• 감성과학
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• 제10권2호
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• pp.263-271
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• 2007

최근 연구들의 개관에서 긍정정서는 스트레스의 대항에 도움을 주는 완충제 역할을 한다고 알려져 있다. 특히, 유머는 인간만이 이해하고 즐길 수 있는 정서로, 인간의 심리, 사회, 신체적 기능을 포함한 많은 면에서 기초적인 역할을 담당한다. 본 연구에서는 동영상 자극에 의해 유발된 유머 및 기쁨 정서에 따른 자율신경계 반응의 차이를 밝히고자 하였다. 47명의 남녀 초등학생을 대상으로 각 정서를 유발하는 2분 길이의 동영상 자극이 제시되는 동안, 자율신경계 반응을 측정하고 심리적인 평가를 수행하도록 하였다. 심리반응 결과, 유머자극은 95.7%의 적합성과 $3.81{\pm}1.01$의 효과성(5점 만점)을, 기쁨자극은 89.3%의 적합성과 $3.15{\pm}1.17$의 효과성을 가지는 것으로 나타났다. 자율신경계 반응 결과, 두 정서 모두 안정상태에 비하여 유의하게 증가하였고, 특히 유머자극은 기쁨자극에 비하여 피부전도반응 수(NSCR), 심박률(HR), 심박률 분산의 저주파성분(LF)에서 유의하게 큰 증가를 보였다.

• Journal of Preventive Medicine and Public Health
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• 제36권1호
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• pp.11-23
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• 2003

Objectives : The 1990s has seen advances in the conceptualization of self-perceived health status which has important roles for individual health and the quality of life. Many types of standardized questionnaires have been developed with the current wide use of SF-36, NHP, andEuroQol. However, the outcomes of these tools may be different with regard to regional, cultural and emotional backgrounds. The purpose of this study was to trial the development of a Korean Health Profile (KHP 1.0) to measure the self-perceived health stati of Koreans. Methods : The KHP 1.0 was designed on the basis of the Medical Outcome Study Form 36 (SF-36), the Nottingham Health Profile (NHP), and the EuroQOL. It was composed of 9 scales; physical functioning, role limitation-physical, pain, general health, energy, social isolation, sleep, role limitation-emotional, and e-motional health. Self-reported chronic disease conditions, and the Zung's Self-Rating Depression Scale (SDS), were also checked for the evaluation of clinical validity. This study was conducted, from December 2000 to January 2001, on 800 middle-aged parents, with four high school students, with 100 retest sets being conducted two weeks later. From the 800 subjects there were 588 complete responses (effective response 73.5%). The reliability of the test-retest results, and the factor analysis on the validity of the KHP 1.0 components, were evaluated using the SPSS (ver 10.0) software. Results : The reliability of the KHP 1.0 was good with Cronbach's alpha (>0.6), test-retest correlation coefficients (>0.5), but with no significant differences from the paired t-test. From the psychometric validity tests, the 9 scales of the KHP 1.0 were divided into two components; physical and mental, and trimmed to the established model with 55% of the total variance, with the exception of role limitation-emotional. The clinical validity on the basis of the comparison for the four characteristic groups; healthy, physical conditions only, mental conditions only, and physical and mental conditions were also good. Conclusions : The KHP 1.0 appears to be a valid measurement tool of self-perceived health stati of Koreans, although there are limitations, i.e. sample size was too small, a limited number of middle-aged subjects, and it was based on unconfirmed diagnoses, etc. Therefore, further study is required to standardize the assessment.

• 대한불안의학회지
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• 제2권1호
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• pp.39-44
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• 2006

