대학생 흡연자의 금연경험에 따른 건강신념차이

구정일,김민정,김동희,백정희,안현실,은가희,우혜령,이명희,이수현,김수지 이화여자대학교 간호과학대학 2003 이화간호학회지 Vol.- No.37

It has been generally known that smoking is one of the worst factor increasing disease and mortality in human health since in 1950's and nowadays. But regardless of various proofs about social or economical problems due to smoking, current smoking rate has not been decreased in our country. Until now, most of tobacco use and its addiction researches have been focused on the adolescent or adult women smokers not on the university students. Therefore, the purpose of this study was to investigate smoking cessation of university smokers and analyze the health belief-perceived sensitivity, severity, benefits and barriers- difference, then to provide basic data for effective smoking cessation strategy for university smokers. The subjects were comprised of 181 university smokers from 15 universities in Seoul. The data were collected by structured questionaires. The questionaires were designed to measure general characteristics, smoking cessation and health belief, based on Ahn(2003)'s result on the Study of Smoking attitude, Behavior and Smoking Cessation of Adult Male and Lee(1987)'s result on Relationships Between the Health Belief Model and Smoking Habits. The data were collected from May 5 to 16. The collected data were analyzed by SPSS program. The actual number, percentiles, means, standard deviation, t-test and ANOVA were done. The result of this study were as follows; 1. The general characteristics of the subjects of this study The range of age was from 18 to 34 and the averaging age was 23. The subjects of this study were 141 males and 40 females. The religions were Christianity 25.4%(46), Buddhism 12.7%(23), Catholic 23.2%(42), no religion 37.0%(67). The residential forms were living with family 59.1%(107), cooking food for oneself 28.7%(52), dormitory 5.0%(9), boarding house 1.7%(3). Smoking starting age were university 43.1 %(78), high school 29.8%(54), middle school 14.9%(27), in the army 6.1 %(11), elementary school 1.1 %(2). 2. The smoking cessation of the subjects 80% of current smokers showed quitting smoking decision and 20% have not tried. The frequency of quitting smoking decision were from 1 to above 8 and mean was 3.06. As for smoking cessation plan, 54.7%(99) current smokers answered yes, 3.9%(7) said no, 35.4%(64) had no idea and 6.1 %(11) didn't answer. As for the reason of never quitting smoking decision, 71.42%(25 among total 35) have no need to quit smoking and the others said difficulty of smoking cessation. As for the main reason of smoking cessation decision, 54.7%(99) answered for the health, 7.2%(13) family advice, 15.5%(28) girl/boy friend's advice, 1.7%(3) to save money. As for the reason to fail smoking cessation, 56.7%(68) were will-lack, 17.5%(21) stress, 15%(18) smoking mood, 10%(12) withdrawl symptom. As for the smoking cessation method, 85.0%(125) were oneself-will, 2.7%(4) way acquired by mass-media, 2%(3) doctor's prescription, 2%(3) religion's help, 0.7%(1) smoking cessation school. As for the difficulty in smoking cessation, 42.2%(62) were drinking meeting, 23.1 %(34) no alternative of stress release, 12.2%(18) withdrawl symptom, 11.6%(17) having nothing to do, 7.5%(11) friend's encouragement. As for the most difficult cigarette to quit, 67.8%(99) were all-day smoking except the first smoking in the morning, 32.2%(47) the first smoking in the morning. 3. Health belief as for general characteristics Gender - The total point in benefits showed higher in male(28.5177) than female(26.6750). There was significant difference(t=.778, p<.05). The total point in health belief showed higher in male (105.8298) than female(l00.5000). So there was significant difference(t=.345, p<.05). Age - There was significant difference in benefits between age(10's-25.83, 20's-28.39, 30's-32.00)(F=3.73, p<.05). Smoking starting age - There was significant difference in total point of sensitivity and health belief(sensitivity F=4.00, p<.Ol, health belief F=2.843, p<.05). As for sensitivity, subjects who started smoking in the army showed the highest(33.36) and ones in high school showed the lowest(26.96). The total point in health belief showed the highest in elementary school(l19.00) and the lowest in high school(100.98). 4. Health belief as for smoking cessation There was significant difference in health belief as for smoking cessation(t=0.189, p=0.OO2). Sensitivity point showed higher in smoking quitting trial smokers(29.2) than non-trial smoker (26.9). Severity point showed higher in trial smokers (30.7) than non-trial smokers(28.9). Benefit point showed higher in trial smokers(28.6) than non-trial smokers(26.2). There was no significant difference in barriers point.

