노인의 만성 통증 적응 유형에 따른 지각된 스트레스, 통증 자기효능 및 우울

차보경 노인간호학회 2012 노인간호학회지 Vol.14 No.3

Purpose: This study was conducted to identify and describe types of adjustment to chronic pain and to evaluate differences in perceived stress, pain self-efficacy, and depression according to types of adjustment to chronic pain in elderly people. Methods: Data were collected from 138 elders with chronic pain living in community settings. The study was a cross-sectional study and reliability of the instruments was tested with Cronbach's α coefficients, which ranged from .68 to .94. Results: The results were, as follows: Of all patients, 24.6% fit the adaptive coping group, 39.9% fit the interpersonally distressed group, and 35.5% fit the dysfunctional group. There were significant differences in perceived stress, pain self-efficacy and depression according to type of adjustment to chronic pain. Elders in the dysfunctional group reported significantly more perceived stress and depression compared to those in the adaptive coping group. The adaptive coping group showed significantly more pain self-efficacy compared to the interpersonally distressed group and the dysfunctional group. Conclusion: These findings underscore the importance of assessing individual differences to understand how elderly patients adjust to chronic pain. It is also important to consider distinct types of adjustment to chronic pain to tailor interventions to improve treatment outcomes.

한국 성인의 저밀도지단백-콜레스테롤/고밀도지단백-콜레스테롤 비와 제2형 당뇨병 발생과의 관계 연구 : 지역사회기반 코호트 자료 이용

차보경 기본간호학회 2023 기본간호학회지 Vol.30 No.1

Purpose: This study investigated the association between the low-density lipoprotein-cholesterol/high-densitylipoprotein-cholesterol (LDL-C/HDL-C) ratio and the incidence of diabetes in a Korean community-based cohort. Methods: The participants were 7,653 adults aged 40-69 years without diabetes at baseline from Korean Genomeand Epidemiology Study who were followed up for 16 years biennially. These participants were categorized intofour groups (Q1-Q4) according to quartiles of LDL-C/HDL-C ratio at baseline. Significant differences in theprobability of diabetes-free survival curve were identified using the log-rank test in Kaplan-Meier analysis. Hazardratios (HRs) and 95% confidence intervals (CIs) were calculated using Cox proportional hazards regressionanalysis. Results: In total, 1,833 (24.0%) participants newly developed diabetes. The overall incidence of diabeteswas 20.37 per 1,000 person-years (14.94, 17.12, 22.0, and 22.08 per 1,000 person-years for Q1, Q2, Q3, andQ4, respectively). The probability of diabetes-free survival was significantly different among the four groups(log-rank, x2=117.88, p<.001). Covariates included age, sex, triglyceride, fasting plasma glucose, homeostaticmodel assessment for insulin resistance index, hypertension, body mass index, family history of diabetes mellitus,smoking status, and alcohol use. Multivariate Cox proportional hazards regression showed that people with thehighest quartile of the LDL-C/HDL-C ratio had a 1.17 times higher (HR=1.17, 95% CI: 1.01~1.35, p=.038) risk ofdiabetes development than those in the lowest quartile after adjusting for covariates. Conclusion: TheLDL-C/HDL-C ratio is an independent risk factor for diabetes development. Measuring and managing theLDL-C/HDL-C ratio is necessary for detecting individuals at high risk for developing diabetes.

High-resolution X-ray Imaging Based on Pixel-structured CsI:Tl Scintillating Screens for Indirect X-ray Image Sensors

차보경,서창우,전성채,허영,김종율 한국물리학회 2011 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.59 No.61

We introduce the development of pixel-structured screens with a thallium-doped CsI (CsI:Tl) scintillator for indirect digital X-ray imaging sensors. The indirect-conversion detection method based on the pixel-structured CsI:Tl scintillator provides high spatial resolution X-ray imaging without sacrificing the light spread in thick scintillation layers. The scintillation screens were fabricated by using a vacuum deposition process and filling the CsI:Tl scintillating powders into a two-dimensional pixel-structured silicon array. Pixel structures with 100 탆 and 50 탆 pixel sizes with wall widths of 20 탆 and 200 탆 thickness were prepared and the fabricated CsI:Tl scintillating powders were filled into the trench of the pixel structure through a vacuum process. The final scintillation screens with 2.5 cm ?2.5 cm size were prepared and directly coupled to a CCD image sensor with an optical lens for performance evaluation of X-ray imaging. The imaging performance of the samples was investigated in terms of the relative light intensity, the X-ray linearity and the spatial resolution under practical X-ray exposure conditions. These preliminary results imply that pixel-structured CsI:Tl scintillating screens show high spatial resolution by less lateral spread of the emitted visible photons within pixel-structured silicon arrays. However, these X-ray detectors still require improved X-ray sensitivity by coating the reflective layer onto an inner silicon wall surface and filling the scintillating power into pixel structures completely.

