• 한국보건간호학회지
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• 제13권2호
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• pp.101-114
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• 1999

This study was designed to investigate the effects of an aquatic exercise program on the shoulder joint function. physical symptom. quality of life and stress among the patients who received modified radical mastectomy between 6 to 12 months prior to their visits. The subjects were 31 women aged between 40 and 60 who visited the out-patient department at Kang Nam St. Mary's Hospital for follow-up care. and were not under the treatment of intravenous cancer chemotherapy or radiation therapy. and had no complications. Twelve of them were assigned to the control group. while nineteen subjects to the experimental group. The aquatic exercise program was developed by the author with the assistance of exercise specialists. The program includes warming uP. aerobic and cooling down exercises in water. The aquatic exercise program for the experimental group was carried out 3 times a week with 60 minutes in each time for 8 weeks from September 20th to November 15th. 1995 in a regular swimming pool in Seoul. Changes in the range of motion of the shoulder joint. muscle strength. physical symptom. quality of life. and stress were examined after the completion of treatment. The data were collected through isokinetic muscle strength evaluation and questionnaire survey before and after the treatment. Paired and unpaired t-test were adopted to analyze the data. The results were as follows ; 1. The increment in the range of motion of the shoulder joint in the experimental group after the exercise was significantly greater than those in the control group. 2. The peak torque of shoulder girdle muscles increased significantly after the exercise in the experimental group only. 3. The physical symptom score decreased significantly after the exercise in the experimental group only. 4. The experimental group revealed significantly higher level of quality of life and lower level of stress after the exercise compared with those before the exercise. whereas the control group showed no significant changes in those levels. These findings may indicate that the aquatic exercise program is effective in increasing the range of motion of the shoulder joint and muscle strength and quality of life. and also effective in decreasing physical symptoms. and the level of stress in postmastectomy patients. Accordingly. the acquatic exercise program' can be adopted as an effective nursing intervention for postmastectomy rehabilitation.

• 근관절건강학회지
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• 제7권1호
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• pp.131-147
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• 2000

Almost all patients with rheumatic disease experience fatigue. The fatigue affects the patient's life extensively at home and at work, therefore it is necessary to investigate the nature of the fatigue which the patients perceive. The purpose of this study is to explore the nature and pattern of fatigue of the patients with rheumatic diseases. Rheumatoid arthritis is typical disease for its joint involvement which leads to deformity. Whereas lupus is a characteristic systemic autoimmune disease and the fibromyalgia is characterized by the general bodyache and multiple local tenderness. The prevalence of these diseases and the fatigue was known to be higher in women than men. Therefore the subjects were woman patient diagnosed as rheumatoid arthritis, lupus or fibromyalgia, and they were recruited from the H-Rheumatic Disease Hospital. The two instruments, the Multidimensional Assessment of Fatigue by Belza(1995) and the Piper Fatigue Scale by Piper, et al(1995) were used to explore the nature and pattern of self-reported fatigue. In total, the data from 157 patients were analysed by the SPSS-PC program for statistical analysis. The results were as follows: 1. Most patients with rheumatic disease experienced fatigue and the degree of fatigue was at the middle range by the scores of the two instruments. 2. The degree of fatigue of the patients with fibromyalgia was the highest and the next was that of the patients with lupus and the fatigue of the patients with rheumatoid arthritis. But there were no statistically significant differences among the patients with three rheumatic diseases, except the subcategory, the meaning of fatigue of the Piper Fatigue Scale. 3. Even when the period of the symptom and pain were covariated, there were no statistically significant differences among patients with three rheumatic diseases. The fatigue of the patients with lupus and fibromyalgia is rarely investigated in Korea and this study can be the base for the further understanding of the patients with rheumatic diseases. Therefore repeated studies are required to identify the factors to affect the fatigue and to understanding the nature of the diseases and to develop the nursing interventions to alleviate the fatigue.

