태권도 수련생의 참여동기와 자아탄력성이 심리적 행복감에 미치는 영향

장선미(Sun-Mi Jang),정영주(Young-Joo Jung) 한국자료분석학회 2018 Journal of the Korean Data Analysis Society Vol.20 No.1

이 연구의 목적은 태권도 수련생의 참여동기와 자아탄력성이 심리적 행복감에 미치는 영향을 파악하여 태권도 교육의 활성화를 위한 기초자료를 제공하는데 있다. 이러한 목적을 달성하기 위하여 2017년 3월 1일~ 8월 31일까지 부산광역시에 소재하고 있는 학교에서 태권도 전공 중·고등학생 335명을 대상으로 설문조사를 한 결과 다음과 같은 결론을 얻었다. 첫째, 태권도 수련생의 참여동기가 심리적 행복감에 미치는 영향에서 쾌락적 즐거움, 몰입감에 영향을 미치는 참여동기 하위요인은 외적과시, 즐거움, 컨디션, 건강체력으로 나타났으며, 자아실현감과 자신감에 영향을 미치는 참여동기 하위요인은 사교, 외적과시, 기술발달, 건강체력으로 나타났다. 둘째, 태권도 수련생의 자아탄력성이 심리적 행복감에 미치는 영향에서 쾌락적 즐거움, 자아실현감, 자신감에 영향을 미치는 자아탄력성 하위요인은 활력성, 대인관계, 호기심으로 나타났으며, 몰입감에 영향을 미치는 자아탄력성 하위요인은 활력성, 감정통제, 호기심, 대인관계로 나타났다. The purpose of this study is to provide basic research data for the further utilization of Taekwondo training by understanding the effect of participation motivation and ego-resilience of Taekwondo trainees on psychological well-being. In order to achieve this goal, 335 middle and high school students specializing in Taekwondo in Busan Metropolitan City from March to August 2017 were surveyed and the following conclusions were reached. First, the motivation for inducing participation in Taekwondo by trainees was found to be affective joy, enjoyment, conditioning, self-actualization and self-confidence. The sub-factors associated with participation motivation were social interaction, external achievement, skill development, as well as health and fitness. Second, ego-resilience sub-factors influencing enjoyment, self-fulfillment, and self-confidence appeared to be vitality, interpersonal relationships, and curiosity about the effects of participation motivation of Taekwondo trainees on psychological well-being. Ego-resilience sub-factors appeared to be vitality, emotional control, curiosity, and interpersonal relationships.

자유학기(년)제 참여 중학생의 그릿이 몰입과 만족도에 미치는 영향

장선미(Jang, Sun-Mi) 한국코칭능력개발원 2021 코칭능력개발지 Vol.23 No.4

노인대상 원예활동의 실제

장선미(Seon Mi Jang),강나현(Na Hyeon Gang),김미경(Mi Kyung Kim),이경숙(Kyung Sook Lee),최은아(Eun Ah Choe),박을순(Eul Sun Bak),김명준(Myung Jun Kim) 대체의학회 2014 대체의학회논문지 Vol.3 No.3

인간의 수명이 놀라운 속도로 길어지면서 초래되는 노인의 문제점 대한 이론적 고찰을 통해 노인들이 노화과정 속에서 소외감을 느끼지 않고 신체적, 심리적으로 편안하고 행복을 느끼면서 즐거운 삶을 보낼 수 있는 합리적인 방안을 제시하기 위한 기초 자료로 활용하고자 한다. At an alarming rate of human life through longer incurred as a result of the problems about the elderly : The Theoretical View without old people feel alienated in the aging process.A great life, feeling physically, psychologically comfortable and happy can send out reasonable measures to try to use as basis for presenting data.

예술통합 움직임프로그램에 참여한 지적장애 아동의 자기표현이 자기 효능감에 미치는 영향

장선미 ( Sun-mi Jang ) 한국운동생리학회(구 한국운동과학회) 2020 운동과학 Vol.29 No.2

PURPOSE: The purpose of this study is to analyze how the self-expression of intellectually disabled children participating in movement programs applied at art integration education affects their self-efficacy METHODS: To investigate the effects of the art-integrated movement program, 20 students with a second-grade intellectual disability were recruited from 1st grade to 4th grade of a special school in B metropolitan city. Ten students that applied for the dance program were assigned the art-integrated movement program, whereas the other students were who did not participate in the dance class but participated in a school program (music, art, and physical education class) were assigned the control group. Each of the classes were consists of 40 minutes sessions per week (two times/week) for a period of 12 weeks. Data were compiled and analyzed by SPSS window program (Ver. 21.0). Additionally, regression analysis was conducted to analyze the effects of self-expression on self-efficacy. RESULTS: Children with intellectual disabilities who participated in the art integration movement program had an impact on their confidence in contents self-expression (t=3.087. p<.01) and voice self-expression (t=2.766, p<.01). contents self-expression (t=3.940, p<.001) affected self-regulating efficacy. and contents self-expression (t=4.057, p<.001) had a positive effect on the preference to task CONCLUSIONS: The movement program that applied art integrated education suggests that self-expression of children with intellectual disabilities is an effective education to increase self-efficacy. A multifaceted study that is practically applicable in the field of special education is needed.

