• 수면정신생리
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• 제4권2호
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• pp.172-180
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• 1997

본 연구는 수술전일 수면제 필요군의 특성을 파악하고 수면제의 필요성에 기여하는 변인들의 상대적인 중요성을 알아보고자 하였다. 연구자는 수술이 예정된 환자들의 병록지를 검토한 후 반구조적 면담을 시행하였다. 또한 환자에게는 불안, 우울, 통증의 정도를 측정하는 자가평가 질문지와 수면 전 후 설문지를 작성토록 하였다. 설문지에 성실히 응답한 167 명의 환자를 수술당일 기상 후 지난 밤 수면제의 복용이 필요했다고 판단하는 환자군(수면제 필요군)과 필요하지 않았다고 판단한 군(수면제 불필요군)으로 분류한 다음, 양군간에 인구통계학적 특성, 임상적 특성, 수면에 영향을 줄 수 있는 가능한 인자, 심리적 특성, 수술전 주간 상태와 야간 수면 등을 비교하였다. 양군간에 유의한 차이를 보인 변인들에 대해서는 수면제 필요군을 특징짓는 변인들의 예측기여도를 측정하기 위해 판별분석을 하였다. 연구결과는 수면제 필요군과 불필요군 간에 인구통계학적 특성 및 임상적 특성은 차이가 없었다. 그러나 병실환경에 대한 만족도는 수면제 필요군에서 불필요군에 비해 낮았다. 심리적 특성에서 불안의 정도는 양군간에 차이가 없는 반면에, 우울과 통증의 정도는 수면제 필요군이 불필요군에 비해 더 심하였다. 수술전일의 야간 수면에서도 수면제 필요군이 취침 전 수면에 대한 기대가 더 부정적이었고, 실제로 다음날 아침 전일의 수면을 더 불량하게 평가하였다. 판별분석의 결과, '수면에 대한 기대도'와 '통증'이 수면제 필요성을 판별하는 중요한변인이었다. 이상의 결과로 수술전일의 불면을 개선하기 위한 수면제나 진통제의 투여는 치료자의 판단이나 다른 객관적인 지표보다는 수면제의 필요성에 대한 환자 자신의 주관적인 의견이 더 중시되어야 할 것이다.

• 대한간호
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• 제28권3호
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• pp.52-67
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• 1989