• Child Health Nursing Research
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• 제20권2호
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• pp.67-74
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• 2014

목적 본 연구는 인터넷을 사용하는 저소득층 초등학교 고학년 아동이 스스로 인식하는 자아존중감, 우울, 삶의 만족도를 파악하고 인터넷 중독에 영향을 미치는 주요 예측요인을 파악하여 인터넷중독을 예방프로그램을 개발에 도움이 되는 기초자료를 제공하고자 시도되었다. 방법 2013년 3월부터 5월까지 T광역시 영구임대 아파트에 거주하는 초등학교 고학년을 대상으로 부모의 협조를 구한 뒤 학생들에게 연구의 목적과 취지를 설명하고 동의를 구한 후 구조화된 설문지에 대한 내용과 기재요령을 설명하여 수집하였다. 이중 내용이 완전히 기입되지 않은 7부를 제외한 201부를 분석대상으로 하였다. 결과 아동의 78.6%가 $23.81{\pm}7.06$점으로 일반사용자로 분류되었고 14.4%가 $28.66{\pm}7.96$점으로 잠재적 위험 사용자로 나타났으며 7.0%가 $43.43{\pm}8.22$점으로 고위험 사용자로 분류되었다. 인터넷 중독 정도는 가족과의 대화(r=.438, p <.001), 인터넷 사용시간(r=.680, p <.001), 우울(r=.396, p <.001)과 유의한 정상관관계가 있는 것으로 나타났다. 학년(r=-.032, p =.045)과 삶의 만족도(r=-.200, p =.002)는 인터넷 중독 정도와 유의한 역상관관계를 나타내었다. 대상자의 인터넷 중독에 영향을 주는 요인은 가족과의 대화(${\beta}=0.39$, p <.001), 우울(${\beta}=0.30$, p <.001)인 것으로 나타났다. 이들 변인 인터넷 중독점수의 29.2%를 설명하고 있었다(F=21.61, p <.001). 결론 본 연구결과를 바탕으로 저소득층 초등학교 고학년 아동들의 올바른 인터넷 문화형성을 위해 도움이 되는 중재를 계획할 때 가족 간의 원만하고 풍부한 의사소통을 경험하고 이를 바탕으로 다양한 활동의 유익성과 즐거움을 인식하게 하여 과다한 인터넷 사용시간을 줄여나가고 저소득층에 대한 사회적 배려와 지원을 바탕으로 다양한 신체활동과 정신활동 및 운동에 대한 참여기회를 확대하고 저소득층이라는 환경의 부정적인 측면을 최소화하여 아동의 우울을 줄이고 삶의 만족도를 높일 수 있도록 간호학적 전략이 포함되어야 할 것이다.

• Child Health Nursing Research
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• 제19권1호
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• pp.49-58
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• 2013

목적 보육교사를 대상으로 보육시설에서 아토피 피부염 아동을 관리하고 있는 현황과 보육교사의 지식수준 및 실천 정도를 확인하고 현재의 관리 현황이 보육교사의 지식과 실천에 어떻게 영향을 주는지 파악하는 데에 있다. 방법 대상자는 G광역시 1개구 소재의 보육시설에서 근무하는 보육교사 107명이다. 인구학적 특성, 아토피 피부염 아동의 관리 현황, 그리고 지식수준과 실천 정도(Park, 2011)로 구성된 설문지를 이용하여 자료를 수집하였고 서술적 분석, 일원분산분석 및 사후검정 그리고 상관관계로 분석하였다. 결과 대상자의 대부분이 아토피 피부염 아동을 지도할 때 단순히 부모의 요구에 따른다고 답했다. 절반이상은 아토피 피부염 아동 지도에 대한 지식 부족으로 어려움을 겪고 있었으며 교육과 관리 지침의 제공을 희망하였다. 지식은 75% 수준이었고, 하위영역 중 증상 및 징후에 대한 지식 점수가 가장 높았고 관리에 대한 지식 점수가 가장 낮았다. 실천은 84.3%정도였고, 4개 하위영역 중 음식 관리점수가 가장 높았고 의복 및 침구 관리점수가 가장 낮았다. 그러나 지식과 실천 사이의 통계적으로 유의한 상관관계는 보여주지 않았다(r=.141, p =.149). 결론 대상자는 아토피 피부염 아동을 지도할 때 부모의 요구에 반응하는 소극적 태도를 보였고 지식과 실천은 충분하지 못한 수준이었다. 그들은 지식부족의 어려움을 호소하면서 지침의 제공과 교육을 원한다는 것을 확인할 수 있었다. 따라서 보육교사의 아토피 피부염에 대한 지식과 구체적 실천 방법을 포함한 교육프로그램의 개발이 필요하며 다양한 방법으로 접근할 수 있는 전략을 수립할 필요가 있다.

