• 대한간호
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• 제28권3호
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• pp.52-67
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• 1989

True nursing care means total nursing care which includes physical, emotional and spiritual care. The modern nursing care has tendency to focus toward physical care and needs attention toward emotional and spiritual care. The total nursing care is mandatory for patients with terminal cancer and for this purpose, hospice care became emerged. Hospice case originated from the place or shelter for the travellers to Jerusalem in medieval stage. However, the meaning of modem hospice care became changed to total nursing care for dying patients. Modern hospice care has been developed in England, and spreaded to U.S.A. and Canada for the patients with terminal cancer. Nowaday, it became a part of nursing care and the concept of hospice care extended to the palliative care of the cancer patients. Recently, it was introduced to Korea and received attention as model of total nursing care. This study was attempted to assess the efficacy of hospice care. The purpose of this study was to prove a difference in terms of physical, emotional a d spiritual aspect between the group who received hospice care and who didn't receive hospice care. The subject for this study were 113 patients with advanced cancer who were hospitalized in the S different hospitals. 67 patients received hospice care in 4 different hospitals, and 46 patients didn't receive hospice care in another 4 different hospitals. The method of this study was the questionaire which was made through the descriptive study. The descriptive study was made by individual contact with 102 patients cf advanced cancer for 9 months period. The measurement tool for questionaire was made by author through the descriptive study, and included the personal religious orientation obtained from chung(originated R. Fleck) and 5 emotional stages before dying from Kubler Ross. The content ol questionaire consisted in 67 items which included 11 for general characteristics, 10 for related condition with cancer, 13 for wishes far physical therapy, 13 for emotional reactions and 20 for personal religious orientation. Data for this study was collected from Aug. 25 to Oct. 6 by author and 4 other nurse's who received education and training by author for the collection of data. The collected data were ana lysed using descriptive statistics, $X^2-test$, t-test and pearson correlation coefficient. Results of the study were as follows: "H.C Group" means the group of patient with cancer who received hospice care. "Non H.C Group" means the group of patient with cancer who did not receive hospice care. 1. There is a difference between H.C Group and Non H.C Group in term of the number of physical symptoms, subjective degree of pain sensation and pain control, subjective beliefs in physical cure, emotional reaction, help of present emotional and spiritual care from other personal, needs of emotional and spiritual care in future, selection of treatment method by patients and personal religious orientation. 2. The comparison of H.C Group and Non H.C Group 1) There is no difference in wishes for physical therapy between two groups(p=.522). Among Non H.C Group, a group, who didn't receive traditional therapy and herb medicine was higher than a group who received these in degree of belief that the traditional therapy and herb medicine can cure their disease, and this result was higher in comparison to H.C Group(p=.025, p=.050). 2) Non H.C Group was higher than H.C Group in degree of emotional reaction(p=.050). H.C Group was higher than Non H.C Group in denial and acceptant stage among 5 different emotional stages before dying described by Kubler Ross, especially among the patient who had disease more than 13 months(p=.0069, p=.0198). 3) Non H.C Group was higher than H. C Group in demanding more emotional and spiritual care to doctor, nurse, family and pastor(p=. 010). 4) Non H.C Group was higher than H.C Group in demanding more emotional and spiritual care to each individual of doctor, nurse and family (p=.0110, p=.0029, P=. 0053). 5) H.C Group was higher th2.n Non H.C Group in degree of intrinsic behavior orientation and intrinsic belief orientation of personal religious orientation(p=.034, p=.026). 6) In H.C Group and Non H.C Group, the degree of emotional demanding of christians was significantly higher than non christians to doctor, nurse, family and pastor(p=. 000, p=.035). 7) In H.C Group there were significant positive correlations as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and: the degree of intrinsic behavior orientation in personal religious orientation(r=. 5512, p=.000). (2) Between the degree of emotional demandings to doctor, nurse. family & pastor and the degree of intrinsic belief orientation in personal religious orientation(r=.4795, p=.000). (3) Between the degree of intrinsic behavior orientation and the degree of intrinsic: belief orientation in personal religious orientation(r=.8986, p=.000). (4) Between the degree of extrinsic religious orientation and the degree of consensus religious orientation in personal religious orientation (r=. 2640, p=.015). In H.C. Group there were significant negative correlations as following; (1) Between the degree of intrinsic behavior orientation and extrinsic religious orientation in personal religious orientation (r=-.4218, p=.000). (2) Between the degree or intrinsic behavior orientation and consensus religious orientation in personal religious orientation(r=-. 4597, p=.000). (3) Between the degree of intrinsic belief orientations and the degree of extrinsic religious orientation in personal religious orientation(r=-.4388, p=.000). (4) Between the degree of intrinsic belief orientation and the degree of consensus religious orientation in personal religious orientation(r=-. 5424, p=.000). 8) In Non H.C Group there were significant positive correlation as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of intrinsic behavior orientation in personal religious orientation(r= .3566, p=.007). (2) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of intrinsic belief orientation in personal religious orientation(r=.3430, p=.010). (3) Between the degree of intrinsic behavior orientation and the degree of intrinsic belief orientation in personal religious orientation(r=.9723, p=.000). In Non H.C Group there were significant negative correlation as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of extrinsic religious orientation in personal religious orientation(r= -.2862, p=.027). (2) Between the degree of intrinsic behavior orientation and the degree of extrinsic religious orientation in personal religious orientation(r=-. 5083, p=.000). (3) Between the degree of intrinsic belief orientation and the degree of extrinsic religious orientation in personal religious orientation(r=-. 5013, p=.000). In conclusion above datas suggest that hospice care provide effective total nursing care for the patients with terminal cancer, and hospice care is mandatory in all medical institutions.

