• 제목/요약/키워드: Feeling of Cold

검색결과 89건 처리시간 0.032초

시호계지탕(柴胡桂枝湯)의 임상치험(臨床治驗)에 관(關)한 소고(小考) (Clinical Test on Application of ShiHo-GuizhiTang)

  • 이민섭;김동희;신순식
    • 혜화의학회지
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    • 제9권1호
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    • pp.201-214
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    • 2000
  • Precise and detailed clinical research and evaluation based on objective standards are imperative factors in securing reliability of a clinical test. Built on this principle, this clinical test has been conducted during the period between March 1999 and March 2000 dealing with 31 outpatients treated with ShiHo-GuizhiTang or ShiHo-GuizhiTang modify and ShiHo-GuizhiTang mixed prescriptions at the Sung-bo ORIENTAL MEDICAL CLINIC. A variety of information relating to those patients has been collected and analyzed under such criteria as precise diagnoses and their clinical effectiveness. The analysis was duly based on "The theory of cold syndrome". Then, the 31 patients' individual clinical information was compared one another by breaking down the results into sub-categories including gender, age, disease, main symptom, blood pressure, pulse beats, syndrome of abdomen, treatment period, modify and mixed prescription, and evaluation. The result of this clinical test can be summarized as follows: First, ShiHo-GuizhiTang appears to be more frequently prescribed in the case of female patients than in the case of male patients despite the fact that it does not necessarily need to be applied only to female. In addition, the numbers of prescriptions of ShiHo-GuizhiTang in the two age groups consisting of elementary school children and economically active adults respectively were the highest among other age groups. Second, ShiHo-GuizhiTang proved to be most effective in treatment for respiratory ailments and arthritis. Third, ShiHo-GuizhiTang brought down blood pressure of hypertension patients and at the same time benefited patients with normal or lower-than-normal blood pressure who were vulnerable to diseases due to low disease-resistance. Fourth, ShiHo-GuizhiTang was effective in the case of frequent pulse(rapid pulse) and thereby indicating the fact it carries Taiyang superficies syndrome. 지맥 arises from suppressed immune responses owing to adrenocortical hormones. ShiHo-GuizhiTang controls and revitalizes those suppressed immune systems which stem from slow pulse and, as a consequence of that process, helps them return to normal condition of pulse. Fifth, from the standpoint of syndrome of abdomen, feeling of obstruction in the epigastrium serves as an important standard in the process of diagnosing diseases and evaluating effectiveness of treatments. Sixth, according to the results of the clinical test with the 31 patients, a total of 81 percent of test subjects benefited from the treatment. The figure is the sum of 52 percent of I-class (both main symptom and accompanying symptoms had been eliminated) and 29 percent of II-class (part of main symptom and accompanying symptoms had been eliminated) respectively. All told it is safe to say that ShiHo-GuizhiTang can elect to be a viable clinical treatment. In conclusion, it is estimated that this clinical study has drawn up guidelines for objective diagnostic standards and evaluation on specific treatments' effectiveness. This will lead to more general application of ShiHo-GuizhiTang. On top of that, this study could also provide an opportunity to stress the significance of ShiHo-GuizhiTang and ShiHo-GuizhiTang modify and ShiHo-GuizhiTang mixed prescriptions as an alternative treatment for collagen disease which comes from environmental degradation and pollution.

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국내 데이터 베이스 검색을 통한 오공 약침 시술에 대한 임상 논문고찰 (Narrative Review of Clinical Trial on Scolopendrid Pharmacopuncture in Korean Literature)

  • 조동찬;이진현;김창곤;정우석;문수정;박태용;이정한
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.73-82
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    • 2013
  • Objectives The purpose of this review is to investigate studies of Scolopendrid pharmacopuncture and the evidence of it's effects in order to suggest a better research method in the future. Methods We retrieved numbers of clinical studies about Scolopendrid pharmacopuncture from 7 Korean web databases, using key words such as 'Scolopendrid', 'Scolopendrid AND Pharmacopuncture'. This study had been conducted from 1st May 2013 to 31th July 2013. Controlled studies and case studies were only used for this study. Clinical studies that we picked from the databases were classified according to the diseases that those studies are about, and from these clinical studies, we are to research what has to be improved generally in clinical researches. Results 18 case studies, 4 controlled studies had been under research. Scolopendrid pharmacopuncture has a therapeutic effect mainly in musculoskeletal and neurological diseases such as herniated intervertebral disc, carpal tunnel syndrome, swollen leg, feeling of cold on legs, wrist ganglion, lateral epicondylitis, radial nerve palsy, cervical myelopathy, cauda equina syndrome, postauricular pain; as an early symptom of Bell's palsy, pain of popliteal part, gout, plantar fasciitis, cellulitis, frozen shoulder, pain of hip adductors. However objectivity and reliability of the Scolopendrid pharmacopuncture studies still remains controversial. Conclusions It has been suggested that there are positive effects of Scolopendrid pharmacopuncture therapy in treating specific diseases (especially neuromusculoskeletal diseases). However, this narrative review can't conclude and prove that the Scolopendrid pharmacopuncture has positive effectiveness on these diseases unlike systematic review. So, in order to put Scolopendrid pharmacopuncture therapy to use for many kinds of diseases in more reasonable ways, it is essential to build well-designed clinical research tools. In the future, abundant case studies, more follow-up trials and randomized controlled trials based on the korean medicine should be done to use Scolopendrid pharmacopuncture for a clinical purpose.

