• 정신신체의학
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• 제4권1호
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• pp.21-36
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• 1996

본 연구는 월경전기 평가서(PAF)의 신뢰도와 타당도를 검증하고자 하였다. 서울시내 모 여고생 300명을 대상으로 PAF를 실시하여 검사 실시 상의 신뢰성이 의심되는 것을 제외한 250명 중에서 월경전기에 불편감을 느끼는가라는 질문에 예라고 응답한 230명의 자료에 대해 통계분석을 하였다. 피험자의 평균 연령은 $16.8{\pm}30.71$세, 초경연령은 $13.1{\pm}61.12$세였다. PAF 95문항의 평균과 반응빈도를 살펴본 결과 모든 문항에 골고루 응답되어 PMS의 다양성을 확인할 수 있었고 그 중에서도 한국 청소년의 주된 월경전기증상을 반영하는 것으로 보이는 21개 문항을 확인할 수 있었다. 검사의 내적 일치도는 ${\alpha}=.95$로 상당히 높아 문항의 동질성이 있음이 밝혀졌으며 검사-재검사 신뢰도는 r=.80으로 시간경과에 따른 검사의 안정성을 확인할 수 있었다. 요인분석 결과 충동성 및 불안정성 요인, 우울 요인, 철수 및 사회적 기능 손상 요인, 불안 및 인지기능 손상 요인, 신체생리적 변화 요인, 전반적 불편감 요인, 안녕감 증가 요인, 기타요인의 8개 요인구조가 확인되었다. 결론적으로 타당도 연구에서는 추출된 하위 요인구조 들이 월경전기 증상을 잘 반영하고 있으며 신뢰도 연구 결과도 만족스러운 수준을 보여 PAP가 월경전기 변화를 선별평가 하는데 유용하게 쓰일 수 있을 것으로 기대된다. 논의에서는 요인분석에 의한 분류체계를 Halbreich등(1982)의 주관적 평가기준에 의해 만들어진 형태학적 분류와 비교하여 보았고 마지막으로 본 연구의 제한점에 대해 논의해보았다.

• 정신신체의학
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• 제7권1호
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• pp.103-115
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• 1999

연구목적 : 월경전기증후군에서 나타나는 증상 양상, 가족력, 높은 정서장애의 유병율은 이 질환의 정서장애와의 관련성을 시사해 주며 한편, 월경주기에 따른 정서장애 임상경과의 변화도 제시되고 있다. 본 연구는 정신과 외래 통원 치료를 받고 있는 정서장애 환자군과 대조군을 대상으로 하여 월경전기변화의 양상과 정도를 비교하고 일상 및 직업 생활에의 영향 및 환자군에서의 월경전기변화에 대한 가능성 있는 위험 요인들을 알아보고자 하였다. 방법 : 본 연구는 정신과 외래 통원 치료를 받고 있는 여성 정서장애 환자 80명과 정상 대조군 80명을 대상으로 하였다. 월경전기변화는 DSM-IV 월경전기불쾌기분장애의 진단기준 A를 세분화한 4점 척도의 16항목으로 구성된 자기 평가 형식의 설문지를 통해 후향적인 방법으로 평가되었다. 결과 : 1) 월경전기변화의 항목 중 한가지 이상에서 중등도 이상의 변화를 경험하는 월경전기변화군이 정서 장애 환자군은 32.6%. 대조군은 50%로 환자군에서 대상이 적었다. 2) 월경전기변화군에서 대조군은 기분 또는 행동 변화와 신체적인 변화를 호소하는 경우가 비슷한 분포로 나타났으나, 환자군은 기분 또는 행동 변화만을 호소하는 경우가 유의하게 많았다. 월경전기변화군에서 대조군은 신체적인 변화인 유방 통증의 빈도가 가장 높았던 반면 환자군에서는 기분이나 행동 변화인 피로감과 무기력의 빈도가 가장 높았다. 3) 대조군은 기분이나 행동 변화와 신체적인 변화가 많을수록 일상이나 사회 생활에 심한 장애를 경험하는 반면 환자군에서는 기분 또는 행동 변화만이 빈도가 높을수록 심한 일상이나 사회 생활의 장애를 경험하였다. 4) 환자군에서 월경전기변화군은 월경전기변화가 없는 군에 비해 월경통을 보고하는 경우가 유의하게 많았으며, 그 심각도는 월경전기변화의 빈도와 상관 관계를 나타내었다. 결론 : 정서 장애 환자군의 월경전기변화는 신체적 변화보다 기분 행동 변화가 두드러지는 특성을 보였다. 이들 환자군의 월경전기변화는 기존 질환의 월경전기악화 또는 기존 질환과 동반되는 월경전기증후군의 가능성을 제시해 준다. 또한, 환자군에서는 월경전기변화 특히 기분 또는 행동 변화의 빈도가 높을수록 심한 일상 생활의 장애를 경험하였다. 따라서, 정서장애 환자에서의 월경전기변화에 대한 정확한 평가와 이에 대한 적절한 치료 전략의 수립이 필요하리라 본다.

