스폰지 목욕에 대한 미숙아의 생리적상태 및 행동반응

이혜경,홍경자,남은숙,이영희,정은자,Lee Hae Kyung,Hong Kyung Ja,Nam Eun Sook,Lee Young Hee,Jung Eun Ja 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.1

A descriptive exploratory design was used in this study to evaluate the effects of sponge bathing on physiological(heart rate, heart period, vagal tone, oxygen saturation, respiration) and behavioral responses in newly born 40 preterm infants from intensive care unit of S University Hospital in Seoul. Data has been collected from October, 1997 to March, 1999. The infants were between 27-33 weeks gestational age at birth, and were free of congenital defects. The subjects entered the protocol when they were medically stable (determined by initiation of feeding and discontinuation of all respiratory support) but still receiving neonatal intensive care. The infants' physiologic parameters were recorded a 10 - minute before, during, and after bathing. Continuous heart rate data were recorded on a notebook computer from the infant's EKG monitor. The data were digitized off-line on software(developed by Lee and Chang in Wavelet program) which detected the peak of the R wave for each heart beat and quantified sequential R-R intervals in msec(i.e. heart periods). Heart period data were edited to remove movement artifact. Heart period data were quantified as : 1) mean heart period; 2) vagal tone. Vagal tone was quantitfied with a noninvasive measure developed by Porges(1985) in Mxedit software. To determine behavioral status, tools were developed by Scafidi et al(1990) were used. Collected data were analyzed with the SPSS program using paried t-test, ANOVA, and Pearson correlation. The result were as follow. 1. The results of the ANOVAs indicated that vagal tone were signifcantly lower during bathing than baseline and post-bathing. There were significant differences in heart period and heart rate levels across the bathing. But the mean oxygen saturations and respirations were no differences. Also, there were no significant differences on behavioral sign, motor activity, behavioral distress, weight changes, morbidity, and hospitalization period. 2. To evaluate the relation between vagal tone and subsequent parameters, the two groups (the high group had 19 subjects and low group had 21subjects) were divided by the mean baseline vagal tone. Vagal tone measured prior to bathing were significantly associated with respiration before bathing, vagal tone during bathing, and the magnitude of change in both vagal tone. But, other subsequent reactivities were no differences in two groups. 3. Correlations were also calculated between vagal tone and the subsequent physiological reactivities from baseline through after- bathing. Correlations were significant between baseline vagal tone and baseline heart rate, between baseline vagal tone and baseline heart period, between baseline vagal tone and oxygen saturation after bathing. In summary, the bathing in this study showed a stressful stimulus on premature infants through there was significance in the physiological parameters. In addition, our study represents the documentation that vagal tone reactivity in response to clearly defined external stimulation provides an index of infant's status.

일 지역 직장인 음주실태 조사

이혜경 ( Hae Kyung Lee ),이계희 ( Kye Hee Lee ) 대한간호학회정신간호학회 2008 정신간호학회지 Vol.17 No.2

한국식품의 아미노산에 관한 연구 ( 2보 ) : 향신료식품에 함유된 아미노산에 대하여

이혜경 ( Hae Kyung Lee ) 대한가정학회 1960 Human Ecology Research(HER) Vol.2 No.-

여자고등학생의 성형수술 욕구에 영향을 주는 요인

이혜경 ( Hae Kyung Lee ) 여성건강간호학회 2011 여성건강간호학회지 Vol.17 No.2

Purpose: The increase of cosmetic surgery procedures is partly motivated by more positive attitude toward cosmetic surgery as a means of improving physical appearance. In this study factors expected to predict need for cosmetic surgery were examined. Methods: A descriptive design was used with 321 high school girls who completed a questionnaire about sociocultural attitudes toward appearance, body image, self-esteem, and need for cosmetic surgery. Stepwise multiple regression analysis was performed to examine factors affecting need for cosmetic surgery. Results: Bivariate correlations showed that need for cosmetic surgery was positively correlated with internalization and awareness of sociocultural attitudes toward appearance, and appearance orientation in body image and negatively correlated with self-esteem and ideal body mass index (BMI). Multiple regression showed that the predictive variables explained 22.1% in need for cosmetic surgery. The significant factors influencing need for cosmetic surgery were greater internalization and awareness of sociocultural attitudes toward appearance, better appearance evaluation and higher appearance orientation in body image, lower self-esteem, and lower ideal BMI. Conclusion: Overall, results of this research suggest that prevention of media influence and body image disturbances, and promotion of self-esteem are very important to young women.

