정신장애인 가족의 긍정적, 부정적 돌봄의 경험에 관한 연구

이광옥,김희정,Lee, Kwang-Ok,Kim, Hee-Jung 한국지역사회간호학회 1999 지역사회간호학회지 Vol.10 No.2

The caregiving experiences of 100 family menbers of outpatients with schizophrenia and schizoaffective disorders were investigated for the presence of positive(positive family-patient relationship. patient' contribution to the family) and negative caregiving experience(objective and subjective burden) and their predictors. This study attempts to make the analysis of caregiving experience more useful by expanding the focus to incoporate these positive aspects of the experience of family caregiver. Objective burden consists of two elements: 'disruption of family life', 'care'(amount of caregiving related to activity of daily living). Subjective burden is defined as emotional reactions to the care giving and it comprised of 6 emotional subdimensions such as 'stigma', 'grief'. 'worry', 'pity', 'fear', 'despair'. Also we investigate the severity of patients' disturbing behaviors into two categories, positive and negative disturbing behaviors and patient' contribution to the family as a predictors of positive and negative caregiving experiences. This study use Pearson's correlation coefficient, Hierardhical regressions in the SAS Program. The results are as follows: 1. Respondents reported moderate level of objective burden 'disruption of family life' (mean = 2.48, range = 1-4), and 'care' (mean=2.54, range = 1-4), and slightly high level of total subjective burden(mean = 2.19, range = 1-4). Mean scores for the measure of the severity of behavioral disturbance indicated that the caregiver experienced negative disturbing behaviors around almost 'somtimes'(mean=2.28, range = 1-4), and positive disturbing behaviors 'almost not frequent'(mean=2.78. range=1-4). So they reported that they perceived patient's negative disturbing behaviors more than positive disturbing behaviors. Mean scores for the measure of the patient' contributions (mean = 1.99. range = 1-4) indicated that caregivers experienced these contributions a little. It means that there should be a positive aspect of possibilities of patient' family roles that can be developed in the daily life. Mean scores for the measure of the positive family-patient relationship indicated that caregivers experienced moderate level of positive family-patient relationship(mean=2.52, range = 1-4). 2. Hierardhical regression analysis 1) Hierardhical regression of 'disruption of family life' showed that the interaction between positive disturbing behaviors and patient' contributions (B = .20. p = .022) and caregiver's educational level(B=.06. p=.000) were 'significant and Hierardhical regression of 'care' showed that 'negative disturbing behaviors'(B= .35. p= .007). 'patient' contributions'(B= .28, p= .019). 'family income'(B=-.l1. p=.096) were significant. 2) Hierardhical regression of 'total subjective burden', 'stigma', 'grief', 'worry', 'pity'. 'fear', 'dispair' showed that 'positive disturbing behaviors'(B=.51. p=.000). 'negative disturbing behaviors' (B = .17, p = .026), 'caregiver's educational level'(B = .03. p=.036), 'family income'(B=.08. p=.041) were significant predictors of 'total subjective burden': 'positive disturbing behaviors'(B=.32. p=.066). 'negative disturbing behaviors'(B=.24, p=.096) 'durations of illness'(B= .03. p= .079) were significant predictors of 'stigma' 'negative disturbing behaviors'(B=.28. p=.005). 'patient sex'(B=-.32. p=.022). 'positive disturbing behaviors'(B=.28. p=.020), 'patient age'(B=.02. p=.010), 'caregiver age'(B=-01, p= .002) were significant predictors of 'grief' 'negative disturbing behaviors'(B= .28, p= .005). 'patient sex'(B= -.32. p=.039), 'caregiver age'(B=-.02, p= .023). 'caregiver's educational level'(B= .04, p = .044) were significant predictors of 'worry' 'patient sex'(B=-.46. p=.005). 'negative disturbing behaviors'(B= .28. p=.018), 'caregiver age'(B=-.01, p=.037) were significant predictors of 'pity' 'positive disturbing behaviors'(B=.83. p=.000). 'patient' contributions' (B = .22, p =.017). 'family income'(B=.09. p=.65) were significant p

