• Journal of the Korean Data and Information Science Society
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• 제26권6호
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• pp.1439-1452
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• 2015

본 연구는 간호대학생의 대학생활적응에 영향을 미치는 변수를 확인하고 구체적인 경로와 그 영향력을 규명하여 간호대학생의 대학생활적응에 대한 모형을 개발하고자 시도되었다. 구조모형에 사용된 변수로는 모애착, 자아개념, 스트레스, 임상실습스트레스, 심리적 안녕감, 대처와 대학생활 적응이었다. 연구결과 수정모형의 적합도는 ${\chi}^2=231.1$ (p <.001), ${\chi}^2/df=2.36$로 적합한 것으로 나타났으며, GFI=.91, AGFI=.86, NFI=.91, PNFI=.73 RMSEA=.07, CFI=.95로 권장수준을 만족하였다. 변수들 중 애착, 자아개념, 스트레스, 대처방식과 심리적 안녕감은 직접으로 대학생활적응에 영향을 주었다. 자아개념은 대처방식과 심리적 안녕감을, 스트레스는 심리적 안녕감을 경유하여 대학생활적응에 영향을 주었다. 또한 이들 변수는 간호대학생의 대학생활적응을 71% 설명하는 것으로 확인되었다. 따라서 간호대학생의 대학생활적응을 증진시키기 위한 방안으로 스트레스감소와 함께, 심리적 안녕감과 대처능력을 증진시킬 수 있도록 자기관리능력 및 자아성장을 추구할 수 있는 학생관리 프로그램 개발 등을 모색하는 것이 중요할 것으로 사료된다.

• Nutrition Research and Practice
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• 제10권1호
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• pp.33-41
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• 2016

BACKGROUND/OBJECTIVES: Diabetes mellitus (DM) is a major chronic disease which increases global health problems. Diabetes-induced renal damage is associated with inflammation and fibrosis. Alpha (AT) and gamma-tocopherols (GT) have shown antioxidant and anti-inflammatory effects in inflammation-mediated injuries. The primary aim of this study was to investigate effects of AT and GT supplementations on hyperglycemia induced acute kidney inflammation in alloxan induced diabetic mice with different levels of fasting blood glucose (FBG). MATERIALS/METHODS: Diabetes was induced by injection of alloxan monohydrate (150 mg/kg, i.p) in ICR mice (5.5-week-old, male) and mice were subdivided according to their FBG levels and treated with different diets for 2 weeks; CON: non-diabetic mice, m-DMC: diabetic control mice with mild FBG levels (250 mg/dl ${\leq}$ FBG ${\leq}$ 450 mg/dl), m-AT: m-DM mice fed AT supplementation (35 mg/kg diet), m-GT: m-DM mice with GT supplementation (35 mg/kg diet), s-DMC: diabetic control mice with severe FBG levels (450 mg/dl < FBG), s-AT: s-DM mice with AT supplementation, s-GT: s-DM mice with GT supplementation. RESULTS: Both AT and GT supplementations showed similar beneficial effects on $NF{\kappa}B$ associated inflammatory response (phosphorylated inhibitory kappa B-${\alpha}$, interleukin-$1{\beta}$, C-reactive protein, monocyte chemotactic protein-1) and pre-fibrosis (tumor growth factor ${\beta}$-1 and protein kinase C-II) as well as an antioxidant emzyme, heme oxygenase-1 (HO-1) in diabetic mice. On the other hands, AT and GT showed different beneficial effects on kidney weight, FBG, and oxidative stress associated makers (malondialdehyde, glutathione peroxidase, and catalase) except HO-1. In particular, GT significantly preserved kidney weight in m-DM and improved FBG levels in s-DM and malondialdehyde and catalase in m- and s-DM, while AT significantly attenuated FBG levels in m-DM and improved glutathione peroxidase in m- and s-DM. CONCLUSIONS: the results suggest that AT and GT with similarities and differences would be considered as beneficial nutrients to modulate hyperglycemia induced acute renal inflammation. Further research with careful approach is needed to confirm beneficial effects of tocopherols in diabetes with different FBG levels for clinical applications.

• 한국콘텐츠학회논문지
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• 제14권6호
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• pp.229-240
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• 2014

본 연구는 간호 대학생들의 전공에 대한 전문적 지식 습득 외에도 임상실습이라는 상황으로 인해 사회적 노출을 일찍 경험하게 되어 대학생활 적응에 큰 장벽으로 작용하고 있는 것으로 나타나 간호 대학생들의 대학생활만족을 향상시키는 일환으로 이에 영향을 주는 셀프리더십, 자기효능감, 대인관계간의 관계를 규명하여 대학생활 만족에 미치는 영향을 파악하고 이들 간의 매개효과를 검증하기 위해 경로분석을 적용하여 분석하였다. 4개 간호대학의 임상실습 경험이 있는 375명의 학생을 대상으로 2014년 3월 2일에서 3월 31일까지 설문조사를 실시하였다. 본 연구결과에서 간호대학생의 셀프리더십, 자기효능감, 대인관계 및 대학생활 만족 간에는 모두 유의한 양적 상관관계가 있었으며 이들 변수는 대학생활 만족에 대한 경로를 26.8% 설명하는 것으로 나타났고 셀프리더십과 대인관계가 대학생활만족에 유의한 직접효과가 있는 것으로 나타났다. 따라서 대학생활 만족에 유의한 차이를 보이는 일반적 특성을 고려하고 셀프리더십, 자기 효능감, 대인관계를 증진시키기 위한 교육 프로그램의 개발과 교과과정의 실시가 요구된다.

