만성관절염환자의 가족지지, 치료지시이행 및 삶의 만족간의 관계연구

최혜경 대한간호학회 1987 Journal of Korean Academy of Nursing Vol.17 No.3

This descriptive-correlational study was undertaken in order to examine if there were relationships between family support, compliance and life satisfaction in chronic arthritis patients. The sampling method was a non-probability. purposive sampling technique. The participants of this study were 92 volunteer adults. 1) who have been diagnosed as having chronic arthritis and 2) who were at the medical out patient clinic of one university hospital in Seoul between April 27th to May 12th 1987. The instruments used for this study were the Family Support Scale developed by Kang Hyun Sook, a Compilance Scale developed by the researcher and the Life. Satisfaction Index-Z developed by Wood et. al. Analysis of data was done using t-test. ANOVA. Pearson Correlation Coefficient and Stepwise Multiple Regression Analysis. The results of study were as follows; Hypothesis I; "The higher the family support, the higher the compliance" was accepted. (r=.2604, p<.01) Hypothesis II; "The higher the compliance. the higher the life satisfaction," was rejected. (r=.1663, p>0.5) Hypothesis III; "The higher the family support, the higher the life satisfaction" was accepted. (r=.3914, p<.01) In addition, by using Stepwise Multiple Regression Analysis it was determined that the main influencing factors on the life satisfaction were family support, the number of inflammatory joints. compliance and pain level. These 4 main variables made it possible to explain 30.8% of the variance in life satisfaction. In conclusion, this study revealed that family support is an important factor that can improve compliance and life satisfaction in chronic arthritis patients.

중합효소연쇄반응을 이용한 Helicobacter pylori검출

최태열,박경남,강정옥,서일혜 대한감염학회 1997 감염 Vol.29 No.5

배 경 : H.pylori는 위염, 위궤양 재발과 밀접한 관계를 갖고 있기 때문에 검사실적 진단은 정확하여야 한다. H. pylori의 세균배양이 가장 바람직하지만 시설이나 노력면에서 많은 어려움이 있다. 이에 저자는 H. pylori의 세균배양과 더불어 PCR 을 실시하여 PCR의 유용성을 판단코져 다음과 같은 실험을 실시 하였다. 방 법 : 위장 장애를 호소하여 위내시경과 생검을 실시한 247명의 병리조직소견에 따라 정상대조군(57명), 만성위염(131명), 활동성만성위염(19명), 만성궤양(8명), 위암(32명) 으로 분류하였다. 세균배양은 brain heart infusion egg yolk agar선택배지를 사용하였고 PCR은 usease A gene sequence 를 증폭할수 있는 primer 2쌍을 선택하여 nested PCR 을 실시하였다. 결 과 : 세균배양에 의한 H. pylori의 검출율은 100명(40%) 였으며, PCR 에 의한 H.pylori의 검출율은 179명(72%) 으로 PCR 법이 세균배양법보다 검출율이 높았다(P:<0.05, Chi-square test, SPSS, ver7.0, USA). 세균배양과 PCR 모두 음성이 68명, 모두양성이 100명, 세균배양음성 PCR양성이 79명이였으며 PCR의 예민도는 0.1pg DNA(1 bacterial cell)였다. 일반세균을 이용한 특이도 검사에서 양성인 예는 없었다. 결 론 : 상기 결과로 미루어 보아 위생검조직에서 H.pylori의 검출은 연구자들이 사용한 PCR 법이 세균배양법보다 신속 정확하였다. Background : Helicobacter pyloir has been implicated in the pathogenesis of active chronic gastritis and peptic ulcer disease in man. Thus, diagnosis and treatment of H. pylori infection are now of growing importance in ucle management. A variety of noninvasive and invasive methods have been described for the detection of H. pylori, but all of these techniques have disadvantages such as time consuming or insensitivity. So we describe the polymerase chain reaction(PCR) assay for the sensitive and specific detection of H. pylori. Methods : Gastric biopsy specimens were obtained from 147 patients undergoing endoscopic examinations at Hayang University Hospital. One half of the specimen was processed for routine culture and the other half for PCR. Bacterial genomic DNA from gastric biopsies are extracted by Instagene. Two sets of primer pairs derived from the nucleotide sequence of the urease A gene of H. pylori were used. Result: H. pylori was cultured in 100(40%) cases and PCR assay deteted 179(72%) cases (P<0.05, Chi-square test, SPSS ver. 7.0, USA). Culture and PCR-positive cases totalled 100, and there were 68 cases negative by both mothods. There were 79 culture-negative and PCR-positive cases, but non that were culture-positive and PCR-negative. The assay was sensitive for as little as 0.1 pg of DNA (1 bacterial cell). The specificity of detection was confirmed by ensuring that the primers did not amplify DNA extract from other bacteria. Conclusion: The PCR is rapid, accurate, and sensitive method for the detection of H. pylori.

