• 한국콘텐츠학회논문지
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• 제16권5호
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• pp.477-487
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• 2016

본 연구에 의료급여수급권자와 건강보험가입자의 인구사회학적 특성, 건강행태, 질병이환, 의료이용, 건강 관련 삶의 질 등에 대한 포괄적인 평가를 해 보고자 하였다. 연구 대상은 2013년도 지역사회건강조사 자료를 분석하였다. 연구결과 사회경제적 특성, 건강행태, 질병이환, 의료이용 등 다양한 요인들이 건강관련 삶의 질에 영향을 미치는 것으로 나타났다. 의료급여수급권자가 건강보험가입자보다 사회경제적 특성, 건강행태, 의료이용이 좋지 않아 건강관련 삶의 질이 낮은 것을 확인을 할 수 있었고 사회경제적 특성을 통제하고도 비교 해본 결과에서도 건강행태, 질병이환, 의료이용이 좋지 않아 건강관련 삶의 질이 떨어지는 결과를 보였다. 따라서 의료급여수급권자들의 건강관련 삶의 질을 효과적으로 향상시키기 위해서는 만성질환 관리, 스트레스와 우울감 관리 등의 정신 건강과 일상 활동 능력의 향상이 무엇보다도 중요하며 적당한 음주습관과 규칙적인 운동, 식습관 등 건강 증진 행위를 촉진하는 데 중점을 둔 체계적인 프로그램 개발과 정책을 위해 국가적 관심이 요구 된다.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.186-192
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• 2016

중년기여성의 문화복지로서 한국무용의 효과성에 대한 연구이다. 본 연구의 목적을 달성하기 위해 질적인 접근(qualitative approach)하였고, 자료 수집기간은 2016년 2월 10일에서 2016월 4월 1일까지였으며, 자료수집방법은 심층면담을 주로 사용하였다. 연구결과는 문화복지로서 한국무용에 참여하는 중년기 여성은 첫째, 정서적 영역 측면에서 자아성취와 사회소속감을 느꼈고, 중년기 우울증을 해소하여 심리적 안정에 많은 효과를 보았음을 알수 있었다. 또한 자율성과 생산성이 떨어진 연구대상자들은 한국무용 참여를 통한 자존감 회복에 큰 효과가 나타났다. 둘째, 운동영역으로서의 한국무용은 한국전통음악과 함께 동작을 표현함으로써 대근육과 소근육을 강화를 하여 평소 쓰지 않던 근육을 활용했다. 중년여성들은 평소 앓고 있었던 신체증상이 완화됨을 경험하였고, 이는 운동반경을 넓힘에 따라 전반적 운동기능이 향상되었다고 볼 수 있다. 셋째, 인지적 영역 측면에서 한국무용 중 친숙하고 익숙한 한국음악의 멜로디가 기억과 회고의 기회를 주며 중년기 여성의 어머니, 할머니가 좋아했던 음악을 들으면서 편안한 시절의 회상력을 증진시킬수 있었다. 마지막으로, 사회적 영역에서 한국무용은 음악과 동작을 통해 대상자 스스로를 수용하여 주고, 관계 속에서 느낀 고립과 갈등을 극복할 수 있는 매개체의 역할을 수행한다고 하였다. 또한 사회공동체의 일원으로 익힌 한국무용을 지역사회에 환원함으로 해서 지역사회와의 연계로 인한 자아실현도 하게 되었다.

• 한방안이비인후피부과학회지
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• 제31권3호
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• pp.50-59
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• 2018

