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송미라,조태진,전혜리,김종오,손부순,Song, Mi-Ra,Cho, Tae-Jin,Jeon, Hye-Li,Kim, Jong-O,Son, Bu-Soon 한국환경보건학회 2009 한국환경보건학회지 Vol.35 No.4
This study analysed the mercury concentration in the hair of 62 students (male : 21, female : 41) of D university in Najusi, Jeon-Nam area. Also, questionnaire, which developed by NIES, were completed by the students. According to the questionnaire, most of the students had a higher intake of meat than that of fish. Also, among the students, there were many smokes and many had dental treatment with amalgam. Based on the gender, female showed 1.024 ${\mu}g/g$ and male showed 0.882 ${\mu}g/g$ of the mercury concentration. This means that female students had higher level of mercury in their hair, but it was not a significant statistic difference. Comparing by the intake frequency of meat, processed food stuffs, protein foods, it shows the more they at the higher mercury concentration was observed. According to the intake frequency of fish, when the number of times they intake increased, the mercury concentration was higher. Under one time was 0.857 ${\mu}g/g$ and twice or more times were 1.152 ${\mu}g/g$, which showed a significant statistical difference (p<0.05). Depending on the Life style, the mercury concentration in the hair was high with workout, outdoor activities, and direct smoking. The mercury concentration in the hair showed no difference for whether they received amalgam treatment but the personal dietary habit and the Living condition affects strongly on the mercury concentration level.
송미라,백목련 질적연구학회 2021 질적연구 Vol.22 No.1
Purpose: The purpose of this study was to understand the experience of patients undergoing one or more implantable cardioverter defibrillator (ICD) shocks in Korea. Methods: A qualitative research method was adopted for the study. The data were collected from iterative work through in-depth interviews and analyzed using Giorgi’s phenomenological approach. Results: A total of nine patients (average age=51.1 years; males=6) were interviewed. Analysis revealed four common constituents: (a) no choice but to have an ICD implanted, (b) ICD shocks are pain that must be endured, (c) life in a shell, and (d) nevertheless, ICD is a partner in life. The structure of the experience of patients with ICD shocks was “accepting ICD as a partner in life”. Conclusion: The findings suggested that ICD shocks can trigger negative effects in patients both physically and emotionally. Nurses should recognize the need to develop nursing interventions that can support patients who experience ICD shocks to accept ICD positively and cope with changes.
고지혈증 환자 교육을 위한 코스웨어 설계 및 개발과정에 대한 분석적 연구
송미라 이화여자대학교 교육대학원 2003 이화교육논총 Vol.13 No.-
The purpose of this study was to develop courseware for the education of the increasing number of patients with hyperlipidemia, a major risk factor for The purpose of this study was to develop courseware for the education of the increasing number of patients with hyperlipidemia, a major risk factor for coronary artery disease. Through this courseware the patient will be able to do individual study and practice according to his/her capacity, level of demand and learning style. Patients will develop motivation to learn and increase knowledge, and thus be able to better promote self-care. "Care of Hyperlipidemia" Courseware was developed between February and May, 2002 based on 4 stages of the CAI Design Model of Hannafin & Peck, instructional design theory of Gagne & Briggs, and Keller's ARCS theory. The development process was as follows. In the stage of needs assessment, analysis was done of the education needs related to treatment and care of patients with hyperlipidemia, character of the learners and preferred education style. In the stage of design, a flow chart for selected learning content and storyboard were developed. In the stage of development and implementation, an order map was drawn and programming was done using the flowchart to restructure learning content In the stage of evaluation and modification, the courseware was modified and supplemented through an evaluation by experts and a formative test Summative tests, post-reaction tests were done by 22 outpatients with hyperlipidemia. In conclusion, varying and extending the content through up-grading in relation to screen composition, such as additional pictures and reduced text would further improve the courseware. I think, this course would be an effective instrument to increase knowledge and promote self care in these patients.