성인의 심혈관계 위험인자를 적용한 고저밀도지단백-콜레스테롤혈증과 건강행태의관련성 연구 : 국민건강영양조사 제6기 (2013 ~ 2015) 자료 이용

차보경 한국영양학회 2018 Journal of Nutrition and Health Vol.51 No.6

Purpose: This study was designed to determine the relationship between health behaviors and high levels of low-density lipoprotein-cholesterol (LDL-cholesterol) according to cardiovascular risk factors among Korean adults. Methods: This cross-sectional study was based on the sixth Korea national health and nutrition examination survey (KNHANES Ⅵ). Participants were 13,841 adults aged 19 years and older. Cardiovascular risk factors were stroke, myocardial infarction or angina, diabetes mellitus, smoking, hypertension, aging, high density lipoprotein-cholesterol (HDL-cholesterol) under 40 mg/dL and HDL-cholesterol over 60 mg/dL. Cardiovascular risk groups were classified as very high risk (stroke, myocardial infarction or angina), high risk (diabetes mellitus), moderate risk (over 2 risk factors), and low risk (below 1 risk factor). The prevalence of high LDL-cholesterol was calculated using the LDL-cholesterol target level according to cardiovascular risk group. Results: The prevalence of high LDL-cholesterol was 25.5% in males and 21.7% in females. Complex sample cross tabulation demonstrated that the high LDL-cholesterol and normal groups differed significantly according to age, education, body mass index, percentage of energy from carbohydrate, fat, saturated fat and n-6 in males and females. These two groups were also significantly different according to smoking in males and the percentage of energy from n-3 in females. Complex sample multiple logistic regression analysis adjusted for multiple confounding factors demonstrated that the probability of high LDL-cholesterol was significantly associated with current smoking (OR: 1.66, 95% CI: 1.40-1.99), obesity (OR: 1.95, 95% CI: 1.64-2.31) in males, and current smoking (OR: 1.73, 95% CI: 1.19-2.52), obesity (OR: 1.63, 95% CI: 1.39-1.90), percentage of energy from n-3 (quartile 1 vs. quartile 2; OR: 0.77, 95% CI: 0.62-0.96; quartile 1 vs. quartile 3; OR: 0.73, 95% CI: 0.56-0.94; quartile 1 vs. quartile 4: OR: 0.67, 95% CI: 0.51-0.87) in females. Conclusion: This study reveals the impact of smoking, obesity, energy percentage of nutrient intake on LDL-cholesterol. 본 연구는 국민건강영양조사 제6기 (2013 ~ 2015) 원시자료를 이용하여 심혈관계 위험인자를 적용한 고LDL-콜레스테롤혈증과 건강행태의 관련성을 조사하기 위해 수행되었으며, 19세 이상 남자 5,939명, 여자 7,902명의 총13,841명을 대상으로 하였다. 심혈관계 위험인자는 뇌졸중, 심근경색증 또는 협심증, 당뇨병, 고혈압, 흡연, 저HDL-콜레스테롤 (40 mg/dL 미만), 연령 (남자 45세 이상, 여자 55세이상), 고HDL-콜레스테롤 (60 mg/dL 이상)을 포함하였다. 뇌졸중이나 심근경색증 또는 협심증은 초고위험군, 당뇨병은 고위험군, 이외 위험인자가 2개 이상은 중등도위험군, 1개 이하는 저위험군으로 구분하였다. 각 위험군 별목표 수치를 기준으로 한 고LDL-콜레스테롤혈증 유병자는 남자 25.5%, 여자 21.7%이었다. 건강행태와 고LDL-콜레스테롤혈증 유무의 연관성을 복합표본 교차분석으로 분석한 결과, 남녀 모두 연령, 교육수준, 결혼상태, 체질량지수, 탄수화물 에너지 섭취 비율, 지방의 에너지 섭취비율, 포화지방 에너지 섭취비율, n-6 지방산의 에너지 섭취 비율에 따라 고LDL-콜레스테롤혈증 유무는 유의한 연관성이 있었다. 그리고 흡연은 남자에서, n-3계 지방산의 에너지 섭취 비율은 여자에서 고LDL-콜레스테롤혈증 유무와각각 유의한 연관성이 있었다. 건강행태와 고LDL-콜레스테롤혈증 발생 위험과의 관련성을 확인하기 위해 복합표본 다중 로지스틱 회귀분석을 실시한 결과, 교란인자 보정후 남자에서는 현재 흡연 (OR: 1.66, 95% CI: 1.40-1.99), 비만 (OR: 1.95, 95% CI: 1.64-2.31) 에서 고LDL-콜레스테롤혈증 유병 오즈비가 유의하게 높았다. 여자의 경우 현재흡연 (OR: 1.73, 95% CI: 1.19-2.52), 비만 (OR: 1.63, 95% CI: 1.39-1.90)에서 고LDL-콜레스테롤혈증 유병 오즈비가 유의하게 높았고, n-3 지방산 에너지 섭취 비율이 ‘하’ (Q1)에 비해 ‘중 · 하’ (Q2) (OR: 0.77, 95% CI: 0.62-0.96), ‘중 · 상’ (Q3) (OR: 0.73, 95% CI: 0.56-0.94), ‘상’ (Q4) (OR: 0.67, 95% CI: 0.51-0.87) 에서 고LDL-콜레스테롤혈증 유병 오즈비가 유의하게 낮았다. 따라서 고LDL-콜레스테롤혈증 개선을 위한 전략 수립에 금연, 정상 체중 유지가 필요하며, 영양소별 적정한 에너지 섭취 비율 유지를고려해야 한다.

