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임상간호사의 이직의도에 미치는 업무소진과 사회지능의 탐색 연구
박혜인,이경희 한국디지털정책학회 2016 디지털융복합연구 Vol.14 No.4
본 연구는 임상간호사의 업무소진과 사회지능이 이직의도에 미치는 조절효과를 탐색하기 위한 서술적 조사연구이다. 자료 수집은 J시, D시에 소재한 대학병원과 종합병원에서 근무하는 임상간호사 188명을 대상으로 2015년 8월 3일에서 9월 1일 까지 진행하였다. 연구도구는 사회지능, 소진, 이직의도 척도를 사용하였다. 자료 분석은 실수와 백분율, 평균 및 표준편차, t검증, 일원변량분석, Pearson 상관관계, 위계적 조절 회귀분석을 이용하였다. 대상자의 이직의도는 학력, 연령, 간호직 추천, 근무연수, 직위에 따라 유의한 차이를 보였고, 사회정보는 직위에 따라, 사회기술은 여가활동, 교대근무형태, 병원 교육 참여도, 간호직 추천의사 등에 유의한 차이가 있었다, 소진은 사회정보와 부적상관관계가 있고, 이직의도, 사회기술, 사회적 인식은 정적 상관관계가 있다. 이직의도에 소진은 높은 영향력을 보였고, 업무소진과 이직의도간의 사회지능은 조절효과가 나타나지 않았다. 학습지능인 사회지능이 간호사의 업무소진과 이직의도와의 관계를 탐색하는데 연구 의의를 두며 사회지능 향상을 위한 디지털 융합 교육 프로그램의 개발 필요성을 제언한다. This study was aimed to identify the effects of social intelligence and burnout on the turnover intention in nurses as a descriptive study. The data were collected between August 3 and September 1, 2015. A total of 188 nurses working at university medical centers and general hospitals located at J city and D city were participated. The collected data were analyzed using frequency, mean and standard deviation, t-test, ANOVAs, Pearson's correlation coefficients and hierarchical regression analysis. In turnover intention, there were significant differences in education, age, job preference of nurse, work period and position. Burnout showed significant effect in social intelligence and turnover intention. Social intlligence did not have control effect between turnover intention and job burnout. This findings suggested that to prevent the nurse's turnover intention, the education for social information, social skill and social awareness has to be programmed for the development of social intelligence.
박혜인,홍예지,연정흠,오국환,류현진,김용철,이준엽,김영훈,채동완,정우경,안규리,오윤규 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.4
Background: Mayo imaging classification (MIC) is a useful biomarker to predict disease progression in autosomal dominant polycystic kidney disease (ADPKD). This study was performed to validate MIC in the prediction of renal outcome in a prospective Korean ADPKD cohort and evaluate clinical parameters associated with rapid disease progression. Methods: A total of 178 ADPKD patients were enrolled and prospectively observed for an average duration of 6.2 ± 1.9 years. Rapidprogressor was defined as MIC 1C through 1E while slow progressor was defined as 1A through 1B. Renal composite outcome (doubling of serum creatinine, 50% decline of estimated glomerular filtration rate [eGFR], or initiation of renal replacement therapy) as wellas the annual percent change of height-adjusted total kidney volume (mHTKV-α), and eGFR decline (mGFR-α) were compared between groups. Results: A total of 110 patients (61.8%) were classified as rapid progressors. These patients were younger and showed a higher proportion of male patients. Rapid progressor was an independent predictor for renal outcome (hazard ratio, 4.09; 95% confidence interval, 1.23–13.54; p = 0.02). The mGFR-α was greater in rapid progressors (–3.58 mL/min per year in 1C, –3.7 in 1D, and –4.52 in1E) compared with that in slow progressors (–1.54 in 1A and –2.06 in 1B). The mHTKV-α was faster in rapid progressors (5.3% peryear in 1C, 9.4% in 1D, and 11.7% in 1E) compared with that in slow progressors (1.2% in 1A and 3.8% in 1B). Conclusion: MIC is a good predictive tool to define rapid progressors in Korean ADPKD patients.
