'폐경기 증후군'에 관한 의학지식의 비판적 고찰

박은옥,Park, Eun-Ok 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.1

The purpose of this study is to examine the medicalizing process of menopanse with literature review, and then is to explore the knowledge of 'menopausal syndrome' critically, focused on four critics on the biomedical model which were suggested by Mishler. Although menopause is a natural biological phenomenon, the view of many medical researchers and practitioners is that menopause is a disease. After synthetic estrogen was developel in 1938, physicians did agree on two basic assumptions : menopausal women should be managed by physicians, and medical intervention should be given. Menopouse was defined as a deficiency disease (estrogen difficiency) by Wilson in 60's and is redefined as a cause of disease(for example, osteoporosis, heart disease) at the present. But the other view of non-medical researcher is that 'menopausal syndrome' as a disease is constructed medically. It was reported that Only hot flush and sweating of physical symptoms experienced by menopausal women, were associated with menopause. Symptoms of menopausal syndrome are also related with symptons of aging. So, it cann't conclude that menopausal syndrome is resulted from menopause, and it cann't be only explained that menopausal syndrome is related causally to estrogen deficiency, and only treatment by ERT or HRT is best relevant. It cann't assume that menopausal syndrome is a common phenomenon to all menopause women, because culture affected on women's experience of menopause.

취업과 결혼상태가 남녀의 건강에 미치는 영향

박은옥,Park, Eun-Ok 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.1

There is a widespread concern that women's increasing involvement in dual role (job plus family role) may harm their physical health. Longevity of women is longer than that of men. By contrast, prevalence rate is higher in women than men, and No. of prevalence days, No. of days in bed and No. of days with treatment are more in women. Generally, women live longer, but women are worse in health status than men. Rate of labor participation in women is increasing gradually in Korea. This study presents an analysis of the relationships between employment. marital status and health for both Korean women and men to examine how women's increasing involvements in dual role affect their physical health. The data used in this analysis were collected by The National Statistical Office in the spring of 1992. Households, which were sampled by using a three-stage stratified cluster sampling method, were interviewed. Response rate was 99.43%. Of these, student or widowed or divorced people were excluded. 47,552 women and men aged 21-50 were available for the analysis. Health status was measured by self-assessed health status (1=excellent, 5=poor), No. of prevalent days, No. of days with treatment, and No. of days in bed in two previous weeks. And control variables are age, and education. Research findings are as follows : 1. Men have better self-rated health, fewer prevalent days, fewer days in bed, and fewer days with treatment than women. 2. The employed are more healthier than the non-employed. 3. Unmarried people are more healthier than married people. 4. Interaction effects of sex, marital status, employment are significant. This finding shows that effects of empolyment, marital status on health status is not same for women and men. 5. For male, employed people are more healthier than non-employed people. Unmarried people are more healthier than married people. This differences are significant. For female, The employed are more healthier than the non-employed. However, no differences are noticed between the married and the unmarried in health status. In conclusion, there is no evidence that women's involvements in dual role affect their physical health negatively.

