여성암 환자의 영적건강과 우울의 관계

태영숙(Tae Young Sook),김미예(Kim Mi Yea),김혜나(Kim Hea Na),김혜은(Kim Hae Eun),김혜지(Kim Hea Ji),노영정(No Young Jeong) 고신대학교 전인간호과학연구소 2008 전인간호과학학술지 Vol.3 No.-

Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from women cancers. Methods: The research method was a cross-sectional descriptive study. Data was collected by questionnaires from 106 in woman patients who were diagnosed with women cancer at one university hospitals and one general hospital. The instruments used for this study included, the Depression Scale developed by Zung(1965) and Spirituality Health Inventory developed by Highfieid(1992) and amended by Lee & Kim. The collected data were analyzed using Frequency, Percentage, t-test, ANOVA, Pearson s correlation coefficients. Results: 1) Depression score was middle, Spiritual Health score was middle 2) The Spiritual Health in women cancer patients indicated a significant negative correlation between spiritual health and depression was perceived with over moderate level(r=-.647, p=.000) 3) There were significant difference in spiritual health according to the Monthly income (F=4.30, p= .016), the degree of pain(F= 2.848,p= .041), the degree of fatigue(F= 3.415,p=.020),the frequency of attendance at worship services(F=3.285, p=.014) the effect of religion on personal life(F= 9.413, p=.000). 4) There were significant difference in depression, according to the residence type(F= .748, p=.012), the cancer insurance(t=7.859, p=.006), the degree of pain(F= 2.775,p= .045). Conclusions: It is needed strategies for intervention of improving the spiritual health to reduce depression in women cancer patients. The significant several characteristics of related to depression and spiritual health should consider in sociopsychological nursing intervention of women cancer patients