중학생 무용수업 참여를 통한 수업재미요인과 수업참여인식도가 학교생활적응에 미치는 영향

장선미(Jang, Sun-Mi),권천달(Kwon, Cheon-Dal) 한국체육과학회 2019 한국체육과학회지 Vol.28 No.6

This research investigates the influence on the school adjustment on fun factors and participatory recognition by a dance class attendance in middle school students. Besides, by analyzing the results propose to do basic data for activation plan of dance class. In order to achieve this research, total of 460 students who are participating dancing classes in Busan to target for the survey from October to december, 2018. The conclusion of this study was as following: First, the influence on the school adjustment on fun factors by a dance class attendance in middle school students. The fun factors influencing friendship are showed physical health, promotion of pleasure, social recognition, self-improvement and factors influencing school regulations are founded to be as stress reduction, self-improvement. Whereas, the fun factors influencing relation of teacher are showed social recognition and stress reduction, social recognition in school class. Second, the influence on the school adjustment on participatory recognition by a dance class attendance in middle school students. The participatory recognition influencing friendship is founded to be as physical awareness, intelligent awareness and intelligent awareness in relation of teacher, social awareness in school class.

포도씨열수추출물이 고지방식이로 유도한 비만마우스의 지질대사와 적혈구 항산화 방어계에 미치는 영향

조영숙(Young?Sook Cho),장은미(Eun?Mi Jang),장선미(Sun?Mi Jang),천미선(Mi?Sun Chun),손미예(Mi?Yae Shon),김명주(Myung?Joo Kim),이미경(Mi?Kyung Lee) 한국식품영양과학회 2007 한국식품영양과학회지 Vol.36 No.12

본 연구에서는 포도씨열수추출물을 이용하여 고지방식이로 비만을 유도한 마우스의 지질대사 및 적혈구의 항산화방어계에 미치는 영향을 살펴보았다. 4주령의 C57BL/6 마우스(n=24)를 1주일간 적응시킨 후 정상식이를 급여한 정상군, 고지방(열량의 37%를 지방으로 대체)을 급여한 고지방대조군과 고지방-포도씨열수추출물군으로 나누어 6주간 사육하였다. 포도씨열수추출물은 1%수준으로 식이에 첨가하였으며 동일한 열량, 질소량 및 섬유소가 함유되도록 조제하여 급여하였다. 고지방식이는 정상식이에 비하여 체중, 일일 열량섭취량, 백색지방 무게, 혈장과 간조직의 지질함량 및 혈장 leptin 함량을 유의적으로 증가시켰다. 본 실험에서 첨가된 식이 1%의 포도씨열수추출물 보충은 고지방을 급여한 마우스의 체중과 장기무게에는 영향을 미치지 않았으나, 혈장의 중성지질과 간조직의 콜레스테롤 함량을 현저히 저하하는 것으로 나타났다. 특히, 혈장 중의 중성지질은 포도씨 열수추출군에서 정상수준으로 개선되었으며, 포도씨열수추출물은 변으로 중성지질 배설을 고지방대조군에 비하여 유의적으로 높였다. 간조직의 지질대사 효소인 FAS, β-oxidation, CPT 활성은 고지방대조군에서 정상군에 비하여 유의적으로 낮았으나 포도씨열수추출물군의 CPT 활성은 고지방대조군에 비하여 유의적으로 높았고, β-oxidation 활성도 증가경향을 보였다. 또한 적혈구의 SOD와 GSH-Px 활성이 포도씨열수추출물 급여시 활성화될 뿐만 아니라 고지방식이로 유도한 비만마우스의 적혈구내 지질과산화물 함량이 유의적으로 낮아졌다. 이와 같이 포도씨열수추출물은 고지방 섭취시 혈 중 지질개선 및 항산화제로서의 가능성을 제시하였다. This study was investigate the effect of grape seed water extract (GSW) on lipid profiles, lipid metabolism and erythrocyte antioxidant defense system in high-fat diet-induced obese mice. Three groups of male C57BL/6 mice were fed different diets for 6 weeks: normal diet (Normal), high-fat diet (HF control; 37% calorie from fat) and high-fat diet supplemented with GSW (HF-GSW; 1% wt/wt). Supplementation of GSW did not affect the body weight, food intake, daily energy intake, white adipose tissue weights and plasma leptin level in high-fat fed mice. Plasma and hepatic cholesterol and triglyceride contents were significantly higher in the HF control group than in the Normal group; however, GSW supplement significantly lowered plasma triglyceride and hepatic cholesterol concentrations compared to the HF control group. GSW supplement significantly increased fecal excretion of triglyceride in high-fat fed mice. Hepatic carnitine palmitoyl transferase activity was significantly higher in the HF-GSW group than in the HF control group, while fatty acid β-oxidation tended to be lowered by GSW supplement. Erythrocyte superoxide dismutase activity was also significantly higher in the HF-GSW group than in the HF control group and glutathione peroxidase activity tended to be lowered in HF-GSW group. The GSW supplement significantly lowered erythrocyte lipid peroxidation level compared to the HF control group. Accordingly, these results suggest that GSW can be considered as a lipid-lowering agent and as being effective for enhancing erythrocyte antioxidant defense system in high-fat diet-induced obese mice.