산업간호사업 활성화를 위한 산업간호인력의 실태와 업무현황에 대한 조사

이광옥,Lee, Kwang-Ok 한국지역사회간호학회 1990 지역사회간호학회지 Vol.2 No.1

차량 번호판 밝기 제어를 이용한 인식률 개선 방안

이광옥,배상현,Lee, Kwang Ok,Bae, Sang Hyun 한국스마트미디어학회 2017 스마트미디어저널 Vol.6 No.3

차량번호인식 개선을 위해서는 무엇보다 양질의 차량이미지를 획득하는 것이 무엇보다 먼저 선행되어야 하는 필수적인 요소이다. 일반적인 도로영상들은 시간, 햇빛, 날씨 등 다양한 환경의 영향을 받아 번호판 밝기가 일률적이지 않고 다양한 형태로 나타나기 때문에 여러 가지 이미지 보정 기능을 거치게 되고 이로 인하여 인식속도 저하, 인식률 저하 등이 나타난다. 따라서, 본 논문에서는 실시간 영상 촬영 시 번호판 주위의 밝기를 측정하여 카메라의 shutter, bright, gain등 이미지 밝기와 품질에 영향을 주는 각 요소를 실시간으로 제어하여 빠르고 선명한 고품질의 차량 이미지 촬영하기 위해 실시간 도로 영상을 통하여 제안된 방법을 테스트 하였다. The most important, essential prerequisite for the improvement of vehicle license plate recognition is the acquisition of high-quality vehicle images. Because typical images acquired from roads are affected by different environmental factors including the time of day, sunlight, and the weather, the brightness and the shape of the license plates in the images are inconsistent. To this end, many image corrections are performed, resulting in slower recognition and lower recognition rate. Therefore, in this study, we used the images acquired from roads to test the proposed method for fast capturing of vivid, high-quality vehicle images by measuring the brightness around license plates during real-time image capturing to control in real time the factors, such as shutter speed, brightness, and gain of the camera, that affect the brightness and the quality of the images.

초등학생의 흡연지식.흡연태도와 흡연행동에 관한 연구

이광옥,최혜영,Lee, Kwang-Ok,Choi, Hye-Young 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

I began the study to identify the issues related to knowledge. attitude and behavior regarding smoking by sixth graders. which will ultimately lead to the development of a smoking prevention program that will not only help deter school-age children from smoking, but also make them aware of the more desirable behaviors and techniques for healthier life. The results are as follows: 1. Smoking Behavior: Of the focus group. 4.15% are current smokers and 18.23% are ever smokers. 2. Correlation between smoking knowledge and ever smoking: Ever smoking sample($11.10{\pm}3.66$) is less knowledge able than the never-smoking sample($12.17{\pm}3.95$), (t=3.23. p=.001). 3. Correlation between smoking attitude and ever smoking: Ever smoking sample($28.12{\pm}8.51$) was less desirable than the never-smoking sample($l2.17{\pm}3.95$). (t=8.24, p=.000). 4. Correlation between smoking Knowledge and smoking attitude: knowledge about smoking and attitude toward smoking are quantitatively correlated in such way that the more knowledgeable the child is about smoking. the more desirable the attitude toward smoking is(r=.17. p=.000). 5. Correlation between socio-anthropological characteristics and ever smoking: family . atmosphere($x^2$=16.49. p=.001), school life ($x^2$=l1.58, p= .003), grades in school( $x^2$=11.89. p=.003), gender($x^2$=8.97. p=.003). friends' gathering place($x^2$=13.19. p=.02), marital status of parents(p* =.03). and family's financial status($x^2$=6.71. p=.035). In addition, Correlation between somking-environmental characteristics and ever smoking: number of friends who smoke($x^2$=76.01. p=.001). information source for smoking($x^2$=48.03. p=.001), whether or not siblings smoke($x^2$=26.07, p=.001), whether or not female relatives smoke ( $x^2$= 15.65. p= .001), whether or not father smokes ($x^2$= 12.10. p= .007), errands to buy cigarettes for someone($x^2$=9.18. p=.010), and whether or not male relatives smoke ($x^2$=8.82. p=.35) 6. Results of the logistic analysis performed to identify the factors correlated to ever smoking show that: one point decrease in attitude score translates to 25.39 times' increase in ever smoking one person decrease in the number of friends who smoke translates to 0.66 times' decrease in ever smoking: the group where the father has quit smoking has 1.40 times more ever smoking than the group where the father does not smoke at all: and likewise, the group where the father currently smokes has 1.40 times more ever smoking than the group where the father has quit smoking. 7. The overall cause-and-effect relationship between the ever smoking and the related factors: attitude toward smoking caused ever smoking by -.43, smoking by friends, by .12, marital status of arents, by .05, school life. by .04, gender, by -.03, and smoking by father, by -.02. Knowledge about smoking (t=-1.67) did not cause significant effects on ever smoking.

