• 제목/요약/키워드: living with the family

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관절염을 앓고 있는 노인 여성 피로 경험의 근거 이론적 접근 (A ground theory approach on fatigue of the female elderly with osteoarthritis)

  • 권영은;정명실
    • 근관절건강학회지
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    • 제3권1호
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    • pp.50-62
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    • 1996
  • The purpose of this study was to identify and construct a substantive theory about the experience of fatigue among the female elderly with osteoarthritis. The interviewees were 6 female elderly with osteoarthritis. Of them 3 were admitted General hospital, the remaining 3 didn't admitted hospital. The data were collected through in-depth interviews by the investigators from May 20th, 1995 to June 19th, 1995. The collected data were coded into concepts and categories according to Strauss & Corbin's grounded method. The data thus collected were analyzed immediatly after interviews and fed into next round of interviews until the data collection reaches the saturation point where no additional concepts emerge. The 35 concepts were from analyzing the grounded data. The results of this study were as follows : 'change of the health condition','change of the life pattern', 'physiologic change', 'change of the coping pattern', 'performance of homework', 'activity daily living', 'tireness', 'ache', 'change of general apperance', 'sleep disturbance', 'powerlessness'. 'Physiologic unbalance', 'change of the family dynamics', 'physical imbalance', 'loss of the control', aviodance', 'conversion', 'leaving', 'indifference', 'hesitation', 'the pursue of information and trial', 'the western therapy', 'heat therapy', 'the oriental therapy','exercise', 'weight control', 'support', 'solution', 'being as before', 'adding more'. Six categories emerged from the analysis of ground data. They were as follows : 'stimuli', 'fatigue', 'passive coping', 'active coping', 'disolution', 'remains'. 13 hypothesis were derived from the integration of categories as follows : 1. The stronger the stimulus as perceived by the subjects, the more the fatigue will exrerience. 2. The more severe the fatigue, the more severe the tireness. 3. The more severe the fatigue, the more the hardness. 4. The more severe the fatigue, the more the variability of appear will experience. 5. The more severe the fatigue, the more the pain will experience. 6. The more severe the fatigue, the more the insomnia will experience. 7. The more severe the fatigue, the more the powerless will experience. 8 The more severe the fatigue, the more the psychological unbalance will experience. 9. The more severe the fatigue, the more variability of the family dynamics will experience. 10. The more severe the fatigue, the more the physical unbalance will experience. 11. The more severe the fatigue, the more loss of control will experience. 12. The subjects who experienced the fatigue will be to show passive coping and active coping mechanism.

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도시 및 농어촌 아동의 가정내 구타발생률 및 관련요인 조사 (A Survey on Child Battering among Elementary School Children and Related Factors in Urban and Rural Areas)

