이압요법이 산욕기 여성의 요통과 산후 피로에 미치는 효과

심자영,박효정 기본간호학회 2025 기본간호학회지 Vol.32 No.4

Purpose: This study examined the effects of illness uncertainty, health literacy, and self-care on quality of life (QoL) among patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 116 patients with COPD were recruited from a general hospital in Seoul. Data were collected using questionnaires covering demographics, illness uncertainty (Mishel's Uncertainty in Illness Scale), health literacy (COPD-Specific Health Literacy Tool), self-care (Self-Care in COPD Inventory, SC-COPDI), and QoL (St. George's Respiratory Questionnaire; higher scores indicate poorer QoL). Statistical analyses included the t-test, analysis of variance, Pearson correlation coefficients, and multiple linear regression. Results: QoL was significantly correlated with illness uncertainty (r=.59, p<.001), health literacy (r=-.40, p<.001), and self-care (r=-.25, p=.007). Multiple regression analysis revealed that illness uncertainty (β=.37, p<.001) and health literacy (β=-.20, p=.004) were significant independent predictors of QoL, whereas self-care was not a significant predictor. Conclusion: Illness uncertainty and health literacy were key factors influencing QoL, while self-care, although correlated, did not directly predict QoL. To improve QoL in COPD patients, nursing interventions should aim to reduce illness uncertainty and enhance health literacy. Developing and implementing tailored, repetitive, and digital-based educational programs suited to patients' literacy levels may improve self-care performance and overall quality of life.

사서의 환경불확실성 인식과 도서관 동적역량과의 관계 분석

심자영 한국정보관리학회 2025 정보관리학회지 Vol.42 No.1

도서관은 외부의 예측 불가능한 변화 속에서 이용자의 요구를 충족시키면서도 지식생태계에서 사회적 가치를 창출하며, 정보제공기관으로서의 입지를 확보하기 위하여 다양한 대응을 하고 있다. 본 연구는 도서관이 환경 변화에 적응하기 위한 전략을 동적역량으로 보고 환경불확실성이 동적역량에 미치는 영향을 분석하였다. 이를 위해 국립, 공공, 대학, 전문도서관 소속 사서 539명에게 환경불확실성과 동적역량에 대한 인식을 조사하여, 직위, 경력, 기관별 차이를 알아보고, 동적역량에 영향을 미치는 환경불확실성 세부 요인을 도출하였다. 그 결과 사서들은 복잡성, 동태성, 풍부성 순으로 외부 환경의 변화를 느끼고 있었고, 환경변화감지역량, 조직변환역량, 조직대응역량 순으로 도서관의 동적역량이 갖춰져 있다고 하였다. 또한 다중회귀분석을 통하여 도서관의 동적역량에 영향을 미치는 환경불확실성 요인이 풍부성인 것을 밝혔다. 즉 외부 자원이 다양하고 풍부하게 변화할 때 도서관이 이에 대한 대응을 적절히 하고 있음을 알 수 있었다. 도서관 환경에서는 아직 동태성과 복잡성이 동적역량에 직접적인 영향을 미치지 않았지만, 변화에 대하여 전략적으로 대응하기 위해서는 사서들은 변화하는 사회와 이용자 요구에 대하여 다각적으로 파악해야 할 것이다. Libraries are actively responding to unpredictable external changes to meet user demands while creating social value within the knowledge ecosystem and securing their position as information providers. This study views libraries’ adaptation strategies to environmental changes through dynamic capabilities and analyzes the impact of environmental uncertainty on these capabilities. To achieve this, a survey was conducted among 539 librarians from national, public, academic, and specialized libraries to examine their perceptions of environmental uncertainty and dynamic capabilities. Differences were analyzed based on position, career, and type, and key environmental uncertainty factors influencing dynamic capabilities were identified. The results indicate that librarians perceive external environmental changes in the order of complexity, dynamism, and abundance. Similarly, they assessed libraries’ dynamic capabilities in the order of environmental change sensing capability, organizational transformation capability, and organizational responsiveness capability. A multiple regression analysis revealed that munificence is the key factor influencing libraries’ dynamic capabilities. In other words, libraries responded appropriately when external resources were diverse and abundant. In the library environment, dynamism and complexity have not yet directly influenced dynamic capabilities. However, in order to strategically respond to change, librarians must comprehensively understand the evolving society and user demands.