韓國農村家族의 家族生活週期 變化 : 慶尙北道를 中心으로 Case of Kyeongbuk Area
朴惠仁 啓明大學校 生活科學硏究所 1985 科學論集 Vol.11 No.-
The purpose of this study is to make a model of Family Life Cycle in Korean Rural Family now, and to identify the change of Family Life Cycle, 597 housewives of 8 Koon(郡) in Kyeongbuk Area were interviewed by questionnaire. The questionnaire contained items about family situations and individual characteristics. Findings are as follows: (1) The mean of first marriage age is 20.1 yrs old compared to the urban family 2.3 yrs low. This age is higher according to the age, education and family pattern. (2) The mean of first baby bearing age is 22.6 yrs old compared to the urban family 1.6 yrs low. This age is also higher according to the age, education and family pattern. (3) The mean of last baby bearing age is 33.0 yrs old compared to the urban family 0.4 yrs high. This age is lower according to the age, education and family pattern. (4) The mean of first child marriage age is 44.7 yrs old compared to the urban family 1.8 yrs low. (5) The mean of last marriage age is 58.7 yrs old. This age is 6 yrs higher compared to the result of urban family. (6) The number of child is quite different according to the result of family planning generation or not. (7) The result of analyzing by Family Life Cycle, launching stage is appeared in rural family, but middle stage isn't apparently. So, we can make model of F.L.C. of Korean Rural Family as follows. (it will be change of course) ⅰ) Establishment stage: from marriage to first baby born (20-23 yrs old) ⅱ) Childbearing stage: from first baby born to last baby born (23-33 yrs old) ⅲ) Child rearing and Educating Stage: from last baby born to first child leaving home (33-41 yrs old) ⅳ) Launching Stage: from first child got army, college or job. (41-45 yrs old) ⅴ) Families with children's marriage stage: from first child marriage to last child marriage (45-59 yrs old) ⅵ) Aging Stage: from last child marriage to self dying (59 yrs after)
『용문전』 속 귀화인 인식 연구 - ‘이민족 영웅’의 형상화를 중심으로
박혜인 이화어문학회 2017 이화어문논집 Vol.42 No.-
『용문전』은 『소대성전』의 인기를 바탕으로 지어진 속편으로 호국에서 명국으로 귀의한 이민족 영웅인 용문을 주인공으로 한 소설이다. 그렇기 에 작품 속에서 용문에 대한 인식은 이민족 및 귀화인에 대한 당대 사회 의 인식과도 연결해 볼 수 있다. 먼저 『용문전』의 서사구조를 보면 기본 적인 영웅서사구조를 따르나 용문이 ‘영웅이 되는 과정’이 아닌 ‘명으로 귀화하는 과정’으로 이루어져 있음을 알 수 있다. 이러한 정체성 변화에는 그의 스승인 연화도사 및 아버지 용훈, 소대성과의 관계가 주는 역할이 크다. 그 관계 속에서 『용문전』은 고난 서사가 군담 이후로 옮겨지는 등 기존의 영웅서사구조에서 변화하는 모습을 보인다. 한편 용문은 이민족이면서도 제3자적인 입장에 서서 화이간의 선악, 우 열을 판단하고 있는데, 그러면서 명국의 우월함을 더 효과적으로 선전하 고 있다. 이러한 용문의 시각은 그 자신이 작품의 주인공이자 두 나라 간의 승패를 좌우하는 인물이라는 점에서 매우 중요하다. 용문의 이러한 그 의 모화(慕華)는 곧 귀화로 이어진다, 그러나 귀화자로서의 용문은 작품 속에서 온전한 ‘중화인’으로서가 아 닌, 여전히 ‘이민족’으로 그려진다. 서사 속에서 용문은 문무겸비한 영웅 소대성과 달리 ‘문예적 자질은 소거된 채로’ 무예적 자질만이 부각된다. 주인공이자 귀화인인 용문 또한 여전히 문명이 없는 오랑캐로 보는 차별 적 인식이 존재하는 것이다. 또한 기괴하게 과장되어 있거나 반인반수(半人半獸)로 나타나는 그와 아들 용골의 외양 묘사에서도 이민족 영웅의 힘 을 ‘인간성이 거세된’ 야만적 힘으로 보는 차별적 시각이 드러난다. 