성인초기여성의 섭식장애에 영향을 미치는 요인에 관한 경로 분석

차보경 한국영양학회 2017 Journal of Nutrition and Health Vol.50 No.6

Purpose: The purpose of this study was to analyze factors influencing eating problems among young female adults. Methods: Participants were 193 young female adults aged 19 ~ 29 years who were recruited in August 2017. Four variables related to eating problems in young female adults, including body image dissatisfaction, self-esteem, trait anger, and depression, were measured using reliable instruments. Data were analyzed using the SPSS/WIN 21.0 program and Amos 24.0 for descriptive statistics, Pearson correlation coefficients, and path analysis. Results: The mean for eating problems in young female adults was 8.99, and 9.8% of subjects were classified as high risk with eating problems. Modified model demonstrated good model fit (χ2/df 0.47, GFI 0.99, AGFI 0.99, NFI 0.99, SRMR 0.022, RMSEA 0.001). Path analysis showed that body image dissatisfaction had the greatest direct effect on eating problems. Depression did not have a direct effect on eating problems, whereas it had indirect effects on eating problems through body image dissatisfaction as the mediating factor. Self-esteem had direct effects on depression and indirect effects on eating problems through depression and body image dissatisfaction as mediating factors. Trait anger had direct effects on depression and body image dissatisfaction and indirect effects on eating problems through depression and body image dissatisfaction as mediating factors. These factors accounted for 46% of the total variance, and the fit indices of the model satisfied the criteria of fitness. Conclusion: The results of this study reveal the important role of body dissatisfaction and psychological factors such as self-esteem, trait anger, and depression on eating problems. These factors influencing eating problems should be considered when developing programs to improve eating problems in young female adults.

한국 유치원 교육의 당면 과제

차보경 이화여자대학교 사범대학 교육학과 1964 교육 연구 Vol.- No.23

성인 남성의 건강 관련 삶의 질에 영향을 미치는 요인에 관한 경로 분석

차보경 한국지역사회간호학회 2016 지역사회간호학회지 Vol.27 No.4

Purpose: The purpose of this study was to analyze factors influencing health-related quality of life (HRQoL) among male adults. Methods: Participants were 196 male adults who were recruited from June to July 2016. Seven variables related to HRQoL including age, perceived stress, physical activities, problem drinking, social support, self-esteem, depression were measured. Data were analyzed using the SPSS/WIN 20.0 program and Amos 18.0 for descriptive statistics, Pearson correlation coefficients and path analysis. Results: The mean for HRQoL was 80.14. The path analysis showed that depression had the greatest direct effect on HRQoL. It was found that perceived stress had direct and total effects on HRQoL. It also mediated the paths of social support and self-esteem to HRQoL. These factors account for 68% of the total variance, and the fit indices of the model satisfied the criteria of fitness. Conclusion: The results indicate that these factors influencing HRQoL should be considered when developing programs to improve HRQoL for male adults.

여대생의 건강 관련 삶의 질 영향 요인

차보경(Cha, Bo-Kyoung) 기본간호학회 2013 기본간호학회지 Vol.20 No.4

Purpose: This study was conducted to define factors influencing health-related quality of life (HRQOL) in women undergraduates. Independent variables of physical activity, attitude to eating, satisfaction with body shape, stress and self-esteem were used to predict HRQOL. Method: Data were analyzed using the SPSS/WIN 20.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Participants were 245 women undergraduates who were recruited from July to September 2012. Result: The mean for the physical component summary (PCS) of HRQOL was 73.89, and for the mental component summary (MCS) was 68.45. There were significant correlations between attitude to eating, satisfaction with body shape, stress, self-esteem and the two components of HRQOL. The groups with minimal or health enhancing activity were significantly higher in PCS and MCS than the inactivity group. Stepwise multiple regression analysis indicated that 35% of the variance in PCS was significantly accounted for by self-esteem, perceived stress, attitude to eating, and physical activity, and 45% of the variance in MCS was significantly accounted for by perceived stress, self-esteem, attitude to eating, and satisfaction with body shape. Conclusion: The results indicate that these factors influencing HRQOL should be considered when developing programs to improve HRQOL for women undergraduates.

