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      • SCOPUSKCI등재

        암환자의 삶의 질 도구개발

        태영숙,강은실,이명화,박금자 성인간호학회 2000 성인간호학회지 Vol.12 No.4

        This study was undertaken to develop an instrument to be used for measuring the concept of duality of life of Korean patients with cancer multidimensionary and correctly. It can contribute in holistic nursing care for Korean cancer patients and also provide and validate basic data to help oncology nurses measure the outcome of nursing intervention correctly. To develop this instrument, the researchers first estabilished a conceptual framework based on the results of qualitative data analysis and indepth interview method Development of the scale was conducted using a method in which 31 items were assessed by subjects' self report using linear analogue scales. The subjects were 79 D.M. Patients. 103 patients with acute illness, and 91 cancer Patients residing in Busan, Korea. Data were collected during the period from July, 24 to August 14. 2000. This instrument consisted of 31 items with a self report stale. This instrument covered 4 dimensions of cancer patients : 1) Physical wellbeing 2) psychological wellbeing 3) social wellbeing and 4)spiritual wellbeing. Each item had a possible score of 10. The reliability of the scale was tested with Cronbach's alpha. Validity was evaluated by examining the relationships of this scale. Youn's Quality of Life Questionnare scores and the Simple Quality of Life scale. Two separate runs of multiple regression were used to predict scores on the Simple Quality of Life measuremend. Further validation was obtained by examining the correlation between the instrument subscores and Youn's Quality of Life measurement subscore for convergence of this scale. Examination of the discriminant. power of the instrument was done using ANOVA test. The results are summarized as follows : 1.The reliability of the instrument for the quality of life was 0.8321 (Cronbach's alpha.), physical wellbeing dimension 0.6343. Psychological wellbeing dimension 0.6501, spiritual wellbeing dimension 0.5883. 2.This instrument had a high correlation with Youn's Quality of Life measurement(r= 0.636) in cancer Patients, whereas it had a low correlation with Simple Quality of Life measurement(r= 0.455) in cancel patients. In the D.M. patients, the instrument correlated with both the Youn's Quality of Llfe measurement and Simple Quality of life measurement(r=0.313. r= 0.407) and in the acute stage patients. the instrument had no correlation. 3.Multiple regression of individual Items on the Simple Quality of Life scores accounted for 56.8% of the variance in the Simple Quality of Life measurement, whereas, Youn's Quality of Life measurement scores accounts for 31.7%. The correlations collected from the three group had the same patterns of variations but especially the instrument developed in this study had higher disciminant power than that of Youn's Quality of Life Measurement.

      • KCI등재

        인접면 초기 우식 병소의 깊이에 따른 therapeutic sealing의 유효성평가

        이금랑,안명기,정태성,김신 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.3

        인접면 초기 우식병소에 대하여 레진 접착제를 도포하는 최소 침습적 개념의 therapeutic sealing은 치질 삭제가 불필요하다는 점에서 의미있는 술식으로 인정된다. 그러나 이 방법이 초기 우식병소의 법랑질 내 침투 깊이와 무관하게 여전히 유효할 것인지에 대해 의문이 들어 이번 연구는 그 유효성을 평가해 보기 위해 시도되었다. 인접면에 초기 우식병소를 보이는 발거된 소구치 21개를 대상으로 하고, micro-CT 촬영을 통해 병소의 깊이에 따라 분류하였다. 전체 시편을 병소가 법랑질 외층에 국한된 시편의 표면 절반에 접착제를 도포한 1군과 하지 않은 2군, 병소가 법랑질 내층까지 진행된 시편의 표면 절반에 접착제를 도포한 3군과 하지 않은 4군, 비와동성 초기 병소가 법랑-상아 경계까지 진행된 시편의 표면 절반에 접착제를 도포한 5군과 하지 않은 6군으로 분류하였다. 열순환 후 2주간 인공 우식을 유발하고 분류 과정과 동일한 평면을 찾아 micro-CT를 촬영하고 병소의 방사선 밀도 변화를 관찰하여 다음과 같은 결과를 얻었다. 1. 인접면 초기 우식병소의 침투 깊이가 증가할수록 병소 본체의 방사선 밀도는 낮아지는 것이 관찰되었다. 2. 병소의 깊이에 무관하게, 레진 접착제를 도포한 모든 실험군에서 처리하지 않은 대조군에 비하여 인공 우식 처리 전후의 방사선 밀도 변화가 작게 나타났다(p<0.05). 3. 병소가 법랑-상아 경계에 도달한 5군에서도 레진 접착제를 도포하고 인공 우식 처리시, 실험 전후의 유의한 방사선 밀도 변화가 나타나지 않았다(p<0.05). As the minimally invasive approach against white spot like early caries lesions in proximal surfaces of the teeth. therapeutic sealing has been introduced and studied for effective materials and methods to arrest the early caries lesion effectively. which is still going on. This study was performed for the purpose of evaluating its validity for the non-cavitated lesions according to the depth from surface using therapeutic sealing followed by artificial caries induction and evaluation with micro-CT. and we obtained the results as follows. 1. It was revealed that the deeper the caries lesions are. the lower radiation intensity at lesion body areas in pre-treatment specimen. 2. In the sealed groups. there were no differences in radiation intensity between pre- and post-treatment, whereas there were significant decreases in unsealed groups(p<0.05). 3. Even in the specimens with the lesions reaching deeply into DEJ, the effect of sealing was significant(p<0.05). Conclusively. it was thought therapeutic sealing can be an effective tool against the early caries lesions, regardless of their depth into tooth. unless cavitated.

