• Title/Summary/Keyword: Marital Status

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물리치료사의 업무 스트레스 현황과 대응수준 -부산지역을 중심으로- (An Analysis of Work Stress of Physical Therapist and Reaction)

  • 동종익;류황건;배성권
    • 보건의료산업학회지
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    • 제2권1호
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    • pp.37-55
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    • 2008
  • This study aims to enhance work efficiency and satisfaction by offering data that make a physical therapist cope with stress coming from the job efficiently by identifying and analyzing the job satisfaction and work stress perceived by a physical therapist, and the level of reaction of a physical therapist. The study distributed survey questionnaires to 300 physical therapists working in medical institutions in Busan via mail and by visit from March 3, 2007 by selecting them simply and randomly from the physical therapist list, and collected the questionnaires by March 20, 2007, 103 respondents were working at 17 general hospitals including a university hospital, 65 respondents at 12 medical centers, and 79 respondents at 39 doctor's offices. The study collected 251 copies, which showed the collection rate of 83.7%, and analyzed 247 copies (82.3%) excluding 4 copies of insincere answers. As a research tool for measuring job satisfaction the study used a tool employed for research into the job satisfaction of physical therapists who work at medical institutions in Gwangju, Jeonnam, and Jeonbuk by Kim Hee-Gwon(1992) and research regarding job satisfaction by Jeong Jeong-Hee(2004) as well as research regarding the factors of job satisfaction by Flippo(1980) & Seberhagen(1970) after adjusting the research tools to the purpose of the study. Also for questions about work stress, the study employed nurses' job stress measurement tool developed by Kim Mae-Ja and em Mi-Ok(1984) by modifying the tool to the purpose of the study, and for a measurement tool for reaction to stress, the study used a tool employed for research into reaction to stress of nurses at general hospitals by Choi Eun-Deok(2005) without modification. For data analysis, the study used the SPSS12.0 as a statistical method, and then used t-test or ANOVA for verifying actual numbers, percentile, average :score, standard deviation, rank, and difference. Also, the study conducted which is a post-test method for variables that show a significant difference at the level of p<.05 level after the analysis. The findings include the following. 1) The respondents' job satisfaction score was 3.21 points on the average (out of 5 full points). The peer relationship ranked the highest, posting 4.02 points on the average, and the job satisfaction with rewards was proven the lowest, posting 2.51 points. For the job satisfaction level by characteristics, there were significant differences (p<.05) in gender, hospital type, weekly working hours, monthly working days, number of patients per day, department in charge of therapy, and number of peers, and there was no significant difference in characteristics other than that. 2) The respondents' work stress score was 2.72 points (out of 5 full points) on the average. The respondents were shown to be under the highest stress when they suffered from excessive workload, posting 3.49 points on the average, and they were shown to be under the least stress when they had a conflict with peers at another department, recording 1.90 points on the average. for the job stress level by the characteristics of job, there was a significant difference in the reflection of job assessment(p<.05). 3) 1n respondents' reaction to stress, most of them were shown to make efforts in coping with stress, posting 2.80 points (out of 5 full points). For their experience of being wider stress, they answered that 'they felt depressed (2.85 points)" for their experience of coping with stress, they answered that 'they were indifferent to it or thought about something else' (2.62 points). Also, for their efforts in coping with stress, they answered that 'they were motivated to remove their strain by taking leave, playing, or using their preferences' (3.52 points), which ranked higher. For the level of reaction to stress by characteristics, there were significant differences by age, gender, marital status, total service years as a physical therapist, monthly working days, and department in charge of therapy(p<.05). It is necessary to offer correct information by conducting an in-depth analysis of the stressful situations of physical therapists who exert efforts in rehabilitating patients at hospitals by factor, and seeking management plans based on the research results. Also, it is necessary to develop a program for coping with stress efficiently for removing stress and to conduct research into the understanding and cooperation of administrators and persons in charge of physical therapists for reducing physical therapists' stress at hospitals.