• 한국융합학회논문지
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• 제13권1호
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• pp.447-456
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• 2022

본 연구는 대학생의 양성평등의식이 결혼관과 자녀관에 미치는 영향을 확인하고자 하였다. 설문지를 이용하여 남녀평등의식, 결혼관, 자녀관에 대한 인식 수준을 파악하였다. 연구를 위한 조사는 S시의 대학생 205명을 대상으로 하였다. 자료분석은 SPSS 28.0 프로그램을 사용하여 빈도, 백분율, 평균, 표준편차, t-test, one-way ANOVA, 피어슨 상관계수, 다중회귀분석을 실시하였다. 대학생의 양성평등의식 수준은 평균 4.23점으로 나타났으며 여학생이 남학생보다 높게 나타났다. 대학생의 양성평등의식은 결혼관, 자녀관과 음의 상관관계를 보였다. 양성평등의식의 하위영역 중 가정생활 영역에서 결혼관과 자녀관에 영향을 미치는 것으로 나타났다. 즉 가정생활 영역의 양성평등의식이 높을수록 결혼관에 대하여 개방적이었으며 자녀가 필요하다는 인식은 낮은 것으로 확인되었다. 대학생의 긍정적인 결혼관 및 자녀관을 형성시키기 위하여, 남녀간의 균형잡힌 양성평등의식을 향상시키기 위한 교육프로그램이 개발되어야 할 것이다.

• 재활간호학회지
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• 제2권2호
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• pp.257-270
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• 1999

The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

• 한국학교보건학회지
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• 제33권3호
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• pp.203-212
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• 2020

Purpose: The purpose of this study was to investigate the relationship between relative handgrip strength (HGS/BMI) and obesity (BMI above 95th percentile) in adolescents. Methods: The subjects of the study were 637 out of 701 adolescents aged 10~18 who participated in the 2018 National Health and Nutrition Survey (KNHANES), excluding those with missing values in body mass index (BMI) and handgrip strength (HGS). The relative handgrip strength (HGS/BMI) value was divided by quartile and composite sample logistic regression analysis was performed to see its relationship with obesity (BMI above 95th percentile). The collected data were analyzed using SPSS 18.0. Results: As a result of analyzing HGS according to gender-specific quartiles, age, height, and weight of male adolescents increased significantly as HGS/BMI increased (p trend<.001). In addition, as HGS/BMI increased, total cholesterol, triglycerides, and HDL cholesterol decreased significantly (p trend<.001). In the case of female adolescents, age and height increased significantly as HGS/BMI increased (p trend<.001). HGS/BMI was lower in the obese group (p=.023), while total cholesterol was higher in the obese group(BMI above 95th percentile) than in the non-obese group. As a result of the composite sample logistic regression analysis, the odds ratio (OR) decreased significantly as the quartile increased in both male and female adolescents. Conclusion: According to these results, a follow-up study is needed to confirm the factors affecting muscle strength of adolescents. In addition, this study intends to be used as basic data to conduct further research and to develop programs that can improve muscle strength and reduce obesity in adolescents.

• 재활치료과학
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• 제10권4호
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• pp.65-80
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• 2021

목적 : 건강정보에 대한 이해·적용·판단·접근에 기반한 건강문해력의 개념을 다루고 있는 HLS-EU-Q47의 한국판을 개발하고, 노인들을 대상으로 본 도구를 적용하여 국내 노인들의 포괄적인 건강문해력 수준을 확인하는데 목적이 있다. 연구방법 : HLS-EU-Q47의 번안 과정을 거쳐 전문가를 대상으로 내용타당도 검증을 통해 문항을 확정하였다. 이렇게 완성된 Korean-HLS-EU-Q47(K-HLS-EU-Q47)을 지역사회 노인 254명을 대상으로 내적일치도 및 신뢰도 분석과 일반적 변인에 따른 비교 분석을 실시하였다. 결과 : 노인들을 대상으로한 본 도구의 내적일치도는 Cronbach's 𝛼 .81~.91로 높은 수준의 신뢰도를 보였다. 일반적 특성에 따른 비교 성별과 연령에 따른 건강문해력의 차이를 보였는데, 남성이 여성에 비해 건강문해력이 높았으며 연령이 높아질수록 건강문해력의 저하를 보이는 것으로 나타났다. 결론 : 본 연구를 통하여 국내 노인의 포괄적인 건강문해력 수준을 확인하는데 사용할 수 있는 K-HLS-EU-Q47을 소개하였으며, 본 연구 결과를 통한 노인들의 건강문해력 수준의 이해를 통하여 노인들이 보다 건강한 삶을 유지할 수 있는 방법들의 모색이 활성화되기를 기대하는 바이다.