한국의 소득분배와 빈곤: 1992-1998년

이혜경(Lee Hae kyung),김진욱(Kim Jin Wook) 연세대학교 사회복지연구소 2001 연세사회복지연구 Vol.7 No.-

한국은 고도의 경제성장에도 불구하고 양호한 소득분배 결과를 나타내는 분배모범국으로 분류되어 왔다. 그러나, 학계 일각에서는 한국의 소득분배가 정부의 공식 발표처럼 양호하지 않으며, 오히려 1980년대 전반에 걸쳐 소득분배가 악화되었다는 주장이 제기되어왔다. 본 연구는 대우패널데이터를 이용하여 1992년부터 1998년 사이 한국의 소득분배 현실을 실증적으로 분석하였다. 분석 결과, 소득불평등 수준이 지니계수를 기준으로 0.38~0.4, 회환위기 당시에는 0.43까지 치솟은 것으로 나타났다. 특히, 경제호황기였던 1994~1996년 사이에 한국의 소득분배는 크게 악화되었고, IMF 관리체제를 거치면서 부익부 빈익빈 현상은 더욱 심화된 것으로 나타났다. 또한, 이러한 소득분배의 악화는 빈곤인구의 급증을 동반하였는데, 정부의 생활보호 선정기준과 보수적인 동등화 지수를 사용하였음에도 불구하고, 외환위기 직후 한국의 빈곤인구는 전체 인구의 19.7%, GDP 대비 빈곤갭은 2.61%에 달하였다. 이러한 연구결과는 급증된 빈곤에 대응하기 위한 단기적인 빈곤정책 뿐만 아니라, 시장배분의 불공정성을 근본적으로 교정할 수 있는 재분배 기제의 필요성을 시사해주는 것이다. Korea is widely known as an exemplary success case which has achieved rapid economic growth together with equitable income distribution, at least up until the Asian Crisis. Despite this good reputation based upon the official reports inside and outside of the country, there has been a continuing criticism that the income distribution in Korea is not so equitable as those official reports describe. The reasons are multiple and vary, but one of the most important is data base to measure the extent of income inequality. This paper attempts to analyze the trends in income distribution and incidence of poverty during the years from 1992 to 1998, using the National Panel Data of Economic Activities of Korean People, produced by the DaeWoo Institute of Economic Research. The analysis shows that the GINI coefficient rose from 0.38 to 0.43 during these years, and income distribution deteriorated particularly during the years between 1994 and 1996, years of good economic growth. And after the Asian Crisis, income disparity between the highest decile income group and the lowest decile group widened conspicuously. These changes in income distribution accompanied increasing poverty rate. Applying the administrative poverty line of each year under the Living Protection Law and the conservative equivalence scale, the headcount incidence of poverty reached 19.7% of total population in 1998 and the poverty gap marked 2.61 of GDP in the same year. These findings suggest the urgent necessity of not only the immediate, emergency type poverty alleviation measures, but also the need for more systematic and fundamental redistributive measures that can correct the inequitable market distribution.

에스트로젠 호르몬 대치요법이 혈압, 심박동변이, 갱년기증상에 미치는 효과

이혜경 ( Hae Kyung Lee ) 여성건강간호학회 2002 여성건강간호학회지 Vol.8 No.2

일부지역 여대생들의 흡연경험과 구강건강인식도와의 관련성

이혜경 ( Hae Kyung Lee ),김미정 ( Mi Jeong Kim ),박인숙 ( In Suk Park ) 한국치위생학회 2006 한국치위생학회지 Vol.6 No.2

운동참가자의 신체적 자기개념과 심리적 행복감의 관계

이혜경 ( Hae Kyung Lee ) 대한간호학회정신간호학회 2008 정신간호학회지 Vol.17 No.3

심상치료 프로그램이 알코올중독 환자의 금주가능성, 불안, 우울에 미치는 효과

이혜경 ( Hae Kyung Lee ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2000 정신간호학회지 Vol.9 No.3