간호학생의 자아개념과 건강상태와의 관계 연구

최혜경 서울保健大學 1995 論文集 Vol.15 No.1

This descriptive-correlational study was undertaken in order to examine if there were relationship between Self-Concept and Health Status in Nursing Students. The subject for this study were 145 Nursing Students from Seoul Health Junior College. The instruments used for this study were the Self-Concept Scale developed by Choi Chung Hun(1972) and Rosenberg(1971) which was composed of 30 items, and Cornell Medical Index(C. M. I.) developed by Brodman and modified by Nam, Ho Chang. C. M. I. is composed of 57 items which is followed by 'yes' or 'no'. A 'yes' means a health problem is present. Analysis of data was performed by use the SPSS computer program: mean, t-test, ANOVA, Pearson Correlation Coefficient were used. The results of study were as followes : 1. Test of hypothesis: "The higher Self-Concept score, the better Health Status" was accepted.(r=-.2562, p<.0l) 2. The Self-Concept of total students were positively upper middle (mean=91.89, theoretically minimum 30-maximum 120). 3. The Health Status of total students were better lower middle(mean=19.48, theoretically minimum 0-maximum 57). In conclusion, this study revealed that Self-concept is an important factor that can improve Health Status.

한국인의 ABO Blood Groups 중 A Subgroups에 관한 연구

최범열,엄혜경,김경희 대한임상병리사협회 2001 대한임상병리사회지 Vol.21 No.1

학령기 집단따돌림 피해 및 가해아동의 인격성향에 관한 연구 : 한국아동인성검사를 이용하여

최윤정,진혜경,김종원 대한소아청소년정신의학회 2001 소아청소년정신의학 Vol.12 No.1

최근 학교 아동들 사이에 집단따돌림현상이 문제화되고 있다. 학급에서 여러명의 학생이 특정 학생을 놓고 집중적으로 괴롭히고 따돌리는 현상은 비단 따돌림을 당하는 아동뿐만 아니라, 따돌림을 하는 아동들에게도 부정적인 영향을 미칠 수 있다. 이러한 따돌림의 원인은 다양하며 그중 따돌리거나 따돌림을 당하는 아동의 인격적 측면도 중요하리라 생각된다. 따라서 본 연구는 집단 따돌림의 피해군, 가해군, 피해 및 가해군과 무경험군 사이에 인격성향의 차이점이 있는지를 알아보고자 하였다. 1999년 3월부터 1999년 8월까지 서울에 소재한 초등학교 6학년에 재학중인 아동 215명(남자 115명, 여자 100명)을 대상으로 하였다. 아동과 아동의 보호자에게 집단따돌림의 여부에 관한 설문지를 배부하여 조사하였으며 아동의 보호자에게 한국아동인성 검사(Korean Personality Inventory for Children, 1997)를 실시하여 아동에 관한 자료들을 조사하였다. 자료분석은 SPSS version 통계 처리 프로그램을 사용하였고 각 집단간 차이는 ANOVA, post hoc scheffe test. Student's t-test로 분석하였다. 연구의 결과는 다음과 같았다. 1)피해군, 가해군, 피해 및 가해군과 무경험군은 각각 11명(5.1%), 56명(26.0%), 11명(5.1%),137명(63.7%)이었다. 2)따돌림피해의 빈도에 있어 1회 15명(7.0%), 2회 4명(1.9%), 3회이상 3명(1.4%)이었다. 또한 따돌림가해빈도는 1회 40명(18.6%), 2회 17명(7.9%), 3회이상 10명(4.7%)이었다. 3)집단따돌림의 피해군, 가해군, 피해 및 가해군과 무경험군에 있어 한국아동인성검사상 결과는 다음과같았다. (1)무경험군에 비하여 피해군은 자아탄력성(p=.00)척도가 유의하게 낮았으며, 과잉행동(p=.00), 정신증척도(p<.01)는 유의하게 높았다. (2)무경험군에 비하여 피해 및 가해군은 자아탄력성척토(p=.00)가 유의하게 낮았고, 신체화(p=.00). 과잉행동척도(p=.00)는 유의하게 높았다. (3)가해군에 비하여 피해군은 사회관계(p=.00), 정신증(p<.01), 자폐증척노(p=.00)가 유의하게 높았다. (4)가해군은 무경험군과 통계적으로 유의한 차이가 없었다. 이상으로 보아 피해아동은 상황에 따른 적응력이 떨어져 적절히 대응하지 못하며, 대인관계를 잘 갖지 못하고 행동이 부산하거나 충동적인 면이 있어 또래관계에서 소외되고, 정서적으로 불안정, 의사소통의 어려움 및 사회기술이 떨어지고 사회적으로 고립되는 인격성향을 보이며, 이러한 특성은 피해전의 특성일수도 있으나, 피해로 인해 생긴 문제일수도 있을 것으로 생각된다. 