• Title/Summary/Keyword: Con-A

Search Result 2,000, Processing Time 0.034 seconds

Reconsideration of Acer pictum complex in Korea (한국산(韓國産) 고로쇠분류군(分類群)에 대한 재고(再考))

  • Chang, Chin-Sung
    • Korean Journal of Plant Taxonomy
    • /
    • v.31 no.3
    • /
    • pp.283-309
    • /
    • 2001
  • Acer pictum complex (A. pictum Thunb. ex Murray with varieties, A. okamotoanum Nakai, A. truncatum Bunge) in eastern Asia causes frequent difficulty in identification. One hundred twenty five specimens from A. pictum complex of China, Korea and Japan and A. cappadocicum var. sinicum of China were compared to investigate patterns of intra- and interspecific variation and to evaluate a recognition of several species as well as many varieties using 22 characters for morphometric analysis. The first three PCA accounted for 59% of the total variance. No strong discontinuities existed among taxa with respect to fruit and leaf characters. Much overlap among all taxa occurred the central region of the scatter diagram. Many characters appeared to show some clinal variation with changes from east of China to Japan through Korea. This was true not only when all species as considered as a single taxon, but when characters of individual taxa were compared with geography. As one considers a path from the western part of the ranges to areas to the east, the leaves become larger in most respects and become increasingly many lobed (five to seven or nine). In general, there was a tendency toward larger nutlet with smaller wing in the area toward northeast of China (=A. truncatum), while in the east of ranges (Island Ullung-do), plants were larger with respect to characters of fruit and leaves (=A. okamotoanum). The morphological differentiation between A. okamotoanum and Japanese and Korean individuals of A. pictum was not considered sufficient to warrant recognition of either specific or varietal status and should be treated as con specific under A. pictum var. mono. Since the lectotype of Acer pictum had minute hairs uniformly on the under surface of leaves(A. pictum var. pictum), the glabrous type of A. pictum was called A. pictum var. mono as Ohahsi suggested. The univaraite analysis (the mean and maximum/minium of nutlet size and wing/nutlet length ratio) indicated geographical differentiation of northeastern populations, A. truncatum, was distinctive, but Korean individuals of A. truncatum showed an affinity between Chinese individuals of A. truncatum and Korean individuals of A. Pictum var. mono. The current results, together with qualitative character, trunk features, justify subspecific status for this taxon. The previous varieties of A. mono in Korea were indistinguishable from typical form of A. Pictum var. mono on the basis of the wing angle and nutlet size, rejecting continued recognition of these taxa as distinctive varieties. Therefore, it is recommended that only one polymorphic species of A. pictum be recognized in addition to three varieties.

  • PDF

Study on the Establishment of Barley Cultivation System using the Power Tiller (동력경운기를 중심으로한 맥류재배의 기계화 -관작업체계 확립에 관한 연구)

  • 이영렬;최규홍
    • Journal of Biosystems Engineering
    • /
    • v.3 no.2
    • /
    • pp.22-33
    • /
    • 1978
  • To maintain the self-sufficiency of food production , it is required to improved the productivity and increase the effective utilization of land in the double cropping areas using improved cultivation technology. The following reasons encourage this cours of action because the overlapping rice harvest and barely seeding seasons complete for labour, the lower price of barley makes it financially less attractive to grow and these two facts together are responsible for a decrease in barley being planted in certain more seasonably marginal double cropping areas. Fro these reasons, it is desirable to carry out tests to improve the current cultivation techniques . In this interest , the following studies were carried out in the experimental field located at Banweol-myeon, Whasung-jkun, Gyeonggi-do from October 1977 to July 1978 in order to establish the mechanical method of barley cultivation using the power tiller. The summarized results are as follows. 1. The work performance in the seeding operation using the rotary barley seeder was 68 minutes per 10 ares which compares favourably with 408 min/10a using the conventional method. This is only one sixth of the time required by th conventional method. The operating costs using the rotary barley seeder was 1, 463 won per 10 areas as against 3, 486 Won per 10 ares for the conventional method, showing a saving of about 50% in comparison with the conventional method. 2. In the manure spreading operation, the work performance was 25 min/10a for the manure spreading machine , compared to 1089 min/10a for the manual operations. This is about one fourth of the time required by the conventional method, The operating costs were 810 Won/10a for the machine and 857 Won/10a for the manual labour. This cost shows little advantage by the machine over the manual labor costs. The conventional method of manure spreading will continue pending decision which will develope and improve the machine.3. Work performance in the rolling operation using the barley rolIer was 30 min/lOa which compares favourably with 135 min/10a using conventional method. This was one fourth of the time required by the conventional method. The operating costs were 514 Won/103. for the machine and 1, 003 Won/lOa for manual labour. In the weed control operation, the work performance and operating costs were 45min/lOa, 1, 399won/10a for the herbcide application using the power sprayer, 1, 149min/10a 8, 541won/lOa for the conventional method respectively. This is 26 times higher efficiency in comparison to the conventional method. 4. In the harvesting operation using the reaper binder and tiller attachment, the work performance was 60min/lOa and represents a cost of 2, 039won/10a. The con\ulcornerventional method took 640min/10a at a cost of 4, 757won/lOa. The reaper binder showns a saving of one tenth over the conventional method. The automatic thresher is already recommended for the current situations, and is now being used. 5. From a comparison of the results of the above trials, the serial cultivation system using the attachment for the power tiller such as the rotary barley seeder is now to be recommended for the current barley cultivation system. It is also recommend from these results that the mechanized technology now available must be used to improve and maintain the increase in barley production. It is seen th1t this is the only course now avaihble to solve the peak seasonal requirements of labour needed for l11rvesting and seeding between rice and barley cultivation.

