청소년의 건강행태와 스트레스가 우울에 미치는 영향

차선미,전상남 한국학교·지역보건교육학회 2022 한국학교지역보건교육학회지 Vol.23 No.3

Objectives: This study aims to examine factors affecting depression of adolescents by using the data of the 17th Korean Youth Health Risk Behavior Survey(2020). Methods: The total sample was 54,848 students who are in middle or high school. In this study, sociodemographic variables, health behavior variables, and stress were input to examine the effect on depression. The data was analyzed with χ2-test and hierarchical regression by SPSS statistic program. Results: The results showed that depression was related to sociodemographic factors, health behaviors, and stress factors. In the result of hierarchical regression analysis, it was found that not only stress but also other variables had an effect on depression, which had a statistically significant effect. Conclusions: It was found that there are various causes such as environmental aspects and health behaviors that surround adolescents' depression rather than a single factor such as stress. Also, stress and depression are reciprocal rather than causal. Adolescents should be subdivided into groups such as grade, gender, or academic performance to relieve stress and depression at the same time through specific interventions.

고령자 대상 의사-의료인간 ICT활용 협진 모델개발 및 실증에 관한 연구: 장기요양서비스 중 재가노인대상 방문간호서비스를 중심으로

차선미,홍석원,유근주,최솔지 한국노인간호학회 2018 노인간호학회지 Vol.S No.-

Purpose: The purpose of this study was to examine effectiveness and usefulness of Information Communication Technology(ICT) in communication between physician and visiting nurses who provide visiting nursing services under long-term care insurance. Methods: Structured questionnaires were used to measure usefulness and satisfaction of the system, both accessibility and convenience to visiting nurses(31 people) and users(182 people). Results: From the user perspective, accessibility and convenience in terms of service users were both satisfactory as shown by users' percentage. No statistically significant difference was found for satisfaction between before and after using the system. The usefulness of the system for visiting nurses was satisfactory for most the nurses. Also most nurses answered that the system is needed and is very useful. Most of the participants(both visiting nurse and service users) were satisfied with use of the ICT system. However, there was no statistically significant difference in satisfaction between the pre and post service because the service provision period was too short(three months). Conclusion: The consensus from both users and service providers is that an ICT based visiting nursing system needs to be introduced but a more user - friendly environment for system development will be needed.

혈액투석액 온도가 투석 환자의 혈압, 심부체온 및 신체적 증상에 미치는 효과

차선미,민혜숙 한국성인간호학회 2017 성인간호학회지 Vol.29 No.6

Purpose: This study utilized a randomized block-design for the purpose of studying the effect of dialysate temperature on blood pressure (BP), core temperature, and physical symptoms in hemodialysis patients. The sample was thirty-one patients undergoing hemodialysis assigned to one of three groups. were divided into 3 groups. Methods: Repeated analysis of variance to number of hypotension occurrences, core temperature changes, and physical symptoms at cool dialysis with dialysate of 35.5℃, standard dialysis with dialysate of 36.5℃ and isothermic dialysis based on blood temperature feedback monitor (BTM). Each of the three groups underwent hemodialysis six times at a specific dialysate temperature. Results: The number of hypotension events were 21 at cool dialysis, 47 at standard dialysis, and 27 at isothermic dialysis, occurrences under cool dialysis were less frequent than under standard dialysis (F=8.08, p=.002). The patients’ core temperature increased by 0.07℃ at cool dialysis, 0.21℃ at standard dialysis, and 0.18℃ at isothermic dialysis, cool dialysis showed a significantly smaller increase in core temperature (F=17.76, p<.001). There was no difference in the incidence of physical symptoms related to dialysate temperatures (F=2.04, p=.146). Conclusion: Cool dialysis resulted in a significant prevention of the increase in core temperature and was more effective than standard dialysis in preventing hypotension. Isothermic dialysis had no positive effects in preventing the increase in core temperature or occurrences of hypotension.