낙상을 경험한 노인의 악력 수준에 따른 건강관련 삶의 질

차보경(Bo-Kyoung Cha) 한국자료분석학회 2021 Journal of the Korean Data Analysis Society Vol.23 No.4

본 연구는 국민건강영양조사의 2014~2018년 원시자료를 이용하여 낙상을 경험한 65세 이상 노인을 대상으로 악력 수준에 따른 건강관련 삶의 질의 차이를 확인하고자 시도된 횡단적 조사연구이다. 자료는 SPSS 21.0 프로그램을 이용하여, 악력 수준에 따른 대상자의 인구사회학적 특성 및 건강관련 특성은 복합표본 교차분석으로, 악력 수준에 따른 건강관련 삶의 질 차이는 복합표본 일반선형모형으로 분석하였다. 최종 연구대상자는 214명이었으며, EQ-5D-3L로 측정한 건강관련 삶의 질 지수의 평균은 0.86점 이었고, 악력 평균은 22.59kg 이었으며, 214명 중 악력정상군은 119명(60.8%), 악력저하군은 95명(39.2%)이었다. 악력 수준에 따른 연령(x²=21.56, p<.001), 성별(x²=15.14, p<.001), 교육수준(x²=6.15, p<.001), 가구소득수준(x²=5.08, p=.002), 결혼상태(x²=16.79, p<.001), 독거여부(x² =7.30, p=.008)의 분포는 유의한 차이가 있었다. 연령, 성별, 가구소득수준, 결혼상태, 교육수준, 독거여부를 보정한 후 악력저하군과 악력정상군의 건강관련 삶의 질지수(F=10.18, p=.001)는 유의한 차이가 있었다. 건강관련 삶의 질의 하위 영역별 분석에서도 악력저하군과 악력정상군의 운동능력(F=4.47, p=.035), 자기관리(F=13.12, p<.001), 일상활동(F=4.06, p=.044), 통증/불편감(F=5.27, p=.022)은 유의한 차이가 있었다. 이와같이 낙상을 경험한 노인은 건강상태가 매우 취약한 집단이므로, 이들의 통증/불편감 완화와 운동능력 개선으로 건강관련 삶의 질이 향상될 수 있도록 근력 강화를 위한 다양한 전략이 요구된다. Our purpose in this study was to evaluate differences in health-related to quality of life according to the level of handgrip strength among the Korean elderly who had experienced falls. In this secondary analysis study, we used data from the Korea National Health and Nutrition Examination Survey (2014~2018). There were 214 participants aged 65 years and older. We analysed data using complex sample cross tabulation, and complex sample general linear model. The mean of EQ-5D index was 0.86, the mean of handgrip strength was 22.59, and 39.2% of the subjects were classified into the low handgrip strength group. The normal handgrip strength group and the low handgrip strength group were significantly different according to age (x²=21.56, p<.001), sex (x²=15.14, p<.001), education (x²=6.15, p<.001), household income (x²=5.08, p=.002), marital status (x²=16.79, p<.001), and living alone (x²=7.30, p=.008). After we adjusted the covariates, the two groups were significantly different in EQ-5D index (F=10.18, p=.001), mobility (F=4.47, p=.035), self-care (F=13.12, p<.001), usual activity (F=4.06, p=.044), and pain/discomfort (F=5.27, p=.022). It is important to strengthen muscle by physical activity considering health conditions and preferences to improve the HRQoL of elderly who had experienced falls.

영구적 결장루 보유자의 심리사회적 적응과 관련 요인에 관한 연구

차보경(Cha Bo Kyoung),백은선(Baek Eun Seon) 기본간호학회 2009 기본간호학회지 Vol.16 No.4

Purpose: This study was conducted to define factors influencing psychosocial adaptation of patients with a permanent colostomy. Independent variables including perceived stress, stoma care self-efficacy, self-care behavior, self-esteem and family support were used to predict psychosocial adaptation. Method: The data was analyzed using the SPSS pc program window version 12.0 for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Ninety patients with a permanent colostomy were recruited between September 2007 and May 2008. The reliability of the instruments was tested with Cronbach's alpha which ranged from .78 to .92. Result: The results were as follows: The mean psychosocial adaptation score was 3.05. There were significant correlations between all the predictive variables and psychosocial adaptation (r= .63~ -.43, p<.001). Stepwise multiple regression analysis showed that self-esteem (40%), stoma care self-efficacy (7%), perceived stress (2%), and self-care behavior (2%) accounted for 51% of the variance in psychosocial adaptation. Conclusion: These findings indicate that to improve psychosocial adaptation of patients with permanent colostomy, the major related factors identified in this study should be considered.