• 대한간호학회지
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• 제21권1호
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• pp.50-62
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• 1991

The purposes of this study were to identify causal factors of Anxiety and to analyze correlation between perceived family support and anxiety in hemiplegic patients. The subjects of this study were 88 hospitalized hemiplegic patients at Kyung - Hee Oriental medicine Hospital. Data were collected by using interview with questionaire from Jan. 15 to Mar, 31, 1990. The measurement tools used by this researcher were Kang's family support scale, Spielberger's trait anxiety scale and the other anxiety scale which was developed by this researcher, approved it's reliability and validity. For the purposes of the study, the collected data were analyzed by frequency, t-test, ANOVA and the hypothesis was tested by pearson correlation, partial correlation. The results of the study were as follow. 1) The analysis of causal factor of anxiety higher anxiety these three cases ; \circled1 1st causal factor was the delayed recovery of paralyzed upper limbs(2.42$\pm$1.27). \circled2 End causal factor was the dysfunction of physical ability(2.30$\pm$1.29). \circled3 3rd causal factor was difficulty for walking(2.30$\pm$0.83) and the anxiety level(2.02$\pm$0.83) of physical factor was the highest level than any other factors. 2) The hypothesis that the more perceived family support level is the less anxiety level of patient was supported(r＝-.29, p＝.003). 3) The analysis of the general characteristics exerting influences on anxiety level patients ; (sex, age, marrital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalizatiot side of paralysis). In this analysis, any factor has not a statistical significance.(p＞.05). 4) The analysis of the relationship about effective factors of family support level by the general characteristics of patient (sex, age, marrital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalization, side of paralysis). In this analysis, there was significant difference on perceived family support between married and bereaved patients(t＝-2.68, p＝ .009) As a result of this study, anxiety level of physical factor was higher than any other factors (psychological factor, social factor) and the delayed recovery of paralyzed upper limbs is the largest causal factor of anxiety of physical factor. Meanwhile, the relationship between the degree of family support and the level of anxiety was negatively correlated but the degree of relationship was low. Therefore, one can infer from this study that sufficient information about recovery of physical problems and family support were effective in preventing and reducing anxiety in hemiplegic patient.

• 한국가정과교육학회지
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• 제29권2호
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• pp.67-84
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• 2017

본 연구는 청소년의 자아존중감에 영향을 미치는 다양한 요인(삶의 만족도, 성취가치, 또래애착, 교사와의 관계)을 실증적이고 종단적으로 살펴보기 위하여 한국청소년정책연구원에서 수행한 한국아동 청소년패널(KCYPS) 데이터 중에서 중1패널 자료를 사용하여 중학교 1학년, 3학년, 고등학교 2학년 시기의 자료를 분석하였다. SPSS프로그램을 이용하여 기초통계분석, 반복측정분산분석, 중다회귀분석을 한 결과는 다음과 같다. 첫째, 연구대상자들의 자아존중감, 삶의 만족도, 성취가치, 또래애착, 교사와의 관계의 수준이 각 시기에 따라 통계적으로 유의미하게 달랐다. 둘째, 중학교 1학년, 3학년, 고등학교 2학년 시기의 자아존중감, 삶의 만족도, 성취가치, 또래애착, 교사와의 관계가 성별로 차이가 있는지 알아본 결과, 자아존중감, 삶의 만족도, 또래애착, 교사와의 관계는 성별에 따라 차이가 있었으며, 성취가치는 성별에 따라 차이가 없었다. 셋째, 자아존중감을 유의미하게 설명하는 변인은 삶의 만족도, 또래애착, 성취가치로 나타났다. 삶의 만족도의 경우 중1(${\beta}=.57$), 중3(${\beta}=.48$), 고2(${\beta}=.47$)로 모든 시기에 자아존중감에 영향을 미쳤으며, 또래애착도 중1(${\beta}=.15$), 중3(${\beta}=.19$), 고2(${\beta}=.19$) 시기에 자아존중감에 영향을 미쳤다. 성취가치는 고2(${\beta}=.12$) 시기에 자아존중감에 영향을 미쳤다. 즉, 모든 시기에 삶의 만족도가 높을수록, 또래애착이 높을수록 자아존중감 수준이 높았으며, 고2 시기에는 성취가치가 높을수록 자아존중감 수준이 높아졌다. 자아존중감을 향상시키는 변인들 간의 상대적 영향력을 평가하면 삶의 만족도가 가장 큰 영향력을 보이고 있으며, 또래애착이 두 번째로 큰 영향력을 보이고 있다. 이에 청소년의 자아존중감을 높이기 위해 가정과 교육과정에서 삶의 만족도를 높이고 또래애착을 형성하는 수업과 활동이 보다 많이 강화되어야 할 것이다.