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유통업 여성 근로자의 건강 문제와 건강 행위에 관한 연구 (A Study on Health Behaviors and Problems of Female Retail Workers)

  • 김숙영;윤순녕
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.127-145
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    • 2000
  • The objectives of this study are to identify health behaviors and health problems. and the relations between health behaviors and health problems of female workers in the retail business. The number of subjects were 200 female workers of 6 department stores in Seoul and Kyonggi area, whose jobs last more than 6 months as retail employees. The data was collected during 2 months from July 1 to August 30, 1998. The Cornell Medical Index Health Questionnaire(CMI) was used to measure their health problems, while health behaViorn were investigated in terms of 'smoking', 'alcohol', exercise', 'diet', and 'sleeping'. The data were analyzed with frequency. percentage, t-test, ANOVA test, and $X^2-test$ by SPSS PC+ program. The results of this study are as follows: 1. Out of health problems. Digestive symptoms occupied the highest percent number. nervous ones the second and cardiovascular ones the third among physical health problems of retail female workers. The most frequent mental health problem was 'adequacy' and the next, 'tension' and 'anger', 2, Health problems according to general characteristics of subjects were shown that the younger or the unmarried complained more than the older or the married, especially in the items of 'eye and ear', 'respiratory system', 'cardiovascular system', 'digestive tract', 'nervous system', 'adequacy', and 'depression'. The longer working duration they have had, the more they complained of 'respiratory system' and 'adequacy'. The lower academic careers complained of 'nervous' than the higher ones with statistical significance. 3. The analysis of daily health clinic notes showed that respiratory complaints were the highest percent, successively followed by digestive tract, nervous one, external injury, musculoskeletal system, urinary-reproductive system and others. 4. The level of their health practice was generally low in smoking, diet habit and alcohol intake, exercise, sleeping, very low especially in smoking, diet, alcohol intake, and exercise among them all. 5. Present smokers and ones with past experience complained of physical and mental health problems of 'respiratory system', 'digestive tract', 'skin', 'nervous', 'urinary-reproductive system', 'fatigability', adequacy', 'depression', 'anxiety', 'anger' and 'tension', than non smokers, with statistical difference. Workers without having breakfast and with irregular diet had more complaints on 'digestive tract', 'adequacy' and 'tension', than those who had regular dietary habit. The less the subjects slept, the more they complained of eye and ear, cardiovascular system. The subjects who drank alcohol complained more digestive problem. However, whether they exercise or not did not affect physical and mental health problems in a significant manner. 6. The subjects' age and marital status were statistically significant relating to health behaviors, as the younger or unmarried recorded a low level of health practice in smoking, drinking, dietary habit. Based on the results, the suggestions are made as follows: 1. Health education program on smoking, alcohol intake, diet habit is needed to improve health problems and health behavior of female retail workers. 2. The unmarried workers of late teen and twenties, who are transitional period from teenagers to adulthood are important targets for health promotion program especially for maternal health. 3. Better working environment with sufficient time and facilities for workers to relax is required to promote female sales workers' health. 4. Further research is required to identify the relation between workers' visual fatigue and intense lights for the display of goods.

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한국인 여성에서 자궁근종 발생에 관여하는 인자들에 대한 연구 - 후향적 연구 - (Risk Factors Related to Uterine Leiomyoma in Korean Women - A Retrospective Study -)

  • 홍대기;정민지;김보섭;이정미;조영래;이택후;전상식
    • Clinical and Experimental Reproductive Medicine
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    • 제33권3호
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    • pp.159-170
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    • 2006
  • 목 적: 본 연구의 목적은 한국인 여성에서 자궁근종 발생과 관련된 인자를 찾고 기존 연구 결과와 비교 하는데 있다. 연구방법: 1998년 l월부터 2004년 12월 사이에 경북대학교병원을 정기 검사 및 산부인과 질환을 가진 환자로 치료를 위해 방문한 환자 중 외과적 또는 초음파검사상 자궁근종이 진단된 244명과 자궁근종이 없는 269명을 대조군으로 후향적인 연구를 시행하였다. 자료는 의료기록 조사로 이루어졌으며 통계분석은 $x^2$ 검정과 로지스틱 회귀분석을 시행하였다. 결 과: 다변량분석상 나이, 인공유산 횟수, 음주는 자궁근종 발생과 양의 상관관계를 나타내었으며, 수유기간에 따라서는 그와 반대의 관계를 나타내었다. BMI, 분만력, 초경 나이, 월경기간 및 간격, 카페인 섭취, 결혼 상태는 연관성을 나타내지 않았다. 결 론: 이번 연구는 한국인 여성에서 자궁근종 발생에 관련된 인자에 대한 첫 후향적인 연구로서 의의를 가지지만, 한국인 여성에서의 구체적인 발생인자에 대한 결론을 내리기에는 부족하였다. 따라서 한국인 여성에서의 자궁근종의 발생인자에 대한 향후 장기간에 걸친 대규모의 전향적인 연구가 필요하리라 여겨진다.