본 연구는 개인 심상치료가 알코올중독 환자의 금주가능성, 불안, 우울에 미치는 효과를 검정하여 재활 및 재발 예방 프로그램을 제시하고자 시도하였다. 연구기간은 1998년 11월 30일부터 99년 8월 2일까지이며 연구대상은 T시에 소재하는 T정신병원에 입원중인 알코올중독환자로서 실험군 24명, 대조군 36명, 총 60명이었다. 연구설계는 비동등성 대조군 전후시차설계를 사용한 유사실험 연구이다. 이론적 개념틀은 심상치료의 치료이론으로서 심층심리학적 정신역동이론에 근거하였다. 자료분석은 SAS+/PC로 전산처리하였으며 χ2-test, t- test로 동질성 검정을 하였고, ANCOVA로 가설검정을 하였다. 심상치료 회기별 심상현상의 특징 변화 과정을 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 1) 대상자의 기질불안의 평균점수는 48.47이었고 상태 불안의 평균점수는 45.40으로 나타났다.. 2) 대상자의 우울의 평균점수는 20.63으로서 정상집단의 우울정도 13.01에 비해 매우 높게 나타났다. 3) 심상치료 프로그램을 경험한 알코올중독 환자와 경험하지 않은 환자간의 금주가능성 정도에는 차이가 없었다. 4) 심상치료 프로그램을 경험한 알코올중독 환자는 경험하지 않은 환자보다 기질불안정도가 더 높았다. 5) 심상치료 프로그램을 경험한 알코올중독 환자와 경험하지 않은 환자간에 상태불안정도에는 차이가 없었다. 6) 심상치료 프로그램을 경험한 알코올중독 환자와 경험하지 않은 환자간에 우울정도는 차이가 없었다. 7) 심상치료 초기 과정동안 심상현상 특징은 한가지 주제에 직면하지 못하고 구조적으로 산만하고 진정한 느낌을 인지하지 못하였으나 회기가 진행되면서 한가지 주제에 집중하고 자신의 진솔한 느낌을 체험하며 슬픔, 분노, 증오 등 강렬한 정서체험을 하고 술이 통제되지 않는 진정한 이유를 점차 인지하였다. 본 연구의 결과를 근거로 하여 다음과 같은 제언을 하고자 한다. · 심상체험 치료방법을 외래환자에게 적용할 것을 제안한다. · 심상치료의 회기를 늘려서 총 20회이상이 되도록 하여 치료효과를 검증해 볼 것을 제안한다. · 대상을 달리한 반복연구를 통해서 개인 심상치료가 전문적인 간호중재 영역으로 활용될 수 있는 기반을 마련할 것을 제안한다. The purpose of this study is to explore the effects of imago psychotherapy on Abstinence Likelihood Inventory, Anxiety and Depression of alcoholics who are hospitalized. The period of this research was from November 30, 1998 to August 2, 1999. The subjects were male alcoholics who were hospitalized and those who were appropriate to the standard of this study in T mental hospital located in Taegu City. There were 60 subjects : 24 were placed in the experimental group and 36 in the control group. The research design was a nonequivalent control group with a non-synchronized design and the theoretical framework was psychodynamic theory. The experimental group was treated by the researcher who leads imago psychotherapy, and the program consisted of six sessions, 90 minutes per session,twice a week. Collected data was analyzed using the chi - square test, paired t-test, ANCOVA with SAS program and the analysis of image process was done. The result of this research was as follows: 1. Mean score of trait anxiety was 48.47 and mean score of state anxiety was 45.40. Mean score of depression was very high with 20.63 compared with degree of depression (13.01) in normal group. 2. There were no significant differences of abstinence likelihood inventory scores between the experimental and the control group, but the score of the experimental group was greater than that of the control group. 3. There were significant differences of trait anxiety scores between the experimental and the control group. Trait anxiety score showed increases in the experimental group, but decreases in control group. 4. There were no significant differences of state anxiety scores between the experimental and the control group. 5. There were no significant differences of depression scores between the experimental and the control group. Results of this study show the differences of the existing research result. It is a novel attempt to try individual imago psychotherapy with alcoholics. In the beginning of imago psychotheraphy, distinctive feature of image is that patients could not concentrate on one theme, were not systematically organized and did not have pure feeling. But as time passed by, patients could concentrate on one theme and experience his candid anger, sorrow, anxiety, and feeling. Patients would gradually realized the real causes of why he could not control himself. I would like to make following suggestions with the results of this study. Imago psychotherapy should be applied to outpatients too. The number of the session of imago psychotherapy should be at least 20, and then the effect of the therapy can be verifed. With repeated studies with different subjects, individual imago psychotherapy should be a professional nursing intervention area.

상악동암의 방사선 치료

이혜경(Hae Kyung Lee),강진오(Jin Oh Kang),홍성언(Seong Eon Hong) 대한방사선종양학회 1994 Radiation Oncology Journal Vol.12 No.3

Purpose : Maxillary sinus cancers usually are locally advanced and involve the structures around sinus. It is uncommon for this cancer to spread to the regional lymph nodes. For this reason local control is of paramount important for cure. A policy of combined treatment is generally accepted as the most effective means of enhancing cure rartes. This paper reports our experience of a retrospective study of 31 patients treated with radiation therapy alone and combination therapy of surgery and radiation. Materials and Methods : Between July 1974 and January 1992 47 patients with maxillary sinus cancers underwent either radiation therapy alone or combination therapy of surgery and radiation. Of these only 31 patients were eligible for analysis. The distribution of clinical stage by the AJCC system was 26%(8/31) for T2 and 74%(23/31) for T3 and T4. Eight patients had palpable lymphadenopathy at diagnosis. Primary site was treated by Cobalt-60 radiation therapy using through a 45 wedge-pair technique. Elective neck irradiation was not routinely given. Of these 8 patients the six who had clinically involved nodes were treated with definite radiation therapy. The other two patients had received radical neck dissection. The twenty-two patients were treated with radiation alone and 9 patients were treated with combination radiation therapy. The RT alone patients with RT dose less than 60 Gy were 9 and those above 60 Gy were 13. Results : The overall 5 year survival rate was 23.8%. The 5 year survival rate by T-stage was 60.5% and 7.9% for T2 and T3, 4 respectively. Statistical significance was found by T-stage(p<0.005). The 5 year survival rate by N-stage was 30% for N(-) and 8.3% for N(+), but statistically no significant difference was seen(p≥0.1). The 5 year survival rate for RT alone and combination RT was 22.5% and 27.4% respectively. The primary local control rate was 65%(20/31). Conclusion : This study did not show significant difference in survival between RT alone and combination RT. There is still much controversy with regard to which treatment is optimum. Improved RT technique and development of multimodality treatment are essential to improve the local control and the survival rate in patients with advanced maxillary sinus cancer.