한방의료기관 환자진료부에 의한 암환자 현황에 대한 연구

조경숙,신현규,Cho, Kyung-Sook,Shin, Hyeun-Kyoo 대한암한의학회 2003 大韓癌韓醫學會誌 Vol.9 No.1

Objectives : The former study of Oriental Medicine on cancer has been mostly focused on lab studies with herbal medicine. Among this atmosphere, the aim of this study is to investigate the suitability of Oriental Medicine institutions to participate in cancer registry programme in R.O.K by investigating the type of treatments used for cancer patients in Oriental Medicine institutes. Methods : To investigate the actual conditions of cancer patients who visited Oriental Medicine institutes, a survey was done based on clinical charts of 258 patients of cancer. Results : The order for the percentage of the original tumor organ of the patients, the number of patients who recognized the outbreak on the year of the first visit was the biggest, and the number gradually decreased while the years passed. For the type of treatment, herbal medicine was the most for 92.6%, acupuncture 52.6%, moxibustion 16.7%, cupping 14.7%. It can be seen that multiple treatment was preferred to single treatment. Among the periods for herbal medication, 10 days was the most for 34.1%, 29.8% for within 50 days and 10.5% for within 100 days. The percentage of patients who took treatment of western medicine at the same time and those who took treatment of Oriental medicine only was 47.4% and 43.8% respectively. By surveying categories such as the symptoms, diagnosis of syndrome, principle of treatment from the chart by a free description, there was 841 names of symptoms, 207 diagnoses of syndromes and 206 principles of treatment. But no relation or connection between these could be found statistically. At there were even occasions which the doctor didn't record the cancer itself, precise investigatio for the actual condition of cancer patients in Oriental Medicine institutions appeared to be very difficult. Conclusions : It seems impossible to enroll cancer patients of Oriental Medicine institutions to the cancer registry programme in R.O.K as far as the patients are recorded only under the paradigm of Oriental Medicine. However, if the Oriental Medicine doctors keep a consistency in classifying categories such as cause of death, syndrome diagnosis, principle of treatment and prescriptions, and limit the choices, for each category, a pilot study for cancer registry programme in R.O.K. in Oriental Medicine could be carried out.

통원 백내장 수술 후 개별 교육이 불안과 자가관리 수행에 미치는 영향

조경숙,노창래,Kyung-Sook Cho,Chang Rae Rho 대한안과학회 2012 대한안과학회지 Vol.53 No.3

Purpose: To investigate the influence of additional postoperative individualized teaching on the anxiety levels and self-care compliance of postoperative care in patients after one-day cataract surgery. Methods: The present study included 80 cataract patients who underwent phacoemulsification and posterior intraocular lens insertion performed by a single operator between January 2011 and February 2011. The control group consisted of patients who received postoperative education from an ophthalmology coordinator based on previous hospital policy. The experiment group consisted of patients who received additional individualized postoperative education from an operator in the recovery room. Trait anxiety on operation day, state anxiety on postoperative day 1, and self-care compliance and postoperative satisfaction at postoperative 1 month were evaluated. Results: There were no significant differences of trait anxiety levels on operation day or state anxiety on postoperative day 1 between the control and experiment groups. The experiment group revealed a higher score on the postoperative self-care compliance questionnaire, especially regarding care of the operation site. Conclusions: Individualized postoperative education increases self-care compliance level and contributes to improve postoperative recovery after one-day cataract surgery. J Korean Ophthalmol Soc 2012;53(3):412-419

골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교

조경숙,강현숙,김종임,박원숙,송라윤,안양희,임난영,이인옥,최선하,한상숙,Cho, Kyung-Sook,Kang, Hyun-Sook,Kim, Jong-Im,Bak, Won-Sook,Song, Rha-Yun,Ahn, Yang-Heui,Lim, Nan-Young,Lee, In-Ok,Choi, Sun-Ha,Han, Sang-Sook 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.1

Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.