• 지역사회간호학회지
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• 제29권1호
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• pp.108-119
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• 2018

Purpose: The purpose of this study is to estimate the prevalence of the metabolic syndrome in pre-menopausal housewives and to explore controllable and uncontrollable factors regarding metabolic syndrome. Methods: The study population of this cross-sectional survey was from the Korean Health and Nutrition Examination Survey (KHANES) 2010 through 2015, including the fifth and sixth population-based studies. The criteria for metabolic syndrome include waist circumference, blood pressure, fasting plasma glucose, triglyceride, high-density lipoprotein (HDL) based on Korean Clinical Practice Guideline for Metabolic Syndrome by the Korean Academy of Family Medicine 2015. Results: Among the 2,498 subjects, 247 subjects had metabolic syndrome and the prevalence was estimated to be 9.9%. The number of subjects who met the criterion of HDL was 936 (36.2%), which was the most prevalent among the criteria for metabolic syndrome. Statistically significant (p<.05) factors include age, livinghood benefit group, perceived health status, obesity, family history of DM, sleeping time, awareness of stress,leukocyte, and erythrocyte count. The odds ratio of obesity in the BMI ${\geq}25$ group was 12.59 times as high as that of the BMI <25 group (p<.001) for metabolic syndrome. Conclusion: The prevalence of metabolic syndrome in pre-menopausal housewives in the survey was not low, and it is necessary to develop and apply comprehensive health habit management programs to improve controllable factors including exercise and food intake.

• 한국방사선학회논문지
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• 제10권1호
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• pp.59-64
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• 2016

본 연구의 목적은 자기공명영상을 이용하여 외국인 환자를 검사할 때 언어의 소통을 위하여 자동음성시스템을 개발하고자 하였다. 자동음성을 위해 사용된 문장은 병원에서 자주 사용하고 있는 12개의 문장과 5개의 외국어를 선택하였다. 이러한 번역된 문장은 Oddcast's website로 부터 무료로 재공 되며 Wav 파일로서 각 언어 특징에 소리로 기록하게 된다. 기록된 오디오 파일은 Mobile phone 환경에서 적용되는 PHP 프로그램을 사용하여 MS-파워포인트(extension; ppsx) 와 Web-enabled system 형태로 재생하게 된다. 음성 시스템 개발은 방사선사에게 언어 소통의 어려움에 관하여 스트레스를 해소될 것이며, 다양한 언어로 설계된 자동음성시스템은 외국인 환자를 검사 할 때 환자에게 진단적 정보를 증가시킬 것이다. 본 연구를 위해 개발된 음성 시스템은 한국의 방사선사와 외국인 환자 사이에서 검사의 이해를 증가시킬 수 있기 때문에 임상실무에서 더욱더 유용하게 이용될 것이라고 기대된다.

• 대한예방한의학회지
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• 제1권1호
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• pp.105-117
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• 1997

The result of this paper runs as follows: 1. The theory of preclinic phase (=mibyung) was scientifically completed as one basic philosophy in "NAEKYUNG(內經)" and on influenced in the coming generations. Two principles for mibyung is to grow good energy and to avoid etiological cause. 2. So far oriental medicine has responded to already diseases, while to recognize the importance of mibyung is to convert it into preventive medicine which study and improve health. In spite of the opinion that no disease is health and no health is disease, the contrite of medical approch by the relative importance is necessary by understanding the steps of mibyung between health and disease with subdividing the steps of the occurance therefore, the scope of oriental medicine may be recognized from every disease to mibyung, that is, health. 3. Diagnosing and treating in the step of mibyung has more important meaning than suffering step because the checkup of mibyung means early examination and treatment. Mibyung can make an opportunity that improve scientific contradiction and defect of oriental medicine. However, scince the theory and practice lack the arrangement and study, much exertion and discussion is necessary.4. The diagnosis and cure in mibyung doesn't have many methods for treating, its index and standard isn't nified, and related theory is of small quantity. But the most prominent means of solution. with combination with other sciences and through the convertion into modem clinical examination, is to accomplish moderization, objectivity and indexation, etc. 5. The representive mibyungs are a hereditary disease, immune lack, mutation, early tumor, incubation of hepatitis and each infectious diseases, stress, etc. Since every science is the product of the times, it has the historical limits. As the times develop, the desire for good health is growing. Therefore we should consider above request in this times.