내경(${\ll}$內經(${\gg}$)에 나타난 허혈성 심질환에 대한 연구 (The Study on The ischemic heart disease Explained In Nei-jing(內經))

  • 홍천표;이원철
    • 대한한방내과학회지
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    • 제19권1호
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    • pp.144-156
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    • 1998
  • This study has been carried out to investigate the cause, pathological mechanism and treatment of symptoms regarded as the ischemic heart disease in Nei-jing(內經). I've got the following conclusions. 1. From the side of xing-bi(胸痺), the ischemic heart disease(IHD) was caused by that the energy in one's heart wasn't extended in the way of Yin-xie(飮邪), namely waste matter of human body and symptoms and treatment wern't written. 2. From the side of xin-bi (心痺), HID was catched by the mechanisms that the blood vessel is blocked. or the heart's blood was deficient owing to the mutation of mo-bi(脈痺), the lack of yang-ming(陽明) and excessive thoughts and worry and others. The symptoms were feeling oppressed in one's brest, palpitating, sudden dyspnea, the dryness of thorat, frequent belching and the fear by the inverse flow of the energy(氣). The treatment was that the yin(陰) was cured immediately, but the yang(陽) mustn't be attacked. 3. From the side of xing-tong(心痛), IHD was suffered from by mechanisms that following the han-sa(寒邪), namely the cold makes a invasion on humanbody, the vessel was blocked, spasm, filled and the amount of blood flow was poor, or caused by injury of vessel, the inverse flow and the disease of shi-dong(是動病) of shou-shao-xin-jing(手少陰心經) and so on. The pain was cramped into the upper and lower back or lower abdomen or throat and accompanied with nausea, abdominal dropsy, constipation, the impending of breathing and so on. The cure was mainly that acupuncture was applied at the jin-su(筋縮) region or meridian in relation to symptoms, but if the pain were severe, acupuncture mustn't be applied. The prog nosis was worse. 4. From the side of xing-tonge(心痛), IHD was divided into zhen-xing-tong(眞心痛) and jue-xing-tong(厥心痛), but pi-xiog-tong(脾心痛) and wei-xing-tong(胃心痛) out of jue-xing-tong(厥心痛) also included the symptoms of the digestive disease.

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정신과 병동 간호사와 일반병동 간호사의 스트레스 반응양상에 대한 비교연구 (Comparative Study on the Stress Response of Nurses Working on Pscychiatric Wards to that of Nurses Working on General Wards)

  • 김영자
    • 대한간호학회지
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    • 제25권3호
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    • pp.399-418
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    • 1995
  • The purpose of this study was to investigate the stress response of nurses working on psychiatric wards (psychiatric nurses) compared with that of nurses working on general wards (general nurses) in order to provide assessment data for intervention of the stress response. The Symptoms of Stress Inventory was used to measure the stress response. Data were collected by a direct survey method using a questionnaire and were collected from March first to March 30, 1995. A sample of 200 nurses working in three psychiatric hospitals and psychiatric wards in four university hospitals in Seoul and Kangwon province were selected and 200 nurses working on general wards from two general hospitals in Seoul were also selected for a total sample of 400 nurses. Nurses who had experienced more than one of the major life events in the last two years were excluded from the total number in the samples, so the final sample was 161 psychiatric nurses, and 169 general nurses. The Scores for the total stress response, scores of the SOS subscales, stress response by sociodemographic characteristics of the nurses working on the psychiatric wards were compared with those of nurses working on the general ward. The results of this investigation are as follows 1. The mean total SOS score for the psychiatric nurse was 0.81 (SD=0.48) and that of the general nurses was 0.90(SD=0.53). 2. The Mean score for peripheral manifestation, con tral-neurological symptoms, gastrointestinal symptoms, muscle tension, habitual patterns, de-pression, anxiety, anger and cognitive disorganization for the general nurses showed a tendency to be higher than those of the psychiatric nurses. Mean score for cardiopulmonary symptoms for the general nurses was significantly higher than that of the psychiatric nurses. 3. The mean scores for the sixteen SOS items for the general nurses was significantly higher than for the psychiatric nurses. The 16 items were flushing of the face, sweating excessively even in cold weather, thumping of the heart, rapid breathing, dry mouth, a choking lump in the throat, hoarseness, muscle tension in hands or arm, muscle tension in leg, working tiring one out completely, severe aches a핀 Pain make it diffi-cult to do the work, severe nervous exhaustion, worrying about health, feeling weak and faint, so upset that one wants to hit something, unable to keep thoughts from running through one's mind. The mean score of only 505 item were significantly higher for the psychiatric nurses. 4. Stress responses between psychiatric nurses and general nurses were significantly different according to the following demographic characteristics : marriage, duration of work, position, accommodation, planning to move into another working site, working ward, education in psychiatric nursing.