여성과 식이장애 : 신경성 식욕부진증과 거식증의 심리학적 고찰 A psychological Inquiry into Risk Factors for Anorexia Nervosa and Bulimia Nervosa

안명희 동덕여자대학교 한국여성연구소 2004 젠더연구 Vol.- No.9

This article investigated the relationship between women and high prevalence rate for eating disorders. Using Anorexia Nervosa and Bulimia Nervosa as examples, the inquiry focused on specific risk factors within the context of dysfunctional parent-child emotional dynamic. The discussion ended with a conclusion that while prevalence and some aspect of eating disorders reflect the socio-cultural emphasis on slender body and the connection between body image and self-esteem, causes of specific eating disorders are more deeply rooted with important intrapsychic origins. Beginning with lack of parental responsiveness reflected in the feeding behavior of the early parent-child relationship, a dysfunctional family dynamic, around the onset of adolescent girls' bid for separation and individuation with rigid, achievement motivated, and highly controlling, and yet lacking emotional empathy, is discussed. Symptoms of eating disorders, while self-destructive in nature, therefore, are thought to reflect an attempt to assert sense of control albeit on a primitive level, within a highly enmeshed parent-child relationship.context

강박증 환자에서 신경 심리 검사를 통한 전두엽 기능에 관한 연구

안경흡,김명선,김연수,박은희,박선희,신민섭,류인균,권준수 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3

연구목적 : 강박증 환자에서 비언어적 기억의 장애, 실행능력(executive function)의 장애, 시공간능력의 장애등의 신경 인지 기능의 장애 및 뇌 영상 연구에서 전두엽-기저핵 신경로의 기능장애가 있다는 결과들이 보고되어 왔다. 저자들은 전두엽의 기능을 반영하는 것으로 알려진 신경 심리 검사를 통하여 강박증 환자의 전두엽의 기능적 변화의 유무 및 기타 인지기능에 미치는 영향에 대해서 평가하고자 하였다. 방 법 : 서울대학교병원 강박증 클리닉에 내원한 32명의 강박증 환자군과 28명의 정상 대조군을 대상으로 강박증상의 중증도에 대한 평가와 함께 한국판 단축형 지능검사(Short-form of K-WAIS)와 주로 전두엽 기능을 평가하는데 민감한 것으로 알려진 신경 인지 기능 검사군(위스콘신 카드 분류 검사, Rey-Os-terrieth Complex Figure test, Controlled Oral Word Association test, 선로 잇기 검사, Luria-Nebraska 신경심리 바테리 중 언어학습능력검사)을 시행하였다. 이 검사들의 결과를 연령과 교육연수를 통제한 후에 ANCOVA로 분석하였다. 결 과 ; 강방증 환자군은 범주적 언어 유창성 점수(ANCOVA, F=15.07, df=58, p<0.001), Rey-Os-terrieth Complex Figure test의 즉각 회상 점수(ANCOVA, F=6.33, df=57, p<0.015), Rey-Os-terrieth Complex Figure test의 지연 화상 점수(ANCOVA, F=5.33, df=57, p<0.022)가 정상 대조군에 비하여 유의하게 저하되어 있었다. 결 론 : 이 결과는 강박증 환자들이 전두엽의 특징적인 기능으로 알려진 실행기능보다는 비언어적 기억능력의 장애 및 언어능력의 장애를 가지고 있음을 시사한다. Objective : Non-verbal memory deficits, impairments in executive function and deficits in visuospartial functions have been repeatedly reported in subjects with obsessive-compulsive disorder(OCD). The present study aimed to evaluate the frontal lobe function using neuropsychological test in subjects with OCD and normal control. Methods : A battery of neuropsychological test(Wisconsin Card Sorting test, Rey-Osterrieth Complex Figure test, Controlled Oral Word Association test, Trail Making test, Verbal Learning test) reflecting frontal lobe function was administrated to 32 OCD patients and 28 healthy comparison subjects. Result : There were no significant differences in age, years of education, or estimated IQ between the groups. Scores in category fluency, immediate recall and delayed recall of Rey-Osterrieth Complex Figure test in OCD subjects were significantly lower than those of healthy comparison subjects(ANCOVA, F=15.07, df=58, p<0.001 ;ANCOVA, F=6.33, df=57, p<0.015 ; ANCOVA, F=5.33, df=57, p<0.022, respectively). Conclusion : OCD patients had selective deficits in task involving non-verbal memory and categorical word fluency relative to healthy comparisons.

