조현병 환자 배우자의 돌봄 경험

채공주 ( Gong Ju Chai ),남은숙 ( Eun Sook Nam ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2016 정신간호학회지 Vol.25 No.2

Purpose: The aim of this phenomenological study was to qualitatively classify the experience of spouses caring for patients with schizophrenia. Methods: Data were gathered using 2 hour in-depth, unstructured interviews with nine spouses of patients with schizophrenia. The data collection period was 2012 to 2013. Colaizzi``s phenomenological method was used to analyze the resulting data. Results: Five clusters of themes were identified. These were termed according to the experiences described by the spouses, as: suffering from falling into the abyss of despair; deepening heartbreak, clouds of misery hanging over one``s family; possibly of losing the bond between family members; getting over one``s hurt and stepping forward to the future. Participants experienced many burdens while caring for their spouse, however, they showed the ability to overcome difficulties positively and actively. Conclusion: The results of this study indicate that the spouse of a patient with schizophrenia experiences multiple sources of distress, and suggests a process to overcoming them. Recommendations include helping nurses be aware of the sufferings of both the patient and the spouse and to plan and provide for psychological interventions, such as stress management programs and informational support on social welfare programs.

음악요법이 치매노인의 인지기능, 초조행동, 불안 및 우울에 미치는 효과: 체계적 고찰 및 메타분석

채공주(Gong Ju Chai),이미경(Mi-Kyung Lee),남은숙(Eun Sook Nam),이호연(Ho Yeon Lee) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.1

목표: 본 연구는 음악요법이 치매 노인의 인지기능, 초조행동, 불안, 우울에 미치는 영향을 규명하는 것을 목적으로 한다. 방법: 2010년부터 2019년까지 PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar, PsycINFO에서 종합적인 문헌검색을 하였고 메타분석에서는 RevMan 5.4 프로그램을 사용하여 표준화된 평균 차이(Hedge"s g)와 95% 신뢰 구간은 요약 측정으로 산출하고 랜덤 효과 모델과 역분산 방법을 적용하였다. 총 13개의 연구가 포함되었으며, 모두 오류 위험 평가를 위한 코크란 평가도구를 근거로 질 평가를 하였다. 결과: 효과 크기(Hedge"s g)는 1차 결과 변수인 인지기능 0.31[95% CI:-0.02, 0.65], 초조행동 -0.03[95% CI: -0.17, 0.11], 2차 결과 변수인 불안 -0.61[95% CI: –1.17, -0.05], 우울 -0.44[95% CI: -0.88, 0.00]이었다. 음악중재 유형별 하위그룹 분석 결과 복합음악요법이 치매 환자의 인지기능(g=0.45[95% CI: 0.03, 0.87])에 유의한 증가 효과가 있는 것으로 나타났다. 결론: 음악요법은 불안과 우울을 감소시키는 데 유의한 효과를 보였으며, 복합음악치료는 치매 환자의 인지기능 개선 효과를 보였다. Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges" g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration"s tool for assessing risk of bias. Results: The effect size (Hedges" g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.

한국 육군 일개 사단에서 군 복무 부적응자들의 정신의학적 평가 : 그린캠프 참가자들을 중심으로

김주현,강석훈,예병석,황현국,서재원,채공주,이환배,김찬형,Kim, Ju-Hyun,Kang, Suk-Hoon,Ye, Byoung-Seok,Hwang, Hyun-Kuk,Suh, Jae-Won,Chai, Gong-Ju,Lee, Hwan-Bae,Kim, Chan-Hyung 대한불안의학회 2010 대한불안의학회지 Vol.6 No.2

Objectives : In this study, we aimed to elucidate the demographic and psychological characteristics of maladaptive soldiers in the Republic of Korean Army. Methods : Study participants included 110 male conscripts who had participated in the Green camp, which was a form of group psychosocial treatment program for maladaptive soldiers. All participants were interviewed and diagnosed by a psychiatrist, and classified into two groups according to whether they left or rejoined the army. We analyzed the differences between these two groups in terms of demographic features, psychiatric diagnosis and the Minnesota Multiphasic Personality Inventory (MMPI) subscores. Results : Compared with soldiers who rejoined their units, those who left military service exhibited significantly lower educational level (p=0.041) and a higher rate in psychiatric treatment prior to enlistment (p=0.011). Among the 106 subjects, 63 (59.4%) and 23 (21.7%) were diagnosed with personality disorder and adjustment disorder, respectively. Further, those who left military service were diagnosed more frequently with mood disorder (p=0.001) and schizophrenia (p=0.014) than those who rejoined their units. Additionally, the MMPI scores of soldiers who left military service were significantly higher on the psychasthenia (p=0.028) and schizophrenia (p=0.039) scales than those of soldiers who rejoined their units. Conclusion : Most of the maladaptive soldiers were diagnosed with mental disorders. The results of this study suggest that systematic, consistent psychiatric evaluation and intervention for maladaptive male conscripts is crucial in the Republic of Korean army.