피해 및 가해아동도 피해아동처럼 적응력이 떨어져 적절히 대응하지 못하고 행동이 부산하거나 충동적인 면이 있으나 사회적 관계를 맺는 기술의 문제나 정신증적인 특성, 자폐증적인 특성을 보이지 않고, 자신이 피해후 갖게된 분노감, 우울, 불안 등을 신체화시키고, 그러한 느낌에서 벗어나기 위해 다른 친구를 가해하는 것으로 생각된다. 이러한 과정을 통하여 피해아동보다 피해후 발생하는 사회적 위축이나 적응상의 문제가 더 적은 것이다. 또한 가해 아동은 인격성향에 있어서 특이소견이 없었던 바 사회문화적, 교육적 측면에서의 접근이 필요할 것으로 생각된다. 중심단어 : 집단 따돌림 ㆍ 인격성향 ㆍ 피해자 ㆍ 가해자. Bullying has recently become a serious social problem in Korean society. Bullying, which is defined as a phenomenon that one particular student is intensively and continuously harassed or ostracized by a group of students, is apt to produce harmful effects on bullies as well as victims. Bullying has many causes including those originated from the personality of victims and bullies. This study is designed to investigate the difference in personality trait between victims, bullies, victims/bullies, and neither. The subjects of this study were 215 (115 male and 100 female) 6th-grade students in the primary school in Seoul. Questionnares were distributed to the students and their carers. The student carers were also asked to answer the questions for a survey called the Korean Personality Inventory for Children (KPI-C). SPSS was used for the statistical analysis of the collected test information ; ANOVA, post hoc scheffe test, and T-test were used to analyze the differences between the tested groups. The result of the study is as follows. 1)The victims, bullies. victims/bullies and neither totaled respectively 11 (5.1%) , 56(26.0%) , 11 (5.1%) and 137(63,7%). 115 were male and 100 were female. 2)The frequency of victimized is as follows : 1 time is 15 (7.0%), 2 times is 4(1.9%) and more than 3 times is 3 (1.4%). The frequency of bullying is as follows ; 1 time is 40(18.6%), 2 times is 17 (7.9%) and more than 3 times is 10 (4.7%). 3)The differences between froups in KPI-C test is as follows. (1)The ESR(p=.00) scale was significantly lower in the victims group than in the neither group and the HPR (p=.00) scale and PSY (p<.01) scale were significantly higher in the former than in the latter. (2)The ESR (p=.00) scale was significantly lower in the victims/bullies group than in the neither group and the SOM (p=.00) scale and HPR (p=.00) scale were significantly higher in the formaer than in the latter. (3)The SOC (p=.00) scale, PSY (p<.01) scale and AUT (p=.00) scale were significantly higher in the victims group than in the bullies group. (4)There is statistically no difference between the bullies group and the neither group. To conclusion, Victims need to learn how to cope with harsh situations, or they will have to face difficulties in relationships. Even after they experience bullying, they may not realize why they have been bullied, or speak out for themselves. KEY WORDS : Bullying ㆍ Personality trait ㆍ Victims ㆍ Bullies.