• 대한간호학회지
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• 제7권1호
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• pp.30-38
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• 1977

Breast cancer is one of the most feared health problems in women ; Recent studies revealed that it had come up to be the second most in this country and high prevalent disease in the western countries among breast disease in women. However, early detection of the cancer mass is known to be easier than in many other malignancies. This study was performed to investigate the various characteristics of patients of breast cancer ; by the structural variables, menstrual, marital, and child bearing, and also their understandings and attitude towards the disease. A hundred any in- and out- patients of 51. Mary's Hospital and National Atomic Institute, Seoul were sampled. Data were gathered through direct interview by the researcher from February 1976 to January 1977 and the clinical records were used as references. Results are as follows ; 1. Breast cancer revealed to be most prevalent in the forties ; average age of 45.2 years. 2. The average age of menarche revealed to be 15.4 years ; the largest group were the 16-20 years (N=75, 68.2%). In 55 cases (50%) menstruation were normal, 38 (34.5%) postmenopausal and only in 17 (15.5%), menstruation revealed irregularity. 3. The average marital age revealed to be 22.3 years ; the largest group were 21-25 group (N=43, 39.1%). The average duration of marital life revealed to be 24.7 years ; 11-20 years group were the largest (M=34, 30.9%). 4. Most of the patients revealed to have pregnancy experiences(N=100, 90.9%) ; the average rate of experience were 5, 3 times the largest group were 3.4 times group(N= 32, 29.1%). 54 patients (49.1%) revealed to have had abortion experience ; the average were 3.4 times. 5. The largest group(N=77, 70%) had been breast feeding : followed by mixed feeding (N=12, 10.9%) and artificial feeding(N=10, 9.1%). 6. Personal health history revealed that in 20 patients (18.2%) revealed to have the past history of Purulent mastitis, 5 patients(4.5%) of breast cancer and 3 patients(2.7%) of uttering cancer family history. 7. In the one half (N=56, 50.9%, they had some information about breast cancer :27 (24.5%) by mass media, 12 (10.9%) through personal contacts and 17 (15.5%) were not able to classify the source of information. 8. In 55 cases (50%) the canoe, mass were discovered incidentally, in 39 cases (35.5%) by manual detection by self, in 10 cases (9%) by others and in 6 cases(5.5%) by observing subjective symptoms. 9. The average duration lapsed between the discovery of cancer mass and the visit to the hospital revealed to be 9.4 month. Chief reason for the delay revealed to be the non-chaplaincy due to the absence of pain(N=50, 45.5 %) followed by the administration of herb and commercial medication (N=19, 17.3%). 10. The left side breast was more affected than the right side breast, represent by 60 cases in the left and 39 cases in the right. The most frequent site of the breast cancer was the upper- outer quadrant in 53 cases (47.7%), and followed by the center in 20 cases(18 %), and the upper inner quadrant, in 19 cases (17.1%). There was / cases of bilateral carcinoma. The most prominent symptom was painless mass.

• 한국융합학회논문지
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• 제10권2호
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• pp.57-66
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• 2019

본 연구의 목적은 유방질환 발생여부에 따른 생활습관과 천연 에스트로겐이 함유된 건강기능 식품 섭취실태 차이를 확인하여 유방질환 발생 위험요인을 파악하기 위함이다. 본 연구의 대상자는 20세 이상 60세사이의 J시 소재 M여성 전문병원에 건강검진을 위한 내원한 여성 중 유방질환이 있는 군을 질환군 85명, 대조군 93명 등 총 178명을 대상으로 하였다. 본 연구결과 인공 유산경험이 있는 경우가 유방질환 진단을 받을 가능성이 3.04배, 백미 섭취군이 유방질환 진단을 받을 가능성이 4.76배, 스트레스 해소방법의 취미생활은 하지 않는 경우가 유방질환 질환 군으로 분류될 가능성이 2.38배 증가하였다. 본 연구결과 인공 유산경험이 있고, 백미를 즐겨 먹으며, 취미생활을 하지 않는 대상자는 유방질환을 진단 받을 가능성이 증가하였다. 이와 같은 특성을 반영한 일반인을 위한 유방질환 예방홍보와 교육 프로그램이 필요할 것이다.