요추 추간판 탈출 환자에서 나타나는 요추부 변위와 추간판 탈출의 상관관계: L4-L5, L5-S1 요추 간 추간판 탈출을 중심으로

이연후,송다운,정재민,권태하,봉세영,이유진,최진봉 한방재활의학과학회 2023 한방재활의학과학회지 Vol.33 No.4

Objectives This study was conducted to find out the correlation between lumbar malposition and lumbar disc herniation. Methods Among the patients who visited Gwangju Jaseng Hospital of Korean Medicine from January 2019 to January 2021, taking 92 patients under age 60 who had the records of X-rays and magnetic resonance imaging (MRI) images as the research subjects, Cobb's angle was measured in anterior-posterior (AP) view and lateral (LAT) view, the number of displacements was scored by listing categories defined by The Korean Society of Chuna Manual Medicine for Spine and Nerves. The degree of lumbar intervertebral disc herniation was expressed as a percentage according to the method of Kato, etc., and the correlation between each factor was analyzed. Results AP curvature and MRI herniation index showed significant positive correlation in L4-L5 level but there was no significant difference in L5-S1 level. LAT curvature and MRI herniation index had no correlation in L4-L5 level, but there was a significant negative correlation in L5-S1 level. Malposition score and MRI herniation index had a significant positive correlation in L5-S1 level, whereas there was no correlation in L4-L5. Conclusions As a result of the study, AP curvature and MRI herniation index showed a significant positive tendency in L4-L5 lumbar spine, and LAT curvature and MRI herniation index showed a significant negative tendency in L5-S1 lumbar spine. Malposition score and MRI herniation index were found to have a significant positive tendency in L5-S1 lumbar spine. (J Korean Med Rehabil 2023;33(4):185-193)

중⋅고등학교 보건교사의 COVID-19 관련 직무 경험에 관한 현상학적 연구

백성희(Seong-Hee Baek),이연후(Yeonhu Lee),안민정(Min-Jeong An),임인자(Inja Im) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.8

목적 본 연구에서는 중⋅고등학교 보건교사를 대상으로 COVID-19 관련 직무 경험을 탐구하고 그 본질과 의미를 발견하고자 한다. 방법 본 연구는 개별 심층면담을 통한 현상학적 연구로 Colaizzi가 제시한 분석방법을 사용하였다. 자료는 2021년 11월부터 12월까지 중⋅고등학교 보건교사 10명을 대상으로 수집하였다. 결과 연구참여자들은 모두 여성이었고, 평균 연령은 45.50±9.06세였다. 보건교사의 직무 경험은 3개의 주제와 9개의 하위주제로 구성되었다. 첫 번째 주제는 혼란스러움으로 시작된 힘겨운 싸움이었고, 이에 대한 하위주제로는 업무의 폭증, 변화가 너무 심해 따라가지 못함, 학생과 학부모의 비협조, 몸과 마음이 함께 지쳐감이 도출되었다. 두 번째 주제는 변화의 과정이었으며, 이에 대한 하위주제는 달라진 기존의 보건업무, 비대면으로 인한 변화들, 혼자가 아니라 함께하기 모색으로 나타났다. 세 번째 주제는 새로운 역할과 관계에 익숙해짐이었고, 이에 대한 하위주제는 점점 체계화되는 업무와 주변과 나 자신의 변화가 보고되었다. 결론 본 연구결과는 COVID-19 전염병 위기에서 보건교사의 직무 경험에 대한 이해를 제공한다. 또한 이는 학교 보건정책 개선과 보건교사의 보건업무 수행 지원을 위한 정책 마련의 중요성을 나타낸다. Objectives This study was conducted to describe the job experience of middle and high school nurse in regard to the COVID-19 pandemic. Methods This study was a phenomenological study using individual in-depth interviews. Colaizzi’s phenomenological methodology was used. And data were collected form 10 school nurses in middle and high schools from November to December, 2021. Results Participants were all females and the average age was 45.50 ± 9.06 years old. Their job experiences of the school nurses were composed of three themes and nine subthemes. The first theme was struggles that started with confusion, and its subthemes were the explosion of work, the change too much to keep up with, the non-cooperation of students and parents, and the feeling of exhaustion both physically and mentally. The second theme was the process of change, and the sub-themes were changes in the existing healthcare work, changes due to non-face-to-face, and seeking to be together rather than alone. The third theme was getting used to new roles and relationships, and the sub-themes were increasingly systematized work and changes in my surroundings and myself. Conclusions The study findings provide understanding of job experiences of school nurses under COVID-19 pandemic crisis. It indicates the importance of improving school health related policies and preparing policies to support school nurses’ health work performances.

