노인 운동프로그램의 효과

김태임,이강이,박영임,전명희,김인자,김은주,김동옥,김지현,권윤정 지역사회간호학회 2006 지역사회간호학회지 Vol.17 No.3

The Effects of Exercise Program for the Elderly Purpose: The purpose of this study was to develop an exercise program for elder people and to verify the effects of it. Method :A one-group pretest-posttest experimental design was used. The exercise program was developed by researchers, and applied to 2.0 elderly for 3 times a week for 5 weeks. To evaluate the treatment effects, dependent variables such as subjective health status, cognitive function, ADL, IADL, and depression were measures ANOVA was used for analysis. Result: There were significant positive changes in subjective health status, cognitive function ADL and depression except IADL during the treatment period. The treatment effects decreased significantly during 1-3 weeks after the treatment period. Conclusion : The exercise program, which had developed by the researchers, enhancing subjective health status, cognitive function, and ADL and decreasing depression of elders. Therefore this program is strongly recommended for geriatric nursing care settings.

Analysis of the Factors Causing Bladder Irritation after Transurethral Resection of the Prostate

김태임,송재만,정현철 대한비뇨의학회 2010 Investigative and Clinical Urology Vol.51 No.10

Purpose: Approximately 20% to 30% of patients with benign prostatic hyperplasia (BPH) require medication or supplementary treatment for their continuous irritative bladder symptoms after transurethral resection of the prostate (TURP). The purpose of this study was to identify any factors related to continuous bladder irritation in patients after TURP. Materials and Methods: Of all patients who underwent TURP from January 2000 to December 2007, 160 who underwent long-term follow-up were selected for this study. The International Prostate Symptom Score (IPSS) was assessed 12 months after TURP, and the patients were divided into two groups: one group with an irritative bladder symptom score on the IPSS of 7 or less (non-irritative group) and another group with an irritative bladder symptom score on the IPSS of 8 or greater (irritative group). Preoperative urodynamic study variables, preoperative and postoperative IPSS, and the shape of the prostate upon transrectal ultrasonography (TRUS) were analyzed. Results: Of the 160 patients, 93 patients were assigned to the non-irritative group, and 67 were assigned to the irritative group. Initial irritative bladder symptoms were significantly different between the two groups (p<0.05). Also, a retrourethral enlarged prostate was more frequently observed upon TRUS in the irritative group. Symptoms of urinary frequency, incontinence, and urgency were significantly greater in the irritative group. Although there was no significant difference in the preoperative quality of life between the two groups, postoperative quality of life was significantly worse in the irritative group. Conclusions: The shape of the prostate and the preoperative irritation score correlated significantly with the postoperative severity of irritative bladder symptoms. Therefore, physicians should be cautious when performing TURP in patients with a retrourethral enlarged prostate and severe irritative symptoms.

육포 원료 돈육의 미생물 분포 및 병원성 미생물의 분리

김태임,김현욱,김혜정,남기진,김천제,백현동 한국축산식품학회 2005 심포지움 및 학술발표회 Vol.- No.35

시중의 정육점 및 백화점 등에서 유통 중인 10종의 돈육 원료에 대한 일반 세균수, 저온균수, 고온균, 혐기성균 및 진균류, 대장균군에 대한 미생물학적 분포와 병원성 미생물에 대한 분리· 동정을 실시하였다. 실험결과 원료 돈육에서 중온균은 3.9×10²~3.9×10⁵cfu/g 으로 높은 분포를 보였고, 저온균은 1.5×10³~8.6×10²cfu/g , 혐기성균은 중온균, 저온균과 유사한 분포를 보였으나 상대적으로 적게 검출되었고, 고온균은 모든 검체에서 검출되지 않았다. 대장균군 또한 모든 검체에 대해서 검출되지 않았으며, 곰팡이와 효모 등 진균류는 3.8×10¹~5.1×10²cfu/g 으로 검출되었다. B. cereus 는 돈육 sample B와 J에서 분리되었고, S. aureus의 경우 돈육 sample B에서만 검출되었다. B. cereus는 99.8%의 상동성을 보였고, S. aureus는 97.8%의 상동성을 보였다.

