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      • KCI등재
      • KCI등재
      • KCI등재후보

        일개 지역사회주민의 생활사건 스트레스 인지수준과 그 관련요인

        한금선(Kuem-Sun Han),추진아(Jina Choo),오연재(Youn-Jae Oh),추일한(Il-Han Choo) 대한스트레스학회 2009 스트레스硏究 Vol.17 No.2

        산업화와 세계화로 인한 생존경쟁의 증가로 현대인들은 정신건강에 위협을 받고 있다. 생활사건 스트레스(Stress of life events)는 정신건강을 위협하는 요인일 수 있다. 본 연구의 목적은 안산시 지역사회 주민 933명을 대상으로 생활사건 스트레스 인지수준을 파악하고, 이와 관련된 요인을 남녀별로 규명하기 위함이었다. 생활사건 스트레스 인지수준은 국문번역 Global Assessment of Recent Stress (GARS)를 사용했으며, 개인적 특성으로서 인구학적 요인으로서 연령과 성별을, 사회경제적 요인으로 결혼상태, 교육정도, 직업, 종교, 월가구 수입을, 정신적 요인으로서 가족구성원의 정신과문제 유무를, 사회지지 요인으로서 동거가족수를 조사하였다. 총스트레스 인지수준의 독립변인을 규명하기 위해서 다중회귀분석을 수행하였다. 연구결과는 안산시 지역주민의 약 3분의 1정도(32%)가 중간정도 이상의 스트레스를 인지하고 있었다. 그 중 재정적 스트레스 인지수준이 가장 높았다. 남성에서는 이혼/별거/사별과 높은 총스트레스 인지수준은 독립적으로 밀접한 연관성이 있었으며, 여성에서는 월가구수입 그리고 가족구성원 중 정신과문제와 높은 총스트레스 인지수준과 독립적으로 연관성을 보였다. 결론적으로 지역사회 중심 정신건강 사업은 남녀 별 스트레스에 취약한 특성이 상이하고 이에 남녀별 표적집단을 중심으로 차등을 둔 중재개발이 이루어져야 함을 시사하는 바이다. As society is getting industrialized and globalized, competitive endeavor for survival has been rising and being a threat to mental health toward people living in modern society. Perceived stress of life events may be a contributing factor to mental illness as well as physical illness. The purpose of our study is to identify the level of perceived stress of recent life events and to determine its gender-specific correlates among 933 residents in Ansan city. The Korean version of the Global Assessment of Recent Stress (GARS) was administrated to assess the perceived of recent stress. As physical, psychological and socioeconomical variables, age, sex, marital status, education, job, religion, household income per month, the presence of family members having mental illness, and the number of cohabitants were collected as candidate correlates of total GARS scores. About one third of the residents (32%) showed the moderate or severe levels of total GARS scores and the highest levels of perceived stress in financial pressure among eight domains of GARS. Divorced/separated/widowed status was a significant and independent correlate for men, whereas both monthly household income and the presence of family members having mental illness were significant and independent correlates for women. Therefore, when planning a community-based program, identifying target groups vulnerable to stress and creating gender-specific strategies for promoting mental and physical health are needed. (Korean J Str Res 2009;17:91∼98)

      • KCI등재

        방문간호사의 감염관리에 대한 지식, 태도 및 수행

        박한나,이인숙,김지은,권소현,추진아,Park, Han Nah,Lee, Insook,Kim, Jieun,Gweon, Sohyeon,Choo, Jina 한국가정간호학회 2022 가정간호학회지 Vol.29 No.1

        Purpose: Purpose: This study aimed to identify whether infection control practice would correlate significantly with the knowledge and attitude of infection control in the pre-, mid-, and postvisiting rounds among community-visiting nurses. Methods: A descriptive study was conducted based on the knowledge, attitude, and practice (KAP) model by administrating questionnaires during September-October 2020. A total of 65 nurses working for 15 community health centers in Seoul, South Korea were included. The questionnaires were developed based on the epidemiologic triangle model and comprised of 28 items on practice, 18 items on knowledge, and 10 items on attitude. Results: The infection control practice showed a mean of 88.9 (range, 0-100). The infection control knowledge had 89.2% on the host domain, 80.0% on the environment domain, and 74.8% on the agent domain (range, 0-100). The infection control attitude showed a mean of 39.5 (range, 0-50). Higher scores on the infection control practice are significantly correlated with the higher scores on the infection control knowledge about the host domain (p= .004) at the pre-, mid-, and post-visiting rounds. Higher scores on the infection control practice are significantly correlated with the higher scores on the infection control attitude at the mid- (p= .018) and postvisiting rounds (p= .028). Conclusions: The infection control practice by community-visiting nurses may be enhanced with increased knowledge and attitude levels of infection control at the mid- and post-visiting rounds. The enhancement should be included in the on-the-job education for community-visiting nurses.

