자기효능증진 운동훈련 프로그램이 신장이식 환자의 불안, 우울 및 삶의 질에 미치는 효과

안재현 성인간호학회 2001 성인간호학회지 Vol.13 No.2

The purpose of this study is to develop and evaluate the Self Efficacy Promotion and Exorcise Training Program to decrease anxiety and depression and to increase the quality of life for kidney transplant recipients. The subjects were selected randomly among the patients who underwent renal transplant at three major transplantation hospitals in Seoul, Korea. The observed subjects in this study conslsted of 56 patients who had renal transplantations between one to twelve months prior to this study. The patients did not take any regular physical exorcise. Thie study was carried out between November, 1999 and March, 2000. The study groups were divided into 3 groups; exercise training group (n=16), self efficacy group (n= 18) and control group (n=22). The exercise training group received serif eficacy promotion and exercise training program fur 12 weeks. The self efficacy group received self efficacy promotion education, but no exercise training was given. The control group was not offered any education. The anxiety, depression and quality of life were evaluated 3 times, before the experiment, after 8 weeks and after 12 weeks. The data were analyzed with mean, standard deviation, Chi-square test, ANOVA and Scheff ***** test. The results were as follows: 1. After the experiment. anxiety and depression scores of the exercise training group and self efficacy group were more significantly decreased than those of the control group (p=.05). 2. After the experiment, the quality of life score of the exercise training group and self increased than those of the control group (p=.05). This study showed that the Self Efficacy and Exercise Training Programs were effective. Therefore, it Is expected that the Self Efficacy Promotion and Exercise Training Program could be widely applied as an effective independent nursing intervention to decrease anxiety and depression and to increase quality of life for kidney transplant recipients.

효율과 보안성을 고려한 호스트와 호스트간 직접 터널 모드 구축

안재영,박세현 중앙대학교 정보통신연구소 1999 정보통신연구소논문집 Vol.1 No.1

최근 인터넷의 급속한 확산과 함께 특정 그룹을 위한 인터넷상의 망 구축이 활발히 진행되고 있으며, 가상사설망과 원격로그인이 그 대표적인 예이다. 그러나, 인터넷상의 데이터 정보는 누구나 공유할 수 있으므로, 보안 문제 해결이 필수적이다. 따라서, IP 수준에서 보안을 구축하려는 방법이 대두되었고, 패킷을 캡슐화해서 보호하는 터널모드 방식이 등장하였다. 본 논문은 기존의 Gateway-to-Gateway 터널방식을 개선한 Host-to-Host 직접터널모드(Direct Tunnel Mode : DTM)를 효율성과 보안성 측면에서 고찰하여 제시한다. With the rapid widespread of internet, the effort that constructs specific networks on internet for particular groups is being continued. Virtual Private Network(VPN) and Remote-Login are good examples. But the data on internet can be shared to everyone, so solving the security problem is essential for servicing these cases. Accordingly, the mean that protects data at IP level is appeared and the Tunnel Mode that protects data packets by encapsulation is entered. This paper suggests the efficient and security-enhanced Host-to-Host Direct Tunnel Mode(DTM) replacing the existing Gateway-to-Gateway Tunnel Mode.

신장이식 환자의 근력, 근지구력, 유연성 및 일상생활활동의 변화

안재현,하희선,홍정자 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The purpose of this study was to explore the change of muscle strength, muscle endurance, flexibility and activities of daily living to develop a rehabilitational program. The subjects were selected randomly among the patients who underwent kidney trans- plantations at one major transplantation hospital in Seoul, Korea. This study was carried out between November 23, 1999 and February 15, 2000. The subjects in this study consisted of 16 patients who had kidney transplantations between 1 month and 12 months ago prior to this study. They were all on steroids and did not take any physical exercise regularly. The muscle strength, muscle endurance, flexibility and activities of daily living were evaluated at 1st week and after 12 weeks. The data were analyzed with numbers, percentiles, mean, standard deviation and t-test. The results were as follows : 1.After 12 weeks, the grip strength was significantly decreased than 1st week(p =.0002). 2.After 12 weeks, the back lift strength was significantly decreased than 1st week(p =.0002). 3.After 12 weeks, the muscle endurance was increased than 1st week, but it was not significant(p=.5487) 4.After 12 weeks, the flexibility was significantly decreased than 1st week(p=.0002). 5.After 12 weeks, the activities of daily living was significantly decreased than 1st week(p=.0006). Like the above result, the kidney transplant receipients' muscle strength, flexibility and activities of daily living were reduced In order to solve this problem, the writer has found that program development to prevent the defects should be extremely required. Since now on the number of patients should expand. After the kidney transplantation, the periods of 4, 8, 12 and 16 weeks are extended. The writer proposes to examine the different phase of change in each periods.