금연학교 교육프로그램이 청소년 흡연자의 흡연행위에 미치는 효과
송미라,김순례,Song, Mi-Ra,Kim, Soon-Lae 한국지역사회간호학회 2001 지역사회간호학회지 Vol.12 No.1
This study was designed to investigate the effects of a smoking cessation school program on attitudes towards smoking cessation, the subjective norm, perceived behavioral controls, the intent to cease smoking and smoking behavior. Also included was the goals of the program itself. Study subjects were 80 adolescent smokers who at least attended the smoking cessation school program without absence. had smoked one cigarette at the time of the first study before the program and attended the first. second. and third studies (The study was conducted from September 26. to December 21. 1999. a period of 59 days). Data collection was performed using the TPB questionnaire which was developed by Jee Yon-Ock(1994). The survey included questions covering the intended areas of study mentioned above. The first data was collected during the first day of the five day program. The second survey was conducted immediately after the last day of the program and the last survey was four weeks later. Data was analyzed with a SAS/PC program including N. %. a paired t-test. The results were as follows; 1. After the program. the scores representing attitude towards smoking cessation (before program: 14.5. after program: 16.8) and perceived behavioral control (before program: 1.2. after program: 2.1) rose significantly, but the scores for attitudes towards the subjective norm and the intent to cease smoking were not notably different. 2. After the program. the frequency of daily smoking fell significantly (before program: 5.7 cigarettes. after program: 3.2 cigarettes). In conclusion, the five day smoking cessation school program increased attitude. perceived behavioral control and decreased smoking behavior but did not influence subjective norm, smoking cessation intention. Thus, further study is required to better evaluate the effects of the program and to improve any shortcomings.
송미라,한성현 한국산업보건학회 2005 한국산업보건학회지 Vol.15 No.3
This study was designed to find the symptom prevalence rates of musculoskeletal disorders and the risk factors of musculoskeletal disorders among selected hair dressers. Methods; The survey were conducted from July 1 to 30, 2004 for 459 hair dressers working in Seoul and Gwangju using self-administration questionnaire. The risk factors on musculoskeletal disorders have analysed by multiple linear regression analysis. Results; The results of this study are summarized as follows: The experience rate of musculoskeletal disorders symptom in the last one year was 56.4%. The experience rates of each body parts were 36.4% on the shoulders, 30.5% on the legs and the feet, 28.5% on the low back, 27.0% on the hand and the fingers, 23.3% on the neck and 17.0% on the arms and the elbows. The prevalence rate of musculoskeletal disorders symptom in the last one week was 40.5%, those of each body parts were 24.0% on the legs and the feet, 21.4% on the shoulders, 20.7% on the low back, 15.7% on the hand and the wrists, 15.0% on the neck, 9.4% on the arms. The risk factors on musculoskeletal disorders were working posture(β=0.32), perceived stress(β=0.19), working period(β=0.16), standing working over 10 hour(β=0.16), hard working(β=0.11). The adjusted determinant coefficient( R2) of this regression model was 0.267. Based on the results, in order to prevent musculoskeletal disorders of hair dressers, working posture shall be improved and leisure opportunities to relieve stress, and health management program shall be provided.
청소년 흡연자의 금연의도 및 금연행위 예측을 위한 계획적 행위이론(Theory of Planned Behavior)의 검증
송미라,김순례 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.3
Objectives: The purpose of this study was to test the Theory of Planned Behavior (TPB) in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers, in order to provide basic data to develop a future smoking cessation program as a nursing intervention. Method: The study subjects were 80 adolescent smokers who had smoked one cigarette and attended a five-day school smoking cessation program. The data were collected from October 24 to December 21, 1999. The instruments used in this study were the tools developed by Jee (1994) to measure TPB variables such as attitude toward smoking cessation behavior, subjective norm, perceived behavioral control, smoking cessation intention, and smoking cessation behavior. The data were analyzed with the SAS/PC program using descriptive statistics, hierarchical multiple regression, and logistic multiple regression. Results: 1. Attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control were partially significant in predicting smoking cessation intention. 2. Smoking cessation intention and perceived behavioral control toward smoking cessation behavior did not significantly predict smoking cessation behavior. 3. There were partial interaction effects among the attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control in the prediction of smoking cessation intention. 4. There were partial interaction effects between smoking cessation intention and perceiver behavioral control toward smoking cessation behavior in the prediction of smoking cessation behavior. Conclusion: This study partially demonstrated support for the TPB model that was partially useful in predicting smoking cessation intention and smoking cessation behavior among adolescent smokers. Therefore, it is recommended that attitude toward smoking cessation behavior and perceived behavioral control should be considered in developing smoking cessation programs and implementing nursing interventions to change the smoking behavior of adolescent smokers.