발관리 교육프로그램이 노인 당뇨병 환자의 발관리 이행과 족부합병증에 미치는 효과

노영숙,전시자,권연숙,임미숙,심강희 노인간호학회 2007 노인간호학회지 Vol.9 No.2

Purpose : Diabetic foot complications are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to verify the effects of foot care education on compliance with foot care and diabetic foot complications when the patient is an elder with diabetes. Method: A group pretest-posttest design was used to examine the effects of 6 months of foot care education with a group of 13 elders with diabetes. The major dependent variables including foot care compliance and diabetic foot complications were measured at the beginning and end of the treatment period to examine the effects of foot care education. Result : There were no significant differences in total foot care compliance scores and presence of diabetic foot complication after 6 months, Conclusion : Interventions involving problem based education and pursuing long-time effects may be more effective in implementing and sustaining improvements than just group education or one time interventions for elders with diabetes.

대구, 경북지역 대학생의 식사행동 및 일본음식에 대한 인상 및 기호도 조사 연구

한재숙,이연정,최석현,최수근,권상용,최영희 동아시아식생활학회 2004 동아시아식생활학회지 Vol.14 No.1

본 연구는 대구, 경북지역의 대학생(570명)을 대상으로 식사내용, 식사관습, 식사예절, 일본음식에 대한 인상과 시식경험 및 기호도를 조사한 것으로 그 분석결과를 요약하면 다음과 같다. 1. 음식은 항상 일인분씩 담는다’의 경우는 전체응답자의 15.5%에 불과하였고, ‘음식을 큰 접시에 모아서 담는다’의 경우는 ‘가끔 한다’가 44.8%, ‘항상 한다’가 35.8%로 나타나 큰 접시에 모아서 담는 가정이 많았다. ‘저녁은 가끔 가족이 함께 모여서 먹는다’가 59.9%로 가장 많았고, ‘항상 가족이 모여 같은 음식을 먹는다’는 끼니는 아침이 42.3%, 저녁이 23.3%, 점심이 3%로 나타나 아침에 가족이 모여 같은 음식을 먹는 경우가 가장 많았다. 2. ‘식사시 가족의 자리가 정해져 있다’고 한 경우는 전체응답자의 53.5%였고, ‘가족이 모여 식사할 경우, 연장자가 수저를 들기 전에는 먹지 않는다’는 전체의 56.4%였으며, ‘가장에게는 음식의 양이나 수가 많다’는 30.9%였다. 3. 식사예절에 대해 가장 자주 주의를 받는 것은 ‘TV를 보지 않고 먹기’(13.4%), 남기지 않고 먹기(11.5%), ‘수저사용법’(8.0%)의 순으로 나타났다. 반면 ‘식기 부딪히는 소리’(76.9%), ‘입 다물고 먹기’(76.6%), ‘씹는 소리’(74.6%), ‘밥 먹는 모양’(71.4%), ‘수저 사용법’(69.7%)등은 전체응답자의 70% 이상이 ‘주의를 받지 않는다’고 하였다. 4. 음식 만들기에 대한 선호도는 5점 만점에 3.48점으로‘보통 이상’으로 나타났고 국가별 요리에 대한 기호도는 한국요리(4.39점)가 가장 높았고, 그 다음이 중국요리 (3.76점), 이태리요리(3.45점), 일본요리(3.32점) 순이었으며 프랑스요리(3.16점)가 가장 낮은 기호도를 보였다. 음식 만드는 빈도는 한달에 1∼2회 정도로 나타나 대학 생들이 직접 음식을 만드는 빈도는 매우 낮음을 알 수 있었다. 5. 일본 방문경험은 조사대상자의 93.8%가 없었으며, 그중 92.6%가 일본방문을 희망하였고 일본음식에 대한 이미지는 ‘가격이 비싸다’(4.15점), ‘장식이 아름답다’(4.05점), ‘색채가 예쁘다’(3.98점) 등은 높은 점수를 보인 반면에 ‘맵다’(2.21점), ‘기름기가 많다'(2.51점), ’깊은 맛이 있다‘(2.56점) 등은 낮은 점수를 보였다. 6. 일본음식 중 가장 높은 시식경험을 가진 것은 우동(95.3%)이었고 그 다음은 스시(93.1%), 덴뿌라(81.9%)순 이었고, 반면에 니쿠자가(6.4%), 오차즈께(9.3%), 오코 노미야끼(11.1%), 다코야끼(16.0%) 등은 매우 낮은 시식경험을 보였다. 7. 