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이명화,홍희숙 고신대학교 의학부 2002 高神大學校 醫學部 論文集 Vol.17 No.1
Background/Objective The purpose of this study was to investigate the self-concept and related factors of the cerebral palsied adolescents and to gain the baseline data for development of effective rehabilitation nursing intervention program of the cerebral palsied adolescents. The design of this study was a descriptive survey study. Methods The subjects of the study were 160 cerebral palsied adolescents attending at special schools located in Seoul and Kyonggi and rehabilitation centers located in Seoul, Kyonggi and Kyongnam province. The data was collected to interview with questionaires with school nurse and research assistant understanding the purpose of this study and researcher from May 20 to July 20. 2000. The instrument used for this study was the self-concept scale(50items 4 point scale). Self-Concept Scale had developed by Fitt(1965), which was standardized by Chung(1968) and modified by Kim(1984). Result The data was analyzed by the SPSS/PC+ program using frequency, percentage, mean, standard deviation, t-test, ANOVA & Scheffe test. The results of this study were as follows; 1. The mean score of self-concept was 138.55±17.20(range: 50-200). 2. The subarea score of internal self concept was the highest score in self-identity score (49.39±7.61) and the lowest score in self-satisfaction score (43.93±6.47). 3. The subarea score of external self concept was the highest score in family self (30.19±5.40) and the lowest score in physical self (25,20±4.21). 4. There were statistically significant different in self-identity score according to the age (F=4.466, P=0.13), the grades (F=5.932, P=.005) and occupational training (F=2.49, P=0.4). 5. There were statistically significant different in self-satisfaction score (F=2.281, P=.0491) and self-behavior score (F=3.741 P=.003) according to types of cerebral palsy. 6. There were statistically significant difference in moral ethical self-score according to the grades (F=3.847, P=.023) and types of cerebral palsy (F=2.605, P=.027). 7. There were statistically significant in family self-score according to the ages (F=6.038, P=.003), the grades (F=3.614, P=.029) and occupational training(F=2.010, P=.010). 8. There were statistically significant in family self-score according to the type of cerebral plasy. (F=3.861, P=.003). Conclusion The self-concept of cerebral plasied adolescents was relatively low and related factor of self-concept were age, the grades, occupational training, types of cerebral polsy in cerebral palsied adolescents.
중공업 제조업체 근로자의 건강증진행위에 영향을 미치는 요인
이명화,이지현,전민경,곽선령 고신대학교 의학부 2001 高神大學校 醫學部 論文集 Vol.16 No.1
Background Heavy Industrial worker feels suffer mental stresses which are caused by heavy work, noisy environment. Such stresses influence health of the workers negatively. Thus the health promotion policy for heavy industrial workers should be made considering the workers' ways of living. This study attempted to provide basic information for development of the health promotion program for heavy industrial workers by examining predictive factors influencing health promotion behaviors of those workers. Method Data were collected from May 8th to May 27th, 1999 using questionnaires with helps of safety and health managers of the plants. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of self-esteem measurement by Miller(1995). The collected data were analyzed frequency, percentage, standard deviation, t-test. ANOVA Pearson's Correlation Coefficient, multiple stepwise regression. Result Results are summarized as follows. 1. average score of health promotion behaviors 2.63±0.36(min.:1.68, max. : 3.86). In 5 areas of health promotion behavior, it showed the highest level self-realization 3.10±.42 followed by harmonious interrelationship, 2.78±.40 stress(2.55±.49), exercise and nutrition(2.46±.54), resposibility of health(2.22±.47). 2. Relations between demosociographical facters and health promotion behaviors were showed significant differences according to income(F=3.61, P=.007), age(F=3.85, P=.011). 3. Corelation between perceived factors and health promotion behavior the performance was significantly positive with self-esteem(r=.639, P=.000), and perceived health state(r=.559, P=.00) and self-efficiency(r=.557, p=.000) internal locus of control(r=.309, P=.000), external locus of control(r=.233, P=.000). 4. the Self-esteem 40.8% perceived health state, external locus of control, total carreer, carrer, self-efficacy were identified as predictor variables of health promotion behaviors 60.1%. Conclusion In conclusion, the predictive factor which most influence the performance of health promotion behaviors by heavy industrial workers was self-esteem. To promote the health, therefore, it is necessary to develop the nursing intervention program considering predictor variables identified in this study. Further industrial nurses should play their roles actively to help heavy industrial workers increase their capability of self-management of health.
