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      • KCI등재

        재활병동 간호사의 직무 스트레스와 전문직 자아개념이 직무만족에 미치는 영향

        고정옥(Ko, Jung Ok),고은(Ko, Eun) 한국재활간호학회 2014 재활간호학회지 Vol.17 No.2

        Purpose: The purpose of this study was to define the relationships between job stress, professional self-concept, and job satisfaction among nurses in rehabilitation units and to identify factors that influence job satisfaction. Methods: This study surveyed 240 nurses working at the rehabilitation units of 10 hospitals located in G City. To collect the data, nurses" job stress, the professional self-concept of nurses instrument (PSCNI), and the Korean-Minnesota Satisfaction Questionnaire (K-MSQ) were used. The data were analyzed through t-tests, ANOVA, Pearson"s correlation coefficient, and multiple regression using the SPSS/WIN 18.0 program. Results: The scores for job stress, professional self-concept, and job satisfaction were 3.34±0.61, 72.36±8.64 and 3.17±0.39, respectively. Job satisfaction and job stress showed a low-level negative correlation with statistical significance(r=-.13, p=.042), whereas a medium-level positive correlation was found between job satisfaction and professional self-concept (r=.46, p<.001). Job stress, professional self-concept, total career length and size of working hospital explained approximately 25.8% of job satisfaction (F=17.52, p<.001). Conclusion: Considering the results in this study, it is necessary to develop a practical educational program to establish positive professional self-concept for nurses in rehabilitation units. Such efforts must be supported by clinical nursing administrations through policies aimed at reducing job stress and increasing job satisfaction.

      • KCI등재

        여성노인의 우울 영향요인

        고정은(Jung Eun Ko),이선혜(Sun Hae Lee) 한국노인복지학회 2015 노인복지연구 Vol.0 No.68

        본 연구의 목적은 여성 노인의 우울에 영향을 미치는 요인들이 빈곤집단과 비빈곤집단간에 어떤 차이가 있는지, 그리고 그러한 차이가 다양한 소득기준에 따른 구분에서도 일정한 패턴을 나타내고 있는지를 고찰하는데 있다. 이를 위해 선행연구에 제시된 요인들을 중심으로 우울의 인과관계 모형을 구축하고, 2006년 고령화연구패널(KLoSA) 제1차 기본조사 자료 중 60세 이상 여성노인 2,340명의 자료를 추출하여 로지스틱 회귀분석을 실시했다. 연구결과, 모든 소득기준에서 빈곤집단은 비빈곤 집단보다 우울 유병율이 유의하게 높았다. 회귀분석 결과, 소득수준에 관계없이 주관적 건강상태는 모든 여성노인의 우울증감에 가장 큰 향을 미치는 요인으로 밝혀졌다. 빈곤집단에서는 건강상태, 종교, 유배우자, 자녀관계 순으로 우울 가능성 감소 효과가, 지인만남은 우울 가능성 증가 효과가 있었던 반면, 비빈곤집단에서는 건강상태, 유배우자, 사회참여, 자녀관계 순으로 감소 효과가, 만성질환수는 증가 효과가 있었다. 논의와 결론에서는 연구결과에 대한 해석과 함께 여성노인의 하위집단 특성에 따른 차별적 우울예방의 방향을 제시했다. The purpose of the study was to examine the factors affecting depression of female older adults and compare the result between the poor and the non-poor subgroups; and to explore the characteristic differences presented upon different poverty lines applied. The data on 2,340 female adults of 60 years of age and over were drawn from the Korean Longitudinal Study of Ageing(KLoSA). The analyses showed that regardless of the poverty line applied, the percentage of people with depression was significantly higher in the poor than in the non-poor. The logistic regression results showed that perceived health status had the most effect on depression. Among the poor, the factors identified to reduce the odds of being depressed were perceived health status, religion, spouse, and satisfaction with the relationship with child(ren); the frequency of contact with relatives and friends increased the odds. Among the non-poor, the factors reducing the odds were perceived health status, spouse, social participation, and satisfaction with the relationship with child(ren); number of chronic disease increased the odds of being depressed. These results were then discussed and the implications to apply differentiated strategies for the subgroups of the female elderly were suggested.