• 환경위생공학
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• 제3권1호
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• pp.19-26
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• 1988

활동성이 강한 중학생을 대상으로 남$\cdot$여, 학생에 따른 세균 오염현황을 파악함으로써 중학생의 보건 교육에 관심을 높이고자 하여 1985년 2월 4일부터 2월 15일까지 서울 시내 중학교에 재학중인 학생 29명을 대상으로 양손으로 부터의 세균을 분리하여 다음과 같은 결과를 얻었다. 1. 손에 오염된 평균 세균수는 1학년 남학생 $3.08\times10^4$개 여학생$2.48\times10^4$개, 2학년 남학생 $3.32\times10^4$, 여학생 $1.64\times10^4$개로 2학년 여학생에 있어 특히 적은 수가 나타남을 알 수 있었다. 2. 중학생 손에서 검출된 세균의 속명은 Staphylococcus, Streptococcus, Micrococcus, Bacillus, Neisseria spp., Branhamella, Acinetobacter, Moraxella, Chromobacterim, Alcaligenes, Flavobacterium, Pseudomonas, Actinobacillus, Pasteurella, Vibrio, Enterobacteria와 Plesiomonas로 17속으로 나타났다. 3. 속명이 밝혀진 균주 중 종명까지 밝혀진 것은 Staphylococcus aureus, Staphylococcus epidemidis, Micrococcus varians, Branhamella catarrhalis, Acinetobacter anitratus, Moraxella bovis, Moraxella urethralis, Pseudomonas aeruginosa와 plesiomonas shigelloid로 9종이 밝혀졌다. 4. Genus 중 전체 학생중 나타난 출현 빈도가 가장 높은 것은 Staphylococcus $(96.6\%)$이었고 그 다음 Enterobacterial $(14.4\%)$ Bacillus$(20.7\%)$, Branhamella$(17.2\%)$순으로 나타났다.

• Clinical and Experimental Pediatrics
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• 제59권4호
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• pp.174-177
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• 2016

Purpose: There are no specific tests for diagnosing Kawasaki disease (KD). Additional diagnostic criteria are needed to prevent the delayed diagnosis of incomplete Kawasaki disease (IKD). This study compared the frequency of coronary artery lesions (CALs) in IKD patients with and without anterior uveitis (AU) and elucidated whether the finding of AU supported the diagnosis of IKD. Methods: This study enrolled patients diagnosed with IKD at The Catholic University of Korea, Uijeongbu St. Mary's Hospital from January 2010 to December 2014. The patients were divided into 2 groups: group 1 included patients with IKD having AU; and group 2 included patients with IKD without AU. We analyzed the demographic and clinical data (age, gender, duration of fever, and the number of diagnostic criteria), laboratory results, and echocardiographic findings. Results: Of 111 patients with IKD, 41 had uveitis (36.98%, group 1) and 70 did not (63.02%, group 2). Patients in group 1 had received a diagnosis and treatment earlier, and had fewer CALs (3 of 41, 1.7%) than those in group 2 (20 of 70, 28.5%) (P=0.008). All 3 patients with CALs in group 1 had coronary dilatation, while patients with CALs in group 2 had CALs ranging from coronary dilatation to giant aneurysm. Conclusion: The diagnosis of IKD is challenging but can be supported by the presence of features such as AU. Group 1 had a lower risk of coronary artery disease than group 2. Therefore, the presence of AU is helpful in the early diagnosis and treatment of IKD and can be used as an additional diagnostic tool.

