• 한국치위생학회지
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• 제13권1호
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• pp.114-121
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• 2013

Objectives : The purpose of the research is to measure Dental Hygiene students' level of musculoskeletal pain before and after receiving scaling training which involves repetitive operations and examine effects the operations have on the students' grip and pinch strength. Methods : 15 subjects in Dental Hygiene at Y university located in Chungbuk were tested on November 2, 2011. Results : 12 students had a musculoskeletal pain before receiving scaling training. However, all the 15 students had a musculoskeletal pain after the training. Body part the largest number of the students complained of the pain on was shoulders(37.9%) followed by neck(20.8%), waist(13.9%), wrists(10.3%), then back(6.9%) before receiving the training. Then the result showed that shoulders are where the largest number of students(24.1%) felt the pain, followed by neck(17.2%), wrists and fingers(13.8%), waist(12.1%), back and lower arms(6.9%), then palms(5.2%) after the training. Visual Analogue Scale(VAS) increased to $6.35{\pm}2.09$ after receiving the training from $3.31{\pm}3.38$ and this shows statistically significant difference(p<.001). Upon inspection, average grip strength decreased to $23.23{\pm}5.79kg$ from $25.00{\pm}4.51kg$ after receiving the training and this shows statistically significant difference(p<.05). Key pinch was the strongest among the three pinch strengths followed by tripod pinch then tip pinch. Average of all the three pinch strengths showed to have statistically significant difference before and after the training(p<.05); Tip pinch from $6.53{\pm}1.36$ to $5.87{\pm}1.3$, key pinch from $13.47{\pm}2.5$ to $12.53{\pm}2.30$, and tripod pinch from $9.27{\pm}3.04$ to $8.03{\pm}2.72$. Conclusions : The result showed that scaling training has effects on Dental Hygiene students' musculoskeletal subjective symptoms and their grip and pinch strength changes after receiving the training.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2012년 추계학술대회
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• pp.393-401
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• 2012

본 연구에서의 미용업 종사자의 감정노동, 직무 및 사회심리적 스트레스, 피로도가 근골격계질환에 미치는 직 간접적인 영향을 평가하기 위하여 시도되었다. 그 결과 미용업 종사자의 근골격계질환 자각증사자는 신체부위 중 어깨의 근골격계질환 관련 자각증상자가 가장 많았으며, 목, 허리, 손목, 팔, 발, 무릎 순으로 나타났다. 미용업 종사자의 감정노동 각 문항별 평가 결과는 '나는 기분이 나쁠 때 고객들에게 표현하지 않도록 최선을 다한다'의 문항이 3.92점으로 가장 높게 나타났으며, 이와 반대로 '표현되는 행동과 실제 감정의 차이 때문에 혼란스러울 때가 있다' 2.61점으로 나타났다. 미용업 종사자의 작업 관련 심리적인 요인이 근골격계질환에 미치는 영향에 대하여 근골격계질환자가 무증상자에 비하여 감정노동과 피로도에 영향을 더 많이 받는다는 것으로 나타났으며, 직무 스트레스가 증가할수록 사회심리적 스트레스는 낮아지지만 피로도가 증가하는 것으로 나타났다. 감정노동이 피로도에 미치는 영향에서 직 간접적인 영향이 모두 높은 것으로 나타났으며 직무 스트레스가 피로도를 통해 근골격계질환에 미치는 간접적인 영향이 큰 것으로 나타났다. 본 연구를 통하여 미용 종사자의 작업 관련 물리적 심리적 개선 방안 마련이 요구되면 산업안전보건 분야의 정책적 관리 방안 마련을 제안한다.