True nursing care means total nursing care which includes physical, emotional and spiritual care. The modern nursing care has tendency to focus toward physical care and needs attention toward emotional and spiritual care. The total nursing care is mandatory for patients with terminal cancer and for this purpose, hospice care became emerged. Hospice case originated from the place or shelter for the travellers to Jerusalem in medieval stage. However, the meaning of modem hospice care became changed to total nursing care for dying patients. Modern hospice care has been developed in England, and spreaded to U.S.A. and Canada for the patients with terminal cancer. Nowaday, it became a part of nursing care and the concept of hospice care extended to the palliative care of the cancer patients. Recently, it was introduced to Korea and received attention as model of total nursing care. This study was attempted to assess the efficacy of hospice care. The purpose of this study was to prove a difference in terms of physical, emotional a d spiritual aspect between the group who received hospice care and who didn't receive hospice care. The subject for this study were 113 patients with advanced cancer who were hospitalized in the S different hospitals. 67 patients received hospice care in 4 different hospitals, and 46 patients didn't receive hospice care in another 4 different hospitals. The method of this study was the questionaire which was made through the descriptive study. The descriptive study was made by individual contact with 102 patients cf advanced cancer for 9 months period. The measurement tool for questionaire was made by author through the descriptive study, and included the personal religious orientation obtained from chung(originated R. Fleck) and 5 emotional stages before dying from Kubler Ross. The content ol questionaire consisted in 67 items which included 11 for general characteristics, 10 for related condition with cancer, 13 for wishes far physical therapy, 13 for emotional reactions and 20 for personal religious orientation. Data for this study was collected from Aug. 25 to Oct. 6 by author and 4 other nurse's who received education and training by author for the collection of data. The collected data were ana lysed using descriptive statistics, $X^2-test$, t-test and pearson correlation coefficient. Results of the study were as follows: "H.C Group" means the group of patient with cancer who received hospice care. "Non H.C Group" means the group of patient with cancer who did not receive hospice care. 1. There is a difference between H.C Group and Non H.C Group in term of the number of physical symptoms, subjective degree of pain sensation and pain control, subjective beliefs in physical cure, emotional reaction, help of present emotional and spiritual care from other personal, needs of emotional and spiritual care in future, selection of treatment method by patients and personal religious orientation. 2. The comparison of H.C Group and Non H.C Group 1) There is no difference in wishes for physical therapy between two groups(p=.522). Among Non H.C Group, a group, who didn't receive traditional therapy and herb medicine was higher than a group who received these in degree of belief that the traditional therapy and herb medicine can cure their disease, and this result was higher in comparison to H.C Group(p=.025, p=.050). 2) Non H.C Group was higher than H.C Group in degree of emotional reaction(p=.050). H.C Group was higher than Non H.C Group in denial and acceptant stage among 5 different emotional stages before dying described by Kubler Ross, especially among the patient who had disease more than 13 months(p=.0069, p=.0198). 3) Non H.C Group was higher than H. C Group in demanding more emotional and spiritual care to doctor, nurse, family and pastor(p=. 010). 4) Non H.C Group was higher than H.C Group in demanding more emotional and spiritual care to each individual of doctor, nurse and family (p=.0110, p=.0029, P=. 0053). 5) H.C Group was higher th2.n Non H.C Group in degree of intrinsic behavior orientation and intrinsic belief orientation of personal religious orientation(p=.034, p=.026). 6) In H.C Group and Non H.C Group, the degree of emotional demanding of christians was significantly higher than non christians to doctor, nurse, family and pastor(p=. 000, p=.035). 7) In H.C Group there were significant positive correlations as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and: the degree of intrinsic behavior orientation in personal religious orientation(r=. 5512, p=.000). (2) Between the degree of emotional demandings to doctor, nurse. family & pastor and the degree of intrinsic belief orientation in personal religious orientation(r=.4795, p=.000). (3) Between the degree of intrinsic behavior orientation and the degree of intrinsic: belief orientation in personal religious orientation(r=.8986, p=.000). (4) Between the degree of extrinsic religious orientation and the degree of consensus religious orientation in personal religious orientation (r=. 2640, p=.015). In H.C. Group there were significant negative correlations as following; (1) Between the degree of intrinsic behavior orientation and extrinsic religious orientation in personal religious orientation (r=-.4218, p=.000). (2) Between the degree or intrinsic behavior orientation and consensus religious orientation in personal religious orientation(r=-. 4597, p=.000). (3) Between the degree of intrinsic belief orientations and the degree of extrinsic religious orientation in personal religious orientation(r=-.4388, p=.000). (4) Between the degree of intrinsic belief orientation and the degree of consensus religious orientation in personal religious orientation(r=-. 5424, p=.000). 8) In Non H.C Group there were significant positive correlation as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of intrinsic behavior orientation in personal religious orientation(r= .3566, p=.007). (2) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of intrinsic belief orientation in personal religious orientation(r=.3430, p=.010). (3) Between the degree of intrinsic behavior orientation and the degree of intrinsic belief orientation in personal religious orientation(r=.9723, p=.000). In Non H.C Group there were significant negative correlation as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of extrinsic religious orientation in personal religious orientation(r= -.2862, p=.027). (2) Between the degree of intrinsic behavior orientation and the degree of extrinsic religious orientation in personal religious orientation(r=-. 5083, p=.000). (3) Between the degree of intrinsic belief orientation and the degree of extrinsic religious orientation in personal religious orientation(r=-. 5013, p=.000). In conclusion above datas suggest that hospice care provide effective total nursing care for the patients with terminal cancer, and hospice care is mandatory in all medical institutions.

• 치위생과학회지
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• 제12권2호
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• pp.115-121
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• 2012

