알코올 의존 환자에서 삼대립 세로토닌 수송체 유전자 다형성과 생활사건 스트레스가 우울증에 미치는 영향

장현정,이상익,김시경,신철진,손정우,주가원,박재영,지경환,이상구,Jang, Hyun-Chung,Lee, Sang-Ick,Kim, Sie-Kyeong,Shin, Chul-Jin,Son, Jung-Woo,Ju, Ga-Won,Park, Jae-Young,Jee, Kyung-Hwan,Lee, Sang-Gu 대한생물정신의학회 2012 생물정신의학 Vol.19 No.2

Objectives : The purpose of this study is to investigate the relationship between the triallelic serotonin transporter gene and stressful life events to determine their effect on depression with alcohol dependence. Methods : Ninety-five hospitalized patients with alcohol dependence (73 male, 22 female) were enrolled in this study. Thirty-two (33.7%) of the total patients were diagnosed with major depressive disorder and dysthymic disorder by Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV. The characteristics of stress were evaluated using the stressful life events scale, and depressive symptoms were assessed using the depression scale (Beck Depression Inventory, BDI). Alcoholism with depression (n = 32) and alcoholism without depression (n = 63) were genotyped for the triallelic serotonin transporter gene ($L_A$ : higher expressing allele, $L_G$/S : lower expressing allele). Results : There was no significant difference in the allele frequency between the depression group and the non-depression group (${\chi}^2$ = 0.345, p = 0.619). $L_G$/S alleles had more comorbid depression in the higher score of stressful life events scale [Mental-Haenszel (MH)-${\chi}^2$ = 4.477, p = 0.034]. But there was no significant difference in the comorbidity according to the scores from the stressful life event scale in the $L_A$ alleles (MH-${\chi}^2$ = 0.741, p = 0.399). In the results, alcohol-dependent individuals with $L_G$/S alleles had more comorbid depression than those with $L_A$ alleles when they had experienced severe stressful life events (MH-odds ratio = 2.699, p = 0.028). Conclusions : These results suggest that there is no direct relationship between triallelic serotonin transporter gene and depression in the alcohol dependent patients. But alcohol dependent individuals with the lower expressing alleles of the serotonin transporter gene were more susceptible to depression than those with the higher expressing alleles in response to stressful life events.

여성노인의 굽은 자세, 신체수행능력과 심리사회학적 요인 간의 상관성

장현정,김성렬,권춘숙,Jang, Hyun-Jeong,Kim, Seong-Yeol,Kwon, Chun-Suk 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.5

Purpose: Flexed posture commonly increases with age in older women and is characterized by an excessive curvature in the thoracic spine (kyphosis), forward head posture, and decline in height. This study was conducted in order to determine the relationship between flexed posture, physical performance, and psychosocial factors in community dwelling elderly women in Korea. Methods: Fifty-two subjects with thoracic kyphosis of $40^{\circ}C$ or greater participated in this study. Flexed posture was measured using kyphosis angle (KA), forward head posture (FHP), and round shoulder (RS), and physical performance was evaluated using the short physical performance battery (SPPB), grip strength, and static and dynamic balance. Psychosocial factors were measured using depression and the quality of life (QOL). All data were analyzed using SPSS 18.0 software for windows. Results: KA showed significant correlation with SPPB score (r=-0.447) and dynamic balance (r=0.426) (p<0.05) depression (r=0.405) and QOL (r=-0.464) but not with grip strength and static balance in elderly individuals. FHP and RS showed significant correlation with SPPB score (r=0.002, r=-0341) and dynamic balance (r=-0.278, r=0.346) (p<0.05) but not with psychosocial factors. Conclusion: These findings suggest that flexed posture provides meaningful information about physical performance and psychosocial factors in elderly women. Our data suggest that the flexed posture may need to be addressed as part of the health management process for elderly women.