가정주부의 한약에 대한 지식수준과 관련요인 (Housewives' Knowledge Level of Herb Medicine and Its Related Factors)

  • 서호석;남철현;박찬우;김성진;이미경;하은필
    • 대한예방한의학회지
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    • 제6권1호
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    • pp.95-95
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    • 2002
  • This study was conducted to examine housewives' knowledge level of herb medicine and its related factors in Korea. Data were collected from 667 housewives from April 1, 1999 to June 30, 1999. The results of this study are summarized as follows. 1. According to general characteristics of the subjects, 29.1$\%$ of the subjects was over fifties. 28.6$\%$ was primary school graduate. while 25.5$\%$ was high school graduate. In case of job, the unemployed was 67.0$\%$ and professional/clerical worker was 19.6$\%$. 82.0$\%$ had spouses and 45.7$\%$ believed in Buddha. 50.8$\%$ of the subjects lived in big cities and 76.7$\%$ was the middle class. In case of their health condition, 33.4$\%$ was in good health, while 5 1.1$\%$ suffered from certain diseases and 43.9$\%$ was not satisfied with health conditions. 2. The proportion of experience in taking herb medicine was 86.4$\%$. The marital status and health condition were significantly related to the experience in taking herb medicine. When the respondents took diseases, 68.0$\%$ of them were experienced in folk remedy. The variables of age and religion were significantly related to experience in folk remedy. 3. According to the respondents opinions of the effect of the folk remedy, 'effective' was 78.5$\%$ and 'common' was 17.6$\%$, while 'not effective' was 3.9$\%$. 59.3$\%$ of the respondents thought that the folk remedy had scientific basis. 4. In case of information sources on herb medicine, 59.7$\%$ of the respondents obtained the information from TV or Radio. 13.7$\%$ of them got it from magazines related to Oriental medicine and 13.3$\%$ of them obtained it from newspapers or related books. The information sources were significantly related to age and health condition. The knowledge level of herb medicine was 20.76${\pm}$2.66 point on the basis of 30 points. The knowledge level was significantly related to age, occupation, health condition, information sources, experience in taking herb medicine, and opinions of scientific basis of the folk remedy. 5. The respondents marked 2.23${\pm}$0.64 points on the basis of 3.0 points in the question of the effect of taking herb medicine in summer, 2.30${\pm}$0.61 points in the question of the relationship between taking deer antlers and becoming clear-headed, 2.72${\pm}$0.56 points in the question of ginseng, 2.51${\pm}$0.56 points in the question of the relationship between taking herb medicine and being harmful to the liver, 1.94${\pm}$0.74 points in the question of taking herb medicine during the period of pregnancy, 1.84${\pm}$0.78 points in the question of the relationship between menstrual irregularity and motherwort, 2.00${\pm}$0.83 points in the question of the relationship between taking herb medicine and getting fat, 1.76${\pm}$0.89 points in the question of the relationship between Ssanghwatang and cold, 2.15${\pm}$0.76 points in the question of taking honey, and 1.45${\pm}$0.77 points in the question of selecting foods during the period of taking herb medicine. 6. The factors influencing decision of taking herb medicine were experience of taking herb medicine, intention of receiving treatment by folk remedy, occupation, health condition, and age. As seen in the above results, the knowledge level of taking herb medicine during the period of pregnancy, the relationship between menstrual irregularity and motherwort, Ssanghwatang, honey, and selecting foods during the period of taking herb medicine was very low. Therefore, it is necessary to develop education programs in order to provide community residents with basic knowledge of herb medicine. In doing so, the government, Oriental medical doctors, and associations related to herb medicine must make great efforts.