Objective : Chronic posttraumatic stress disorder (PTSD) is defined by the coexistence of symptoms (reexperiencing, avoidance and hyperarousal), persisting for more than months or years that causes significant impairment in social occupational functioning. This study was conducted to evaluate the effects of terazosin on posttraumatic nightmares which is one of chronic PTSD symptoms. Methods : Twenty patients with chronic PTSD and severe trauma-related nightmares were treated with terazosin (3-7 mg/day) for 8 weeks. Recurrent distressing dreams item of the Clinician administered PTSD Scale (CAPS), Total CAPS score, Clinical Global Impressions-Severity Scale (CGI-S) and Clinical Global Impressions-Change Scale (CGI-C) were performed at baseline, 4-week and 8-week. Mississippi Scale for Combat-Related PTSD and Combat Exposure Scale (CES) were used to evaluate PTSD symptom pattern and degree of exposure. Results : Significant decrease in recurrent distressing dreams item, reexperiencing, avoidance and hyperarousal symptom score and total CAPS score were at 4-week and 8-week treatment compared to baseline (recurrent distressing dreams item : $2.70{\pm}1.88$ and $1.25{\pm}1.49$ ; reexperiencing, avoidance and hyperarousal symptom score : $2.30{\pm}2.49$, $1.20{\pm}1.05$, $3.10{\pm}1.68$ and $4.00{\pm}3.59$, $1.55{\pm}1.50$, $5.60{\pm}3.23$ ; total CAPS score : $8.20{\pm}6.26$ and $5.40{\pm}5.89$). There were significant correlation between dosage of terazosin and improvement of PTSD symptoms. Adverse effects such as fatigue and orthostatic hypotension were showed, which were mild and self-limited. Conclusion : These results suggest that terazosin may improve severe trauma-related nightmares and overall PTSD symptoms. Randomized controlled study with more subjects would be necessary in the future.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5063-5069
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• 2016

Background: Breast cancer is the most common cancer among women in most countries of the world. It is ranked first in females in Morocco (accounting for 33.4% of the total cancer burden) and more than 60% of cases are diagnosed at stage III or IV. During the last decade, health-related quality of life (HRQOL) has become an important aspect of breast cancer treatment. The objective of this study was to describe self-reported HRQOL in patients with breast cancer and to investigate its associations with sociodemographic and clinical variables. Methods: A prospective study was carried out in the main oncology centers in Morocco. Quality of life was measured using the Moroccan Arabic versions of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C 30 (EORTC QLQ C30) and the Breast Cancer-Specific Quality of Life Questionnaire (EORTC QLQ-BR23). Statistical analyses were performed using descriptive statistics and multivariate analyses. Results: A total of 1463 subjects were included in the study, with a mean age of 55.6 (SD. 11.2) years, 70% being married. The majority had stage II (45.9%) and a few cases stage IV (12.9%) lesions. The participants' global health mean score was 68.5 and in "functional scales", social functioning scored the highest (Mean 86.2 (SD=22.7)). The most distressing symptom on the symptom scale was financial difficulties (Mean 63.2 (SD=38.2)). Using the disease specific tool, it was found that future perspective scored the lowest (Mean 40.5 (SD=37.3)). On the symptom scale, arm symptoms scored the highest (Mean 23.6 (SD=21.6)). Significant mean differences were noted for many functional and symptom scales. Conclusion: Our results emphasized that the general HRQOL for our study population is lower than for corresponding populations in other countries. This study provided baseline information on the quality of life for a large sample of Moroccan women diagnosed with breast cancer.

• Nutritional Sciences
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• 제5권2호
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• pp.75-83
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• 2002

A case-controlled, 12 week follow-up, study was designed to investigate the effect of dietician-delivered medical nutrition therapy (MNT) on the nutritional status and quality of life in hemodialysis patients. Subjects were recruited at Kyung-Hee Medical Center and were randomly assigned to two groups : the control and the MNT group. The MNT group received individualized MNT for 12 weeks. The results were as follows: 1) The mean ages of the control (n = 20) and MNT (n = 24) groups were 50.6 $\pm$ 14.8 and 45.7 $\pm$ 14.0 years, and the mean durations of dialysis were 2.3 $\pm$ 2.3 and 1.7 $\pm$ 1.9 years, respectively. The interdialysis weight gain of the subjects was higher than that recommended. 2) The indicators of the subjects nutritional status showed that S to 25% of the subjects had some degree of malnutrition, with most of them in the mild malnutrition category. 3) After 12 weeks of the experiment, the percentage of the ideal body weight (% IBW) of the control group decreased, but that of the MNT group increased. Changes in other anthropometric parameters in both groups during the study period were not significantly different. 4) At the beginning of the study, the 54% of the MNT group consumed more than 28 kcal/kg body weight/day and 50% consumed more than 1.0g protein/kg body weight/day. However, these percentages rose to 71% and 75%, respectively, after 12 weeks of the individualized MNT. 5) The serum albumin and blood urea nitrogen (BUN) levels of the control group decreased significantly artier 12 weeks of the experiment, while those of the MNT group did not change. 6) After 12 weeks of individualized MNT, the mean score of nutrition knowledge and total mean score of quality of life (QL) of the MNT group were significantly higher than that of th\ulcorner control group. Body pain and social functioning scores of the MNT group were significantly higher than those of the control group. The positive effect of individualized MNT on the hemodialysis patients consisted of their improved nutritional status, nutritional knowledge, and the quality of life. These results suggest that individualized MNT continuously performed by a dietitian can be helpful for hemodialysis patients. However, larger and longer term studies are needed to confirm these positive effects of MNT. In addition, the development of nutritional education programs for MNT is needed to increase the positive impact of MNT.