대학 및 전문대학의 간호교육과정 비교 연구

이광옥,한영란,김희정,Lee, Kwang-Ok,Han, Young-Lan,Kim, Hee-Jung 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2

This study analyze and find problems in the 4-year and 3-year college nursing curriculum through comparison and analysis of each college curriculum according to the Nursing Education Standards Criteria from the Korean Nurse Association, 1994. Analyzed areas and results are as follows : 1. Nursing education philosophy To analyze Nursing Education philosophy, we reviewed the categaries of Person, Health, Nursing, Environment. In of 4-year colleges, 50% of them were presenting definitions of Person that were the same as the Nursing Education Standards. But in the definitions of Environment and Health, they presented limited contents. In the 3-year college, we could not find any statement of Nursing Education Philosophy similar to Nursing Education Standards. 2. Nursing education purpose In 4-year colleges, they stated aboict only 3 aspects and others werelacking in correspondance with Nursing Education Standards. In 3-year colleges, some aspects were sincere, but when they were compared to the standards they were very limited. 3. Nursing education curriculum As we analyzed 4-year and 3-year college nursing curriculum, We found that 3-year colleges use curriculum from 4-year colleges in a modified and condensed form. Thus, it is considered that 3-year colleges have considerable burdens because they have to teach all the credits within 3-years that is normally taught in the 4-year college. Therefore, we can suppose that 3-year colleges have more problems in the quality. And, the majority of 4-year and 3-year college curriculums don't include recent concepts such as health promotion, prevention, and rehabilitation.

도시빈곤여성의 건강가치, 건강통제위성격 및 자아존중감과의 관계

이광옥,양순옥,Lee, Kwang-Ok,Yang, Soon-Ok 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.1