• 대한간호학회지
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• 제25권4호
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• pp.807-824
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• 1995

This study was intended to provide women who are experiencing menopause with effective nursing care by exploring the menopause experience. The purpose of the research was to understand the subjective feelings of women about the question of what the menopause experience is. Q-Methodological method was used for that purpose. As the research method, Q-statements were collected preliminary to the study of through in -depth interviews and a literature review. For the study 34 Q-statements were selected. There were 21 women as subjects for the research. The 21 women sorted the 34 statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure the individual opinions, was called Q-Factor Analysis by using PC Quanl Program to supply the material. As a result, there were four categories(self-com-passion type, self-regulation type, self-perception type, self-abandonment type) of special opinion about the menopause experience in these women. The first type was called Self-compassion This type' was associated with varying degrees of emotonal instability(psychological withdrawal). And type in menopause signifies loss of a socially valued status and may result in depressive symptoms. This type expresses the menopause experience as associated with negative reaction. The second type is called Self-regulation. This type overcomes the menopause experience more actively than the other types and do not express the menopause experience as one of suffering. This type make efforts by themselves to regulate the mono-pause experience. The third type is called Self-perception. This type perceives the experience of menopause which as typical menopausal syndrome (hot flashes and decreased vaginal lubrication, decreased estrogen producing atrophic changes of the labia and vaginal mucosa, making intercourse uncomfortable). The fourth type is called Self- abandonment. This type denies the experience of menopause. The meaning of menopausal experience is significantly related with a life accident or life load. Also, This type experiences pain in the musculoskeletal system. As a result, The meaning of the menopausal experience is affected by perceived subjective experience of the nurses, the need to understand each persons meaning of the menopause experience and to develop appropriate nursing interventions based on the typology of menopause experience. Finally. The result of the study will provide basic data for nursing intervention the menopausal women.

• 대한한방내과학회지
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• 제35권4호
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• pp.556-572
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• 2014

Objectives: The purpose of this study was 1. To investigate correlation of subjective stress with patient's prognosis 2. To observe the effect of Kami-shoyo-san on anxiety and depressive disorder. Methods: We investigated 3 cases of in-patients from traffic accidents. Patients were treated with Kami-shoyo-san. The Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI) were used to assess anxiety and depression, respectively. We also used Qi stagnation test and Qi counterflow test according to Terasawa's criteria for diagnosis of anxiety and depression. Pain was evaluated by Numeric Rating Scale (NRS). Results: After treatment, the patient's symptoms improved considerably. Conclusions: 1. There were significant correlations between subjective stress and prognosis. 2. Kami-shoyo-san has good effect on anxiety and depressive disorder.

• 대한통합의학회지
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• 제10권2호
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• pp.49-59
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• 2022

Purpose : The purpose of this study is to directly understand the health condition of residents of mental health sanatoriums nationwide, which has been difficult to ascertain in surveys conducted to date. The study presents specific measures for improving the health of these residents. Methods : A "physical examination questionnaire for residents of mental health sanatoriums" was developed to check the basic physical condition of residents, and 20 out of 59 mental health sanatoriums nationwide were randomly selected. Medical personnel visited the sanatoriums, interviewing and examining the residents in person. A total of 396 health surveys were completed. Results : Many of the residents were underweight but had abdominal obesity. It was confirmed that chronic diseases among the residents were not diagnosed early or were not properly managed. Among the subjective symptoms complained of by the residents, musculoskeletal symptoms were the most common. Oral examinations revealed a serious level of oral health problems among the residents, including dental caries and missing teeth. Basic physical examinations found health problems that required additional examination or medical treatment. Blood pressure abnormalities made up the highest percentage of the health problems. Conclusion : Regular health surveys are needed to determine the health condition of residents of mental health sanatoriums. Access to and quality of primary medical services within the sanatoriums need to be dramatically improved. A delivery system for severe diseases and emergency medical care in the sanatoriums should also be specifically presented. The residents should be notified upon admission and during their stay that they have the right to the enjoyment of the highest attainable standard of mental and physical health. The issue of health rights should be addressed within a larger framework of reorganizing management plans for people in the community - not only residents - with chronic mental illness.

