• 산업진흥연구
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• 제7권3호
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• pp.77-83
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• 2022

본 연구는 개인의 성장과정에서 불안정 애착을 경험한 중년여성이 자신의 성장 과정을 재조명함으로써 긍정적인 변화를 경험하도록 돕는 목적으로 수행되었다. 본 연구 기간은 2020년 8월부터 2021년 9월까지 총 14회기에 걸쳐 심층 면담을 진행하였고, 면담 내용은 내러티브 연구방법론에 따라 참여자의 불안정 애착과 외상 후 성장에 관한 경험의 의미를 존재적 맥락, 관계적 맥락, 생애적 맥락 등으로 텍스트를 기술하였다. 연구결과는 불안정 애착과 외상 후 성장을 경험한 참여자 3명을 선정하여 다음과 같은 결론이 도출되었다. 첫째, 존재적 맥락에서의 의미는 인정 받기 위한 욕구, 완벽주의, 불안한 가정환경, 스트레스 대처방법, 상처를 마주할 용기, 자기수용 및 긍정, 주변 사람들에게 감사, 삶의 희망은 참여자 경험 속에서 의미로 해석하였다. 둘째, 관계적 맥락에서의 의미는 부모, 남편, 자녀, 대인관계, 종교와의 경험으로 해석하였다. 셋째, 생애적 맥락에서의 의미는 돌봄의 결핍, 통제의 재현, 장녀로의 책임감, 소중한 가정, 삶의 의미와 가치는 과거 부모와의 다양한 경험이 현재 참여자들의 삶에 영향을 미치는 현재의 경험 속에서 해석하였다. 이상의 연구 결과를 통해 본 연구는 내러티브 기법으로 참여자들의 어린 시절 불안정 애착 경험과 외상 후 성장 과정을 기술하고 그들의 삶에 긍정적인 대안을 제시하고자 한다.

• 여성건강간호학회지
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• 제1권1호
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• pp.5-27
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• 1995

One of the important tasks for new parents, especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the health development of the child and the well-being of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. The purpose of this longitudinal descriptive correlational study is to investigate the changes of the mother - infant interactions from postpartum 1 day to postpartum 8weeks of the transition to parenthood. The aim was to contribute to the development of theoretical under standing on which to base care toward promoting the quality of maternal - infant interaction. Data were collect ed directly by the investigator and at rained from Jul, 1, 1990 to Jun 8, 1991, Subjects were a random sample of 44 mothers, 44 who had a normal delivery (but with out other perinatal complications) at four general hospitals in Seoul. Instruments used were the Stainton Parent-infant Interaction Scale (1981). The first observations were made in the delivery room, followed by day 1, day 2, day 3 and 2 weeks, 4 weeks, 6 weeks and 8 weeks after, birth, for a total of 8 contacts. Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was don by computer using as SPSS program and included, Paired t-test, t-test and Pearson Correlation coefficient ; the results were as follows. 1. The daily maternal-infant interaction score for the initial contact ofter birth to 8 weeks postpartum had the lowest average score 5.21 and the highest 8.02(in a range of 0-10). This subject group of mothers needed Extra nursing supporting to promote their maternal-infant interaction. 2. The daily scores for the maternal-infant interaction tended to rise, showing a gradual improvement over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day (p=0.000) and from the fourth to sixth weeks ofter birth.(p=0.000) 3. When the seven items of maternal-infant interaction were evaluated items of maternal-infant inter action were evaluated separately, "Care taking for the baby" had the highest average score, 1.60(in a range of 0-2) and "Speaks to baby" the lowest, 0.8. All items, suggested the subjects' need of nursing intervention to promote maternal-infant interaction 4. There were positive correlations between certain general characteristics, namely, both a higher economic status (p=0.027) and breast feeding (p=0.021) and maternal-infant interaction.