대학병원 간호사의 근무 형태에 따른 일주기리듬, 주간졸음 및 피로의 관계

김태훈(Taehun Kim),이연후(Yeonhu Lee),김미란(Miran Kim),안민정(MinJeong An) 다문화건강학회 2022 다문화건강학회지 Vol.12 No.1

Purpose: The purpose of this study was to examine the level of circadian rhythm, daytime sleepiness, and fatigue andtheir associations by type of shift work among nurses working at a tertiary teaching hospital. Methods: This study was across-sectional descriptive study. A total of 263 nurses were used as subjects. Using a structured survey, circadianrhythm, daytime sleepiness, and fatigue were assessed. Data were analyzed using Statistical Package For The SocialSciences (SPSS) version 26.0. Descriptive statistics were computed to explain sample and variable characteristics. Chi-squared test and independent t-test were used to compare the variables by general characteristics. Pearson’s corre lation coefficients were computed to examine the association between circadian rhythm, daytime sleepiness, and fatigue. Results: The average age of the participants was 27.35±3.99 years old for shift work and 39.63±8.99 years old fornon-shift work. In the circadian rhythm, most non-shift workers were intermediate type (83.3%), but approximatelyone-third of shift workers were evening type (31.0%). Fatigue was significantly higher in shift workers than in non-shiftworkers (t=2.26, p=.024). Fatigue in non-shift workers was significantly associated with circadian rhythm and daytimesleepiness (r=-.35, p=.005; r=.35, p=.006, respectively). However, fatigue in shift workers was only significantly asso ciated with daytime sleepiness (r=.28, p<.001). Conclusion: These findings indicate that customized strategies should beprepared to reduce nurses’ fatigue considering the type of work shift rotation. Nursing administrators need to considernurses’ circadian rhythm before the decision on shift work to expect better nursing outcomes.

후대뇌동맥 폐색으로 발생한 다발성 뇌경색 환자에 대한 익기보혈탕 치험 1례

윤혜수,권선우,박충현,서해니,손정민,이연후,이은창,정다해,조혜미,이정은 대한한방내과학회 2022 大韓韓方內科學會誌 Vol.43 No.5

Objectives: The aim of this study is to describe the effects of treatment with traditional Korean medicine on a patient with multiple cerebral infarction caused by posterior cerebral artery occlusion. Methods: The patient was treated with herbal medicine (Yikgeebohyul-tang) and acupuncture. The effects of these treatments were evaluated using the Manual Muscle Test, the Korean version of the Modified Barthel Index, the Modified Rankin scale, and a subjective percentage of sensation in the left lower extremity and face. Results: After treatment, the Modified Rankin Scale score, subjective percentage of sensation in the left lower extremity, and gait disturbance improved. Conclusion: The results suggest that traditional Korean medicine may be effective for treating the symptoms of multiple cerebral infarction caused by posterior cerebral artery occlusion.

음악전공생의 학업관련요인과 건강관련요인이 삶의 만족도에 미치는 영향

송민경(Song, Minkyung),안민정(An, Minjeong),이연후(Lee, Yeonhu) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.18