  • 전계순;박정한
    • Journal of Preventive Medicine and Public Health
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    • 제24권2호
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    • pp.232-242
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    • 1991
  • 가정내 아동구타 발생현황과 그 관련요인을 조사하기 위하여 1990년 5월 1일부터 10일까지 대구시내 2개 국민학교(중상류 밀집지역 학교 519명, 저소득층 결집지역 학교 504명)와 경북도내 농.어촌 각 1개교(120명 및 112명)의 4, 5학년(대구시내 학교에서는 각학년마다 5개 학급씩 무작위 추출, 농.어촌 학교에서는 전원) 아동 1,255명을 대상으로 설문조사하였다. 조사직전의 한달(1990년 4월 1일$\sim$30일)동안 매맞은 아동은 918명(73.1%), 매맞지 않은 아동은 337명(26.9%)이었으며 매맞은 아동중 심하게 매맞은 아동(발로 차는 정도 이상으로 한달에 2회이상 맞은 경우)이 57명(6.9%), 중등도(심한 정도 이외의 모든 매)로 매맞은 아동이 831명(66.2%)이었다. 매맞은 비율과 정도는 도시의 두학교간과 도시와 농.어촌간에 뚜렷한 차이가 없었다. 매맞은 이유는 부모말을 듣지 않아서(61.9%), 말썽을 부려서(34.9%), 공부를 못해서(33.3%)가 가장 많았으나 심하게 매맞은 아동 가운데는 잘못한 일이 없는데 때리는 사람의 화풀이로(16.1%) 또는 이유를 모르고 맞았다(5.7%)는 아동도 있었다. 매맞은 후에는 대부분 아동이 잘못을 뉘우치고 잘못하지 않겠다고 했으나(65%), 심하게 매맞은 경우에 집을 나가버리고 싶다가 20.7%, 죽고 싶었다고 한 아동이 9.2%나 되었다. 매맞은 결과로 멍이 들은 경우가 매맞은 아동의 52.7%로 가장 높았으나 골절(2.5%), 살이 찢어진 경우(1.5%)도 있었고 의식을 잃고 쓰러진 아동(0.2%)도 있었다. 심리적 행동상의 장애로는 심하게 매맞은 아동의 31%가 공부하기 싫다, 살기 싫다 17.2%, 집에 가기 싫다 13.8%로 매맞지 않은 아동에 비해 높은 호소율을 보여 아동구타에 따른 신체적 손상 뿐 아니라 정신적 후유증 또한 심각한 것으로 나타났다. 매맞은 을과 통계적으로 유의한 관련성을 나타낸 요인은 아파트(6.6%)나 단독주택(6.2%)에 사는 아동보다 상가건물(14.0%)에 사는 아동이 심하게 매맞은 율이 높았고(P=0.018) 자기집(6.3%)에서 사는 아동보다 세들어 사는 아동(8.4%)이 심하게 매맞은 율이 높았다(p=0.05). 부모가 맞벌이 하는 아동(9.1%)과 부모 모두 직업이 없는 아동(20.7%)이 심한 매를 맞은 율이 아버지(5.1%)나 어머니(4.5%)만 직업이 있는 아동보다 높았다(p=0.006). 가족 중 질병을 앓는 가족이 있는 아동(80.8%)이 질병을 앓는 가족이 없는 아동(71.4%)보다 매맞은 율이 높았고(p=0.001), 부모사이에 다투는 빈도가 높을수록 구타발생률이 높았다(p=0.000). 아버지의 직업이 전문직일 때 매를 맞지 않은 비율(39.4%)이 전체(26.9%)에 비해 유의하게 높았다(p=0.01).

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아동 구타의 발생율 조사 (AN INCIDENCE SURVEY OF BATTERED CHILD IN THE TWO ELEMENTARY SCHOOLS OF SEOUL - A FOLLOW-UP STUDY IN 5 YEARS -)

  • 고복자
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제3권1호
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    • pp.56-72
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    • 1992
  • 1986년 선행조사에서와 같은 학년 학생을 조사대상으로 하여 동일한 내용의 설문지를 동일한 조사방법을 통해 1991년에 재조사하여 아동구타 발생율의 변화를 살펴보고, 선행연구에서 얻어졌던 결과들과 후속연구결과를 비교해 보았다. 그 결과를 요약해 보면 다음과 같다. 1) 5년 전에 비해 매맞는 아동의 수가 상당히 증가된 것으로 나타났다($66.2%{\rightarrow}96.4%$), 2) 5년 전에 비해 심하게 구타당한 아동의 수, 즉 아동구타율은 거의 3배 정도 증가된 것으로 나왔다. 3) $가정{\cdot}사회{\cdot}$환경요인의 특징은 거의 대부분 5년 전의 결과와 동일하거나 유사하였다. 4) 구타양상이나 구타아동의 정신증상 및 신체증상 역시 5년 전의 결과와 동일했다.

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장기요양 서비스를 누가, 얼마나, 얼마에 원하고 있는가? - 장기요양 서비스의 욕구와 결정요인 및 지불의사금액 - (The Want, its Determinants and the Willingness to Pay of the Long Term Care Service)

  • 김현철;홍나래;연병길;박태규;정우진;정진욱
    • 보건행정학회지
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    • 제15권4호
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    • pp.136-160
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    • 2005
  • Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.