(1) 유방염, (2) 천식해수, (3) 담마진 험방

장현정,Jang, Hyeon-Jeong 대한한약협회 1998 大韓漢藥 Vol.2 No.-

간호학생의 사회적 지지, 진로결정 자기효능감이 취업스트레스에 미치는 영향

장현정,이정화,Jang, Hyun-Jung,Lee, Jeong-Hwa 중소기업융합학회 2020 융합정보논문지 Vol.10 No.9

The purpose of this study was to investigate the degree of social support, career decision-making self-efficacy, and Job-Seeking Stress of nursing students, and identify influencing factors of Job-Seeking Stress. A convenience sample of 228 nursing students was conducted from in three departments of nursing. Data were analyzed through descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple regression analysis using IBM SPSS 21.0 program. The higher the social support and career decision self-efficacy, the lower the Job-Seeking Stress. The factors influencing Job-Seeking Stress were social support, first hope career, job readiness, career decision-making self-efficacy, and the explanatory power of these variables for Job-Seeking Stress was 19%. Therefore, in order to prevent, cope with, and mitigate the Job-Seeking Stress of nursing students, it is necessary to develop and apply differentiated Career education programs to increase social support and career decision-making self-efficacy. 본 연구는 간호학생의 사회적 지지, 진로결정 자기효능감 및 취업스트레스 정도를 파악하고, 취업스트레스에 영향을 미치는 요인을 규명하기 위해 시도된 서술적 조사연구이다. 3개 대학 간호학과 재학 중인 228명을 편의표집하였고, 수집된 자료는 IBM SPSS 21.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, Multiple Regression으로 분석하였다. 연구 결과 사회적 지지와 진로결정 자기효능감이 높을수록 취업스트레스는 낮게 나타났다. 취업스트레스에 영향을 미치는 요인은 사회적 지지, 첫 희망진로, 취업준비정도, 진로결정 자기효능감 순이었으며, 취업스트레스에 대한 이들 변수의 설명력은 19%로 나타났다. 따라서, 간호학생의 취업스트레스 예방, 대처 및 완화를 위해서는 사회적 지지와 진로결정 자기효능감 증가를 위한 차별화된 취업진로교육 프로그램의 개발 및 적용이 필요하다.

‘실천적 부족주의’로서의 한국 로컬출판에 대한 시론적 고찰

장현정 ( Jang Hyun-jung ) 부산외국어대학교 다문화연구소 2024 다문화사회와 교육연구 Vol.17 No.-

근대는 ‘개인’과 ‘사회’라는 독특한 존재 양식과 함께 출현했다. 하지만 현대사회의 급격한 변화와 함께 개인과 공동체의 성격도 이전과는 달라지고 있다. 본 논문에서는 한국사회의 새로운 문화적 흐름으로 나타나고 있는 로컬출판을 사례로 오타쿠, 마니아, 덕후, 부족주의 등이 가진 실천적이고 생산적인 공동체로서의 가능성을 탐색적으로 살펴본다. 즉자적이고 소비주의적 경향만 부각 되어온 이러한 소규모 공동체의 이면에는 경직되고 획일화된 삶의 경로에서 벗어나 자신만의 존재 이유를 찾으려는 새로운 사회구성원들의 의지가 투영되어 있다. 이미 인디문화, DIY, 생비자(生費者, pro-sumer) 등의 사회적 흐름을 통해 그 일단이 드러났던 새로운 사회구성원들의 움직임을 ‘부족주의’라는 관점에서 바라보고 새로운 공동체로서의 문화사회학적 의미를 탐색적으로 살펴본다. Modernity emerged with a unique way of being ‘the individual’ and ‘the society’. However, with the rapid changes in modern society, the nature of individuals and communities is also changing. This paper explores the possibilities of ‘otaku’, ‘mania’, ‘geekdom’, and ‘tribalism’ as practical and productive communities using the case of local publishing as a new cultural trend in Korean society. These small-scale communities, which have been highlighted for their instantaneous and consumerist tendencies, reflect the will of new members of society to find their own ‘raison d’être’ by breaking away from rigid and uniform life paths. This paper examines the movement of new social members, which has already been revealed through social currents such as Indie culture, DIY, and pro-sumer, from the perspective of ‘tribalism’ and explores the cultural and sociological implications of new communities.

Limb-Body Wall Complex 2례

장현정 ( Hyun Jung Jang ),황성욱 ( Sung Wook Hwang ),황운정 ( Woon Jung Hwang ),한지수 ( Ji Soo Han ),이인식 ( In Sik Lee ),김암 ( Ahm Kim ),유시준 ( Shi Joon Yoo ),목정은 ( Jung Eun Mok ) 대한주산의학회 1995 Perinatology Vol.6 No.2

경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과

장현정(Jang, Hyun-Jeong),박정언(Park, Jeong-Eon) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.11