시니어의 세대별 도서관 이용행태 비교분석: 국회도서관을 중심으로

심자영,서은경,Sim, Jayoung,Seo, Eun-Gyoung 한국정보관리학회 2018 정보관리학회지 Vol.35 No.3

시니어전환 시대를 맞이하여 도서관의 주 이용군으로 부상된 시니어를 대상으로 디지털환경에서 정보접근 및 검색 편의정도, 요구사항을 파악하였다. 이를 위하여 55세 이상의 국회도서관 이용자의 이용행태 및 검색행태를 조사하였고 이러한 행태와 만족도를 시니어 세대별 즉 베이비붐세대의 액티브시니어 그룹과 노인세대의 시니어 그룹으로 나누어 비교분석하였다. 그 결과 첫째, 국회도서관을 이용하는 노인세대는 여가를 목적으로 방문하며 정치 사회, 종교 철학, 역사 지리분야를 선호하였으나, 베이비붐세대는 자기계발을 목적으로 경제 재테크, 예술 문화 분야를 선호하는 것으로 조사되었다. 둘째, 검색을 실패하였을 경우 베이비붐세대의 시니어는 스스로 결과를 제어하는 반면, 노인세대는 사서에 의존도가 높은 것으로 나타났다. 셋째, 시니어 두 그룹 모두 장시간 전자도서관을 이용하면서 자료를 브라우징하고 있음에도 불구하고 전자도서관에서 제공하고 있는 편의 정제 기능에 대한 이용률이 저조하였다. 따라서 시니어의 이용을 활성화하고 편의성을 높이기 위해서는 시니어 전담사서가 필요하고 전자도서관을 이용하는 시니어를 위해 따로 도움말, 메뉴 설명이 필요 없는 직관적인 인터페이스가 개발될 필요가 있다. 이로써 현 이용자뿐만 아니라 잠재적 시니어들의 정보 리터러시 향상과 이용성 제고를 도모할 수 있을 것으로 본다.

알바니아 일부 아동들의 구강건강상태 및칫솔질 교육에 관한 조사연구

문자영 ( Ja Young Moon ),심선주 ( Seon Ju Sim ) 조선대학교 치의학연구원 2014 Oral Biology Research (Oral Biol Res) Vol.38 No.1

Purpose: The purpose of this study was to evaluate the effect of tooth brushing and to investigate oral health status among Albanian children. Materials and Methods: The mean age of all children (n=159) was 12.9±2.0. Self-reported questionnaire were registered about oral health education level and oral health behavior. Oral examination was evaluated with decayed teeth, missing teeth and filled teeth. Plaque index was examined with disclosing agent for baseline, 1 week and 2 week respectively. Tooth brushing instruction was done individually by dentist. All collected data were analyzed using SPSS 12.0 program. Results: DMFT index (the number of decayed, missing and filled teeth) of 159 children was 4.8±4.4. Dt rate (100×the number of decayed teeth/DMFT index) (%) was 82.0 ±27.9. Mt rate (100×the number of missing teeth/DMFT index) (%) was 6.3±14.7. 15.1% children knew the role of teeth, 67.9% children knew the cause of dental caries and 14.5% children knew the effect of Fluoride against dental caries. Plaque index was reduced after individual tooth brushing instruction (p<0.01). Conclusion: In conclusion, this study suggests that oral health education and tooth brushing instruction are needed to improve oral health in Albania.

전동칫솔을 이용한 칫솔질 교육이 지적장애인의 치은건강증진에 미치는 효과

심선주(Seon-Ju Sim),문자영(Ja-Young Moon) 한국장애인재활협회 2016 재활복지 Vol.20 No.2

본 연구는 지적장애인을 대상으로 전동칫솔을 이용한 칫솔질 교육 후 치면세균막 감소 및 칫솔질 시 출혈여부를 조사하여 치은건강증진도를 조사하고자 2015년도 6월부터 2015년도 9월까지 경기도 광주 및 천안 인근의 시설에 입소해 있는 장애인 50명을 대상으로 2회에 걸친 반복적인 일대일 칫솔질 교육 후 5주 후에 치면세균막 지수와 칫솔질 시 출혈여부 감소를 분석하였다. 성별로는 남성는 32명, 여성은 18명이었으며 반복적인 칫솔질교육은 칫솔질 교육 5주 후에도 구강환경 개선에 효과가 있었는데, 치면세균막 지수는 1차 방문시(잇솔질 교육 이전)에 1.71±1.21이었고 2차 방문시(잇솔질 교육 일주일 후)에 0.93±0.87로 감소하였으며, 4주간격을 두고 3차 방문하였을 때도 치면세균막 지수가 0.88±0.84로 낮게 유지되었다(p<0.05). 이러한 치면세균막지수는 성별, 장애등급별, 칫솔질 자립여부 및 칫솔질 횟수로 분류하였을 때도 감소하는 경향을 보였다. 그리고 칫솔질 후 출혈여부는 1차 방문시보다 2차 방문시에 많이 감소하였으며 4주간격을 두고 3차 방문하였을 때도 칫솔질 후 출혈이 더 감소하였으며 성별, 장애등급별, 칫솔질 자립여부 및 칫솔질 횟수로 분류하였을 때에도 감소하는 경향성을 보였다(p<0.05). The purpose of this study was to assess the effect of tooth brushing instruction using powered toothbrushes to reduce plaque index and bleeding on brushing in the people with intellectually disability. Tooth brushing instruction with powered toothbrushes was carried out for 50 persons admitted to a welfare facility or special school, repeatedly by 1 week interval, from May to September, 2015, and 1 month later, plaque index and bleeding on brushing were examined. Plaque index decreased significantly (in 2nd visit, from 1.71±1.21 to 0.93±0.87), and results were maintained in last examination (in 1 month). Bleeding on brushing decreased significantly (in 2nd visit and 3rdvisit, from 2.31±1.90 to 0.31±0.66). Therefore, powered toothbrush was effective to reduce plaque index and bleeding on brushing for the people with intellectual disability. Plaque index and bleeding on toothbrushing decreased also in classification in according to sex, level of disability, independence of toothbrushing, and frequency of toothbrushing.