본 연구는 치주질환의 자각증상과 삶의 질과의 관련성을 분석하여 성인의 전반적인 삶의 질 향상 방안을 제시하고자 시행하였다. 2010년 1월 7일부터 3월 14일까지 서울 및 경기지역에 거주하는 35세 이상에서 65세 미만의 성인 중 치과의료기관에 방문한 경험이 있는 성인 450명을 대상으로 설문조사를 실시하였으며 다음과 같은 결론을 얻었다. 1. 연구대상자가 인식한 치주질환 자각증상 중 '양치질시 잇몸에서 피가 난다'가 294명(65.8%)으로 가장 많았으며, '흔들리는 치아가 있다'가 84명(18.8%)으로 가장 적었다. 2. 사회 인구학적 특성, 구강건강행동에 따라 치주질환의 자각증상을 분석한 결과 남자는 여자보다 치은출혈, 구취 및 치아통증을 더 많이 인식하고 있었다. 연령이 증가할수록 치간공간과 치아동요 및 치아통증을, 교육수준이 낮아질수록 치간공간과 치아동요를 더 많이 인식하였다. 월 평균 가정 총수입이 400만원 미만인 집단은 그 이상인 집단보다 치은부종과 치간공간을 더 많이 인식하였다(p<0.01). 정기적으로 구강검진을 시행하지 않는 집단은 시행하는 집단보다 치은출혈을 더 많이 인식하였고, 정기적으로 치석제거를 시행하지 않는 집단에서 치은출혈과 구취를 더 많이 인식하였다(p<0.05). 3. 치주질환 자각증상에 따라 OHIP-14 하위요인의 수준을 분석한 결과 치주질환의 자각증상을 인식한 집단은 인식하지 않은 집단에 비해 기능적 제한, 신체적 동통, 정신적 불편과 다양한 영역의 능력저하 및 사회적 불리에 대한 경험이 더 많았다(p<0.001). 4. OHIP-14와 사회 인구학적 특성, 구강건강행동, 치주질환 자각증상과의 관련성을 분석한 결과 남자와 치은출혈, 치은부종 및 구취를 인식한 집단은 대조군보다 삶의 질이 더 낮은 것으로 나타났다(p<0.05). 이상의 결과로 볼 때 치주질환 자각증상의 감소는 기능제한과 통증경험, 신체적 능력저하 등의 다양한 부정적 경험을 줄여 삶의 질을 향상시키는데 중요한 역할을 할 것으로 사료된다.

• 한국환경보건학회지
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• 제46권1호
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• pp.103-109
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• 2020

Objectives: Using as a sleep evaluation tool the Pittsburgh Sleep Quality Index (PSQI), this paper studied the effects of earthing on the amount and quality of sleep by examining a patient population of people who used and did not use earthing mats and a group of general healthy people. Methods: From September to November 2019, 30 patients who voluntarily used an earthing mat, 40 patients who did not use an earthing mat, and 40 healthy people who did not use an earthing mat were selected. A questionnaire applying the PSQI (Pittsburgh Sleep Quality Index) after being translated into Korean was distributed starting November 29, 2019 to 110 subjects. Out of them, 101 subjects who completed the questionnaire were examined. All statistics used SPSS 25.0. Results: The first overall score showed that all three groups had problems sleeping, with five points or more, but the general population had better sleep quality than the patient group. It also showed that the using matgroup had better quality of sleep than the ones that did not use the earthing mat In addition, the analysis of the third group through the variance analysis showed significance at >0.05 for the general population and the patient group. Based on this, a multi-comparison analysis of the third group showed significantly less than 0.05 in patients who do not use an earthing mat compared to the public. First of all, there are no statistically significant differences between the three groups in subjective sleep quality, sleep latency, and sleep time, but an analysis of multiple comparison analysis with the general population group showed that the quality of sleep was worse compared to those that used the mat. In addition, sleep efficiency, sleep disorder, sleeping pills, and daytime dysfunction were found to be less than >0.05 in the three groups. Conclusions: These results suggest that if you ground your body to Earth during sleep, the secretion of cortisol will decrease night levels, sync more with the natural 24-hour circulation rhythm profile, and that when you sleep, sleep is better and pain and stress are associated with the study. While the preceding study cannot confirm that contact with the ground affects the quality of sleep, it suggests that it is relevant as shown in this paper.

• 한국치위생학회지
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• 제4권2호
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• pp.265-276
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• 2004

The purpose of this study,was to find out health status, characteristics related to working conditions, occurrence of low back pain and its related factors among dental hygienists working in dental clinics, and, thus, to provide basic information necessary to set up some plans for preventing the occurrence of low back pains and improving working conditions for dental hygienists. The data were collected from 310 dental hygienists working at dental clinics in Pusan and Kyungnam area, including Masan, Changwon, Jinhae and Jinju, with a self-administered questionnaire and were analyzed finally for 295 records with SPSS for Windows(7.52K) program. The results were as follows : Working condition was considered to be fair by 562% of dental hygienists were thought to threaten their health in the dental clinics. About seventy percent of dental hygienists worked over ten hours a day and 72.8% were standing while working over 7 hours, 65% considered working hours too long. Health status was thought be more than average for 82.3% while more than half perceived certain degree of stress frequently. The rate of complaining low back pains among dental hygienists was 87.8% with pains more than medium level for 39.3%. The variables significantly related to the degree of low back pains were height, uncomfortable postures, type of working postures and the height of working table, while some variables including height, hours of working on the feet, the presence of hazardous work environment, uncomfortable postures, the presence of hazardous works, the amount of working hours, type of working postures and work-associated stresses, were significantly related to the number of symptoms for low back pains. Multiple regression analysis showed that occurrence of low back pains was significantly influenced by 5 factors such as subjective status of health, work-related stresses, the degree of perception to work environment, the degree of perception to the amount of working hours and age. In conclusion, it might be necessary to manage working conditions effectively by reducing working hours, making good postures while working and removing stressful conditions in order to reduce risk factors for the occurrence of low back pains among dental hygienists. Therefore good working postures, assignment of appropriate rest time and some programs for early detection, care and education of low back pains should be provided for the dental hygienists.