간호대학생의 학년별 임상실습 스트레스 대처 및 실습 만족도의 차이 비교

이혜숙 ( Hea Sook Lee ),김은주 ( Eun Joo Kim ) 경희대학교 동서의학연구소 2008 동서간호학연구지 Vol.14 No.1

간호대학생이 경험하는 학년별 임상실습 스트레스에 따른 대처방식과 임상실습 만족도를 확인한 연구결과를 기초로 다음과 같이 논의하고자 한다. 1. 간호대학생의 심상실습 스트레스에 따른 대처방식, 임상실습 만족도 간호대학생의 임상실습으로 인한 스트레스는 2학년간호대학생의 경우 4점 만점 중 평균 2.71(±47)이었으며 3학년은 2.67(±35)로 2학년이 스트레스를 많이 받는 것으로 나타났다. 임상실습은 간호교육의 한분야로 지식, 기술, 태도를 자극하는 것으로 강의실에서 배운 이론을 간호현장에서 실제 대상자에게 적용하여 간호를 제공해 봄으로써 학생들의 잠재력을 최대한 개발시켜 창의력과 응용력을 길러주는 학습과정으로 필수적으로 매우 중요한 교육과정이라고 할 수 있다. Carter(1982)는 간호학생들이 간호교육 그 자체에서도 심한 스트레스, 불안정, 불만족을 경험하지만 특히 간호대상자인 아픈 환자와 가까이 있으므로 더욱 스트레스를 경험하게 된다고 하였다. Park, Kim, Park, Kim과 Kim(2005)의 간호대학생을 대상으로 임상실습 동안나타나는 스트레스, 불안과 피로감을 연구한 결과에서는 간호대학생의 스트레스는 5점 만점 중 평균 3.87점 정도를 보였으며 2학년보다 3학년이 스트레스가 더 높았다고 하였으나, 이러한 결과는 본 연구결과와 상반되는 결과였다. 그러나 학교마다 고유한 실습 운영체계 를가지고 있으므로 이러한 기본적인 전제를 배제하더라도 간호대학생이 경험하고 있는 임상실습의 스트레스는 상당히 높은 것으로 보여진다. 이러한 스트레스를 줄이기위한 노력으로 여러 가지 중재방법으로 연구되었으나대부분의 연구들이 일회적이었거나 혹은 일부대학에 치중하는 제한점을 가지고 있다. 간호대학의 실습교육에 대해 간호교육평가원에서 규제와 질 관리를 하고 있는 것으로 알고 있다. 학생들의 스트레스를 고려한 대안적인 실습체계 개발에 대한 논의는 반드서 이루어져야 할것으로 보인다. 이련 스트레스에 대한 대처방법으로 2학년, 3학년 모두 적극적인 대처유형을 더 사용하고 있었다. 즉 문제를 인식하고 해결하고자 하는 욕구를 강하게 표현하는 대처방법인 적극적인 대 처유형을 많이 사용하고 있는 것으로 나타났다. 특히 문제해결이나 논리적 분석등의 논리적인 과정들을 이용하려는 형태를 보이는 것은 매우 건강한 대처방법을 사용하고 있는 것으로 고려된다. 이러한 대처방법을 학년별로 비교하면, 3학년은 2학년보다 적극적인 대처유형의 평균점수는 낮았고, 회피유형의 평균은 오히려 높았다. 간호학생의 스트레스 지각정도가 높을수록 정서중심의 대처유형 이용 정도가 높았으며 스트레스 반응도 높게 나타났던(Ha, Han, &Choi, 1998)의 결과와는 다른 결과였으며 Nam(2007)의 성격유형에 따른 임상실습 동안 나타나는 스트레스와 대처방법에 관한 연구결과, 문제중심 대처방법을 정서중심 대처방법보다 빈번히 사용하고 있었다는 결과와유사한 결과였다. 이러한 결과들을 미루어볼 때, 처음실습을 서작하는 2학년의 경우 임상실습으로 인한 스트레스가 높았지만 이를 적극적이고 문제 중심적으로 해결하려는 대처방법을 사용하고 있는 반면에 3학년의 경우, 다양한 실습현장을 경험하였으며 이러한 현장의 노출은 스트레스를 낮추는 효과가 있었으나 이에 비해 회피적 대처방법을 빈번히 사용하려는 경향이 높았음을알 수 있었다. 이러한 결과는 임상실습으로 인한 스트레스는 줄일 수 있되, 실습과 관련된 대처방법을 졸업할 때까지 긍정적이고 목표지향적인 형태를 유지할 수있는 자극적이고 효율적인 교과 마련이 서급하다 할 것이다. 2. 임상실습 스트레스, 스트레스 대처, 임상실습 만족도와의 상관관계 임상실습 스트레스, 스트레스 대처, 임상실습 만족도와의 관계를 확인한 결과 임상실습 스트레스와 만족도 와` 음의 상관관계가 있었으며, 스트레스 대처와의 관계에서는 회피적 대처유형과의 상관성이 높았던 것으로 나타났다. 즉 실습 스트레스가 높을수록 회피적 대처유형을 자주 이용하고 있는 것으로 나타났다. 이러한 결과는 Ha 등 (1998) 의 국내 간호대학생을 대상으로 한 연구에서 정서중심 대처 유형과 스트레스 반응과는 정적관계, 문제중심 대처와 스트레스 반응과는 음의 상관 관계를 밝힌 결과와 유사하였다. 즉 이러한 결과물은 간호 대학생이 실습과 관련된 스트레스에 효율적으로 대응하지 못하다는 결과를 의미한다. 즉 문제중심 대처 능력이나 적극적 대처능력이 개발되어진다면 실습과 관련된 스트레스와 적극적인 대처유형과 관련성이 있어 야 함에도 불구하고 정서적 반응이나 회피적 대처유형 의 점수와 관련성이 높다는 것은 간호대학생을 대상으로 스트레스 관리방법이나 문제해결 능력 등을 함양 할 수 있는 훈련들이 필요하다는 것을 보여주는 결과이다. 아울러 실습내용에 대한 만족도가 높을수록 적극적 대처유형을 이용하고 있는 경우가 많다는 결과 가는 임상 실습 만족도와 실습 스트레스가 음의 상관관계를 가지 고 있었으며 스트레스를 줄이면 만족도가 증가할 수 있다는 것을 서사하면서, 아울러 실습 만족도가 높을수록 적극적인 대처유형을 이용하는 경우가 많으므로 일차적 인 교육 목표는 스트레스를 관리하고 실습만족도를 높일 수 있는 방안모이 필요할 것이다. 특히 실습내용 에 대한 만족도가 높을수록, 실습 스트레스가 낮았으며 아울러 적극적 대처방법을 효율적으로 사용할 수 있었다는 결과를 고려하여 실습내용의 조절 및 관리가 필수 적이다. Park 등 (2005) 의 연구결과 실습괴제물로 인한 스트레스가 높았던 결과물이나 집담회 영역에서의 높은 스트레스를 고려하여 실습관리에 대한 효율적 대안을 모색하고 운영 되어져야 할 것이다. 이상으로 간호대학생의 학년별 임상실습 스트레스 대처 및 실습 만족도의 차이를 확인한 결과 실습 스트레스는 3학년보다 2학년이 높은 것으로 나타났으며 스트레스 대처방법은 적극적인 대처방법을 더 많이 이 용하고 있으며 이러한 차이는 2학년인 경우 더 효율 적으로 이용하고 있는 것으로 나타났다. 마지막으로 실습 스트레스는 실습만족과 음의 상관관계를 나타내었으며 스트레스가 높을수록 회피적 대처유형을 이용 하고 있는 것으로 나타났다. 이러한 결과를 활용하여 각 학년별 실습운영의 효율적인 방안 모색할 필요가 있으며 아울러 실습 스트레스를 감소서킬 수 있는 대안적 인 교과과정 모색이 절실히 필요할 것이다. Purpose: The study was to identify the relationship among perceived stress, coping strategies and satisfaction of clinical experience in nursing students and to examine difference of grade. Methods: A total 238 nursing students (second grade: 141 students, third grade: 97 students) from K. Womens` College were provided with sell reported questionnaires from July 26, 2006 to July. 30, 2006. Perceived stress was measured using Perceived Stress Scale. Coping was measured using Coping Responses Inventory-Adult form. Satisfaction of clinical experience was measured using Satisfaction Inventory. The data were analyzed by descriptive statistics, t-test, N`JOVA and Pearson`s Correlation Coefficient with SPSS 12.0 program. Result: Participants showed that a high level of perceived stress score 2]1±.47 of total 4 (2nd grad) and 267±35 of total 4 (3rd grade). Approach Coping Scales score of coping strategies was 68.19±6.06 (2nd grade), 63.38±6.69 (3rd grade) of total 96, then coping mechanism`s mean among 2nd grade nursing students was higher than 3rd grade nursing students. Satisfaction score of clinical experience in 2nd grade nursing students was 3.01 ±.32 and higher than 3rd grade (299±38). There was a negative correlation r=-.264 (p=.000) between perceived stress during clinical practice and satisfaction It was statistically significant. There was a positive correlation rz154 (p(.05) between satisfaction score of clinical experience in nursing students and approach coping scales score Conclusion: With these findings, we found that the more approach coping level, the more satisfaction of clinical practice. It is needed to developing effective teaching method and coping strategies for nursing students to improve their coping ability and prepare qualified nursing profession.

