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정신분열병 환자 가족을 위한 한 정신교육적 가족치료 모형의 효과
이영호,심주철,이상경,서영수,김용관,김규수,김영훈 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3
연구목적 : 본 교실에서 정신분열병 환자 가족을 대상으로 시행 중인 장기 정신교육적 가족치료모형을 소개하고, 이모형이 가족의 대처방식과 우울증상, 환자가 자각하는 가족의 정서적 지지와 우울증상, 재입원율 및 사회재활상태에 미치는 영향을 평가하였다. 방 법 : 연구대상은 DSM-IV 진단기준에 의해 정신분열병으로 진단받고 외래 통원치료를 받고 있는 환자와 그 보호자였다. 교육군은 전체 19회 교육 중 최소 ⅔이상 참여한 11명의 환자와 가족이었고 비교육군은 부산소재의 종합병원에서 가족교육을 받지 않고 통원치료만을 받았던 11명의 환자와 가족이었다. 정신교육적 가족치료 모형의 효과는 가족의 대처방식과 우울증상, 환자가 자각하는 가족의 정서적 지지와 우울증상, 재입원율, 사호재활 실태로 나누어 평가했다. 평가도구는 The Ways of Coping Checklist의 국내번안용, Family Emotional Support Questionnaire for Transaction. Beck Depression Inventory를 이용했다. 재입원율 및 사회재활 실태에 대한 평가는 환자 및 가족과의 면담을 통해 조사했다. 결 과 : 본 연구의 정신교육적 가족치료 모형 실시 후 가족의 대처방식 중 적극적 대처는 교육군운 의미있게 증가한 반면 비교육군에서는 변화가 없었다. 소극적 대처 교육군은 의미있게 감소했으나 비교육군에서는 변화가 없었다. 가족치료모형 실시 전 가족들은 양군 모두 심한 우울증상을 갖고 있었다. 가족치료모형 실시 후 가족의 우울증상은 교육군에서 감소, 비교육군은 증가를 보였으나 통계적 유의성은 없었다. 환자가 지각하는 가족의 정서적 지지 평가척도점수는 교육군은 의미있는 증가를 보였으나 비교육군에서는 변화가 없었다. 환자의 우울증상의 교육군에서는 현저한 감소를 보인 반면 비교육군은 상반되게 증가했다. 가족의 적극적 대처가 환자가 자각하는 정서적 지지의 증가 및 우울증상 감소와 의미있는 상관관계를 나타냈다. 또한 교육군의 환자들이 비교육군의 환자들보다 장기가족교육 종료시점과 9개월 경과 후의 추적 평가에서 재입원율이 현저히 낮았고, 사회재활상태도 좋았다. 결 론 : 본 연구에서 실시된 장기 가족교육모형은 가족의 대처방식을 향상시키고, 우울증상의 감소를 가져오며, 환자가 자각하는 가족의 정서적 지지 향상 및 우울증상의 호전을 가져오고, 재입원율의 저하 및 사회재활의 향상을 보이는 것으로 나타났다. Objectives : This study was performed to introduce a psychoeducational family therapy model for the families of schizophrenic patient and to investigate the effect of this model on the changes in coping style and depressive symptoms of the family members, and in perception of emotional support by families and depressive symptoms of patients. Methods : Subjects were schizophrenic out-patients, who fufilled DSM-IV diagnostic criteria, and their families. The members of "education group" were 11 families and patients who participated in more than two thirds of 19 sessions of the program. The members of "non-education group" were 11 families and patients who had no experience of family education and were treated in a general hospital in Pusan. Clinical ratings were performed using by The Ways of Coping Checklist, Family Emotional Support Questionnaire for Transactions, and Beck Depression Inventory. Results : Coping style was changed positively, in education group but not in non-education group. The depressive symptoms of families were decreased in educated group and increased in non-educated group, although there were no statistical significance. In education group, patients felt much better emotional support by their families than patients in non-education group did. At the same time, their depressive symptoms were significantly reduced. The patients from education group were on more successful rehabilitation than those from non-education group were. Conclusion : Our results suggest that this psychoeducational family therapy model would be helpful to induce the positive changes in coping styles and reduce the depressive symptoms of family members, and it could also induce the reduction of depressive symptoms of schizophrenic patients and help their rehabilitation.
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심운택,이동배,조영채,이영수,윤창규 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.1
For the purpose to estimate the exposure levels of heavy metals and to present a basis of occupational health managements to the industrial workers exposed to heavy metals, this study conducted to know the lead and chromium levels of whole blood of industrial workers. The study population were divided into three groups to the exposure levels ; directed exposure group, indirect exposure group and non-exposure group, and the sample number of workers who exposed to lead were 80, chromium were 77, and control group were 31. The contents of lead and chromium were analyzed by atomic absorption spectrophotometer. The results were summerized as follows : 1. Sex distribution of studied group were 77.1 % in male, and 22.9 % in female. Age distribution were 74.4% in 30-49 age group. The work in years were 43.1 % in 5-10 years, 29.8% in 1-4 years. 2. Mean blood level of lead were 33.53㎍/㎗ in direct exposure, 23.84㎍/㎗ in indirect exposure group and 11.77㎍/㎗ in control group. 3. Mean blood levels of chromium were 1.9㎍/㎗ in direct exposure, 1.51㎍/㎗ in indirect groups and 0.95㎍/㎗ in control group. 4. Mean lead levels of direct exposure group was higher in male than female as 36.44㎍/㎗, 27.35㎍/㎗ respectively, but there was no difference in indirect and control group by sex. Mean chromium levels of direct exposure group were higher levels 2.26㎍/㎗ in female than 1.84㎍/㎗ in male, but there were no difference in indirect and control group by sex. 5. The age group of 29 or younger among the direct exposed had high level of lead and chromium as 35.7㎍/㎗ 2.41㎍/㎗ respectively, but that age group had no evident difference in the level of lead and chromium among the indirect exposed and non-exposed.
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심영수 순천향대학교 사회과학연구소 1996 순천향 사회과학연구 Vol.2 No.1
This study aims to trace the historical background of Chinese foreign economic open policy. For this aim, I explain the steps of the open policy, the ideological struggle for the overall policy of reform, the freedom of ideology. Meanwhile, this study is to search out the reality that china should keep on unfolding the open policy, fore the more help korean enterprises to invest on china. For this goodsm this study consists of four chapters; introduction, the background of open policy, the freedom of ideology, the summery and conclusion.
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물류표준화를 위한 파렛트(Pallet) 정합성 연구 I
심영수,주염 순천향대학교 사회과학연구소 2006 순천향 사회과학연구 Vol.12 No.2
Since 1978 the township-village enterprises have become the bases of nation's agriculture in China. After reforming and opening economy policy they had been developed more quickly and actively . And they had made a primary role in the developing of the township. Therefore it is very important to cultivate the township-village enterprises. But now it is becoming difficulty owing to so many problems's appearing such as lack of funds , revaluation, rising of the pay, lack of skilled workers and so on. So it is necessary tu restructure. Also they have to manage on scientific lines according to the supporting of the government. In this study will suggest the present condition of the township-village enterprises and consider the solution of the questions.
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