Objectives : The aim of this review is to investigate studies on skin adverse reactions and to demonstrate subjects related to the adverse effects in dermatology. Methods : Electric searches were performed with KISS(Korean studies Information Search System) and the key words were combination of 'skin' and 'adverse effect'. 87 literatures investigated in this review were issued from 1900 to 2016. Results : Among the 87 papers, dermatologic adverse reactions were reported in 83 papers in medicine, accounting for 95.4%. Of the adverse effects seen on the skin, 84 discoloration such as erythema, pigmentation and hemotelangiosis were the most common, accounting for 21%. Among the medical adverse reactions not seen on the skin, 21 infection were the most common, accounting for 25%. Among the subjective adverse reactions, of which 32 pruritus were the most common, accounting for 43%. Among the 87 papers, there were 3 cases with underlying diabetes and 3 cases with underlying hypertension, followed by 2 cases with chronic renal failure, HBV, atopic dermatitis and respectively 1 case with alcoholism, depression addiction, multiple myeloma, arthritis and psoriasis. The most frequent period until adverse reactions appeared was within 2 weeks, accounting for 13 papers. And 4 were the most frequent adverse reactions lasting less than 1 month, and 4 were more than 3 months and less than 6 months. There were 48 cases where adverse reactions were caused by nonmedical practioner's treatment. The adverse reactions by the pharmacist were the highest at 11 cases (23%). There were 17 cases of adverse reactions due to medical treatment, among which dermatologists and nondermatologists accounted for the majority of 5 cases, 29%. The most common cause of adverse reactions was the application of external medicine (41 cases), followed by 36 cases of foreign body implantation, eyebrow tattooing, ear piercing, etc. Conclusions : In this report, we demonstrated patterns of adverse reactions in the medical field of dermatology caused by non-medical personnel than medical personnel. We suggest that more effort should be followed by medical personnel to establish clear awareness of skin disease and by patients to be aware of the risks of the illegal medical treatment by non-medical personnel.

• 한국간호교육학회지
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• 제18권2호
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• pp.332-344
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• 2012

Purpose: The purpose of this study was to identify the current status of Asian research and suggest a direction for the future development of nursing research in Asian countries Methods: To examine the current status of Asian nursing research, 539 abstracts presented at the 2011 East Asian Forum of Nursing Scholars in Seoul were analyzed according to the structured analysis format. Results: The results showed that most of the studies (77.6%) were quantitative design, but qualitative design was also conducted. Most of quantitative studies were quasi experimental designs and questionnaires are most frequently used for data collection. Only 8.5% of the studies used physiological measures. Key words were categorized into four nursing metaparadigms: clients, environment, health and nursing. The most frequently mentioned domain was health. Main themes of research were elderly, chronic disease, health promotion, and nurse/nursing management. Most frequently used key words were elderly, social support, depression, and stress. Conclusion: Major trends were similar in Asian countries, and mostly conducted with quantitative designs. Research topics were varied and major interests in nursing research topics were elderly, health promotion, and mental health in all countries. We need to develop nursing science based on closer communication and cooperation among Asian countries.

• Journal of Chest Surgery
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• 제33권10호
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• pp.785-791
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• 2000

Left ventricular dysfuction is common in immediate postoperative periods after surgical correction of heart diseases with chronic left ventricular volume overload. We speculated postoperative changes of left ventricular volume and unction in patients with patent ductus osus(PDA) who had underwent surgical repair at ages older than 16 years. Factors influencing postoperative left ventricular volume and function were also analyzed. Material and Method: From August 1989 to August 1999 thirty-siz adult patients with PDA 28 females and 8 males. were enrolled in this study. Their age ranged from 16 years to 57 years(mean :32 years). Types of surgical repair were division with primary closure in 22, division with patch closure in 6, internal obliteration using cardiopulmonary bypass in 4 and ligation in 4. Aortic clamping was combined during surgical repair in 22(61%) and cardiopulmonary bypass was used in 8(22%) Two-dimensional echocardiography studies were performed in 34(94%) preoperatively and in 25(66%) immediate postoperatively to assess postoperative changes of left ventricular internal dimensions. left ventricular volume and ejection fraction. Duration of postoperative follow-up ranged from 1 month to 99 months (mean:22 months) and 10 patients underwent 16 echocardiographic evaluation during this period Result : Preoperative and postoperative left ventricular systolic dimensions(LVIDs) were 42$\pm$8.0mm and 42$\pm$8.3mm left ventricular diastolic dimensions(LVIDd) were 64$\pm$10.0mm and 56$\pm$7.4mm left ventricular end systolic volumes(LVESV) were 62$\pm$19cc (z=1.87$\pm$0.06) and 59$\pm$24cc(z=1.78$\pm$0.08) left ventricular end diastolic volumes(LVEDL) were 169$\pm$40cc(z-1.17$\pm$0.1) and 112$\pm$29cc(z=0.85$\pm$0.1) and ejection fractions(EF) were 66$\pm$6.7% and 48$\pm$12.6% respectively. There were statistically significant differences between preoperative and postoperative values in LVDIDd(p=0.001) LVEDV(p=0.001) and EF(p=0.0001) while no significant difference is LVIDs and LVESV. Postoperative depression of ejcection fraction was significantly related with z-score of preoperative LVESV and LVEDV by univariateanalysis while LVEDV only was significant risk factor for postoperative LV dysfunction by multiple regressioin analysis ($\Delta$LVEF=-13.3-4.62$\times$LVEDV(z), p=0.001) During the follow-up periods ejection fractions become normalized in all except one patients. Conclusion ; Left ventricular function is usually deteriorated after the surgical correction of PDA in adult age and preoperative LVEDV is a major determinant of postoperative LV function.

