노인의 생활만족도가 자살생각에 미치는 영향 : 저소득노인과 일반노인의 비교

허성희 ( Heo Seong Hui ),정명희 ( Jung Myoung Hee ) 이화여자대학교 사회복지연구소 2017 사회복지 실천과 연구 Vol.14 No.1

본 연구는 65세 이상의 저소득노인과 일반노인의 전반적 및 영역별(건강, 가족의 수입, 주거환경, 가족관계, 직업, 사회적 친분관계, 여가생활) 생활만족도가 자살생각에 어떠한 영향을 미치는지를 비교·분석하였다. 이를 통해 저소득노인과 일반노인의 자살생각 감소 및 자살예방을 위한 차별화된 방안을 모색하고자 하는데 목적이 있다. 이 연구에 사용된 분석자료는 제10차 한국복지패널(2015) 자료를 활용하여 중위소득 60%미만의 저소득노인 3,186명, 중위소득 60%이상의 일반노인 1,942명을 최종분석에 사용하였다. 이에 대한 주요 연구결과는 다음과 같다. 첫째, 저소득노인의 자살생각은 4.5%로 일반노인의 2.4%보다 높게 나타났다. 둘째, 로지스틱 회귀분석 결과 생활만족도 중에서 저소득노인은 건강 만족도, 가족관계 만족도 및 전반적 만족도가 자살생각에 영향을 미치는 반면, 일반노인은 건강만족도, 직업 만족도 및 사회적 친분관계 만족도가 자살생각에 영향을 미치는 주요 예측변인으로 나타났다. 이러한 결과를 바탕으로 저소득노인과 일반노인의 자살생각을 감소시키기 위해 영역별 생활만족도에 따라 차별화된 대책 마련을 위한 실천 및 정책적인 제언을 제시 하였다. The purpose of this study was to compare the effects of life satisfaction on the suicidal ideation among the low-income elderly and the general elderly over 65 years of ago, and was to find differentiated approach to reduce suicidal ideation and prevent suicide in both groups. The analysis data used in this study was based on the 10th Korea Welfare Panel Study (2015). The main results of this study are as follows. First, the suicidal ideation of low-income elderly is 4.5%, which is higher than 2.4% of general elderly. Second, according to the results of logistic regression analysis, in the case of life satisfaction, health satisfaction, family relationship satisfaction, and overall satisfaction influenced suicidal ideation among low-income elderly, whereas general elderly were predictors of health satisfaction, job satisfaction and social relationship satisfaction. Based on these results, we suggested the practical and the policy suggestions to improve mental health of both groups and for differentiated measures according to the life satisfaction of each area in order to reduce suicidal ideation among low-income elderly and general elderly.

퇴행성 뇌질환 환자 가족부양자의 부양부담에 영향을 미치는 요인

허성희(Heo, Seong Hui),김수영(Kim, Soo Young),천상명(Cheon, Sang Myung),장수지(Chang, Su Jie),박경원(Park, Kyung Won) 경성대학교 사회과학연구소 2021 社會科學硏究 Vol.37 No.2

