憂鬱症 患者의 看護 : 1965년초부터 1966년 11월 초까지 경북의대 부속 병원 정신 신경과

도복늠 대한간호협회 1966 대한간호 Vol.5 No.6

혈액투석 환자의 지각한 사회적 지지와 자가간호 수행과의 관계

도복늠,주현자 慶北大學校 醫科大學 1994 慶北醫大誌 Vol.35 No.3

목적 : 본 연구는 혈액투석 환자가 지각한 사회적 지지 정도와 자가간호 수행정도와의 관계를 파악하여 효과적인 환자 간호와 치료에 기여할 수 있는 자료를 제공하기 위하여 시행되었다. 대상 및 방법 : 대구시내 5개 종합병원의 인공신장실에 등록하여 주기적으로 혈액투석을 받고 있던 156명의 환자들로서, 연구참여에 동의한 환자들을 그 대상으로 하였다. 자료수집기간은 1993년 9월 20일부터 10월 5일까지이었고 연구도구는 5점척도로 응답하게 되어있는 사회적 지지정도 측정도구와 자가간호 수행정도 측정도구를 사용하였으며, SPSS를 이용하여 백분율, 평균, t-test, ANOVA, 피어슨 적률 상관관계 등의 방법을 사용하여 분석하였다. 결과 : 대상자가 지각한 사회적 지지의 평균은 3.31, 대상자의 자가간호 수행정도의 평균은 3.60이었다. 사회적 지지 정도는 연령별로는 20대가, 교육정도별로는 대졸이상이, 가족 월수입은 101∼150만원군이, 치료비 부담은 부모가 하는군이, 발병전 직업은 전문직이, 의료보험 유형별로는 의료보험 수혜군에서 지지정도가 높았다. 자가간호 수행정도는 연령별로는 50대가, 가족 월수입은 101∼150만원군이, 치료비 부담은 자녀가 하는 군이, 의료보험 유형별로는 의료보험 수혜군에서 보다 더 높았다. 결론 : 대상자가 지각한 사회적 지지와 자가간호 수행정도는 유의한 정상관 관계가 있었다. This study was designed to identify the relationship of perceived social support and performance of self care by hemodialysis patient. The subjects were made up of 156 patients receiving hemodialysis treatment at five general hospitals in Taegu, from September 20, 1993 to October 5, 1993. The data were obtained by the structured questionaires for perceived social support and performance of self care. The subjects were instructed to indicate on a Likert scale. All the collected data were analyzed by percentage, mean, t-test, ANOVA, Pearson Correlation Coefficients, using the SPSS program. The results were as follows; The mean score for the perceived social support was 3.31. The mean score for the performance of self care was 3.60. The relationship between perceived social support and performance of self care revealed a significant coefficient(.4513) General characteristics related to social support were age, education level, family income, the cost of treatment, pre-morbid occupation and medical insurance. General characteristics related to performance of self care were age, family income, the cost of treatment and medical insurance.

韓國 助産員 修習機關 敎育 實態 및 改善方案에 關한 調査硏究(1)