• 한국사회복지학
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• 제37권
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• pp.195-216
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• 1999

고위험 빈곤청소년이란 동일한 빈곤 상황에서도 청소년기의 적절한 성장과 발달에 유해한 영향을 미치는 다양한 개인적, 환경적 위험을 보다 많이 겪고 있는 청소년들을 일컫는다. 본 연구에서는 이러한 고위험 빈곤청소년들이 경험하는 위험의 내용과 주관적 괴로움 정도를 고찰하고 이들의 심리사회적 적용에 영향을 마치는 다양한 개인적, 환경적 특성을 도출하고자 하였다. 이를 위하여 최저수준의 생존상태에서 살아가는 극빈 가구들인 생활보호대상가구의 청소년을 고위험 빈곤청소년으로 정의하고, 351명의 생활보호대상가구의 청소년 자녀를 대상으로 조사연구를 수행했다. 연구결과, 생활보호대상가구의 청소년들은 만성적인 생활조건에서 기인한 스트레스를 경험하고 있는 것으로 나타났고, 이러한 스트레스는 크게 가정환경관련 스트레스 의료 및 경제적 스트레스, 낙인이나 편견에 의한 스트레스로 나뉘어짐을 알 수 있었다. 이러한 다양한 위험요소에서 기인하는 스트레스는 우울/불안과 같은 정서적 문제성향을 야기하는 것으로 나타났다. 그러나, 환경적으로 동일한 스트레스를 받는다고 할지라도 자존감과 같은 개인적 특성을 갖는 청소년들은 우울/불안과 같은 내재화되는 문제성향이 상대적으로 적고, 학업성취는 높은 것으로 나타났다. 또한 동일한 고위험 스트레스 상황에서도 민주적인 가정환경과 지지적인 학교환경이 뒷받침되면 학업성취에도 긍정적일 뿐 아니라 비행과 같이 행동화되는 문제성향향도 경감되는 것을 알 수 있었다.

• 대한약침학회지
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• 제13권2호
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• pp.93-100
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• 2010

Background: Auricular acupressure is one of the traditional health care treatments in oriental medicine. Approximately, 30~40% of the cancer patients have said to be suffering from insomnia and half of them having chronic and severe insomnia at the same time. Insomnia caused cancer patients feel more pain, fatigue, depression and anxiety and it sometimes let the power to have the best of cancer pull down. Objective: To investigate how effective the auricular acupressure treatment to cancer patients suffering from insomnia. Methods: We recruited participants from East-West Cancer Center of Daejeon University. Finally, of the people whose age range from 20 to 75, 12 patients who got less than 40 points from the score of Oh's sleeping score (OSS) were recruited. Single-blind, randomized pilot study was performed. The treatment group received auricular acupressure treatment (AAT) on active points and the control group had received sham acupressure treatment (SAT) for five times. Sleep parameters were checked by using OSS and numeric rating scale (NRS). We checked the scale everytime, both before and after treatment. We analyzed the data statistically by using independent T-test, paired T-test and analysis of variance (ANOVA) test. (p<0.05) Results: Twelve cancer patients participated in this pilot study and there was no significant difference between control and treatment group. Only 7 of them had completed the whole treatment process, 4 patients of AAT group and 3 participants of SAT. The OSS of AAT group had increased from $34.0{\pm}4.3$ to $39.5{\pm}3.1$ and that of SAT group had increased from $38.3{\pm}3.5$ to $40.0{\pm}0.0$. There was no significant difference between them. The NRS of AAT group had increased from $6.3{\pm}2.9$, $04.8{\pm}2.1$ and that of SAT group had increased from $7.0{\pm}1.0$ to $5.0{\pm}2.6$. No significant difference was observed between them. Conclusion: Although both groups did not show significant differences, most of the experimental participants showed increasing OSS and NRS after treatments. Significant participants' number will be needed in the next study.