퇴행성 뇌질환 환자들 중 질병의 진행 단계가 낮은 환자들은 대부분 가족돌봄에 의존하고 있다. 이에 본 연구는 경증 또는 중등증의 퇴행성 뇌질환 환자 가족부양자의 부양부담에 미치는 영향요인을 파악하는 데 목적을 두었다. 본 연구는 의학적 측면에서 환자의 임상적 특성과 사회과학적 측면의 가족부양자 심리사회적 특성을 중심으로 가족부양자의 부양부담을 살펴보기 위해 학제 간 연구로 진행되었다. 연구대상은 B광역시 소재 대학병원 신경과 외래 환자들 중 알츠하이머 치매 또는 파킨슨병 진단을 받은 환자와 가족부양자 각각 120명이었다. 분석을 위해 X² 검증, 위계적 회귀분석을 실시하였다. 연구결과는 다음과 같다. 첫째 알츠하이머 집단이 파킨슨병 집단보다 기능상태 및 인지기능의 저하가 더 심하고 부양자의 부양부담이 더 높았다. 둘째, 부양자의 부양부담은 환자의 기능저하가 심할수록, 환자의 신경정신행동 증상으로 인한 부양자의 고통이 클수록, 부양자의 우울이 심할수록 더 높은 것으로 나타났다. 연구결과를 바탕으로 가족부양자의 부양부담을 낮추어 환자와 부양자 자신의 삶의 질을 향상시킬 수 있는 방안들을 제시하였다. Among patients with degenerative brain disease, those with lower progression rates mostly rely on family caregiving. The current work is an interdisciplinary study, focusing on the burdens of the family caregivers of mild- or moderate degenerative brain disease. The study put more emphasis on the clinical characteristics of the patients and the psychosocial perspective of the family caregiver. 120-diads of caregivers and patients who are diagnosed with Alzheimer’s dementia or Parkinson’s disease in a university hospital in B metropolitan city participated in the study. Chi-square test and hierarchical regression were conducted. Significant differences in daily activity functioning, level of cognition, and the caregiver burden were found for disease types. In addition, the patient’s daily activity functioning, caregiver’s stress gained from the neuropsychiatric behavior symptoms, and the caregiver’s depression were the major factors impacting the burden of the caregivers. Our findings suggest intervention efforts to increase the Quality of Life(QOL) of patients and the family caregivers by reducing the burdens of caregiving.

파킨슨병 노인을 돌보는 배우자 부양자의 경험

김수영 ( Kim Soo Young ),허성희 ( Heo Seong Hui ) 한국가족관계학회 2019 한국가족관계학회지 Vol.23 No.4

Objective: The purpose of this study is to examine the experiences of spousal caregivers caring for the elderly with Parkinson’s disease. Methods: Data were collected through semi-structured interviews with five outpatient spouses registered at the department of Neurosurgery in one university and data were analyzed with a qualitative case study. Results: Six themes were categorized; unfamiliar Parkinson's disease, appropriate balance between caring and daily life, mental crisis caused by caring, change of couple relationship, need to support caregivers, and coping to live together. Conclusions: Based on the result, this study gives insight into the need to care for the spouse caregiver living with elderly with Parkinson’s disease and to provide various caring supports.

군 내 슬개건염 환자 아텔로콜라겐 주사치료 급성기 효과 분석

문기호 ( Giho Moon ),허성희 ( Sunghee Heo ),김현정 ( Hyeon Jeoung Kim ),송대근 ( Daeguen Song ) 국군의무사령부 2021 대한군진의학학술지 Vol.52 No.1

Objective; The purpose of this study is to determine the effect between atelocollagen injection and admission treatment on the acute treatment effect in military patients diagnosed with patellar tendinitis. Method; A prospective study was conducted with a total of 75 patients diagnosed with grade 1 or 2 patellar tendinitis through ultrasound examination. It was classified in to 3 groups. Group 1 underwent conservative treatment through outpatient office. Group 2 and 3 were admitted to the hospital, and the same level of conservative treatment was performed. Group 3 was additionally treated with atelocollagen injection on the day of admission. Clinical symptom changes were confirmed by VAS pain scoring system at the start of treatment and after 6 weeks. Result; There was no symptom improvement in the group that received conservative treatment through outpatient office. Conservative treatment in hospitalization was confirmed to be meaningful in symptom improvement in all groups, However, no difference in treatment effect could be confirmed depending on whether or not atelocollagen injection treatment was performed in acute patellar tendinitis. Conclusion; The effect of collagen injection is limited in the acute treatment of patellar tendinitis in military patients, and it was confirmed that conservative therapy are effective while in the hospital.