A Comparison of Characteristics between Danish and Korean Farmhouses -In Reference to Farmhouse Plans, Use of Rooms including Furniture Arrangement, and Building Materials-

  • Choi, Jung-Shin
    • International Journal of Human Ecology
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    • 제8권1호
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    • pp.67-78
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    • 2007
  • The aim of this paper was to compare differences and similarities of farmhouses between Denmark and Korea as a cross-cultural study. Farmhouses built during the 18th and 19th centuries in Denmark, and ones from Chosun Dynasty (AD. 1392-1910) in Korea were targets of this study. Literature study and field trips to districts and open-air museums in both countries were used. Field trips were carried out during summer of 2005 in Denmark, and fall of 2005 in Korea. Detailed comparisons focused on farmhouse plans, the use of rooms and furnishing, and building materials. As a conclusion, some differences were found between the two countries. In terms of farmhouse plans, square types with four wings, and parallel types were the most frequent forms in Denmark, while a few types, such as the "I", "L", "U" shapes and square types, were more frequently found in Korea. In Denmark, the most important room was the dwelling-room, in which daily family life took place. Every member of the family slept, ate, and worked here, and kept geese and young animals during the winter season. Therefore, this room was laid out in the center of the house. However, Anbang, the most important room in Korea, was not situated in the best part of the house. Instead, the Daechung-maru occupied the center and the best place because the daechung-maru, in which the ancestral ceremony was held, was thought of as more important than a place for live people. Also the use of rooms and furnishing was quite different between the two countries, reflecting each life style. Danish furnishings represented practical daily life, while Korean furnishings reflected more conceptual aspects. It might have resulted from Confucianism in the Chosun Dynasty, which ruled daily life and even influenced use of rooms and furnishings. In other word, philosophy influenced common peoples' daily life and living environment. With reference to building materials, there was rarely a difference between the two countries. Major materials for farmhouse were quite common, such as half-timbering wood and clay, but the difference was in bricks and roof coverings. Bricks were rarely used in Korean farmhouses, while rice-straw was rare for the roof of a Danish farmhouse. Of course, the choice of materials was strongly affected by the local surroundings and overall environment. This result can give some clues for design ideas when architects and interior designers plan housing that is adapted for local peoples. This kind of cross-cultural study can also contribute to one's understanding of foreign culture, especially in housing and culture. And, it can broaden one's insight of design ideas for designers who have to compete frequently with designers in foreign countries.

초등학생의 인터넷 중독과 VDT 증후군 및 건강행위 간의 관련성 (The Relationship with Internet Addiction, VDT Syndrome and Health Behavior of Elementary School Students)

  • 이경란;황미혜
    • 한국학교ㆍ지역보건교육학회지
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    • 제9권2호
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    • pp.65-80
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    • 2008
  • Objectives: To identify the relationship between the internet addition of elementary school students, and their health behavior and VDT syndrome, and thereby to detect the impact of internet addiction on the health behavior of elementary school students, to get the basic information necessary to develop a prevention program for internet addiction and to plan for VDT syndrome prevention program. Methods: We conducted this study during the period from jun 27, 2007 through July 8, 2007. The subjects of this study were 416 children whose grades were in 4th through 6th grades of elementary schools located in the city A in Kyung Pook Providence. Data were obtained from self-rating questionnaires. The questionnaires were composed of Korean Internet Addiction Self-examination on Internet Use Patterns (K-scale), Health Behavior Profile, VDT Syndrome, and general characteristics. We used t-test, AVOVA with Ducan method for Post-hoc comparison in means comparison between groups, $X^2$-test for frequency analysis and Pearson's correlation coefficient. We used SPSS/PC(12.0 ver) program and the LISREL 8.53 Win program for covariance structural analysis. Results: Major results were as follows. 1. The internet addiction propensity distribution based on the distribution of scores were investigated according to the self diagnosis scale on internet addiction. 6.5% of them were high risk user group, 14.4% were potential risk users and 79.1% of them were common user groups. 2. Internet addictions by sex, internet use duration, frequency (days/week), time(hours/day), purpose, position, brightness of internet, attitude of parents and frequency of conversation of family members were statistically significant(p<0.01). 3. There was a statistically significant difference in VDT syndrome according to internet addiction groups(p<0.001) besides ocular symptoms, dry mouth and GI troubles. 4. The health behavior score was the lowest in high risk user group(p<0.001). There were significant differences between internet addiction groups in personal hygiene and habits of daily living(p<.002), the prevention of accidents(p<.002), the practice concerned with the prevention of infectious disease(p=.002), and mental health(p<.001). 5. There was also a significant negative correlation between internal addiction and health profile(r=-0.365, p<0.01) and a significant positive correlation between internal addiction and VDT syndrome(r=0.331, p<0.01). 6. As the result of structural model analysis, internet use time(/day), days of internet use(/1week), conversation frequency among family members, degree of brightness of internet use had significant direct effects on internet addiction. Conclusions: The results will help the development of an effective intervention program for the prevention and treatment of internal addiction by clarifying the effect of the internal addiction upon elementary school students' VDT syndrome and health behavior.