일본음식에 대한 기호도는 우동(3.98점), 스시(3.85점), 덴뿌라(3.69점), 소바(3.43점), 스키야끼(3.12점)는 대체로 높은 기호도를 나타낸 반면 낫또(2.68점), 오차즈께(2.76점), 오코노미야끼(2.87점), 미소시루(2.88점), 다코 야끼(2.88점) 등은 낮은 기호도를 보였다. 이상의 연구결과로 변모해 가는 우리전통 식사예절의 동향 파악이 가능하였고 가족간의 화목과 건강한 사회를 이루기 위한 가족 단란의 식사지침이 요구되었다. 한편 일본음식중에는 우동과 스시가 한국대학생들에게 가장 인기가 높은 음식임을 알 수 있었고 대부분의 일본요리에 대해 장식이 예쁘고 색채가 아름답지만 값이 비싸다는 이미지를 가지고 있어서 가격을 좀 더 낮춘다면 그 이용이 더욱 늘어날 것으로 기대되었다. 또한 낫또, 오차즈께, 오코노미야끼 등 이용도가 낮은 음식에 대해서는 한국인의 입맛에 맞는 요리법을 가미한다면 대중화가 가능하리라고 여겨진다. This study was conducted to investigate the dietary behavior and image and preference of Japanese foods. The Subjects were consisted of 570 university students(243 males and 327 females) in Daegu and Kyungbuk area, Korea. The students responses to the 10 questions about image of Japanese foods were also measured on 5 point Likert scale. Data were presented by using frequency, percentage, chi-square test and T-test. The results of this study were as follows: (1) On the eating habits, 'the whole family has breakfast together with same foods everyday' scored high as 42.3% and 'foods put in a big platter by gathering everyday' as 35.8%. (2) About the eating customs, 53.5% of the subjects responded that the seat was fixed at meal time, 56.4% didn't start to eat before the patriarch started a meal and 30.9% responded that the head of a family had more foods in number and quantity. (3) On the table manners, 13.4% of the subjects were scolded about 'watching TV on eating', 11.5% about 'making left-over foods', 8.0% about 'misuse of spoon and chopsticks'. (4) The preferred ethnic foods by University students was in other of Korean, Chinese, Italian, Japanese and French foods. (5) Among subjects, 93.8% had no experience of visiting Japan and 92.6% wanted to visit Japan. Images on the Japanese foods were 'the price is too expensive' (mean 4.15) and 'the decoration is wonderful'(mean 4.05). But the subjects did not think Japanese foods as 'hot'(mean 2.21) and 'greasy'(mean 2.51). (6) The favorite Japanese food of subjects was Udon(mean 3.98), Sushi(mean 3.85) and Tempura(mean 3.69). So Udon turned out to be the most popular Japanese foods by university students in Daegu and Kyungbuk area, Korea. But they did not prefer Natto(mean 2.68), Ochazuke(mean 2.76), Okonomiyaki(mean 2.87) and Misosirn and did not eat. From the above results, Korean university students preferred Udon to Natto among Japanese traditional foods, and they estimated Japanese foods as 'too expensive'. Therefore, lowering the price and developing the cooking method for Korean taste were needed to increase the intake of Japanese traditional foods by Korean university students and.