소설 속 용문에 대한 배타적 시각은 당대 사회 속에서 향화인에 대한 시각과도 연결되어 있다. 이방에서 조선으로 온 여러 향화인은 기본적으 로 ‘그들을 교화’시킨 조선의 덕화를 더욱 선전하는 역할을 하는 한편, 전쟁이나 난을 막는 등의 일에 동원되곤 하였다. 이는 향화인들의 군사적 능력에 대한 인정과 동시에 그들의 ‘야만성’에 대한 차별적 시선에서 비롯 한 것이다. 이처럼 귀화인의 존재는 그 나라의 우위를 세우기 위해 효과 적으로 사용되었으나, 정작 이들은 귀화 이후에도 여전히 차별적 시선에 서 벗어날 수 없었다. 『용문전』에서의 용문과 반인반수의 아들 용골의 형 상은 이러한 당대 귀화인에 대한 양가적 인식이 반영된 결과이다. <Yongmoonjeon(龍門傳)> is a sequel to <Sodaeseongjeon(蘇大成傳)> that was published based on the prominence of to <Sodaeseongjeon(蘇大成傳)>. <Yongmoonjeon(龍門傳)> ‘s mian character Yongmoon, an ethic hero, describing the naturalization from Ho(胡) to Ming(明). The recognition of Yongmoon is viewed as a foreigner/naturalized person from the perspective of instant generation. <Yongmoonjeon(龍門傳)> illustrates the fundamental structure of a heroic story line but it emphasizes on the naturalization of Ming(明), not on the process of becoming a hero. Yeonhwa-ascetic, Yonghun, Sodaeseong are the most influential characters to Yongmoon’s transformation of his identity which relates from the story lines of tragedy to the interpretation of the warfare stories. Although Yongmoon represents as a foreigner, he discerns good and evil and inferiority as a third perspective from Chinese(中華, Han Chinese) and raising his voice effectively on the positive side of Ming(明); therefore, Yongmoon represents as a key character to determine whether which country takes the victory. We translate his naturalization as Mohwa (慕華, the affection towards China) Yongmoon is described as a foreigner and not a Chinese although he performed a legal act which a non-citizen in a country may acquire nationality of that country. In the story, he is not portrayed as a cultural ability, only his martial power. This is different from Ming(明)'s Hero Sodaeseong. Yongmoon is the main character of Yongmoonjeon and a naturalist in our country. But this novel has a discriminative perspective that sees him as an barbarian with no civilization. And The writer depicts Yongmoon and his son Younggol as grotesque figure or therianthropy(半 人半獸), and sees the power of the hero as a savage force that has lost civilization. The Insular view of Yongmoon is linked to the viewpoint of the naturalized person in Chosun (朝鮮) society at the time. Several naturalized people, who came to Korea from foreign countries, had to propagandize the virtues of this country that had edified them. And They were mobilized to prevent the war or the rage of Chosun(朝鮮). This is based on recognition of the military capabilities of the naturalized people and a discriminatory view on 'barbarism' of them. Naturalized people were effectively used for the supremacy of the country. But They were still unable to escape discrimination after naturalization. Yongmun and his son Yonggol’s shape are the result of reflecting that double-sided view of the naturalized people at the day.
