coping. The type of diagnosis, the level of family income, religion, and child's age were significantly different in family coping. The result show that the family coping is affected by the characteristics of child and family, as well as the factors of coping activity. Therefore, early assessment of family coping skill and activity is important to the prevention of problem with function toward wholeness as a unit and child's well being. It can be used with a broad range of child's hospitalization process. It also serve as a nursing record and planning tool for documenting issues that may become priorities for future interventions.

주의집중 피로회복이론의 장으로 본 경주 옥산서원 강학 및 유식공간의 일원적 공간성

탁영란 ( Tak Young-ran ),성종상 ( Sung Jeong-sang ),최종희 ( Choi Jong-hee ),김순애 ( Kim Soon-ae ),노재현 ( Rho Jae-hyun ) 한국전통조경학회(구 한국정원학회) 2016 한국전통조경학회지 Vol.34 No.3

조선 중기 대표적 서원중의 하나인 옥산서원을 사례대상으로, Kaplan의 「주의집중회복이론 틀」을 적용시켜, 서원의 기호학적 의미체계로서의 강학과 유식공간 상호 간의 보완적 특성을 파악함으로써 전통조경의 함축적 의미 도출과 경관해석의 지평을 넓히고, 현대적학교 공간계획과 조경설계에 일조할 수 있는 논거를 구축하고자 한 본 연구의 결론은 다음과 같다. 옥산서원의 강학과 유식공간의 공간과 경관의 일원성을 통해 주의집중과 회복, 자연과의 합일 그리고 심성론과 수양론을 관통하는 성리미학적 속성이 확인되었다. 이는 정보처리과정을 위한 주의집중을 효과적으로 재개하는 회복적 공간특질로 설명할 수 있다. 옥산서원과 그 주변 환경은 입지와 공간구성, 공간포치 그리고 당호 등을 통한 기호체계의 일부로서, 강학과 유식공간의 일원성을 설명하는 유기체적 환경이며 이는 주의집중으로 부터의 네 가지 회복적 환경요소과 결부되어 나타난다. 즉 자연완상은 강학의 연장인유식을 통해 강학의 궁구함을 가져오는 체험을 넓히게 한다. 요컨대 ‘공부’와 ‘쉼’의 과정은 완물적정을 통해 존재의 의미를 발견하고 인간의 심성을 수양하며 도덕을 체득하게 유도되고 있다. 옥산서원은 입지적으로 읍치로 부터 일정 거리를 두고 떨어진 ‘벗어남’과 서원의 조망경관과 공간 포치를 이용한 영역 간의 일체감을 통한 ‘확장감’이 부상되며, 폐쇄성 강한 서원내부에서 자연 우월적 외부공간으로 이르는 다양한 출구 또한 자연으로의 확장을 돕고 있다. 뿐만 아니라 옥산서원에서는 강학과 유식의 호환 및 양립성을 통해 본 ‘부합성’등에 기반한 서비스스케이프가 잘 드러난다. 회복관경의 극점은 학문적 존양자인 회재의 자연 유상공간인 사산오대 및 옥산구곡과 관련된 경물 체험을 통해 환기되는 ‘매혹감’에서 더욱 여실히 나타난다. 이는 강학과 유식이라는 서로 다른 기능공간을 일원적으로 통합하는 내적 질서이자 중요한 회복환경의 가치임을 일깨운다. 특히 옥산서원 주변에 펼쳐져, 회재로부터 정의되고 의미를 부여받은 사산오대는 성리학적 인식론의 관점에서 자연의 숭고미와 격물치지를 이해하는 매우 유효한 학습환경일 뿐 아니라 주의집중능력을 강화시킬 수 있는 서비스스케이프로써, 최적화한 회복환경이 되고 있음을 실증적으로 보여주었다. This study attempts to understand and explain how “Directed Attention Restorative Environment (DARE)” is managed and fostered in “Gang-Hak (講學)” and “Yu-Sik (遊息)” spaces both inside and outside of Oksan Seowon Confucian Academy, Gyeongju. Directed Attention is a pivotal element in human information processing so that its restoration is crucial for effective thinking and learning. According to Kaplan & Kaplan``s Attention Restoration Theory, an environment, in order to be restorative, should have four elements: ‘Being Away,`` ’Extent,`` ‘Fascination,’ and ‘Compatibility.`` We could confirm OkSan Seowon Confucian Academy has an inner logic that integrates two basically different spacial concepts of “Jangsu” and “Yusik” and thus fosters the Attention Restorative Environment. Particularly, the Four Mountains and Five Platforms (四山五臺) surrounding the premises provides an excellent learning environment, and is in itself educational in terms of the Neo-Confucian epistemology with “Attaining Knowledge by way of Positioning Things (格物致知)” as its principle precept, and of its aesthetics with “Connectedness with Nature” as its central tenet. This study attempts to recapture the value of Korea``s cultural heritage concerning the Human/Nature relationship; and it may provide useful insights and practical guidelines/grounds in designing today``s schools and campuses, where the young people``s needs for the Directed Attention- and Attention Restorative- Servicescapes seem to be greater than ever.