  • PDF

The Effects on the Thermal Changes of Five-Shu-Points(五輸穴) and Yonghyang$(LI_{20}$,迎香) of the Large Intestine Meridian with the Rotated Acupuncture-Bu-Xie(捻轉補瀉) on the Hapkok$(LI_4$,合谷), Using the D.I.T.I. (합곡(合谷)$(LI_4)$에 행(行)한 염전보사(捻轉補瀉) 침자극(鍼刺戟)이 적외선(赤外線) 체열(體熱) 촬영(撮影)을 이용(利用)한 수양명대장경(手陽明大腸經)의 오수혈(五輸穴)과 영향(迎香)($(LI_{20})$)영역(領域)의 온도변화(溫度變化)에 미치는 영향(影響))

  • Song Beom-Yong;Kim Kyung-Sik;Sohn In-Chul
    • Korean Journal of Acupuncture
    • /
    • v.17 no.1
    • /
    • pp.47-65
    • /
    • 2000
  • The meridian, the meridian point and the Acupuncture-Bu-Xie(鍼灸補瀉) of oriental medicine are very important in the Department of Acupuncture and Moxibustion. Until now it has been confused at the practical use, and it showed up many transformation to the ages and many scholars. And then, I made a study of effects on the thermal changes of Sangyang($LI_1$,商陽), Igan($LI_2$,二間), Samgan($LI_3$,三間), Hapkok($LI_4$,合谷), Yanggye($LI_5$,陽谿), Kokchi($LI_{11}$,曲池), Yonghyang($LI_{20}$,迎香) following acupuncture on the Hapkok with the Rotated Acupuncture-Bu-Xie(捻轉補瀉) stimulation. This study researched into clinical statistics for 140 men who are in good health, and they are studying oriental medicine at Woosuk university in Korea. This study was covered a period of 3 months form June, 1999 to August, 1999. The objective was divided into seven groups, those are the control group(CON, N=20), the acupuncture stimulation group with non-rotation on Hapkok of left hand(A-I, N=20), the acupuncture stimulation group with non-rotation on non-meridian point(NA) of left hand(A-II, N=20), the acupuncture stimulation group with Bu-rotation(捻轉補法) on Hapkok of left hand(B-I, N=20), the acupuncture stimulation group with Bu-rotation on non-meridian point(NA) of left hand(B-II, N=20), the acupuncture stimulation group with Xie-rotation(捻轉瀉法) on Hapkok of left hand(C-I, N=20), and the acupuncture stimulation group with Xie-rotation on non-meridian point of left hand(C-II, N=20). The first, I took a picture for 140 men with the Digital infrared thermal image(D.I.T.I.). After 10 minutes, I took a second picture for each group following experimental methods, those were followed acupuncture on the Hapkok and the non-meridian point with the retentive and Rotated Acupuncture-Bu-Xie stimulation. The results are summarized as follows : 1. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of the acupuncture stimulation group on Hapkok different from the control groups with significantly change. 2.The thermal changes of the area which is a meridian point in the Large Intestine Meridian of acupuncture stimulation groups on non-meridian point was not significantly different from the control group. 3. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of the acupuncture stimulation group with Bu-rotation on Hapkok different from the control group with significant increase. 4. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of acupuncture stimulation group with Bu-rotation on non-meridian point was not significantly different from the control group. 5. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of the acupuncture stimulation group with Xie-rotation on Hapkok different from the control group with significant decrease and increase following the decreasing or increasing temperature class, and the increasing temperature class of the acupuncture stimulation group with Xie-rotation on Hapkok significantly different from the acupuncture stimulation group with Bu-rotation on Hapkok. 6. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of acupuncture stimulation group with Xie-rotation on non-meridian point was not significantly different from the control group. As a conclusion, I could think that the acupuncture stimulation with Bu-rotation or Xie-rotation on Hapkok affected the thermal change of the area which is a meridian point in the Large Intestine Meridian. And then I could relate these results with the existence of the meridian and meridian point, and with the Rotated Acupuncture-Bu-Xie theory of oriental medicine.