대구지역 이혼상담사례에 대한 실태분석 : 가정법률상담소를 중심으로 The Case of Legal Aid Center for Family Relations
박혜인,주정 啓明大學校 生活科學硏究所 1997 科學論集 Vol.23 No.-
This study investigates the process and the restraint in the patriarchal conjugal relationship through the quantitative and qualitative analysis on divorce consultation from the feminist standpoints. The objects are clients(680) who came to the Taegu Chapter of the Korea Legal Aid Center for Family Relations in 1993. The results of this study are as follows ; The social stratums of persons coming to an information bureau are mostly women in their thirties and high school graduates. For the females, the civil law ruling in judicial divorce, the sixth section of Article 840 was the first in order. Their marital lives within ten years look very dangerous. There are abstract problems in early period of marriage and many concrete causes after middle ages. The divorce consultation shows a avoidance or resistance toward family disruption and discloses responsibility and existence about patriarchal conjugal relationship.
정신과 근무하는 간호사의 통증관리 지식 및 태도에 대한 조사
박혜인,이경희 기초간호학회 2014 Journal of korean biological nursing science Vol.16 No.2
통증은 매우 복잡하고 다양한 수준으로 나타나는 객관적이며 주관적 요인으로서 국제 통증연구학회는 통증을 실제적이거나 잠재적인 조직손상 또는 불쾌한 감각 및 정서적 경험이라고 정의하고 있다(International Association for Study of Pain, 1979). 인간의 보편적 조건에는 쾌락과 고통 즉 통증이라는 감정과 감각사이에서 심리 철학적 접근과 생리학적 접근을 한다(Kang, 2010). 통증을 호소하는 환자 중 불안, 우울 등 많은 정서 장애와 행동 이상이 동반되며, 정신장애 환자 중에서도 통증을 호소하는 경우가 많다.
한국형 소통 스타일 하부 차원 개발에 대한 탐색적 연구 : 대학생 집단을 중심으로
박혜인,허경호 한국소통학회 2011 한국소통학보 Vol.15 No.-
연구는 한국인에게 독특하게 나타나는 소통 스타일의 특성을 살펴보고 이를 반영한 소통 스타일 측정 척도를 개발하고자 하였다. 이를 위해 체면과 예로 대표되는 한국 의 소통 문화적 특성을 살펴보았으며 이를 바탕으로 격식성과 대인 간 조화 차원을 소통 스 타 일의 하부 차원으로 제시하였다. 이 두 차원을 다시 세분하여 각각 자아체면 낮춤 격식성과 타자체면 높임 격식성 및 경청적 대인 간 조화와 갈등 회피적 대인 간 조화로 나누었으며, 각 각의 세부 차원을 측정할 수 있는 총 20개의 소통 행위 문항을 개발하였다. 탐색적 인자 분 석 을 통해 자아체면 낮춤 격식성, 갈등 회피적 대인 간 조화 및 경청적 대인 간 조화 차원을 확인 할 수 있었다. 또한 이 세 차원이 체면지향성, 체면지향행동, 논쟁성향 및 자기침묵 변인과 갖 는 부분상관관계 분석을 통해 동반타당도를 확보하고 있음을 확인하였다. 본 연구는 한국 의 문화적 특성을 반영한 소통 스타일 하부 차원을 제시함으로써 미국에서 개발된 기존의 소 통 스타일 척도를 그대로 번역하여 국내 연구에 사용함으로써 생기는 문화적 타당성 문제를 극 복하고자 하였다. 마지막으로 본 연구의 몇 가지 한계점을 논의하고 제언을 제시하였다. The main purpose of this study was to explore dimensions of Korean communication style and develop a new measure of Korean communication style reflecting unique Korean communicative culture. First, we examined the construct of Korean communication style. Second, we identified two major factors, formality and interpersonal harmony. The first dimension had two sub-dimensions, lowering self-face and heightening other-face. The second dimension had also two sub-dimensions, avoiding-conflict and listening. Third, we validated these dimensions of Korean communication style by relating them with other criterion variables such as sensitivity, face-oriented action, argumentativeness, self-silence, and need for cognition. We proposed one research question and six hypotheses to examine construct, concurrent, and discriminant validity. First, we created a total of 20 statements to measure the four dimensions. After conducting an exploratory factor analysis, we found only three dimensions. They were the lowering self-face formality, interpersonal harmony of avoiding- conflict, and interpersonal harmony of listening. Results showed that the lowering self-face had a positive correlation with both of the face sensitivity and the face-oriented action. Also, the interpersonal harmony of listening had a positive correlation with both of the self-silence and argumentativeness. The interpersonal harmony of avoiding-conflict had a positive correlation with self-silence and negative correlation with argumentativeness. The need for cognition hadn’t any significant correlation with all of the three dimensions. These results show that these dimensions of Korean communication style have substantial validity although these dimensions had low explanatory power in a total variance of the factor analysis. In summary, we sought to overcome some cultural limitations of the existing communication style measures mostly developed in Western culture. Finally, we discussed some of limitations of this study and suggested future direction.