• 한국사회복지학
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• 제63권1호
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• pp.5-28
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• 2011

본 연구는 정신장애인의 정신질환 발병 이후 생애경험을 '생애사적 진행과정구조'에 주목하여 재구성함으로써 발병이후 위기의 진행과 전환의 과정을 이해하고자 한다. 정신장애인 5명이 연구에 참여했으며, 수집된 자료는 Sch$\ddot{u}$tze의 생애사적 이야기식 인터뷰(narrative interview)분석에 의하여 이루어졌고 위기 상황의 전환을 중심으로 '발병과 혼란단계'와 '집중적 치료 재활단계로' 나누어 재구성하였다. 전자는 '질환에 압도당함, 고통스런 삶의 반복과 감내, 가족으로부터의 분리', 후자는 '정신보건법 제정과 지역사회정신보건서비스의 확대, 사회적 역할변화를 통한 자신의 재발견, 생애사적 잠재성을 깨닫게 해준 중요한 타인, 지역사회통합의 장애물 경험, 가족관계의 재통합, 발병이전의 삶에 대한 고찰을 통한 질병경험의 재해석, 미래에 대한 기대'라는 주제로 분석했다. 그리고 두 단계를 전체적으로 비교분석하였다.

• Journal of Animal Science and Technology
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• 제60권12호
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• pp.32.1-32.10
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• 2018

Background: Necdin (NDN), a member of the melanoma antigen family showing imprinted pattern of expression, has been implicated as causing Prader-Willi symptoms, and known to participate in cellular growth, cellular migration and differentiation. The region where NDN is located has been associated to QTLs affecting reproduction and early growth in cattle, but location and functional analysis of the molecular mechanisms have not been established. Methods: Here we report the sequence variation of the entire coding sequence from 72 samples of cattle, yak, buffalo, goat and sheep, and discuss its variation in Bovidae. Median-joining network analysis was used to analyze the variation found in the species. Synonymous and non-synonymous substitution rates were determined for the analysis of all the polymorphic sites. Phylogenetic analysis were carried out among the species of Bovidae to reconstruct their relationships. Results: From the phylogenetic analysis with the consensus sequences of the studied Bovidae species, we found that only 11 of the 26 nucleotide changes that differentiate them produced amino acid changes. All the SNPs found in the cattle breeds were novel and showed similar percentages of nucleotides with non-synonymous substitutions at the N-terminal, MHD and C-terminal (12.3, 12.8 and 12.5%, respectively), and were much higher than the percentage of synonymous substitutions (2.5, 2.6 and 4.9%, respectively). Three mutations in cattle and one in sheep, detected in heterozygous individuals were predicted to be deleterious. Additionally, the analysis of the biochemical characteristics in the most common form of the proteins in each species show very little difference in molecular weight, pI, net charge, instability index, aliphatic index and GRAVY (Table 4) in the Bovidae species, except for sheep, which had a higher molecular weight, instability index and GRAVY. Conclusions: There is sufficient variation in this gene within and among the studied species, and because NDN carry key functions in the organism, it can have effects in economically important traits in the production of these species. NDN sequence is phylogenetically informative in this group, thus we propose this gene as a phylogenetic marker to study the evolution and conservation in Bovidae.

• The Journal of Korean Physical Therapy
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• 제6권1호
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• pp.49-60
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• 1994

Stress is experienced when a person tries to maintain stability in the face of life change but is not able to meet the adaptive demands of change. This can be especially true for the parents who has a cerebral palsy childs who needs long term rare, where parents, are the primary source of care and responsibility. Successful coping leads to maintenance of the parents role and this has an effect on the health status of the child. This descriptive study was attempted to identify stress factors, levels and helpful coping patterns for parents who must take care of cerebral palsy children. Data were collected from 43 subjects who were parents of children diagnosed with cerebral palsy The informations gathered from March 25, 1994 to April 14, 1994 by means of structured questionnaires were analyzed. Two instruments were used to collect the data 1) Lee's stress questionnaire consisted of 33 stress factors and measured by four point Likert scale. 2) Modified Chronic Health Inventory for parents: The modified CHIP included 43 items of coping methods with four point Likert scale. The results of this study were as follows: 1) Stress items could have a maximum score of three points, for a total possible score of 132 points. The mean score for the total was 92.02 points. The item mean score was 2.85 points showing that the parents were experiencing moderate to much stress. 2) The items with the highest stress items were 16 items. The stress items with the lowest mean scores were 10 items. 3) Of the stress categories: The highest stress category was related to changes in the illness status of the child and difficulty in taking rare of the child. The second stressful category was related to the prognosis of the child's condition. The least stress was noticed to social-personal relationships and the responsibility of the care givers. 4) Items measuring coping in the parents had a maximum score of three points each with a total possible roping score of 172 points. The mean score for the total was 103,9 paints. The item mean score was 2.42 points indicating that there were responses of little helpful to moderately helpful on each coping pattern. 5) The most helpful coping items were 7 items. The least helpful coping items were 2 items. 6) Effectiveness of the coping for each patterns was examined : Understanding the illness condition from communication with parents of children with the same condition and consultation with the medical team was the most helpful coping pattern. Family's coorperation and integration and optimism were a moderately helpful coping pattern. Social support psychological stability and self esteem were the least helpful toping pattern. In conclusion, the highest stress for parents of children with cerebropalsy was found to be very stressful changes in the illness of the child and to taking care of a child who is suffering. The parents were helped by the coping methods using understanding of the illness condition through consultation with the medical learn and communication with parents in the same situation. Based on the knowledge, care could develop intervention strategies appropriate for them, help them to develop their effective coping patterns, and give support them in the process of coping with their stress.

