SERVQUAL을 적용한 일 보건소 이용자의 보건의료서비스 질적 수준 평가

정혜영(Joung, Hye Young),변도화(Byeon, Do Hwa) 한국보건간호학회 2014 韓國保健看護學會誌 Vol.28 No.3

Purpose: The aim of this study is to identify the expectations and perceptions of health center users as to the services. SERVQUAL scale was used for measurement of service quality. The purpose of this study is to offer baseline data for improving the quality of health care services. Methods: The subjects were users of a health center in S City in Kangwon-do; 170 people participated in this study. Results: Regarding service quality depending on general characteristics, the following results were obtained. First, there were statistically significant differences depending on the gender, purpose of visit, and satisfaction in the health center. Second, the services fell short of the expectations. Third, the quality of ‘safe, accurate services’ scored the highest, while ‘empathy and friendliness’ scored the lowest. Fourth, ‘internal, external environment of the health center’ scored the highest, while ‘courtesy of staff’ scored the lowest. There were no statistically significant differences. Conclusion: Based on the findings, the following are suggested. First, employee education should be provided for development of empathy and interaction with patients; those are the weakest areas in the health care services. Second, a system allowing patients to understand and participate in their treatment should be developed.

이상의 소설 〈날개〉로 보는 관계정신분석

정혜영(Joung, Hye Young) 연세대학교 상담코칭지원센터 2020 연세상담코칭연구 Vol.13 No.-

사람의 중성구 elastase 와 cathepsin G 의 순수분리와 성질

강구일,김사열,정혜영,배성준 ( Koo Il Kang,Sa Youl Chim,Hye Young Joung,Sung Jun Bae ) 생화학분자생물학회 1989 BMB Reports Vol.22 No.4

Human neutrophil elastase(HNE) and human neutrophil cathepsin G (HNCG) were purified by a two-step procedure involving gel filtration through Ultrogel AcA54 and ion-exchange chromatography through CM-sephadex C-25. The purified elastase and cathepsin G cross-reacted with anti-HNE antibody and anti-HNCG antibody respectively. Three elastases have molecular weights of 29,000, 30,000, and 30,500 determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Two cathepsin Gs have the molecular weights of 28,500 and 29,000. There was another group of elastases which showed molecular weights of 2000 dalton higher than the other group of elastase. The discrepancy or the diversity of molecular weights of HNE seems to be caused mainly by the disparity of intra-molecular disulfide bonds of HNE. Monovalent ions including Na^+, Li^+, K^+ and Cs^+ stimulated HNE by concentration dependency. Divalent ions also stimulated HNE very effectively at the concentration of less than 40 mM and then reached the plateau. HNE was completely inhibited by less than 1 mM of diisopropyl fluorophosphate (DIFP), phenylmethylsulfonyl fluoride (PMSF), α₁-protease inhibitor (α₁-PI), and α₂-macroglobulin (α₂-MG) which are catagorized as general endoprotease inhibitor. But leupeptin, which is known as serine and thiol-protease inhibitor, was ineffective on inhibition of HNE.

Purification and Characterization of Human Neutrophil Elastase and Cathepsin G

강구일,김사열,정혜영,배성준,Kang, Koo-Il,Ghim, Sa-Youl,Joung, Hye-Young,Bae, Sung-Jun 생화학분자생물학회 1989 한국생화학회지 Vol.22 No.4