• 동서간호학연구지
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• 제24권1호
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• pp.52-62
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• 2018

Purpose: This study aimed to examine the effects of premenstrual syndrome (PMS) symptoms and coping strategies on the health-related quality of life in elementary and secondary schools female teachers. Methods: 140 female teachers in C province were recruited using a correlational study design. The measurements used were the PMS symptoms scale, the PMS coping scale and the Korean version of health-related quality of life scale. Results: The higher quality of life were predicted by the lower PMS symptoms, the higher PMS coping, the better the quality of sleep, the lower the job and life stress, and the lower work disturbance due to the PMS symptoms. These variables explained 53% of the total variance. Conclusions: For better female teachers' health-related quality of life, health care programs for managing the PMS symptoms need to be developed by considering those identified variables. For health education practice, school health teachers need to distribute health educational materials for female teachers and to provide small-group health counselling services for PMS self care.

• 한국보건간호학회지
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• 제20권1호
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• pp.57-68
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• 2006

Purpose: To identify perimenstrual discomforts, coping and relief of symptoms in female workers. Methods: A convenience sample of 203 women who had worked were obtained from two hospitals in Busan. Data were collected through questionnaires from November 8 to 16, 2004. Three instruments were used in this study: the Perimenstrual Discomfort Questionnaire by Park(1988) and the Menstrual Coping Questionnaire and the Relief of Symptoms by Billings & Moos(1981) modified for this study. The data were analyzed by descriptive statistics, t-test, and ANOVA with SPSS 10.0 program. Results: The prevalence rate of dysmenorrhea was 81.3%. The total mean score for perimenstrual discomforts was 2.83 out of a possible total of 5 and the mean score for each category was, 3.08 for water retention, 2.95 for pain, 2.88 for negative affect, 2.83 for behavioral change, 2.73 for autonomic reactions, and 2.51 for concentration. According to these study results, statistical differences were found for age(F=2.76, p=0.04), feeling to menstruation(F=3.94, p=0.00), dysmenorrhea(t=4.26, p=0.00), and taking medication(t=2.09, p=0.00). The coping modes with the highest scores were 'take a hot bath'(99.0%)', 'rest and go to bed'(83.7%), 'regard menstruation as a physiological and temporary phenomenon'(76.8%), 'take a warm shower'(65.0%). The most frequently used methods to relieve symptoms were 'rest and go to bed'(70.0%), 'take a warm shower'(57.6%), 'take pain killers'(49.8%), 'apply hot water bag on painful parts of the body'(46.8%). Conclusion: Further research is needed to understand perimenstrual discomforts and the variables associated with them. Nursing intervention has to be considered in any program aiming to reduce perimenstrual discomforts.