• 대한간호학회지
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• 제30권3호
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• pp.776-790
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• 2000

Every year the number of the elderly increases in Korea thanks to the improvemen of social and economical levels and the development of medicine. However, many problems such as insufficent care and the isolation of the elderly have been commonplace. This trend exists not only because of increased lifespan but also the changing social structure of the nuclear family. Accordingly, inspite of the development of medicine, geriatric diseases including circulatory diseases are increasing in proportion of elderly population, as well as the severity. Therefore, it is important to emphasize that health care programs provide the best possible health care and functional capacities in terms of healthy elderly lifestyles. Especially, the phenomena of aging and geriatric diseases taking place with the elderly naturally are affected by lifestyle and the drastic changes in exercise patterns. This study aims to improve geriatric health by introducing a rhythmic movement program for the elderly to estabilish a health-promoting self-care system and by developing quality of life, perceived health status, their physical and physiological functions and emotional state. The theoretical framework used in this dissertation is derived from the Health-Promoting Self-Care System Model (Simmons, 1990), which integrates the Self-Care Deficit Nursing Theory (Orem, 1985), the interaction model of Client Health Behavior (Cox, 1982) and the Health Promotion Model (Pender, 1987). As a quasi-experimental design, the nonequivalent control group pretest-posttest design is utilized for this study. The subjects of this study consist of 64 people, over 65 years old who live in 2 nursing homes for the aged located in S city , Kyong-gi province and volunteered for this study from July, 12, 1999 to September, 17, 1999. They are divided into two groups：33 in the experimental group and 31 in the control group. The experimental group particpated in the Rhythmic Movement Program at the nursing home, which was comprised of 45 minutes a session, 5 sessions a week during 9 weeks. In order to measure the results of the Rhythmic Movement Program, aspects of perceived health status, balance, flexibility, grip strength, leg strength, heart rate, blood pressure, depression, anxiety and the quality of life were measured before and after participating in the Rhythimic Movement Program for the experimental group after 9 weeks, as well as the control group. The collected data were processed by SPSS PC+ and analyzed by the X2 test, t-test, ANCOVA and the Pearson Correlation Coefficient. The results of this study are as follows: 1. The perceived health status conditions in the experimental group show statistically significant improvement when compared to the control group (F=17.51, p=.000). 2. The physical and physiological functions, that is, balance (F=17.51, p=.000), flexibility (F=8.01, p=.006), grip strength (F=3.21, p=.018) and leg strength (F=25.78, p=.000) in the experimental group are higher than the control group. The vital signs, that is, the number of heart rate (F=.022, p=.884), systolic pressure (F=1.73 p=.193), and diastolic pressure (F=2.74, p=.103) in the experimental group compared to the control group decreased, but doesn't show statistically significant differences. Immune responses (F=5.13, p=.003) showed statistically significant increases in the experimental group when compared to the control group. 3. The emotional state are improved, that is, degree of depression (F=11.56, p=.001) and degree of anxiety (F=9.14, p=.004) in the experimental group showed statistically significant decreases. 4. The quality of life in the experimental group (F=3.03, p=.037) showed statistically significant differences compared to the control group. 5. The observations of the relationships among the perceived health status, emotional state , the quality of life, the relationships between the perceived health status, the degree of depression (r=-.653, p=.000) and the degree of anxiety (r=-.786, p=.000) were in contrary propotions, while the relationships between the perceived health status and the quality of life (r=.234, p=.008) were in direct propotion. In conclusion, the Rhythmic Movement Program used in this study for geriatric nursing care is simple and safe for application to the elderly and shows significant effects by implementing 5 sessions a week for 9 weeks. The Rhythmic Movement Program improves the quality of life, maintains as well as improves the physical and physiological fuctions and emotional state, therefore this program is strongly recommended for positive applications for independant geriatric nursing health care.