쉘링의 예술철학에 대한 연구

김혜숙 건국대학교 1990 論文集 Vol.31 No.1

The purpose of this paper is to make clear that the principle of the Schelling's philosophy of art and that of universal philosophy is identical. In other words, the philosophy of art is the science of all in the Potency of art, therefore it is a philosophy. But comparing philosophy with art, the former treats Absolutes subjectively and by way of the original form, the latter do it objectively and by way of the reproductive form. Consquently, genuine art represents the infinity as the finite, and Absolutes is the source and ultimate cause in all art. Art is representation of idea(Idee) of Absolutes. Therefore, the construction of the true art is the representation of the form of things as if it lies in Absolutes. Because in Absolutes universe is formed with the eternal beauty. Ontology searches for the fundamental structure at the ultimate cause or principle of the base of Being. In Schelling, the ultimate cause of nature world is elucidted in nature philosophy(In here, Schelling considered human a nature being). On other side, the philosophy of art elucidates the ultimate cause through the human activity. In here, nature and freedum can be united into one for the first time. From this point of view, Schelling's Philosophy of art accomplishes the ontological explantion of the ultimate cause through the human activity. Therefore, the philosophy of art is a ontology considered in Potency of art.

원인적 귀인연구 동향과 운동수행과의 관련성에 대한 고찰

김윤래,신혜숙 江原大學校附設體育科學硏究所 1994 江原大學校附設體育科學硏究所論文集 Vol.- No.18

The Purpose of this research is to analysis scheme for attribution, causal attribution by age, sex difference and achievement results, the relationship of causal attribution and emotion, and then problem of causal attribution research, and to examine their relationship with motor performance. Weiner's classification scheme for causal attribution is much available in causal attribution researches and these ersearches say that logical conception for causal attribution factor and causal schema are formed at ten years old around. In the matter of sex difference, a man is set a high value on his ability in success than a woman is. And it is revealed that there is self-enhancement attribution (ability, effort) in the aspect of ego-enhancing strategy in success situation and attribution (luck, task difficulty) in the aspect of ego-protection strategy in failure situation. In relation with emotion, affirmative reaction is showed when success is attributed internally and negative emotional reaction is showed when failure is attributed internally. Because future success is predicted when success is attributed to stability and failure to unstability. the learned helplessness can be recovered when effort is used in reattribution training. The problem in research method is that control locus of effort and stability of exercise difficulties may differ with motor task or subjects condition in Weiner's classification scheme for causal attribution. Besides. in motor learning accompanied by dynamic elements and causal attribution in sport, unstructured open-ended response measure should be taken structured measure, and in the matter of success and failure, I think perceived success feelings of individuals are more important than object.