소아에서의 미세수술에 의한 재건술

안희창,전명곤,김정철 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.3

Microsurgical reconstruction is necessary for children to correct severe trauma and congenital or acuqired deformity. The aim of this study was to evaluate whether or not microsurgical reconstruction is a safe and reliable operation in children and to analyze the differences of microsurgical reconstruction in children compared to adults. The study included 12 children who underwent 13 microsurgical reconstructions among a total of 251 cases of microsurgical reconstruction from May, 1986 to August, 1998. Their ages ranged from 24 months to 14 years and 8 months. There were 7 males and 6 females. The involved sites were 9 legs, 3 hands and 1 face. The causes of microsurgical reconstruction were 9 traumas, 2 congenital anomalies, 1 acquired deformity and 1 cancer. The applied flaps were 4 scapular flaps, 2 rectus abdominis muscle flaps, 1 de-epithelized groin flap, 1 lateral arm flap, 1 forearm tendocutaneous flap, 1 forearm tendocutaneous flap, 1 latissimus dorsi muscle flap, 1 fibula flap, 1 second toe transfer, and 1 wrap-around flap. All patients have had normal growth of the donor and recipient sites without specific complications during an average 2 years follow-up. We concluded that microvascular reconstruction is a very useful and reliable procedure in children if it is performed in consideration of each child's specific characteristics and conditions.

팜유와 혼합유의 저장 및 튀김시 이화학적 성질변화

안명수,육희정 성신여자대학교 생활문화연구소 1994 生活文化硏究 Vol.8 No.-

만성정신질환자의 욕구에 대한 수요자(환자)와 공급자(치료자) 측면의 비교 연구

안강호,이종국,한은선,김명식,김장배,손봉희 대한생물치료정신의학회 2000 생물치료정신의학 Vol.6 No.1

Objectives : We performed this study to assess the needs of the chronically mentally ill(CMI) from the perspectives of the consumers(patients) and the providers(therapists) and to compare the differences between them. We also aimed to find met needs and unmet needs and then to determine the priority of the mental health services for the CMI. Methods : 165 patients and 19 therapists were examined with need assessment tool which had been developed by authors. Through statistical analysis, we evaluated the degree of problem, the degree of intervention, the relative degree of problem, and the degree of demand in each areas of needs, and compared the differences between patient group and therapist group. After then met needs and unmet needs from the perspectives of each group were revealed. Results : 1) There were differences in the assessment of needs between patients and therapists. 2) The more problem areas assessed by patients were finances, mental health, occupation, and leisure life in order of higher ranks. While occupation, leisure life, mental health, and finances were assessed as highly ranked problem areas by the therapist group. 3) Patients perceived that they were given more helps from others in the areas of mental health, physical health, accommodation, and relation to family than other areas. From the perspective of therapists, the areas of needs such as mental health, basic knowledge, occupation, and interpersonal retation were highly ranked intervention areas. 4) The demands for daily living skill, occupation, finances, accommodation were ranked highly by patient group. Highly demanded needs assessed by therapist group were mental health, occupation, interpersonal relation, and basic knowledge. 5) Unmet needs assessed by patient group were occupation, finances, and accommodation, while by therapist group, occupation. Conclusions : The needs of the CMI were assessed and identified by the consumers(patients) and providers(therapists) with the same tool. The differences between two groups were revealed. The most important unmet need of the CMI was occupation. These results can be used to plan the priority of mental health services and policies.

여대생의 커리어카드 모델 개발

안영식 ; 윤명희 동의대학교 인문사회연구소 2010 인간과 문화 연구 Vol.16 No.-

본 연구는 수도권에 비해 낮은 지방대학의 취업률을 극복하고, 남학생보다 취업에 있어 취약한 여대생들의 역량과 적성을 살려 입학에서부터 졸업까지의 과정과 졸업 후의 체계적인 커리어개발을 지원하기 위한 것이다. 이를 위해 여대생들을 위한 체계적인 커리어카드 모델을 개발하여 여대생들의 적성과 커리어를 증진하고 취업률을 향상시키고자 하였다. 여대생을 위한 표준형 커리어카드 모델 개발은 두 가지 형태로 제시되었다. 커리어카드 모델 A는 개인적 정보, 커리어진단 검사 기록, 커리어 설계, 커리어 관리, 멘토링, 상담기록, 취업게시판 등으로 구분하였다. 커리어카드 모델 B는 이력서, 정보화능력, 외국어능력, 취업교육, 진로상담, 커리어클럽, 취업멘토링 등으로 구분하여 제시하였다. This study is to improve employment rate of local university students and to enhance career development of women university students from entrance and graduation university to after graduation. The purpose of this study is to develop systematic career card model and to improve career development and employment rate of women university students. This study suggested two types of career card model for women university students. Model A of career card is to show personal information, career diagnosis test record, career design, career management, mentoring, counselling record, and employment bulletin board. Model B of career card is to provide personnel vita, information ability, foreign language ability, employment training, employment counselling, career club, and employment mentoring.

