• 근관절건강학회지
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• 제6권2호
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• pp.197-210
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• 1999

Muscle stiffness, pain and discomfort in dally activities are cardinal symtoms on arthritis. To reduce these symtoms, a nonequivalent one-group pre & posttest experiment was carried out at a rural community health post area in Chonbuk province during eight weeks (from 25th of January to 20th of March, 1999). The subjects were sixteen rural old women(65-89yrs) with osteoarthritis. And to reduce the level of pain, discomfort in daily living and to increase that of life satisfaction, 30 minutes of flexibility exercise followed by $15{\sim}20\;minutes$ of local heat therapy were done three times a week. Pain scale from Arthritis Impact Measurement Scales developed by Meenan(1980) for pain, Jette's Daily Activity Discomfort Scales revised by Lee(1988) for discomfort and Life Satisfaction Scales developed by Youn(1982) for life satisfaction were used as research instruments. The data were collected by face-to-face interviews with Investigator and the experiments were done under demonstration and supervision of investigator in community health post. The data were analyzed in percentage and Wilcoxon sign rank sum test by SPSS/PC+ program. The result could be summarized as follows ; 1. The scores of experiment group who were applied hot bag followed by flexibility exercise were tended to be significant lower in the level of pain statistically(Z=4.949, P=0.0001). 2. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be significant lower in the level of discomfort in daily living statistically(Z=2.7226, P=0.0279). 3. The scores of experiment group who was applied hot bag followed by flexibility exercise were tended to be higher in the level of life satisfaction, but there was no significant statistical difference(Z=-1.2087, P=0.2171). In conclusion, flexibility exercise with local heat therapy could be identified as an effective therapy to reduce pain and discomfort in daily living of the rural elderly with osteoarthritis. And as a community health practitioner, the investigator concluded that this exercise with local heat therapy could be developed as a health promotion program for the rural aged people.

• 사상체질의학회지
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• 제15권3호
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• pp.88-99
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• 2003

Background and Objective : The status of development of instruments to assess the 'health status' reflecting the concept of Sasang Constitutional Medicine is still far from satisfaction, despite their importance in building basic data for health promotion, evaluation of effectiveness of treatment, health policy and so on. for these reasons the health scale of Sasang Constitutional Medicine shod be developed. Therefore as from of preliminary research, this study is to review the concept of health and symptoms in health status in Sasang Constitutional Medicine. Methods : It was researched as bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$(東醫壽世保元)${\ulcorner}Dongyi$ Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷)${\lrcorner}$ - Results and conclusion : 1. In Sasang Constitutional Medicine, it is suggested that Inherent vitality(命脈實數) has relations to health and Knowledge-Acting(知行) is a primary factor which affects health. And it is thought that Healthy condition(完實無病) is that human being has enough Healthy energy(保命之主) of Small viscera. 2. In Sasang Constitutional Medicine, it is thought that stool, urine, sweating and digestion become important indexes to measure the physical health state. 3. In Sasang Constitutional Medicine, it is thought that the mental health is in control of inclination of mind by golden mean(中庸) and in tranquillity of constant mind according to constitution. 4. In Sasang Constitutional Medicine, it is thought that the social health is state thar can do social acting harmoniously by keeping away from alcohol, sexual appetite, property and power.

• 지구물리와물리탐사
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• 제21권1호
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• pp.8-14
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• 2018

저수지 제체에 대한 자연재해 피해를 예방하고 보수 및 보강대책을 수립하기 위해서 각종 계측기와 재해예방 전기비저항 모니터링 시스템을 설치하여 관리하고 있다. 대부분 30년 이상으로 노후화된 저수지는 농업용 관개에 따른 구조적인 취약성을 가지고 있다. 계측 및 모니터링 목적은 저수지의 안전성과 견고성을 확보하는데 있는데, 전기비저항탐사는 결함 부위, 침투수 이상대 및 제체 내 세굴현상 등과 같은 잠재적인 취약성 파악이 가능하다. 국내 한 저수지 제체 댐마루에 설치된 전기비저항 자동계측시스템을 통하여 매일 6시간 간격으로 저장된 연간 모니터링 자료를 이용하여, 제체 내 침투수 영향을 파악하였다. 연간 저수위 변화는 10m 정도인데, 영농기 취수에 따른 저수위 변화는 제체 내 물성변화를 야기한다. 모니터링 자료 해석 결과, 비저항 값은 연간 저수위 및 계절영향 이외에 대체로 안정적이었다. 또한, 제체 내 취수시설 주변의 취약성 고찰을 위해서 단순화된 모델을 구성하여 모델링을 수행하였다. 그 결과 전기비저항 모델 반응 계산을 통한 복통구조물 주변 침투수 구간의 탐지가 가능함을 확인하였다.