• 한국국방경영분석학회지
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• 제35권3호
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• pp.119-138
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• 2009

대부분의 조직시민행동에 관한 연구가 조직유효성 측면에서 긍정적 영향을 다룬 것에 반해 본 연구는 높은 수준의 조직시민행동이 조직 구성원의 직장-가정 갈등의 수준을 높이는 부정적 영향을 초래할 수 있다는 데 초점을 맞추었다. 하지만, 이러한 가능성이 모든 조직이나 구성원들에게 보편적으로 적용될 수는 없기에 이를 관리하기 위한 조직 차원, 개인 차원의 대안을 제시하는 데 또한 목적을 두었다. 이러한 연구목적을 달성하기 위해 기존의 관련 연구를 분석하여 연구모델과 가설을 수립하고, 군인, 교사, 소방관, 은행원, 경찰관, 항공승무원 등 8개 직종의 기혼직장인 590명을 대상으로 실증분석을 실시함으로써 모델과 가설의 타당성을 검증하였다. 본 연구의 결과로 조직시민행동의 부정적 영향 즉, 높은 조직시민행동을 보이는 직장인일수록 직장-가정 갈등을 높게 지각하는 것을 확인하였다. 또한, 개인의 SOC 전략이 높을수록, 조직의 가족 친화적 분위기에 대한 지각이 높을수록 이러한 부정적 영향이 덜 나타난다는 것을 알 수 있었다.

• 대한장애인치과학회지
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• 제5권1호
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• pp.23-26
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• 2009

본 증례는 전반적인 치과치료를 위해 본과에 의뢰된 다수의 치아우식증으로 본과에 내원한 중등도 정신지체 환자로, 전치부 개방교합과 함께 상악 전치부의 총생이 있어 이 부분에 대해서는 본원 보철과에 협진을 의뢰하였다. 전신마취 하에 소아치과에서 보존, 외과적 처치 및 치주 치료를 시행하였으며, 보철과에서 상악 좌우측 견치를 지대치로 한 4-unit bridge를 제작, 심미적 결과를 얻었기에 보고하는 바이다. 본 증례 에서와 같이 전신마취 하의 포괄적인 치과치료를 계획함으로써 여러 번 치료의 불편함 없이 한번에 대부분의 치료를 완료할 수 있었다. 또한 환자에게 치과치료에 대한 공포심을 유발하지 않아 환자와 치과의사의 치료적 관계 형 성이 용이하며 양질의 진료가 가능하고 술자 및 환자의 스트레스를 줄일 수 있는 장점이 있다고 할 수 있겠다.

• 기본간호학회지
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• 제8권1호
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• pp.81-94
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• 2001

The purpose of this study was to identify levels of activity of daily living, self-efficacy. stroke specific quality of life and need for self-help management program for patients with hemiplegia in the home. Data were collected from June to November, 2000 and subjects were 88 poststroke patients who lived in Seoul and Kyunggi-do. The questionnaire consisted of 5 scales: activities of daily living, self-efficacy, stroke specific qulaity of life and need for a self-help management program. Data were analyzed using frequencies, percent, paired t-test, and Pearson's correlation coefficient with the SAS(version 6.12) program. The results are as follows ; 1) Most of subjects were Partially independent in ADL, but they needed assist once to do dressing, bathing meal preparation and house keeping work. 2) The mean self-efficacy score was 54.89(range : 1 to 80) and the individual differences were large. 3) Subjects responded that they were satisfied on the stroke specific quality of life scale totaled 65.8%. This value is comparatively low, especially for social role(51.4%), family functioning(58.3%) and mood (62.2%). 4) The highest needs for self-help management programs were for physical therapy, stress management, and range of motion exercise and the lowest needs were for elimination management and training, family counseling, and speech therapy. 5) On the demographic variables, sex showed significant differences for the dependent variables. Females had higher scores than males for IADL, self-efficacy, stroke-specific quality of life, and need for self-help management. 6) Age had high negative correlation with ADL, self-efficacy and stroke specific quality of life. Age was also correlated with need for self-help management. In conclusion, there was a high correlation for ADL, Self-efficacy and Quality of life in poststroke patients of home. The patient with a stroke also had a strong need for self-help management programs especially physical therapy and stress management. Therefore rehabilitation programs based on self-efficacy enhancement need to be developed in order to promote independent living for patients with hemiplegia.