국내에서 발생하고 있는 사람 브루셀라증의 임상적 특성

김연숙,최영실,오원섭,권기태,이혁,이선희,손준성,김신우,장현하,정숙인,고관수,박미연,백경란,송재훈 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

배경 : 2002년 내국인에서의 첫 사람 브루셀라증의 증례 보고 이후 국내에서 사람 브루셀라증이 빠른 증가를 보이고 있다. 이에 연구자들은 국내에서 발생하는 브루셀라증의 임상적 특성을 연구하고자 하였다. 방법 : 2003년부터 2006년 7월까지 7개 대학병원에 내원한 환자들을 대상으로 WHO의 진단기준에 의하여 확진된 브루셀라증 환자들의 의무기록을 후향적으로 조사분석 하였다. 배양된 균은 삼성서울병원에 의뢰하여 16S rRNA 유전자 분석방법을 이용하여 종을 확인하였고, 표준시험관응집검사는 국립보건원에 의뢰하여 시행하였다. 결과 : 34예의 환자들이 브루셀라증으로 확진되었고, 31명이 남자였다. 혈액에서 B. abortus가 증명된 경우가 8예, 표준시험관 응집검사상 의미 있는 항체가 상승을 보인경우가 26예이었다. 환자들은 대부분 축산업관련 종사자였고, 추후 브루셀라증으로 확진된 소와의 직접 접촉을 통해 감염된 것으로 여겨진다. 국내 사람 브루셀라증의 가장 흔한 증상은 발열이었고, 위장관계 합병증이 가장 흔히 동반되었다. 치료로는 doxycycline/rifampicin이 24예의 환자에서 doxycycline/aminoglycoside (streptomycin 혹은 gentamicin)이 10예의 환자에서 6주 이상의 기간 동안 투여되었다. 치료에 반응을 보이지 않는 환자는 없었고, 재발이 1예 있었다. 결론 : 국내에서 발생하는 사람 브루셀라증의 원인균으로 현재까지 분리 동정된 것은 B. abortus이며, 소 브루셀라증의 증가로 인해 인체감염사례가 함께 증가하는 것으로 사료된다. 위험 직업군 종사자들에서 감염된 소와의 직접 접촉을 통해 주로 발생하고 있는 브루셀라증의 임상종상은 국외에서 발생하는 경우와 유사한 양상을 보이고 있으며 치료에 대한 반응은 비교적 좋은 편이긴 하나, 추후 보다 많은 환자들을 대상으로 한 연구가 필요하리라 사료된다. 사람 브루셀라증의 조절을 위해서는 소 브루셀라증의 조절이 필수적이며, 브루셀라증의 조절에 성공한 선진국의 사례를 적극적으로 도입해야 할 것으로 생각된다. Background : Since the first Korean case of human brucellosis was reported in 2002, the incidence of human brucellosis has been rapidly increasing. We performed this study to evaluate the clinical characteristics of human brucellosis occurring in South Korea. Materials and Methods : Demographic features, clinical manifestations, and therapeutic outcomes of cases confirmed as brucellosis according to WHO diagnostic criteria were evaluated. Species of Brucella isolates were identified with 16S rRNA gene sequencing method. Serologic diagnosis was performed with standard tube agglutination test (STA). Results : A total of 34 cases were enrolled from 2003 to 2006 in six hospitals. Eight cases were confirmed with the isolation of Brucella from blood and 26 cases were confirmed with titer of antibodies ≥1:160 by STA. Male (31) was predominant and most of the patients were cattle farmers. The most common transmission route was direct contact with infected or their cattle byproducts. Fever was the most prominent symptom and fatigue followed. Gastrointestinal and musculoskeletal systems were commonly complicated. Patients were treated with doxycycline and rifampin or aminoglycosides for more than 6 weeks. All patients responded well to the therapeutic regimens, but one patient relapsed 10 months after treatment. Conclusion : Brucellosis occurring in Korea has been caused by B. abortus, whose preferred natural host animals are cattle. Korean patients were infected through direct contact with bovine brucellosis. Clinical manifestations of brucellosis were similar to those occurring worldwide. Therapeutic outcomes were good among patients with brucellosis in Korea. In order to prevent human brucellosis, measures to eradicate bovine brucellosis should precede.

