• 임상간호연구
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• 제14권3호
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• pp.5-14
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• 2008

Purpose: The purpose of this study was to compare body image, depression, and climacteric symptoms among middle-aged women with and without thyroidectomy. Method: The research design was a comparative descriptive study using a self-report questionnaire. A total of 102 women aged 40~59 years were recruited using a convenient sampling method. A total of 52 women out of 102 were within a year after thyroidectomy due to benign disease. The rest of the subjects were healthy women without any previous diseases in thyroid. The instruments included Body Image Concern Inventory, Climacteric symptoms, and Center for Epidemiological Studies Depression Scale. The data were analyzed by descriptive statistics, t-test, $x^2$-test, one-way ANOVA, and correlation analysis. Results: There were no significantly differences in age, education, menstruation states between women with and without thyroidectomy. The demographic characteristics of two groups were homogeneous. There were significantly statistical differences in body image (t= 8.456, p=.000), and depression (t=3.142, p=.002) between the groups. There was, however, no significantly differences of climacteric symptoms. In addition, in women with thyroidectomy, no significant associations were found among body image, depression, and climacteric symptoms. Conclusion: The findings demonstrated the need to develop an effective nursing intervention to increase body image and to reduce depression in middle-aged women after thyroidectomy.

• 여성건강간호학회지
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• 제19권4호
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• pp.275-284
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• 2013

Purpose: The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman. Methods: Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson Correlation Coefficients, and Multiple Stepwise Regression. Results: Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status. Conclusion: Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.

• 여성건강간호학회지
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• 제17권1호
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• pp.10-20
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• 2011

Purpose: The purpose of this study was to examine the effects of integrated menopause management program derived theoretical framework of King (1981)'s goal attainment theory model for middle aged women. Methods: This research was a nonequivalent control group non-synchronized design. The subjects of this study were 37 middle aged women in Busan and experiencing menopause; 17 for the experimental group and 20 for the control group. Experimental group was educated for 1 hour group interchange activity and five minutes individual interchange activity, once a week during 8 weeks. Measurement for comparison were taken two times, at baseline, 8wks. The effects were evaluated with menopause symptom, menopause knowledge, menopause attitude and menopause management. Results: The experimental group was significantly lower than control group on menopause symptom (F=5.936, p=.010) and higher than control group on menopause knowledge (F=12.031, p=.001) and menopause management (F=5.861, p=.010) after integrated menopause management program. However integrated menopause management program did not make significant differences on menopause attitude (F=0.105, p=.374). Conclusion: Results indicate that integrated menopause management program could be an effective intervention decreasing menopause symptom and for increasing menopause knowledge, menopause management in middle aged women.

• 대한간호학회지
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• 제45권1호
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• pp.25-34
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• 2015

Purpose: This study was conducted to examine effects of a cardiocerebrovascular disease (CVD) prevention education program on knowledge, self-efficacy and health behavior among postmenopausal middle-aged women. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 53 postmenopausal middle-aged women who registered in two community culture centers in G metropolitan city. Experimental group (n=26) received a CVD prevention education program 8 times over 8 weeks. Knowledge, self-efficacy and health behavior of the participants were examined with self-report structured questionaries. Data were collected between October 15 and December 11, 2013, and were analyzed using chi-square test, Fisher's exact test, independent t-test, and analysis of covariance with SPSS/PC version 21.0. Results: After the intervention the experimental group showed significant increases in the knowledge of CVD symptoms (p<.001) and CVD risk factors (p<.001), level of self-efficacy (p=.028) and health behavior (p<.001) compared to the control group. However, no significant difference was found between groups for knowledge of CVD prevention (p<.133). Conclusion: Results suggest that a CVD prevention education program can be an effective strategy to improve knowledge on CVD symptoms and risk factors, self-efficacy and health behavior for postmenopausal middle-aged women.

• 가족자원경영과 정책
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• 제15권2호
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• pp.23-44
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• 2011

The purpose of this study is to present a desirable model of memorial rites on the basis of their essential significance, as recognized by middle-aged housewives. This study was based on an interview survey that was conducted with 40 housewives in their 40's and 50's who live in Seoul. The interviews were carried out from August 1, 2009 to October 20, 2009, using a semi-structured questionnaire. The main results of this study can be summarized as follows: First, the middle-aged housewives recognized the significance of memorial rites as an expression of their sincerity, or as a cultural demonstration of affection commemorating their ancestors. Secondly, the housewives mentioned possible changes to different memorial rites depending on the will of their children's generation. These included a grafting of different memorial rites between religions, or a shift of the memorial rites to a religious institution or a memorial facility, in addition to maintaining the current practice in one's home. Thirdly, we proposed memorial rites that are carried out in one's home (Confucian, Christian, Confucian plus Catholic, or Confucian plus Buddhist style), a religious institution (Catholic church or Buddhist temple), and a memorial facility (arboretum, graveyard or enshrine facility).