후두 전 절제 환자에서 음성재활을 위한 기관식도발성

왕수건,장선미,Wang, Soo-Geun,Jang, Sun-Mi 대한후두음성언어의학회 2008 대한후두음성언어의학회지 Vol.19 No.1

Total laryngectomy is the most useful procedure tor advanced laryngopharyngeal cancer, but it remains the major problem such as loss of voice. Voice restoration is essential for every patients who undergo a total laryngectomy. Ideal voice rehabilitation methods can resolve three factors. First, every laryngectomee can produce voice sufficient for communication, second every patient should be allowed to use both hands freely during phonation, and last, the voice restoration methods should be easy and safe without complication during and after treatment. Among various voice rehabilitation procedures during or after total laryngectomy, it can be divided electronic and pneumatic methods. In pneumatic methods, there are also divided both pulmonary air and non-pulmonary air methods. The non-pulmonary air methods include esophageal speech, buccal speech, and pharyngeal speech. Pulmonary air methods are divided into surgical and non-surgical such as pneumatic speech aid. In the surgical methods, there are neoglottic operation, tracheopharyngeal shunt, and tracheopharyngeal shunt operations. Recently, tracheoesophageal shunt with or without prosthesis are being recognized the most effective method. Blom-Singer low pressure prosthesis, Panje button, and Provox are well known types of prosthesis in the tracheoesophageal shunt operation. Amatsu method is a kind of famous tracheoesophageal shunt method without using prosthesis. Authors tried to review the published articles for evaluation of effectiveness and problems of tracheoesophageal shunt operation with or without prosthesis. In conclusion, indwelling type of prosthesis and pharyngeal myotomy and plexus neurectomy are recommended for higher success rate during tracheoesophageal puncture procedure. More over, Amatsu method is also one of the recommended voice rehabilitation procedure during total laryngectomy. In this situation, pharyngeal myotomy and plexus neurectomy may be helpful for better fluent communication.

건강보험데이타베이스를 이용한 골다공증성 고관절 골절 식별 및 타당도

박찬미 ( Chan Mi Park ),장선미 ( Sun Mee Jang ),장수현 ( Su Hyun Jang ),하용찬 ( Yong Chan Ha ),이영균 ( Young Kyun Lee ),윤현구 ( Hyun Koo Yoon ),신찬수 ( Chan Soo Shin ),김덕윤 ( Deog Yoon Kim ),이성수 ( Seong Su Lee ),최형진 ( 대한고관절학회 2010 Hip and Pelvis Vol.22 No.4

Purpose: The aim of this study was to develop and validate identification criteria for the cases of osteoporotic hip fracture using the National Health Insurance Database, and we calculated the incidence rate of osteoporotic hip fracture in the Korean population using these criteria. Materials and Methods: The criteria to identify osteoporotic hip fracture using a diagnosis code, a procedure code, the type and number of medical service usages and the patients` ages were developed via discussions among experts. These criteria were validated by using a hip fracture cohort in which all the genuine osteoporotic hip fracture patients in the Jeju area were identified by reviewing the registered medical records and radiographs. By applying the identification criteria to the National Health Insurance Database that was accumulated until June 2009, we calculated the incidence rate of osteoporotic hip fracture in patients between 50 and 100 years of age in 2008. Results: The identification criteria had a sensitivity of 93.1% and a positive predictive value of 77.4%. A total of 20,432 osteoporotic hip fracture cases were identified in 2008, and the incidence rate was 15.7 cases per 10,000 persons. The osteoporotic hip fracture incidence rate for females was 20.7 (per 10,000persons), and this was 2.1 times higher than that for the males (9.8case per 10,000persons), and the rates were increased with age. Conclusion: The incidence of osteoporotic hip fracture that occurred on a nationwide scale can be more precisely estimated by using the National Health Insurance Database with its comprehensive information on the overall details of treatment as well as the diagnosis codes, and so the incidence of osteoporotic hip fracture can be reliably calculated for each year. The results from this research could be used as evidence in a hip fracture management plan for establishing Korean Health policy.