• 근관절건강학회지
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• 제6권1호
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• pp.22-36
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• 1999

The purpose of the study was to identify disease characteristics and behavior pattern of treatment for patients with Fibromyalgia. This study was carried out between May to Aug. in 1998 through direct interview in Rheumatism clinic at H. University Hospital and subject in this study were 125 outpatients diagnosed with Fibromyalgia. Collected data were analyzed by descriptive statistics and t-test, ANOVA using SPSS Window program. The results of this study are as follows. 1. General Characteristics : All of the persons with Fibromyalgia were female who were mostly in their forties(37.5%). A third of them(38.4%) were graduated from high school. The greatest part of them(54.4%) were christians but little part of them(16.8%) were employed 2. Disease Characteristics : They have struggled with Fibromyalgia for 10 years on an average. About half of them(56.9%) suffered from Fibromyalgia only but the others had another diseases which were in greatest part occupied by Osteoarthritis. The number of tender point which is a feature of Fibromyalgia differed according to measuring criteria. Yunus criteria. however, was proved to be the most proper measuring criteria than any other method as it showed high correlations between symptoms and physical activities. The most serious symptoms that complained the patients among subjective symptoms are pain, sleep disorder, and fatigue in sequence, and activities most hard to do among physical activities are washing by hand, scrubbing by hand, and shopping in sequence. 3. Behavior Pattern of Treatment : The largest part of them(42.4%) had received medical treatment after they were determined to have the disease and most of them were taking medicine as prescribed by physician(88.8%) or other medicines(16.8%), Of them, two thirds stated that the medicine they took were effective. Around a third of them took exercises mostly composed of swimming. The medical institution they visited in the past were orthopedic surgical department, Oriental hospital, physical therapy department in sequence and, in a slight percent(11.4%), psychiatric department. 4. Relations between Disease Characteristics and Behavior pattern of Treatment : It shows that number of tender point and level of symptom are significantly different according to duration of disease and medical intervention. As a results, it can be suggest that persons with Fibromyalgia need to take exercises and medicine continually regardless of medical treatment as it is a chronic disease whose symptoms are hardly mitigated.

• 감성과학
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• 제13권3호
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• pp.573-580
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• 2010

기존의 감성평가방법은 대립하는 뜻의 단어를 중복되지 않게 선택하거나, 단계별로 제시된 수치를 선택해야 하는 등, 미리 준비된 것 중에서 골라야만 했다. 하지만, 본 연구에서는 평가대상항목에 대해 미리 준비된 수치에서 고르지 않고, 인간의 애매한 평가를 시각화하는 방법을 개발했다. 본 프로그램은, 제시된 평가항목에 대한 주관적인 느낌을 피험자가 마우스나 펜타블렛을 이용해 손으로 그려서 입력하는 방식이다. 그리는 방법이 자유롭고, 평가에 대한 애매한 표현이 가능하다. 정해진 기준이나 제한이 적고, 생각대로 그려서 표현한다. 연이어 그려진 원은 면적이 자동으로 계산됨과 동시에 각 원의 면적비율이 원 그래프로 표시된다. 그려진 원은 크기, 색, 선의 굵기, 투명도 등의 수정이 가능하고, 평가 후에는 원의 비교, 조정이 가능하도록 되어 있다. 개념모델을 손으로 그린 원으로 표현하여 시각화 하는 것으로 인사평가, 고통평가, 제품평가 등의 응용범위가 넓다. 성 마리안나 이과대학병원 간호지원센터 직원들에 의해 그 가능성을 평가 받아, 현재 간호사자신의 인사평가 툴로써의 효과를 검증 중에 있다. 이와 함께 환자의 고통의 종류와 그 레벨을 표현하는 프로그램과 KJ법을 응용하여 다이내믹한 인터페이스로 개념모델을 효과적으로 시각화할 수 있도록 개발을 진행하고 있다.