뇌 자기공명영상상 뇌량 병변의 호전을 보인 Marchiafava-Bignami병 1예

정재훈,성기범,안무영,신현길,박형국 대한신경과학회 1999 대한신경과학회지 Vol.17 No.5

신장이식 환자의 교육요구와 간호사가 지각하는 교육의 중요성 비교

안재현 성인간호학회 2000 성인간호학회지 Vol.12 No.4

The purpose of this study was to explore the educational needs of kidney transplant patients and educational importance perceived by their nurses to develop a rehabilitational and educational program. Data were collected from January 29. 1999 to July 30. 1999 with interviews using a structured questionnaire. The subjects for this study were 173, of whom 107 were Patients who had had a kidney transplant and had visited the out-patient department and 66 were transplant ward nurses who were taking care of the kidney transplant patients at six general hospitals located in Seoul. The questionnaire used for this study was developed by the investigator through a literature review and collected and modified by 11 professional personnel and 3 kidney transplant patients. The data were analyzed using the SAS program for numbers, percentiles, mean. standard deviation, t-test. ANOVA, and Scheffe test. The results were as fellows : 1) In the Patient croup, the total mean scare for educational needs was 154.61 and the item mean score leas 3.76. In the nulses grour, the total mean score for perceired educational importance was 166.26 and the item mean score was 4.26. In the nurses group, perceived educational needs were scored higher than by the patient group. With regard to domains, both patient and nurses group had the highest educational needs and perceived educational importance in the domain of physical condition and the top five items in the educatlonal needs and perceived educational importance were also in the domain of physical condition. 2) In the Patient group, women and the divorce/bereavement group had higher educational needs In the domain of nutritional management, those who had been admitted longer than 4 weeks from their kidney transplant time had higher educational needs in the domains of physical condition and those who were less than 4 years from their transplant had higher educational needs in the domain of follow-up care. In the nurses group, those who were married had higher pelceived educational importance in the domain of physical condition.

沙上地域 産業體 勞動者의 職場體育 參與擴大 方案

安永弼,鄭琮勳,鄭三鉉,金海禮,趙在基,朴俊東,金垠利,張禎允,金福善,孔庚鎬 東亞大學校附設스포츠科學硏究所 1989 스포츠科學硏究論文集 Vol.7 No.-

Parallax 效果를 應用한 漸進的인 景觀演出에 關한 硏究

安奉遠,盧載鉉 경희대학교 1988 造景論叢 Vol.1 No.1

The purpose of this study is to create a design using plant for progressive realization. For this, the image structures of photo-sketch simulation for parallax landscape have been investigated by the factor analysis. Visual preferences measured by questionnaires were evaluated by Scenic Beauty Estimation, paired comparison method and the results could be summarized as follows. The results of semantic differential scale values for landscape through parallax were greater than non-parallax landscape. The scenes through parallax were better preference than a direct view. Thus the results of photo-sketch simulation test support the expected hypothesis that the visual environment of complexity and variety is closely correlated with the parallax effect and monotonouse or non-parallax environment. Factors covering the spatial image of parallax landscape were found to be seven and Total Values were 60.35%. The important factors determining the degree of visual preference were the distance to primary object, the harmony of trunks and primary object, the shape of screening trunks and the vista among the trunks yield high values for parallax landscape. In photo observation, the everage degree of screening was 38%, the range of degree of screening was 50-30%. In Sketch simulation, filtered pattern got the highest preference score and turned out to be the most practical pattern among the patterns evaluated. Also, in sketch simulation, the high preference values were observed in the cases of 9 to 12m of distance from the view point to screening tree and the D/H rato of 2. The preference score were significantly decreasing as the increase of screening having of turning point at 30-35% of screening, although the distance parameters were more important than the degree of screening in the preference score. An outstanding view must be handled properly to be preserved or accentuated. A framed, open, enclosed, screened or filtered views should be completely revealed only from its best vantage point, not given away of first glimpse. In this sense, the parallax spatial beauty with tree could be improved through the visual aspects of plan arrangements and the progressive realization appeared to be one effective design technique for landscape planning and design.

古式陶質土器에 관한 약간의 考察 : 義昌 大坪里出土品을 通하여 through the Finds from Taep'yong-ri,Uich'ang-gun

安在晧,宋桂鉉 嶺南考古學會 1986 嶺南考古學 Vol.- No.1

최적화기법으로 설계된 전반사 1/4파장 위상변위차 박막계

安正宣,玄在慶 慶熙大學校 1988 論文集 Vol.17 No.-

Characteristics of dielectric thin film systems utilizing total internal reflection at the hypotenuse of a rectangular prism are investigated to produce quarterwave phase retardation. With BK-7 glass(n=1.52) as the substrate prism, design computation gives ZrO₂ as a proper dielectric film material for 1-dielectric layer system and Al₂O₃-ZrO₂-for 2-dielectric layer system. Specifically, in the 2-dielectric layer system, computer-aided optimization shows the optimal thicknesses of Al₂O₃(n=1.62) and ZrO₂(n=2.03: layers to be 1.811 and 0.691 quarterwave respectively, giving 90˚±1˚ phase retardation in the range of 0.61-0.65μm, whereas reckoning of ±0.5% error of film thickness gives 88.48˚-90.54˚ phase retardation in the same range and reckoning of refractive index change of -0.2 for each layer gives 88.04˚-90.12˚ phase retardation. By preparing and testing the above-designed 2-layer(Al₂O₃-ZrO₂) quarterwave retarder, phase retardation of 86.00。 in the outer rehion which, compared with design value, shows 4.6% and 4.7% error respectively.

口呼吸者의 Head posture에 關한 硏究

安宰賢,車敬石 단국대학교 치의학연구소 1991 논문집 Vol.3 No.-

This study was carried out for the comparison of the head postures between mouth breathers and normal nasal breathers. For this purpose, a test group of 28 mouth breathers, between the ages of 8 to 12 years old and a control group of 25 nasal breathers were used. Following results were obtained after comparing the craniofacial and craniocervical angulations to the True Vertical line. 1. In the comparisions relating to the True Vertical Line, results were obtained using four items; NSL/VER, FH/VER, NL/VER, PMV/VER. Variations were observed in all the items and the craniofacial angulations in the mouth breathers group showed more superior position compared to the control group. 2. In the comparisions relating to the craniocervical angulations, results were obtained using four items; NSL/OPT, FH/OPT, NL/OPT, PMV/OPT. Variations between the two groups were observed only in the PMV/OPT item and the mouth breather group showed more craniocervical angulations compared to the control group.