• 과학기술학연구
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• 제2권2호
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• pp.145-189
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• 2002

이 글은 인구고령화에 대응하는 복지 과학기술의 잠재적 기여와 역할을 고찰한 시론이다. 이 글에서 복지 과학기술은 복지 중진을 위해 적용되거나 체화된 지식의 체계를 가리키되 신체기능의 저하나 손상에 대한 예방, 보조, 지원을 통해 삶의 질을 향상하는 기술을 의미하고, 단순히 손상되거나 저하된 신체기능의 보상과 대체만이 아니라 사회적 기술적 환경과 지원 시스템의 확충을 포함하는 개념이다. 복지 과학기술은 종래 장애인이나 노인 등 특정 집단의 사람들을 위한 제품이나 서비스에 초점을 맞추었으나 연령이나 장애에 관계없이 모든 사람이 사용할 수 있는 보편적 디자인제품이나 서비스를 강조하는 방향으로 중요한 변화가 일고 있다. 이러한 복지과학기술의 개념 변화는 복지 과학기술이 일차적으로 노인복지를 증진하는 잠재력을 주목할 뿐만 아니라 우리 사회의 삶의 질을 전반적으로 높이는 가능성을 직시하고 나아가서 사회경제적 활력을 증진하는 데 기여할 가능성을 포착할 수 있도록 한다. 인구고령화에 대응하는 복지 과학기술 또는 제론테크놀로지(GT)는 '개인적 지체'만이 아니라 '구조적 지체'에도 대응해야 한다는 것이 본고의 중요한 주장 가운데 하나이다. 이것은 노인들을 단지 사회적 보호나 개호의 대상자 집단으로 객체화하는 것이 아니라 나이가 들어서도 독립적으로 살아가고자 하는 주체적 존재이며 정상적 시민으로 바라보는 관점의 전환을 함축한다.

• 한국아동복지학
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• 제27호
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• pp.121-151
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• 2008

청소년기에 접어들면서, 비행친구집단과 같은 또래집단의 영향은 청소년 비행행동의 주요한 위험요인으로 보고되고 있다. 부모의 양육행동은 청소년기 비행친구집단의 교류가 비행행동에 미치는 부정적 영향을 차단하거나 완충시켜줄 수 있는 중요한 보호요인으로 설명되고 있다. 이에 본 연구는 비행친구와의 교류가 청소년의 비행행동에 미치는 영향을 부모 양육행동이 차단하는 동시에 완충해주는지를 확인하기 위해 부모양육행동의 조절된 매개효과(moderated mediation effect)를 확인하고자 하였다. 분석자료는 전국 규모의 종단조사자료인 한국청소년패널자료 중 중학생 패널집단의 1, 2차년도 조사자료였다. 분석결과, 부모의 양육행동이 약화될 경우, 비행친구와의 교류가 증대되고, 이는 청소년 자녀의 비행행동을 증가시키는 것으로 나타났다. 또한 비행친구와의 교류가 비행행동의 경험에 미치는 영향은 부모의 양육행동에 따라 상이한 영향을 미치는 것으로 나타났다. 따라서 또래집단의 영향력이 청소년 비행에 상대적으로 큰 영향력을 미치지만, 부모의 양육 행동이 비행친구와의 교류를 사전에 차단시켜줄 수 있는 기능을 하고 있으며, 비행친구와의 교류가 미치는 부정적 영향을 완충하는 기능도 수행함을 조절된 매개효과를 통해 확인할 수 있었다.