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울산시 여고생의 철분영양상태와 빈혈에 관한 연구 (A Study of Iron Status and Anemia in Female High School Students in Ulsan)

  • 홍순명;황혜진;박상규
    • 대한지역사회영양학회지
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    • 제6권1호
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    • pp.28-35
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    • 2001
  • This study was designed to assess the iron nutritional status and anemia of high school students. 383 female subjects in Ulsan Metropolitan city were evaluated using a questionnaire, and a measurement of hematological indices. The average height and weight of the respondents were 161.24$\pm$4.90 cm and 53.12$\pm$6.37kg, repectively. The average BMI(body mass index) was 20.43$\pm$2.26 which was in the normal ramge. The average hemoglobin(Hb) concentration of the subjects was 13.14$\pm$0.97g/dl, and the average hematocrit(Hct) level was 40.84$\pm$17.40%. Transferrin saturation{TS(%)} was 20.86$\pm$10.32%, and the ferritin by Hct(<36%), 27.2%by TS(<14%),26.6% by ferritin(<12 ng/ml). As for clinical symptoms, the greatest number of respondents reported that they experienced ‘decreased ability to concectrate’. Mean daily intakes of iron were 14.89$\pm$4.48 mg and heme iron intakes were 5.04$\pm$2.13 mg, which was 29.6% of total iron intake. The total iron binding capacity(TIBC) was negatively correlated with Hb concentration(r= -0.222, p<0.01). Serum ferritin was positively correlated with Hb concentration(r= - 0.323, p<0.05) and negatively correlated with TIBC(r= -0.367, p<0.01). TS(%) was positively correlated with Hb concentration(r= 0.402, p<0.01) and positively correlated with serum ferritin(r=0.413, p<0.01). As for the correlation between blood biochemistry and clinical symptoms related to anemia, the Hb concentration was negatively correlated with ‘shortening of breath when going upstairs(p>0.05)’ and ‘cold hands and feet’ significantly(r= -0.109, p<0.05). The level of Mean corpuscular volume(MCV) was negatively correlated with ‘feel dizzy when standing up’,‘tired out easily’, and ‘decrease ability to concentrate’ significantly(p<0.05). In particular, the level of Fe was negatively correlated with ‘shortening of breath when going upstairs’ and ‘feeling blue’ significantly(p<0.01). These results suggest That the prevalence of iron deficiency of female high school students is very high, therefore guidelines for diet supports and nutrition education to improve their iron status should be provided.

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거투르드 지킬(Gertrude Jekyll)의 와일드 가든(Wild Garden)에서 사용된 식물 관계 분석 (An Analysis of Plant Relationships used in Gertrude Jekyll's Wild Gardens)