  • PDF

Effect of Organic Matter Ratios in Substrate and Mulching Materials on Growth of Liatris spicata under Non-irrigated Green Roofs (무관수 옥상녹화에서 유기질 비료와 멀칭재에 따른 리아트리스(Liatris spicata) 생육 반응)

  • Ju, Jin-Hee;Yoon, Yong-Han
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.40 no.2
    • /
    • pp.130-137
    • /
    • 2012
  • This research evaluated the effectiveness of organic matter ratios in substrate and mulching materials under mn-irrigated condition green roofs by measuring the effects on growth of Liatris spicata. Four mulching materials were installed, i. e. nun-mulched control(CON), volcanic ash soils(VAS), non-woven black fabric mat(NBM) and pine bark(PAK). Three levels of organic maller volume percentage in an amended soil were evaluated, amended soil: organic matter=100:0($A_1O_0$), amended soil: organic matter=80:20($A_4O_1$) and amended soil: organic matter=50:50($A_1O_1$). Plant height, number of leaves, diameter of flower stalk, number of florets, chlorophyll contents, shoot fresh and dry weight were recorded from April to September, 2010, and survival rate was examined on May 2011 of the following year. In the $A_1O_0$, the number of leaves, number of florets and chlorophyll contents were higher in Liatris spicata grown on NBM than other mulching treatments. Especially, plant height, shoot fresh and dry weight were significantly higher. However, it resulted the lowest survival rate than other mulching treatments. 2. In the $A_4O_1$, the plant height, number of leaves, number of florets, shoot fresh and dry weight were higher than other mulching treatments, but there was no significant difference except for the plant height of Liatris spicata grown on NBM. The survival rate was decreased by 40~60%, compared with $A_1O_0$, after overwintering. 3. In the $A_1O_1$, the plant height, number of leaves, diameter of flower stalk, number of florets, chlorophyll contents, shoot fresh and dry weight were slightly higher than other mulching treatments, but there was no significant difference from Liatris spicata grown on NBM and VAS. The survival rate was observed by 0% over all mulching treatments after overwintering. Therefore, the non-woven black fabric mat(NBM) promoted the Liatris spicata's growth and flowering compared with other mulching treatments. However, the survival rate was decreased significantly, and the organic matter ratios were increased after overwintering under non-irrigated green roofs.

A Study on Make-up Culture of Korea, China and Japan (한국.중국.일본 여성의 색조대장문화)