입원노인의 삶의 질, 죽음 불안, 영적 안녕에 관한 연구

김연숙,권영은,성기순,곽혜련 노인간호학회 2007 노인간호학회지 Vol.9 No.2

Purpose: The purpose of this study was to provide appropriate spiritual and comprehensive nursing care for elders admitted to hospital by identifying factors that affect their quality of life, anxiety about death, and spiritual well being and by identifying correlations between these variables. Method: From April 23 to June 30, 2007, 76 patients 65 years of age or older, admitted to the Bobath Memorial Hospital were enrolled in the study. The elders were questioned about their quality of life, anxiety about death, spiritual well being, and their demographic characteristics. The data were analyzed using t-t.est. ANOVA, and coefficient with SPSS for Window version 10.1. Result: This study shows that for most of the elders, quality of life was found to be higher than average at 3.29 out of 5.00. Also, anxiety about death was found to be higher than average at 2.45 out of 4.00. However, spiritual well being was found to be lower at 2.75 out of 6.00. The study showed that as quality of life improves, anxiety about death was reduced. There was no direct relation between quality of life and spiritual well being. There was no direct relation between anxiety about death and spiritual well being. Quality of life for elders was found to be related to gender (p=0.008), economic status (p=0.019), and relationship with family (p=O.OOO). Anxiety death was affected most by job (p= 0.024) and period of hospitalization (p =0.043). Spiritual well being was affected by education(p=0.014), religion (p=O.OOO), and children (p=0.028). Conclusion: The purpose of the study was to improve nursing services for elders admitted to hospital to improve the quality of their lives and spiritual well being and to reduce anxiety about death.

대학의 플립드러닝에서 학습 이해도 및 교수·학습자 역할 평가

간진숙(Kan, Jin-Sook1),권명순(Kwon, Myung-Soon),진서연(Jin, Seo-Yeon) 부산대학교 교육발전연구소 2019 교육혁신연구 Vol.29 No.4

연구목적: 대학의 플립드러닝 수업에서 학습자들이 pre-class 단계에서 시간에 따른 학습이해도, 교수자 역할과 자신의 학습전략 및 성과를 평가함으로써 얻어진 요구와 문제를 분석하여 수업 상황을 알아보는 것이다. 연구방법: 본 연구는 양적·질적 연구방법으로써 플립드러닝 강좌를 수강한 학습자 대상으로 설문 조사 및 심층 면담을 통해 자료를 분석하였다. 연구결과: 첫째, 플립드러닝 수업을 수강하는 학습자는 pre-class 학습시간이 증가할수록 주제 이해도가 높아졌다. 둘째, 학습자는 교수자의 역할 중 계열별 차이검증에서는 ‘피드백 제공’ ‘참여 유도’ ‘심화 활동’, ‘개인별 관심’, ‘열정’, ‘주제와 연관된 수업내용’, ‘질문 응답’, ‘명확한 평가’ 항목에서 유의한 차이를 보였고 ‘적절한 난이도’, ‘흥미 유발’ 항목에서는 의미 있는 차이를 보이지 않았다. 면담에서 학습자들은 플립드러닝에서 교수자에게 구체적인 역할을 기대하였다. 셋째, 학습자는 자신의 학습전략 및 성과 중 ‘수업의 가치’ ‘목표 인식’을 4점 이상으로 높게 평가하였고 ‘수업내용 이해’, ‘적극적 참여’, ‘학습성과 만족’, ‘관심 증가’, ‘충분한 사전학습’, ‘효과성’을 3점대로 평가하였다. 면담에서 학습자들은 pre-class 학습을 통한 성과를 긍정적으로 인식하는 반면, 수업 전 pre-class를 반드시 진행해야 한다는 점에서 부담을 느끼고 출석을 위한 pre-class 활동을 진행한 것으로 나타났다. In-class에서 동료 발표에 나태하지 않고 경청하는 자세를 요구하였다. 논의 및 결론: 본 연구는 플립드러닝 강좌를 운영할 때 학습자들이 실제 수업에서 얻어진 학습성과와 자신의 학습수행역할 및 교수자의 역할 평가 등에 나타나는 요구와 문제 파악으로 수업의 상황을 알고 이를 해결해 나갈 수 있도록 수업전략을 세울 수 있다는 점에서 의의가 있다. 구체적으로 첫째, 조직적인 수업설계와 학습상황에 따른 맞춤형 수업전략이 필요하다. 둘째, 교수자는 수업에 대한 열정과 학생 개개인의 학습 진행에 관심을 가질 필요가 있다. 마지막으로 학습자들의 적극적인 참여 학습을 위해 질의응답, 토론, 문제 제기 등을 할 수 있는 다양한 학습법 훈련을 제공해 주어야 한다. 향후 연구에서는 학습자의 특성에 따라 세분화하여 진행할 필요가 있다. 또한, 플립드러닝 수업을 듣는 학습자들에게 학습법 프로그램 개발과 적용 사례 연구가 필요할 것이다. Purpose: This study is for learners to find out class situations by analyzing some needs and difficulties acquired from the evaluation of the level of learning comprehension over time in the pre-class, teacher s role and learner own learning strategies and achievements in the flipped learning class in the university. Method: Analyze the survey and in-depth interviews with the learners who had taken the flipped learning course. Results: First, learners taking flipped learning class have increased their understanding of the subject as the pre-class study time increases. Second, learners showed significant differences in the categories of `Provide Feedback , `Induction of Participation , `Intensive Activities , `Individual Interests , `Passions , `Instructions Related to the Subject , `Question Answers and `Clear Evaluations’. Third, learners rated `Class Value’ and ‘Purpose Recognition 4points or higher. In the interview, learners recognized positively the performances through pre-class learning while they felt burdensome as pre-classing should be done before class and pre-class activities should be conducted for attendance. Also, They were requested to be attentive and not to be lazy to their peer presentation in the in-class. Conclusion: In order to run flipped-learning classes successfully, it is necessary for teachers to develop customized teaching strategies to focus on individual learners and diverse learning methods to encourage participation with enthusiasm for class.

