• 한국산학기술학회논문지
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• 제16권12호
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• pp.8596-8607
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• 2015

본 연구는 다문화아동과 일반아동의 학업자아와 사회자아의 영향요인을 비교하는 서술적 조사 연구이다. 본 연구대상자는 초등학생 4-6학년 다문화아동 285명과 일반아동 223명으로 자료수집 기간은 2014년 2월 20일부터 5월 20일까지 3개월 동안 실시하였다. 수집된 자료는 SPSS 23.0을 이용하여 기술통계, t-test, Pearson correlation coefficients, enter multiple regression으로 분석하였다. 연구결과 다문화아동은 일반아동에 비해 학업자아, 사회자아, 부모애착, 사회적지지, 학교생활적응의 평균값이 유의하게 낮았고, 정신건강 수준도 낮았다. 다문화아동의 학업자아에 영향을 미치는 요인들은 학습활동(${\beta}$=.298), 사회적 부적응(${\beta}$=-.218), 의사소통(${\beta}$=-.196), 신뢰감(${\beta}$=.167) 순으로 학업자아를 42.2% 설명하는 것으로 나타났다. 사회자아에 영향을 미치는 요인으로는 친구지지(${\beta}$=.285), 교우관계(${\beta}$=.187), 사회적 부적응(${\beta}$=-.172), 우울요인(${\beta}$=-.139) 순으로 사회자아를 46.3% 설명하였다. 본 연구에서 밝혀진 학업자아와 사회자아의 영향요인들은 향후 학령기 아동의 자아개념 증진프로그램에 활용될 수 있을 것이다.

• 대한간호학회지
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• 제26권2호
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• pp.304-319
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• 1996

It is important to evaluate nutritional status of elderly patients receiving dialysis, since wasting and malnutrition are their common problems. This study aims at assessing their nutritional status by the type and duration of dialysis. The nutritional status such as somatic fat and protein storage was evaluated with anthropometric measure including weight/height ratio, triceps skinfold thickness and midarm muscle circumference. It was also measured with albumin, transferrin, C3 and IGF-1 and calorie and protein intakes. The general clinical condition of patients was evaluated with the severity of uremia and metabolic acidosis. which were measured through the levels of serum urea, creatinine and bicarbonateion. The data were analyzed by using t-test, ANOVA, Wilcoxon-rank sums test, Scheffe test, Kruskal-Wallis test and Pearson correlation coefficients. The results are following : 1. There was no significant difference in the calorie and protein intakes by the type and duration of dialysis received. 2. As for the anthropometric measures, no significant difference was found by the type of dialysis in body mass index triceps skinfold thickness and midarm muscle circumference. Yet these anthropometric measures differed significantly by the duration of dialysis in those elderly patients receiving hemodialysis(HD group), but this finding was not found in those receiving continuous ambulatory peritoneal dialysis(CAPD). 3. Regarding the indicators of uremia and metabolic acidosis, blood urea nitrogen(BUN) and creatinine were lower in the CAPD group than in the HD group, whereas bicarbonate ion was higher in the CAPD group than in the HD group, with no statistical significance. In the HD group, creatinine increased significantly with the increase of the duration of dialysis. 4. Serum trasferrin and C3 were significantly higher in the CAPD group than in the HD group. However. each of biochemical indices did not show statistical significance by the duration of dialysis in both HD and CAPD groups. 5. Anthropometric measures were significantly associated with dietary intake. Significant correlations were observed between biocarbonate ion, BUN and creatinine. In addition, the correlations between serum protein and albumin and between transferrin and C3 were statistically significant. Yet, IGF-1 revealed no significant correlation with other nutritional indices. The above findings indicate that there were no difference in nutritional status measured with protein and calorie intakes between the type and duration of dialysis, but CAPD seems to benefit correcting uremia and metabolic acidosis than HD. Studies of dietary management for dialysis patients need to be pursued in order to improved the quality of aged patients receiving dialysis.

