• 사상체질의학회지
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• 제28권3호
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• pp.233-245
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• 2016

Objectives There is growing interest in the management of cancer survivors due to the increase in long-term survivors. But no literature research focusing on the management of cancer survivors has been done in Sasang Constitutional Medicine despite the superiority in comprehensive management of patients. Therefore, we planned to look into the perspective of health preservation in Sasang Constitutional Medicine.Methods We investigated the 『Donguisusebowon-Sasangchobongwon(東醫壽世保元 四象草本卷)』. We classified the contents which might be applicable to cancer patients. After classifying, we compared the contents with clinical experience and health preservation methods of Western Medicine.Results and Conclusions The health preservation is mentioned mostly as Joyang(調養). The Sasang Constitutional Medicine classifies the lives of people in 8 stages. Depending on the stages, there is a difference in the prognosis and management. Cancer patients can be regarded as being in the stages of Noeok(牢獄) and Wiegyeong(危傾). In these stages, patient's health preservation is important. In order to achieve long-term survival and to prevent disease progression, it is important to maintain requisite energy(保命之主). The attitudes that patient must have are simplicity(簡約), attentiveness(勤幹), vigilance(警戒), knowledgeability(聞見) for keeping one's own health and fulfilling the social obligations of human relations. The concept of health preservation in Sasang Constitutional Medicine covers the wide range of health. But detailed methods for patients to understand and practice are lacking. Moreover, it is hard for cancer patients to access the information. Therefore, further researches should be done to make the concept more specific and easy to access for cancer patients.

• 디지털융복합연구
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• 제15권12호
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• pp.381-391
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• 2017

본 연구의 목적은 낙관성을 매개로 스트레스가 행복지수에 주는 영향을 파악하고자 하는데 있다. 대상자는 G광역시 소재 3개 대학 간호학과 학생 중 임상실습경험이 있는 3, 4학년을 대상으로 시행하였으며, 362부의 설문지를 연구 자료로 사용하였다. 자료분석은 회귀분석과 SPSS Macro 및 부트스트래핑(bootstrapping) 방법을 이용하여 대학생의 스트레스와 행복감에 있어 낙관성의 매개효과를 검증하였다. 연구결과 스트레스, 행복지수, 낙관성은 유의한 상관관계가 있었고, 스트레스가 대학생의 행복지수에 직접적인 영향을 주었다. 즉, 스트레스의 수준이 높을수록 대학생의 행복지수를 저하시켰다. 낙관성은 스트레스와 대학생의 행복지수 사이에서 부분적으로 매개효과를 보였다. 따라서 대학생의 행복지수를 높이기 위해서는 스트레스 관리와 낙관성을 높일 수 있는 프로그램 전략의 하나로 행복증진 프로그램 개발 및 시행이 요구된다.

• 한국사회복지학
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• 제49권
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• pp.225-263
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• 2002

This study examined reasons for marital satisfaction among men and women, and explored how sources of marital satisfaction varied with gender. Data were drawn from a sell-administered questionnaire study in which 173 married people residing in Seoul participated. Although the majority of both men and women in this study were at least somewhat satisfied with their marital life, men were, on average, more satisfied with their marriage than were women. Content analysis of reasons for marital satisfaction, obtained through an open-ended question, revealed that both men and women mentioned most frequently as their sources of marital satisfaction in this order: spouse, family, and children. However, while a large proportion of men's reasons for satisfaction concerned spouse, particularly affective relationship with their spouses, women's reasons indicated more diverse sources of marital satisfaction, including spouse, family, children, stability of living and of economy. Analysis of specific reasons for satisfaction in each source revealed that marital satisfaction was intimately connected with one's experience of happiness, love, stability, harmony, and peace, and that respondents experienced such positive emotions, leading to marital satisfaction, not only through relationship with their spouses, but also through other sources, such as children, family members, and respondents themselves. Moreover, good personality and health of spouse, family members, and children were frequently cited as reasons for marital satisfaction, and these reasons were more common among women's responses. Based on these results, both universal and cultural characteristics of marital satisfaction were considered, and gender differences in satisfaction with marital life were discussed. Finally, implications for clinical social work practice from this study were provided.