• 한국가정과교육학회지
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• 제22권1호
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• pp.97-115
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• 2010

본 연구는 제 7차 교육과정 중학교 "기술.가정" 교과서의 가정 영역에 제시된 질문을 Bloom의 인지적 영역의 수준에 따라 질문의 빈도, 수준, 위치를 분석하는 데 목적이 있다. 이에 임의로 5개의 출판사의 교과서를 선정해 총 15권을 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 가정 교과서에 포함된 Bloom의 인지적 영역 질문은 1학년(36.9%)이 가장 많았고, 2학년(33.6%), 3학년(29.5%)의 순이었으나 그 비율은 세 개의 학년이 비슷하였다. 가정 교과서에 제시된 질문을 Bloom의 인지적 영역에 따라 분류하였을 때 이해 질문(28.9%)과 적용 질문(28.3%)이 많았고, 지식(21.8%), 분석(8.6%), 종합(6.8%), 평가(5.6%) 수준의 질문은 그 비율이 점차 줄어들었다. 학년별로는 1학년과 3학년은 이해 질문과 적용 질문이 많았고, 2학년은 적용 질문이 가장 많은 비중을 차지했다. 둘째, 중학교 가정교과서에서 Bloom의 인지적 영역 질문의 위치는 읽기 후 질문이 49.2%로 가장 많았고, 읽기 중 질문이 36.7%, 읽기 전 질문은 14.1%를 차지하였다. 읽기 전 질문에서는 학습자들의 흥미를 불러일으키고 사전지식을 조성하고 활성화시키는 목적으로써 지식수준(11.4%), 이해수준(43.2%)의 질문이 주로 나타났고, 읽기 중 질문에서는 학습의 이해와 좀 더 폭 넓은 사고를 할 수 있는 수단으로 적용수준(36.7%)의 질문과 이해수준(25.5%)의 질문이 이용되고 있었다 읽기 후 질문에서는 지금까지 학습한 내용의 점검을 하는 역할로서의 질문인 지식수준(33.4%)과 이해수준(26.8%)의 질문이 많이 나타났다.

• 대한한방내과학회지
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• 제30권1호
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• pp.107-118
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• 2009

Objectives : This study was aimed to investigated the effect of Yijin-tang on gastric motility and its mechanism of action in normal intact and partial pyloric obstructed rats. Methods : Gastric emptying was measured by the number of glass beads expelled from the stomach (containing one hundred of glass beads. ${\phi}1mm$) in 1 hour or 2 hours after glass beads and test drugs (normal saline. Yijin-tang 90mg/kg. Yijin-tang 270mg/kg) administration in normal intact and partial pyloric obstructed rats. In another series of experiments to evaluate the mechanism of Yijin-tang 270mg/kg under delayed conditions, normal intact rats were treated with atropine sulfate (1mg/kg,s.c.), cisplatin (10mg/kg,i.p.), quinpirole HCI (0.3mg/kg,i.p.) and NAME (NG-nitro-L-arginine methyl ester. 75mg/ kg,s.c.), respectively. Partial pyloric obstructed rats were modified by wrapping the nonabsorbable rubber ring (D :6mm, W:4mm, T: 1mm) around the 1st portion of the duodenum for 8 weeks. The myoelectrical activity of the gastric smooth muscle was recorded by a bipolar electrode placed at the abdominal surface in normal intact and partial pyloric obstructed rats. The gastric myoelectrical activity was measured for 30 minutes before and after orogastric administration of each solution (normal saline, Yijin-tang 270mg/kg) and expressed as dominant frequency, percent of normogastria and power ratio. Results : Yijin-tang improved gastric emptying more than normal saline in normal intact(p<0.001) and partial pyloric obstructed rats(p=0.002). Under the delayed gastric emptying induced by atropine sulfate, cisplatin, quinpirole HCI and NAME. Yijin-tang enhanced gastric emptying significantly in the cisplatin treated group(p<0.001). but didn't in other treated groups. Administration of Yijin-tang 270mg/kg has no significant effect on the myoelectrical activity of the gastric smooth muscle in both normal intact rats and partial pyloric obstructed rats. Conclusions : Yijin-tang seems to stimulate the gastric motility through suppressing the 5HT3 receptor and promoting the antroduodenal flow. We expect that Yijin-tang would be effective especially in dysmotility-like functional dyspepsia with partial pyloric obstruction or the side effects of cisplatin such as nausea, vomiting, abdominal discomfort, and delay of gastric emptying.

