소방공무원의 정신건강 문제 예방을 위한 해피아트테라피 프로그램 적용 사례연구

윤혜선 ( Hye-sun Yoon ),윤현서 ( Hyunseo Yoon ) 한국무용과학회 2022 한국무용과학회지 Vol.39 No.1

이 연구의 목적은 소방공무원 대상 해피아트테라피(Happy Arts Therapy: 이하 H.A.T.)프로그램의 적용 사례를 통해 소방공무원의 정신건강 문제 예방을 위한 통합예술치유 프로그램의 효과적인 적용 방안을 탐색하고자 하였다. 이에 이 연구는 2018년 8월부터 2020년 2월까지 서울소방재난본부 소속 소방학교와 소방서·119안전센터에서 787명의 소방공무원을 대상으로 총 88회 시행된 H.A.T.프로그램을 연구하기 위해 다양한 정보원들을 활용하여 상세하고 심층적으로 보고하는 사례연구 방법을 통해 ‘H.A.T. 프로그램의 구성과정’과 ‘프로그램 참여경험의 의미’ 및 ‘평가내용’을 분석하였다. 첫째, 소방공무원 대상 H.A.T. 프로그램의 내용 구성은 윤혜선(2009)이 개발한 H.A.T. 프로그램의 기본 구조를 기반으로 소방공무원의 특성을 반영하여 ‘긍정적 대인관계’, ‘스트레스 해소’, ‘자기이해’, ‘심리적 회복탄력성 증진’을 프로그램 내용 구성의 주안점으로 도출하였다. 또한 소방공무원 대상 H.A.T. 프로그램의 체계적인 운영 시스템 구축을 위하여 운영과정에 참여한 구성원들은 상호 협력 관계를 통해 역할분담과 환경구축 과정에서 지속적으로 협의하여 운영 체계를 구성하였다. 둘째, 소방공무원의 H.A.T. 프로그램 참여 경험의 의미를 범주화하여 분석한 결과, ‘동료 간의 소통 및 유대감 경험’, ‘심리적·신체적 회복의 경험’, ‘자기 이해의 경험’으로 분류 할 수 있었다. 셋째, 이 연구에서 H.A.T. 프로그램의 평가는 참여 기관 자체 평가자료와 언론보도, 참여자 평가와 운영 구성원의 평가 자료를 중심으로 평가사항을 분석하였는데, 이를 통해 프로그램에 대한 소방기관의 긍정적인 평가를 확인하였고, 차후 프로그램 운영과정의 개선방안을 탐색하였다. 이 연구의 결과는 향후 소방공무원의 정신건강을 위한 예술치유 프로그램 및 심리지원 프로그램의 효과적인 적용방안을 모색하는 연구의 기초자료로 활용되길 기대한다. The purpose of this study is to explore effective application plans for integrated art healing program to prevent mental health problems in fire-fighting officers through the application cases of the Happy Arts Therapy(Hereinafter referred to as H.A.T.) program for fire-fighting officers in this study. Accordingly, in this study ‘the composition process of the H.A.T. program’, ‘meaning of program participation experience’, and ‘evaluation contents’ were conducted in order to study the H.A.T. program implemented a total of 88 times through a case study method that uses various sources of information. The subjects of the study are 787 fire-fighting officers at a fire school, fire station, and 119 Safety Center belonging to the Seoul Fire and Disaster Headquarter from Aug. 2018 to Feb. 2020. The results are as follows. First, the content composition of the H.A.T. program for fire-fighting officers was mainly drawn as ‘positive interpersonal relationship’, ‘relieve stress’, ‘self-understanding’, and ‘promote psychological resilience’ reflecting the characteristics of fire-fighting officers based on the basic structure of the H.A.T. program developed by Hye-Sun Yoon(2009). In addition, members who participated in the operating process continuously consulted in the process of division of roles and environmental construction through mutual cooperation in order to establish a systematic operation system for the H.A.T. program for fire-fighting officers. Second, it could be classified into ‘communication and bonding experience between colleagues’, ‘psychological and physical recovery experience’, and ‘self-understanding experience’ as a result of categorizing and analyzing the meaning of participation experience in the H.A.T. program of fire-fighting officers. Third, the evaluation of the H.A.T. program was analyzed focusing on proprietary evaluation data of participating agencies, media reports, participant evaluations, and evaluation data from the operation members in this study. A positive evaluation of the program was confirmed by the fire institution and a plan to improve the program operation process in the future was explored. It is expected that the results of this study can be used as basic data for research seeking effective application of art healing programs and psychological support programs for the mental health of fire-fighting officers in the future.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

Protective Effects of N-acetylcystenine and Selenium against Doxorubicin Toxicity in Rats

Yeo-sung Yoon,Sun-don Kim,Min-hye Lee,Heung-shik S.Lee,In-se Lee,Je-kyung Sung,Eun-sung Park 대한수의학회 2003 Journal of Veterinary Science Vol.4 No.2

Effects of N-acetylcysteine and Selenium against Doxorubicin Toxicity in RatsEun-sung Park, Sun-don Kim1, Min-hye Lee, Heung-shik S. Lee, In-se Lee, Je-kyung Sung and Yeo-sung Yoon*