• Clinical and Experimental Reproductive Medicine
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• 제13권2호
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• pp.101-112
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• 1986

It is now common practice to attempt ovarian hyperstimulation in vitro fertilization and embryo transfer (IVF-ET) to promote the development of multiple preovulatory follicles and to maximize the number of mature egg available. There are several drugs for hyperstimulation such as clomiphene citrate only, clomiphene citrate and human menopausal gonadotropin (HMG) and HMG only. Accumlated experience has shown that the hyperstimulation of the ovary in IVF-ET results in high pregnancy rate. But the hyperstimulation of the ovary in IVF-ET may cause the hyperandrogenism, so we must consider the adverse effect on pregnancy rate of the hyperandrogenism. Little is known about the functional significance of androgen for the follicular growth, however, the hyperandrogenism might interfere with oocyte maturation. The aim of the present investigation was to determine the serum profiles of estradiol, androstenedione and testosterone during the hyperstimulated menstrual cycles in IVF. The results were summarized as follows: 1. There was a gradual increase in the mean levels of serum estradiol, androstenedione, and testosterone approaching follicular maturation. 2. The mean serum estradiol levels in the hyperstimulated groups were significantly higher than that in the control group in late follicular phase and ovum retrieval (ovulation) day (p<0.01). 3. The mean serum androstenedione levels in the clomiphene citrate groups were significantly higher than that in the control group in late follicular phase (p<0.01). There was no statistically significant different in the mean serum androstenedione levels between the control group and the HMG group (p>0.05). 4. There was no statistically significant difference in the mean levels of testosterone among each group (p>0.05). 5. There was no statistically significant different in the mean levels of estradiol, androstenedione and testosterone between the fertilized patients and non-fertilized patients in clomiphene citrate and HMG group (p>0.05).

• 융합정보논문지
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• 제7권4호
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• pp.171-183
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• 2017

본 연구는 간호대학생의 취업 스트레스에 영향을 미치는 융합적인 요인들을 파악하기 위하여 시도하였다. 서술적 조사연구로 자료수집 기간은 2016년 9월 10일부터 10월 30일까지 실시되었다. 연구 대상은 4년제 간호대학에 재학 중인 간호대 학생 246명이였으며 구조화된 질문지를 배부한 후 회수하였다. 측정 도구는 전공만족도, 진로 결정 효능감, 자아존중감, 자아 탄력성, 취업 스트레스에 관한 문항으로 구성되었다. 전공만족도, 진로 결정 효능감, 자아존중감, 자아 탄력성, 취업 스트레스 정도는 기술통계로 분석하였고 제 변수들 간의 상관관계는 Pearson correlation coefficients, 취업 스트레스에 영향을 미치는 요인은 다중 선형 회귀분석(Multiple linear regression)을 적용하였다. 취업 스트레스는 전공만족도, 진로 결정 효능감, 자아존중감, 자아 탄력성과 유의한 부적 상관성이 있는 것으로 나타났다(r=-.237, r=-.218, r=-.491, r=-.229, 학년(${\beta}=.498$), 자아존중감(${\beta}=-.456$), 학업 성취도(${\beta}=.233$), 임상 실습경험(${\beta}=.166$), 경제 수준(${\beta}=.118$) 순으로 유의미한 영향을 주는 것으로 나타나 취업 스트레스의 46.1%를 설명하였다. 본 연구 결과를 토대로 간호대 학생들의 취업 스트레스 관리 프로그램 개발에 활용할 수 있을 것이다.

• Restorative Dentistry and Endodontics
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• 제6권1호
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• pp.109-114
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• 1980

Ease of manipulation, adequate mechanical properties, long years of experience and economical cost are the factors which have established amalgam as the most widely used material for dental restorations. But amalgam restoration may require replacement because of secondary caries, fracture, "fall-out", dimensional change, tarnish or corrosion etc.. These failures of amalgam restorations seem to arise from failures during operations rather than from the inherent shortcomings of the material itself or of the patient's mismanagement. It is anticipated that notonly number of analgam restoration, but failures will be increase after more extensive utilization of the medical insurance which began in 1977. Then authors think that it would be helpful for the development of better treatment in daily dental practice, to know the duration of amalgam restorations and the reasons for their replacement. The data for this survey was compiled from 2, 856 out-patients of the Department of Dentistry, Ewha Woman's University Hospital from January 1975 to December 1977. 260 cases among 1,718 fillings were studied, of which 205 cases both had a single reason for replacement and recognized the date of the previous filling. The results obtained were as follows; 1. Amalgam fillings were 58. 5 percent of all dental restorative materials. Of these, 15. 13 percent of the amalgam restorations had to be replaced. 2. The first reason for replacement of amalgam restorations was secondary caries (56.10%), the second was fracture (23.80%) and the third was "fall-out" (8.78%). 3. Among those amalgms requiring replacement, 52.2 percent had been in place less than 3 years, 70.7 percent within 5 years and 89.8 percent had been in place less than 10 years. Only 10.2 percent had been in place more than 10 years.