국내 주요 일간지의 한방(보완)의료 관련 기사의 추세 분석

조경숙,박종구,김춘배,이선동,최서영,Cho Kyung-Sook,Park Jong-Ku,Kim Chun-Bae,Lee Sun-Dong,Choi Seo-Young 대한예방한의학회 2000 대한예방한의학회지 Vol.4 No.1

This study is conducted to evaluate the social concern of the related issues through trend analysis of reports on Oriental medical care in major domestic newspapers including Dong-a Ilbo, Hankook Ilbo, Chosunilbo, and JoongAng Ilbo. Materials of this study were collected from a total of 1,039 reports on Oriental medical care by internet search of each newspaper company's homepage from fan 1, 1993 to Dec 31, 1999. Two researchers analyzed the trend of report contents on Oriental medical care by publication year. The major results were as follows: The most frequent subject in these reports related to Oriental medical care was 'disease', appearing in 45.5% (473) of tile reports, followed by 'oriental health system (31.5%)' and "oriental medical facilities (16.5%)'. Also, topics on the collaborative efforts of Oriental and Western medical care were reported in 7.9% of the cases. According to a survey of the opinions held for the contents in these reports, 51.0% reports held neutral views while 48.2% and only 0.8% reports had favorable and negative views, respectively. In conclusion, the reports covering Oriental medical care in major domestic newspapers have increased in recent times and many held favorable views. Considering the widespread influence of mass-media, the government and health-related organizations must continuously monitor the opinions in daily newspapers, for the opinions are the influencing force of health-rotated behaviors and changes. In this light, these organizations should enforce the health policy on strategies for mutual development of Western and Oriental medicine in Korea.

일개 국립대학병원의 진료.교육.연구 기능에 대한 평가

조경숙,이해종,이규식,김춘배,설동진,추상채,Cho, Kyung-Sook,Lee, Hae-Jong,Lee, Kyu-Sik,Kim, Chun-Bae,Seol, Dong-Jin,Choo, Sang-Chae 한국병원경영학회 2001 병원경영학회지 Vol.25 No.3

The purpose of this study was to evaluate the environments of patient care, education, and research as indicators of university hospital performance. The objective data for this study were collected by secondary data. The subjective data were collected by a total of 523 questionnaire survey interviews conducted in C university hospital, of which 123 were students, interns, or residents, 76 were professors, and the remaining 324 were patients. The major statistical methods used for the analysis were t-test and ANOVA. We found that the environment of patient care is better than the environment of education and research in C university hospital. While the concern for patient care of C university hospital was about 60%, the equivalent figures for education and research were both 20%. And the patients' satisfaction level was higher than the others. The environment of education and research was found to be deficient in some aspects, especially in such areas as facilities, equipment, and investment. In particular for professors the time for research was very limited because of the demands of patient care. These findings clearly demonstrate that university hospitals need to pay greater attention to the areas of education and research, as well as to patient care. This article concludes with a discussion and summary and presents issues in need of further study.

영어와 한국어의 부정에 관한 유형적 비교

조경숙 ( Kyung Sook Cho ) 21세기영어영문학회 2004 영어영문학21 Vol.17 No.2

The Typological Comparison of Negation between English and Korean Cho, Kyung-Sook(Honam University) This paper aims to compare the phenomena of negation between English and Korean on the syntactic typological base, especially the phenomena of standard negation as well as quantifier negation and adverbial negation. In standard negation, these two languages show typological similarities of using a negative particle, and of accompanying a secondary modification of inserting an auxiliary verb. However, we can find important differences in two languages: First, in the contraction structures, English language uses the device of morphological negatives, while Korean language uses an auxiliary negative verb. Second, Korean has alternative negative particles, which show complementary distribution depending on the types of predicates and sentences. Moreover, Korean negative particles have much flexibility in their position of the sentences than English negative particle. More typological differences are found in the realms of quantifier negation and adverbial negation. English has four devices of expressing quantifier or adverbial negation; negated quantifiers, inherently negative quantifiers, negated adverbials, and inherently negative adverbials. However, Korean doesn't have any forms of inherently negative quantifiers and inherently negative adverbials. It only permits the devices of negated quantifiers and negated adverbials, in very limited cases, such as in the case of predicate derivation forms. Therefore, the semantic equivalents of quantifier negations and adverbial negations in Korean, are mostly the forms of indefinite expressions or adverbials combined with standard negation.