결혼이주여성의 문화적응스트레스 관련 변인에 관한 메타분석

신혜정(Shin, Hyejung),노충래(Nho, Choong-Rai),허성희(Heo, Seonghui),김정화(Kim, Jeong-Hwa) 한국사회복지학회 2015 한국사회복지학 Vol.67 No.3

본 연구는 결혼이주여성의 문화적응스트레스 관련 변인들을 개인, 가족, 사회적 지지 요인에 따라 메타분석하여 사회복지적 함의를 모색하는 것을 목적으로 하였다. 이를 위해 2000년부터 2013년까지 국내에서 수행된 37편의 결혼이주여성의 문화적응스트레스 관련 연구들을 최종 분석하였으며 결과는 다음과 같다. 첫째, 결혼이주여성의 문화적응스트레스와 개인, 가족 및 사회적 지지 요인들 간의 관계는 모두 통계적으로 유의한 효과크기를 보였다. 둘째, 각 요인들은 모두 ‘중간 효과’ 이상의 효과크기를 보이는 것으로 나타났으며 효과크기의 우선 순위는 결혼만족, 사회적 지지 순으로 ‘큰 효과’ 크기를 보였고, 다음으로 생활만족도, 가족 관계·기능, 자아존중감, 심리적 안녕감, 우울 순으로 ‘큰 효과’에 가까운 관계성을 보이는 것으로 나타났다. 셋째, 조절효과 분석 결과, 개인요인에서는 한국어능력, 경제적 어려움, 우울, 자아존중감이, 가족 및 사회적 지지 요인에서는 결혼만족, 부부관계, 사회적 지지요인이 결혼이주여성의 인구사회학적 특성에 따라 효과크기의 차이가 나타났다. 이들 연구결과를 토대로 결혼이주여성의 문화적응스트레스를 예방하고 완화시키기 위한 사회복지의 실천적, 정책적 함의가 제시되었다. Using meta-analysis, this study aims to examine individual, familial, and social support variables in relation to acculturative stress by in order to draw implications for social welfare practice and policy. For the purpose of this study, authors selected 37 studies between 2000 and 2013. Results are as follows: First, acculturative stress of marriage-based migrant women showed statistically significant average effect size in individual, familial, and social support variables. Second, each variable showed at least‘medium’and above size. Further, marital satisfaction and social support showed‘large effect size’and life satisfaction, family relations and functions, self-esteem, psychological well-being, and depression showed ‘near large effect size.’Third, when moderating effect was examined, Korean language proficiency, economic difficulty, depression, and self-esteem among individual variables showed differences in effect size according to socio-economic variables. Meanwhile, marital satisfaction and couple relationship among familial variables and social support among social variables showed differences in effect size according to socio-economic variables. Based on these results, authors suggested ways to prevent or reduce acculturative stress among marriage-based migrant women in Korea.

농촌 자활사업참여자의 음주 문제 개입프로그램 개발: 동기강화상담의 적용

이종례(Jong Rea Lee),장수미(Soo Mi Jang),허성희(Seong Hui Heo) 한국지역사회복지학회 2022 한국지역사회복지학 Vol.- No.83

본 연구의 목적은 동기강화상담(Motivational Interviewing: MI) 모델을 적용하여 농촌 자활사업참여자의 음주 문제 개입프로그램을 개발하는 것이다. 개입연구(Intervention Research: IR)의 절차에 따라 문헌고찰, 실무자 인터뷰를 시행한 후 농촌 자활사업참여자의 음주문제 양상을 파악하고, 동기강화상담의 원리와 전략에 기반하여 1차 프로그램을 구성하였다. 전문가 자문을 통해 수정 보완 후 2차 프로그램을 도출하였고, 음주 문제를 가진 농촌 자활사업참여자를 실험집단(n=10)과 통제집단(n=10)으로 무작위 배치한 후, 실험집단에 동기강화상담 기반 음주 문제 개입프로그램을 실시하였다. 사전‧사후‧추후 조사를 통해 개입프로그램의 효과성을 평가한 결과, 실험집단의 음주 지식, 단주 자기효능감, 변화 동기, 음주 문제, 자활 성과의 사전‧사후 점수에서 유의미한 변화가 발생하였고, 음주 문제를 제외한 모든 변인에서 사전‧추후 점수의 유의미한 변화가 나타났다. 음주 문제의 경우 사전‧추후, 사후‧추후 모두 유의미한 변화가 발생하지 않아 효과성이 유지되지 않음을 확인하였다. 이후 현장 실험 결과에 대한 피드백을 반영하여 최종(3차) 프로그램을 개발하였다. 결론에서는 주요 연구 결과를 바탕으로 논의하고, 자활 현장을 중심으로 사회복지 실천 및 정책에의 함의를 제시하였다. The purpose of this study is to develop an intervention program for the drinking problem of participants in rural self-sufficiency center by applying the Motivational Interviewing(MI) model. According to the stages of Intervention Research(IR), the aspects of drinking problems of rural self-sufficiency participants was identified through literature review and interviews with practitioners, and the 1st program was constructed based on the principles and strategies of MI. After revising with experts advice, a 2nd program was derived, and rural self-sufficiency participants with drinking problems into an experimental group(n=10) and a control group(n=10) by random assignment, MI was conducted only in the experimental group. As a result of the program, significant changes occurred in the pre and post scores of the experimental group’s drinking knowledge, abstinence self-efficacy, change motive, drinking problem, and self-sufficiency outcomes, and significant changes in pre and 6 weeks later scores were found in all variables except for drinking problems. The drinking problem was not significant in pre and 6 weeks later, post and 6 weeks later, it could be seen that the effectiveness was not maintained. The 3rd(final) program was developed by evaluating the effectiveness of the programs, and reflecting feedbacks from field experiment. In conclusion, the implications for social welfare practices and policies were presented, focusing on the field of self-sufficiency.