이명화,최장규 고신대학교 의학부 1986 高神大學校 醫學部 論文集 Vol.2 No.1
Characteristics of the subcutaneous fat distribution and some other anthropometric parameters were studied among 590 contemporary Korean youngsters(298 male and 292 female), randomly selected in Pusan and Kyungju areas. 1) In both male and female, the height and the weight of the body was markedly higher in high school(average age 17.2yrs) than in middle school(average age 14.4yrs) pupils, the difference being significantly greater in the former(17cm in height, 16kg in weight) than in the latter((5cm in height, 5.5kg in weight) However, between the high school pupil and the college student there were no significant differences in the height and the weight in both sexes. 2) Likewise, the mean subcutaneous fat thickness was significantly higher in the high school(3.86mm in male, 6.69mm in female) than in the middle school(2.86mm in male, 5.08mm in female) youngsters, but that in the college student(3.77mm in male, 6.09mm in female) was not higher than that in the high school pupil in both sexes. The absolute value of the mean subcutaneous fat thickness of the female was higher than that of the male by approximately 75% in the middle and high school pupils and 60% in the college students 3) At all age groups, the local skinfold thickness at trunk and proximal limbs was higher than those at head and distal extremities in both sexes. However, at all regions of the body the skinfold thickness was much higher in the female than in the male, the difference being most significant at the abdomen and thigh 4) The average surface area/mass ratio among middle school pupils was not significantly different between the male(0.0320㎡ /㎏) and the female(0.0326㎡/㎏), but those in high school pupils and college students were approximately 4~7% higher in the male than in the female. 5) In all age groups there was a negative correlation between the surface area/mass ratio and the mean subcutaneous fat thickness. The elevation of the regression line was higher in the female than in the male, especially in the high school and college students, thus at the same subcutaneous fat thickness the BSA/mass ratio was approximately 10% higher in the female than in the male These results indicate that in both male and female the increase in height, body weight and subcutaneous fat layer occurs until the high school period, and the higher subcutaneous fat thickness in females as compared to males among modern Korean youngsters is primarily attributed to the greater amount of fat distribution to the trunk and proximal extremities in females, which, in turn, suggest that the tolerance to cold stress is higher in the former than in the latter.
이명화 서울역사편찬원 2007 서울과 역사 Vol.- No.69
During the period of Japanese colonial rule of the peninsula Japanese imperialism established various education-related laws and ordinances and put them in force to meet the changes of the times and defeat Korean people's resistance. The Education and Management Bureau was a administrative department of the Japanese government general of Joseon, which was responsible for education. Checking the course of the changes in the management of the Education and Management Bureau by the times during the Japanese colonial period, I examined the changes of the colonial education and its peculiarities. It is general that education for the oppressed people under the colonial rule is used as a means to govern the colony without exception. In spite of that some Japanese militarists still varnish that the educational work for the Korean people during the Japanese colonial period was a favor bestowed by Japan and it contributed to Korea's modernization. Japanese imperialism revised Joseon education-related laws and ordinances at the turning point without exception and built up the deceptive colonial education system, however, the substance of its administrative enforcement showed very violent aspect. At the initial stage of the colonial rule, the Bureau had put the educational administration emphasizing chiefly vocational and industrial education and technical training suitable for the development of capitalism into operation under the pretext that these education was suitable for the trend of the age and the living standards of the people. However, as 3․1 Independence Movement took place and socialist thought expanded among the young people, Japanese imperialism raised the Bureau run by the