국내 노인전문시설 옥외공간 평가를 위한 외국도구(AGAT)의 적용 후 평가

탁영란 ( Young Ran Tak ),안지연 ( Ji Yeon An ),정소영 ( So Young Jung ) 한국의료복지건축학회 2013 의료·복지 건축 Vol.19 No.1

Purpose : The aging population is the quickly increasing in Korea. Since 2008, the National Long term Care Insurance, a number of long term care facilities have established during short time in Korea. Especially, the environmental assessment tool is important for managing healing environment in a long term care facility for the elderly. Alzheimer`s Garden Audit Tool (AGAT) is used to assess whether a garden incorporates those elements and qualities as healing outdoor space. In this paper, we discuss the benefits, limitations, and future directions of the assessment tool for long-term care facilities. Methods : The AGAT audit was done through content analysis by 5 experts from diverse discipline as post occupancy evaluation of a long term care facility located in suburban area. The expert group was asked to describe their comments for modification and improvement in application of AGAT. Results : The results of this study show that it is necessary to refine the instrument`s items to better meet the needs of the criteria and items for Korean culture-friendly tool. Especially, greenhouse elements (various plants, birds etc.), multisensory experiences, users-oriented space, programmed activities in garden, and hazards on pathway has somewhat limitation as measurement to assess outdoor of long-term care facilities in Korea. Implications : Consequently, AGAT could be applicable to evaluate the outdoor space of long term care facility in Korea with culturally sensitive revision.

청소년이 지각한 신체ㆍ정신적 건강에 대한 자아-효능 측정을 위한 SHEQ(School Health Efficacy Questionnaire)의 타당도

탁영란,이은영,Tak Young Ran,Lee Eun Young 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.3

The purpose of this study were to examine the construct validation and internal reliability of the SHEQ(School Health Efficacy Question- naire)and to establish concurrent validity for the instrument among Korean adolescents by relationship found among SHEQ and the self-reported health status. The sample was consisted 393 high school students, aged with average of 17.40(±0.59) years. According to the criteria used in this validating study, a four-factor structure, which consisted of 31-items, resulting from a principal components analysis with an varimax rotation, best represented the multidimensionality of the SHEQ of adolescents in Korea. Internal consistency estimated for the four factor on the SHEQ subscales range from .68 to .83. Evidence in support of concurrent validity for both 31-item and 38-item of SHEQ was provided by statistically significant correlations found between the two scales and self-reported health. With the findings of this study, the 31-item Korean version of the SHEQ can be used in practice as a reliable and valid instrument measuring perceived self-efficacy in physical and mental health for adolescents in Korea.

발달장애아동가족의 가족스트레스, 인지적 사회 지지와 가족 적응

탁영란,이희영,Tak Young Ran,Lee Hee Young 한국아동간호학회 1997 Child Health Nursing Research Vol.3 No.1

Although a family-centered approach to health care for developmentally disabled children has been advocated, existing systems of care have not adequately addressed the support needs of the family system and the essential role that parents play in the daily care of these children. The overall purpose of this research is to examine family system adaptation to the care of a developmetally disabled child using the Resiliency Model of Family Stress, Adjustement, and Adaptation Framework. Relationships among family system demands (stressors, strains, transitions, child's illness factors) and family system strengths and capabilities(resource of social support) were examined to determine their separate and combined contribution to explanining the variability in family system outcomes (family system coping ). The subject for this study was 46 families who have a child with developmental disabilities(mental retardation and / or autism) from three special educational programs in Seoul, Korea. Results from correlation and hierachial regression analysis revealed that perceived social support operated as a resiliency factor between family stress and coping. Child and family characteristics appeared to be important predictors of perceived social support and coping. In summary, there is evidence that the resource of social support as a family strength and capability was found to improve the family coping. These findings also must be viewed within the context that sample of families of children with disabilities was relatively small and eligible families from support group of special educational program.

노인전문병원의 치유적 옥외환경과 이용자의 건강성과 간의 상관관계에 관한 연구

탁영란 ( Young Ran Tak ),안지연 ( Ji Yeon An ),정소영 ( So Young Jung ) 한국의료복지건축학회 2012 의료·복지 건축 Vol.18 No.1

This study aims to examine the outdoor environment of a geriatric hospital and explore its stress-relief impact upon those who utilize it. Post Occupancy Evaluation is employed to assess the effectiveness of a healthcare setting. This study is based on survey questionnaire including the users` perception of outdoor environment, their perceived restorativeness, and quality of life. A total of one hundred and sixty individuals including patients, families and visitors, and healthcare staffs . As a result, it turns out that the therapeutic outdoor environment and its users` health outcomes, such as reststroativeness and quality of life are significantly correlated. In conclusion, the finding of this research seems to demonstrate the potential that the therapeutic outdoor environment has for the improvement of its users` health by enhancing.

재가 노인의 재낙상 관련요인 분석

탁영란(Young-Ran Tak),안지연(Ji-Yeon An) 한국생활환경학회 2011 한국생활환경학회지 Vol.18 No.3

This study was to determine related factors of recurrent falls among the home-dwelling elderly. A sample is 1,902 (male 1,055, female 847) who are over 65 years old. This study used data extracted from the Korean Longitudinal Study of Aging (KLoSA) by the Korea Labor Institute. Univariate analyses were done using chi-square for associated factors of associated factors of recurrent falls and multivariate logistic regression analyses were used for risk factors of recurrent falls. Only 63(3.3%) elderly had experienced recurrent falls last two years of period in panel data. There was a significant difference between elderly who fell recurrently and those who did not with regard to gender, having a spouse, chronic disease, regular medication, depression, ADL limitation, perceived health status, and fear of falling. The risk factors for recurrent falls were ADL limitation and fear of falling. In this study, an ADL limitation and fear of falling were significant factors that differentiated refallers and non-refallers. Therefore, an effective fall prevention program should be focused on multiple risk factor intervention with modifiable components for the elderly.

경관 지각의 구조 모형 분석 -한국 전통 정원 경관을 대상으로-창덕궁 애련지 권역

탁영란 ( Young Ran Tak ),김순애 ( Soon Ae Kim ),김태경 ( Tae Kyoung Kim ),윤이화 ( E Hwa Yun ) 한국전통조경학회 2009 한국전통조경학회지 Vol.27 No.1