급성심근경색 환자의 최초증상 발현으로부터 재관류요법 시행까지의 시간경과 및 지연요인

최혜경 서울保健大學 1998 論文集 Vol.18 No.1

본 연구에서 급성심근경색 환자의 최초 증상발현으로부터 재관류요법 시행까지의 시간경과 및 지연요인을 분석하여 다음과 같은 결과를 얻었다. 1. 총 70명의 심근경색 환자의 평균 연령은 58±12세였고 남자 대 여자의 비는 4:1이었으며 위험인자는 흡연, 고혈압, 당뇨의 순이었고 과거력은 협심증, 심근경색, 뇌졸중의 순이었다. 주요증상은 흉통, 발한, 호흡곤란, 어깨·팔의 통증의 순으로 많았고 흉통의 호소양상은 '답답하다', '조인다', '쥐어짜는 것 같다'.'뽀개지는 것 같다'의 순으로 많았다. 2. 내원결정 지연요인은 증상이 곧 가라앉을 것 같아서, 심장문제가 아닌 다른 문제로 생각되어서의 순으로 응답하였으며 내원전 체한 것으로 알고 소화제를 복용한 경우가 30.0%였다. 3. 후송수단으로는 택시, 119구급차, 자가용의 순이었으며 1차의료기관을 거쳐 전원된 경우가 47.1%였다. 4. 최초 증상발현으로부터 혈전용해제 투여까지의 지연시간은 전원지연시간(337분) 환자지연시간(157분) 병원지연시간(82분)의 순으로 가장 큰 지연요인은 전원지연 시간으로 나타났으며 전체 환자의 57.1%에서 혈전용해제를 투여하였다. 5. 재관류요법 시행여부에 따른 병원전 지연시간은 재관류군의 병원전 지연시간이 짧았으며 통계적으로 유의하였다. 6. 후송수단에 따른 병원전 지연시간은 119구급차를 이용한 경우의 환자지연시간이 짧았으며 통계적으로 유의하였다. 7.전원여부에 따른 병원전 지연시간은 직접내원군이 병원전 지연시간이 짧았으며 통계적으로 유의하였다. To determine the reasons delay seeking medical care and time delays between the symptoms onset and the start of a thrombolytic agent infusion, the method of reperfusion therapy in patients with acute myocardial infarction. Patients admitted to a ER between July 1, 1996, and August 31, 1997, finally diagnosed to AMI. Hospital records were reviewed, and a 20 minutes telephone interview was conducted. 70 patients were finally interviewed. The results were followings : 1. The average age was 59±12 years old, the ratio of male to female was 4:1. 2. The risk factors were smoking, Hypertension, DM. The chief complaints were chest pain, sweating, dyspnea. 3. The main reasons for delay were because the patient thought that the symptoms would go away, because the patients thought that the symptoms were caused by another illness. 4. The main reasons for not receiving a reperfusion therapy were the prehospital time delay. 5. Time delays between the symptoms onset and the start of a thrombolytic agent in fusion, were transportation delay time 337min, patients delay time 157min and hospital delay time 82min. In conclusion, the time delay was the first reason for not receiving a reperfusion therapy of patients with AMI. Knowledge of the reasons patients delay can help focus efforts on achieving more rapid treatment patients with AMI.