• 여성건강간호학회지
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• 제23권3호
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• pp.181-190
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• 2017

Purpose: The purpose of the study was to identify factors influencing health promotion behavior of late-middle aged women. Methods: The subjects were 128 women who were attending a cultural center located in B metropolitan city. Data were collected from July 1 to July 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, Stepwise multiple regression with SPSS/WIN 23.0 program. Results: Health promotion behavior of later middle-aged women was different by general characteristics such as religion, exercise, economic satisfaction, life satisfaction, and leisure time activities. Health promotion behavior had a positive relationship with health perception and perception of successful aging, and a negative relationship with aging anxiety. Health perception, perception of successful aging, exercise, leisure time activities (exercise and social activity) were verified significant factors influencing health promotion behavior accounted for 38%. Conclusion: The results indicate that health perception and perception of successful aging influence health promotion behavior of late-middle age women. It would provide the basic data for the development of program aimed at improving health promotion behavior of late-middle age women.

• 산업진흥연구
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• 제5권2호
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• pp.51-58
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• 2020

40대 이후 급증하는 중년여성의 우울증은 다양한 치료방법에도 불구하고 좀처럼 감소하지 않고 있다. 이러한 현상이 자기상실에서 오는 전체성의 몰인식에서 기인한다는 전제하에, 보다 근원적인 치료방법을 위한 질적 연구가 필요하다. 이에 본 연구는 2016년 9월부터 2018년 11월까지 우울증을 호소하는 3명의 기독교인 중년여성을 연구 참여자로 선정, 10~15회기 심층상담과 인터뷰를 실시하여 261개의 의미단위와 11개의 하위구성요소를 도출하였으며 도출한 의미단위를 2개의 주제군인 우울증 경험과 개성화과정의 현상으로 나누어 구조화하였다. 심층상담 결과를 바탕으로 우울증 경험과 개성화과정의 현상으로 구조화한 결론은 다음과 같다. 첫째, 우울증의 경험은 신체적, 인지적, 정서적, 행동적, 사회적, 영적인 면에서 고통스러운 증상으로 나타나는데 이는 삶의 의미를 찾으려는 의욕으로 변환되고 새로운 길을 모색하는 창조적 질서를 위한 과정으로 연결된다. 둘째, 중년여성의 개성화과정 현상은 페르소나, 그림자·콤플렉스, 아니무스와의 직면에서 또 다른 고통을 불러오지만, 동시에 이를 극복하기 위한 겸손과 용기의 태도 또한 가져온다. 셋째, 중년여성의 개성화과정에서 자기실현의 현상은 카타르시스 후 자기성찰을 통해 문제를 인식하고 수용하는 것으로부터 시작되고 점차 인격과 관계의 변화, 전반적인 삶에서의 변화, 종교적인 영역에서의 변화, 인지적·정서적·행동적인 영역에서의 긍정적 변화 등이 나타났다. 결론적으로 본 연구를 통해서 우울증을 경험한 중년여성이 고통의 본질적인 의미를 깨닫고 개성화과정을 통해 근원적으로 치료 받을 수 있는 계기를 마련하고, 일반 중년여성들에게도 예방적 차원의 방법을 제시하였다는 데 의의가 있다.

• 대한물리의학회지
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• 제18권3호
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• pp.11-19
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• 2023

PURPOSE: This study evaluated the incidence of sarcopenic obesity (SO) and examined the specific risk factors in a community-dwelling middle-aged population of women. METHODS: The present study involved analyzing data from a cross-sectional study that included 1,693 community-dwelling women aged between 40 and 49 years. Various risk factors were investigated, including age, height, weight, body mass index, waist circumference, skeletal muscle mass index, smoking and drinking behaviors, systolic and diastolic blood pressure, fasting glucose levels, as well as triglyceride and cholesterol levels. To ensure the accuracy and validity of the results, a complex sampling technique was employed for data analysis. Each sample weight was calculated through a three-step process by estimating base weight, adjusting it for non-response, and modulating it for post-stratification. RESULTS: The incidence of SO was 4.26% (95% CI: 3.20-5.67%). The clinical risk factors for SO were age, height, weight, body mass index, waist circumference, skeletal muscle mass index, systolic blood pressure, diastolic blood pressure, and levels of fasting glucose, triglycerides, and total cholesterol (p < .05). CONCLUSION: This study explores the prevalence and risk factors of SO among community-dwelling women. It adds to the existing literature on SO and identifies potential risk factors in middle-aged women.