      • SCOPUSKCI등재
      • KCI등재

        선천성 심장질환 청소년의 신체활동과 건강관련 삶의 질 비교: 성향점수매칭 비교

        김현정 ( Hyun Jeong Kim ),윤은선 ( Eun Sun Yoon ),이수정 ( Soo Jung Lee ),추진아 ( Jina Choo ),김성호 ( Seong-ho Kim ),제세영 ( Sae Young Jae ) 대한스포츠의학회 2017 대한스포츠의학회지 Vol.35 No.1

        Physical activity and health-related quality of life (HRQOL) are associated with overall health outcomes in adolescents with congenital heart disease (CHD). The purpose of this study was to compare the levels of physical activity and HRQOL in adolescents with CHD and healthy controls. In addition, we compared these variables using a propensity score matching to reduce the confounding effects. Participants were divided into three groups with simple CHD (n=55), complex CHD (n=173), and healthy controls (n=181). Self-reported physical activity levels (metabolic equivalent of task [MET]-hr/wk) were obtained using the Global Physical Activity Questionnaire. HRQOL was evaluated using the Pediatric Quality of Life Inventory questionnaire. Total scores of HRQOL in adolescents with complex CHD were significantly lower than those with simple CHD (p=0.022) and healthy controls (p<0.001), respectively; however, there was no significant difference in total scores of HRQOL between adolescents with simple CHD and healthy controls. Levels of physical activity in adolescents with complex CHD were significantly lower than those with simple CHD (p=0.001) and healthy controls (p<0.001). After propensity matched analysis (44 pairs), the results were consistent with the above results. In conclusion, HRQOL scores and physical activity levels are significantly lower in adolescents with complex CHD, but not in adolescents with simple CHD, than in healthy adolescents.

      • KCI등재

        척수장애인에서 활동적 비디오 게임을 활용한 신체활동이 고지방 식이 후 혈관기능 감소에 미치는 영향

        윤은선 ( Eun Sun Yoon ),김현정 ( Hyun Jeong Kim ),추진아 ( Jina Choo ),박경희 ( Kyung Hee Park ),제세영 ( Sae Young Jae ) 대한스포츠의학회 2017 대한스포츠의학회지 Vol.35 No.3

        Endothelial dysfunction induced with a high-fat meal may be attenuated with an exercise in abled bodies individuals. Exergaming may be an exercise type applicable for disabled bodied individuals. We tested the hypothesis that an acute bout of exergaming following a high-fat meal would decrease postprandial lipemia, and endothelial dysfunction among individuals with spinal cord injury. Forty participants (age, 41±8 years; 24 males) were randomly assigned to either an exergaming group (n=20) or control group with seated rest (n=20) following a high-fat meal. Hemodynamic and blood parameters and flow-mediated vasodilation (FMD) as an index of endothelial function were measured at baseline and 4 hours after a high-fat meal. In half an hour following a high-fat meal, the exergaming group performed 50 minutes of moderate intensity active video games (Nintendo Wii Sports: boxing, tennis). Levels of blood triglycerides increased in both group (p<0.05) following high-fat meal. FMD significantly decreased in the control group (10.4%±4.9% to 7.9%±4.4%) but significantly increased in the exergaming group (10.9%±5.3% to 12.3%±5.3%), with a significant interaction (p=0.004). These results show that a high-fat meal causes endothelial dysfunction in persons with spinal cord injury, but endothelial dysfunction following a high-fat meal was attenuated by an acute bout of exergaming regardless of postprandial lipemia. Therefore, exergaming for individuals with spinal cord injury may have a cardioprotective effect from postprandial endothelial dysfunction induced with an exposure of a high-fat meal.

      • KCI등재

        운동부하검사로 유발된 여성의 협심통증에 대한 예비연구

        최명애,안경애,추진아,최윤식 대한기초간호자연과학회 2002 Journal of korean biological nursing science Vol.4 No.2

        Purpose : Women have been often underdiagnosed and undertreated when they have as high mortality as men of ischemic heart disease, such as angina. One of the reason of women's under treatment is associated with either vague, non-traditional symptoms or longer delay in seeking professional help when they experience ischemic heart disease. This study was conducted to investigate the characteristics of women's anginal pain induced by the treadmill test and to explore the potential relationship(s) between anginal pain and other psycho-physiologic factors. Method : Of 22 female patients referred to treadmill test, 7 with positive finding participated in this study. Anginal pain in the past was analyzed by Rose questionnaire, whereas anginal pain induced by the treadmill test was identified by McGill pain scale, visual analogue scale and present pain index. Results : Women expressed more heaviness than sharp pain, and complained splitting more often than subjects in previous study that included both men and women. Pain intensity by VAS 3.64±3.94, Pain rating index was 5.14±7.29, present pain index was 1.57±1.81, duration of pain was 5.14±4.8 min. Exercise intensity was 6.0±4.63 METs, exercise duration was 364.29±141.39 sec, ST change was -2.0mm and rate of perceived exertion was 16.29±2.06. The relationships between pain intensity and pain duration, ST segment changes were significant. Correlation among pain measures was significant. Conclusion : Generalization of these pilot findings may be inappropriate, and therefore, further larger study is needed.

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