미용사의 요통 경험에 영향을 미치는 요인

백승룡,남철현,배성욱,김성우,권현숙,이정옥,전연숙 慶山大學校 保健福祉硏究所 2002 保健福祉硏究 Vol.7 No.-

The purpose of this study is to analyze and grasp the actual lumbaginous condition and relevant factors of 1,182 beauty artists of beauty shops in 5 metropolitan cities, small-to-medium cities, and fishing or agrarian villages for 3 months from June 20 to September 25, 2000 through questionnaires. 1) They showed 61.0 percents in her twenties, 66.4 percents of unmarried women from all the female objects, 70 percents in high school graduates as educational background, 52.4 percents in metropolitan city as service place, 25.4 percents in smoking rate, 71.6 percents in drinking rate, 48.1 percents in general bed as condition of bedroom, 17.9 percents in exercising rate, 53.6 percents in 'little eating', 39.6 percents in two or three centimeters of heel, and 89.5 percents in hair as beauty-related professional field. 2) The rate of lumgaginous experience of beauty artists was 83.5 percents. They showed higher rate of 91 percents in the thirties and forties, 92 percents of the married, 93.9 percents in junior college graduates, 97.2 percents in higher economic classes, 88.7 percents in smokers, 85 percents in general bed, 89.3 percents in sleeping on one's face, 85 percents in swimming, 92 percents in stretch, 86.7 percents in 56 to 60 kilograms of weight, 89.7 percents in group O blood, 90.5 percents in experienced women of abortion, 97 percents in heel over 8 centimeters, 58.3 percents in 'feel much fatigue', 93.6 percents in inconvenient chair of beauty shop, and 89.4 percents in a lack of recess than other group. 3) The more women who have been experienced in lumbago, the higher their social treatment(p<0.01), income(p<0.001), working time(p<0.05), job potentiality(p<0.05), inner affinity(p<0.05), and job satisfaction of environment(p<0.001) were. Women who suffered much stress related to job environment(p<0.001), client(p<0.01), and their duty(p<0.01) showed high rate of lumbaginous experience. 4) In degree of lumbago by characteristic, there was the significant difference in age over 50-years-old, unmarried women, college graduates, service of small-medium cities, higher economic classes, smokers or drinkers, hot-floored room, sleeping with ransack, stretch or swimming, group A blood, fat body, experience of abortion, 6 to 7 centimeters of heel, convenient chair of beauty shop, insufficient recess, lumbago continued for one to the three months in comparison of other group. 5) There were variables of posture such as to place materials under one foot(p<0.001), to lay arm on armrest and desk(p<0.001), to pull materials near body while lifting them (p<0.05), to sometimes use anodyne(p<0.01), not to lift also light materials(p<0.001), to be inconvenient in sleeping(p<0.001), to be absent at job for two or three days(p<0.01). The degree of depression(p<0.001), had the significant effect on the degree of lumbago(32.7%). The results are as follows : Beauty artists have faced upon dangerous job environment to cause lumbago. The more the industrial society will be developed, the more their burden of service will be increased. In addition, the occupational stress and posture of beauty artists who showed high job satisfaction and high economical level became major factors which have had an effect on their lumbago. In conclusion, it is desirable for beauty-related organizations and professionals to positively develop program of health education with much concern as well as to lessen stress of beauty artists through education of job posture and rightful life in order to prevent lumbago of those beaut.