• 한국산학기술학회논문지
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• 제12권3호
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• pp.1223-1233
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• 2011

본 연구의 목적은 대학생들의 진로의사결정유형과 진로의식성숙정도를 파악하고, 진로의사결정유형에 따른 진로의식성숙에서의 차이를 알아봄으로써 진로지도에 도움이 될 수 있는 지침개발의 기초자료로 제공하고자 함이다. 본 연구의 대상은 6개 대학에 재학 중인 대학생 223명이다. 대학생들의 진로의사결정유형에서 합리적 의사결정점수가 가장 높았고, 다음으로 직관적 의사결정, 의존적 의사결정 순으로 나타났다. 진로의식성숙에서 스스로 진로를 정하는 진로독립성, 진로관여성은 높은데 비해 직업선택에 대한 긍정적인 태도나 진로타협성은 낮은 것으로 나타났다. 학년에 따른 진로의식 성숙에서는 2, 3학년에 비해 1, 4학년이 진로결정성이 높은 것으로 나타났다. 사회경제적 수준에 따른 진로의식 성숙에서도 상류층은 하류층에 비해 진로결정성이 높았으나 진로독립성은 낮았다. 진로의사결정유형에 따른 진로의식성숙에서는 합리적 의사결정유형집단이 의존적 의사결정유형집단에 비해 진로독립성이 높고 직업 선택의 태도가 긍정적이었다. 본 연구는 대학생의 의사결정유형에 따른 진로의식성숙의 차이를 보여 진로지도에서 의사결정유형의 중요성을 인식시켰으며, 더불어 대학교 취업교육현장에서 진로의식성숙을 함양하기 위한 개입 방안을 모색하는데 도움이 될 것이다.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.391-400
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• 2020

이 연구는 유아(만 12~36개월)를 양육하는 어머니와 할머니의 양육 교육요구를 비교하여, 양육자 간의 양육태도 불일치로 인한 갈등과 문제를 해결하고, 일관성 있는 양육 교육 프로그램의 개발에 필요한 기초자료를 제공하기 위해 시도되었다. 연구 대상자는 유아를 양육하는 할머니 201명, 어머니 201명이며, 자료 수집은 경남 C시 어린이집 11곳에서 2017년 8월 1일부터 10월 12일까지 시행되었다. 수집된 자료는 빈도와 백분율, 평균과 표준편차, independent t-test로 분석하였다. 어머니와 할머니의 양육 교육요구를 비교한 결과, 전체 교육요구 점수는 4점 만점에 어머니 2.82±0.58점, 할머니 2.81±0.63점이었고, 5개 전체 영역에서 통계적으로 유의한 차이가 없었다(t=0.21, p=.836). 양육 교육요구는 어머니와 할머니 모두 질병과 사고예방 및 관리 영역이 가장 높았고, 신체 돌보기 영역이 가장 낮았다. 본 연구 결과를 근거로 유아 양육 교육 프로그램은 교육요구가 높았던 질병과 사고예방 및 관리 영역을 중심으로 내용을 선정하여 개발하고, 유아를 양육하는 어머니와 할머니 모두를 대상으로 적용하여 그 효과를 규명하는 연구를 제안한다.

• 한국산학기술학회논문지
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• 제13권4호
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• pp.1672-1683
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• 2012

본 연구는 결혼이주 베트남 여성들의 완전모유수유 실천 기간 및 관련 요인을 파악하여 추후 이들의 모유수유실천 증진을 위한 교육프로그램 개발 시 기초자료로 활용하기 위한 목적으로 실시하였다. 서술적 조사연구로, 대전, 충남지역에 거주하고 있는 결혼이주 베트남 여성 중 생후 6개월 이상 5세 이하의 자녀를 둔 125명을 대상으로 구조화된 질문지를 이용하여 면접법에 의해 자료를 수집하였다. 수집된 자료는 빈도와 백분율, t-검정, ANOVA 및 단계별 다중회귀분석을 이용하여 분석하였고, 결과는 다음과 같다. 첫째, 결혼이주 베트남여성의 완전모유수유 실천기간은 평균 15.9주 이었다. 둘째, 생후 6개월간 아기의 월령이 증가됨에 따라 완전모유수유 실천율은 감소하고, 분유수유와 혼합수유가 증가하였다. 셋째, 완전모유수유실천 기간에 영향을 미치는 요인은 가족형태, 모유수유 교육유무였으며, 이들 변인의 설명력은 30.8% 이었다. 이상의 연구결과 모유수유 교육유무가 완전모유수유 실천에 중요한 예측요인임을 확인할 수 있었다. 그러므로 결혼이주 베트남 여성의 완전모유수유 실천기간 증진을 위한 체계적인 교육프로그램 개발과 그 효과를 검증하는 후속 연구의 필요성을 제언한다.