처방 총액 절감 인센티브 시범사업과 약품비 절감 노력: 질적 및 양적연구

채정미 ( Jung Mi Chae ),이수옥 ( Soo Ok Lee ),김동숙 ( Dong Sook Kim ),송현종 ( Hyun Jong Song ),장선미 ( Sun Mee Jang ) 한국보건경제정책학회(구 한국보건경제학회) 2013 보건경제와 정책연구 Vol.19 No.4

국내에서는 약품비 지출 증가율을 감소시키기 위해, 2008년 7월 외래 처방 약품비 절감 인센티브 시범사업을 도입하였다. 이는 의원 자신의 전년도 지급된 비용에 기반해 기대약품비를 산출하고, 실제약품비와 비교하여 절감된 약품비의 20∼40%를 지급하는 사업이다. 본 연구에서는 외래 처방 약품비 인센티브 시범사업에 대한 개원의사가 어떻게 반응하는지를 파악하고자, 포커스 그룹 인터뷰를 실시하였고, 시범사업 전후로 특정 질환에서 환자당 약품비와 투약 일수의 변화를 살펴보았다. 포커스 그룹 인터뷰는 시범사업을 실시한 5개 지역의 개원의사 중무작위로 명단을 추출하였고 전화로 연락을 취해 모집하였고, 27명의 의사를 5개 그룹으로 나누어 토론을 진행하였다. 또한, 고혈압, 당뇨, 급성상기도감염에서 시범사업 전후로 차이가 있었는지 2007년 7월~2009년 6월 2개년의 건강보험청구자료를 이용하였다. 시범사업은 약품비 절감 노력에 일부 긍정적 영향을 미친 것으로 관찰되었으나, 인센티브에 대해 긍정적인 인식보다는 부정적인 인식이 더 많았고, 제도에 대한 이해와 공유가 부족하였다. 참여자들은 약품비를 절감하기 위해서는 의료계 내적 측면보다는 보건의료 체계 측면, 환자 측면의 정책을 수행할 것을 요구하였다. 또한 인센티브를 받은 의료기관에서 급성상기도감염 질환에 대해서만 환자당 약품비, 투약일수가 통계적으로 유의하게 감소하는 것으로 나타났다. 처방총액 절감 인센티브 시범사업은 의사의 약제비 절감노력과 처방행태에 영향을 주는지에 대해서는 일부 효과가 있으나, 그 영향력은 미미한 것으로 판단되므로, 지속적 홍보와 교육을 통해 효과를 증진시킬 필요가 있겠다. In an attempt to curb the rapidly rising expenditure of prescribing, the government introduced a financial incentive demonstration project in July 2008, to encourage clinicians to restrain their prescribing. This study undertook a qualitative and quantitative exploration of the attitude of doctors on Prescribing Incentive Scheme(thereafter PIS) demonstration project based on the pharmaceutical cost saving. In order to explore a plurality of perspectives, data were obtained from focus groups and a series of individual semi-structured interviews with doctors. To analyze PIS demonstration project, prescribing data in 2007.7~2009.6 were used. This study suggest that PIS demonstration has being expected to enhance a few efforts to reduce pharmaceutical expenditure. In the other hand, participants concerned negative attitude to demonstration project. To change the prescribing behavior, continuous training and giving public information should be made.

직업무용수의 자기관리가 무용몰입 및 무용지속의도에 미치는 영향

김주연(Kim, Ju-Yeon),장선미(Jang, Sun-Mi) 한국체육과학회 2020 한국체육과학회지 Vol.29 No.2

The purpose of this study was to investigate the influence of self management on Dance commitment and Dance adherence intention for Professional dancer. 208Professional dancer’s data were used for this study. Using the SPSS 18.0 program, exploratory factor analysis, reliability analysis, correlation analysis and regression analysis were conducted to draw the following conclusions. First, Among sub factor of self-management, mental management and physical management had positive effect on cognitive commitment and behavioral commitment. Second, Among sub factor of self-management, physical management had positive effect on tendency, possibility and reinforcement, And mental management had positive effect on tendency and possibility. Third, Among sub factor of Dance commitment, cognitive commitment and behavioral commitment had positive effect on tendency, possibility and reinforcement.