박혜인,Kim Juhee,조아진,Kim Do Hyoung,이영기,Ryu Hyunjin,김현숙,Oh Kook-Hwan,오윤규,Hwang Young-Hwan,Lee Kyu-Beck,Kim Soo Wan,Kim Yeong Hoon,Lee Joongyub,안규리,KNOW-CKD Investigators Group 대한의학회 2020 Journal of Korean medical science Vol.35 No.22
Background: Intrarenal renin-angiotensin system (RAS) is known to play the major role in the development of hypertension and renal progression in autosomal dominant polycystic kidney disease (ADPKD). Urinary angiotensinogen to creatinine ratio (AGT/Cr) was suggested as a novel biomarker to reflect intrarenal RAS activity. This study was performed to evaluate urinary AGT/Cr as a predictive biomarker for renal function decline in addition to imaging classification in a prospective ADPKD cohort. Methods: From 2011 to 2016, a total of 364 ADPKD patients were enrolled in the prospective cohort called the KoreaN Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD). Among them, a total of 207 subjects in chronic kidney disease stage 1–4 with baseline urinary AGT and total kidney volume and subsequent renal function follow-up data over more than 1 year were included in the analysis. Patients were defined as slow progressors (SP) if they are classified as 1A or 1B by imaging classification whereas rapid progressors (RP) if they are classified as 1C–1E. Patients were divided according to AGT/Cr quartiles and annual estimated glomerular filtration rate (eGFR) slope was compared among highest quartile (hAGT group) and the rest of quartiles (lAGT group). Patients were divided into 4 groups to evaluate the predictive value of urinary AGT/Cr in addition to imaging classification: SP/lAGT, SP/hAGT, RP/lAGT, and RP/hAGT. The Cox regression model was used to evaluate the hazard ratio (HR) between groups. Results: The mean age was 45.9 years and 88.9% had hypertension. Baseline eGFR was 79.0 ± 28.4 mL/min/1.73 m2 and median height-adjusted total kidney volume was 788.2 (471.2;1,205.2) mL/m. The patients in the hAGT group showed lower eGFR (72.4 ± 24.8 vs. 81.1 ± 29.2 mL/min/1.73 m2 , P = 0.039), lower plasma hemoglobin (13.0 ± 1.4 vs. 13.7 ± 1.6 g/dL, P = 0.007), higher urinary protein to creatinine ratio (0.14 [0.09, 0.38] vs. 0.07 [0.04, 0.12] g/g, P = 0.007) compared to the lAGT group. The hAGT group was an independent risk factor for faster eGFR decline after adjusting for gender, RP, baseline eGFR, and other known risk factors. During median follow-up duration of 4.6 years, a total of 29 renal events (14.0%) occurred. The SP/hAGT group showed significantly higher risk of developing renal outcome compared to SP/lAGT group (HR, 13.4; 95% confidence interval, 1.282–139.324; P = 0.03). Conclusion: Urinary AGT/Cr can be a useful predictive marker in the patients with relatively small ADPKD. Various biomarkers should be considered to define RP when implementing novel treatment in the patients with ADPKD.