도복늠,金相順,李愛賢,鄭文淑 慶北大學校 醫科大學 1979 慶北醫大誌 Vol.20 No.1

1978년 2월-8월까지 전국 34개 助産 修習 醫療器關을 대상으로 敎育 實態 調査書를 작성 배부하였으며, 회수율은 97%(33개소)이었고 회수된 修習機關 敎育 實態을 조사 검토한 결과 다음과 같은 결론을 얻었다. 1) 全國 修習機關의 분포를 보면 國·公立은 19개소(58%) 私立은 14개소(42%)로, 78%가 서울·익산 등 대도시에 있으며 忠北과 濟州에는 없다. 敎育을 실시하는 機關은 13개소(39.5%), 敎育을 중지한 機關 7개소(21.2%), 및 敎育課程이 취소된 機關은 10개소(30.3%)이다. 2) 敎育 중지 및 취소 사유를 보면 "志願者數 및 分娩 건수가 적어서"가 17개소로 전체의 85%를 차지하고 있다. 3) 修習生 定員은 총 551名중 國·公立이 258명 私立은 293名으로 사립은 機關數로는 적으나 定員은 많다. 修習生 現員은 193名(35%)으로 익산 64名(33.1%), 慶北 32名(16.6%), 全南 24名(12.4%)의 順이며 京畿와 慶南은 없다. 4) 法定 敎育課程(core course) 계획자가 看護課長 및 産婦人科 課長인 경우가 4개소(30.8%)로 가장 많고 별도의 계획자는 없다. 강의 담당자는 의사가 49名(48.5%) 看護助産員이 32名(31.7%)으로 전체으 80.2%이다. 5) 臨床實習에 있어서는 産室 및 育兒室과 婦人科 外來를 利用하는 機關이 13개소(100%)이며 公立은 私立보다 母子保健室과 開業 助産所등 비교적 多樣한 實習 現場을 마련하고 있다. 6) 政府의 지정 敎科目 강의 실시 여부는 전체 機關의 44.7%만이 실시하고 있다. 7) 分娩 介助 實習件數가 法定 基準에 미달되는 機關이 10개소(76.9%)로 나타나서 實習時間은 많으나 分娩介助者로서 基本 機能에 숙달할 수 있는 충분한 實習 기회가 없는 상태이다. 행정당국은 우리나라 助産員 敎育에 관한 敎育課程이나 敎育機關 운영 제도의 모순성, 불합리성을 認定하고 이의 전면적인 改善向上을 위해 노력해야 할 것이다. 별도의 조산교육과정을 운영토록하여 財政的, 行政的 지원을 적극적으로 시도하고 助産敎育修了後 자격의 認定, 업무한계, 직급의 조정, 적정의 待過 및 開業 助産所 운영등 全 分野에 걸쳐서 敎育法, 醫療法등의 개정이 시급한 실정임을 고려해야 할 것으로 믿는다. 本 硏究 결과에 따라 다음과 같은 제언을 한다. 1) 助産 人力 수급에 따른 구체적이고도 獨立的인 助産員 교육계획안이 마련되고 별도의 교육기구가 만들어져야 한다. 2) 助産敎育 行政家는 能力있는 助産敎育 專門人으로서 助産員 敎育에 대한 명백한 철학과 目的 基準을 정하고 目的 달성에 보다 효율적으로 기여할 수 있어야 하겠다. 3) 대도시에 집중되어 있는 助産修習 機關을 지역적으로 按配하여 修習生의 修了후 就業과 균형있는 조화가 되도록 고려해야 되겠다. 4) 변화되고 다양한 지역사회 要求에 적절히 대처하기 위해서 敎育課程 개선이 연구되고 실시되어야 한다. 5) 소속 단체와의 협조로 助産員 免許證 取得後 자격에 알맞은 적절한 待遇와 직급상의 보장을 위해 이루어질수 있는 法的 체제와 財政的 支授이 시급히 마련되어야 하겠다. From February to August in 1978, the inquiring letters of educational status of which receiving rate appeared as 97% were made and delivered to 34 educational hospitals for midwife throughout the nation, coming to a conclusion as the following after analyzing the result of the investigations. As for the geographical distribution, 78% that is to say, 19 national-public hospitals and 14 private ones are located in large cities as Seoul and Busan except for Chungbuk and Jeju. Of these 13 instiutions only go a long way with their education, 7 ceased, and 10 cancelled. Their failures due to the short number of the applicants and deliveries, showing 85% of all the reasons. 551 reqular staffs of apprentice consist of 258 public members and 293 private ones. Even though private institutions are lack in their number, they have a plenty of man power. But in fact 193 women (35% of the full number) are on education; 64 in Busan, 32 in Gyeongbuk, and 24 in Juonnam except for Gyeonggi and Gyeongnam. In four cases, director of nursing department and obstetric do their best planning for core course, with no specialists. The number of 49 doctors and 32 nurse-midwives who participate in teaching is 80.2% in all kind of educations. 13 institutions send students to delivery room, nursery, and gynecological clinic for their clinic practice. This kind of practice is forced to depends on MCH center and midwifery office by the institutions. The rate of all institutions that is to give lecture on the subjects appointed by the government is 44.7%. There also appeared 10 institutions(76.9%) short of number of practice in delivering case, with the result that nurses, in spite of their plenty of time, could not have oppotunities to practice to practice to be proficient. I have a suggestion that the authorities concerned should acknowledge the inconsistency and absurdity not only in the course of teaching nurse-midwife but in managemental system of educational institution, and try to make some remarkable improvements in public health. By the way, inevitable are to back up institutions financially as well as administratively, and to run different educational course. After nurse-midwifery education, installations of law of medicine, law of education, and some institutes ought to be attempted in the field of qualification, job limit, adjustment of grade, considerable treatment, and midwifery office.