본 연구는 경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과를 파악하여 여고생들에게 효율적인 자가 간호 중재로써의 활용가능성을 검증하고자 시도된 무작위 할당 대조군 전후설계이다. 자료수집기간은 2006년 3월부터 4월 까지로, 보건실을 방문한 여고생에게 실험 전, 설문지에 통증척도인 도표 평정 척도(Grapic Rating Scale, GRS)와 분만어휘 평정척도(Adjective Labor Pain Rating Scale, ALPRS)를 작성하게 한 뒤 각 군에게 직경 12mm, 두께 3mm의 원형 자석에 800~1200Gauss의 자력이 있는 의료용 자석을 3시간동안 적용하였다. 설문지는 각각 자석 적용 직후 3시간과 제거 후 3시간 에 설문지인 GRS와 ALPRS를 작성하게 하였다. 연구결과 경혈점에 자장요법을 적용한 실험군은 적용하지 않은 대조군보다 월경통 GRS와 ALPRS가 유의하게 감소하였다. 이상의 결과로 경혈점에 적용한 자장요법이 여고생의 월경통에 통증경감에 효과가 있는 것으로 확인되었다. 따라서 비약물요법으로서의 월경통 완화를 위한 간호중재법으로 활용할 것을 기대한다. 또 한 본 연구에서 ALPRS가 월경통에 대해 타당성이 제시되었으므로 추후 연구를 통해 ALPRS의 타당도 검증을 위한 반복 연구가 필요하다. 여고생들의 월경통 경감을 위한 보완대체요법으로 적용하게 될 것을 제언한다. This study was investigate the effects of the magnetic field therapy applied to the acupuncture point on dysmenorrhea experienced by high school girls and to verify the possibility to use this therapy as an effective in-home nursing intervention. Data were collected from Feburary to April, 2006. The research procedure was that female students who visited in public health center had to fill in questionnaires with dysmenorrhea Grapic Rating Scale(GRS) and Adjective Labor Pain Rating Scale(ALPRS), the gauge of pain, before participating the experiment. And then each group was tested for 3 hours. Participants before and after applying magnetic treatment filled each questionnaires with dysmenorrhea GRS and ALPRS. The GRS points and ALPRS points in the experimental group, applied by Magnetic Field therapy on acupuncture point is lower than that in the comparison group. The above result has proved that the magnetic field therapy on acupuncture has an effect on the pain alleviation of dysmenorrhea of female students in high school. Therefore, propose this therapy to dysmenorrhea of female students. In this research, ALPRS indicated validity on dysmenorrhea, so for verifying validity, further research is necessary.

간호대학생의 치매에 대한 지식, 돌봄 이행 및 공감과의 관계

장현정(Hyun-Jung Jang)임동영(Dong-Young Lim) 한국응용과학기술학회 (구.한국유화학회) 2021 한국응용과학기술학회지 Vol.38 No.2

본 연구는 간호대학생을 대상으로 치매에 대한 지식, 돌봄 이행 및 공감을 파악하여 간호대학생의 치매 환자 간호중재 전략의 기초를 마련하고자 시도되었다. 이에 따른 관계를 규명하기 위한 분석은 기술통계, t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient를 이용하였다. 연구결과 간호대학 생의 치매에 대한 지식은 학년(t=-4.03, p<.001)이 높을수록, 치매에 대한 관심도(F=5.02, p=.008)가 높을 수록 높게 나타났고, 돌봄 이행은 임상실습 만족도(F=3.91, p=.023)가 높을수록 높게 나타났다. 치매에 대한 지식과 돌봄 이행(r=.21, p=.023)은 통계적으로 유의한 정적 상관관계가 있었다. 따라서 본 연구결과를 토대로 간호대학생의 치매에 대한 지식을 높이고 치매 환자에 대한 돌봄 이행을 유발할 수 있도록 임상실습 전에 치매 관련 지식함양을 위한 교육 프로그램을 마련하여 활용할 필요가 있을 것으로 사료된다. This study was conducted to examine the relationships between nursing students’ knowledge on dementia, care performance, and empathy, thus providing the foundation of dementia patient nursing intervention strategies for nursing students. For the analysis to examine the relationships, this study used descriptive statistics, t-test, ANOVA, Scheffé test, and Pearson’s correlation coefficient. The analysis showed that the higher students’ year of study and the higher their interest in dementia (F=5.02, p=.008), the higher their knowledge on dementia (t=-4.03, p<.001), and also that the higher their satisfaction with clinical training (F=3.91, p=.023), the higher their care performance. It was found that nursing students’ knowledge on dementia and their care performance (r=.21, p=.023) were positively correlated at a statistically significant level. Based on the results, this study suggests the need to develop and utilize education programs that can help students gain knowledge on dementia prior to clinical training so that they can have more knowledge on dementia and be encouraged to practice caring for patients with dementia.