As a product of poverty, health means the physical, mental and social instability caused by poverty. High mortality, high morbidity, and unsatisfied needs for medical care indicate the health condition of poor people. These indicators are related to the social and psychological property. This study is to develop an effective method of nursing in the poor family which is an essential unit in the nursing field of the community and to which a fundamental approach is need as a top priority. We can make such a study, though partially, by revealing the relationship among the Health-value, Health Locus of Contol, and the Level of Self esteem. We randomly sampled 243 women who are participating in the nursing department of the comnnity nursing centers in Seoul. We investigated by using questionaries and made an analysis on the result by SAS program. The result of this investigation can summarized as follows : 1. The average age of the subjects investigated is 43.4 and the participation rate in the economic activity is as high as 49.4%. Most of them are paid daily. The average members of the family are 4.28 persons, and 80.2% of which are nuclear families. The type of housing is as follows:51.4% are monthly-rent houses. Rent houses represent 23.5%. And 43.6% of the subjects graduate the high schools 2. The level of self-esteem possessed by the subjects is 37.17. The quality of task performance(3.46) and the morality(3.53) are low as compared with the other qualities. 3. In relation to the locus of control, internality is 22.39, the influence of powerrful others represents 20.24, and the effect of chance occurance is 16.41. 4. The orderings of value scale are the physical and mental health, comfortable life, happiness, mental peace, and pleasure. The lowest order is social recognition. 5. Considering in relation to the self-esteem and the locus of control, we found out that there is a negative relationship among the self-esteem, the influence of powerful others. The lower the level of self-esteem is, the higher the influence of powerful others is. There is also a negative relationship among the detailed items such as the qualities, and the positive attitude. 6. In a significant test in the general characters of the subjects and in the level of self-esteem, we can obtain the follwing results. The higher the economic level is, the higher the level of self-esteem is. And the higher the level of satisfaction with life is, the higher the level of self-esteem is. 7. In the locus of control, the higher the economic level is, the higher the internality is. 8. In the health-level, 75.72% represent the high health -level. And the group which has the low satisfaction with life represents the high level of health-value(81.6%). With these results, we can conclude that the level of self-esteem possessed by the poor women living in the city is high and that they have the multi-dimemsional health-value even though they are living in the poor condtions. Traditionally, the poverty has been recognized as an unfavorale factor in the health care. But this study shows that the poverty is no longer an unfavorale factor and, on the contrary, it has a potential power with which people can improve their health by possessing the high self-esteem and the high health value. The ultimate purpose which the nursing task of the community has is to make the patients keep and improve their own health. So, when the nurses approach the poor patients, the nurses should put an emphasis on the individual responsibilities of the patients, and respect their own health value.

실버댄스 참여 노인들의 웰빙추구성향이 신체적 자기효능감과 문화적 가치성향에 미치는 영향

이광옥(Lee, Kwang-Ok),쟈오린옌(Jiao, Lin-Yan),정우진(Jung, Woo-Jin) 한국코칭능력개발원 2021 코칭능력개발지 Vol.23 No.4

체육전공 중·고등학교 학생들의 자기관리, 자기효능감 및 운동지속의도 관계

이광옥(Kwang Ok Lee) 한국체육교육학회 2012 한국체육교육학회지 Vol.17 No.3

본 연구는 체육전공 중·고등학생들의 자기관리와 자기효능감이 운동지속의도에 어떠한 영향을 미치는지 알아보고, 관련변인간의 관계를 규명하는데 목적이 있다. 연구의 목적을 달성하기 위해 체육전공 중·고등학교에 재학 중인 학생들을 모집단으로 설정한 후유층집략무선표집법을 이용하여 표본을 추출하였으며, 최종분석에 이용된 표본 수는 262명이다. 분석 가능한 자료를 SPSS 18.0과 AMOS 18.0을 활용하여 자료를 분석하였으며, 연구대상자의 변인별 특성을 알아보기 위해 빈도분석, 탐색 및 확인적 요인분석, 신뢰도분석, t-test, 상관분석과 다중회귀분석을 실시하였다. 이에 따른 결과는 첫째, 자기관리에 있어서 정신관리는 운동지속의도의 강화성에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 둘째, 자기관리의 정신관리와 훈련관리가 운동지속의도의 경향성에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 셋째, 자기관리의 생활관리와 대인관계가 운동지속의도의 가능성에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 넷째, 자기효능감의 운동이 운동지속의도의 강화성과 가능성에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 다섯째, 자기효능감의 운동과 사회성이 운동지속의도의 경향성에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 여섯째, 자기효능감의 운동과 지속이 운동지속의도의 가능성에 통계적으로 유의한 영향을 미치는 것으로 나타났다. The present study examined whether and how self-regulation and self-efficacy influence exercise adherence and also investigated the potential relationships among relevant variables. Participants were sampled, through a stratified cluster random sampling method, from two population groups of students attending physical education middle or high schools at the time of the study. Included in the final pool were 262 students. Varied statistical analyses such as frequency analyses, exploratory and confirmatory factor analyses, reliability, t-tests, correlation analyses, and multiple regression analyses were conducted on the data collected, using SPSS 18.0 and AMOS 18.0. Results showed that (a) the aspect of mental toughness/strength in self-regulation strengthened exercise adherence at a statistically significant level; (b) mental toughness and exercise control/management in self-regulation significantly affected the tendency toward exercise adherence; (c) life management and personal relationships with others in self-regulation also significantly influenced the probability of exercise adherence; (d) exercise self-efficacy fortified exercise adherence and increased the possibility of maintaining exercise behaviors; (e) exercise self-efficacy and sociality also affected the tendency toward exercise adherence at a statistically significant level; and, lastly, (f) exercise self-efficacy and the maintenance of exercise behaviors significantly impacted the possibility of exercise adherence.