• 한국컴퓨터정보학회논문지
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• 제18권5호
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• pp.87-94
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• 2013

본 논문의 목적은 여대생들의 월경 불편감에 대한 영향을 분석하는 것이다. 이 연구의 연구 설계는 27명의 여대생을 대상으로 실험군 13명, 대조군 14명으로 나누어 실시하였다. 자료는 G시의 K 대학의 유아교육과 여학생을 대상으로 3개월에 거쳐 수집되었다. 연구도구는 Keele's VAS(시각분석 등급)을 이용하여 월경 곤란 증상을 측정하였다. 실험군은 60일 동안 3회의 이압 요법을 실시하였고 대조군은 이압 요법을 실시하지 않았다. 수집된 자료는 SPSS프로그램을 이용하여 평균, 비율, 편차, $x^2$-test, t-test Cronbach's ${\alpha}$로 분석 하였다. 이 실험의 결과 실시한 VAS 값은 이압 요법 이전에는 실험군이 7.3, 대조군이 7.46이었으나 이압 실시 후 실험군은 3.36, 제어군은 7.17의 값을 보여 주었다. 따라서 본 실험에 의하면 이압 요법은 월경 불편감을 가진 여대생의 증상 개선에 도움이 되는 것으로 나타났다.

• 여성건강간호학회지
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• 제4권1호
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• pp.123-138
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• 1998

The purpose of this study was to describe perimenstrual symptom severity levels and perimenstrual distress patterns of women. The study performed the discriminant analysis in which included seven factors : age, pariety, social support, menstrual socialization(mother's symptom, sister's symptom, and menstrual effect), attitude of sex role and depression. The subjects were 283 women that they were not pregnant or lactating, had at least one period in past three months, would understand the purpose of study and willingly accepted the participation. The data analysis was done by pc-SAS program after data collection from Nov. 20, 1997 to Dec. 18, 1997. The descriptive analysis was done to explore general characteristics of the subjects and the stepwise discriminant analysis was done to verify factors in relation to perimenstrual symptom severity levels(severe vs mild menstrual symptom group) and perimenstrual distress patterns(spasmodic vs congestive menstrual symptom group). The instruments were selected for this study from Interpersonal Support Evaluation List(ISEL) by Cohen and Hoberman(1983), Center for Epidemic Studies Depression(CES-D) by Radloff(1977), and Sex Role Attitude Scale by Yunok Suh(1995), Mother's symptom and sister's symptom measurements by Woods, Mitchell & Lentz(1995), and menstrual effect by Brooks-Gun & Ruble(1980). The major findings of this study are as follows : 1. Of the 283 women, 93 women(32.9%) were assessed to severe perimenstrual symptom group and 190 women(67.1%) were assessed to mild perimenstrual symptom group. Results from the stepwise discriminant analysis showed three factors, such as depression, menstrual effect, and age, significantly related to perimenstrual symptom severity and they explained 20% of the total variance. The linear discriminant equation included three factors related to perimenstrual symptom groups was showed(Z=1.445 depression+0.174 menstrual effect-0.054 age). The cutting score(Z) was 2.809. We classified the severe perimenstrual symptom group by more than the cutting score 2.809 and the mild perimenstrual symptom by less or equal than the cutting score 2.809. The correctedness of posterior probability from discriminant equation was 72% as two perimenstrual symptom group classifications. 2. Of the 264 women, 139 women(52.7%) were assessed to spasmodic perimenstrual distress group and women(47.3%) were assessed to congestive perimenstrual distress group. Results from the stepwise discriminant analysis showed two factors, such as depression, age, significantly related to perimenstrual distress groups and they explained 8% of the total variance. The linear discriminant equation included two factors related to perimenstrual distress group was showed(Z=-0.084 age-0.776 depression). The cutting score(Z) was -3.759. We classified the spasmodic perimenstrual distress group by more than cutting score -3.759 and the congestive perimenstrual distress group by less or equal than cutting score -3.759. The correctedness of posterior probability from discriminant equation was 65% as two perimenstrual distress group classifications.