Relationship between Perceived Oral Symptoms and Oral Health Status

심선주,황지윤,윤여주,박미나,정다운,문자영 대한예방치과학회 2011 International Journal of Clinical Preventive Denti Vol.7 No.3

Objective: The purpose of this study was to examine the relationship between perceived oral health and oral health status. Methods: The oral examination and survey data of 219 subjects over 40 years of age were analyzed. All individuals were interviewed by self-reporting questionnaire that focused on previous diseases, vascular risk factors (hypertension, diabetic mellitus,cardiac disease), smoking and drinking habits, social history, BMI, the frequency of daily tooth brushing and the presence of regular dental visits. Dental survey was conducted in relations to the number of teeth, DMFT index, and the pocket depth. Results: 1. Better perceived oral health status was likely to rate their periodontal conditions as good with more teeth remaining and less dental caries. 2. With increasing DMFT index, perceived oral health and periodontal conditions were rated poorly with a severe dry mouth experience. 3. With high CPITN index, perceived periodontal conditions were rated poorly with less number of teeth remaining and a severe dry mouth condition. 4. In a multivariate analysis adjusted for socioeconomic status, hypertension, diabetes mellitus, frequency of daily tooth brushing and regular dental visits, the better perceived oral health status is, the lower DMFT index is. Conclusion: Self-rated oral health is a simple measure and reflects not only the objective oral status but also the socioeconomic status and the psychological effects of oral health. Thus, we should actively use the perceived oral health criteria to promote the nation's oral health.

뇌졸중 환자에서의 구강노쇠평가

심선주,문자영,신혜선 한국치위생과학회 2024 대한치위생과학회지 Vol.7 No.2

Background: Stroke patients generally have poorer oral health compared to the general elderly population, but limited data exists on their oral frailty. This study aimed to evaluateoral frailty in stroke patients and provide baseline data for oral health interventions. Methods: Fifty stroke patients aged 40 and above were assessed for oral frailty using a diagnostic tool. Items assessed were masticatory ability, occlusal force, tongue pressure, salivary gland function, swallowing function, and oral hygiene status. Oral frailty was diagnosed if there was functional decline in two or more parameters. T-tests were used to compare the mean values ofthese six parameters between frail and non-frail groups. Additionally, patients were categorized based on whether they had more than or fewer than 20 natural teeth, and the means and standard deviations of the six parameters were compared. Results: Among the 50 stroke patients, 28% were diagnosed with oral frailty. The non-frail group had significantly higher average scoresin masticatory ability (3.49 vs. 2.30, p<0.001), occlusal force (541.21N vs. 233.84N, p<0.001), and tongue strength (28.07 vs. 16.32, p<0.001). Salivary gland function was slightly better in the non-frail group (29.43 vs. 28.26, p=0.034), while swallowing function did not differ significantly(4.27 vs. 4.21, p=0.632). Oral hygiene status was marginally lower in the frail group (1.71 vs. 1.59, p=0.414). Patients with more than 20 natural teeth had better scores in all parameters compared to those with fewer than 20 teeth. Conclusions: Significant differences were observed in oral frailty parameters between frail and non-frail stroke patients, with better oral function noted in those with more than 20 natural teeth. Although the incidence of oral frailty was low among the medically stable stroke patients studied, this research underscores the importance of oral health interventions to prevent frailty in community-dwelling elderly and stroke patients.

화학/ 분석 분야 : 영아용 및 성장기용 조제식의 미량무기영양성분 분석 (초)

심성례,정인선,김재성,곽병만,안장혁,윤태형,노기미,정자영,서혜영,김병숙,김경수 한국식품저장유통학회 ( 구 한국농산물저장유통학회 ) 2010 한국식품저장유통학회 학술대회 Vol.2010 No.-

한반도 및 일본에서의 이산화탄소 배증에 따른 벼(자포니카) 생산성 변화 예측 연구

홍자영,안중배,심교문,이덕배 한국기상학회 2011 한국기상학회 학술대회 논문집 Vol.2011 No.4

이산화탄소 배증에 따른 동아시아 지역 농업생산성 변화 예측 연구

홍자영,안중배,심교문 한국기상학회 2010 한국기상학회 학술대회 논문집 Vol.2010 No.4