• 근관절건강학회지
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• 제21권1호
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• pp.1-10
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• 2014

Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

• 생물정신의학
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• 제3권1호
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• pp.66-74
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• 1996

There has been an increase in head trauma due to rapid industralization and improvement in transportation. This poses difficulties in differentiating between neuropsychiatric disabilities resulting from real organic changes and those arising from compensation issues. It is the purpose of this study to seek out the differences between normal and abnormal finding group in the structural brain imaging studies via the results of the functional brain imaging studies and psychological tests. Out of 132 subjects, 62 comprised normal and 70 the abnormal finding group. EEG and SPECT were chosen for inspection of functional brain imaging. MMPI and K-WAIS were chosen for psychological test. The subjects were further divided into right hemispheric damage, left hemispheric damage, both hemispheric damage, diffuse damage group and negative group in order to find out whether any differences in the psychological lest results could be localized. The results are as follows : 1) The abnormal finding group, the EEG and SPECT were proven to be a good predictor of brain lesion. This implies that even in the functional brain studies, abnormalities are more easily detected if there are visible brain lesions. 2) The FSIQ of the abnormal finding group is lower than that of normal finding group. this difference is mainly due to low V1Q. The left hemispheric damage group lend to shaw low V1Q. This lowered in was the difference between left hemispheric damage group and negative group. Furthermore, there were no group differences in the PIQ. It is concluded that K-WAIS is effective as evaluator of VIQ mainly of those patients with left hemispheric damage and it is ineffective as a evaluator of PIQ. 3) In the MMPI profile, the both groups displayed high neurotic profiles. There was no difference in the psychotic profiles. The scores of the Depression and Hystery were high in abnormal finding group. This can be seen as one of the lypical findings of chronic head trauma patients. 4) The abnormal finding group tend to be diagnosed as organic mental disorder in the psychological tests more frequently.

• 대한간호학회지
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• 제25권3호
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• pp.472-484
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• 1995

The purpose of this study was to develop a home health care model in the public health system and to test the effectiveness of the model. Seven com-munity health practitioners in Yon- Cheon county. Kyunggi province, carried out home health care service for this research. The subjects of the home health care were a total of 111 community residents with chronic health problems and risk-prone infants and children; 29 persons with hypertension, 18 persons with diabetes, 12 persons with neurologic problems, 12 elderly, and 40 infants and children. During the period of study, from December, 1993 to March, 1995, a demonstrative home health care model was developed in the Yon-Cheon County community health centers with the cooperation of the Yon-Cheon Medical Center and Yon-Cheon Public Health Center for the first six months. A home care practice manual and recording system for home visits were also co-developed by the researchers and community health practitioners. Four workshops and monthly conferences were held for this purpose. Actual home care practice took place for two months, and on-going evaluation and replanning accompanied this process. The result of the evaluation of home care service were as follows. 1) For persons with hypertension, diabetes, neurologic problems, there was significant improvement in knowledge of disease and care, but no significant difference was seen in health behavior or symptoms after home care service. 2) No significant difference was seen in level of self esteem or depression after reminiscence therapy among 12 elderly subjects. 3) There were significant differences in satis-faction toward child rearing and parental sup-port, but no significant difference In education needs for parental role after home care service among parents of infants and children. 4) There was significant improvement in the quality of life among the subjects after the home care service. 5) Subjects responded that they were highly satisfied with the home care service given by the community health practitioners. Although, the actual implementation period was very short, and not all of the evaluation outcomes showed significant improvement, the home health care model of community health practitioners was, in general, positively evaluated. Through this re-search, the possibility of community health practitioners working as active home care personnel in the public health care system is supported. Further research with an expanded area and subjects for a longer period is recommended. Cost effectiveness research is also needed.