      • 하지 불편감을 주소로 하는 하지불안증후군 환자에 대한 봉독치료를 비롯한 한방복합치료 증례보고

        고정은(Jung Eun Ko),이찬양(Chan Yang Lee),임혜원(Hye Won Lim),주찬우(Chan Woo Joo),이상훈(Sang Hoon Lee) 대한스포츠한의학회 2020 대한스포츠한의학회지 Vol.20 No.1

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

        Objectives The purpose of this study is to report the effect of Bee venom acupuncture for managing Restless leg syndrome(RLS) and therefore improving the quality of life and symptoms. Methods The 64-years old male patient who has been suffered by Restless leg syndrome was treated by bee venom acupuncture on ST36 and ST37 and herbal medicine. The patient was observed during 7days, and the treatment was executed during 7 days, once a day. Symptoms were measured by Korean International Restless Legs Scale(K-IRLS), Korean Restless Legs Quality of Life Questionnaire(K-RLSQoL), and Numeral Rating Scale(NRS). Results After bee venom acupuncture, International Restless Legs Scale was alleviated from 16 to 11. Restless Legs Quality of Life Qeustionnaire score was improved from 51 to 61. Discomfort measured by NRS also decreased. Conclusions Bee venom injection can be suggested for RLS patients by improving the quality of life and symptoms.

      • KCI등재

        Preferred Neighborhood Features and Quality of Life among Older Adults

        Ko Jung Eun(고정은),Lee Sun Hae(이선혜),Lee Minhong(이민홍) 연세대학교 사회복지연구소 2018 한국사회복지조사연구 Vol.56 No.-

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

        본 연구는 서울시에 거주하는 65세 이상의 노인을 대상으로 반구조화된 질문지로 활용하여 면대면 인터뷰를 진행하고 (N=65), 노인 삶의 질과 관련하여 지역사회가 갖추어야 할 중요한 환경적 요건 세 가지를 고령주민의 입장에서 제시하도록 하였다. 전사된 인터뷰 자료는 노인의 입장에서 선호하는 요건과 관련 세부사항, 그러한 선호의 이유나 근거, 그리고 그러한 것들과 노년기 삶의 질의 관련성에 초점을 두고 주제분석 방법을 활용하여 분석하였다. 이 과정에서 도출된 지역 요건들은 건강관련 시설 및 서비스, 웰빙 생활습관을 위한 공간 및 시설, 고령자를 대상으로 한 프로그램과 서비스, 대중교통서비스의 네 가지로 유목화 되었고, 이들 요건들은 노년기의 신체, 심리, 대인관계, 사회활동 영역의 주제들과 밀접한 관련성을 보였다. 또한 네 가지 지역 요건들이 이들 영역에서 제공할 혜택은 독립적이면서도 외부와 연결된 삶이라는 상위 주제로 수렴되었다. 한편, 접근성을 향상시키되 가급적 최소한의 비용으로 이용 가능하도록 해야 한다는 점이 모든 요건 간 공통된 주제로 나타났다. 본 연구결과는 질 좋은 노년기 삶이 필요로 하는 환경 요건을 노인의 관점에서 조명했다는 의의가 있으며, 지역사회를 보다 고령친화적인 도시로 만들기 위한 구상 및 개선 노력에 활용될 수 있다. This study recruited sixty-five individuals aged 65 and over living in Seoul, Korea and conducted a face-to-face interview using a semi-structured questionnaire. They were asked mainly to list what they considered to be the three most important features that a neighborhood should have for its older residents. A thematic analysis was conducted on the transcribed interview data with a focus on the preferred features of a neighborhood and the related specifics that the respondent thought would improve the quality of life in older adults. Four features were identified: healthcare facilities and services, spaces and facilities for wellbeing routines, senior programs and services, and public transportation services. These features were closely related to themes in health, psychological, interpersonal, and socialization areas of life. Expected benefits from the features in these areas were then converged into higher level themes of independence and connectivity. Increased accessibility with the minimal cost was the most commonly found theme across the four features listed above. These findings are significant in highlighting the perspectives of the older adults on a quality life in later years, which can be used to design and improve the local neighborhoods to make them more aging-friendly.