• 대한관절경학회지
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• 제9권2호
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• pp.201-205
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• 2005

목적: 통증을 동반한 비골하 부골과 경골하 부골의 관절경을 이용한 절제술 후 그 결과를 알아보았다. 대상 및 방법: 비골하 부골과 경골 부골에 대하여 관절경적 절제술을 시행한 환자 중 16명의 환자를 대상으로 하였으며, 경골 부골이 4예, 비골하 부골이 12예 였다. 평균 추시 기간은 9개월(범위:$6\{sim}42$개월)이었다. 모든 환자는 임상적으로 미학적 검사와 방사선학적으로 단순 방사선 촬영을 시행하였고, 8예에서 골 주사 검사, 3예에서 단층촬영 및 12예에서 MRI 검사를 시행하였다. 절제술의 결과는 Ogilvie-Harris의 방법으로 평가하였다. 결과: 술 후 통증, 관절 강직 등의 주관적 평가와 파행, 활동성의 기능적 평가에서 모두 술 전보다 통계적으로 유의하게 호전되었다(p<0.05) 술 후, 8예에서 경미한 통증과 간헐적인 부종이 남아있었으며, 이중 3예에서 활액막염이, 3예에서 MRI상 전염이 동반된 경우였고, 2예에서 불충분한 절제를 했던 경우였다. 결론: 통증을 동반한 경골하 부골 및 비골하 부골의 관절경을 이용한 절제술은 최소 침습적 이고 동반 병변도 함께 치료할 수 있는 효과적인 수술방법이다. 또한 완전 절제를 위해 술 전에 방사선학적 평가가 필수적이며, 동반 병변을 알아내는데는 MRI등의 특수검사가 유용하다.

• 대한관절경학회지
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• 제6권2호
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• pp.177-182
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• 2002

목적 : 혈우병성 슬관절염 환자에 대해서 관절경적 활액막제거술을 시행한 후 임상적 결과를 분석하고자 한다. 대상 및 방법 : 1996년 1월부터 2001년 1월까지 혈우병성 슬관절염으로 관절경적 활액막 제거술을 시행 받은 환자 중 1년 6개월 이상 추시가 가능하였던 26명 28례를 대상으로 하였다. 평균 연령은 17.8세 ($8\~37$세), 추시 기간은 평균 3년 11개월 (1년 7개월$\~$6년 7개월)이었다. 수술은 전 례에서 6부위의 portal (two anterior, two suprapatellar and two posterior)과 posterior trans-septal porta 을 사용하였다. 결과 : 출혈의 빈도는 수술 전 평균 1개월에 4회에서 최종 추시 시 2회로 감소하였고, 항혈우병 인자의 투여량은 수술 전 평균 1개월에 4,633 units에서 최종 추시 시 1,505 units로 감소하였다. 운동범위는 수술 전 평균 112도, 최종 추시 시 평균 107도였다. 방사선학적으로는 최종 추시 3례에서 수술 전에 비해 혈우병성 관절염이 진행하였다. 환자의 주관적 평가는 significant 혹은 moderate improvement 19례 $(68\%)$, no improvement 혹은 deterioration 9례 $(32\%)$였다. 결론 : 혈우병성 슬관절염 환자에서 관절경적 활액막 제거술은 합병증이 적고, 출혈의 빈도와 동통을 감소시키고 관절 운동 범위를 유지 할 수 있는 효과적인 치료 방법이라고 사료된다.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.320-326
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• 2020

본 연구는 2018년 아동 구강건강실태조사자료를 활용하여 아동의 치아우식증에 영향을 미치는 위험 요인을 알아보고자 시행하였다. 연구 대상은 만 12세 아동 20,235명을 대상으로 시행하였다. 조사항목으로 일반적인 특성, 치아우식 식이 행태, 구강 상태, 구강건강 관련 행태 요인을 조사하였다. 그 결과 성별, 지역, 경제수준, 주관적 구강건강 상태, 치아우식 식이 행태, 구강상태, 구강건강 관련 행태 모두 위험요인으로 나타났다. 특히 구강 상태는 치석, 치은 출혈, 치아 통증, 반점치 증상을 나타내는 학생에서 치아우식증 위험도가 더 높게 나타났다. 구강건강 관련 행태는 잇솔질 횟수 2회 이하, 치실과 손잡이 치실 미사용 학생에서 치아우식증 위험도가 높게 나타났다. 이상의 결과로 볼 때 치아우식증의 감수성이 가장 높은 아동을 대상으로 국가나 지역사회는 치아우식을 초기에 진단하여 관리할 수 있고 계속 구강건강관리를 위한 치아우식 관리사업체계를 구축함이 필요하다. 또한 아동·청소년기의 구강건강관리 습관을 개선시킬 수 있는 구강보건교육을 확대하고 치아우식증 예방 프로그램 개선 및 지역사회 활용의 구강보건정책의 체계가 필요하다.