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Health Status of Dependent Older People and Pattern of Care among Caregivers: A Case Study of Hong Ha Health Promoting Hospital, Lampang, Thailand

  • Wicha, Sumitra;Saovapha, Benjaporn;Sripattarangkul, Sirirat;Manop, Natchapan;Muankonkaew, Thanakrit;Srirungrueang, Supha
    • Asian Journal for Public Opinion Research
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    • 제5권3호
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    • pp.228-249
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    • 2018
  • In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.

임부의 자아통제감과 우울이 불안에 미치는 영향 (Effects of Sense of Self-Control and Depression on Pregnant Women's State-Anxiety)

  • 황란희
    • 디지털융복합연구
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    • 제18권3호
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    • pp.207-215
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    • 2020
  • 본 연구의 목적은 임부의 자아통제감, 우울 및 불안 정도를 측정하고 그 변수들 간의 관계를 규명하며, 불안에 영향을 미치는 요인을 파악하는데 있다. 본 연구는 160명의 임부를 대상으로 자료를 수집하여, 분석은 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis를 이용하였다. 대상자의 자아통제감은 평균 20.49±3.49점으로, 가족구성원의 수입에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 우울은 평균 6.71±4.76점으로, 직업 유무, 시댁식구와 동거여부 및 계획된 임신여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 불안은 평균 39.59±8.56점으로, 연령, 분만경험에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 불안은 우울과 정적 상관관계가 있는 것으로 나타났고, 자아통제감과는 부적 상관관계가 있는 것으로 나타났으며, 우울과 자아통제감과는 부적 상관관계가 있는 것으로 나타났다. 임부의 불안에 영향을 주는 요인은 자아통제감, 우울, 분만 경험이 없는 경우이었다. 본 연구결과는 산전관리 시 임부의 자아통제감과 산전우울 정도를 사정하고, 이를 근거로 임부의 불안 완화를 위한 간호중재개발 및 적용의 필요성을 제시한다.

일부 농촌 지역 당뇨병, 고혈압, 고지혈증을 가진 성인들의 당지수에 대한 인식도 (Glycemic Index Recognition and Practice of Low-Glycemic-Index Diet by Adults with Chronic Diseases in Some Rural Areas)