鳳停寺 極樂殿의 構造解釋을 통한 架構分析에 관한 硏究Ⅰ : 縱斷面 構造 解釋 모델의 구축을 기반으로

윤재신,윤용집,강선혜 대한건축학회 2004 대한건축학회논문집 Vol.20 No.9

The purpose of this study is to Investigate the structural behavior of Gukrak-Pavilion of BongJung-Temple with 2-dimensional structural analysis specially focusing on two different-inner and outer-cross sections. Based on literature reviews on previous research papers and technical reports this research IS trying not only to reconstruct a structural model reflecting on real sections, but also to enhance Joint definitions In the structural model As the result of the analysis, In case of Inner cross section having an unsymmetrical form the structural members of the rear-side are suffering from relatively higher stress comparing to the those of the front-side and some Identical members like Sosulhapjang play different roles In each cross section In addition, the rear-side Bokhwaban which was broken for real In shown to bear twice as much stress as the front-side one m terms of shear and bending as we expected In contrast, the outer cross section having a symmetrical form shows that bearing stress are evenly distributed

기존 교육과정에서의 성과바탕 의학교육 이론 적용

홍영선,한재진,김정아,최희정,윤주천,정혜경,김한수 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.1

Objectives: This paper aims to describe an outcome-based curriculum development process at a medical school that has difficulty in advancement from the higher stage outcomes to the individual lesson outcomes, and to propose a way to implement it practically. Methods: We reviewed the objectives, strategies and previous products of the school’s taskforce activities and suggested the principle of bidirectional approaches of outcome based curriculum development. Results: The developing strategy identified such as firstly, the evaluation of present curriculum and then, the review of the outcomes developed previously with considering the nation-wide environmental change in medical education. Then, we selected one example course which was focused the resources of the school to, and finally the product of the example course was propagated to the other courses with central monitoring. Conclusion: Bidirectional model of ‘Top-down’ plus ‘Bottom-up’ approaches could be an efficient way to develop the outcome-based curriculum in a medical school, which has difficulties to advance the developing process due to various reasons including limited resources.

분사처리 후 산부식 표면처리된 교정용 미니 임플랜트의 골유착능에 관한 연구

전미선,강윤구,모성서,이근혜,국윤아,김성훈 대한치과교정학회 2008 대한치과교정학회지 Vol.38 No.5

본 연구에서는 교정 치료 시 골내 고정원으로 사용되는 교정용 임플랜트의 표면처리 여부가 골유착능에 있어서 어떠한 효과를 보이는지 제거회전력의 측정을 통해 알아보고자 하였으며, 그에 따른 교정력 적용의 확장과 임상적 의의를 알아보고자 하였다. 실험군은 분사처리 후 산부식(Sand-blasted Large grit, and Acid etched, SLA) 표면 처리된 교정용 미니 임플랜트인 C-implant (Cimplant, Seoul, Korea)를 사용하였으며 대조군은 같은 디자인이지만 표면 처리를 하지 않은 평활면 C-implant를 사용하였다. 실험군과 대조군을 각각 2개씩 11마리의 가토 경골에 식립하였고 식립 후 6주에 가토를 희생시켜 제거회전력을 측정하여 t-test를 통하여 두 군의 제거회전력 차이의 통계적 유의성을 알아보았으며 조직표본을 만들어 조직소견을 관찰하였다. 실험결과 제거회전력은 SLA 처리한 C-implant 군이 평활면 C-implant 군보다 통계적으로 유의성 있게 높은 결과를 보였다 (p < 0.05). 평활면 C-implant 군의 평균 제거회전력 값은 4.614 Ncm이고, SLA C-implant 군의 평균 제거회전력 값은 6.286 Ncm로, SLA 군이 평활면 군보다 73% 더 높은 제거회전력에 대한 저항성을 나타내었다. 이상의 연구 결과에서 SLA 표면처리가 C-implant의 골유착능을 증가 시켰음을 알 수 있었다. 따라서 표면 처리된 교정용 미니 임플랜트는 기존의 임플랜트에 비해 좀 더 강한 힘에 저항할 수 있으며 탈락률을 낮출 수 있을 것으로 생각된다. Objective: The purpose of this study was to compare the torque resistance to removal of sandblasted large grit and acid etched (SLA) surface treated orthodontic mini-implants and smooth surface orthodontic mini-implants as well as performing histologic observations. Methods: Two groups of custom screw shaped orthodontic mini-implants (C-implant, 1.8 mm outer diameter × 9.5 mm length, Cimplant, Seoul, Korea) were designated. 22 SLA treated C-implants (SLA group) and 22 machined surface C-implants (machined group) were placed in the tibia metaphysis of 11 adult New Zealand white rabbits. Following a 6-week healing period, the rabbits were sacrificed. Subsequently, the C-implants were removed under reverse torque rotation with a digital torque measuring device and independent t-test was performed. Selected tissues were prepared for histologic observation. Results: The SLA group presented a higher mean removal torque value (6.286 Ncm) than the machined group (4.491 Ncm) which was statistically significant (p < 0.005). Histologic observation revealed a trend of more new bone formation in contact with the screw surface in the SLA group than the smooth group. Conclusions: The results of this study suggested that SLA surface treatment can enhance the osseintegration potential for C-orthodontic mini-implants.