목적 본 연구에서는 음악전공생의 삶의 만족도 정도를 확인하고, 학업관련요인과 건강관련요인이 삶의 만족도에 미치는 영향을 조사하였다. 방법 본 연구는 구조화된 온라인 설문지를 이용한 서술적 조사연구로, 전남 및 광주광역시 소재 종합대학에 재학중인 음악전공생 150명을 대상으로 학업관련요인(연주불안과 연주자신감)과 건강관련요인(건강책임, 신체활동, 영양, 영적 성장, 대인관계, 스트레스 관리로 구성된 건강증진행위) 및 삶의 만족도를 조사하였고 삶의 만족도의 영향요인은 위계적 다중 회귀분석으로 분석하였다. 결과 연구 대상자의 평균 연령은 23.47세였고 여학생이 79.3%를 차지하였다. 삶의 만족도는 20.35±6.29점이었으며, 일반적 특성에 따른 삶의 만족도는 유의한 차이가 없었다. 삶의 만족도는 학업관련요인 중 연주자신감과 각 건강관련요인과 유의한 양의 상관관계를 보였다(all ps<.001). 음악전공생의 삶의 만족도에 영향을 미치는 요인은 연주자신감(b=.28, p=.0130)과 영적 성장(b=6.17, p<.001), 대인관계(b=1.56, p=.044), 스트레스관리(b=2.50, p=.008)로 나타났으며, 이는 58.5%의 설명력을 나타냈다. 결론 음대생의 삶의 만족도 향상을 위해서는 학업관련요인과 건강관련요인에 대한 지속적인 관심과 체계적인 관리가 요구된다. Objectives The purpose this study the degree of life satisfaction of music students was examined, and the effects of academic and health-related factors on life satisfaction were investigated. Methods This study is a descriptive research study using a structured online questionnaire. Academic-related factors (music performance anxiety and performance confidence) and health-related factors (health responsibility, physical Activity, nutrition, spiritual growth, interpersonal relations and stress management) and life satisfaction were investigated, and the factors affecting life satisfaction were analyzed by hierarchical multiple regression analysis. Results The average age of the study subjects was 23.47 years, and female students accounted for 79.3%. Life satisfaction was 20.35±6.29 points, and there was no significant difference in life satisfaction according to general characteristics. Life satisfaction showed a significant positive correlation with performance confidence and each health-related factors among academic-related factors (all ps<.001). Factors affecting the life satisfaction of music students were performance confidence (b=.28, p=.0130), spiritual growth (b=6.17, p<.001), and interpersonal relations (b=1.56, p=.044), stress management (b=2.50, p=.008), which showed an explanatory power of 58.5%. Conclusions In order to improve the life satisfaction of music students, continuous attention and systematic management of academic and health-related factors are required.

뇌경색으로 유발된 좌측 안면부 이상감각, 턱관절 및 후경부 통증 환자에 대한 한의학 치료 1례

권태하,김민주,설동수,고민석,임민지,이성현,봉세영,송다운,이연후,이유진,이차영,오주희 대한한방내과학회 2023 大韓韓方內科學會誌 Vol.44 No.5

Objectives: The aim of this case report is to present the effects of Korean medicine treatment in a patient with left facial paraesthesia, temporomandibular joint (TMJ) pain, and post-traumatic neck pain induced by cerebral infarction. Methods: A 26-year-old male patient was treated with Cheongpa-Jeon H, acupuncture, pharmacopuncture (Shinbaro2), and Chuna Therapy for 24 days of hospitalization. Left facial paraesthesia, TMJ pain, and post-traumatic neck pain were assessed with a Numeric Rating Scale (NRS) and EuroQoL-5 Dimension (EQ-5D). Post-traumatic neck pain was assessed using the Neck Disability Index (NDI). Results: After 24 days of treatment, the patient’s left facial paraesthesia and left arm tingling sensation were relieved from NRS 6 to NRS 2. Left TMJ pain was reduced from NRS 5 to NRS 2. The EQ-5D score increased from 0.138 to 0.73. The NDI score decreased from 71.11 to 37.78. Conclusion: These results show that left facial paraesthesia, TMJ pain, and post-traumatic neck pain can be relieved with Korean medicine treatment. However, further well-designed studies are required to confirm these findings.

음악전공 4학년생의 취업스트레스와 회복탄력성이 우울에 미치는 영향

임인자(InJa Im),송민경(Minkyung Song),안민정(MinJeong An),이연후(Yeonhu Lee) 다문화건강학회 2021 다문화건강학회지 Vol.11 No.2

Purpose: This study aimed to investigate the effects of job-seeking stress and resilience on depression of senior music students. Methods: An online survey was conducted among 125 senior music students enrolled in the music department at five universities located in Gwangju and Jeonnam, Korea. Logistic regression was performed to identify depression-related factors. Results: The average age of the participants was 23.23±1.70 years, and female students accounted for 87.2%. Job seeking stress was significantly lower in the non-depressed group than in the depressed group (F=-5.223, p<.001). Resilience was significantly higher in the non-depressed group than in the depressed group (F=2.434, p=.016). Factors affecting the depression of music students were job-seeking stress (OR=1.066, 95% CI, 1.036-1.096; p<.001) and resilience (OR=0.925, 95% CI, 0.868-0.986; p=.016). Conclusion: Therefore, in order to prevent depression among senior music students, a comprehensive job preparation program, including positive emotional nurturing, should be provided to reduce job-seeking stress and improve resilience through successful adaptation experiences.