• 재활간호학회지
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• 제6권1호
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• pp.26-39
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• 2003

The elderly can experience a lot of stressful events and the stress acts as a various fluent that affects a well-being level, the self-contentment of lives, and the achievements by themselves. Also, the elderly are different from the young in many unexpressed stress and have diverse copings for perceived stress. Moreover, they mainly seem to use a problem-focused coping and an emotion-focused coping. To use whatever copings is to improve the quality of life in the old period and very important fact to achieve their ends. The purpose of this study was to investigate the relationship between Perceived Stress and the Ways of Coping in the Elderly and to gain the baseline data for development of nursing intervention program for improve to the quality of life in the elderly. The design of this study was a correlational study. The subjects of this study consisted of 230 of the elderly living in Pusan. The data was collected from 1st July. to 1st September, 2002. The instruments used for this study were 'Perceived Stress Scale(20items, 5point. scale)' developed by Kang In(1990) and translated by Lee young-ja(1999), and its reliability is Cronbach's ${\alpha}=.89$. 'Coping Scale(30items, 4point. scale, 14 items about a problem-focused coping, 16 items about an emotion-focused coping, 4 points scale) developed by Lazarus & Folkman(1984) and translated by Yang Young-hee(1998). The reliability of this study is Cronbach's ${\alpha}=.90$. The data was analyzed by the SPSS WIN 10.0 program using frequency, percentage, mean, standard deviation, t-test, ANOVA & Scheffe test and Pearson's correlation coefficient. The results of this study were as follows; 1. The mean score of perceived stress was $31.75{\pm}10.23$(Min 20, Max 100), which the item mean score was $1.59{\pm}.51$(Min 1, Max 5). 2. The number of subjects in a problem-focused coping was 72(31.3%), the number of subjects in an emotion-focused coping was 158(68.7%) 3. There were statistically significant positive correlation between perceived stress and problem-focused coping method and the more emotion-focoused coping method.(r=.180, r= .209, P< .05). It means the more stress, the more problem-focused coping method and the more emotion-focused coping method. 4. There was significant difference the score of perceived stress according to sex (F=-5.057, P=.000)marital status, (F=-2.909, P=.004), economic level, (F=10.243, P=.000), paticipated meeting, (F=9.346, P=.000), perceived health status(F=5.117, P=.007). 5. There was significant difference the score of problem-focused coping method according to age(F=14.200, P=.000), marital status (F=2.432, P=.0160), economic level (F=14.410, P=.000), monthly income, (F=8.300. P=.000), income resource (F=10.235, P=.000), educational level (F=15.222, P=.000), occupation (F=1.544, P=.041), paticipated meeting (F=4.936, P=.008), perceived health status(F=5.655, P=.004). And there was significant difference the score of emotion-focused coping method according to monthly income(F=4.781, P=.009), income resource(F=2.930, P=.035), educational level(F=6.101, P=.003), religionF=2.698, P=.032), paticipated meetings(F=7.285, P=.001). As a result of the study, the elderly had a bit less stress and the two-thirds of the elderly used the emotion-focused coping. Thus, the more perceived stress, the more problem-focused coping method and the more emotion-focused coping method. Accordingly, to improve the quality of life of the elderly, there needs and applies a nursing intervention program that relieves the stress and use effective coping method.

• Tuberculosis and Respiratory Diseases
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• 제60권1호
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• pp.44-48
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• 2006

연구배경 : Isoniazid (INH)에 관한 국내 폐결핵 진료지침은 외국의 지침들(300 mg/일)과 달리 체중이 50kg 이상인 경우 400 mg/일을 권장량으로 제시하고 있으나 근거가 없는 실정이다. 따라서 국내에서 1차 4제요법 치료시 INH 300 mg/일과 400 mg/일 처방에 따른 차이를 확인하기 위해 본 연구를 시행하였다. 방 법 : 폐결핵으로 진단받고 표준 4제치료를 시행한 환자 중 50kg 이상이고 모든 1차약제 감수성이 확인된 환자를 INH 300 mg/일과 400 mg/일 군으로 나누어 비교하였다. 결 과 : 2003년 4월부터 2005년 3월까지 상기 조건을 만족하는 환자 중 INH 300 mg을 사용한 군(300군)은 123명, 400 mg을 사용한 군은 128명(400군)이었다. 나이, 남녀비, 체중, 결핵치료력, AFB 도말 양성률, 공동병소 동반율에서 300군 및 400군 간 유의한 차이는 없었다. 300군 및 400군에서 치료 완료율은 90%:80%였고, 전체 부작용에 의한 약제 변경률은 9.0%:13.7%, 간독성에 의한 약제 변경률은 2.7%:7.8%로 유의한 차이가 없었다. 추적 관찰 기간이 짧아 재발률은 분석되지 않았다. 결 론 : INH 300군과 400군 사이에 치료성적 및 약제 부작용면에서 차이가 없어서 50kg 이상의 결핵환자의 표 준처방시 INH 300mg이 유용하다고 사료되나 향후 재발률의 비교 연구가 필요하다.

