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Multiple roles of Korean Immigrant wives Depression
엄재정,Um, Chae-Chung Korean Academy of Community Health Nursing 1998 지역사회간호학회지 Vol.9 No.1
결혼한 여성의 우울과 관련된 주 요인의 하나는 그들의 다양한 역할이 정신적인 건강에 부정적인 영향을 심리적으로 미친다고 발표되어 있다. 그럼에도 불구하고 한국 이민 주부에 대한 이러한 영역에서의 연구가 매우 부족한 실정이다. 중서부의 주요 도시인 시키고의 도심지에 위치한 11곳의 한국인 교회에서 편의 표출 방법으로 다음과 같은 기준에 맞는 대상자를 선택하였다. 나이는 25-55세 사이, 결혼하여 남편과 함께 살고 있으며, 매주 20시간 이상씩 일하고 있는 여성 등의 기준을 충족시키는 응답자의 수는 282명이었다 대상자들에게는 5가지의 설문 즉 인구통계학적, 우울에 대한 역학 연구, 성 역할 지향성의 지수, 역할 분담 및 대처 전략 등에 관한 질문이었다. 중다회귀분석 (Multiple Regression Analysis)에서 통계학적으로 유의한 관계를 보인 것은 다음과 같았다. 주부의 자녀가 적을수록 우울의 수준은 높았고, 가족의 수입이 많을수록 우울의 수준은 낮았으며, 주부가 일하는 것이 경제적 필요를 충족시키기 위함이라고 스스로 지각(주부들은 일하는 역할이 합법적으로 판단되어지기를 원했고 또 지각했는데 이와 대조하여 일의 역할을 비합법적으로 지각하는 것)할수록 우울의 수준은 더 높았다. 비록 일하는 것이 저녁 늦게 자고 아침 일찍 일어남을 의미할지라도 모든 가사를 완수하기 위하여 열심히 일한다고 하면 할수록 우울의 수준은 더 높았다. 주부가 일의 역할을 합법적으로 지각하면 할수록 남편과 다른 가족의 구성원들에게 도움을 요청하거나 도움을 받는 것을 원하지 않았으며, 일을 더 열심히 하기 위해 대처전략과 우선순위(주부가 일을 전혀 완수 할 수 없을지라도 가정의 어떤 일이 중요하고 어느 것이 두 번째로 중요한지를 결정하는)를 더 잘 설정하고 더 잘 수용하는 것 같았다. 식품 등을 쇼핑하는데에 많은 시간을 소모할수록 우울의 수준은 더 높았다. 이 자료는 스트레스와 대처이론을 지지하고 있다.
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김수지,엄재정,박세인,황혜숙 이화여자대학교 간호과학연구소 2002 Health & Nursing Vol.14 No.2
This study evaluates the degree to which a segment of the chinese Korean Nurses perceives health problems in Yan-Ji. The specific community consists of 57 chinese Korean Nurses, all of whom live in the Yeonbean area. Each subjects was contacted by the researcher at the Yeonbean educational center. A consent from and a questionnaire were translated into Korean. The firdingo were grouped into four categories for analysis : perception of health problems ; perceived barriers in obtaining healthcare ; indentifying resources for healthcare ; and adjustment problems identified by respondents which may be due to cultural differences. Thirty - five percent of the respondents considered themselves to have health problems. A majority of the respondents were fairly satisfied with their nutritional intake. A majority of the respondents indicated value attached to physical examination and dental check - ups. Source of health care indentified by the established health services in the Community. The family was perceived as the source, however, health professional was source too. The major problems encountered were in stress related health problems. Sixty percent of the respondents reported that they worried about children problem. Forty seven percent worried about elderly parents, thirty seven percent worried about getting old about themselves. Recommendation include the development of as assessment tool nurses might use for early identification of Chinese Korean residents’ perception of health problems. These tools would facilitate planning and implementation, intervention geared to the needs of the individual Chinese Korean residents, and would take into consideration them beliefs and values about perception of health problems. The second is the need to incorporate theory and issues related to transcultural nursing into the curricula of Chinese Schools.
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Clinical Manifestations of Superior Mesenteric Venous Thrombosis in the Era of Computed Tomography
조준휘,최재정,엄은혜,정성민,신용찬,정성원,김재일,최평화,허태길,이명수,전흥만 대한혈관외과학회 2018 Vascular Specialist International Vol.34 No.4
Purpose: Thrombosis of the portal vein, known as pylephlebitis, is a rare and fatal complication caused by intraperitoneal infections. The disease progression of superior mesenteric venous thrombosis (SMVT) is not severe. This study aimed to determine the clinical features, etiology, and prognosis of SMVT. Materials and Methods: We retrospectively reviewed the medical records of 41 patients with SMVT from March 2000 to February 2017. We obtained a list of 305 patients through the International Classification of Disease-9 code system and selected 41 patients with SMVT with computed tomography. Data from the medical records included patient demographics, comorbidities, review of system, laboratory results, clinical courses, and treatment modalities. Results: The causes of SMVT were found to be intraperitoneal inflammation in 27 patients (65.9%), malignancy in 7 patients (17.1%), and unknown in 7 patients (17.1%). Among the patients with intraperitoneal inflammation, 14 presented with appendicitis (51.9%), 7 with diverticulitis (25.9%), and 2 with ileus (7.4%). When comparing patients with and without small bowel resection, the differences in symptom duration, bowel enhancement and blood culture were significant (P=0.010, P=0.039, and P=0.028, respectively). Conclusion: SMVT, caused by intraperitoneal inflammation, unlike portal vein thrombosis including pylephlebitis, shows mild prognosis. In addition, rapid symptom progression and positive blood culture can be the prognostic factors related to extensive bowel resection. Use of appropriate antibiotics and understanding of disease progression can help improve the outcomes of patients with SMVT.
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목회간호 사업의 필요성에 대한 연구 : 목회간호사를 대상으로
김수지,엄재정,이정순,이현숙 이화여자대학교 간호과학연구소 2001 Health & Nursing Vol.13 No.2
Faith is one of the key factors that determine quality of life and health of a person. Parish Nursing provides community health care, by integrating faith and health, in churches serving the congregations. This study investigated perceived necessity of parish nursing activities. The convenience sample was selected from nurses who completed the parish nursing program at Ewha Wornans University College of Nursing Sciences in Seoul, Korea. The twenty nine respondents completed 32 questions about parish nursing activities, expected roles of parish nurses, and volunteer participation Once the questionnaires were completed, collected data were coded, computerized, and frequency distributions were calculated. The results of the study are as follows: 1) Expected roles of parish nurses: home visitation(94.5%), spiritual nursing care and spiritual support(91.0%), and counseling program(94.5%). 2) Expected health education and initial health screening activities: a)for individuals, health education in stress management(96.5%) and exercise(80.5%); b) for groups, health education in hypertension(91.0%), heart disease(91.0%), and stress management(91.0%); and c) initial health screening programs: blood pressure check(94.5%), blood sugar check(87.5%), and general physical examination(67.0%). 3) Expected activities during home visitation: care for the bed sore(94.5%), spiritual care during dying stage(100%), prayer(94.5%), and provide a list of the hospitals and herbal centers in the community(96.5%). All of the respondents reported that they see the need for parish nursing activities, and they would like to start parish nursing programs in their churches. Thus, this study showed the necessity of parish nursing activities.
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