옥수수수염 분말의 입자크기별 이화학적 특성과 항산화활성

차선미,손범영,이진석,백성범,김선림,구자환,황종진,송범헌,우선희,권영업,김정태 한국작물학회 2012 한국작물학회지 Vol.57 No.1

본 연구에서는 옥수수수염을 일반분쇄기와 저온초미분쇄기를 이용하여 얻은 5단계의 다른 입자 크기의 옥수수수염 분말을 각각의 입자 크기별 이화학적 특성을 검토하고 항산화활성을 평가하여 최적의 입자크기를 찾고 우수한 가공법을 확립하고자 연구를 수행하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 건조된 옥수수수염을 일반적 분쇄 방법과 저온초미분쇄기를 이용하여 분쇄한 5단계의 입자크기는 각각 199.17um , 178.27um , 85.48um , 27.04um 및 20.97um 로 가장 큰 입자 크기와 가장 작은 입자 크기와는 약 10배 가량 입자크기의 차이가 있었다. 2. 입자크기별 옥수수수염 분말의 색차는 입자의 크기가 작아질수록 명도와 황색도의 수치가 커졌다. 3. 또한 입자크기별 옥수수 수염 분말을 주사전자현미경(SEM)을 이용하여 300배 확대하여 관찰한 결과 입자의 크기가 작아질수록 확대한 입자의 크기가 작은 것을 확인할 수 있었으며 입자의 모양은 다각형의 모양을 보였다. 4. 입자크기별 옥수수수염 분말의 조지방, 조섬유, 조회분, 조단백질 함량과 유리당 함량을 분석한 결과 조섬유 함량과 조단백질 함량은 입자크기가 작아질수록 그 수치가 줄어들었고, 조지방 함량과 조단백질 함량, 유리당 함량은 입자크기 간에 유의적인 차이를 보이지 않았다. 5. 입자크기별 옥수수수염 분말의 총 페놀 함량과 DPPH 라디컬 소거능 모두 입자크기가 작아질수록 그 수치가 증가하였고 통계적으로도 유의적인 차이를 보였다. 6. 옥수수수염 분말의 입자크기에 따른 ascorbic acid equivalents는 입자크기간의 수치적으로는 차이가 있는 것으로 보였으나 통계적으로는 서로간의 유의적 차이가 없는 것으로 나타났으나 TEAC 실험과 FRAP 실험에서는 입자크기가 작아질수록 그 수치가 증가하였고 통계적으로도 유의적인 차이를 보였다. 7. 옥수수수염 분말의 입자크기, 색도, 이화학적 특성 및 항산화 활성간의 상관관계를 분석한 결과 서로 유의적 관계를 보였으며 특히 입자크기가 작아질수록 명도, 적색도, 황색도, 총 페놀 함량, ascorbic acid equivalents, TEAC에서 고도로 유의한 상관관계를 보였다. The study was carried out to analyze the relationship between analysis of antioxidant activity and the level of functional components according to particle size of corn silk. Particle size was classified into 5 groups. By particle size distribution and color difference, the total phenol content and DPPH radical scavenging activity were observed. The particle sizes of corn silk were 199.17~mum , 178.27~mum , 85.48~mum , 27.4~mum and 20.97~mum , respectively. The lightness of colored pigments was increased when the particle size was decreased. The contents of free sugar (fructose, glucose, galactose, sucrose, and maltose) of corn silk were analyzed using a HPLC. The total phenol contents by the particle sizes of corn silk were 2.01 mg/g, 2.02 mg/g, 2.06 mg/g, 2.26 mg/g and 2.26 mg/g, respectively. DPPH radical scavenging activities of samples were 21.00%, 21.75%, 22.90%, 24.35% and 23.67%, respectively. Antioxidative activities of Trolox and Fe(II) in corn silk were measured by ferric reducing antioxidant power (FRAP) assay and Trolox equivalent antioxidant capacity (TEAC) assay. TEAC values of samples were 2.36~mumol TE / g dw, 2.81~mumol TE / g dw, 3.20~mumol TE / g dw, 3.36~mumol TE / g dw, and 3.44~mumol TE / g dw, respectively. FRAP values of samples were 11.67~mumol Fe(II) / g dw, 12.80~mumol Fe(II) / g dw, 13.43~mumol Fe(II) / g dw, 13.85~mumol Fe(II) / g dw and 15.95~mumol Fe(II) / g dw, respectively. Total phenolic content and antioxidantive activities based on FRAP assay and TEAC assay were increased with decreasing particle size. In addition, DPPH radical scavenging activity was also increased. A significant correlation was also noted between DPPH radical scavenging activities and the content of phenolic compounds.