스트레스 측정 도구로서의 Hemoglobin AHemoglobin A₁c 유용성 평가

김혜숙,정경동,감신,최광서,김건엽,김성아 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3

To assess the possibility and usefulness of glycosylated hemoglobin (HbA₁c) as a screening tool for measuring stress; single-item for stress, BEPSI(Brief Encounter Psychosocial Instrument), PWI(Psychosocial Wellbeing-Index), FBS(Fasting Blood Sugar) and other demographic variables were assessed in 89 healthy male workers at periodic health examination. HbA₁c was not correlated with any kind of stress scores used in this study, but correlated with age(r=0.226). The single-item for stress, BEPSI, PWI were correlated each other(p<0.05). This result suggests well-organized brief questionnaire for stress might be enough to evaluate the stress level of workers in periodic health examination.

성인간호학 교과과정 내용개선을 위한 한국인의 질병분포에 관한 연구 : 일개 대학병원을 중심으로

김조자,이원희,유지수,허혜경,진혜영,최혜경 중앙의학사 1988 中央醫學 Vol.53 No.8

This study was a survey of the distribution of diseases in the Korean people, done to establish a criteria for time alottement for the patient need based theory in the curriculum in Nursing Care of Adult Patients. The methodology used was a descriptive survey of the statistical reports of disease. Data was gathered from the yearly reports from Yonsei University Medical Center, years 1982 to 1987 and the 1986 curriculum for Nursing Care of Adult Patients. Analysis was done by examining the frequency and percentages of diseases in each need category. The results of the study are as follows: 1. In the category of nutrition and elimination need. patents with diseases of the gastrointestinal system made up 1490 % and lectures in this area, 19.18 %. In the category of oxygen need, patients with respiratory diseases made up 13.70 % of the total and patients with cardiovascular diseases, 10.46 % lecture time was 15.07 % of the total. 2. The ratio of the frequency of diseases involving neoplasms, chronicity, emergency, rehabilitation, contagious, parasitic problems when compared to the lecture time allotted for them directly showed that in comparison. the lecture time was short. However, in the present curriculum material related to neoplastic, chronic, emergency and rehabilitation problems is given each need category and so, although. it is difficult to determine the exact frequency distribution, it can be assumed that it is not inadequate. 3. For safety and security needs, that is needs related to diseases of the nervous system and patients with sensory loss, and activity and rest needs, that is patients with diseases of the musculoskeletal system and patients with diseases of the connective tissue, the ratio of lecture time to number of patients showed a higher rate for lecture time. The lecture time for acute trauma and poisoning was lower. The interrelationship between these concepts needs to be reconciled. From this study it can be seen that the ratio of the distribution of patients with diseases related to the need categories and the lecture time for each category are very similar.

