• 한국콘텐츠학회논문지
• /
• 제14권7호
• /
• pp.367-375
• /
• 2014

본 연구의 목적은 투석전 만성신장병 환자에게 적용할 타당성 있고 신뢰도 있는 자가관리 도구를 개발하는 것이다. 일개 병원의 143명의 만성신장병 환자에게 설문 조사를 실시하였다. 문헌고찰을 통해 자가관리 영역과 문항을 구성하고, 탐색적 요인분석을 통해 평가하고 신뢰도를 분석하였다. 5개의 요인이 도출되었고, 각각은 치료지시이행과 파트너십, 식이이행, 문제해결, 건강행위, 정신사회적 건강추구로 명명하였다. 5개의 요인은 총 변량의 51.1%를 설명했다. 각 요인은 신뢰도가 0.64-0.79여서 신뢰할 만했다. 개발된 자가관리 도구는 만성신장병 환자에게는 스스로 관리할 수 있는 지침이 되고, 건강관리 전문가들에게는 환자의 관리상태를 평가하고 중재 프로그램을 개발하는 데 유용하게 사용될 수 있다.

• 한국산학기술학회논문지
• /
• 제14권10호
• /
• pp.4953-4961
• /
• 2013

본 연구의 목적은 결혼 여부 따라 직장여성의 직장-가정 갈등, 직무만족도, 직무스트레스, 심리적 건강 및 직무몰입 정도의 차이를 파악하고, 직무몰입에 영향을 미치는 요인을 파악하기 위함이다. 서울과 충청도 소재의 공공기관에 근무하는 사무직 여성 171명을 대상으로, 2011년 5월 20일부터 8월 15일까지 자가 보고식 설문조사로 시행되었다. 연구결과, 직무몰입에 유의한 차이를 보였던, 연령, 교육수준, 가족월수입, 근무경력, 이직횟수 등 일반적 특성을 통제한 상태에서, 기혼 직장여성의 경우, 직장-가정 갈등과 직무만족도가 직무몰입에 영향을 주는 요인으로 파악되었다. 미혼 직장여성의 경우, 직장-가정 갈등과 직무스트레스가 직무몰입에 영향을 주는 요인으로 파악되었다. 그러므로 직장 여성의 직무몰입을 높이기 위한 방법으로 결혼여부에 따른 이러한 차이를 반영하여 직장-가정 갈등 완화에 도움이 되는 직장 환경을 조성하고, 직무만족도를 높일 수 있는 제도적 장치를 마련하는 전략이 도움이 될 것이다.

• 한국생활과학회지
• /
• 제17권2호
• /
• pp.207-221
• /
• 2008

This study examined different individual, family factors and classroom environment that affect children's perceived competency. For an analysis, achievement motivation, intrinsic locus of control and anxiety were included in individual variables. For family factors, parental support and marital conflict were examined. For classroom psycho-social environment, teacher support, peer relations, classroom involvement and teacher control were used. The sample consisted of 565 fifth and sixth grade children. Statistics and methods used for the data analysis were Cronbach's alpha, Factor analysis, frequency, percentage, t-test, Pearson's correlation, and Hierarchical Regression. Several major results were found from the analysis. First, boy's perceived academic competency was higher than girl's. And no sex difference was in children's social and athletic competency. Second, boy's and girl's perceived academic and social competency and boy's perceived athletic competency had a positive correlation with achievement motivation, intrinsic locus of control, parental support, teacher support, peer relations and classroom involvement. And girl's perceived athletic competency had a positive correlation with achievement motivation, intrinsic locus of control, parental support and peer relations. But boy's and girl's perceived academic and social competency and boy's perceived athletic competency had a negative correlation with anxiety and parental marital conflict. Third, the most important variable predicting boy's and girl's perceived academic competency was achievement motivation. The most important variable predicting boy's and girl's perceived social competency was peer relations. And the most important variable predicting boy's perceived athletic competency was peer relations. On the other hand, the most important variable predicting girl's perceived athletic competency was father's support.