  • 신새론;한아름
    • 농촌의학ㆍ지역보건
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    • 제39권2호
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    • pp.104-115
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    • 2014
  • 저당지수 식사는 비만, 당뇨병의 발병 감소 및 심혈관질환의 발생을 감소시키는 효과뿐만 아니라 당뇨병에서 혈당을 개선하는 것으로 알려져 있다. 이런 중요성에 비해 우리나라에서는 일반 성인의 당지수에 대한 인식도를 조사한 연구 자료가 드물다. 이에 본 연구에서는 당지수에 대한 인식도 차이를 정상인과 질환을 가진 환자군으로 나누어 조사하였다. 2011년 9월부터 2012년 2월까지 일개병원 건강증진 센터를 방문한 농촌 지역 사람들을 대상으로 당지수에 대한 인식도와 교육 정도, 교육 참석 의향, 일반적인 지식정도, 저당지수식 실천정도에 관한 내용을 설문지를 이용하여 조사하였다. 당지수에 대한 인식도에서는 당뇨병군이 다른 군에 비해 비교적 잘 알고 있었고, 교육여부도 당뇨병군이 비교적 높게 나타났다. 당지수와 비만, 당뇨병, 고혈압, 고지혈증과의 관련성에 대해 물었을 때도 당뇨병군이 다른 군들에 비해 옳은 응답률의 비율이 높았으나 당지수에 관한 일반적인 지식을 물었을 때는 당뇨병군과 다른 군간의 차이가 없거나 낮은 응답률을 보이기도 하였다. 그러나 전반적으로 당뇨병군을 포함한 모든 군에서 높은 응답률을 보이지 않았다. 평소에 당지수를 고려해서 식사를 하는지와 저당지수식 실천정도를 물었을 때는 당뇨병군이 더 높은 비율을 보였다. 전반적으로 당뇨병군을 제외한 나머지 군에서는 당지수에 대한 인식도가 낮고, 당지수에 대한 올바른 지식이 부족하며 당지수를 고려한 식생활도 잘 이루어지지 않는 것으로 조사되었다. 당뇨병군에서도 저당지수식의 효과 및 당지수 관련 자세한 지식은 부족한 것으로 보였다. 따라서 본 연구를 통해 농촌 지역 당뇨병 환자 뿐 만 아니라 만성질환자나 정상 성인에서도 당지수에 대한 교육이 좀 더 체계적이고 구체적으로 이루어져야 함을 시사하는 바이다.

헤어 패션 감각(感覺)에 관(關)한 연구(硏究) - 수도권(首都圈) 대학(大學) 여학생(女學生)을 대상(對象)으로 - (A Study on the hair fashion feeling - Objecting to capital area university women students -)

  • 안현경;조규화
    • 패션비즈니스
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    • 제9권4호
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    • pp.59-78
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    • 2005
  • This study aims to know the deferences of hair fashion feeling group in accordance with hair styling activities, general characteristics, life styles objecting to capital area university women students and aid to hair fashion design. So the results are as belows. 1. Frequency Analysis of Categories A. Hair fashion feeling - Natural, sexy, romantic pretty, sophisticate, ethnic are 90% in total hair fashion feeling variables in sequence of frequency, so it can be said these are in vogue. B. Hair styling activities - The objections visit the hair salon once 1-2months, spend about 42,000 won a month, perform cut & wave perm to sentimental reasens & hair style changes, determine the hair style well coordinated in her image and managed easily. In her home, they manage her hair style 12 minutes a day, spend 17,000 won to buy hair aids, do hair blow dry or pin or pony tail mainly in the morning, scarcely use the hair styling aids but if use, essence or wax mainly. And the degree of interest to hair style is high. C. General Characteristics - The objections's average age is 21.1, residence is seoul kangnam 23.3%, seoul kangbook 18.4%, other capital areas 58.4%, the degree of education is university students 94.9%, graduated student 5.1%, marriage is married 96%, unmarried 2.8%, family who live with is married are mainly man & woman and living with father & mother in low in man's, unmarried are mainly live alone & nuclear family, personal expenses a month is 300,000 won in average, income of home is 4,000,000 won a month. D. Life style - The objections are not in interest of physical exercises but if are, do yoga & health, like drama & comedies program, watch TV or meet friend in leisure time, like balad & dance music, fashion magazine, meet friend in cafe or college. 2. Relationship of hair fashion feeling & other variables Using the $x^2$-test, level p<0.05, Hair styling activities(frequency of hair salon coming in and out, ordinary time representing hair style, preferred hair styling aids, the amount of hair style interest), General Characteristics(age), Life style(leisure time) variables are meaningful.