간호학생이 내린 간호진단의 분류에 관한 일 연구

이원희,김조자,유지수,허혜경,진혜영,최혜경 연세대학교 간호학연구소 1987 간호학 논집 Vol.10 No.1

Nursing diagnosis can improve nurses` efficiency, accuracy, provide an efficient standard for communication among nurses, improve the quality of nursing care, purpose and direction of nursing, and provide a unique dimension to nursing care. But in Korea we are using a nursing diagnosis system, which was developed in the American culture without evaluating vocabulary use or clinical application in the Korean culature. Actually many problems have appeared. Therefore. this research is to review and compare the North American Nursing Diagnosis Association‘s (NANDA) 5th conference on the etiology of nursing diagnosis and nursing diagnosis used in students` clinical practice in relation to how it fits into our culture and educational background. In order for nursing to be more scientfic. we must try to provide more basic data and develop nursing diagnosis. The subject of this research was 127 third year students in Y university for 1 year (1985). After tyey completed adult nursing clinical practice I and II tyey submitted case studies. In these case reports only nusing diagnosis was considered. There were a total of 1,019 nursing diagnoses used by the nursing students. In the data analysis we took the 813 nursing students' nursing diagnoses and fit them into 51 NANDA nursing diagnoses. Five professors from the College of Nursing met together and agreed on the selected the 813 after discussion The selected the 813 nursing diagnoses in the categories of: safety and secruity. nutrition and elimination, activity and rest, oxygen, sex, and' other'. These students' nursing diagnoses were compared with NANDA's etiology of nursing diagnosis by frequency. The research research were as follow ; 1. Among the 813 nursing diagnoses, the nursing diagnosis of 'Comfort, alteration in' was used 155 times (19.1%). This was the nursing diagnosis most frequently used by the students in the case reported. And 23 out of the 51 diagnoses (45%) was found 1 or 2 times and did't use nursing diagnosis in the case studies. 2. Among safety and security needs. many students used the etiology of 'Comfore alteration in : pain', pain and diverse etiology vocabulary. In 'Anxity'. the etiology of threat to or change in health status and knowledge deficit were listed. Among them, knowledge deficit was used 30 times as the etiology of nursing diagnosis. In the category of nutrition and elimination needs most students usually used nursing diagnosis accurately. In the category of activity and rest needs, the nursing diagnoses of activity intolerance, mobility, impaired physical' were confused the etiology of nursing diagnosis by the students. The students did't use many nursing diagnoses in the category of oxygen needs, and did't use the nursing diagnosis of sexual dysfunction. In the category of 'other' nursing diagnoses, "Knowledge deficit' was used many, and the etiology of 51 nursing diagnoses was generally used knowledge deficit. Until now in the nursing diagnosis used by the students, the vocabulary of the etiology of nursing diagosis is diverse. Although all students experience the 5 categor of human need in clinical practice, some of nursing diagnosis was used many but the other wasn't used. One reason is that only the definition of nursing diagnosis was taught in the classroom. No course content related to nursing diagnosis was covered. The nursing diagnosis concept was not taught in depth. second. the NANDA vocabulary is board and the English in interpretation is influenced by cultural factors. Third, among the students' clinical instructors there was difference knowledge and experience in nursing diagnosis. Therefore we believe the situation needs to be evaluated and revise to develop a unified vocabulary. And so that the etiology of nursing diagnosis would be fited into the cultural and educational background in Korea.

저소득층 어머니와 자녀대상 원예치료가 자녀의 사회성에 미치는 효과

최경혜 ( Kyung Hea Choi ),안정숙 ( Jung Suk Ahn ),김현주 ( Hyun Ju Kim ),박윤점 ( Yun Jum Park ) 원광대학교 생명자원과학연구소 2009 생명자원과학연구 Vol.31 No.1

There are improvements in sodality of the children in low income family after having applied horticultural therapy. In particular, when children were received horticultural therapy together with their mothers, the results showed that children`s sociality were improved in a more efficient fashion, and such factors also exhibited significant improvements at the time of conducting post-hoc test. In future, it is necessary to develop a program using horticultural therapy aiming at developments of children, and, in addition, it is required to compare its effectiveness with other treatments, and also to investigate the effectiveness of long-term treatment. And, it is judged that development of a therapeutic program that would enable family members to join together, along with the horticultural-therapeutic approach using weekend farm, shall be necessary, for the horticultural therapy program has effect on children, and, at the same time, parents have a great influence on children in the course of carrying out the program.