하안면부에서 입술의 돌출 정도와 안면 비대칭의 인지도에 관한 연구

김규선,김영진,이근혜,김영호,국윤아 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.6

교정 치료를 하고자 하는 가장 큰 동기 중의 하나는 좋은 안면을 얻고자 하는 것이므로 교정 치료 후 안면부에 나타나는 변화에 대한 환자들의 인지도를 이해하는 것은 교정 치료의 진단과 치료 계획 수립에 매우 중요한 일이다. 이에 본 연구는 정면 및 측모에서 하 안면부위의 입술의 위치와 안면 비대칭의 변화에 관하여 인지할 수 있는 최소한의 변화량을 알아보고자 균형 잡힌 비율을 지닌 가상의 정모와 측모 사진을 컴퓨터 영상으로 제작한 후 입술의 위치는 Ricketts의 E-line을 기준으로, 안면의 비대칭은 턱 끝의 중앙 지점을 기준으로 각각 1, 2, 3, 4 mm 변화시킨 디지털 영상을 이용하여 40명의 미술학도를 관찰자로 인지도 조사를 하였다. 연구 결과 환자가 입술의 위치와 비대칭의 변화를 인지하기 위해서는 측모에서 최소한 2 mm 이상, 정모에서 3 mm 이상의 변화가 필요하였으며 하 안면부 변화에 대한 인지도는 정모에서보다 측모 변화에 대한 인지도가 높았다. 또한 변화에 대한 사전 정보는 변화에 대한 인지율을 현저하게 높여 주었다. Objective: While one of the most prevailing motivations for seeking orthodontic treatment is to achieve good facial esthetics, understanding the level of a person's perception to the changes that have occurred on the face after orthodontic treatment is critical to the process of orthodontic diagnosis and treatment planing. Methods: 40 students attending art school participated in determining the level of their perception of changed lip position and facial asymmetry. Computer-graphic frontal face and facial profile photographs with balanced proportions were used to evaluate the level of a participant's perception of the changes in facial asymmetry and in lip position. Results: Change of lip position over 2 mm and over a 3 mm change of facial asymmetry was perceived significantly. Conclusion: The results indicated that at least a 2 mm change of lip position was needed to be perceived after orthodontic treatment. The level of perception of the change in facial asymmetry was lower than that of the change in lip position. Information about facial changes given prior to the evaluation enhanced the level of perception.

젊은 성인 남자의 흡연과 혈청 지질과의 관련성

조선,류소연,박종,강명근,김은숙,김형철,박광희,윤혜은,노희송 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

Objectives: This study was performed to find the association of cigarette smoking and blood lipid profiles in healthy young adults. Methods: The data was collected by a self-administered questionnaire and health examination in 489 professional soldiers from 6 to 12 May, 2004. The status of cigarette smoking was classified by non-smoking, ex-smoked, ≤4.9, 5-9.9, and ≥10 pack-years. The statistical analysis were used by chi-square test, analysis of variance and analysis of covariates. Results: In status of subjects cigarette smoking, current smoking, ex-smoked, and non-smoking were 71.8%, 11.2%, and 17.0%, respectively, In distribution by amount of smoking, non-smoking, ex-smoked, ≤4.9 pack-years, 5-9.9 pack-years, and ≥10 pack-years were 17.0%, 11.2%, 37.4%, 21.3%, and 13.1%, respectively. At other confounding variables were controlled, total cholesterol and LDL-cholesterol were increased significantly when amount of smoking was increased. However, triglyceride and HDL-cholesterol did not showed statistically significant differences, Conclusion: Smoking has relevant to total cholesterol and LDL-cholesterol and it is need to perform the further study for finding how blood lipid profiles are affected its level by cigarette smoking and to find an influence of cigarette smoking on cardiovascular disease.

일 도농복합지역 저소득층 노인의 건강문제 분석 : 보건소 방문간호사업 대상자 중심으로

고일선,,이태화,이경자,이정렬,임미혜,천의영,주윤미,이계철 노인간호학회 2005 노인간호학회지 Vol.7 No.2

Purpose: The purpose of this study was to analyze the health problems of low-income aged with chronic illness living in urban-rural composite area. Method: The sample consisted of 440 aged who were receiving home care services from a public health center. MDS-HC was applied to analyze the health problems of the aged. Data were collected through a face- to-face interview by six trained interviewers from June 28 to July 15, 2004. Result: Subjects had average number of 8 health problems in both urban and rural area. Lack of preventive health care measure, pain, and visual function were the most frequent health problem. The rural aged had more pain, bowel management problems, compared to the urban aged having more urinary incontinence and indwelling catheter. There were many health problems related to falls and pressure ulcers with middle-old aged in urban, and old-old aged in rural area. Conclusion: The results of this study showed strategies for care intervention of low-income elderly to put in practice. Therefore, tailored-service for each subject should be provided.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.