가정주부의 한약에 대한 지식수준과 관련요인 (Housewives' Knowledge Level of Herb Medicine and Its Related Factors)

  • 서호석;남철현;박찬우;김성진;이미경;하은필
    • 대한예방한의학회지
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    • 제6권1호
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    • pp.96-116
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    • 2002
  • This study was conducted to examine housewives' knowledge level of herb medicine and its related factors in Korea. Data were collected from 667 housewives from April 1, 1999 to June 30, 1999. The results of this study are summarized as follows. 1. According to general characteristics of the subjects, 29.1% of the subjects was over fifties. 28.6% was primary school graduate. while 25.5% was high school graduate. In case of job, the unemployed was 67.0% and professional/clerical worker was 19.6%. 82.0% had spouses and 45.7% believed in Buddha. 50.8% of the subjects lived in big cities and 76.7% was the middle class. In case of their health condition, 33.4% was in good health, while 51.1% suffered from certain diseases and 43.9% was not satisfied with health conditions. 2. The proportion of experience in taking herb medicine was 86.4%. The marital status and health condition were significantly related to the experience in taking herb medicine. When the respondents took diseases, 68.0% of them were experienced in folk remedy. The variables of age and religion were significantly related to experience in folk remedy. 3. According to the respondents opinions of the effect of the folk remedy, 'effective' was 78.5% and 'common' was 17.6%, while 'not effective' was 3.9%. 59.3% of the respondents thought that the folk remedy had scientific basis. 4. In case of information sources on herb medicine, 59.7% of the respondents obtained the information from TV or Radio. 13.7% of them got it from magazines related to Oriental medicine and 13.3% of them obtained it from newspapers or related books. The information sources were significantly related to age and health condition. The knowledge level of herb medicine was $20.76{\pm}2.66$ point on the basis of 30 points. The knowledge level was significantly related to age, occupation, health condition, information sources, experience in taking herb medicine, and opinions of scientific basis of the folk remedy. 5. The respondents marked $2.23{\pm}0.64$ points on the basis of 3.0 points in the question of the effect of taking herb medicine in summer, $2.30{\pm}0.61$ points in the question of the relationship between taking deer antlers and becoming clear-headed, $2.72{\pm}0.56$ points in the question of ginseng, $2.51{\pm}0.56$ points in the question of the relationship between taking herb medicine and being harmful to the liver, $1.94{\pm}0.74$ points in the question of taking herb medicine during the period of pregnancy, $1.84{\pm}0.78$ points in the question of the relationship between menstrual irregularity and motherwort, $2.00{\pm}0.83$ points in the question of the relationship between taking herb medicine and getting fat, $1.76{\pm}0.89$ points in the question of the relationship between Ssanghwatang and cold, $2.15{\pm}0.76$ points in the question of taking honey, and $1.45{\pm}0.77$ points in the question of selecting foods during the period of taking herb medicine. 6. The factors influencing decision of taking herb medicine were experience of taking herb medicine, intention of receiving treatment by folk remedy, occupation, health condition, and age. As seen in the above results, the knowledge level of taking herb medicine during the period of pregnancy, the relationship between menstrual irregularity and motherwort, Ssanghwatang, honey, and selecting foods during the period of taking herb medicine was very low. Therefore, it is necessary to develop education programs in order to provide community residents with basic knowledge of herb medicine. In doing so, the government, Oriental medical doctors, and associations related to herb medicine must make great efforts.

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조직몰입이 이직의도와 사업성과에 미치는 영향: 부산지역 사회복지조직을 중심으로 (A Study on the Impact of Organizational Commitment on Workers' Turnover Intention and Organizational Performance: Based on Analysis of Welfare Organizations in Busan, Korea)