• 농촌의학ㆍ지역보건
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• 제17권1호
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• pp.25-33
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• 1992

Most of oriental medical care resources such as doctors and facilities are distributed in urban areas and approximately ten percent of them is in rural areas. However the aged population of over 60 years old in rural areas is higher than that in urban and these aged population prefer more oriental medical care than the other age group. Therefore, the government planned to carry out the oriental medical care demonstration project in a designated rural areas in 1990. The study was carried out to find out the utilization pattern of medical care and consumers attitude toward oriental medical care treatment provided by health centers. The interview survey was applied to collect the data and 187 patients, who visited to health centers to receive care in 1991, were selected by random sampling. The study results obtained were as follows : 1) Among the 187 respondents, male was 31.6% and female, 68.4%. 2) 73.8% of the respondents were the age of over 45 years old. 3) For the motivation of visiting the health center to receive oriental medical care, 37.4% of the respondents visited purposely according to announcement of oriental medical care and 26.2% of them made a decision by themself 20.3% of them was recommended by the neighbors. 4) The most frequent symptoms surveyed were the disease of the musculoskeletal system and connective tissue. 5) By the subjective judgement of the respondents from the result of the oriental medical treatment, recovered or improved cases represent 69.5%. It is considered that the oriental medical care was acceptable, and also the respondents were satisfied with the oriental medical care in terms of kindness of oriental medical doctors, treatment time and expenses of care.

• 대한정형도수물리치료학회지
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• 제27권3호
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• pp.99-105
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• 2021

Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

• Journal of Preventive Medicine and Public Health
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• 제30권4호
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• pp.779-790
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• 1997

본 연구는 목과 상지의 누적외상성장애를 호소하는 대상자들중에서 근막동통증후군으로 진단받은 환자군과 단순 증상호소군인 대조군사이에서 검사결과의 분석을 통하여 집단 검진시 고려해 볼 수 있는 검사항목을 찾고자하였다. 조사대상은 컴퓨터를 통한 자료검색 및 대화형태의 업무를 하는 여성 전화교환원 904명이었으며, 근막동통증후군으로 진단받은 105명의 환자군과 상지의 누적외상성장애의 증상만을 호소하는 550명의 대조군을 비교하여 다음과 같은 결론을 얻었다. 1. 신체계측과 악력 및 Pinch strength 측정결과, 키와 몸무게, 앉은 자세의 높이 등에서는 환자군과 대조군의 차이가 없었으나, 약력은 환자군의 우측손이 대조군보다 유의하게 낮았으며, Pinch strength는 두 군간의 유의한 차이는 없었다. 2. 시각적 상사척도는 환자군의 평균값이 $6.74{\pm}2.29$이며, 대조군은 $4.37{\pm}2.32$으로 나타나 두 군간 뚜렷한 차이를 보였다. 3. 근육효소검사에서는 비정상으로 분류된 이상자의 분포가 환자군과 대조군에서 유사한 분포를 보여 실제 진단과정에 미치는 영향은 미비한 것으로 나타났다. 4. 다중 로지스틱 회귀분석을 이용한 유의한 변수는 나이, 우측 상부승모근의 압통역치값과 시각적 상사척도로 나타났다. 5. 압통역치검사와 시각적 상사척도는 근막동통증후군의 진단에 객관적 검사로서 고려할 만한 검사로 나타났다.