• 생태와환경
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• 제40권3호
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• pp.468-480
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• 2007

도시화는 하천의 수리, 수질 및 수로의 형태를 변화시키고, 수생태계의 조성을 변화시키고 있다. 최근 포천천과 영평천 주변에 많은 인구와 소규모의 공장 등이 유입되어 도시화됨으로써 오, 폐수의 방류량이 증가하였다. 본 연구는 도시화의 정도에 따라 하천 생태계를 구성하고 있는 돌 부착규조 군집의 조성이 다른 것에 기초로 하여 돌 부착규조 군집의 조성, 우점종 및 생태군 별 종 조성과 생물지수(DAIpo)에 의한 수 환경을 평가하였다. 두 하천의 도시화 지수는 포천천의 정점 P-3와 P-5에서 각각 85와 91로 매우 높은 반면에 영평천 주변의 도시화지수는 약 20 이하였다. 본 조사에서 돌 부착규조는 총 141종류로써 2목, 8과, 30속, 128종, 12변종, 1미동정종으로 구성되었다. 출현 종수는 포천천에서$11{\sim}36$종류의 범위였고, 영평천에서 $14{\sim}45$종류의 범위였다. 우점종은 포천천에서 Navicular saprophila, N. subminuscula, Nitzschia palea, Gomphonema pseudoaugur 등이었으며, 영평천에서 Achnanthes alteragracillima, A. convergens, A. minutissima, N. minima, N. fonticola, N. frustulum와 Cymbella minuta var. silesiaca 등으로써 두 하천의 도시화 정도에 따라 뚜렷한 차이를 나타내었다. 도시화 지수와 EC, BOC, COD, TN, TP. 및 DAIpo 등은 높은 상관관계 $(r^2>0.8)$를 나타내었다. 도시화에 따라 유기오염의 정도가 매우 다르며, 이에 따라 돌 부착 규조의 생태군이 포천천에서는 호오탁성종의 종수 및 상대빈도가 매우 높은 반면 영평천에서는 호청수종의 종수 및 상대빈도가 높았다. 생물지수(DAIpo)에 의한 두 하천의 수질은 포천천에서 조사 동안 강부수성(P-3, 4, 5)을 나타내었고, 영평천에서는 빈부수성(Y-1)에서 강부수성(Y-4)까지 다양하게 나타났다.

• 가정과삶의질연구
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• 제28권5호
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• pp.25-38
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• 2010

The purpose of this study was to investigate the trend changes of the health characteristics and the elements of Han-Ok appeared in the articles of the daily newspaper, and to provide basic information for applying to the healthy housing for the public living in modern society and furthermore the various facilities for healing. For the study, the relevant articles of 4 daily newspapers published from 1st of January in 1960 to 28th of February in 2010 were collected and analyzed. The results of the study were as follows: First, the articles about the health characteristics and the elements of Han-Ok have rapidly grown since the year of 2000. Especially, the residents' interviews, case reports and actual living condition of Han-Ok recently tend to increase. Second, the health characteristics of Han-Ok in the recent articles were focused more on the mental and social health than on the physical health. The physical health had the characteristics of the block of hazard environments, the offer of good quality environments, and the enhancements of residents' health. The mental health consisted of the psychological comfort, the sensory satisfaction and the emotional growth. There have been improvements of family relationships and the interactions with neighbors in the characteristics of social health since 2000. Third, the health elements of Han-Ok in terms of architecture and interior design were the structure, space, material, doors & windows, furniture & props, nature, and villages. The material elements were more stressed before 2000, but the spaces and the nature elements were highly focused after 2000 and the structure elements were steadily high regardless of years. Fourth, of the health elements, the structure and the material had the high effects on the physical health characteristics, on the other hand the spaces and the nature influenced more on the mental health. On-dol, Ma-dang, Dae-cheong, Ma-ru, soil, wood, Changhoji, natural environments, and doors & windows were the detail health elements which had high effects on the health characteristics of Han-Ok. For the future study, the experience based in-depth studies of the residents living in Han-Ok are suggested to grasp the actual effects of Han-Ok on the health. The professional consultations are also needed for the extracts of the health characteristics of Han-Ok and the functional elements which can be applied to the modern buildings.