다변량 데이터의 이상치 검색에 관한 연구

김명철,안성희 三陟大學校 1998 論文集 Vol.31 No.2

The concern over outliers is old and undoubtedly dates back to the first attempt to base conclusions on a set of statistical data. The detection of outliers is important not only for univariate analysis but also for multivairate analysis. But, it is hard to derive a test procedure in the detection of multivariate outliers for the distribution of the test statistic is highly complicated. In this thesis, several detection methods for multivariate normal outliers, such as classical method by Barnett and Lewis(1978), Guttman's Bayesian technique(1973) and Varbanov's Bayesian technique(1996), are discussed and compared. The comparison is made by means of Monte Carlo simulation. The comparison among the three method notes that, in terms of correct detection rate, Varbanov's Bayesian technique(when sequentially applied) is most efficient in detecting one or more outliers.

전남 일부지역 고등학생의 라면소비실태에 관한 연구

조희숙,안명수 성신여자대학교 생활문화연구소 1993 生活文化硏究 Vol.7 No.-

치료환경에 따른 만성정신질환자의 삶의 질

배 안,김진학,박수희,김명규,김중원 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

연구목적: 일 지역사회(나주시) 만성정신질환자 대상의 치료환경을 그 환경적 특성에 따라 전통적인 외래치료환경, 개방적인 입원치료환경, 폐쇄적인 입원치료환경으로 분류하고, 각각의 치료환경에 거주하는 만성정신질환자의 주관적 및 객관적 삶의 질을 평가 비교함으로서 치료환경의 특성과 차이를 알아보고자 하였다. 방 법: 전통적인 외래치료환경 환자 85명, 개방병동 입원환자 67명, 폐쇄병동 입원환자 58명이었다. 이들에게 Lehman quality of life scale을 사용하여 반구조적 면담을 시행하여 삶의 질의 객관적 및 주관적 지표들의 지수를 측정하고 세 환경간 측정치를 비교하였다. 세 집단간의 차이를 분석하기 위해 ANOVA Test와 χ²검증을 사용하였다. 결 과: 환자들의 자율성과 다양한 정신사회재활 서비스가 제공되고 있는 개방병동 환자들의 전반적인 생활에 대한 만족도가 지역사회 및 폐쇄병동의 환자들에 비해 더 높았다. 지역사회에서 외래치료를 받는 환자들은 한달 쓰는 용돈이 많고 피해를 본 경험이 적었지만, 여가활동 및 사회적 접촉빈도가 입원환자에 비해 더 낮았고, 건강과 재정, 여가활동의 주관적 만족도도 더 낮았다. 입원치료중인 만성질환자들은 지역사회 환자들에 비해 여가활동 및 사회적 접촉빈도가 더 많았고, 월 평균 쓰는 비용이 더 적었지만 주관적 만족도는 오히려 더 높았다. 또한 이들은 최근 1년간 폭력 및 비폭력에 피해를 당한 경험이 더 많았으며, 건강에 관한 만족도는 더 높았다. 결 론: 치료환경의 특성에 따라 만성정신질환자가 보고하는 삶의 질에 차이를 보였으며, 개방병동에서 생활하고 있는 만성정신질환자들의 삶의 질이 가장 높았다. 향후 지역사회에 거주하고 있는 환자들의 삶의 질 향상을 위해서는 다양한 정신사회재활 서비스가 제공될 필요성이 있을 것으로 보았다. Objectives: This study aimed to figure out the characteristics and differences of therapeutic environment by classifying into closed-ward inpatient, open-ward inpatient and community residence out-patient environment and comparing objective and subjective quality of life of each group. Methods : The subjects consisted of 67 open-ward chronic inpatients, 58 closed -ward inpatients in the National Naju Mental Hospital and 85 outpatients living in Naju. We measured objective and subjective quality of life using semi-structural interview by Leman`s quality of life scale and compared the 3 groups. We used one-way ANOVA and chi-square test to analyze the differences of the 3 groups. Results: Open-ward inpatients who have autonomy and various community service program were more satisfied with their general life than the others. Community residence outpatients spent more money and less assaults experience but their leisure activities and social contact frequencies were lower than in the inpatients. Outpatients were less satisfied with their health, finances and leasure activities. Inpatients had made leisure activities and higher social contact frequency than outpatients. They were more satisfied with their finances despite of the spending less the money monthly than the outpatients. They experienced violence and damage more often for the past one year and were more satisfied with their health. Conclusions: The quality of life reported by chronic mental patients differed according to the characteristics of therapeutic environment. The life-quality of open-ward inpatients were the highest among the 3 groups. It is necessary to serve various community service program so that we can improve the life-quality of community residence outpatients.