      • 베체트 병에 대한 동서의학적 고찰

        유금룡,장규태,김장현 동국대학교 한의학연구소 1999 東國韓醫學硏究所論文集 Vol.8 No.1

        만성적이며 재발성 질환인 베체트 병에 대한 한위학적인 진단과 치료의 개념을 도입하고 동서협진의 연구기반올 정립하기 위하여 동서의학적 고찰을 하였다. 서의학적으로는 터키의 피부과 의사인 베체트가 1937년 처음으로 하나의 중후군으로 베체트 병을 제시한 이래로 여러 가지 원인과 치료들이 제시되었으나 아직까지 만족할만한 치료제가 개발되지 못한 상태이며 진단에 있어서 보조적 진단방법이나 질병의 진행상태를 파악할 수 있는 검사방법이 없어 치료에 대한 반응을 객관적으로 측정하기에는 한계가 있다. 한의학적인 많은 임상치료가 시행되었고, 한의학적 임상례를 통하여 볼 때 보편적으로 사용되는 내복약 외에도 침구요법, 외용방, 광선요법 등이 응용될 수 있음을 제시하였다. A literature study was progressed for Introduction of the conception of oriental medical diagnosis and treatment and establishment of studious fundation of current and oriental medical cooperation for Behc¸et's disease to be known chronic and repetitional disease. In current medicine, valid medicine for Behc¸et's disease, from Behc¸et, a turkish doctor, announced it the very first, was not made and objective diagnostic method not existed. Through clinical cases in oriental medical treatment, it was known that, except herbal medication, acupuncture, medicine of external application and beam-therapy were applied.

      • KCI등재

        대장 직장암에서 D2-40을 이용한 림프계 미세 혈관 밀도와 혈관 내피세포 성장 인자-C의 단백 발현의 의미

        김태희(Tae Hee Kim),김용석(Yong Sok Kim),최영철(Young Chol Choi),김범규(Bom Ku Kim),이태진(Tae Jin Lee),박용검(Yong Geum Park) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.5

        Purpose: Studying the prognostic factors of distant metastasis is quite important for predicting these patients’ prognosis and also for providing standards for post-operative adjuvant chemotherapy. Microbiological studies currently enable researchers to look for new predictors of distant metastasis in patients with colon cancers. In this study, the VEGF-C expression and stain rate of D2-40 were investigated as prognostic factors. Methods: 79 Specimens were collected from the patients who underwent colorectal operation and they were pathologicaly diagnosed with cancer at Chung-Ang University hospital from March, 2003 to Sept. 2005. The specimens were immunohistochemically stained to detect the VEGF-c expression and the D2- 40 stain rate. Results: The VEGF-C expression was related to lymph node metastasis, tumor embolism and the frequency of the Tstage, but it was not related to progression of cancer. The D2-40 stained lymphatic density was significantly increased in the cases with lymph node metastasis and in the tumor embolism cases; furthermore, the density became higher in relation to the increased T-stage and progression of cancer. Conclusion: The VEGF-C expression and lymphatic vessel density appear to be prognostic factors for colon cancer.

      • 암환자가 지각한 사회적지지,희망과 삶의 질과의 관계

        태영숙(Tae,Young Sook),강은실(Kang,Eun Sil),이명화(Lee,Myung Hwa),박금자(Park,Geum Ja) 고신대학교 전인간호과학연구소 2002 전인간호과학학술지 Vol.1 No.-

        The purpose of this study was to investigate the relationship among percieved social support, hope and quality of life of the cancer patients and to gain the baseline data for development of nursing intervention program for prom oting quality of life in cancer patients. The design of this study was a cross sectional correlational survey. The subjects were 220 out and in-cancer patients in 5 general hospitals in Pusan The data were collected from July 2 to August 1, 2001. The instruments were the Percieved social support scale(16 items, 5 point scale) had developed by Tae(1986), Hope scale(12 items, 4point scale) developed by Nowotny(1989) and Quality of life scale(31 items, 10 point scale) developed by Tae et. al(2000). The data was analyzed by the SPSS / PC+ program using frequency & percentage, item mean & standard deviation, t-test, ANOVA & Scheffe test, Pearson s correlation coefficient. The results of this study was as follows* 1) The item mean score of quality of life w as 6.05 ±1.16 (range 0-10) .The heighest score of subarea of the quality of life w as the spiritual wellbeing area (7.09±1.63) and the lowest score was social wellbeing area(5.53 士 1.65). The mean score of perceived social support w as 52.65±10.32 (최저 1,최고8ᄋ). The mean score of fam ily support was 32.71±6.66 (range 1- 40) and the mean score of medical team support was 19.93 ±5.95 (range 1- 40). The mean score of Hope was 37.02±5.64 (range 1- 48).2) There were statistically significant difference in the score of quality of life according to the life effect of religion (F=3.97, p=0.00), treatment method(F=2.94,p=0.01), area of diagnosis (F=3.48, p=0.01), stage of disease (F=13.74,p= 0.00). 3) There was significant correlation between perceived social support (r=0.44,p= 0.000 ; family support r=0.334, p=0.000, medical support; r=0.395, p=0.000), hope(r=0.563, p= 0.000) and quality of life. In conclusion, there was a significant relationship among perceived social support, hope and quality of life. Therefore perceived social support, hope intervention programs should be developed to improve the quality of life in cancer patients.

      • KCI등재
      • SCIESCOPUS
      • KCI등재

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