• 산업진흥연구
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• 제6권2호
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• pp.37-46
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• 2021

본 연구는 아동·청소년기 근친 성폭력 피해자들이 사건 이후 겪게 되는 다양한 심리적 변화와 현실을 그들의 목소리로 전달하여 새로운 시각을 제공해야 할 필요성과 상담을 통해 삶에 적응하기 위해 노력하는 개인적인 삶의 경험을 현상학적인 접근을 통해서 이해하고 기록하였다. 현상학적 방법론을 통한 분석 결과는 다음과 같다. 첫째, 참여자들은 부모의 정서적인 방치와 가족구성원의 폭력적 행동과 위협, 침묵을 강요하는 과정을 통해 대인관계에 대한 불신감과 낮은 자존감이 형성 되었고 일상생활에서 지속적인 어려움을 겪게 되었다. 둘째, 성폭력 사건에 의한 고통과 후유증은 사건이 알려지는 것에 대한 두려움과 자신에 대한 부정적인 생각, 대인관계의 어려움으로 나타나 현실부적응과 사회활동 회피를 반복하면서 역할의 갈등을 경험하게 하였다. 셋째, 아동·청소년기 근친 성폭력의 후유증은 PTSD를 통해 극단적으로 드러났다. PTSD의 경험은 참여자가 정신과에서 처방받은 약물이나 알코올과 같은 물질에 의존하고 환청과 환각, 망상의 경험으로 외부활동을 더욱 기피하게 하는 요소가 되었다. 넷째, 적응 과정을 통한 변화는 사건에 대한 직면과 분리, 삶에 대한 새로운 시선이다. 적응 프로그램을 진행하면서 과거의 상처로 인해 표현하지 못한 말과 감정을 표현하고, 자신의 삶을 살아가기 위한 목표를 세우고 앞으로 나아가려고 했다. 현실에서의 극복 경험은 참여자에게 자기존중감과 삶에 대한 자신의 능력을 신뢰하는 자기효능감, 건강한 자기조절능력에 대한 믿음을 향상시켰다. 본 연구는 개인의 삶에서 근친 성폭력 트라우마가 새로운 일상의 위기를 통해 재경험되고 각 과정마다 새로운 적응 과정을 반복하는 모델을 제시하는데 의의를 둔다.

• 한국노년학
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• 제41권4호
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• pp.587-609
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• 2021

본 연구는 개별 심층면접을 통해 조손가족 조모의 손자녀 양육에 대한 경험을 확인하고, 양육자의 관점에서 어떠한 신체-심리-사회적 이슈들을 당면하고 있는지 파악하는 것을 주요 목적으로 하고 있다. 특히 코로나19 팬데믹 상황 속에서 조모와 손자녀가 경험하는 다양한 이슈와 변화 및 어려움을 탐색하였다. 연구 참여자는 동거가족 내 부모세대 없이 6개월 이상 손자녀를 전담 양육하는 7명의 조모이고, 자료수집은 반 구조화된 심층 면접을 통해 이루어졌다. 분석결과 1) 손자녀 양육에 대한 나의 느낌, 걱정, 그리고 대처, 2) 손자녀 양육의 현실에서 부딪히는 어려움과 장애, 3) 자라면서 변화하는 손자녀와의 갈등 그리고 대처, 4) 조부모, 부모, 손자녀 그들 간의 관계와 감정, 5) 서비스 및 자원에 대한 욕구와 바람이라는 5개의 주요 범주를 발견할 수 있었다. 이들 범주에서는 총 16개의 주제어와 60개의 하위주제어가 도출되었다. 전반적으로 연구에 참여한 조모는 손자녀 양육에 대해 양가감정(보람과 부담감)을 갖고 있었고, 공통적으로 경제적 어려움과 건강의 한계, 손자녀와의 소통 단절에 대한 어려움을 언급하였다. 특히, 코로나19로 인해 손자녀가 조모와의 대화 없이 하루 종일 집에서 컴퓨터와 게임에 몰입하면서 세대 간 갈등이 더욱 심화되는 경향이 나타났다. 조모의 서비스 욕구는 손자녀를 위한 학습지원과 정서적·관계적 지원, 그리고 경제적 지원에 우선순위를 보였다. 이와 같은 연구결과를 토대로 조손가족 지원을 위한 정책적, 실천적 제언을 논의하였다.