• 대한한의학원전학회지
• /
• 제24권2호
• /
• pp.161-181
• /
• 2011

In spite of the development of scientific and medical technology, the rate of prevalence and death of the chronic disease gets higher. Therefore people come to know prevention is more important than treatment in disease. In Western, it is nearly after 1970's when it is revealed that the major factor of chronic disease comes from habitual behaviors in everyday life. But that is common idea in Oriental Medicine since thousand years. In Oriental Medicine, the main cause of disease is composed of natural factor including climate condition, living-life factor, psycho-social factor, constitutional factor, inbody-pathologic-substance factor, and other factors including habits of using drug and medical service, injury, environmental pollutions, and occupational etiologic factors. Among these, the major factors of disease in modern society are lifestyle factors like the tendency of choosing and intaking food, the level of physical activity and labor, smoking and drinking alcohol, psychological tendency, the habits of using drug and medical service and so on. This is a practical aspect of oriental medicine where the most important etiologic factor comes from human behaviors, not from external factors like germ or virus. So that etiology in Oriental Medicine where improvement in the way of life is needed to prevent disease would play an important role in modern society.

• 대한간호학회지
• /
• 제36권5호
• /
• pp.853-862
• /
• 2006

Purpose: The purpose of this study was to identify the factors that influence the functional status of patients with heart failure. Method: A descriptive, correlational study design was used. The participants in this study were 260 patients with heart failure who were admitted at Y University and U University in Seoul, Korea. Between September 2005 and December 2005 data was collected by an interview using a questionnaire and from medical records. The Functional status was measured with KASI. Physical factors (dyspnea, ankle edema, chest pain, fatigue, and sleep dysfunction), psychological factors (anxiety and depression), and situational factors (self-management compliance and family support) were examined. Result: In general, the functional status, anxiety, depression, self-management compliance, and family support was relatively not good. The level of fatigue was highest and the level of ankle edema was lowest for physical symptom experiences. In regression analysis, functional status was significantly influenced by dyspnea(23%), age(13%), monthly income(7%), fatigue(3%), ankle edema(2%), depression(1%), and length of stay in the hospital(1%). These factors explained 50% of the variables in the functional status. Conclusion: These results suggest that psycho-physiological symptoms management should be a focus to improve the functional status in patients with heart failure.

• 대한간호학회지
• /
• 제45권5호
• /
• pp.627-640
• /
• 2015

Purpose: The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia. Methods: A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes. Results: Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25). Conclusion: The review results indicate that a support programs can assist family caregivers in reducing their psycho-emotional distress.

• 한국음향학회지
• /
• 제21권3호
• /
• pp.245-255
• /
• 2002

5.1채널 스피커 시스템을 이용하여 음향을 재현시 나타나는 현상인 크로스토크를 제거하여 청취자에게 보다 입체적인 음을 재현하는 방법에 관한 것이다. 본 논문에서는 크로스토크를 제거하기 위하여 자유음장 모델을 사용하였다. 이것을 구현함에 있어 주파수 영역에서 심리음향에 기초한 바크 스케일 (bark scale)을 사용한 복소이득 보상을 실시하였으며, 서라운드 채널에 관해서는 밴드패스 필터를 추가하여 주파수 제한적인 음질 보상을 실시하였다. 정면 채널과 서라운드채널의 음원을 제작하여 기존의 2채널 및 5.1 시스템에서 제시하는 음원과 비교하여 객관적인 음질 평가 및 청취자를 대상으로 한 주관 평가를 실시하였다. 제안된 방법에 따라 측정한 결과에 따르면 ±30°의 정면 스피커를 배치한 돌비 표준 스피커 배치에서 38 dB이상의 분리도를 얻었으며 확산감에 대해 전문가를 대상으로 한 주관 평가는 5점 평가를 기준으로 0.4점이 향상되었다.