자궁경부 상피내종양의 임상적 고찰

김정혜,허성희,박영춘,황혜란 대한부인종양 콜포스코피학회 1996 Journal of Gynecologic Oncology Vol.7 No.3

Colposcopic examination and biopsy were performed on 197 patients with abnormal cervical cytology. The patients subsequently underwent electrocoagulation, LLETZ, conization and hysterectomy depending on their diagnosis from January, 1989 to December, 1994. The comparison between the diagnosis of cytology and that of colposcopic biopsy showed fair agreement with only 35% of cases(K=20%). The abnormal lesion was underestimated by cytology in 49.7% of cases. Thirty three cases(16.8%) were threated by LLETZ. Histological comparison between the colposcopic biopsies and LLETZ samples showed fair agreement with 39% of cases (K=25%). 5 cases(15%) of the colposcopic biopsy have been underestimated when compared to the LLETZ histology. Sixty two cases were done conization after colposcopic biopsy. Histological comparison between the colposcopic biopsies and conization samples showed fair agreement with 59% of cases(K=38%). The colposcopic biopsies were underestimated in 24.2% of cases compared to the cone biopsy specimen. The correct diagnosis rates of colposcopic biopsy of dysplasia, carcinoma in situ, and microinvasive carcinoma were 70%, 82%, and 20% respectively. Of the 62 conizations, 53 cases(85.5%) had clear margins and 9 cases(14.5%) had involved margins. Residual tumors were found in subsequent hysterectomy specimens in 10 of 44 cases(23%). 8 cases of these, residual tumors were same pathologic grade 1 case was more severe pathologic grade. Eight eight cases(44.7%) were threated by hysterectomy after colposcopic biopsy. without conization. Histological comparison between the colposcopic biopsies and hysterectomy samples showed fair agreement with 44.3% of cases(K=22%) and diagnostic accaracy of colposcopic biopsy was 62.5% within one grade.

진단적 복강경 305 례의 임상적 고찰

전정희,이선희,이유희,허성희 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.9

A clinical analysis of 305 consecutive cases of diagnostic laparoscopy from Jan. 1986 to Dec. 1994 was performed. Suspected ectopic pregnancy was the most common indication(51.4%) and the next was infertility(39.2%). In 74% of 157 patients with suspected ectopic pregnancy, the diaagnosis was confirmed by diagnostic laparoscopy which avoided unnecessary laparotomy in 26% of these patients. In 67.5% of 120 infertile patients, pelvic abnormalities were found. Tubal occlusions and pelvic adhesions were the most common abnormalities. In investigating tubal patency, there was a discrepancy rate between hysterosalpingographic and laparoscopic findings in 30% of the infertile patients. The false positive rate of HSG was 8.0%. The false negative rate of HSG was 22.1%.