라인댄스가 폐경 이후 여성의 근력, 균형감, 유연성, 통증 및 기분상태에 미치는 효과

조경숙(Cho, Kyung Sook),최희권(Choi, Hee Kwon),남혜경(Nam, Hye Kyung) 대한근관절건강학회 2012 근관절건강학회지 Vol.19 No.3

Purpose: The purpose of this study was to examine the effects of line dance program on muscle strength, balance, flexibility, pain, and mood state in post-menopausal women. Methods: A quasi-experimental research design (one group pretest-posttest) was employed. A total of 13 post-menopausal women completed 12-week line dance program(60min/day, 2days/ wk) in S city. Descriptive statistics, Wilcoxon signed rank test were used in the data analysis by SPSS 18.0. Results: Muscle strength and balance were higher, and pain level were lower than before the line dance program. However, flexibility and mood state were not significantly changed after the line dance program. Conclusion: Findings of this study indicated that the 12-week line dance program were effective on muscle strength, balance, and pain relief in the post-menopausal women. Future study is needed to explore the effect of the line dance program on flexibility and mood state with the post-menopausal women.

다문화가정 여성과 한국 여성의 구강건강관련 특성 비교 : 아산시를 중심으로

조경숙(Kyung-Sook Cho),이상엽(Sang-Yup Lee),장종화(Jong-Hwa Jang) 한국비교정부학회 2012 한국비교정부학보 Vol.16 No.1

This study is to compare the oral health condition and the oral care status of multicultural family women who are living in small and medium sized cities with those of married Asan-si women in the similar age who are resident in the same district. We are going to develop an oral health promotion program of multicultural family women based on the basic data between two women groups of this study. Since multicultural family women s oral health is worse than Asan-city women s one, the early treatment for decayed teeth and dental plaque control were needed. Multicultural family women 67.0% went to the dentist after migration. Brushing one s teeth was 2.56 times a day, the rate of practicing rolling methods was 7.3% and using auxiliary oral hygiene devices was 17.0%. They lack oral health behavior and oral health awareness, oral health education will be enforced quickly. Moreover, the appropriate native language service and the educational program development will be enforced to carry out the oral health education which meets their needs. Multicultural family women as a member of our society need a lot of national interest, and therefore an oral health promotion program must be actively developed.

DACUM 직무분석 기법을 이용한 외래간호사의 직무분석

조경숙 (Cho, Kyung Sook),강현숙 (Kang, Hyun Sook),김주현 (Kim, Joo Hyun),손행미 (Son, Haeng Mi),한혜자 (Han, Hye Ja),성영희 (Sung, Young Hee),박정원 (Park, Jung Won,송말순 (Song, Mal Soon) 병원간호사회 2008 임상간호연구 Vol.14 No.2

Purpose: The purposes of this study were: (a) to identify role definition, tasks, and duties of the nurses who work in outpatient department (OPD), (b) to do Development a Curriculum(DACUM) chart, and (c) to compare duties and tasks among nurses, nurse's assistants, and doctors. Method: The DACUM committee was organized with 10 nurses who worked in OPD. The committee derived the duties and tasks of OPD nurses from what they had done at workplace. Validity of the derived duties and tasks was tested by 23 nurses at 15 university hospitals. Results: Eleven kinds of duties were identified: preparation for outpatient's medical examination; support for outpatient's medical examination; management of outpatients; outpatient education; outpatient counseling; special examination of outpatient; OPD administration; management of OPD supplies; management of facilities and environments of OPD; management of OPD personnel, and self-improvement. Ninety-two tasks were classified. Conclusion: The abilities for education and emergency care of OPD nurses should be empowered. The results of this study would not only contribute to the effective OPD nursing care, but also be useful as basic data in hospital management.