우리나라 가정방문간호의 현황과 향후 과제

박은옥,Park, Eunok 한국농촌의학지역보건학회 2019 농촌의학·지역보건 Vol.44 No.1

본 연구에서는 우리나라 보건소 방문건강관리사업과 노인장기요양보험의 방문간호, 의료기관의 가정간호사업 등 가정방문간호사업 현황을 살펴보고, 향후 발전과정을 모색하고자 수행되었다. 본 연구를 위하여 각 가정방문간호사업의 관련 법령, 통계자료, 지침과 안내서, 연구논문과 학술대회 자료집 등을 검색하여 관련 문헌을 고찰하였다. 연구결과 보건소 방문건강관리사업은 지역보건법에 근거하여 주로 취약계층을 대상으로 간호사에게 의해 비용부담 없이 제공되고 있으며, 2017년 12월을 기준으로 1,261,208명 등록 관리되는 것으로 나타났다. 보건소 방문건강관리사업 등록 대상자는 흡연율, 걷기 실천율, 혈압조절율, 혈당조절률 등이 향상되는 것으로 나타나, 건강행위와 질병관리 측면에서 긍정적인 효과가 있고, 비용-편익이 있다고 보고되었다. 노인장기요양보험에서의 방문간호는 노인장기요양보험법에 근거하여 간호사 또는 간호조무사에 의해 재가장기요양기관에서 방문간호를 제공하고 있으며, 시간당 정해진 수가에 따라 비용을 받고 있는데, 2017년에 전체 요양급여비의 0.2%만이 방문간호로 이용하는 것으로 나타났다. 재가장기요양보험 방문간호 이용자는 비이용자에 비해 의료비도 더 적게 쓰고, 입원일도 적다고 보고되었다. 의료기관 가정간호는 의료법에 근거하여 2명 이상의 가정간호사(가정전문간호사)를 고용한 의료기관에서 의사의 처방 하에 가정간호서비스를 제공하는데, 2017년 460명의 가정간호사가 가정간호서비스를 제공하고, 전체 의료비의 0.038%가 가정간호비용으로 지불된 것으로 나타났다. 우리나라 가정방문간호 유형은 관련법이나 인력, 사업 대상이 다르지만, 서비스 이용자의 건강관리에 효과가 있고, 비용-편익이 상당히 높은 것으로 나타났다. 우리나라 가정방문간호를 발전과 활성화를 위해 세 개 유형의 가정방문간호 서비스가 통합적으로 제공될 수 있는 방안을 모색하고, 근로 조건의 개선, 가정방문간호서비스 제공인력기준이나 방문간호수가 체계의 개선과 같은 법령의 개정 등을 고려할 필요가 있다고 본다. Objectives: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in South Korea. Method: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in Korea. Results: There are three types of home care nursing in Korea. Public health center provides home visit nursing to vulnerable population by registered nurses for free, based on community health act in public health center. As of 2017, 1,261,208 people were enrolled in the visiting health program of public health center. Health behavior and disease management has been improved and showed having cost-benefit effect among the enrolled people in visiting health program. Visiting nursing care in long-term care services is provided by registered nurses or nurse aid, based on long-term care act. The cost is paid as the unit price according to service time. 1,095,764 older people used long-term care services in 2017, only 0.2% of total cost used for home visiting nursing. Even though the number of user of home visiting nursing, it was reported that users spent less medical cost and hospitalized shorter. Hospital-based home care nursing is provided to patients and their families under the prescription of a doctor by family nurse specialists who are employed by medical institute based on medical law. Four hundred sixty family nurse specialists worked for hospital-based home care nursing and hospital-based home care services accounted for 0.038% of total medical expenses in 2017. Conclusion: Even though home visit nursing care services are different in aspect of legal basis, personnel, running institutes, and cost basis, home visit nursing care showed cost-benefit effect and good health outcomes. In order to advance home visit nursing care, the integrated home visiting care, improvement of working condition, and revision of legal basis should be considered.

중재에 있어서 법원의 역할

박은옥(Park Eun Ok) 한국무역상무학회 2006 貿易商務硏究 Vol.30 No.-

  An Arbitration agreement is one kind of contracts between two or more contracting parties; any possible disputes that arise concerning a contract will be settled by arbitration. Contracting parties who have made a valid arbitration agreement will submit a dispute for settlement to private persons(arbitrators) instead of to a court. Arbitration may depend upon the agreement of the private parties, but it is also a system which has been built on the law and which relies upon that law in order to make it effective both nationally and internationally. That is to say, arbitration is wholly dependent on the underlying support of the court. The complementarity of the courts and of the arbitrators is a well-established fact; they seek for the common purpose, the efficacy of international commercial arbitration.<BR>  Most states" laws contain the provisions which have been set for the supportive role of the courts relating to arbitration; ① the enforcement of the arbitration agreement(rulings on validity of the arbitration agreement), and the establishment of the tribunal at the beginning of the arbitration, ② challenge of arbitrators, interim measures, and intervention during evidence in the middle of the arbitral proceedings, ③ filing of the award, challenge of the arbitral award, and recognition and enforcement of the arbitral award at the end of the arbitration.<BR>  Most international instruments and national laws concerning arbitration believe that authoritative courts should play their power not to control and supervise arbitration but to support and develop the merits of arbitration at most. 1985 UNCITRAL Model Law also expressly limit the scope of court"s intervention to assist arbitration, not to control it.