看護行政 및 敎育에 있어서

도복늠 대한간호협회 1977 대한간호 Vol.16 No.3

都市와 農村人의 神經症 傾向과 對應方法

도복늠,金京愛 慶北大學校 醫科大學 1988 慶北醫大誌 Vol.29 No.1

도시와 농촌인의 신경증 경향과 대응방법을 알아보고 이들의 관계를 파악하기 위하여 1987년 9월 7일부터 10월 3일까지 20세 이상의 도시인 206명과 농촌인 190명을 대상으로 조사하여 분석한 결과는 다음과 같다. 병적으로 신경증적인 사람은 전체 대상자의 43.4%이었고 농촌이 도시보다 높았다. 신경증 경향은 여자가 남자보다 높았고, 고연령층, 저학력층, 저소득층, 주부, 무직 및 생산직과 써비스직 종사자에게서 더 높았다. 가장 높은 반응은 보인 신경증 문항은 도시에서는 자신은 바쁜 생활을 하고 일을 만드는 사람이다, 농촌에서는 보약을 먹었으면 좋겠다고 생각한다이었다. 신경증 대응방법은 책임인정과 자기통제 항목이 도시가 농촌보다 높았고, 가장 높은 반응을 보인 문항은 도시에서는 마음을 넓게 가지려고 애쓴다, 농촌에서는 최선을 다한다 이었다. 신경증 경향이 높을수록 대항 및 도피-모면항목에 대한 반응이 높았다. 신체증상이 높은 사람은 대항 및 사회적지지 추구 항목에, 불안·불면증이 높은 사람은 대항, 사회적지지 추구, 책임인정 및 도피-모면 항목에, 사회기능장애가 높은 사람은 대항 및 도피-모면 항목에 반응이 높았다. 우울증이 높은 사람은 대항, 사회적지지 추구, 책임인정 및 도피-모면 항목에는 반응이 높았으나 성숙인지 항목은 반응이 낮았다. The purpose of this study was to investigate neurotic tendency, coping methods and the relation in urban and rural residents. The data had been collected from 206 urban and 190 rural residents between the ages of 20 and 69 during the period from September 7 to October 3, 1987. The results were as follows : The percentage of the subjects who were neurotic morbidly over GHQ score 10 was 43.4% and the rate of rural residents was significantly higher than urban residents. Neurotic tendency was significantly higher in female, the older, the less educated, the lower income, housewife, the unemployed, production and service workers. "Keep myself busy and occupied" in urban and "Think of taking restorative" in rural residents were the highest responded neurotic items. In coping methods, urban residents responded to selfcontrolling and accepting responsibility significantly higher than rural residents. "Try to be broad-minded" in urban and "Do my best" in rural residents were the highest responded coping items. The higher neurotic tendency was, the higher confrontive coping and escape-avoidance were responded. The higher somatic symptoms was, the higher confrontive coping and seekng social support, accepting responsibility and escape-avoidance were responded. The hihger social dysfunction was, the higher confrontive coping and escape-avoidance were responded. The higher depression was, the higher confrontive coping, seeking social support, accepting responsibility and escape-avoidance were responded but the less perceiving growth was responded.