COVID-19 팬데믹 이후 외모관리행동과 스트레스의 연관성에 관한 연구

김태임,권기한 한국화장품미용학회 2022 한국화장품미용학회지 Vol.12 No.3

This study attempted to confirm how the general characteristics and appearance management behavior of the study subjects affect stress perception. It was confirmed that there are differences in stress awareness according to gender, age, residence, education, marital status, and income, and appearance management behavior refers to the behavior of managing appearance for external beauty and showing one's unique and positive image to others. The stress scale refers to the degree of stress that an individual actually feels and interprets. In order to achieve the research purpose of how changes in adult perception and appearance management affect changes in self-management in the COVID-19 pandemic, beauty's interest and appearance satisfaction were derived as sub-factors. A self-entry survey was conducted on 516 study participants in their 20s and 60s, and 352 women(68.2%), 164 men(31.8%), and body images(t=-9.394, p<.001), searching for information (t=-2.883, p<.01), beauty behavior(t=-5.174, p<.001), and appearance satisfaction(t=4.905, p<.001) were found to have a significant effect on stress. However, the degree of interest did not significantly affect stress perception (p>.05). Among the variables that have a significant effect, 'body image(=-.445) > beauty behavior(=-.321) > appearance satisfaction(=-.233) > Search for information(=-.176), the influence was found to be large. Therefore, it means that stress perception decreases as awareness of body image, beauty behavior, appearance satisfaction, and information search increases. It was confirmed that the degree of stress perception was significantly related according to the characteristics of appearance management behavior.

지압이 암환아의 오심 구토 정도와 체중변화에 미치는 효과

김태임,신영희,오민석 한국아동간호학회 2004 Child Health Nursing Research Vol.10 No.1

Purpose: This study was to confirm the effect of acupressure on the emesis control and the weight change among pediatric cancer patients receiving anti-cancer chemotherapy. Method: Forty pediatric cancer patients, receiving the induction stage of chemotherapy with MTX and vincristine, were divided into control(n=20) and the intervention group(n=20). Both groups received regular anti-emesis medication, but the intervention group was added acupressure maneuver for 5 minutes on P6 point for 3 times a day for 5days: before chemotherapy, lunch and dinner by investigator during the hospitalization and by mother at home. The instruments for this study were Rhode's(1986) Index of nausea, vomiting and retching(INVR), Cas electric scale and pamphlet developed by researcher. Result: Significant differences in the degree of nausea and vomiting were observed between the control and the intervention group as measured by INVR(t=4.73; p=.01). Repeated measures ANOVA also shows that the group effect was significant(F=22.39, P=.01) as was the time effect(F=380.35, P=.01). The group by time interaction was also significant(F=5.27, P=.01). Acupressure maneuver was apparently effective in reducing the degree of chemotherapy-induced nausea and vomiting. There were also statistically significant weight loss noted in the control group than the intervention group(t=5.42, p=.01). Conclusion: Acupressure on P6 point shows an effective adjunct maneuver in reducing the degree of nausea and vomiting and conserving the weight in pediatric cancer patients. Therefore, it is proposed that acupressure should be applied as supportive nursing intervention strategies to relieve chemotherapy induced nausea and vomiting and to prevent weight loss in pediatric cancer patients.

일 도시지역 갱년기 여성들의 폐경관리 수행에 관한 조사 연구

김태임 대전대학교 韓醫學연구소 1998 한의학연구소 논문집 Vol.7 No.1

This study was designed to describe the management of menopause of the climacteric-women. The subjects of this study were 95 climacteric-women in Taejon city. The instrument used for this study was Management of Menopause Scale developed by Song(1997). The data were collected from December 1997 to June 1998. The data were analyzed by using the SPSS(PC+) program. The information was obtained by use of Mean, Standard Deviation, Pearson correlation coefficient and ANOVA. The results were as Follows; 1. Among the categories of management of menopause, dietary management(3.74 1.25) was the highest and management of exercise and activity (3.35 0.93), self contorl(3.13 1.21), management of professional health maintenance(2.75 1.32), management of sex life(2.11 1.92) were in order. 2. On considering the relationship between the climacteric-women's management of menopause and their general characteristics, age(r=-0.38, P=0.00) and educational background(F=4.8247, P=0.00) were statistically significant.