      • KCI등재

        노인우울에 영향을 미치는 요인에 대한 다층분석

        고정은(Jung Eun Ko),이선혜(Sun Hae Lee) 한국정신건강사회복지학회 2012 정신보건과 사회사업 Vol.40 No.1

        본 연구는 노인 중증우울에 영향을 미치는 요인들의 구조적 관계를 검증하는 데 일차적 목적을 둔다. 이를 위해 2010년 서울시복지패널 2차 자료에서 만 65세에서 99세 사이 성인의 개인자료를 추출하여 이를 구별 행정자료와 합쳐 혼합자료를 구성하고(N=1,41, 위계적 일반화 선형모형(HGLM)을 활용하여 자료 분석을 실시했다. 연구결과, 노인우울의 로그승산에 대한 총 분산 중지역수준 분산이 차지하는 비율이 약 20%로 나타나 다층모형의 유용성이 확인되었다. 지역수준변수 중 노인 1인당 노인복지예산과 지역사회 만족도는 노인 중증우울의 가능성을 감소시키는 것으로, 지역범죄율은 그 가능성을 증가시키는 것으로 나타났다. 개인수준 변수 중 연령, 기초생활수급 대상, 질병은 노인 중증 우울의 가능성을 증가시키는 것으로, 정기적 운동실천은 그 가능성을 감소시키는 것으로 나타났다. 이 같은 연구결과는 노인우울에 대한 지역사회에서의 환경적 개입의 필요성을 시사하는 것으로, 지속가능성 개념을 포함하는 "고령친화도시"와 일맥상통한다. 결론에서는 노인의 우울증상 감소와 정신건강 증진을 촉진 노력에 지역적 맥락에 대한 고려의 필요성을 강조하고, 노인복지 사업을 위한 노인복지예산의 안정성, 범죄피해 예방, 지역사회만족도 향상을 위한 노력, 생활권 중심의 공원배치의 가능성 등을 논의하고 제언하였다. This study aimed at investigating the relationship between neighborhood characteristics and geriatric depressive symptoms. The data of individuals with ages between 65 and 99 were drawn from the 2010 Seoul Welfare Panel Data(N = 1,41, and they were combined with various administrative statistics collected by districts (N = 2. These data then were analyzed via Hierarchical Generalized Linear Model (HGLM). This study found that the neighborhood characteristics explained 20% of the log odds of having severe depressive symptoms. Among neighborhood level variables, district welfare budget for older adults and perceived level of neighborhood satisfaction were positively associated with the log odds of having severe symptoms of depression. District crime rate had a significant negative impact on the likelihood of having severe symptoms. Individual characteristics (i.e., age, poverty, disease, regular exercise) were more likely to increase the odds of having severe depressive while regular exercise was more likely to decrease the odds. The findings above illustrate the importance of neighborhood environment, which is in line with the "Age-Friendly City" that encompasses the concept of sustainability. The author finally suggested a need to consider neighborhood context in any effort to facilitate prevention and early intervention of geriatric depression, and made recommendations with respect to welfare budget, prevention of crime victimization, resident satisfaction on the neighborhood, and allocation of community parks.

      • KCI등재

        사교육 패턴과 학습습관이 학업성취도에 미치는 영향

        박은정 ( Eun Jung Park ),고정원 ( Jung Won Ko ) 대한가정학회 2014 Family and Environment Research Vol.52 No.5

        The purpose of this study was to explore the patterns of private education, investigate the characteristics of private education patterns, and analyze the differences in study habits and academic achievement of youth on the basis of private education patterns. In this study, we used the data from the 2012 Panel of the Korea Children and Youth Panel Study by the National Youth Policy Institute. The subjects of this study were ninth-grade students and their parents. The statistical methods used for the analysis were two-step clustering, Chi-squared test, analysis of variance, and multiple regression. The major findings were as follows: first, private education was classified into three patterns, namely financial investment, time investment, and reduction of investment; and four categories, namely; private education methodology, private education time, private education expenses, and number of youth with access to private education. Second, the statistically significant socio-demographic characteristics of private education patterns were parents` education, parents` job type, father`s working hours, sex of children, housing form, and income. Third, the study found that financial investment and a reduce of investment led to better study habits and academic achievement than time investment and no investment. Fourth, private education and study habits showed statistically meaningful effects on academic achievement; in particular, study habits had strong effects on academic achievement. Based on the results, a variety of educational programs for the improvement of the study habits of the youth were suggested.