• 한국보건간호학회지
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• 제16권2호
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• pp.239-253
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• 2002

Health care for women regularly focuses on the reproductive system to the exclusion of other health needs. The lack of research focusing on women's common health issues is a major problem to the enhanced optimal level of women's health. Health care providers have to recognize biological and social differences between men and women. This study was conducted to identify the baseline data and their correlation of health perception, health behavior, and health status of adult women for developing nursing intervention. The study was a descriptive correlational design. A convenient sampling method was used for collecting data from 103 adult women, over 18 years of age, during the period from Sep 1 to Nov 30, 2001. The study's subjects were interviewed using a structured questionnaire. The instruments for this study were the health perception scale modified by Lee(1985) based on the tool developed by Ware(1977) and Jenkins (1966), and the health behavior scale by Ko, Kumja(1987). Health status was measured by the short form Cornell Medical Index(CMI) modified by Nam, Hochang(1965). The data were analyzed SPSS PC+, by frequency, mean, t-test, ANOVA, and Pearson correlation coefficients. Also, the Duncan test was utilized for a post hoc test of ANOVA. The results of this study are as follows: 1. The mean score for health perception was 3.02(S.D=0.39) on a 5 point scale. 2. The mean score for health behavior was 3.08(S.D=0.43) on a 5 point scale. 3. The mean score for health status was 18.54 on 58 items. The mean score for physical symptoms of a subscale of health status was 11.30 on 36 items and the mean score for psychological symptoms was 7.37 on 22 items. 4. The relationship of sociodemographic variables to health perception. health behavior, and health status of women.: 1) There were significant differences in the scores of health perception by disease experience(t=-3.37, p=0.00). 2) There were significant differences in the scores of health behavior by age(F=10.52, p=0.00), height(F=4.73, p=0.01), marital status(t=-5.56, p=0.00), educational background(t=2.90, p=0.00), and drinking or non-drinking(t=2.17, p=0.03). 3) There were significant differences in the scores of health status by educational background(t=2.28, p=0.02) and disease experience(t=2.61, p=0.01). 5. Health perception showed significant positive correlation with health behavior(r=0.39, p=0.00). Health perception showed significant negative correlation with health status(r=-0.44, p=0.00), that is, the more women perceived health, the less she complained about unhealthy symptoms. Health behavior had no significant correlation with health status but showed a positive correlation with psychological symptoms of a subscale of health status(r=-0.19, p=0.05). Many of the leading causes of disease are preventable through changes in health perception and behavior. The need to increase individual awareness of relationships among health perception, health behavior, and health status and to enhance knowledge regarding the long-term effects of positive health behaviors, is an important nursing strategy for women's health promotion.

• 한국보건간호학회지
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• 제7권2호
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• pp.39-52
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• 1993