• 대한지역사회영양학회지
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• 제25권4호
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• pp.303-316
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• 2020

Objectives: The nutritional status of cancer patients undergoing chemotherapy is closely related to the compliance of nutrition education. However, as chemotherapy is conducted repeatedly, compliance with nutrition management is lowered, leading to malnutrition. Malnutrition is related directly to the quality of life after surgery in cancer patients. Therefore, this study examined the factors related to compliance with nutrition management during chemotherapy. Methods: In this study, five subjects with colorectal cancer undergoing adjuvant chemotherapy were interviewed in-depth using the Giorgi study method. The contents of the nutrition education visits and in-depth interviews were transcribed in the language of the subject after recording, and the appropriateness of the data was improved by reflecting the subject's actions and facial expressions. Results: After conducting the in-depth interviews for each subject, the experience of the subject's diet and adjuvant chemotherapy was drawn into two domains, six elements, and 26 sub-elements. In the cognitive domain, the patients experienced physical and psychological changes, and the need for nutrition management was recognized by analyzing the dietary causes of the diseases. In the domain of practice, a knowing-doing gap was formed, unlike the patient's will. Factors that inhibited compliance with nutritional management included digestive problems, sensory changes, loss of appetite, and social interaction stress. Conclusions: Dietary management is very important for patients receiving periodic anticancer therapy, and step-by-step training and personal monitoring based on the chemotherapy order is necessary to maintain the patient's will and social and environmental support.

• 대한간호학회지
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• 제28권1호
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• pp.193-200
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• 1998

The purpose of this study was to identify how students majoring in nursing perceive causes of cancers and the effects of diet for preventing cancers. Data for the study were collected by 651 nursing students, who were registered in the second and third year in three technical colleges and third and fourth year in two universities. The Research instruments included items on general characteristics of subjects, items about the degree of perception of the frequency of cancer onset and items on the perception of mortality. risk factors. preventive diets, knowledge, and high risk factor for cancer in specific body areas. The findings of this study are as follows : 1. Almost all subjects(92.8%) reported that the frequency of cancer onset increases and that it is 93.9% for people over 40. Degree of perception about cancer mortality was low at 33.0%. 2. As far as the perception of risk factors for cancer onset was concerned, smoking, stress, heredity, family history, and alcohol were rated high, over 80.0%. Risk factor in. eluding virus, hormones. pesticides were rated as low. 3. As to the perception of risk factor for body area as associated with diet salted and scorched food were rated at 44.5% for stomach cancer, alcohol, 50.4% for liver cancer, smoking. 72.8% for lung cancer. pregnancy times. 25.3%, and marriage age, 23.0% for uterine cancer, and no delivery experience, 40.1% for breast cancer. 4. The knowledge score for cancer was between 12 and 36, with a mean score of 26.75(SD=4.13). There was a statistically significant difference between experience in raring for cancer patients during clinical practice and knowledge score(t=3.09. p=.002).

• 융합정보논문지
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• 제9권10호
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• pp.16-27
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• 2019

본 연구는 간호대학생 대상 시뮬레이션 기반 융합실습교육을 개발하고 그 효과를 파악하기 위하여 시도되었다. 본 연구는 단일군 반복측정 실험설계를 적용하여 수행되었다. G시 소재 대학에 재학중인 총 77명의 간호대학 4학년생에게 시뮬레이션 기반 실습교육 전, 교육 직후 및 교육 2개월 후에 자료를 수집하였고, repeated measure ANOVA 등을 통하여 분석하였다. 분석 결과, 간호술기 지식과 간호술기 수행자신감, 학습 자기효능감 및 임상실습 스트레스는 교육 전 대비 교육 직후와 교육 2개월 후에 유의하게 증진되었으나, 교육 직후와 교육 2개월 후 간에는 유의한 차이가 없었다. 본 연구결과는 시뮬레이션 기반 융합실습교육이 간호대학 4학년생들의 학습 효과를 증가시키고 임상실습 스트레스를 줄이는데 효과적인 전략임을 시사한다. 향후 무작위 대조군 실험연구를 통해 본 교육프로그램의 효과를 확인하는 연구가 필요하다.

• Journal of Hospice and Palliative Care
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• 제25권2호
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• pp.55-65
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• 2022

Caring for patients with cancer is highly stimulating and rewarding, attracting health professionals to the field who enjoy the challenge of managing a complex illness. Health professionals often form close bonds with their patients as they confront ongoing disease or treatment impacts, which may be associated with multiple losses involving function and/or eventual loss of life. Ongoing exposure to patient loss, along with a challenging work setting, may pose significant stress and impact health professionals' well-being. The prevalence rates of burnout and compassion fatigue (CF) are significant, yet health professionals have little knowledge on these topics. A 6-week continuing education program consisting of weekly small-group video-conferencing sessions, case-based learning, and an online community of practice was delivered to health care providers providing oncology care. Program content included personal, organization and team-related risk and protective factors associated with CF, grief models, and strategies to mitigate against CF. Content analysis was completed as part of the program evaluation. In total, 189 participants (93% nurses) completed the program, which was associated with significant improvements in confidence and knowledge of CF and strategies to support self and team resilience. Qualitative themes and vignettes from experiences with the program are presented. Key themes included knowledge gaps, a lack of support related to CF and strategies to support resilience, organization-and team-based factors that can inhibit expression about the impacts of clinical work, the health professional as a "person" in caregiving, and the role of personal variables, self-skill practices, and recommendations for education and support for self and teams.