      • SCOPUSKCI등재

        Laser Captured Microdissection을 이용한 유전자 발현에 대한 연구 (I): RT-PCR을 위한 난자의 RNA 추출 및 증폭을 위한 최소한도의 확립

        박창은,고정,차광렬,이경아,Park, Chang-Eun,Ko, Jung-Jae,Cha, Kwang-Yul,Lee, Kyung-Ah 대한생식의학회 2001 Clinical and Experimental Reproductive Medicine Vol.28 No.3

        Objective: Recently, microdissection of tissue sections has been used increasingly for the isolation of morphologically identified homogeneous cell populations, thus overcoming the obstacle of tissue complexity for the analysis cell-specific expression of macromolecules. The aim of the present study was to establish the minimal conditions required for the RNA extraction and amplification from the cells captured by the laser captured microdissection. Methods : Mouse ovaries were fixed and cut into serial sections (7 im thickness). Oocytes were captured by laser captured microdissection (LCM) method by using PixCell $II^{TM}$ system. The frozen sections were fixed in 70% ethanol and stained with hematoxylin and eosin, while the paraffin sections were stained with Multiple stain. Sections were dehydrated in graded alcohols followed by xylene and air-dried for 20 min prior to LCM. All reactions were performed in ribonuclease free solutions to prevent RNA degradation. After LCM, total RNA extraction from the captured oocytes was performed using the guanidinium isothiocyanate (GITC) solution, and subsequently evaluated by reverse transcriptase-polymerase chain reaction (RT-PCR) for glyceraldehyde-3-phosphate-dehydrogenase (GAPDH). Results: With the frozen sections, detection of the GAPDH mRNA expression in the number of captured 25 oocytes were not repeatable, but the expression was always detectable from 50 oocytes. With 25 oocytes, at least 27 PCR cycles were required, whereas with 50 oocytes, 21 cycles were enough to detect GA PDH expression. Amount of the primary cDNA required for RT-PCR was reduced down to at least 0.25 $\grave{i}$ l with 50 oocytes, thus the resting 19.75 il cDNA can be used for the testing other interested gene expression. Tissue-to-slide, tissue-to-tissue forces were very high in the paraffin sections, thus the greater number of cell procurement was required than the frozen sections. Conclusion: We have described a method for analyzing gene expression at the RNA level with the homogeneously microdissected cells from the small amount of tissues with complexity. We found that LCM coupled with RT-PCR could detect housekeeping gene expression in 50 oocytes captured. This technique can be easily applied for the study of gene expression with the small amount of tissues.

      • KCI등재
      • SCOPUSKCI등재

        위장관 : 근치자궁절제술이나 분만 후 발생한 만성 기능성 변비 환자의 임상 특징

        최정식 ( Jung Sik Choi ),명승재 ( Seung Jae Myung ),변정식 ( Jeong Sik Byeon ),박원철 ( Won Chul Park ),김규종 ( Kyu Jong Kim ),양석균 ( Suk Kyun Yang ),윤인자 ( In Ja Yoon ),권오련 ( Oh Rhyun Kwon ),고정은 ( Jung Eun Ko ),홍원선 대한소화기학회 2004 대한소화기학회지 Vol.44 No.5

        목적: 3차 병원 변비클리닉에 내원한 환자 중 근치자궁절제술과 분만이 변비의 원인으로 생각된 환자들의 임상 특징과 이러한 환자들에서의 바이오피드백 치료 효과를 알아보고자 하였다. 대상 및 방법: 2000년 6월부터 2002년 7월까지 서울아산병원에 변비를 주소로 내원한 환자 중 로마기준 II를 만족하는 기능성 변비 환자들을 대상으로 하였다. 병력에 의해 근치자궁절제술 후 변비가 발생한 환자 35예, 분만 후 변비가 발생한 환자 27예, 그리고 대조군으로 Background/Aims: This study was aimed to analyze the clinical characteristics of patients who developed constipation after radical hysterectomy or delivery and to investigate the results of biofeedback therapy for these patients. Methods: Thirty-five chro

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