우리나라 하드코어 흡연 현황 및 관련 요인

조경숙 ( Cho Kyung Sook ) 한국보건사회연구원 2013 保健社會硏究 Vol.33 No.1

본 연구는 2010년 국민건강영양조사 원시자료를 이용하여 26세 이상 현재 흡연자 1,241명을 대상으로 하드코어 흡연자 비율을 산출하고, 하드코어 흡연에 관련된 요인을 파악한 것이다. 하드코어 흡연자는 만 26세 이상의 5년 이상 매일흡연자로서, 일 15개 비 이상을 흡연하고, 지난 1년간 금연시도 경험이 없고, 향후 6개월 내 금연계획이 없는 자로 정의하였다. 연구 결과, 2010년 우리나라 하드코어 흡연자 비율은 25.5%(남자 27.7%, 여자 10.7%)이었다. 하드코어 흡연자에 영향을 미치는 요인을 분석한 단순 로지스틱 회귀분석(모형 1)에서는 성(남 vs. 여 OR=3.20), 고용상태(유 vs. 무 OR=1.45), 고위험음주(유 vs. 무 OR=1.47), 흡연시작연령(<19세 vs. ≥26세 OR=2.40, 19~25세 vs. ≥26세 OR=1.72), 흡연기간(10~29년 vs. <10년 OR=2.03, ≥30년 vs. <10년 OR=2.62), 흡연량(20~29개비/일 vs. ≤19개비/일 OR=6.49, ≥30개비/일 vs. ≤19개비 /일 OR=9.22), 금연교육(무 vs. 유 OR=1.67)이 통계적으로 유의한 요인이었다. 반면, 다중 로지스틱 회귀분석(모형 2)에서는 흡연량(20~29개비/일 vs. ≤19개비/일 OR=6.26, ≥30개비/일 vs. ≤19개비/일 OR=8.50)과 금연교육(무 vs. 유 OR=1.89)이 통계적으로 유의한 요인으로 나타났다. 결론적으로, 흡연시작 연령이 어릴수록, 흡연기간이 길수록, 흡연량이 많을수록, 그리고 금연교육을 받지 않을수록 하드코어 흡연자가 될 확률이 증가하므로, 흡연율을 낮추기 위해서는 흡연시작 자체를 예방하는 정책과 더불어 하드 코어 흡연자를 대상으로 차별화된 금연정책을 강구할 필요가 있다. Data from 1,241 Korean current smokers aged over 26 from the sample used in the 2010 Korea National Health and Nutrition Examination Survey were used in this study. Among the current smokers, 25.5% were hard core smokers (male 27.7%, female 10.7%). A simple logistic regression analysis showed the following factors to be significantly related to hardcore smoking: gender (male vs. female OR=3.20), employment status (yes vs. no OR=1.45), alcohol problem (yes vs. no OR=1.47), age of smoking initiation (<19 vs. ≥26 OR=2.40, 19~25 vs. ≥26 OR=1.72), duration of smoking (10~29 years vs. <10 OR=2.03, ≥30 vs. <10 OR=2.62), amount of smoking (20~29 cigarettes/day vs. ≤19 OR=6.49, ≥30 vs. ≤19 OR=9.22), and anti-smoking education (no vs. yes OR=1.67). However, a multiple logistic regression analysis showed that only the amount of smoking (20~29 cigarettes/day vs. ≤19 OR=6.26, ≥30 vs. ≤19 OR=8.50) and anti-smoking education (no vs. yes OR=1.89) were significantly associated with hardcore smoking. In conclusion, hardcore smokers are more likely to be male, be employed, and have alcohol problems. They also are more likely to have started smoking at a younger age, have smoked for a longer time, and smoke more, and are less likely to report receiving anti-smoking education. Therefore, to reduce the smoking rate, the Korean government should not only prevent adolescents from smoking but also focus on policies for hardcore smokers.