  • 박보영;황춘섭
    • Journal of the Korean Society of Costume
    • /
    • v.39
    • /
    • pp.217-237
    • /
    • 1998
  • The present research is to study the make-up culture of Korea and its neighboring countries such as China and Japan during the period from the prehistoric age to the 19th cen-tury. The research was made by documents analysis. The results are summerised as follows : (1) A man has a basic instinct to beautify himself. There was not a significant difference between the make-up behavior of men and women in its primal stage. It was by the start of farming and the division of labor that made the make-up behavior as a feminine culture. The difference of sexual role caused the con-ceptual difference between manly beauty and womanly beauty. It was very natural for women to regard the make-up as the best way for showing their feminine beauty. In Korea, China and Japan, there were vari-ous kinds of primal actions such as tattooing, body-painting, and tooth make-up which were used in the purpose of body protection, incantation, ornament, and so on. Ass their ornamental purpose was becoming more important, these primal actions became the basis of the feminine make-up culture. Nowadays make-up, having mental and emo-tional function, is helpful to increasing self-satisfaction, promoting good personal relation-ship, and attracting attention from the other sex. It also has other functions of showing social status, wealth, age, sex, courage, power, and so on. (2) The representative make-up product used widely in the three countries was Boon (powder) which decides the overall color of face. The key point in the production of Boon was to increase its power of adsorption. The invention of Yunboon (power mixed with lead) solved this major problem of Boon. Yeonji which decides the color of cheek was the mixture of Boon and the powder of Honghwa (a kind of red-colored flower or tree). Mimook (eyebrow pencil) was developed to match up with the various and changing currencies of penciling eyebrows in each nation and times, Yeonji and Joosa (red sand) were used as Jinji (lip stick). The predominant color of Jinji was red. As miscellaneous methods of partial make-up, there were Kon-ji used in a wedding cer-emony in korea, Aek-hwang, Hwa-jeon, Sa-hong, and Myun-yup in China, and Chi-heuk, a peculial method of partial make-up in japan. (3) There were various factors which decided the characteristics of make-up culture usually reflects international atmosphere, the form of government, economic situation, re-ligious and social ideology, aesthetic sense, symbolizing meanings of colors, and so on. The up and down of an influentian country was one of the major factors which decided the characteristics of the make-up culture of its neighboring countries. When a country took a liberal form of government, it had diverse and splendid tendencies in its make-up culture. The better a nation's economic situation is, the more abandant and various its make-up culture is, and sometimes, the more eccentric and decadents it was. In the field of make-up production, the three countries had their own characteristics. But, as a whole, China was the leading nation who spread the culture and products of make-up to Korea and Japan. Though the Chinese make-up culture and products were usually spread to Japan through Korean, there was some evidence of direct exchanges between China and Japan through its dispatches of Kyun-Tang-Sa(Japanese delegation to the Tang Dynasty). While religion had a positive influence on the development of make-up culture by introducing new methods of make-up, Confucianism exercised strict control over the make-up cul-ture. The currencies in arts and changes of esthetic sense introduced new methods and booms to the make-up culture. Literature made people pay increasing attentions to the countenances of women and changed the standards of esthetic sense. We can find out that the social status of woman was also reflected in the make-up culture. As the social status of women became higher, the feminine make-up culture also developed more then ever. As mentioned above, the make-up cultures of the three countries reflected their social values, esthetic senses, and emotional feelings. Through their cultural exchanges, the three countries could develop various make-up products and methods.

  • PDF

Influences of Sowing Time and Nursery Period on Growth and Yield of Perilla frutescens BRITTON var. acuta KUDO (파종기(播種期) 및 육묘기간(育苗期間)이 자소(紫蘇)의 생육(生育) 및 수량(收量)에 미치는 영향(影響))

  • Park, Hi-Jin;Chung, Dong-Hee;Kim, Sang-Gon;Kwon, Byung-Sun
    • Korean Journal of Medicinal Crop Science
    • /
    • v.3 no.1
    • /
    • pp.1-4
    • /
    • 1995
  • To determine the optimum sowing time and nursery period in Perilla frutescens in the southern areas of Korea, perilla frutescens cv. red Perilla local cultivar was grown under three different sowing dates and nursery periods. The blooming period of the area which was sown on the seedbed in Apr.10 and carried out the growing seedling in 30days is Aug. 12 and it is two days earlier than that of the area, Aug.14, sown on the seedbed in Apr. 20 and carried out the growing seedling in 30days of the same month and it is also six days earlier than that of the area, Aug.18, sown on the seedbed in April 30 and conducted the growing seedling in the same date. The stem lengths are 135cm,131cm and 125cm respectively and the number of branches are 26.4, 25.3 and 23.6 respectively. The fresh weight of stem and leaf at the area sown on the seedbed in Apr.10 and conducted the growing seedling in 30days with the width of leaf over 5cm in the middle of Aug. and at the beginning of Sep. is 2,476kg/10a and it shows more increase of 172kg than that of fresh weight of stem and leaf with 2,304kg/10a which was sown on the seedbed in Apr.20 and earned out the growing seedling in 30days, and it also shows more increase of 411kg than that of fresh weight of stem and leaf with 2,065kg/10a at the area sown on the seedbed in April 30 and con­ducted the growing seedling in the same date, The fresh weight of seeds are 609.5kg/10a,509.3kg/10a and 463.2kg/10a respectively and $100.2{\sim}146.3kg$ is more increased. Therefore, the seedling period of the proper seedbed for high yield bumper crop of perilla frutescens for exporting to Japan is April 10 and the number of days for seedling is 30 days.