  • 박은영
    • 한국전통조경학회지
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    • 제37권4호
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    • pp.73-80
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    • 2019
  • 본 연구는 거투르트 지킬(Gertrude Jekyll)이 조성한 와일드 가든 형식의 작품에 사용된 식물의 종류와 식물간의 관계를 파악하여 식재패턴을 분석하는 연구이다. 연구를 위한 사례지는 코츠월드 코타지(Cotswold Cottage), 드라이톤 우드(Dryton Wood), 리틀 애스톤(Little Aston), 클랭프 코트(Frant Court) 4개소이다. 작품별로 사용된 식재 패턴에서 식물간의 직접적인 연결관계를 보기 위해 사회 네트워크 분석 프로그램인 R을 이용하여 연결중심성(degree centrality)을 분석하였다. 이 분석결과에 따라 상위그룹의 3순위에 속하는 식물을 도출하여 식물의 특징과 의미를 고찰하였다. 연구의 결과를 요약하면 연결중심성이 가장 높은 식물은 철쭉류로 나타났고, 야생 장미가 그 다음 순이었다. 내한성이 강한 교배종의 철쭉류는 하부식재로 여러 수종과 연결되어 비정형식의 숲정원 느낌을 추구하였다. 야생 장미 또한 자생 수종으로 생태적인 면과 미적인 면에서 연결 중심성이 높게 나타났으며 다층식재를 이루고 있다. 또한, 마가목, 채진목, 둥글레, 서양매발톱 등 흰색의 작은 꽃이 피는 수종을 식재하여 드리프트를 통한 식물 종을 자연스럽게 연결지을 수 있는 식물군락으로 와일드 가든을 조성하였다.

안경원의 시험착용 콘택트렌즈 및 관리용품 관리 실태 (The Actual Management State of Trial Contact Lenses and Lens Care Products in Local Optical Shops)

  • 박미정;이운정;김소라
    • 한국안광학회지
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    • 제16권4호
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    • pp.391-401
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    • 2011
  • 목적: 국내 안경원의 시험착용렌즈와 관리용품의 관리 실태를 조사하고 분석함으로써 관리 소홀로 인하여 유발될 수 있는 사고의 위험성을 낮추고자 하였다. 방법: 콘택트렌즈 착용자들을 대상으로 시험착용렌즈의 착용 시 느끼는 점을 설문 조사하였으며, 콘택트렌즈를 취급하는 안경원의 안경사를 대상으로 시험착용 콘택트렌즈인 미용렌즈와 RGP 렌즈 그리고 렌즈 관리용품의 관리 실태를 설문 조사하였다. 결과: 시험착용 미용렌즈와 RGP 렌즈의 경우는 98% 이상의 안경사들이 렌즈 착용 전후 세척을 실시하고 있기 때문에 소비자들은 렌즈의 위생 상태를 신뢰하고 있는 것으로 나타났다. 시험착용 미용렌즈의 착용 전 세척은 생리식염수 38.5%, 전용 다목적 용액 40.5%, 생리식염수와 다목적 용액의 병행 사용 21%로 이루어지고 있었으며, 착용 후 세척은 생리식염수 13%, 다목적 용액 75%, 생리식염수와 다목적 용액의 병행이 12%로 이루어지고 있었다. 반면 시험착용 RGP 렌즈의 경우는 착용 전 세척에는 생리식염수가 28.5%, 전용 다목적 용액이 38.5%, 식염수와 다목적 용액 병행이 33%로 나타났으며, 착용 후 보관전 세척은 식염수가 2.5%, 다목적 용액이 70%, 다목적 용액 세척 후 식염수 세척은 27.5%를 차지하여 비교적 세척이 잘 이루어지고 있었다. 안경원에서 시험착용 미용렌즈의 세척은 주로 열흘에서 1개월을 주기로 이루어지는 것으로 나타냈고, 보관용기의 세척은 1 개월을 주기로 이루어졌다. 시험착용 RGP 렌즈의 세척주기는 주로 1개월 또는 2~3개월이었다. 시험착용렌즈 보관용기의 경우는 계면활성제를 이용하여 세척한 후 찬물로 헹구는 경우가 75% 이상으로 나타났다. 관리용품인 생리식염수의 보관기간은 주로 일주일로 나타났고, 다목적 용액의 보관기간은 주로 1개월이나 2~3개월로 나타나 안경원에서 렌즈 관리용액의 보관기간은 비교적 잘 지켜지고 있는 것으로 조사되었다. 결론: 안경원에서의 시험착용렌즈 및 관련 관리용품의 관리는 전반적으로 양호하게 이루지고 있었으나 생리식염수를 이용한 세척을 지양하고, 2주 이내의 세척주기와 뜨거운 물로의 렌즈 보관용기 헹굼이 추가적으로 강화된다면 국민의 눈 건강 증진과 더불어 안경사에 대한 더 높은 신뢰성 구축이 가능할 것이다.