민속무용 관노가면놀이의 수업모형 연구

김순희,한상준,신혜숙 강원대학교 체육과학연구소 2001 江原大學校附設體育科學硏究所論文集 Vol.- No.24

In the course of study in 1981, the masked dance was adopted for the first time. But it is still difficult to give a practical class of it because the composition of contents is neither systematic nor substantial. So I materialized the contents of each unit to develop an effective form of class on the basic of kang-won do's masked dance. The government slaves mask dance is one of local masked dances handed down in yongdong area and designated as the 13th important intangible cultural property. It plays every tano festival in Namdaechon. This mask dance would leave nothing to be desired to accomplish educational purpose, if it is applied to teaching material of Korean traditional dance in unit of dance. In this study First, I considered not only the background and plot of the government slaves mask dance but also the history and kinds of Korean traditional masked dance to develop contents of study. second, I illustrated motions of government slaves mask dance in graphic form by picture, so the contents of class could be suitable for highschool's level Third, I suggested the various forms of class concerned with Korea traditional dance used basic motions of the government slaves mask dance. In my opinion, collecting basis materials for class based on the folk art which has local cdor and developing courses of study have to be activated.

쉘링과 근대 합리론

김혜숙 건국대학교 1989 論文集 Vol.29 No.2

음악요법이 산부인과 수술환자의 활력징후와 마취회복 및 동통에 미치는 영향

김혜숙,이철갑,정혁,김기순 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1

Background and Purpose: The purpose of this study was to prove the effect of music therapy on anesthetic recovery, vital signs and pain control for postoperative patients in the recovery room as a nursing intervention. Methods: We compared 35 experimental groups who received music therapy with 35 control groups. All of the subjects were obstetric and gynecological operation patients. The experimental and control groups were observed for the level of anesthetic recovery (PAR score), the frequency of supplement analgesic use for pain control, and vital signs at arrival and after 15, 30, 60 minute in recovery room. Statistical data analysis using repeated measures ANOYA and x^2-tests were performed. Result; Vital signs did not show a significant difference when comparing the two groups except for the respiration rate. For anesthetic recovery, there were significant changes in respiration state in the experimental group compared to the control group. The frequency of analgesics administration was significantly reduced in the experimental group compared to the control group by music therapy. The 63 % of the experimental group responded comfortably and peacefully in subjective feelings. Conclusion: This study showed the effects o3 music therapy, which applied to helping postoperative patients recover from anesthesia and reducing the frequency of supplement analgesic use for pain. It is recommended to apply music therapy right after surgery in the recovery room as a nursing intervention if a patient wants.

Sweep Co-Distillation법에 의한 산화방지제의 추출법

김재관,황혜정,오문헌,도영숙,윤미혜 한국식품영양학회 1999 韓國食品營養學會誌 Vol.12 No.4

식용유지 중의 산화방지제를 효율적으로 분석하기 위하여 일반적인 용매추출법과 SCD법으로 전처리하여 HPLC법으로 비교 분석하였다. SCD법의 최적조건은 florisil의 활성도와 UNITREX의 온도와 추출시간에 따른 회수율로 분석하였다. 식용유지에 산화방지제를 농도별로 가하여 용매추출법과 SCD법의 회수율을 비교한 결과 용매추출법은 80.4∼102.1%, SCD법은 89.8∼106.4%로 나타났다. Florisil의 활성화에 따르면 2% 수분 첨가시 TBHQ, BHA, BHT는 89.8∼106.4%로 회수율이 가장 높았고, PG는 5% 수분 첨가시 53.9±7.3%의 회수율을 보였다. 회수율은 UNITREX의 210℃에서 20분간 추출하였을 때 가장 높았다. This study was conducted to evaluate the extraction methods for the determination of antioxidants in soybean oil. Recovery rates of various antioxidants in soybean oil showed similar rates as 80.4∼102.1% by solvent/solvent extraction method and 89.8∼106.4% by sweep co-distillation method except 46.6∼61.2% of PG at corresponding spiked concentractions. The maximum recovery rates of antioxidants were obtained when extraction time and extraction temperature used in UNITREX were 20min and 210℃ respectively. In the recovery rates with the activation of florisil, when 2% of water was added to florisil, the highest recovery rates for TBHQ, BHA, BHT were obtained by sweep co-distillation method. Therefore, sweep co-distillation method showed less solvent, simple operation and high recovery rate compared with solvent/solvent extraction method.