The primary purpose of this study is to promote and establish the development of home health care in Korea. It focuses on identifying and classifying the nursing activities that were provided by health professionals for patients who were admitted to two hospitals with cerebral vascular disease. And also. the study was conducted for comparison of client selection criteria between health professionals, and identifying patients who needed home health care The subjects of this study were 38 patients with cerebral vascular disease who were admitted to neuro-surgery wards at 2 hospitals with more than 500 beds in Daegu from November 1. through 30. 1991. Survey instruments were questionnaires to identify nursing activities and classify patients who needed home health care. Data was collelected by 1 doctor and 2 nurses per patient independently. They checked the same patient with the questionnaire on the same day and never communicated their information about patients with each other. All the questionnaires checked by doctor and nurses completely were 90. Statistical methods for analyzing data were non-parametric tests (Kruskal Wallice test and sign test). Correlation and percentages were used for further analysis. From this study. the following summarized conclusions have been drawn. 1. 10. 2 kinds of treatment and nursing activities were provided by health professionals for patients with cerebral vascular disease in hospital. 2. The points of nursing needs were between 32-37 out of a total of 500 as a result of the assessment about the health status of patients who were admitted to neuro-surgery ward with cerebral vascular disease. The points of Barthel Index of Functional Status Assessing Devices were between 24-34. Client Selection Criteria for Home Health Care was congruent between the Health professionals because the difference were not found to be statistically significant. 3. Patients classfied as home health care clients were $70-80\%$ of all patients who were admitted in hospital. There was not significant difference in patient selection criteria for home health care between health professionals statistically. As a result. the validity of different tools used in classifying home health care client were found to be congruent. 4. $80-85\%$ patients who could be discharged and sent to their homes early were identified as home health care clients. This study using client selection criteria. for home health care contributed to tool development because the validity of tools was verified. And also, this research represented that there was congruency in patient selection criteria for home health care between different health professionals. As a result, this study represented that many patients who were admitted to hospitals could be classified as a home health care clients. On the basis of the findings. further studies are required to develop client selection criteria using universal tools for classifying home health care clients in other chronic diseases. It is also recommended that comparative studies for client selection criteria between health professionals treating in other chronic diseases are necessary.

• 한국보육지원학회지
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• 제9권4호
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• pp.55-74
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• 2013

본 연구의 목적은 보육교사의 자아탄력성과 심리적 안녕감이 보육교사의 직무스트레스에 어떤 영향을 미치는지에 대해 살펴봄으로써 보육교사의 직무스트레스를 이해하여 보육의 질을 높이고자 한다. 연구대상은 서울과 대전의 어린이집에 근무하는 192명의 보육교사들이다. 자료 분석은 SPSS 19.0 프로그램을 이용하여 기술통계(빈도, 평균, 표준편차), 내적 합치도(Cronbach's ${\alpha}$), 다중회귀분석(multiple regression)을 실시하였다. 연구결과는 다음과 같다. 첫째, 보육교사의 자아탄력성, 심리적 안녕감과 직무스트레스의 일반적인 경향을 살펴본 결과, 보육교사의 자아탄력성과 심리적 안녕감은 높았으며, 직무스트레스는 낮았다. 둘째, 보육교사의 직무스트레스에 대해 자아탄력성과 심리적 안녕감은 상당한 영향을 미치는 것으로 나타났다. 자아탄력성의 낙관적 사고와 분노조절, 심리적 안녕감 중 환경통제력이 직무스트레스 전체를 예측하는 변인으로 나타났으며, 전체 변량의 46%를 설명하였다. 이는 보육교사가 낙관적 사고를 하고 분노조절을 잘 할수록, 또한 환경에 대한 통제를 잘 할수록 직무스트레스가 낮다는 것을 의미한다. 본 연구결과는 보육교사의 직무스트레스를 완화하기 위한 보육정책과 보육교사 교육프로그램 개발에 기초자료를 제공한다.

• 한국응급구조학회지
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• 제13권2호
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• pp.73-86
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• 2009