마사지 요법이 시설 영아의 신체성장에 미치는 영향

김태임 한국아동간호학회 2002 Child Health Nursing Research Vol.8 No.2

-Key concept : Massage therapy, Instituted infants, Physical growth

신생아 중환자실에 입원한 환아 어머니의 스트레스

김태임,Kim Tae Im 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.2

This descriptive study was conducted to understand the contents and degree of parental stress level in the NICU patients, and to give a baseline data in developing nursing intervention program. Subjects were the 62 mother of hospitalized newborn in NICU of 1 University Hospital in Taejon City from May 1st, 1999 to November 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales : NICU(PSS:NICU) developed by Miles et al. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior(19 items), parental role alteration and relationship with their baby(10 items), communication with health team(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from <not stressful> (1) to <extremely stressful>(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's α coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers was slightly high(3.6±.7). The highest scored dimension was 'appearance and behavior of the baby'(3.9±1.5), and next were 'relationship with their baby and parental role change'(3.5±1.4), 'communication with health team'(3.4±.9), 'sight and sounds of NICU'(3.2±.8). 2. Two variables were statistically significant with PSS:NICU total scale ; mother's perceived severity of the baby's condition (r=.482, P=.002) and mother's religious attendance(t=2.83, P=.01). The more the mother perceive their baby's condition severe, the higher the total stress score. There were high stress score noted in the mother of no religious attendance. 3. Four variables were statistically significant with NICU environment subscale ; mother's educational background(F=3.45, P=.04), religious attendance(t=2.28, P=.04), sex of the baby(t=2.83, P=.01) and NICU patients' hospital day(r=.359, P=.004). That is mother with high educational background and girl baby were high NICU environment subscale score. 4. Four variables were statistically significant with appearance and behavior of the baby subscale ; when first saw baby(F=3.52, P=.04), incubator care(t=2.83, P=.01), mother's perceived severity of the baby's condition(r=.303, P=.017), number of NICU visit(r=.441, P=.002). That is, seeing the baby first in the NICU and recieved incubator care was very stressful. Also, the more the mother perceive their baby's condition severe and more NICU visit, the higher the appearance and behavior of the baby subscale stress score. 5. Four variables were statistically significant with relationship with their baby and parental role change subscale ; when first saw baby(F=3.37, P=.04), sex of the baby(t=2.36, P=.03), incubator care(t=5.60, P=.00), mother's perceived severity of the baby's condition(r=.401, P=.001). That is, seeing the baby first in the NICU and girl baby was very stressful. Also, the more the mother perceive their baby's condition severe, the higher the relationship with their baby and parental role change subscale stress score. 6. Three variables were statistically significant with communication with health team subscale ; mother's educational background (F=3.63, P=.04), incubator care(t=4.24, P=.00), gestational age(r=-.394, P=.047), and birth weight(r=-.460, P=.004). That is, mother with high educational background and receiving incubator care were high communication with health team subscale score. Also, the shorter the gestational age and smaller the baby's birth weight, the higher the communication with health