여성의 쑥좌훈 경험에 대한 내용분석

이광옥 ( Kwang Ok Lee ),장순복 ( Jang Sun Bok ),유지수 ( Ji Soo Yoo ) 경희대학교 동서의학연구소 2008 동서간호학연구지 Vol.14 No.1

지금까지 성인여성의 쑥좌훈 경험을 살펴보았다. 연구결과에서 나타난 쑥좌훈 경험에 대한 긍정적 반응으로는 몽우리가 없어짐, 피부가 좋아짐, 질 분비물 감소, 근육이완, 비염 감소, 체중감소, 기분이 좋아짐, 손발따뜻해짐, 힘이 생김, 숙면, 변비해소, 치질감소, 소화기능 향상, 요통 감소, 생리통 감소, 천식감소 등으로겨레한의학연구소(2006)의 살균, 소염, 수축작용 및 영양공급을 하고 냉한 하복부를 따뜻하게 하여 자궁부속기 및 항문주위의 혈액순환을 왕성하게 해주고 각종 질병을 치료, 예방하는데 효과가 있다고 한 내용과 같았다. 또한 쑥을 통증완화에 적용한 Jo와 Kim(2001), Lee(2004), Shin 등(2001), Son(2005), Adams와Garcia(2006)에서와 같이 쑥좌훈이 요통 및 생리통 완화에 효과를 나타내었다. 뇌졸중환자의 변비에 효과적이었다고 한 Kwon과 Park(2005)의 연구에서처럼 본연구에서도 변비치료에 동일하게 반응하였다. Im(1995), Kim과 Lee(2005), Kwon 등(1999)의 연구에서처럼 쑥좌훈은 항균작용에도 긍정적 반응을 나타내었다. 쑥좌훈 후 신체적 반응으로 수포, 두통, 눈꼽낌, 몸살감기, 가려움증, 여드름, 그리고 부종 등을 경험하였으나 대상자들이 쑥좌훈시 나타나는 신체적 반응에 관하여는 모두 일관되게 호전반응이라 믿고 있었으며 대상자들은 특별한 처치 없이 계속해서 쑥좌훈 요법을 시행하였고 본인의 판단 하에 중단했다가 몸 상태가 좀나아지면 간헐적으로 쑥좌훈을 하고 있었다. 여기서 호전반응이란 쑥좌훈을 해줌으로써 몸속의 나쁜 노폐물들이 몸 밖으로 빠져나와 수포양상으로 나타나는 것을 말한다. 본 연구에서는 여성들의 쑥좌훈 적용 기간이 서로 다른 상태에서 면담을 했기 때문에 쑥좌훈을 동일기간 적용한 이후의 신체적 반응을 살펴보는 것이 필요하다고 생각된다. 과학백과사전 출판사(1999)는 잎 추출액이 개구리의떼어낸 심장에 대해 억제작용을 하며 혈압을 내린다고보고하였다. 그러므로 항고혈압제를 복용하는 고혈압환자에게는 시행 후 직립성 저혈압을 일으킬 수 있기에특별한 주의가 요구된다. 또한 피부가 민감한 당뇨병환자시 열에의 노출은 화상의 위험성과 합병증을 불러일으키기 때문에 신중을 기해야 한다. 그러므로 여러가지 부정적 신체반응을 예방하기 위한 사전 대상자들의 개개인별 건강상태에 관한 세밀한 접근 후 안전한상태에서 쑥좌훈을 시행하는 것이 필요하다고 하겠다. 쑥은 따뜻한 성질을 가진 식물로서 장시간에도 일정한 온도를 유지시켜주기 때문에 쑥좌훈시 쑥의 양과 시간, 좌훈기 크기 등은 온도와 상관관계를 갖는다고 볼수 있다. 중요한 것은 좌훈방마다 쑥좌훈시 사용되는 쑥의 용량이 다 다르며 본초강목에도 외용시 적당량이라 언급되어 있고 좌훈시 현재 사용되고 있는 쑥의 용량은 최소 4g에서 최대 100g까지 좌훈기의 크기에 따라 다양하며, 일부 좌훈방에서는 쑥의 양을 공개하지않고 있어 안전한 쑥 용량에 대한 과학적인 검증된 방법 개발이 시급하다고 하겠다. 또한 쑥좌훈이 한국의독자적이고 효율적인 간호중재로 발전할 수 있도록 대상자들에게 나타나는 긍정적인 신체적 반응들에 관하여 좀 더 구체적이고 객관적인 자료를 뒷받침 해 줄수 있는 다양한 실험연구가 진행되어져야 할 것이며부정적인 신체적 반응들에 관해서는 과학적인 적극적대응으로 호전반응과 부작용을 구별해 낼 수 있는 연구가 반드시 필요하다고 생각된다. 