  • PDF

Original expression of the creative chidren's picture-book (창작그림동화의 독창성 연구)

  • 안경환
    • Archives of design research
    • /
    • v.11 no.1
    • /
    • pp.185-197
    • /
    • 1998
  • The domestic publishing market has heen ranked at No.7 in the word publishing market(stastics material in Cultu re and Gymnastics m inistrv )Es pe cia Ill'. publishing quantity of children'book is about to reacb No.3. Such a publishing condition i." showing that Korean publishing world has limit,llion of kind and genre despite of its quant.iative improvement On the ot.her hand. t',reign juvenile publi."hing has multi-publishing form, which is a simultaneous publishing with dolls, audio stuff, game programs and CD-ROM t.itles. Even the animation is considered as of the publication at the planning s tsge. However, when we take a look at domestic condition we come to know that Korean juvenile publishing has been occupied mostly by the studying book. Also, the cautious book selection by the well educated parents in l990's has brought up the change of juvenile publishing world. Such a presen t condition bears of juvenlie publi.,;hing world. Such a present condition bears problem, which is the checking 190 translat.ions among the published picture- books of the last ye ar children's book Nevertheless, there was a sucessful domestic planned creative picture book last year. That is "Puppy s shit", which was sold out 15 000 copies and be st se ller of children's book. Whe n we take a look at the commercial success of "Puppy s shit", it is possible that domestic work holds a position in the publishing market. "Puppy s shit" is the story about valuable nature with Korean styled illustration, which tells the prefemece of Korean book in do mestic pu blis hin f.i market. With the motto "Finding prospect of the Korean creative children's book", this paper was went throu gh. By searchinf.i for creative com ponent.s of picture-book planning such as theme, story, illustration, and edit design through the foreign picture-book "What 1 want. to know from the little mole is who made it on top of his head"-and domestic creative picture/book 'Puppy's shit", this study tried to tell a couple of things like followings publication of Korean creative picture book in t.he world. professional and more artistic inner fabric and originality(the relatio nship be tween stort and illu,tration), improvement of illustration through new formative language with well expressed con ten t, planning improvem ent of Korean creative pictive picture book including literary, artistic and educative component and finally examples of planning, artict and educative component and finally example, of planning the good book with a story and illu,;tration which can in the long run improve the value of life for the children.h can in the long run improve the value of life for the children.

  • PDF

Beneficial Effects of Water Extracts of Scutellariae Radix on Immune Function in Mice Fed Alcohol (알코올 섭취한 생쥐에서 황금(黃芩) 열수추출물이 생쥐의 면역기능에 미치는 영향)

  • Lee, In-Seok;Kang, Kyoung-Lan;Choue, Ryo-Won
    • Journal of the Korean Society of Food Science and Nutrition
    • /
    • v.35 no.5
    • /
    • pp.536-542
    • /
    • 2006
  • High fat diet and chronic alcohol consumption cause hyperlipidemia, steatohepatitis and in some cases, cirrhosis. But the detailed mechanisms are not known. Scutellariae Radix (SR) has been known to have hepatoprotective effects. The aim of this study was, therefore, to determine whether SR water extract (100 mg/kg) could affect immune function in mice abused by long-term alcohol consumption (feed 25% ethanol in water for 1 month, ad libitum) with high fat diet (40% fat of total calorie). Mice received either a regular diet (RD, AIN 93) or a high fat diet (HD); high fat diet group were divided into ethanol group (HED) or ethanol with SR water extract group (HEDS). Food consumption was measured daily and body weights recorded weekly throughout the experiment. Immunological parameters (Ig A, Ig E, TNF-$\alpha$, IFN-$\gamma$, IL-$1{\beta}$) were measured from the serum and the supernatant of spleen lymphocytes from the all groups. The concentration of serum Ig A, Ig E and cytokines were significantly higher in the alcohol consumed groups. Also the concentration of supernatant of spleen lymphocytes, Ig A, Ig E, cytokines were significantly higher in the ethanol consumption groups. Otherwise, HEDS group were significantly lower than HED group. These results suggest that SR water extract may improve the haptic immune function in mice fed high fat diet with alcohol.