사람의 중성구 elastase와 cathepsin G를 젤 여과법과 이온교환크로마토그라프에 의하여 분리하였다. 이들 두 효소는 각각 항체에 대한 특이한 면역반응을 보였다. Elastase의 분자량은 29K, 30K, 30.5K이며 cathepsin G의 분자량은 28.5K, 29K이었다. 이 두 효소들의 분자량보다 2 kilodalton 큰 분자들도 존재하나 이들 분자는 분자 내의 s-s 결합의 분해에 의한 SDS-PAGE상의 분자이동의 차이에서 생긴 현상으로 생각된다. 일가이온인 $Na^+$, $Li^+$, $K^+$ 및 $Cs^+$는 농도에 따른 elastase의 활성도에 영향을 주고 2가이온은 40 mM까지는 농도에 비례하여 활성도를 증가시키고 그 이후는 plateau에 도달하였다. lmM 미만의 DIFP, PMSF, ${\alpha}_1-PI$ 및 ${\alpha}_2-MG$은 사람 중성구 elastase의 활성도를 완전히 억제하였으나 같은 부류에 속하는 leupeptin은 별영향이 없었다. 이것으로 보아 elastase의 활성도 억제는 active site 이외의 다른 기전이 중요한 역할을 하는 것으로 사료된다. Human neutrophil elastase(HNE) and human neutrophil cathepsin G (HNCG) were purified by a two-step procedure involving gel filtration through Ultrogel AcA54 and ion-exchange chromatography through CM-sephadex C-25. The purified elastase and cathepsin G cross-reacted with anti-HNE antibody and anti-HNCG antibody respectively. Three elastases have molecular weights of 29,000, 30,000, and 30,500 determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Two cathepsin Gs have the molecular weights of 28,500 and 29,000. There was another group of elastases which showed molecular weights of 2000 dalton higher than the other group of elastase. The discrepancy or the diversity of molecular weights of HNE seems to be caused mainly by the disparity of intra-molecular disulfide bonds of HNE. Monovalent ions including $Na^+$, $Li^+$, $K^+$ and $Cs^+$ stimulated HNE by concentration dependency. Divalent ions also stimulated HNE very effectively at the concentration of less than 40 mM and then reached the plateau. HNE was completely inhibited by less than 1 mM of diisopropyl fluorophosphate (DIFP), phenylmethylsulfonyl fluoride (PMSF), ${\alpha}_1$-protease inhibitor $({\alpha}_1-PI)$, and ${\alpha}_2$-macroglobulin$({\alpha}_2-MG)$ which are catagorized as general endoprotease inhibitor. But leupeptin, which is known as serine and thiol-protease inhibitor, was ineffective on inhibition of HNE.

임상 간호사의 감정노동, 감성지능 및 사회적 지지가 직무스트레스에 미치는 영향

김주현(Kim, Joo Hyun),이용미(Lee, Yong-Mi),정혜영(Joung, Hye Young),추현심(Choo, Hyun Sim),원수진(Won, Su Jin),권수영(Kwon, Sue Young),배혜진(Bae, Hye Jin),안혜경(Ahn, Hye Kyung),김은미(Kim, Eun Mi),장현정(Jang, Hyun Jung) 기본간호학회 2013 기본간호학회지 Vol.20 No.2

Purpose: The purpose of this study was to investigate the effects of emotional labor, emotional intelligence and social support on job stress in clinical nurses. Methods: Participants were 123 clinical nurses and data were collected from October to December, 2011 and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with SPSS 18.0. Results: A positive correlation was found between job stress and emotional labor. Emotional labor showed a significant negative correlation with emotional intelligence and social support, whereas a positive correlation was found between emotional intelligence and social support. The strongest predictor of job stress was emotional labor. In addition, institution satisfaction (dissatisfaction) and the reason for selecting the job (opportunities for service) accounted for 21% of variance in job stress. Conclusion: The results of this study suggest that it is important to manage emotional labor as well as to improve job satisfaction in order to reduce job stress in clinical nurses.

연자육의 항우울 효과에 대한 뇌부위별 신경전달물질의 변화

김지현(Ji Hyun Kim),이규섭(Kyu-Sop Lee),정혜영(Hye-Young Joung  ),심현수(Hyun Soo Shim),배현수(Hyunsu Bae),김경수(Kyung Soo Kim),심인섭(Insop Shim) 대한스트레스학회 2008 스트레스硏究 Vol.16 No.4

선행 연구에서 연자육 추출물 중 강제수영 검사를 통해 항우울 효과를 검증하여 가장 뛰어난 결과를 보인 NS37 (n-BuOH 추출물의 추가 분획물, H2O:MeOH=3:7)의 항우울 효과 기전을 규명하고자, HPLC-ECD 시스템을 이용하여 뇌의 우울증 신경회로로 알려진 대뇌피질-시상하부-해마의 부위별 세로토닌과 도파민의 함량을 조사하고 이들 대사산물의 측정 및 대사속도를 검토하였다. 연구 결과 NS37-10 (10 mg/kg)군에서 대뇌피질, 시상하부, 해마에서 도파민의 유의한 증가 및 시상하부, 해마에서 도파민 교체율의 유의한 감소를 나타냄으로써 항우울 효과를 확인하였다. In the previous study, we examined that a variety of extracts of Nelumbinis semen (NS) have an antidepressant effect on the forced swimming test (FST) in the rat, which is widely used as a behavioral screening test for antidepressant activity of new compounds. Depression-like symptom in n-BuOH extract showed the strongest inhibitory effect on the immobility time and further fractionated n-BuOH with H2O and MeOH (3:7) fraction (NS37) was the most effective on the immobility time on FST. The purpose of the present study was to observe the neurochemical changes on the anti-depressant actions of unknown compounds in the NS37 extract by using HPLC coupled with electrochemical detection (ECD). The results showed that the NS37-10 (10mg/kg) has a significant increase of dopamine in cortex, hypothalamus, and hippocampus and a significant decrease of dopamine turnover in hypothalamus and hippocampus. These neurochemical actions of NS37 extract could be responsible for the beneficial effect on depression. (Korean J Str Res 2008;16:393∼400)