시설노인과 재가노인의 정신건강 비교

도복늠,성기월 慶北大學校 醫科大學 慶北醫大誌 Vol.33 No.4

This survey was performed to evaluate and compare mental health state of the elderly in home and institution. The scores of MMSE-K and SDS was collected from 122 elders in 6 institutions in Taegu and Kyungpook provinces and 107 elders at their homes in Taehu. The comparison of their mental health status was summarised as follows: 1. The elders in institutions revealed more poor cognitive function than the elders at their homes(-3.49 point). 2. The elders in institutions were more depressed than the average level and revealed higher scores in depression than elders ar homes(+9.74 point). 3. The lower cognitive function scores of the elders have, the higher depression score of the edders have(r=-0.70). 4. The general characteristics which affected the cognitive scores of the elders were sex, educational level, religion, monthly pocket money and previous job. 5. The general characteristics which affected the depression scores were the educational level, monthly pocket money and previous job. 6. In the comparison of items for congnitive function, the scores of orientation, registration and language were lower in the elders at institutions than in the elders at homes. 7. In the comparision of items for depression, the scores of depressive affect, constipation, fatigue and weight loss were higher in the elders at institutions than in the elders at homes.

정신분열병 환자의 내, 외 통제성에 따른 불안 및 우울정도

도복늠,최두희,김희숙 경북대학교 간호과학연구소 2003 경북간호과학지 Vol.7 No.2

This study was performed to investigate the level of anxiety and depression of the schizophrenic inpatients according to the internal and external locus of control. 64 schizophrenic inpatients with internal and external locus of control were sampled from 161 respondents and administered Rotter`s Internal-External Control Scale and Morey`s Personality Assessment Inventory from January 25 to February 20, 2003. The collected data were analyzed using the SPSS Version 10.0 program. The general characteristics of the subjects were presented in actual numbers and percentage, while the internal and external control, anxiety and depression points were calculated in mean, standard deviation and then analysed with t-test. The results of this study were as follows: The mean score of anxiety felt by the schizophrenic inpatients with the internal locus of control were 51.78 and those with the external locus of control were 56.78. Therefore, the level of anxiety of the schizophrenic patients was mild and relatively stable. There was no significant difference in the level of anxiety between the internal and external locus of control. The mean score of depression felt by the schizophrenic inpatients with the internal locus of control was 56.63 and those with the external locus of control were 65.06. The schizophrenic inpatients with the external locus of control were significantly higher in the degree of the depression than those with the internal locus of control.

農村住民의 優鬱程度와 誘發要因

도복늠,金美乂,朴商蓮 慶北大學校 醫科大學 1985 慶北醫大誌 Vol.26 No.4

1985년 8월 1일부터 8월 5일까지 경상북도 청송군 현서면의 5개 동에서 무의촌 진료 봉사시 수진하려 온 주민 150名을 대상으로 우울정도와 우울증을 유발하는 스트레스 사건을 조사하여 다음과 같은 결과를 얻었다. ·전 대상자의 평균 우울점수는 13.05이었고 이중 병적 우울은 6.67%, 문제군은 18.0%, 정상군은 75.33%이었다. ·우울정도는 성, 연령, 결혼 상태별로 유의한 차가 있었다. ·우울을 유발하는 주요한 스트레스 사건은 가족간의 다툼, 경제적 곤란 및 부채, 과중한 육체노동, 가족의 신병 및 입원 등이었다. ·경험한 스트레스 정도와 우울정도 간에는 유의한 상관이 있었다. ·경험한 스트레스 정도가 높은 군이 낮은 군보다 우울 정도가 유의하게 높았다. The purpose of this study was to administer the Self-Rating Questionnaire for Depression and Inventory for measuring stressful life events to the people in rural area and to test their correlation. The study was conducted on 150 rural people who had visited the free health screening office from 1st 5th August, 1985. The results obtained were summarized as follows. There were significant differences in mean depression scores grouped by sex, age, and marital status. The factors precipitating the depression of rural people were arguments with family member, financial difficulties, debt, overtime, and family member's illness and hospitalization. There was significant correlation between the depression scores and stress scores of the life events. The subjects with high stressful life events scores were significantly more depressive than those with low scores.