Origin of Restenosis after Drug-Eluting Stent Implantation in Hyperglycemia is Inflammatory Cells and Thrombus

Kwon, Jin Sook,Kim, Yong Sook,Cho, Ae Shin,Kim, Jeong Sook,Jeong, Seo Yeon,Hong, Moon Hwa,Jeong, Myung Ho,Ahn, Youngkeun Japan Atherosclerosis Society 2011 Journal of atherosclerosis and thrombosis Vol.18 No.7

<P>Aims: The cellular and molecular mechanisms and safety after drug-eluting stent (DES) implantation in diabetic patients are still poorly understood; therefore, in this study, we evaluated the pathologic responses of the sirolimus-eluting stent (SES) or paclitaxel-eluting stent (PES) in a type I diabetes mellitus (DM) rat model.Methods: The type I DM rat model was manipulated by intra-peritoneal streptozotocin injection. Two weeks later, DES was implanted in the aorta of rats with hyperglycemia or not as a control. Four weeks after DES implantation, the stented aorta was isolated and histomorphometric analysis was performed.Results: On histomorphometric analysis, increased thrombus, inflammatory cell infiltration, and neointimal hyperplasia (NIH) without change of the smooth muscle cell number after DES implantation were observed in DM rats compared with non-DM (NDM) rats. Furthermore, delayed coverage of mature endothelial cells defined as a von Willebrand factor expression and increased immature endothelial cells as a c-kit expression after DES implantation were observed in DM rats compared with NDM rats. Increased fibrin deposition and decreased hyaluronic acid accumulation at NIH after DES implantation were also observed in DM rats compared with NDM rats.Conclusions: In conclusion, the main mechanism of restenosis after DES implantation under hyperglycemic conditions was initial thrombus with changes of the extracellular matrix rather than SMC proliferation. These results provided a therapeutic clue for the selection of DES and application of combination therapy using anti-thrombotic and anti-inflammatory drugs in diabetic patients.</P>

Proteomic Analysis on Keloid Fibroblast

( Yeon Sook Kwon ),( Won Jai Lee ),( Jong Eun Lee ),( Kwang Hoon Lee ),( Ju Hee Lee ) 대한피부과학회 2007 대한피부과학회 학술발표대회집 Vol.59 No.2

Proteomic Analysis on Keloid Fibroblast

( Yeon Sook Kwon ),( Won Jai Lee ),( Jong Eun Lee ),( Kwang Hoon Lee ),( Ju Hee Lee ) 대한피부과학회 2007 초록집 Vol.45 No.20

Cystic Basal Cell Carcinoma: A Case Report and Review of the Literature

( Yeon Sook Kwon ),( Hee Jung Lee ),( Dae Suk Kim ),( Kee Yang Chung ),( Hye Jin Chung ) 대한피부과학회 2007 초록집 Vol.45 No.10