朝鮮後期 가체와 후계에 관한 硏究 : 北學者 文集을 中心으로 with a Collection of Pukhakja's Works as the Central Focus

전혜숙,김태영 東亞大學校 附設 生活科學硏究所 2002 생활과학연구 논문집 Vol.10 No.-

Pukhak in as the concept indicating the new study tendency which became a prominent figure in the later Chosun period, while going through Imjin, Byungja war, social and economic order was broken down, and Jujahak showed its limit. With the repulsion of this social status, Pukhak was formed from the influence of western study and practical science in Chung period, and it means learning the civilization of the north, also comprehends the significant meaning that the people living in undeveloped culture go and learn developed culture. The society of the later Chosun period is as the most dynamic era which showed the whole change in the society at large with radical change in the inside and outside of the country, and this social character was well reflected in the change of hairstyle. So, ga-che, as the biggest and the most huge hairstyle which can not be found in any other period, became popular. This study has the purpose to criticize the prohibition against ga-che, and its side-effect in society of the latter Chosun period which indicated in collection of Pukhakja, and also to analyze the society of the later Chosun period, by analyzing the views on its hairstyle. In the 18th century when Pukhakpa took an active part in that society, the development of currency economy·growth of commercial capital·merchants or the merchandised public's entry into the society which were accomplished in the process of overcoming the social and economic problems in that era were exerting influence on not only economy but also the society at large. Regarding this, the result of considering the comprehensive significance on the view of the criticism against ga-che in fashion and its extravagant phenomenon and prohibition of ga-che, as well as the assertion of hu -gae, chokduri and hwagwan as the substitute for ga-che which could not but appear as one of social phenomenon in the dynamic change of social and economic structure caused by pukhak movement in the later chosun period is as follows. First, even though pukhakja took an initiative on pukhak movement by asserting the acceptance of pukhak so as to overcome the limitation of chosun-sinocentrism, nevertheless, what they contended prohibition of ga-che on the ground that it was originated from the customs of barbarians, not chinese rules, seems resulted from the influence of chosun-sinocentrism, we can see the ideological conflict and contradictory aspects of pukhakja in this period. Second, from the viewpoint that pukhakja prohibited ga-che as the symbol of extravagance, instead, recommended hu-gae which the political authority selected to be operated in the public, we can see the diligent and frugal as well as practical aspects of pukhak ideology, at the same time, from the viewpoint that chokduri and hwagwan as the substitute for ga-che were used only on necessary occasion, we can also see the practical use and frugality which pukhak pursued.

조선후기 활옷에 관한 연구

전혜숙,김숙경 동아대학교 생활과학연구소 2000 생활과학연구 논문집 Vol.8 No.-

This paper is a study on the Hwal-Ot(활옷) in the latter period of Chosun Dynasty. Wedding is the most important one in people's life. So wearer in traditional wedding ceremony has a very important symbolic meaning. Hwal-Ot(활옷) was a transformation of chinese's one, what we is called Back-Hwa-Po(百花袍), Hual-Yi(豁衣), Hal-Yi(割衣), Hong-Jang-Sam(紅長衫) resulted from the abundant flower printing. Looking Into the Hwal-Ot(활옷), We can reached to the following conclusion. The printing of Hwal-Ot(활옷) point out the family's law which sustain the society, and also reflected the viewpoint and Ideology of the late Chosun's religion. In the early establishment of Chosun Dynasty, Confucianism was considered as a national religions, through in the middle of Chosun Dynasty, society was gradually in confusion. Confucianism stressed decorums and behaviorism can not give answer society requirements. So in the people's real life, the popular religion formed of the combination of Shamanism, Taoism and Buddhism was deeply rooted. Pattern appeared in Hwal-Ot(활옷) have plant, animal, ten longevity creature and the figures of good auspices, etc. It derived from shamanistic, buddhistic and taoistic viewpoint, and also it reflect the desire of splendor, fecundity and longevity. It have the character of invoking a blessing in the world and incantation. From the Hwal-Ot(활옷) pattern we can catch the late Chosen Dynasty people's religion viewpoint.