• 한국치위생학회지
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• 제11권6호
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• pp.881-891
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• 2011

Objectives : This study was carried out in order to contribute to preventing dental caries, which is the biggest disease in adolescence and to promoting oral health by implanting a right habit on oral care targeting adolescents, and further to offer basic help to proceeding with making the better health life. Methods : This study carried out questionnaire survey targeting 1,100 students of middle schools where are located in small and medium-sized cities of Gyeongnam from March 7-18, 2011. Statistical processing was performed frequency analysis and cross tabulation, by using SPSSWIN 12.0 program. Results : As for middle school students' oral health education experience, the group with educational experience was indicated to be 52.9% for girl students and 47.1% for boy students(p<.05) in case of gender. Toothbrushing time was indicated to be the highest with 25.6% in 'after having breakfast'. The appearance of toothbrushing after having lunch at school was indicated to be 53.3% for girl students and 26.3% for boy students(p<.001) by gender. The most important reason for toothbrushing accounted for 82.1% in the 1st grade, 71.1% in the 2nd grade, and 67.4% in the 3rd grade depending on school year as for the response as saying of 'aiming to prevent decayed tooth and gum disease.' Thus, the lower school year led to having indicated to be higher in response as saying of brushing teeth for preventing decayed tooth and gum disease(p<.001). As for a toothbrushing method by gender, boy students accounted for 24.2% in response as saying of 'brushing teeth freely', thereby having been indicated to be higher than 15.0% for girl students(p<.001). Conclusions : In order for toothbrushing method to be rightly practiced and habituated continuously, there will be a need of changing adolescents' awareness and of being driven systematically and continuously through oral health education. School oral health education, which can nurture right attitude and habit of oral health care, is thought to be necessarily expanded and executed.

• 대한간호학회지
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• 제3권1호
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• pp.85-95
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• 1972

For the purpose to clarify the effects of nursing, intervention with comfort measures which promote rest, exercise and sleep on the patient′s rehabilitation, this study was carried out on 119 postoperative patients at St. Mary′s Hospital, the National Medical Center and Seoul Red Cross Hospital during the 9 months period from March 1971 to November 1971. In this study one experimental nursing approach was utilized; an emphasis on interpersonal techniques along with physical care-comfort measures. A daily evening care including support and instruction was given to facilitate interaction of nursing to the experimental group by the investigator. For the control group, routine hospital nursing care was performed. The nursing observation was followed for 4 days postoperatively and recorded in check list. The results of the findings were as follows. 1. 3.5% of control group and 32.3% of experimental group got out of bed within 24 hours postoperatively. 38.6% of control group got out of bed within 72 hours postoperatively where only 16.1% of the experimental group did (x$^2$= 19.865, p<0.005). Interaction in nursing is, in turn, significantly more effective than the usual routine care in improving rate of healing. 2. The irritations and tension that may interfere patient′s sleep and rest at night can be reduced to a minimum if nursing environment is better controlled with planned nursing care for individual patient. Various treatments which tend to give patient discomfort may preferably be performed before 6 p.m. if not absolutely indicated. 3. During 4 days of observation the patients without administration of sedatives and analgesics postoperatively were 25.9% in the experimental group where as 10.5% in the control group. The frequency of administration of sedatives and analgesics in average was 1.4 in the experimental group, and 2.0 in the control group. This indicates that not all postoperative discomforts expressed by the patients should be regarded as incision pain, and those discomforts could be relieved to a certain extent by nursing interventions effectively. 4. There were significant differences between the responses to nursing care given in the experimental group and 33% of the control group in average through 4 days of observation responded "good". 3.6% of the experimental group and 17. 1% of the control group responded "poor" in this study. It was recommended that the study be replicated in a more defined and controlled manner. Some alternative areas for investigation were suggested.