망막질환 환자를 위한 시청각 교육프로그램의 개발 및 효과 : 수술적 치료 전 환자를 중심으로

신은숙(Eun-Suk Shin),김장순(Jang-Soon Kim),이연후(Yeon-Hu Lee),안민정(Min-Jeong An),황윤영(Yoon-Young Hwang) 한국보건복지학회 2020 보건과 복지 Vol.22 No.2

본 연구는 망막질환 수술 전 환자에게 시청각 교육프로그램을 이용해 정보를 제공함으로써 질환관련 지식, 불확실성, 불안 및 간호교육 만족도에 미치는 효과를 규명하고자 시도되었다. 비동등성 대조군 전후시차설계의 유사실험연구로 연구대상자는 실험군 40명, 대조군 40명 총 80명이었다. 중재로 실험군에는 입원 당일 시청각 교육프로그램을 통해 정보를 제공하였고, 대조군에는 입원 당일 기존 안내서와 교육자료를 통해 정보를 제공하였다. 수집된 자료는 SPSS version 20.0을 이용하여 분석하였다. 연구결과, 실험군의 질환관련 지식(F=5.32, p =.024)과 간호교육 만족도(F=8.67, p =.004)가 증가하였다. 효과크기는 질환관련 지식과 간호교육 만족도에서 에타제곱 (η<SUP>2</SUP>) 0.07과 0.10으로 중간 이상의 효과크기를 나타냈다. 시청각 교육프로그램을 통한 정보제공은 수술 전 망막질환 대상자의 질환관련 지식과 간호교육 만족도 상승에는 효과적이었으나, 불확실성과 불안을 감소시키지는 못하는 것으로 나타났다. 불확실성과 불안은 교육프로그램을 통한 정보제공만으로 효과가 충분치 않음이 확인되었으므로, 의료진의 정서적지지 등을 포함하여 효과를 검증하기 위한 후속 연구가 필요할 것으로 사료된다. The purpose of this study was to examine the effects of audiovisual education program on disease-related knowledge, uncertainty, anxiety, and nursing education satisfaction in patients undergoing surgery for retinal disease. A quasi-experimental study design was applied. A total of 80 patients were assigned to either an intervention group or a control group(each, n=40, respectively). The intervention group received the audiovisual education and the control group received a usual care. Data were analyzed using SPSS version 20.0. Upon the intervention completion, the intervention group showed greater improvements than the control group in disease-related knowledge and nursing education satisfaction(F=5.32 <SUP>*</SUP>, F= 8.67 <SUP>**</SUP>, respectively). The effect size for the intervention in disease-related knowledge and nursing education satisfaction was η<SUP>2</SUP>=.07 and η<SUP>2</SUP> =.10. There were no significant changes in uncertainty and anxiety between the groups. This study findings demonstrate the feasibility and preliminary effectiveness of the audiovisual education program to increase disease-related knowledge and improve nursing education satisfaction. Further studies are needed to develop an intervention and/or strategies to reduce their uncertainty and anxiety including medical personal emotional support to improve their psychological health outcomes.

추나치료 및 상지 운동치료를 통해 호전된 경추 협착증 환자 치험례

김도형 ( Do-hyeong Kim ),설재욱 ( Jae-uk Sul ),정재민 ( Jae-min Jeong ),윤진솔 ( Jin-Sol Yoon ),이세원 ( Se-won Lee ),이연후 ( Yeon-Hoo Yi ),최진봉 ( Jin-bong Choi ) 한방재활의학과학회 2021 한방재활의학과학회지 Vol.31 No.3

This study reports the effects of Korean medicine treatments including Chuna manual therapy (CMT) and exercise treatment for a patient suffering with cervical spinal stenosis. We treated patient diagnosed with cervical spinal stenosis. The patient was treated with CMT once a day for 26 days. Manual muscle testing (MMT), ratio and degree of numbness, numerical rating scale (NRS) were used as tools for evaluating the patient's progress. MMT was increased from 3+ to 5, ratio and degree of numbness were decreased from grade (Gr.) 9 to Gr. 4, NRS was decreased from 5 to 3. This study suggests that CMT and self-exercise can be considered as effective treatment for cervical spinal stenosis. (J Korean Med Rehabil 2021;31(3):115-123)