Department of the Interior to the status of the independent department under direct control of the government-general and desperately tried to build up the colonial system on a razor-edge again. After this, the sphere of education for which the Bureau was responsible was extended to the field of religion, ideology and enlightenment. In this course their educational goals from start to finish were to distort the Korean traditional cultural customs, scheme to japanize Korean culture and foster functional colonists needed for Japanese imperialism. As the Japanese aggressive war expanded after invading Manchuria, the Bureau's role rarified, concretized and extended. By the end of the Pacific War the Bureau lost its educational role and function completely, was mobilized in fostering the young people as food for powder at the front through military instruction and spiritual education and degenerated into an organization supplying the human resources to the front at the time of war. As was mentioned before, the Bureau was more of a spearheading organization of the colony which faithfully had put the administrative policy of the government-general into operation and performed comprehensive works including protection of the colonial system and training the human resources needed for wartime mobilization rather than an organization worrying about and settling the educational problems with educational consideration and consciousness and responsible for educational administration suitable for the actual circumstances. 일제식민지 조선총독부 치하에서 교육을 담당한 기구는 학무국이었다. 학무국은 1910년대에는 ‘시세’와 ‘민도’에 적합하다는 명분을 내세워 식민지 아동․청년들에게 실업교육과 기술교육, 직업교육을 주로 강조한 교육행정을 시행한 바 있다. 그러나 3․1운동이 일어나고 청년층을 중심으로 사회주의사상이 확산되어가자, 조선총독부는 학무국을 내무부 소속에서 총독부 직속의 독립부서로 승격시키고 위기에 처한 식민지체제를 다시 구축하기 위해 혈안이 되었다. 1920년대로 들어가면 학무국이 담당한 교육 업무 범위는 종교․사상․교화 등의 부분으로 넓혀졌다. 그러나 이 과정에서 시종일관했던 식민지 교육의 목표는 한국문화의 일본동화를 획책하며 일제가 필요로 하는 기능적 식민지민을 육성하는 일이었다. 조선총독부 산하 학무국은 교육에 대한 배려와 의식을 갖고 문제를 고민하고 해결하며 실정에 맞는 교육행정을 담당했던 기구라기보다는 총독부 시정방침을 충실히 시행하며 식민통치체제에 맞는 교육, 교화사업을 수행했던 통치기구였다. 식민지체제의 안전판을 구축해주는 대행기구로서 역할을 충실히 수행하였던 것이다. 일제가 대륙을 침략하고 침략전쟁을 확대시켜 가는 와중에서 학무국의 역할과 기능은 더욱 다양해지고 세밀화 되었다. 태평양전쟁 이후 전쟁 막바지로 가면 학무국은 교육적 역할과 기능을 완전 상실하고 일본 천황을 위해 기꺼이 목숨 바쳐 죽을 수 있는 식민지민의 정신세뇌교육과 함께 단기간 내에 군사훈련을 시켜 전선에 배치하는 戰時 인력연성과 송출기관으로 전락하고 말았다. 이로 보면 학무국은 조선총독부기구 중 식민지체제 유지를 위해 포괄적 사업을 수행했던 식민지 첨병의 기구였던 것이다.
이명화,이지현,손수경 고신대학교 의학부 1997 高神大學校 醫學部 論文集 Vol.12 No.1-2
This descriptive study was under taken to explore relationships between the quality of lie and perceived state of health persons with chronic hepatitis to contribute theoretical understanding about these phenomenon of interest to the quality of nuring care. The subjects of this study were 100 persons with chronic hepatitis, both male and female, between 30 and 59 years of age. Data was obtained using a convenience sample technique from K Medical Center, B hospital and G hospital in Pusan from August, 1996, to November, 1996. The instruments used for this study were the quality of lie scale developed by Ro, You-Ja. Data was analyzed using a SPSS/PC program for ANOVA, t-test, Pearson Correlation Coefficients and Stepwise Multiple Regression. The results were as follows : 1. The mean score of the quality of life scale was 152.21. The mean scores on different dimensions were family relationships 3.44, relationships with neighbours 3.42, self-esteem 3.31, emotional life 3.14, physical state and function 3.06, economic life 3.06. 2. Higher scores on quality of life were correlated with educational level(F=2.945, .p=0.05) 3. There was a significant positive correlation between the subjects perceptions of their current state of health and the quality of life score(r=.3849. p< .00l). 4. Stepwise Multiple Regression analysis showed that 1) the perception of current health status was the main predictor and accounted for 14.99 %of the total variance. 2) educational level accounted for an additional 23.6% of total variance. 5. The quality of life and the perception of their current health status of these patients with chronic hepatitis were generally lower than those of healthy adults and higher than those of cancer patients as noted in previous studies. In conclusion, the quality of life for these chronic hepatitis patients was lower than those of healthy adults and higher than those of cancer patients. The educational level was significant variable relating to quality of life of chronic hepatitis patients.