• 대한간호학회지
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• 제4권1호
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• pp.121-134
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• 1974

This study is an attempt to evaluate the use of an oral contraceptive by: 1. Deforming the acceptance rate of the oral contraceptive according to socio-demographic characteristics 5. Estimating the duration of the use of the contraceptive f. Discovering reasons why the contraceptive was discontinued 4. Computing the cumulative continuation and discontinuation rate according to socio-demographic characteristics, history of pregnancies, and attitude of husband at the time of selection of the contraceptive. One hundred sixty-eight women of child bearing age (14-49 years), residing in Yonhee Dong, Seoul, Korea and registered as oral contraceptive accepters at Yonsei Community Health Center, were interviewed during a three week period in 1973. The questionnaire was designed to determine the socio-demographic characteristics of the oral contraceptive accepters, the current status of their family planning practice, medical reactions if any, discontinuation practice, and the duration of the use of the contraceptive. The major findings of the study were as follows; 1. The acceptance rate was highest for women between 30 and 34 years of age, the mean age being 34.4 years. 2. Fifty six point five percent of all respondents said that thirty years of age was the ideal age to stop having children. 3. The average number of living children was 3.5 and fifty four point eight percent of respondents felt 2 boys and I girl was the ideal number of children. 4. The average number of pregnancies was 5.2 and the average number of induced abortion was I. 4. 5. Fifty eight point eight percent of the respondents had experience in the use of contraceptive methods in the past. 6. Forty one point seven percent of the respondents replied that they chose the oral contraceptive because, "it was not complicated to use." 7. Sixty four point eight percent of the women said their husband approved of their taking the pill. 8. The cumulative discontinuation rate was sixty point five percent of the total respondents for one year in first segment. 9. Sixty six point nine percent of the respondents had experienced side-effect while using the pill. The side effects for 68.9 percent of these women were castro-intestinal upsets. Twenty point eight percent of the women who had side effects consulted with medical personnel about them. Women who had more education had more side effects. 10. Seventy three point two percent of the women who discontinued the pill did so because of medical reasons. Women who were younger discontinued the pill for personal reasons more-often than older women. Among personal reasons listed for discontinuing the pill was the attitude of the husband. 11. The average duration of continuance of the contraceptive was 5.3 cycles under 29 years of age; 7.4 cycles between 30 and 34 years of age; and 8.4 cycles over 40 years of age. 12. The discontinuation rate was seem to increase sharply in the early cycle and increase more slowly in later cycle. Conclusions and suggestions: Since the attitude of the husband was shown to be important, the current family planning program should be expended to include approach to husband. For women who must use the oral contraceptive, education and support must be enhanced so that the discontinuation rate due to side effects will be decreased.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권1호
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• pp.41-48
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• 2013

Purpose: Meckel's diverticulum (MD) has various clinical manifestations, and diagnosis or selectection of proper diagnostic tools is not easy. This study was conducted in order to assess the clinical differences of MD diagnosed by scintigraphic and non-scintigraphic methods and to find the proper diagnostic tools. Methods: We conducted a retrospective review ofthe clinical, surgical, radiologic, and pathologic findings of 34 children with symptomatic MD, who were admitted to Gachon University Gil Medical Center, Inha University Hospital, and The Catholic University of Korea, Incheon St. Mary's Hospital between January 2000 and December 2012. The patients were evaluated according to scintigraphic (12 cases; group 1) and non-scintigraphic (22 cases; group 2) diagnosis. Results: The male to female ratio was 7.5: 1. The most frequent chief complaint was lower gastrointestinal (GI) bleeding in group 1 and nonspecific abdominal pain in group 2, respectively. The most frequent pre-operative diagnosis was MD in both groups. Red blood cell (RBC) index was significantly lower in group 1. MD was located at 7 cm to 85 cm from the ileocecal valve. Four patients in group 1 had ectopic gastric tissues causing lower GI bleeding. The most frequent treatment modality was diverticulectomy in group 1 and ileal resection in group 2, respectively. Conclusion: To diagnose MD might be delayed unless proper diagnostic tools are considered. It is important to understand indications of scintigraphic and non-scintigraphic methods according to clinical and hematologic features of MD. Scintigraphy would be weighed in patients with anemia as well as GI symptoms.