A Clinical Study for Promoting Quality Nusing Care in a University Hospital (질적 간호제공을 위한 간호단위 시범 운영 효과에 관한 임상적 연구)

  • Lee, A.J.;Kim, S.H.;Seong, Y.H.;Yoo, S.A.;Kwon, I.G.;Jeong, Y.I.;Nam, H.K.;Kwon, E.J.
    • The Korean Nurse
    • /
    • v.32 no.5
    • /
    • pp.66-77
    • /
    • 1994
  • The purpose of this study was to develop a new nursing unit which can meet changing health care needs, enhance patients' satisfaction and nurses' job satisfaction, and finally guarantee quality nursing care with present manpower. For this, one medical unit was selected as a unit for quality care. And one medical unit which is similar in staffing and patients' characteristics was selected as a control unit. To assess present problems and identify the remedies to the problems a hospital-wide survey and a workshop were performed. According to the survey results, educational programs and improvement of the facilities and equipment supply system, managereal support for interdepartmental cooperation and intensification of bed-side nursing care were adopted as main principles for operating model unit, This model unit was operated for 3 months from Sep. 1, 1992 to Nov. 30, 1992. To evaluate the effectiveness of the model unit, derect/indirect nursing care hours, patients' satisfaction to nursing care, nurses' job satisfaction, and quality care index were measured. Direct/indirect nursing care hours were compared with that of the control unit, and patients' and nurses' satisfaction and quality care index were measured before and after operating model unit and compared with each other. The results of the study were as follows; 1. In the model unit mean direct nursing care hours per cach shift was 146.88 minutes and indirect nursing care hours was 354.72 minutes. The ratio of the direct nursing care hour to indirect nursing hour was 29.6 ; 70.4 and that of the control unit was 26.9 : 73.1. Direct nursing care hour in model unit was longer than that of the control unit. But, the difference was not significant. In subcategories of direct nursing care, the time spent in mobility and exercise, conservation of body temperature, hygiene, and communication and health education were longer than that of the con" trol unit. 2. Indirect nursing care hour in model unit was shorter than that of the control unit. But, the difference was not significant. In subcategories of indirect nursing care, the time spent in drug management and ward arrangement was shorter than that of the control unit. 3. Patients' satisfaction to nursing care was increased significantly after operating the model unit (T=-3.48, P=-0.002) and satisfaction to subcategories of physical comfort measure, psychological cate, and unit management components were significantly higher than before. 4. In the model unit, nurses' total job satisfaction was increased significantly after operating the model unit(Z=2.1004, P=.0357) and satisfaction to subcategory of satisfaction to administration was significantly higher than before (Z=-2.0732, P=.0382). 5. After operating the model unit, quality care index was increased from 89 to 93. With this results, it can be summarized that all the measures tried for quality care, such as educational programs, managereal support for interdepartmental cooperation, and improvement of the equipment and facility provision resulted in partial increase in direct nursing care hours, nurses satisfaction to their job and patients' satisfaction to nursing care. In can be postulated that managereal support and motivation without proper staff supplementation is not enough for increasing direct nursing care hours. And for the enhancement of the level in clinical nursing, and staff supplement must be considered sincerely and the measures for reducing indirect nursing care hours, such as computerization of nursing care activities, improvement of facilities and equipment and facilities supply system, must be instituted in addition.

  • PDF

A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness (만성질환자 배우자의 돌봄 경험에 대한 이론 구축)

  • Choi, Kyung-Sook;Eun, Young
    • Journal of Korean Academy of Nursing
    • /
    • v.30 no.1
    • /
    • pp.122-136
    • /
    • 2000
  • Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands′ care for their wives through a qualitative research into husbands′ experience. Method 1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won. Method 2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied. Result: 1. Husbands′ burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband′s burden correlated with the age of the patients, numbers in the family, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and the husband′s understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands′ burden is explained in 22.5% by husband′s recognition of level of severity and husbands′ age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and husband′s understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients′ experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands′ identification of housework and husbands′ concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients′ to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands′ companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

  • PDF