외국인 환자 진료를 위한 지역별 의료자원 이용의 효율성 분석

차선미,이광수 보건의료산업학회 2013 보건의료산업학회지 Vol.7 No.3

직무 수행과 직무 스트레스에 대한 유치원장과 보육시설장의 인식

차선미 ( Sun Mi Cha ),이미화 ( Mi Hwa Lee ) 미래유아교육학회 2008 미래유아교육학회지 Vol.15 No.2

한국 결혼이주여성의 거주기간에 따른 식태도 및 식생활 관리에 관한 연구

차선미 ( Seon Mi Cha ),부소영 ( So Young Bu ),김은진 ( Eun Jin Kim ),김명희 ( Myung Hee Kim ),최미경 ( Mi Kyeog Choi ) 대한영양사협회 2012 대한영양사협회 학술지 Vol.18 No.4

The purpose of this study was to examine the dietary attitudes and meal management of married immigrant women according to residence period in Korea. The study was conducted by administering a questionnaire survey to 220 married immigrant women in Korea. More than one third of the immigrant women who stayed in Korea less than 3 years tended to eat a limited variety of foods. Irregularity of meal time decreased as residence time period increased (P<0.05). As immigrant women stayed longer in Korea, they became more responsible for the diet of their family (P<0.001) and had more time to share breakfast and dinner with all family members (P<0.05). Nearly half of immigrant women in all residence periods indicated their husband`s family as the most influential factor in acquiring Korean foods (P<0.05). Immigrant women became more familiar with Korean cooking and recognition of nutritious foods (P<0.001) the longer they lived in Korea and more enjoyable meal times with family (P<0.05). In summary, as the period of residence in Korea increased, the dietary attitudes of immigrant women became more positive towards Korean food and diet culture. Further, immigrant women became more responsible for guiding children`s dietary habits and offering healthy foods to their family as residence period increased. Therefore, the government and social programs should conduct constant and organized lessons on Korean culture and cooking according to residence period for immigrant women to build up stable and positive dietary attitudes.

혈액투석 시 투석액 속도가 투석적절도와 피로에 미치는 효과

차선미(Cha, Sun Mi),민혜숙(Min, Hye Sook) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.5

Purpose: In this single repeated measures study, an examination was done on the effects of dialysate flow rate on dialysis adequacy and fatigue in patients receiving hemodialysis. Methods: This study was a prospective single center study in which repeated measures analysis of variance were used to compare Kt/V urea (Kt/V) and urea reduction ratio (URR) as dialysis adequacy measures and level of fatigue at different dialysate flow rates: twice as fast as the participant’s own blood flow, 500 mL/min, and 700 mL/min. Thirty-seven hemodialysis patients received all three dialysate flow rates using counterbalancing. Results: The Kt/V (M±SD) was 1.40±0.25 at twice the blood flow rate, 1.41±0.23 at 500 mL/min, and 1.46±0.24 at 700 mL/min. The URR (M±SD) was 68.20±5.90 at twice the blood flow rate, 68.67±5.22 at 500 mL/min, and 70.11±5.13 at 700 mL/min. When dialysate flow rate was increased from twice the blood flow rate to 700 mL/min and from 500 mL/min to 700 mL/min, Kt/V and URR showed relative gains. There was no difference in fatigue according to dialysate flow rate. Conclusion: Increasing the dialysate flow rate to 700 mL/min is associated with a significant nicrease in dialysis adequacy. Hemodialysis with a dialysate flow rate of 700 mL/min should be considered in selected patients not achieving adequacy despite extended treatment times and optimized blood flow rate.

혈액투석 시 투석액의 속도가 투석 적절도와 피로에 미치는 효과

민혜숙,차선미 한국간호과학회 2014 한국간호과학회 학술대회 Vol.2014 No.10

디지털헬스 정책환경의 국제 동향과 의료기술평가에 대한 시사점

최솔지,박종연,차선미,유근주,홍석원 한국보건의료기술평가학회 2018 보건의료기술평가 Vol.6 No.2

As technologies develop, the digital health sector is gradually expanding. Internationally, the global summit for Digital Health named Global Digital Health Partnership (GDHP) was launched in 2018. Many countries are participating in GDHP and share their policy experiences on digital health and find the ways to cooperate with participating countries (13 countries, including South Korea, and Hong Kong). This article reviewed the international trends in digital health policy environment and evidence assessment focusing on GDHP activities, and derived implications for health technology assessment of digital health. Consequently, to assess the intervention effects of digital health is very complex and the assessment should be considered multidimensional aspects (social, clinical, and technical). In addition the patient experience should be assessed qualitatively. Health technology assessment (HTA) should assess the effect of digital health policies to changes in health care systems resulting from the application of advanced technologies related to the 4th Industrial Revolution. Digital health is also related to new HTA, HTA of existing technologies, and R&D on the promising health technology. Therefore, it is necessary to review the trends of the technology’s management policy consistently through the HTA of digital health.