• 과학기술학연구
• /
• 제14권1호
• /
• pp.59-85
• /
• 2014

이 글은 생명과학기술의 또 다른 그늘로서 유전자차별의 사회학적 함의를 조명하기 위한 것이다. 이를 위해 유전자차별과 관련된 주요개념과 세 가지 시각(예외주의, 표현주의, 인권적 담론)을 검토하고, 미국의 "유전자차별금지법(GINA)"과 우리나라 "생명윤리 및 안전에 관한 법"에 나타난 사회적 함의와 한계를 분석하였다. 또한 기존의 유전자차별에 대한 인식결과(차별인식, 차별경험, 차별의 두려움, 차별에 대한 대응)에 기반하여 향후 유전자차별의 연구 및 정책을 위한 몇 가지 함의를 제시하였다. 우선, 유전자차별에 대한 개념적 합의와 함께 인권주의 시각의 중요성이 요구된다. 둘째, 공적 영역뿐만 아니라 사적 영역에서의 차별에 대한 관심과 유전소인을 가진 인구집단의 시각을 반영한 연구가 필요하다. 셋째, 법제도적 장치뿐만 아니라 국민과 의료인들에게 유전자차별 의식을 고양하고, 유전소인을 가진 사람들을 위해 유전자차별의 두려움을 낮출 수 있는 심리사회적 대응방안이 개발되어야 한다.

• 한국보건간호학회지
• /
• 제21권1호
• /
• pp.37-45
• /
• 2007

Purpose: A diverse range of measurement methods to evaluate the effect of smoking is more powerful than using a single measure. The objectives of this study were to examine the relationships among smoking pack year, self-reported smoking dependence, and urinary cotinine levels, and to investigate the psychological variables in working men. Method: In this cross-sectional study, we surveyed men working in an electronic company who participated in a smoking cessation program. Among 57 men who completed questionnaires, 25 participate in a test for cotinine levels. Results: Smoking pack year was significantly and positively correlated with the FTND-K (Korean version of Fagerstrom test for nicotine dependence) sum scores (r=0.631, p=0.000) and with the levels of urine cotinine (r=0.463, p=0.023). The relationship between FTND-K sum scores and urinary cotinine levels was also significantly positive (r=0.639, p=0.001). Those with higher social support, especially family support, tended to perceive a higher self-efficacy to smoking cessation. Conclusion: These findings suggest that self-reported smoking pack year and nicotine dependence in working men may be a valid way to evaluate the effect of smoking. A supportive family may influence smoking cessation in working men as it increases self-efficacy to avoid smoking.

• 대한간호학회지
• /
• 제4권1호
• /
• pp.50-63
• /
• 1974

Health at infancy and early childhood is considered an important factor for healthy life thereafter. Concept of nursing is inclusive not only of physical care but also psycho-social aspect in order to help achieve maximum state of wellness. Statistical studies reveal concept and structure of family and home tends to change towards nuclear type, ratio of female occupancy tends to increase. These tendencies will influence the method of infants and children. Purpose of this study is to investigate the characteristics of mothers and their children with and without occupation, method of nurturing and analyse data according to various variables, in arnder to give data for care for infants and children. During the period of June 12 though July 22, 1973, 98 mothers and their 224 children; 53 mothers with occupation with 110 children and 45 mothers without occupation with 114 children were Interviewed indirectly through check list. Results of the studies are as follows: 1. Hypothesis 1 ; Tendencies of finger sucking will be greater in children of occupant mothers due to lack of maternal love. Through chi-square examination significant difference is revealed by P>0.05 level, therefore Hypothesis 1 is rejected. (X²=0.24) 3. Hypothesis 2; of occupant mothers tend to have had wanted number of children through family planning. Ratio of wanted versus unwanted children were tested and significant difference is revealed by P<0.05 1eve1. Hypothesis 2 is supported. (X²=8.398). 3. Hypothesis 3: Non-occupant mothers tend to cuddle more while feeding infants. Significant difference Is revealed through Chi-square test by P〈0.05 level. Hypothesis 3 is rejected. (X²=4.34) Conclusion and recommendations: Occupant mothers' higher degree of interest and consideration compared to that of non-occupant mothers in regard to nurturing of their children have been ascertained by this study. These results fight have come up due to the differences of socioeconomic and cultural status of respondents. Further studies on each variable between mothers with and without occupation with similar socio-economic and cultural background are recommended.