쑥좌훈 시행시 나타나는 부작용이 있을 시에는 바로 중단하고 개개인별 나타나는 반응들에 안전하게 대응할수 있도록. 의료인과 연계하여 관리할 수 있는 시스템구축이 요구된다. Purpose: This Study aims to explore the Wormwood smoke(Ssukjahun) experiences of women and to provide the data to develop Korean traditional nursing intervention for women Methods: A sample of 15 women aged between 20 to 60 years with Ssukjahun experiences was interviewed and content analysis was used to analyze the data. Results: Six categories and Thirty attributes were derived for Ssukjahun experiences in women. The reason of Ssukjahun is related to illness included vaginitis, insomnia, mental depression, circulation down of hand and feet, repeat abortion, dysmenorrhea, hemorrhoids, disc, rheumatism, and asthma The place of Ssukjahun was home, oriental hospital and Ssukjahun room Also method of Ssukjahun included steam methods and burn the wormwood The time-consuming of Ssukjahun was about 30 minutes The response and effect in Ssukjahun included relax, decreasing rhinitis, weight reduction, feel better, increasing circulation, sleep well, reducing constipation, insomnia, hemorrhoid, back pain, asthma, and dysmenorrhea. The negative effect of Ssukjahun included vesicle, headache, itching sense, generalache, acne, and edema. However, women who did Ssukjahun believed that is the belligerent reaction because it is gone after several times The preference of Ssukjahun than hospital treatment is related to side effect of medication, temporary method for reducing symptom. Recommends: It is recommended for nurses to understand experience of Ssukjahun in women If Ssukjahun is to be own nursing intervention, it has to find solutions to encourage positive experiences and overcome negative experiences. Aiso it recommended research for experience of men.

직장어린이집의 공간구성현황과 개선방향에 관한연구

이광옥(Lee, Kwang-Ok) 한국실내디자인학회 2005 한국실내디자인학회논문집 Vol.14 No.1