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젠더평등과 출산율의 관계에 대한 실증: OECD 국가 간 비교를 중심으로
류아현(Ahyun Ryu),김교성(Kyo-seong Kim) 한국여성정책연구원(구 한국여성개발원) 2022 여성연구 Vol.112 No.1
본 연구의 목적은 젠더평등 증진에 따른 출산율의 반등 가설을 실증하는데 있다. 이를 위해 1980년부터 2017년까지 OECD 16개국의 시계열 자료를 결합하여 산점도분석과 결합시계열회귀 분석을 실시하였다. 분석 결과, 젠더평등 수준과 합계출산율의 U자형 분포가 관찰되었으며, 1990년대를 기점으로 출산율이 반등하였음을 확인하였다. 1980년대에는 젠더평등 수준과 경제발전 수준이 낮고 가족급여 지출 비중이 높은 국가일수록 출산율이 높게 나타났지만, 1990년대부터 젠더평등 수준과 경제발전 수준, 그리고 가족급여 지출 비중이 모두 높은 국가에서 출산율이 높게 나타나고 있다. 따라서 젠더평등 이론에서 강조하듯이, 출산율이 반등하여 젠더평등한 가족균형 상태에 도달하기 위해서는 ‘여성 생애주기의 남성화’와 ‘남성 생애주기의 여성화’가 함께 이루어져야 한다. The purpose of this study is to prove the hypothesis of a rebound in the fertility rate due to the promotion of gender equality. For this purpose, scatter-plot analysis and pooled cross-sectional time-series regression analysis were performed by combining longitudinal data from 16 OECD countries from 1980 to 2017. As a result of the analysis, a U-shaped distribution of the level of gender equality and the total fertility rate was observed, and it was confirmed that the fertility rate rebounded from the 1990s. In the 1980s, countries with low levels of gender equality and economic development and a higher proportion of family benefit expenditure showed higher fertility rates. However, since the 1990s, countries with higher levels of gender equality, economic development, and family benefit expenditures have shown higher fertility rates. Therefore, as the gender equality theory emphasizes, ‘masculinization of the female life cycle’ and ‘feminization of the male life cycle’ must be carried out together in order to achieve a gender-equal family balance by rebounding the fertility rate.
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입원환자에게 나타나는 섬망 아형별 위험요인과 증상 및 중재 분석
류아현,강영옥,송라윤,Ryu, Ahyun,Kang, Young-Ok,Song, Rhayun 한국융합학회 2021 한국융합학회논문지 Vol.12 No.10
본 연구는 입원환자 섬망의 아형별 위험요인, 증상 및 중재를 조사하기 위해 시행되었다. 상급종합병원에 입원한 뒤 섬망을 진단받은 환자 108명의 전자의무기록을 SPSS WIN 26.0 프로그램을 이용해 분석하였다. 분석결과, 대상자는 고령, 남성, 정형외과, 골절이나 절단 환자의 비율이 높았다. 섬망의 아형은 과활동형 51.9%, 저활동형 6.5%, 혼재형 41.7%이었다. 위험요인 중 우울과 향정신성 약물 복용은 저활동형 섬망군에게 더 많이 선행되었다. 섬망의 중재 중 행동문제 관리와 공격적 행동 중재는 과활동형, 혼재형 섬망군에게 주로 시행되었고 정서적 지지는 저활동형, 혼재형 섬망군에게 주로 시행되었다. 공격적 행동을 동반할 경우 즉각적으로 중재를 제공받을 가능성이 높았다. 따라서, 추후 입원환자의 섬망을 조기발견하고 중재할 수 있도록 중재전략과 프로토콜을 개발하기 위한 연구가 요구된다. This study aimed to investigate subtypes, risk factors, symptoms and the interventions to inpatients with delirium. The data of 108 inpatients who had the diagnosis of delirium during their hospital stay were collected from Electronic Medical Record at a university hospital and were analyzed by SPSS for Windows V. 26.0 program. As a results, Patients had a high proportion of elderly, male, orthopedic, and with fractures or amputations. The subtypes of delirium were hyperactive (51.9%), hypoactive (6.5%), and mixed (41.7%). Among the risk factors, depression and use of psychotropic agent were more common in those with hypoactive delirium. Among delirium interventions, behavioral symptom management and aggressive behavioral intervention were mainly implemented for those with hyperactive or mixed types, and emotional support was mainly implemented for those with hypoactive or mixed types. The delirium related intervention was more likely given immediately when the patients showed aggressive behaviors. Therefore, intervention strategies and protocol development are required for early detection of delirium in inpatients.
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Xing Fan,Jisu Seo,YueLin Li,Ahyun Ryu,Kyoungok Joo,Moonkyoung Park,Rhayun Song 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): Physical and cognitive functioning are both indicators of aging process. Older adults experience abnormal declines in physical and cognitive functioning that increase their risk of dependence, subsequently quality of life. This study aims to explore the relationship between physical and cognitive functioning, and mediation effect of cognitive functioning on the relationship of physical functioning and health-related quality of life among older adults with mild cognitive impairment. Method(s): Seventy-nine older adults living in community participated in the study. Measurements included the self-reported questionnaire for physical functioning consisted of grip strength, one leg standing with eyes open (balance), and Timed Up and Go (mobility). Cognitive functioning was measured by Korean version of MOCA. SF-12 was used to assess physical and psychological components of quality of life (QOL). Data were using multiple regression and a simple mediation model applying the PROCESS macro for mediation. Result(s): Physical functioning explained 14.5% of variance in cognitive functioning. Physical and cognitive functioning together explained 22.4% of variance in physical component of QOL, 18.7% of variance in mental component of QOL. Indicators of physical functioning significantly related with cognitive functioning with balance (B=0.41, p=.02). Cognitive functioning had significant indirect effects B= 0.19, 95%CI (.491~.008) between balance and physical component of QOL, while the indirect effects was not significant with mental component of QOL (B=0.06, 95%CI -.107~0.332). Conclusion(s): The findings showed cognitive functioning had a significant mediating effects between the physical functioning and physical components of QOL. These findings have suggested that nursing intervention to improve physical functioning such as balance, mobility and grip strength may also improve cognitive functioning, consequently improving physical component of QOL for older adults with mild cognitive impairment. Further studies are warranted to explore the effects of health promotion programs designed to enhance physical and cognitive functioning in this population.
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