• 융합정보논문지
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• 제8권3호
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• pp.39-51
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• 2018

본 연구는 간호대학생의 재난간호 핵심수행능력에 영향을 미치는 융합적인 요인들을 파악하기 위하여 시도하였다. 연구 대상은 4년제 간호대학에 재학중인 간호대학생 224명이였으며 측정 도구는 재난인식, 재난준비도, 자아탄력성, 재난간호 핵심수행능력에 관한 문항으로 구성되었다. 재난인식, 재난준비도, 자아탄력성, 핵심수행능력 정도는 기술통계로 분석하였고 제 변수들 간의 상관관계는 Pearson correlation coefficients, 핵심수행능력에 영향을 미치는 요인은 다중 선형 회귀분석(Multiple linear regression)을 적용하였다. 핵심수행능력은 재난인식, 재난준비도, 자아탄력성과 유의한 정적상관성이 있는 것으로 나타났다. 재난준비도(${\beta}=.413$), 학년(${\beta}=.165$), 임상실습만족도(${\beta}=-.160$), 자아탄력성(${\beta}=.159$), 재난교육경험(${\beta}=-.120$)순으로 유의미한 영향을 주는 것으로 나타나 핵심수행능력의 35.8%를 설명하였다. 본 연구 결과는 간호대학생들의 재난간호 핵심수행능력 프로그램 개발에 활용할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제21권9호
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• pp.714-722
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• 2021

본 연구에서는 가상현실을 이용한 VR 기본간호술 교육 콘텐츠를 제안하고자 하였다. 핵심기본간호술 20가지 중 간이혈당검사와 인슐린피하주사 항목은 간호술 항목에서 빈번히 수행하는 기본간호술 중 하나이며, 당뇨환자들에게 자가관리 교육을 할 때도 사용할 수 있는 항목이다. 본 연구는 이 항목을 가지고 학습자의 체험을 중심으로 가이드, 미션, 피드백의 3단계로 나누어 몰입형 VR기반 핵심기본간호술 콘텐츠를 설계하였다. 이 콘텐츠에서는 실제 간호술처럼 콘트롤러를 사용하지 않고 손가락 관절인식을 통해 손의 움직임을 트랙킹하여 몰입하며 훈련할 수 있다. 이 연구는 임상 수행 능력 향상을 도울 수 있는 VR 간호술 교육 콘텐츠 개발에 도움이 될 것이다.

• 디지털융복합연구
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• 제17권2호
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• pp.265-273
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• 2019

본 연구는 보건의료전공 대학생을 대상으로 환자안전에 대한 태도와 수행자신감을 조사하여 응급환자관리를 위한 다학제적 환자안전 교육컨텐츠를 개발하기 위한 기초자료를 제공하고자 시도된 서술적 상관관계 연구이다. 2016년 06월 01일부터 06월 30일까지 J도 H 대학교와 C 대학교의 간호학과와 응급구조학과에 재학생 중 응급실실습을 경험한 3,4학년을 대상으로 편의 추출하였으며 145명을 대상으로 수집된 자료를 SPSS 21.0을 사용하여 분석하였다. 연구결과, 환자안전에 대한 태도는 간호학과 학생이 더 긍정적이었으나, 환자안전 수행자신감 및 환자안전교육 경험에서 차이가 없었으며 의료오류를 목격한 경험이 있는 학생이 환자안전에 대한 긍정적 태도와 수행자신감을 보여주었다. 연구결과를 통해 환자안전사고를 예방하고 적절하게 대처할 수 있는 응급전문인력을 양성하기 위하여 사례 기반의 다학제적 융복합 교육컨텐츠 개발 및 효과 검증 연구를 제안한다.

• 의학교육논단
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• 제21권1호
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• pp.1-12
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• 2019

This study is a narrative review introducing global trends in patient safety education within medical schools and exploring the status of Korean education. Core competences for patient safety include patient centeredness, teamwork, evidence- and information-based practice, quality improvement, addressing medical errors, managing human factors and system complexity, and patient safety knowledge and responsibility. According to a Korean report addressing the role of doctors, patient safety was described as a subcategory of clinical care. Doctors' roles in patient safety included taking precautions, educating patients about the side effects of drugs, and implementing rapid treatment and appropriate follow-up when patient safety is compromised. The Korean Association of Medical Colleges suggested patient safety competence as one of eight essential human and society-centered learning outcomes. They included appropriate attitude and knowledge, human factors, a systematic approach, teamwork skills, engaging with patients and carers, and dealing with common errors. Four Korean medical schools reported integration of a patient safety course in their preclinical curriculum. Studies have shown that students experience difficulty in reporting medical errors because of hierarchical culture. It seems that patient safety is considered in a narrow sense and its education is limited in Korea. Patient safety is not a topic for dealing with only adverse events, but a science to prevent and detect early system failure. Patient safety emphasizes patient perspectives, so it has a different paradigm of medical ethics and professionalism, which have doctor-centered perspectives. Medical educators in Korea should understand patient safety concepts to implement patient safety curriculum. Further research should be done on communication in hierarchical culture and patient safety education during clerkship.