아버지의 양육태도와 장애아동의 의도적 통제 및 외현화 행동 간 관계에 관한 구조분석: 상황적 자기이해로서 장애수용성의 조절효과 검증

김태임,이동영 한국콘텐츠학회 2023 한국콘텐츠학회논문지 Vol.23 No.5

In order to promote smooth life cycle progress based on the larger framework of guaranteeing the right to correct development of children with disabilities, this study focused on externalizing behaviors that act as inhibitors not only in the present but also in the future, and empirically analyzed the change characteristics according to their factors, mechanisms, and situational factors to derive practical implications. Accordingly, after securing 116 households of disabled families including children with disabilities with convenient sampling methode and collecting data through a structured questionnaire, a research model considering the father variable and the disability characteristic situation variable, which had been neglected so far, was set to verify the effect through a structural causal model and a control model with father's parenting attitude as an independent variable, externalized behavior of disabled children as the dependent variable, and effortful control and disability identity as parameters and control variables, respectively. As a result of the analysis, first, it was found that the father's rejection and controlling parenting attitude significantly affected the externalizing behavior of children with disabilities. Second, these effects are adjusted according to the degree of disability acceptance of fathers and children, and it was found that the higher the disability acceptance, the more negative the negative effect on externalizing behavior caused by the father's parenting attitude is significantly mitigated. Accordingly, the main practical strategies were proposed to educate parents including fathers, programs to promote father-child interaction, and self-help groups as a family-centered approach including children and fathers. 본 연구는 장애아동의 올곧은 발달권 보장이라는 큰 틀 위에 순적한 생애주기 진행을 도모하고자, 현재는 물론 미래시점에도 저해요인으로 작용하는 외현화 행동에 초점을 맞춰 이의 요인과 메커니즘, 그리고 상황적 요인에 따른 변화특성을 실증적으로 분석하여 실천적 함의를 도출하고자 하였다. 이에 장애아동이 포함된 장애인가족 116가구를 편의표집 방법으로 확보하고 구조화된 설문지를 통해 자료를 수집한 후 그간 소홀히 다루어졌던 아버지변수와 장애특성 상황변수를 고려한 연구모형을 설정하여 아버지 양육태도를 독립변수, 장애아동의 외현화 행동을 종속변수, 의도적 통제와 장애수용성을 각각 매개변수와 조절변수로 하는 구조적 인과모형 및 조절모형을 통해 그 효과를 검증하였다. 분석결과 첫째, 아버지의 거부적이고 통제적인 양육태도는 장애아동의 외현화 행동에 직ㆍ간접적 부정적 영향을 유의미하게 미치는 것으로 나타났다. 둘째, 아버지 및 아동의 장애수용성 정도에 따라 이러한 효과는 상황변수에 의해 조절되는데, 장애수용성이 높을수록 아버지의 양육태도에 의한 외현화 행동에의 부정적 효과는 상당히 완화됨을 알 수 있었다. 이에 아버지를 포함한 부모교육 및 아버지-자녀 간 상호작용 증진 프로그램, 아동과 아버지를 포함한 가족중심적 접근으로서의 자조모임 등을 주요 실천전략으로 제언하였다.

지체장애인 운전면허 취득을 위한 효율적 지원방안: 대구경북 지역을 중심으로

김태임,최성규 한국지체.중복.건강장애교육학회 2012 지체.중복.건강장애연구 Vol.55 No.2

The purpose of this study was to investigate current situation of driving training process for individuals with physical disabilities or brain lesions in Daegu-Gyeongbuk area and their difficulties to acquire the driver's licence and also suggest effective supports system of driving. The researcher conducted focus group interview with nine people. The current level of traffic welfare in Daegu-Gyeongbuk is low considered as a whole. In addition, as major facilities related with driver's licence of people with disabilities are located in Seoul, the capital of South Korea, people with physical disabilities and brain lesions in Daegu-Gyeongbuk are in a difficult situation. Difficulties for acquiring a driver's licence are follows: absence of drivers training centers for physically impaired in Daegu-Gyeongbuk, lack of training time for driving, insufficient convenient facilities and accomodations in drivers training centers, lack of professional driver training teachers. The findings and suggestion of this study are as follows: development of a driver's training center for physically impaired in Daegu-Gyeongbuk area as a long-term policy, buildup of itinerant service for driver training and expanding supports, establishment of individualized driver program according to types and levels of disabilities, financial supports for assistive technologies and car modifications. 본 연구의 목적은 대구경북의 지체 및 뇌병변 장애인 교통 복지 및 운전 지원 현황을 바탕으로 운전면허 취득 과정에서 겪는 문제점들을 파악하고 고찰하여 개선방안을 제시하는데 있다. 연구 대상은 대구경북에 거주하는 지체 및 뇌병변 장애인이고, 최근 5년 이내에 면허를 취득하였거나, 현재 면허를 취득 중인 장애인들을 대상으로 심층면담을 실시한 결과를 범주화 하여 제시하였다. 연구 결과, 장애인 전문 운전기관이 서울에 집중되어 있고, 운전연습 지원이 충분하지 않아 대구경북지역의 지체장애인들이 많은 불편을 겪고 있음이 확인 되었다. 따라서 현재 시행하고 있는 지방 순회 교육의 확대 실시가 필요하며, 대구경북 지역에서도 자체적으로 대형 및 특수 면허 운전 연습 및 시험이 가능하도록 해야 한다. 또한 전문적인 운전 프로그램과 강사가 지원되어야 하며, 보조 장치와 차량 개조에 필요한 재정적 지원이 뒷받침 되어야 할 것이다.