중국의 서사(敍事)음악-곡예(曲藝)음악

박은옥 ( Eun Ok Park ) 판소리학회 2008 판소리연구 Vol.26 No.-

Chinese traditional music is generally classified into five types. Of these, Quyi music belongs to the narrative music. There has been a lot of explanation about Chinese traditional music but not enough about narrative music in Korea. This paper briefly introduces Quyi music and examines its history and classification and musical features. The Quyi music has a long history and there are many theories about its origin, but the first form of Quyi music is found in Bianwenjiangchang(變文講唱) in the Tang Dynasty. It is also called Sujiang(俗講). It was very popular in big temples in Changan(長安), the capital city, in the mi and late Tang Dynasty. Buddhist stories and secular stories are mixed in between the reciting(朗誦) of Buddhist scriptures(佛經) in the form of words and songs. During the Song Dynasty, the Quyi music developed greatly due to economic development and there were even special places for Quyi music performance. Yuan Dynasty`s policy was to suppress it and it was even prohibited several times. However, during the Quing Dynasty, due to abnormal development of port cities after the Opium War, it developed greatly, again. There are many classification schemes of Quyi music but they use different standards as can be seen in <Table 1>. It is because there are many different kinds of Quyi music. There have been efforts to supplement the shortcomings of classification schemes through reclassification. This paper describes the features of Quyi music including the combination of words and songs, composition methods of melodies, relationships between tones and melodies, features of melodies, types of instrumental accompaniment and performances, and Quyi music sects. Based on this, Quyi music is compared with Pansori, traditional Korean narrative music. Even tough both are narrative music, it is difficult to compare these because they are from different countries. This will be studied in the future and this study is limited to the examination of their common features. This study found that their common features include the combination of talk(說) and chant(唱), which is one of the most basic characters of narrative music, fusion of narration and lyricism, use of first person and third person speech, use of minimum number of performers, which is one of the features of popular music, liberalization of the places and forms of performance, simplest instrumental accompaniment and diversification of subjects.

한국 성인의 성별 및 비만도에 따른 대사증후군

박은옥(Eun-Ok Park),강경자(Kyung-Ja Kang) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.9

본 연구는 성별과 비만도에 따른 대사증후군 유병위험 정도를 파악하여 남녀 성인의 건강행태 차이와 비만도에 따른 전략을 모색하고 성인의 대사증후군 예방 관리를 위한 기초자료로 활용하고자 수행하였다. 본 연구는 2016년과 2017년 국민건강영양조사 원시자료를 2단계 층화 집락 표본추출 방법을 이용하여 도출된 30-64세 성인 7,423명의 자료를 분석하였다. 연구결과 한국 성인의 대사증후군 평균 유병율은 30.5%로 나타났으며, 남자 38.6%으로 여자 22.2%보다 유병율이 더 높았다. 나이, 성별, 교육수준, 수입, 직업, 흡연, 고위험음주, 신체활동을 보정한 후에도 남자가 여자보다 대사증후군 위험도가 2.17배 더 높았다(OR, 2.17; 95% CI 1.85-2.55). 대사증후군 유병율은 정상체중 대상자 대비하여 고도비만대상자(OR, 30.35; 95% CI 21.54-42.75), 비만대상자(OR, 8.90; 95% CI 7.41-10.70), 과체중 대상자(OR, 2.48; 95% CI 2.00-3.08)에서 모두 위험도가 높게 나타났다. 본 연구결과 비만은 대사증후군 유병율을 증가시키고, 성인남자가 성인여자보다 높은 유병율을 나타내어 성별에 따른 차이를 보여주므로 체중조절을 위한 맞춤중재를 적용할 필요성을 시사한다. This study sought to investigate the differences in the prevalence of obesity and metabolic syndrome (MetS) according to gender in Korean adults. A secondary analysis was conducted using KNHANE Survey. The data from 7,423 Korean adults who were 30-64 years old were utilized and pooled weights for stratified complex sampling were implemented. The prevalence of MetS was 30.5% and it was higher in male (38.6%) than female adults (22.2%). After adjustment, the prevalence of MetS was higher in males than females (OR, 2.17; 95% CI 1.85-2.55). The prevalence of MetS was higher in highly obese (OR, 30.35; 95% CI 21.54-42.75), in obese (OR, 8.90; 95% CI 7.41-10.70), and in overweight adults (OR, 2.48; 95% CI 2.00-3.08) compared to those with normal weight. Obesity increased the prevalence of MetS more in males than in females. Thus, targeted intervention to control weight needs to be developed and implemented.

대구시 전원주택의 건축적 특성에 관한 연구

박은옥(Park Eun-Ok),이정호(Lee Jeong-Ho) 대한건축학회 2010 대한건축학회논문집 Vol.26 No.6

The purpose of this study is to examine the characteristics of architectural planning under the object of suburb houses on the outskirts of Daegu-si, constructed from 1990 to 2009 completely and registered in building data, through the case study. We obtained the followed results by analyzing the chosen case no. 29. For the type of house exterior, a gable roof was used the mostly for the roof type, shingle whose strong points are constructability, economic feasibility, etc. was used the mostly for finishing material of roof and siding which gives wooden feeling was used the mostly for finishing material of outer wall. The 2 floors-scaled general wooden structure was preferred for the type of structural form, the hall-centered type by interior entrance circulation was preferred for the type of house plane and adjacent segregation type between living room and kitchen+dining room was preferred for the plane by each type of public space. For living room which is independent, the type located in the center of house is preferred in sitting form and situated division. For constitution type, the couple bedroom+hallway+bathroom type that hallway is established between couple bedroom and bathroom was preferred. For front door, there are many types established mid door by being formed as the separated room with typical characteristics and the type established in the south was preferred.