취업어머니와 비취업어머니의 가족기능과 정신건강의 비교

도복늠 대한간호학회정신간호학회 2002 정신간호학회지 Vol.11 No.3

Purpose : This study was performed to compare the degree of family functioning and mental health between employed and unemployed mothers who have had 3-5 years old children. Method : The study was designed as a compared survey research. The subjects consisted of 110 employed and unemployed women. The data were collected with self-reporting questionnaire translated into Korean from Feetham Family Functioning Survey and Mental Health Inventory(Veit and Ware). Result : There was no significant difference between the employed and unemployed mothers in the existing degree of family functioning. The employed mothers were significantly higher in the expected level and degree of importance of the family functioning than the unemployed mothers. The unemployed mothers were significantly higher in the degree of satisfaction of the family functioning. There was no significant level of mental health. Conclusion : The existing level of family functioning and mental health of the employed and unemployed mothers was same.

노인의 정서적지지와 우울 정도

도복늠,성기월,최두희 慶北大學校 醫科大學 1995 慶北醫大誌 Vol.36 No.4

목적 : 시설 노인과 재가 노인의 정서적지지 정도와 우울 정도는 어떠하며 이에 영향을 주는 변수를 규명하고 정서적지지 정도와 우울 정도는 어떠한 관계가 있는지를 파악하기 위하여 본 연구를 시도하였다. 대상 및 방법 : 대구와 경북 일원에 소재한 3개 양로원 노인 54명과 대구시 달서구와 북구에 소재한 4개 노인정 노인 56명을 대상으로 Norbeck, Lindsey와 Carrier게 의해 고안된 사회적, 지지척도(Norbeak Social Support Questionnaire)와 Zung의 자가평가 우울척도(Self-rating Depression Scale)로 면담조사 하여서 분석하였다. 결과 : 시설노인 군이 재가노인보다 사회적지지 점수는 낮고 우울점수는 높았으며 사회적지지 점수와 우울 점수의 상관관계는 역상관을 나타냈다. 사회적지지 점수에 영향을 미치는 특성으로는 성별, 교육정도, 종교 유무, 배우자 유무, 월 용돈으로 나났다. 결론 : 사회적 지지 점수가 낮은 노인일수록 우울 점수가 높았으므로 사회적 지지를 제공받을 수 있는 활동, 사회화 등이 노인에게 필요하고 특히 남자, 비신앙인, 독신노인에게 더욱 많은 지지가 필요하다고 생각된다. This survey was performed to evaluate and compare social support and depression of the elderly in home and institution. The scores of Social Support and Self-rating Deppression Scale was collected from 54 elders in 3 institutions in Taegu and Kyungpook provinces and 56 elders at their homes in Taegu. The comparison of social support and depression was summarised as follows: 1. The elders in institutions revealed less social support than the elders at their homes. 2. The elders in institutions were more depressed than the average level and revealed higher scores in depression than the elders at homes. 3. The higher social support, the lower depression scores, the elders had. 4. The general characteristics which affected the social support scores of the elders were sex, the educational level, religion, spouse and monthly pocket money. 5. The general characteristics which affected the depression scores were nothing. 6. In the comparison of items for social support, the scores of affect, affirmation, economic aid, number of supporter, period and frequency of supporting were lower in the elders at institutions than in the elders at homes. 7. In the comparision of items for depression, the scores of depressive mood, crying spells, sleep disturbance, decreased libido, weight loss, constipation, tachycardia, fatigue, psychomotor agitation, irritability and suicidal rumination were higher in the elders at institutions than in the elders at homes.