Purpose : This study is a descriptive correlation study to offer the basic materials for developing the preventive program of continuously increasing AIDS in the young people by examining the knowledge and attitude of AIDS in college students. Methods : The period of data collection was from May 1 to 15, 2009, 300 freshman, sophomore and junior students who understood the purpose of the research and agreed to participate in the questionnaire were randomly sampled, structured questionnaire was distributed to them and their responses were collected. Instruments used for this study included those used by Kim and Lee and revised and complemented by this researcher to measure the knowledge of AIDS and those by Yun and Lee revised and complemented by the researcher to measure the attitude of AIDS. For data analysis, it measured technical statistics, t-test, ANOVA, and Pearson's correlation coefficient using SPSS/PC 12.0. Results : The results of this study are summarized as follows. 1. The whole knowledge of AIDS the subjects had scored 58.9 and their average attitude scored $3.78(1{\pm}25)$. 2. In the degree of knowledge of AIDS depending on general characteristics and health-related characteristics of the subjects, it was found that the students at the department of emergency medical showed higher knowledge(t=3.638, p=.001) and positive attitude of AIDS(t=3.330, p=.001) compared to students at other majors. 3. In the degree of knowledge of AIDS depending on AIDS-related education, subjects who had experienced AIDS education(t=1.973, p=.050), those with the experience of theory education(F=4.057, p=.008), those who felt the necessity of AIDS education(t=4.588, p=.000), and those who were willing to take part in AIDS education(t=2.898, p=.004) showed higher know1edge of AIDS. In the attitude of AIDS, subjects with theory-oriented AIDS education(F=3.012, p=.032), those who felt the necessity of AIDS education(t=2.445, p=.015), and those who were willing to take part in AIDS education(t=2.379, p=.018) showed positive attitude of AIDS education. 4. As the knowledge of AIDS the subjects was higher(r=.329, p=.000), they showed more positive attitude of AIDS and it meant that there was positive correlations. Conclusion : Consequently, systematic, concrete and continuous education of AIDS suitable to the requirements of college students is needed to induce changes of their knowledge and attitude of AIDS and for this, AIDS education program which can be used properly by the developmental stages of college students who belong to late adolescence should be developed in the field of school and if possible, curriculum of sex education including AIDS education should be established in all departments of college.

• Child Health Nursing Research
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• 제7권3호
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• pp.280-297
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• 2001

The purpose of the study was to develop and test the model for the quality of life in mothers of children with nephrotic syndrome. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around ten constructs. Exogenous variables included in this model were mother's health, father's health, marital intimacy, mother's attitude on children, economic state, side effect of steroid, severity of illness and social support. Endogenous variables were mother's burden and quality of life. Empirical data for testing the hypothetical model were collected by using a self-report questionnaire from 152 mothers of children with nephrotic syndrom at the outpatient clinics and in the hospital. The data was collected from May, 1999 to August, 1999.Reliability of the seven instruments was tested with Cronbach's alpha which ranged from 0.71 - 0.92.For the data analysis, SPSS 8.0 WIN program and LISREL 8.20 WIN program were used for descriptive statistics and covariance structural analysis. The results of covariance structural analysis were as follow :1. The hypothetical model showed a good fit with the empirical data. [x2 = .56, df = 3, p = .90(p>.05 ), GFI = .99, AGFI = .99, RMSR = .005.] 2. For the parsimony of model, a modified model was constructed by deleting 1 variable and excluding 2 paths according to the criteria of statistical significance and meaning.3. The modified model also showed a good fit with the data[x2 = 2.83, df = 7, p = .90( p>.05 ), GFI = 1.00, AGFI = .97, RMSR = .011].The result of the testing of the hypothesis were as follows : 1. Mother's health(γ21 = .26, t = 4.16), father's health(γ22 = .19, t = 2.92), marital intimacy(γ23 = .26, t = 4.13) and social support(γ28 = .12, t = 2.03) had a significant direct effect on the quality of life.2. Mother's burden(β21 = -.20, t = -3.10) had a significant negative direct effect on the quality of life.3. Mother's attitude on children(γ14 = -.34, t = .-4.57), mother's health(γ11 = -.22, t = -2.96) and side effect of steroid (γ16 = -.23, t = .-2.69) had a significant direct negative effect on the burden. The result of this study showed that mother's health, marital intimacy, mother's burden, father's health, and social support had a significant direct effect on the quality of life. Mother's attitude on children, mother's health, and side effect of steroid had a significant direct effect on mother's burden. These six variables, mother's health, marital intimacy, father's health, social support, mother's attitude on children and side effect of steroid were identified as relatively important variables. The results of this study suggest, it needed to determine the nursing intervention will alleviate mother's burden and promote a greater quality of life in mothers of children with nephrotic syndrom.