  • 서종수
    • 벤처창업연구
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    • 제11권4호
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    • pp.215-225
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    • 2016
  • 비영리조직의 도덕적 해이성에 대한 사회적 문제의 표출과 더불어 서비스 책무성에 대한 사회적 관심의 증가에 따라 비영리조직의 사업성과에 대한 관심이 증가되고 있다. 비영리의 대표적인 영역으로 사회복지를 제시할 수 있으며, 사회복지조직은 사람을 매개로하여 제공되는 휴먼서비스의 특징을 지닌다. 따라서 사회복지조직의 사업성과에 인적자원, 즉 사회복지사의 조직몰입과 같은 요소가 미치는 영향은 크다고 할 수 있다. 그러나 사회복지조직은 부적합한 업무환경과 과다한 업무부담 및 노동강도 그리고 낮은 처우 등으로 인하여 매우 높은 이직률을 나타내고 있다. 이에 본 연구는 부산지역 복지조직의 사회복지사를 대상으로 조직몰입이 이직의도와 사업성과에 미치는 영향을 확인하고자 한다. 자료분석을 위하여 SPSS WIN 18.0을 이용하였으며, 각 변인별 빈도분석 및 기술통계를 통하여 일반적 특성을 파악하고, 주요 변인의 상관관계와 인과관계를 알아보기 위하여 Pearson 상관관계분석 및 다중회귀분석을 실시하였다. 연구결과 사회복지사의 조직몰입은 규범적 몰입 3.36, 지속적 몰입 3.07, 정서적 몰입 2.75순으로 나타났다. 규범적 몰입은 보통보다 조금 높게, 지속적 몰입은 보통, 정서적 몰입은 보통보다 낮은 것으로 나타났다. 사회복지사의 이직의도는 2.71, 사업성과의 경우 2.79로 나타나, 이직의도와 사업성과는 모두 보통보다 조금 낮은 것으로 나타났다. 사회복지사의 이직은 정서적 몰입, 혼인상태, 업무량, 연령 등이 영향을 미치는 것으로 나타났다. 또한 사회복지조직의 사업성과에 정서적 몰입, 성별, 연령 등이 영향을 미치는 것으로 나타났다. 따라서 비영리조직의 경영이나 창업에 있어, 인적자원의 요소 특히, 조직몰입 중 정서적 몰입을 체계적으로 관리함으로써, 이직의도를 감소시키고 사업성과를 향상해야 할 것이다.

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보건관리형태에 따른 산업보건에 대한 지식, 태도 및 실천 (Knowledge, Attitude and Practice according to Types of Occupational Health Management)

  • 김성희;신혜련;김상우;우극현;박완섭;박재용
    • Journal of Preventive Medicine and Public Health
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    • 제29권3호
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    • pp.579-596
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    • 1996
  • 중소영세 섬유업체 근로자들 1,138명을 대상으로 자기기입식 설문조사를 하여 근로자의 보건관리형태에 따른 산업보건에 관한지식, 태도 및 실천의 정도를 비교하고 다음으로는 집단보건관리군 694명만을 대상으로 하여 집단보건관리 기간이 지식, 태도 및 실천에 미치는 영향을 알아보고자 하였다. 1. 보건관리형태에 따라서 산업보건에 관한지식, 태도 몇 실천의 평균점수는 개별보건관리군에서 모두 높았으나 실천의 점수만 통계적으로 유의한 차이를 보였다. 그러나 비교하고자 하는 두 집단간에는 대부분의 일반 특성이 유의한 차이가 있으므로 이를 교정하고자 중회귀분석을 실시하였다. 중회귀분석 결과, 지식에 유의한 영향을 미치는 변수는 연령, 교육 수준, 총 근무기간이었고, 태도에 유의한 영향을 미치는 변수는 연령, 교육수준, 결혼상태였다. 실천에 유의한 영향을 미치는 변수는 성, 연령, 교육수준, 결혼유무, 총 직장근무기간이었다. 연구의 목적인 보건 관리형태별로 비교시는 지식, 태도 및 실천에 미치는 영향은 집단보건관리군의 경우 지식의 평균점수가 조금 높았을 뿐이며, 태도 및 실천의 점수는 낮았다. 그러나 두 가지 보건관리형태에 따른 유의한 차이는 없었다. 2. 집단보건관리군에 국한하여 분석한 결과, 보건관리기간(개월수)은 대상 근로자들의 산업보건에 관한 지식, 태도 및 실천 모두에 유의한 영향을 미친다고 할 수 있다.