• 부모자녀건강학회지
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• 제7권2호
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• pp.111-120
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• 2004

Purpose: This study was done to test the validity and reliability of the MMDQ for middle school students. Method: A convenience sample of 318 middle school students were asked to complete the MMDQ which consisted of 37 items and data were collected from May to June, 2004. Result: 1. Six factors for MMDQ (except insomnia, finally 36 items) were extracted through the principal component analysis with varimax rotation, and these contributed 56.7% of the variance in the total score. All 36 items in the scale loaded above .37 on one of 6 factors. 2. Factor 1 has 7 items, factor 2 has 9 items, factor 3 has 8 items, factor 4 has 5 items, factor 5 has 4 items, and factor 6 has 3 items. 3. Cronbach's alpha coefficient for internal consistency of MMDQ was .946 for the total 37 items and .88, .86, .88, .81, .70, .61 for the six factors in that order. Conclusion: MMDQ was identified its adequacy as PMS measurement tool for middle aged students in Korea. In further study, these factors would be confirmed across different samples and across different methods of data collection.

• 대한간호학회지
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• 제37권3호
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• pp.276-285
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• 2007

Purpose: This study was conducted to explore the relationship between isoflavones intake from soy foods and perimenstrual symptoms among women. Methods: The research design was a cross sectional study. Subjects consisted of 245 women living in Korea, aged 19-49 years. The measurement tools were MDQ and FFQ. Results: Frequently consumed soy isoflavones foods were rice with soybeans, soybean paste stew, and soy paste with tofu. The amounts of soy isoflavones foods consumed in order from highest to lowest were rice with soybeans, soybean paste stew, seasoned soybean sprouts, and soy paste with tofu. Subjects were divided into three groups by isoflavones intake levels; the small intake group, moderate intake group, and large intake group. There were significant differences in some menstrual symptoms, and postmenstrual symptoms by isoflavones intake levels. In general, the moderate isoflavones intake group showed lower scores in some menstrual symptoms and postmenstrual periods compared to the small and large intake groups. Conclusions: These results suggest some positive health effects of isoflavones from soy foods on perimenstrual symptoms. More accurate, objective measurement needs to be applied and more investigation of soy isoflavones effects on many aspects of women's health need to be done in a future study.

• 여성건강간호학회지
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• 제11권4호
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• pp.288-295
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• 2005

Purpose: The purpose of this study was to identify an attitude toward menstruation, perimenstrual symptoms, and coping used by female college students. Methods: A convenience sample of 151 students was obtained from two nursing colleges in Mokpo and Gwangju. Data were collected through questionnaires from June 15 to June 28, 2005. Three instruments were used in this study, the menstrual symptoms, menstrual attitude, and menstrual coping. Data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson correlation using SPSS 10.0 program. Results: The results showed that most 3rd and 4th year students complained about discomfort during their perimenstrual period, had a negative attitude toward menstruation due to the discomfort, but coped well during the period even with a lot of discomfort. With this results, there is a need for a nursing mediator to provide relief for discomfort during perimenstrual period so college female students have a positive attitude toward menstruation. There is a need for further research to determine the relationship between other variables and discomfort during the perimenstrual period. It is also needed to investigate if there are differences in these variables studied according to ages and occupations in women. Conclusion: From these findings, problem solving strategies for menstrual symptoms, positive attitudes, and coping should be a comprehensive approach to a nursing intervention to help women.

• 한방비만학회지
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• 제18권1호
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• pp.50-56
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• 2018

속발성 무월경 또는 희발월경 증상을 보이는 비만 환자들에서 먼저 체중감량을 목표로 한방 비만치료를 진행하면서 월경주기의 경과를 관찰한 증례를 보고하는 바이다.