한국 성인의 자살 생각률과 관련 요인

박은옥 ( Eun Ok Park ),최수정 ( Su Jung Choi ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.2

Purpose: This study was done to investigate the prevalence of suicidal ideation and associated factors in Korean adults. Methods: From the database of the 5th Korean National Health and Nutritional Examination Survey conducted in 2010, cross-sectional data for 6,283 adults (≥20 years) were used in this analysis. Results: One year prevalence of suicidal ideation was 14.8%. Higher suicidal ideation was found for women, elders, adults who were divorced or separated, who were in the lower socio-economic class, were alcohol dependent, had a short sleep time, and had higher perceived stress and depression. On stepwise multivariate logistic regression analysis, depression (odds ratio 6.89 [95% confidence interval 5.18~9.16]), perceived stress(3.52 [2.66~4.65]), being woman (1.72 [1.32~2.26]), being an elder (≥65 yrs) (1.78 [1.07~2.96]), low education(3.52 [2.66~4.62]) and not married (1.48 [1.04~2.12]) were associated with suicidal ideation in Korean adults. Conclusion: The results indicate that suicidal ideation is highly prevalent in Korean adults, especially in people with depression or high perceived stress. Identification of high-risk group and suicide prevention programs are warranted to reduce the prevalence of suicidal ideation.

재가노인 낙상환경위험 평가도구 개발

박은옥(Eunok Park),장인순(Insun Jang) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.5

본 연구는 재가노인의 낙상환경위험평가 도구를 개발하고, 신뢰도와 타당도를 검정하는 방법론적 연구이다. 예비문항은 20인의 관련 전문가에 의한 CVI(내용타당도 지수)를 사용한 내용타당도 검정을 실시하여 최종 52문항을 선정하였다. 최종도구의 타당도 및 신뢰도 검정을 위해 65세 이상 재가노인 299명에게 자료수집을 실시하여 분석하였다. 그 결과 조사자간 신뢰도는 1개 문항을 제외한 51개 문항에서 모두 kappa값이 0.80 이상으로 나타나 신뢰도가 인정되었고, 재조사방법을 통하여 나타난 일치율은 45개 문항에서 모두 80.0% 이상으로 나타났다. 구성타당도도 낙상군과 비낙상군간에 낙상환경위험평가 점수가 통계적으로 유의한 차이를 나타내 입증되었다(t=3.50, p=.001). 본 도구는 타당도와 신뢰도가 검증되었고, 낙상예방을 위한 더 안전한 환경의 개발과 관련된 추후연구에 기여할 것이다. The purpose of the study was to develop the home fall prevention checklist for community-dwelling older adults. And the validity and reliability of the checklist were tested. The preliminary questions were developed through content validity by twenty experts using the CVI(Content Validity Index). Following the establishment of content validity, 52 items of the checklist were developed. Responses of 299 community-dwelling older adults were analyzed to further establish both reliability and validity of the checklist. Reliability using cohens kappa coefficient and test-retest reliability(rate of concordance(%)), and construct validity using known-group comparison technique were tested. 51 items were over 0.80 in the cohens kappa coefficient of the checklist, 45 items were over 80.0% in test-retest reliability. Construct validity was established by known-group comparison(t=3.50, p=.001). Validity and reliability of the checklist were confirmed. This checklist will help further studies to develop more safe environment to prevent falls.

역할극을 활용한 가족간호실습교육이 간호학생의 감성지능, 의사소통능력과 가족간호수행능력에 미치는 효과

박은옥(Park, Eunok) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.4

Purpose: This study was to investigate the effects of a family nursing practicum using role play on emotional intelligence, communication ability, and family nursing performance of nursing students. Methods: Role play training was provided to nursing students who took a community health nursing practicum (family nursing practicum). During the course for 2 weeks, participants were given role play practice for four times and a final test using role play at the end of the course. Data were collected from 52 nursing students before and after the family nurse practicum who agreed to participate in this study. Results: The scores of emotional intelligence, communication ability, and family nursing performance at post test were enhanced significantly compared to the scores at pre test. Conclusion: Nursing educators in family nursing can consider role play to improve emotional intelligence and communication ability as well as family nursing performance.