• 문화기술의 융합
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• 제8권6호
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• pp.479-486
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• 2022

중년기는 현재 자신의 위치에서 삶을 돌아보고 평가를 하게 되는 중요한 시기이다. 중년기는 성취에 대한 만족감과, 현실과 기대에 대한 위기감이 공존하는 양면성이 있다. 위기냐 기회냐의 전환기 과정에서 일어나는 문제와 갈등의 최소화를 위한 중년기 목회상담 연구는 의의 있는 일이다. 목회상담은 성경적 원리에 입각하여 지금-여기 현존 하시는 하나님과의 사실적 만남을 기본 전제로 내담자의 요구와 발달과제를 의미 있는 삶으로 재생산이 되도록 도울 수 있어야 한다. 이에 문헌 고찰을 통하여 중년기 연구의 선구자인 융, 에릭슨, 레빈슨의 중년기 발달적 견해를 살펴 보았다. 중년기 내담자들의 욕구와 위기감을 무조건적으로 말씀과 기도로 헤쳐나가라고 하는 것은 무리가 있다. 이러한 관점에서 목회상담과 현실치료의 통합은 자신이 선택한 실현 가능한 현실적 행동과 책임을 통해 내적 대화와 행동의 어우러짐이 함께 출발하도록 할 때 활용도가 매우 높다고 본다. 현실치료의 자신에 대한 통찰과 구체적 상담 방법은 목회상담과의 통합을 통해 새로운 상담유형을 제시할 수 있다. 따라서 본 연구는 현실치료의 이론적 배경과 특징을 살펴본 후 목회상담과 현실치료의 만남을 통해 중년기 위기를 극복하는데 일조하는 의미가 있다.

• 여성건강간호학회지
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• 제8권2호
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• pp.232-243
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• 2002

The purpose of this study was to examine factors influencing the meaning of life for middle-aged women. The subjects for the study were 190 middle-aged women who live in Busan. Data were collected from May 25 to June 20, 1999. The instruments for this study were as follows : the meaning of life scale developed by Jung D. R(1978) ; the self-esteem scale developed by Ro, E. Y, Kwon, J. H.(1997) ; the volunteer activity scale developed by Park G. J.(1999), the marital satisfaction scale developed by Choi G. Y.(1999) ; and the health status scale developed by Kim S. Y. (1991). SPSS PC+ was utilized for data analysis. Data were analysed according to frequency and percentage, mean and standard deviation, t-test, ANOVA, Sheffe' s test and Pearson' s correlation coefficients and stepwise multiple regression. The reliability of the tools was tested by Cronbach's $\alpha$ : and it showed reliability scores of 0.88(for the meaning of life tool), 0.81(for the self-esteem tool), 0.94(for the marital satisfaction tool) and 0.78(for the health status tool). The results were as follows: 1) The scores showed that middle-aged women had a moderate level of meaning of life, with a mean of 30.31 and standard deviation of 6.24 (with values ranging from 12.00 to 48.00). The scores showed that middle-aged women had a moderate levels of self-esteem, with a mean of 28.92 and standard deviation of 4.67 (with values ranging from 10.00 to 40.00). The scores showed that middle-aged women had a very low level of volunteer activity, with a mean of 0.87 and standard deviation of 0.93(with values ranging from 0.00 to 1.00). The scores showed that middle-aged women had a moderate level of satisfaction in their marriages, with a mean of 31.99 and standard deviation of 7.84(with values ranging from 12.00 to 48.00). The scores showed that middle-aged women had a moderate level of health status, with a mean of 6.63 and standard deviation of 1.57(with values ranging from 3.00 to 9.00). 2) There was a statistically significant difference of the meaning of life of middle-aged women according to their religion(F=8.930, p=.000), christian ($31.94{\pm}5.96$) had more meaning th life than buddhists ($28.40{\pm}6.23$). 3) There was a statistically significant correlations between the subject' s self-esteem and the her meaning of life(r=0.477, p=0.000), the subject' s level of volunteer activity and meaning of life(r=.428, p=.000), her level of marital satisfaction and meaning of life(r=.417, p=.000), and her level of health status and meaning of life(r=.261, p=.000) among these middle-aged women. 4) Self- esteem was the highest factor influencing the level of meaning of life in middle-aged women. 40.0% of the total variance of levels of meaning of life by was dependent on self-esteem, volunteer activity, marital satisfaction and health status. In conclusion, the higher the self-esteem and levels of volunteer activity, marital satisfaction, and health status of middle-aged women, the higher the meaning of life for them. Therefore, it is necessary to elevate levels of the self-esteem and volunteer activity, marital satisfaction and health status in order to help middle-aged women have more meaning of life.