흰쥐에서 저주파소음에 의한 스트레스 반응

최웅기 ( Woong Ki Choi ),이규섭 ( Kyu Sop Lee ),정혜영 ( Hye Young Joung ),이영창 ( Young Chang Lee ),손진훈 ( Jin Hun Sohn ),이배환 ( Bae Hwan Lee ),변광호 ( Kwang Ho Pyun ),심인섭 ( In Sop Shim ) 한국감성과학회 2007 감성과학 Vol.10 No.3

저주파소음(low frequency noise; LFN)은 인체의 다양한 기관과 정신적 상태에 영향을 미치며, 진동음향질환(vibroacoustic disease; VAD)같은 질병들을 야기 시킨다. 이전의 연구에서는 인간 또는 설치류에서 VAD는 우울증 또는 불안장애와 같은 만성적인 정신 건강에 위험을 미친다고 보고되고 있다. 본 연구에서는 LFN이 스트레스의 신경생리적 반응에 미치는 영향을 규명하고자 하였다. 이를 위하여, LFN에 노출된 흰쥐에서 스트레스 반응에 중요한 역할을 하는 paraventricular nucleus of the hypothalamus(PVN)에서 초기발현유전자인 c-fos 양성세포 발현, locus coeruleus(LC)에서 NE 생성 효소인 tyrosine hydroxylase(TH) 양성세포 발현과 스트레스 호르몬의 농도를 측정하였다. LFN 집단은 각각 32.5Hz 와 125Hz를 하루에 4시간씩 이틀 동안 소음에 노출 하였으며, 정상집단은 소음에 노출되지 않도록 하였다. 저주파소음에 노출 후 집단 간 혈액내 코르티코스테론 분석과, 면역조직염색법을 이용하여 스트레스에 반응하는 PVN에서 c-fos발현과, LC에서 TH를 분석한 결과, PVN에서는 c-fos의 발현과 LC에서 TH의 발현이 증가됨을 관찰할 수 있었으며, 그리고 혈중 코르티코스테론의 농도 또한 LFN집단에서 높게 발현됨을 확인 하였다. 그리고 32.5Hz 보다 125Hz의 소음에서 면역염색반응과 코르티코스테론의 결과가 다소 높게 나타남을 알 수 있었다. 이러한 결과는 저주파소음에 의해 스트레스와 연관된 뇌의 부위에서 c-Fos와 TH의 발현이 증가됨을 증명하고 있다. 따라서 저주파소음은 일반적인 스트레스에 의한 반응과 비슷한 신경적 특징들을 보여주고 있다. 그리고 저주파소음에 의한 중추, 말초신경계의 활성화는 아마도 진동음향질환과 같은 행동장애 질병과 관련이 있을 것임을 시사한다. Exposure to low frequency noise(LFN) can lead to vibroacoustic diseases(VADs), which include a systemic disease with lesions in a broad spectrum of organs and a psychiatric condition. It is known that VAD is an established risk factor for the development of many psychological conditions in humans and rodents, including major depression and anxiety disorder. The present study investigated the effects of LFN on neuronal stress responses in the rat brain. The neuronal expression of the proto-oncogene c-fos in the paraventricular nucleus(PVN) of the hypothalamus and tyrosine hydroxylase(TH) in the LC was observed. The immunocytochemical detection of the Fos protein and TH has been used as a marker of neuronal activation in response to stress. In addition, corticosterone concentration was evaluated by using an enzyme-linked immunosorbent assay(ELISA) The LFN groups were exposed to 32.5Hz and 125Hz of noise(4hr/day for 2days). The numbers of c-fos and TH-immunoreactive cells in the PVN and LC were significantly increased in the LFN groups(32.5Hz and 125Hz) compared to the normal group. Corticosterone concentration in plasma was also increased in LFN groups. The present results demonstrated that exposure with LFN produced a pronounced increase in expression of c-Fos and TH in stress-relevant brain areas. These results suggest that the neural characteristics involved in LFN are similar to those activated by typical processive stressors. These results also suggest that the central and peripheral activations by LFN may be related to LFN-related negative behavioral dysfunctions such as VADs.