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초기와 후기 폐경후기 여성에서의 폐경기 증상의 심각도와 위험 요인들 (Risk Factors Affecting Severity of Menopausal Symptoms in Early and Late Postmenopasusal Woman)

  • 김종훈;이문수;양재원;고영훈;고승덕;조숙행
    • 정신신체의학
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    • 제17권2호
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    • pp.52-61
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    • 2009
  • 연구목적 : 본 연구의 목적은 생식 노화 연령 연구(stages of reproductive aging workshop : STRAW)의 분류에 따른 초기와 후기 폐경후기에서의 폐경기 증상의 특징을 살펴보고 폐경기 증상의 심각도에 영향을 미치는 위험 요인들을 살펴보고자 하였다. 연구대상 및 방법 : 서울, 경기지역에 거주하는 비임상 표본인 41~59세의 497명의 자연폐경이 된 폐경후기 여성을 대상으로 초기 폐경후기 군과 후기 폐경후기 군으로 구분하였다. 삶의 질의 평가를 위해 폐경평가척도(menopause rating scale : MRS)가 사용되었다. MRS 점수, 인구사회학적 특징, 흡연, 음주 여부, 폐경 연령과 폐경에 대한 태도, 우울감, 월경 전 불쾌장애 병력 여부 등의 위험 요인을 초기와 후기 폐경후기간에 비교 조사하였다. 각 군에서 각각의 변인들을 독립변수로 하여 MRS에 대한 다중 회귀분석을 시행하였다. 결과 : 초기 폐경후기군에서 후기 폐경후기군에 비해 유의하게 더 심한 폐경기 증상, 폐경에 대한 부정적인 태도, 심한 우울감을 보였다. 안면홍조증상이 중등도 이상인 군은 경도 이하인 군보다 폐경기 증상의 호소와 우울감이 유의하게 높았고 폐경에 대한 태도는 부정적이었다. 폐경에 대한 태도와 우울감이 초기 폐경후기군과 후기 폐경후기군에서 모두 폐경기 증상의 심한 정도에 주요한 기여를 하였다. 초기 폐경후기군에서 연령, 폐경연령, 월경 전 불쾌장애 병력 여부가 폐경기 증상의 심각도에 유의하게 기여한 반면 후기 폐경후기군에서는 결혼상태, 직업여부가 폐경기 증상의 심각도에 기여하였다. 결론 : 폐경후기 여성의 삶의 질은 후기보다 초기에서 유의하게 낮은 것으로 나타났다. 삶의 질에 영향을 미치는 위험요인들 중 폐경에 대한 태도와 우울감은 초기와 후기 폐경후기의 삶의 질에 공통으로 유의한 영향을 미쳤으며 그 밖의 위험 요인들은 초기와 후기에 따라 다르게 나타나는 것으로 보인다. 향후에는 폐경기 증상 호소로 병원을 찾는 폐경후기 여성 환자들의 임상표본(clinical sample)을 대상으로 삶의 질과 위험 요인을 확립할 수 있는 연구가 필요할 것으로 사료된다.

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중국 거주 조선인의 불안과 우울에 관한 실태 (Anxiety and Depression of The Korean Residents in China)