진저요법이 화학요법을 받는 암 환자의 오심과 구토에 미치는 효과 : 체계적 고찰 및 메타분석

남은숙(Eun Sook Nam),이호연(Ho Yeon Lee),이미경(Mi Kyung Lee),박양숙(Yang Sook Park),채공주(Gong Ju Chai),김두명(Doo Myoung Kim) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.10

본 연구는 체계적 고찰과 메타분석을 이용하여 진저요법이 화학요법을 받는 암 환자의 오심과 구토에 미치는 효과를 파악하기 위하여 수행되었다. 문헌검색을 위해 CINAHL, PubMed, Cochrane, EMBASE, Web of Science, Google Scholar 데이터베이스를 이용하였으며, 2009년부터 2018년까지 출간된 연구 396편 중 선정과 배제기준에 따라 최종 선정된 RCT 연구 8편에 대한 질 평가는 Revised Cochrane risk-of-bias tool 2(RoB 2)를 이용하였다. 메타분석은 RevMan 5.4 프로그램을 사용하였으며 오심과 구토의 발생빈도는 평균승산비(Odds Ratio, OR), 강도는 표준화된 평균 차이(Standardized Mean Difference, SMD)를 산출하였다. 진저요법이 오심에 미치는 효과로 발생빈도 OR= 0.92[0.65, 1.30], 강도 SMD= -0.12[-0.59, 0.35]로 통계적으로 유의하지 않았으며 하위집단 분석 결과 급성기와 지연기 모두 진저요법의 효과가 유의하지 않은 것으로 나타났다. 진저요법이 구토에 미치는 효과로 발생빈도 OR=0.89[0.62, 1.27], 강도 SMD= -0.45[-1.04, 0.13]로 통계적으로 유의하지 않았으며 하위집단 분석에서도 급성기와 지연기 모두 진저요법의 효과가 유의하지 않은 것으로 나타났다. 연구의 질 평가에 따라 민감성 분석 결과 고위험 연구의 효과 크기는 실제 효과에 비해 과장되었을 가능성이 있는 것으로 나타났다. 진저요법이 화학요법을 받는 암 환자의 오심과 구토 완화에 유의하지 않은 것으로 나타났으나 포함된 연구의 수가 충분치 않아 본 연구를 일반화하기에는 한계가 있어 추후 연구가 필요할 것으로 사료된다. This study was undertaken to assess effects of ginger on nausea and vomiting in cancer patients receiving chemotherapy, through systematic review and meta-analysis. CINAHL, PubMed, Cochrane, EMBASE, Web of Science, and Google Scholar databases were explored. From a total of 396 studies, 8 Randomized Controlled trials during the period 2009 to 2018 were selected and qualitatively evaluated using the Revised Cochrane Risk-of-Bias tool 2. Assessment of the frequency and intensity of nausea and vomiting was achieved by estimating the Odds Ratio (OR) and Standardized Mean Difference (SMD), respectively, using the RevMan 5.4. No significant effect of ginger was observed for nausea (OR=0.92 [0.65, 1.30] and SMD=-0.12 [-0.59, 0.35]), and subgroup analyses also revealed no significant effect on both the frequency and intensity in acute phase and delayed phase. Results also show that ginger has no significant effect on vomiting (OR=0.89 [0.62, 1.27] and SMD=-0.45 [-1.04, 0.13]), neither was any significant effect determined in both the acute and delayed phase through subgroup analyses. Sensitivity analysis revealed that the effect size of high-risk studies could have resulted in overestimation. Although the current study detected no significant effect of ginger on nausea and vomiting, the results cannot be generalized due to the limited number of studies included, which needs to be addressed in the future.

류마티스 관절염 환자의 건강관련 삶의 질 영향요인 분석

엄동춘(Uhm, Dong Choon),남은숙(Nam, Eun Sook),이호연(Lee, Ho Yeon),이은봉(Lee, Eun Bong),윤영임(Yoon, Young Im),채공주(Chai, Gong Ju) 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.3