간호대학생의 임상실습 전 스트레스, 불안, 자아탄력성

장현정(Hyun Jung JANG),정가연 한국유화학회 2018 한국응용과학기술학회지 Vol.35 No.1

본 연구는 간호대학생의 임상실습 전, 스트레스, 불안 및 자아탄력성과의 관계를 분석하기 위한 서술적 조사연구이다. 첫 임상실습을 앞둔 K대학 간호학과 2학년 학생들을 대상으로 설문조사를 실시하였 다. 연구결과, 임상실습 전 스트레스는 여학생에게서 높게 나타났으며(t=-5.51, p<.001), 불안은 여학생이 남학생보다(t=-3.30, p=.001), 주관적 건강상태가 나쁘다고 느낄수록(F=3.27, p=.041), 성격이 내성적일수 록(t=-3.32, p=.001), 전공만족도가 낮을수록(F=7.25, p=.001) 높게 나타났다. 자아탄력성은 건강상태가 좋다고 느낄수록(F=3.74, p=.026), 성격이 외향적일수록(t=3.19, p=.002) 높게 나타났다. 또한 임상실습 스트레스, 불안 및 자아탄력성과의 상관관계에서 임상실습 전 스트레스와 불안과는 양의 상관관계가 있었 으며(r=.211, p=.010), 자아탄력성과 불안은 음의 상관관계(r=-.313, p<.001)가 있는 것으로 나타났다. 이를 토대로 간호대학생의 자아탄력성을 향상시키기 위해 실습 전, 불안을 감소시킬 수 있는 역량프로그램 개발이 필요하리라 생각된다. This study is a descriptive research study for analyzing the relevance among stress, anxiety, and ego-resilience in nursing college students before clinical practice. The survey was conducted targeting the second-year students in a K college who were anticipating their first clinical practice. The survey result showed that female students showed higher stress levels than male students (t=-5.51, p<.001) before clinical practice. Female students also showed higher anxiety levels than male students (t=-3.30, p=.001) before clinical practice. The students showed higher anxiety levels before clinical practice as they felt more strongly that they were in bad health (F=3.27, p=.041), as their personality was less outgoing (t=-3.32, p=.001), and as they had a lower satisfaction level in their major (F=7.25, p=.001). The students showed higher ego-resilience levels before clinical practice as they felt more strongly that they were in good health (F=3.74, p=.026) and as their personality was more outgoing (F=3.19, p=.002). The stress and anxiety levels before clinical practice also had a positive correlation (r=.211, p=.010) and the ego-resilience and anxiety before clinical practice had a negative correlation (r=-.313, p<.001). Based on the finding, it is necessary to develop the competence improvement program that can reduce the anxiety of nursing college students before clinical practice in order to improve their ego-resilience.

간호대학생의 MBTI 성격유형별 기질과 학습유형 및 학습전략

장현정(Hyun-Jung Jang),김명애(Myung-Ae Kim) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.9

본 연구는 간호대학생의 성격유형별 기질과 학습유형 및 학습전략을 파악하고자 시도된 서술적 조사연구이다. 연구 대상자는 간호대학생 245명을 대상으로 MBTI 성격유형 검사지와 학습유형에 관한 42개 문항, 학습전략에 관한 25개 문항의 구조화된 설문지를 이용하여 의견일치에 따라 1점~6점까지 선택하여 작성하도록 하였다. 연구결과 대상자의 가장 많은 성격유형은 ESFJ(외향성 감정형)이었으며, 성격유형별 기질로는 SJ(감각적 판단형)기질이 가장 많은 분포를 나타냈다. 성격유형별 기질에 따른 학습유형의 차이를 분석한 결과, 4가지 성격유형별 기질은 표층형(F=2.981, p=.032), 심층형(F=5.542, p=.001) 및 성취형(F=3.863, p=.010) 모두에서 유의한 차이를 보였으며, 성격유형별 기질에 따른 학습전략의 차이에서는 시연(F=5.454, p=.001), 정교화(F=9.693, p=.001), 조직화(F=7.898, p=.001), 상위인지(F=3.924, p=.009)에서 유의하였다. 본 연구에서 나타난 간호대학생의 성격유형별 기질과 학습유형 및 학습전략의 결과를 바탕으로 개인에게 적합한 학습법의 개발 및 적용이 필요할 것이다. The purpose of this study is to investigate temperament by MBTI personality types, learning styles and learning strategies in nursing students. The subjects of this study were 245 nursing students. The data were collected structured questionnaire including MBTI test, 42-items of learning styles and 25-items of learning strategies. According to correspondence with their ideas, the subjects were completed self reported items of 1-6points scale. According to the results, the highest personality type in subjects was ESFJ and the highest personality temperament type was SJ. The study results showed that there were significant difference among surface type, depth-type and performance-type by analyzing learning styles to each personality temperament. Learning strategies by personality temperament also were significant difference in a demonstration, elaboration, organization, and higher cognition. Based on the results of this study, it is necessary to develop and apply appropriate learning method and learning strategies for the individual.