絹織物 Wash and Wear 加工硏究 (Studies on Silk Textile Wash and Wear Finishing)

  • 최병희;이양후
    • 한국잠사곤충학회지
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    • 제23권1호
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    • pp.47-55
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    • 1981
  • 絹織物加工을 實需要者의 利用度를 增加시키기 爲해 多年間 여러 사람에 의하여 硏究되어 왔으나 天然織維이기 때문에 加工方式으로 性質을 變化시키기는 어려워서 滿足스러운 精度로 이루어지지 못하고 있는 實情에 있다. 絹織物加工은 勿論 그 缺點을 補强하는 同時에 商品的價値도 向上시키는데 目的이 있는데 때로는 有名商標가 品質以上으로 販賣를 左右하는 例도 많다. 特히 絹制品은 歡迎을 받지 못하고 있는 實情에 있다. 이러한 問題點을 解決하기 爲해 筆者는 多年間 硏究를 持績하여 왔든바 一般絹織物의 浸潤後 乾燥時間보다 半減된 時間에 乾燥되는 所謂 Wash and Wear絹加工方法의 開發을 하기에 이르렀다. 그리고 그 加工費用이 極히 經濟性인 탓으로 아무런 부담감 없이 加工處理할 수 있는 特徵을 갖이고 있었다. 1. 繭絲는 吐絲營繭曲線이 S字型으로 되어 있어 浸潤時에는 原狀復舊의 性質이 있어 屈曲狀態를 이룩하게 되어 本加工絹織物이 Wash and Wear이기는 하나 가벼운 다림질이 必要하였다. 2. 이러한 加工은 絹絲蛋白質의 變性을 加工過程에서 1% D.I.S.溶液에 3時間 處理하여 變性誘發시킴으로서 可能하였다. 3. 加工絹의 防皺度, 剛乾度를 洗濯回數를 反復하면서 調査하여 본 結果 未處理絹보다 惡化되지 않았다. 4. 未加工絹도 水洗, 乾燥를 反復하게되면 스스로 變性되는 事實을 알았다. 5. 處理絹과 未處理絹의 强力伸度面의 差異가 없었다.

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판매원의 관계신념, 부정적 감정 조절전략, 그리고 친소비자행동의 관계에 관한 연구 (A Study on Relationship of Salesperson's, Relationship Beliefs, Negative Emotion Regulation Strategies, and Prosocial Behavior to Customer)

  • 김상희
    • 경영과정보연구
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    • 제34권5호
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    • pp.191-212
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    • 2015
  • 본 연구는 판매원의 행동에 영향을 미치는 요소로서 판매원의 관계신념 및 감정조절전략을 제시하고자 한다. 판매원의 경우 고객과의 상호작용은 그들의 직무이며 원만한 고객관계는 그들의 목표달성과 기업의 성과달성에 매우 중요하다. 따라서 이러한 원만한 관계를 형성할 수 있는 요소로서 본 연구는 관계신념을 제시하고자 한다. 대인과의 관계에서 어떠한 관계신념을 가지고 있는가하는 것은 개인의 인지적, 정서적, 동기적 측면에 영향을 미치기 때문에 판매원이 가진 관계신념에 따라 고객관계의 질, 경험이 달라질 수 있다. 또한 이러한 관계신념은 판매원이 고객과의 관계에서 경험하는 부정적 감정 조절전략에도 영향을 미치게 되는데 판매원이 어떠한 조절전략을 더 많이 사용하는가에 따라 판매원의 행동이 달라질 수 있다. 본 연구는 판매원의 관계신념, 감정조절전략, 그리고 친소비자행동의 관계를 통해 고객과 판매원의 관계의 질을 증대시키고 이 과정에서 판매원의 성과극대화 및 상황적응력을 높일 수 있는 전략적 방안에 대해 논의하고자 한다. 연구결과 판매원의 관계신념이 부정적 감정 조절전략과 친소비자행동에 영향을 미치는 것으로 나타났으며 부정적 감정 조절전략은 친소비자행동에 영향을 미치는 것으로 나타났다. 친밀관계신념이 높을수록 능동적 조절전략, 지지추구조절전략을 이용하여 부정적 감정을 조절할 가능성이 높고, 통제관계신념이 높을수록 회피/분산 조절전략을 이용하여 부정적 감정을 조절할 가능성이 높은 것으로 나타났다. 또한 친밀관계신념은 친소비자행동을 증가시키지만 통제관계신념은 친소비자행동을 감소시키는 것으로 나타났다. 부정적 감정 조절전략 중 능동적, 지지추구조절전략은 친소비자행동을 증가시키는 것으로 나타났고 회피/분산조절전략은 친소비자행동을 감소시키는 것으로 나타났다. 본 연구결과는 판매원의 관계신념과 부정적 감정 조절전략에 관심을 가질 수 있는 계기를 마련하고 있으며 판매원 선발 및 교육에 있어서의 중요한 지침을 제공하고 있다.

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