  • 사공정규;정성덕;김창수;김철구;김봉진
    • Journal of Yeungnam Medical Science
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    • 제9권2호
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    • pp.275-287
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    • 1992
  • 중국연변자치구에 있는 연길시에 거주하는 주민중, 조선족472명과 한족479명을 대상으로 1991년 1월에서 1991년 3월까지 통합불안우울척도를 사용하여 평가한 결과는 다음과 같다. 불안, 우울성적의 총평균점은 조선족이 $29.70{\pm}7.03$이었고 한족은 $29.45{\pm}9.01$로 유의한 차이가 없었고, 항목별성적에서 조선족이 높게 평가한 불안-우울척도의 상위 항목들은 피로, 소화불량 및 식욕감소, 수명장애, 악몽, 건강염려등이며 조선족이 낮게 평가한 하위수준의 항목은 졸도감, 두려움, 자살의도, 절망감, 이상감각 등이며 한족이 높게 평가한 상위 항목은 피로, 악몽, 불안감, 불만족, 정신붕괴, 건강염려등이었으며 한족이 평가한 하위수준의 항목은 두려움, 졸도감, 이상감각, 체중저하, 자살의도 등이었고, 두그룹비교에서 조선족이 한족에 비해 높게 평가한 항목은 소화불량 및 식욕감소(p<0.01), 수면장애(p<0.01), 건강염려, 감소된 성욕(각각p<0.05) 등의 항목이며 한족이 높게 평가한 항목은 안면 홍조p<0.01), 불안감, 불만족, 자살의도(각각p<0.05) 등의 항목이었다. 통합 불안, 우울척도의 총점이 50점이상인 고득점자는 조선족이 12명(2.54%) 한족이 21명(4.38%)였다. 사회정신의학적 요인 평가에서 양궁 모두 여성 20세미만의 경우(각각p<0.01),와 가정분위기에 불만인 경우(각각p<0.01), 정신과적 입원 경험이 있는 경우(조선족p<0.01, 한족p<0.05)와 과거, 현재, 미래에 대한 자아관의 태도가 비관적인 경우(각각p<0.01) 유의하게 높은 성적을 보였으며 종교의 요소에 대해서는 유의한 차이가 없었다. 결혼 여부에 대해서는 조선족에서는 이혼 및 별거의 경우 높았고, 한족에서는 미혼인 경우 높았으며(각각p<0.01), 교육에 대해서 조선족은 무학의 경우 높았고, 한족은 대졸의 경우 높았으며(각각p<0.01), 성장지에 대해서는 조선족의 경우 성장지별간에 유의한 차이점은 없었으나, 한족의 경우 대도시에서(p<0.01) 유의하게 높은 성적을 보였다. 현재 거주지에 대해서 조선족은 기숙사의경우 높았고, 한족은 자취의 경우 높았으며(각각p<0.01), 잡비에 대해서 조선족은 $1미만에서 높았고, 한족은 $7-10의 경우 높았다(각각p<0.01).

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항암제 투여 환자의 우울 양상 (The Characteristics of Depression in Cancer Patients on Chemotherapy)

  • 주열;서완석;김진성;이종범;정성덕;송신호;배대석;이경희;현명수
    • 정신신체의학
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    • 제10권2호
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    • pp.154-165
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    • 2002
  • 목적: 입원 치료 중인 항암제 투여 환자의 우울 양상을 알아보기 위해 본 연구를 시행하였다. 방법: 2001년 11월부터 12월까지 영남대학교 의과대학 부속병원 종양내과에 입원한 대상으로 Beck's depression inventory(이하 BDI), Zung's depression scale (이하 ZDS), Hamilton depression scale(이하 HDS)을 시행하였고 정신과적 면담을 통해 축 I 질환을 진단하였다. 결과: 대상군에서 각 우울 척도의 평균 접수는 BDI 18.27${\pm}$7.73, ZDS 36.51${\pm}$10.82, HDS 15.14${\pm}$6.60으로 나타났다. 성별, 결혼상태, 종교에 따른 우울척도의 차이는 나타나지 않았다. 대상은 위암 13명, 폐암 11명, 혈액종양 10명, 기타 종양 3명(자궁암 2명, 두경부암 1 명)이었다. 고용량의 항암치료를 받는 기타 종양군의 HDS, ZDS 점수가 다른 종양군에 비해 높았다. 8명(21.6%)은 주요우울장애로, 11명(29.7%)은 적응장애로 진단되었다. 주요우울장애군에서 ZDS의 우울감, 일의 어려움, 불안, 정신활동성 지체 항목의 점수가 다른 진단군에 비해 높았다. 장애군에서 ZDS의 변비, 피로, 식욕 감소, 공허감, 수면장애, 불만족, 체중감소 항목, HDS의 건강염려증, 초조, 피로, 성욕 감소 문항의 점수가 높았다. 결론: 항암제 투여 중인 입원 환자에 있어서 적응장애와 주요우울장애와 같은 정신과적 질환이 동반될 수 있다. 정신의학적 접근이 암환자의 삶의 질을 증가시키고 치료 순응도 측면에 있어서도 중요하다. 항암제 치료중인 환자의 우울 장애 진단시 우울 증상과 혼동될 수 있는 다양한 선체 증상을 감별하기 위하여 암의 부위, 임상 경과, 치료 방법, 항암제의 부작용에 대한 고려가 선행되어야 할 것으로 생각된다.

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