• 여성건강간호학회지
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• 제3권2호
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• pp.129-156
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• 1997

The purpose of this study is to investigate the relationship between depression and ego identity of middle-aged women and to identify the variables that show differences in the depression and ego identity of middle-aged women. The subjects in the study were 321 mothers of high school students whose age were 40-59 years old. The instruments for this study were Beck Depression Inventory(BDI) developed Beck(1978) and translated by Lee(1981) and Ego identity Scale developed Suh(1975) and modified by Nam(1975). The reliability values of BDI range from 0.83 to 0.87 and Ego identity range from 0.81 to 0.85 using Cronbach alpha. The data were analysed by using the SAS program and included Frequency, percentage Pearson Correlation MANOVA, t-test, ANOVA. The conclusion obtained from this study were as follows ; 1) There was a negative correlation(r=-0.21, p=0.0002) between depression and ego identity of middle-aged women. Thus the lower depression the higher ego identity for middle-aged women. 2) According to the analysis of interacting effects of depression and ego identity, there were significant differences in the household income(F=0.38, p=0.0035), level of education (F=6.50, p=0.0001), satisfaction of marriage(F=10.45, p=0.0001), family pattern (F=6.18, p=0.0001), menopausal status(F=7.23, p=0.0001), present disease(F=4.85, p=0.0110) and health status(F=9.00, p=0.0001). 3) There were significant differences on the level of education(F=12.98, p=0.0001) household income(F=5.78, p=0.0007), support of spouse(F=8.58, p=0.0002), satisfaction of marriage(F=20.08, p=0.0001), menopausal status(F=11.32, p=0.0001), present disease(t=2.76, p=0.0062) and health status(F=17.23, p=0.0001) of the depression of middle-aged women. 4) There were significant differences on the patterns of household(t=-2.64, p=0.0086), support spouse(F=3.58, p=0.0291), satisfaction of marriage(F=3.90, p=0.0212), menopausal status(F=4.59, p=0.0108) and disease(t=2.11, p=0.0359) of the ego identity of middle-aged women. On the basis of the above findings the following recommendations are made ; 1) According to results of this study, middle-aged women's depression is correlated with ego identity. Thus when the nurse plans the preventive strategy of middle-aged women's depression, the nurse must be considered with level of ego identity. 2) To study for middle-aged women in depth, further research is need to study regard to middle-aged men and their children.

• 인간행동과 음악연구
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• 제13권1호
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• pp.41-60
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• 2016

본 연구는 중도시각장애인의 음악 활용을 파악하고, 개인변인에 따른 차이를 알아보고자 한다. 이를 위해 서울과 경기도에 소재한 6개의 시각장애인복지관을 이용하고 있는 만 40세 이상 60세 이하 성인 중도시각장애인 70명을 모집하였다. 음악 활용, 음악 활용 목적, 개인변인 등 총 25문항으로 구성된 설문지를 배포한 후 회수된 설문지 중 불충분한 응답 9부를 제외한 총 61부를 분석한 결과는 다음과 같다. 첫째, 중도시각장애인은 주로 휴식을 취하고 싶을 때, 집에서 라디오를 주로 사용하여, 빠르고 경쾌한 대중가요를 감상하는 것으로 나타났다. 노래활동에서 이들은 추억을 회상하는 가사의 대중가요를 주로 부르고, 노래 활용 빈도가 음악감상이나 악기연주 활동에 비해 높게 나타났다. 악기 연주하기에서 연주가능하고 선호하는 악기는 모두 현악기인 것으로 확인되었다. 둘째, 음악 활용 목적은 기분전환, 즐거움, 편안함, 성취감, 소속감의 순으로 나타났다. 셋째, 중도시각장애인의 개인변인(성별, 장애정도, 실명기간)에 따른 음악 활용에는 전반적으로 차이를 보이지 않으나, 전맹이 저시력에 비해 음악을 통해 소속감을 느끼는 정도가 높고, 실명기간이 상대적으로 짧은 집단이 음악을 활용하여 소속감을 얻는 정도가 높은 것으로 나타났다. 본 연구는 중도시각장애인의 음악 활용을 파악함으로써, 대상의 요구와 필요에 맞는 효과적인 음악치료프로그램을 계획하는데 기초자료를 제공할 수 있을 것이다.