• 대한간호학회지
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• 제30권2호
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• pp.452-462
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• 2000

There are currently 214 orphanages in Korea which house approximately 13,873 orphans aged between 3 and 18; this accounts for about 0.12% of all children in the same age range. Some have lost their parents, but most have come after their parents divorced or broke up. This means majority of the children in Child Care Centers have parents. Traditional virtue of obedience to parents (Hyo) was regarded as one of the highest value in Korea. Also the interaction between parents and their children was regarded as basic human nature that parents look after, both physically and spiritually, their children until they become one of the matured social member. Raised without having a chance to realize their filial duty and not having been cared for by their parents, most orphans feel that they lack something in their lives when compared with friends. In the end, they live their lives longing for their parents and go through mental discord about their parents. This paper is focused on understanding orphans' experience and views on parents. I approached the issue by applying van Manen's Hermeneutic Phenomenological Approach. The interviews, along with other reference material were phenomenologically reflected to draw essential themes as follows; 1. Orphans of pre-school age hazily long for parents without having any practical image of their parents. 2. They occasionally dream meeting their parents with image that can only last in their dreams, and this continues up through middle school. 3. At the age of elementary school, they crave the image of parents as they see their friends with their parents. 4. They start to despise their parents for having abandoned them when they reach puberty. 5. Meanwhile, as their vague image of parents fade away, they attempt to give up their thoughts toward their parents. 6. Highteens start to think in terms of fate. 7. They don't long for their parents anymore as they used to, but still wishes to meet them at least once. However, they don't want to start any kind of a relationship with them. 8. They fear that they will also fail in raising families of their own, and making their children orphans too, just like their parents have. They simply don't want to follow their footsteps. 9. Thinking that they were abandoned by their parents, they are reluctant to believe other people.

• 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.

• 대한간호학회지
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• 제25권3호
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• pp.472-484
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• 1995

The purpose of this study was to develop a home health care model in the public health system and to test the effectiveness of the model. Seven com-munity health practitioners in Yon- Cheon county. Kyunggi province, carried out home health care service for this research. The subjects of the home health care were a total of 111 community residents with chronic health problems and risk-prone infants and children; 29 persons with hypertension, 18 persons with diabetes, 12 persons with neurologic problems, 12 elderly, and 40 infants and children. During the period of study, from December, 1993 to March, 1995, a demonstrative home health care model was developed in the Yon-Cheon County community health centers with the cooperation of the Yon-Cheon Medical Center and Yon-Cheon Public Health Center for the first six months. A home care practice manual and recording system for home visits were also co-developed by the researchers and community health practitioners. Four workshops and monthly conferences were held for this purpose. Actual home care practice took place for two months, and on-going evaluation and replanning accompanied this process. The result of the evaluation of home care service were as follows. 1) For persons with hypertension, diabetes, neurologic problems, there was significant improvement in knowledge of disease and care, but no significant difference was seen in health behavior or symptoms after home care service. 2) No significant difference was seen in level of self esteem or depression after reminiscence therapy among 12 elderly subjects. 3) There were significant differences in satis-faction toward child rearing and parental sup-port, but no significant difference In education needs for parental role after home care service among parents of infants and children. 4) There was significant improvement in the quality of life among the subjects after the home care service. 5) Subjects responded that they were highly satisfied with the home care service given by the community health practitioners. Although, the actual implementation period was very short, and not all of the evaluation outcomes showed significant improvement, the home health care model of community health practitioners was, in general, positively evaluated. Through this re-search, the possibility of community health practitioners working as active home care personnel in the public health care system is supported. Further research with an expanded area and subjects for a longer period is recommended. Cost effectiveness research is also needed.