• 한국산학기술학회논문지
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• 제13권8호
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• pp.3552-3560
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• 2012

본 연구는 한 비철금속 제조업 생산직 남성 근로자들의 인구사회학적특성, 건강관련행위 특성 및 직업관련 특성별 근골격계 자각증상호소율을 파악하고 그의 관련요인을 알아보고자 시도하였다. 조사대상은 대전광역시 소재한 비철금속 제조업체 근로자 302명을 대상으로 하였으며, 2011년 5월 1일부터 6월 30일까지의 기간 동안에 표준화된 무기명식 설문조사를 실시하였다. 연구결과, 연구대상자의 근골격계 질환 발생부위별 증상 호소율은 어깨부위의 증상이 42.7%로 가장 높았고, 다음은 허리부위 36.8%, 목 부위와 손/손목/손가락 부위가 각각 30.5%, 다리/발 부위 30.1%, 팔/팔꿈치 부위 20.9%의 순위였다. 인구사회학적 특성별 근골격계 자각증상 호소율은 연령, BMI가 낮을수록, 주관적인 건강상태가 좋지 않다는 군에서 유의하게 높았다. 건강관련 행위 특성별 자각증상 호소율은 질병으로 인한 결근한 적이 있다는 군, 외래 진료를 받은 적이 있다는 군, 입원진료를 받은적이 있다군, 규칙적인 운동이 비운동군, 수면시간이 부적당한 군에서 유의하게 높았다. 직업관련 특성별 자각증상 호소율은 업무의 신체적 부담정도가 힘들다는 군, 허리를 구부리는 작업을 하는군, 직장생활에 만족하지 않는다는 군, 근속기간이 10년 이상인 군, 허리를 구부리는 작업을 한다는 군, 반복 작업을 한다는 군에서 유의하게 높았다. 결론적으로, 생산직 남성근로자들의 근골격계 자각증상은 여러 인구사회학적 특성, 건강관련 행위특성 및 직업관련 특성과 유의한 관련성이 있었다.

• Journal of Preventive Medicine and Public Health
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• 제32권3호
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• pp.361-373
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• 1999

ROC곡선의 AUC는 측전도구의 기준 타당도를 나타내는 가장 일반화된 지표다. 본 연구는 ROC분석법을 이용하여 현행의 근로자건강진단에서 업무관련성 근골격계 질환의 고위험군을 변별하는 표준 설문지를 개발하고자 하였다. 컴퓨터를 이용하는 선박 설계업 종사자 89명, 전화번호 안내원 113명, 일반 직업 여성 79명, 주부 89명 등 총 370명의 일차 연구대상군에 대한 재활의 학과 전문의의 최종 진단결과를 기준으로 1996년에 개발된 '근로자의 신체 증상에 관한 설문지'의 응답결과를 비교하였다. 근골격계 질환과의 관련성이 높은 문항조합을 선정하고 문항별 가중치를 산출하기 위해 로짓회귀분석, 상관분석 등을 실시하였으며, 문항조합 및 가중치 산출방법이 서로 다른 4가지 설문모형에 따른 AUC를 비교 하였다. 또한, 국내 모 자동차조립공장 근로자 225명의 설문결과와 산업의학 전문의의 진단결과 자료를 이용하여 4가지 설문모형의 AUC 재현도를 확인하였다. 분석 결과, 통계적으로 유의 한 차이는 없었으나 문항수를 줄여도 문항별 응답수준별 가중치를 부여하면 AUC가 일관되게 증가함을 확인하였다. 증상문항 4개와 신체부위문항 7개를 통합한 11개 문항에 가중치를 부여하는 모형이 변별력, 재현도, 편의성 측면에서 우수한 것으로 나타나, 이를 기준으로 새로운 업무관련성 근골격계 질환 설문지를 설계할 수 있었다. 문항수가 적으면서도 타당도는 높은 설문지를 개발하고, 상대적인 비교평가에 쓰일 수 있는 정량적 가중치를 제시한 것이 본 연구의 주요성과라 할 수 있다. 본 연구는 전문의 사이의 진단기준 차이를 고려하지 못한 점, 다양한 인구집단에 적용할만한 절대적인 참고치를 제시하지 못한 점 등에서 한계가 있다. 그러나, '측정 도구의 정량적 타당도 검증을 통한 질병 감시용 도구 개발'이라는 본 연구의 기본 취지 및 접근방법은 향후 조직적인 질병 예방활동에 활용될 여지가 있을 것이다.