• 대한간호학회지
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• 제12권1호
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• pp.25-38
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• 1982

As technological civilization and medical science has developed, standards of living have imp-roved and human life expectancy has been extended. But the incidence and mortality rate of cancer have been gradually increasing due to the pollution of the environment. Even though cancer is still a great threat to human beings, the etiology and appropriate cure forcancerhavenotyetbeendiscovered. The early detection and treatment of cancer is urgently needed. This study concentrates on the health behavior of woman regarding the papanicolau smear for early detection of cervical cancer. It was done in order to provide a direction for scientific health education materials by investigating predictors of preventive health behavior. The subjects for this study were made up of 54 woman, who comply with preventive health practices(compliant) who attended the Cervical Cancer Center of Y University Hospital in order to have tests for early detection of cervical cancer and 54 woman who did not comply with preventive health practices (noncompliant) selected from 100 housewives of I apartment, Kang Nam Ku, Seoul. The study method used, was a questionnaire for the compliance group and an interview for the noncompliance group. The period for data collection was from October 13th to October 24th. 1981. Analysis of the data was done using percentages, T-test, Pearson Correlation and Stepwise Multiple Regression. The results of study were as follows: 1. The hypotheses tested were based on the health belief model; 1) The first hypothesis,“The compliant may have more knowledge of the cervical cancer than the noncompliant”was rejected(T=-1.86, p>.05) 2) The second hypothesis,“The compliant may have a higher severity of cervical cancer than the noncompliant”was accepted (T=5.41, p<.001) 3) The third hypothesis, “The compliant may have a higher susceptability to cervical cancer than the noncompliant”was accepted(T=3.51, p<.01). 4) The fourth hypothesis,“The compliant may have more beneHt than cost'from the cervical cancer tests than the noncompliant" was accepted(T=7.46, p<.001). 5) The fifth hypothesis,“The compliant may have more health concern than the noncompliant”. was accepted(T=3.39, p<.01). These results show that severity, susceptability, benefit(over cost) and health concern influence the preventive health behavior in this Study. 2. In the correlation among variables, it was found that the knowledge of cervical cancer and the benefit(over cost) of preventive health behavior were negatively correlated(r=-2.75, p<.01), Severity of cervical cancer and benefit (over cost) of preventive health behavior were positively correlated(r=.280, p＜.01), severity and susceptability of cervical cancer were positively correlated(r= .238, p<.01), benefit(over cost) and health concern were positively correlated(r= .299, p<.01). The benefit(over cost) may be raised by increasing the severity and health concern. Therefore the compliance rate of woman may be raised through health education by increasing the benefit(over cost) of the individual. 3. The Stepwise Multiple Regression between health behavior and predictors. 1) The factor“Benefit(over cost)”could account for preventive health behavior in 34.4％ of the sample(F=55.6204 P<.01). 2) When the factor“Severity”is added to this, it accounts for 44.3% of preventive health behavior(F=41.679, p<.01). 3) When the factor“Susceptability”is also included, it accounts for 46.7% of preventive health behavior(F=30.373, p<.01). 4) When the factor “Health concern”is included, it accounts for 48.1% of preventive health behavior(F=23859, p<.05). This means that other factors appear to influence preventive health behavior, since the combination of variables explains only 48.1％ of the Preventive health behavior. Therefore further study to investigate the predictors of preventive health behavior is necessary.

• 한국결정성장학회지
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• 제17권6호
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• pp.251-255
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• 2007

높은 유전상수와 낮은 유전손실을 가지는 $(1-x)BCB-xBNT(BaNd_2Ti_4O_{12})$ (x=20, 30, 40, 50 vol%) 복합 재료를 제작하였다. 제작된 film의 유전 상수와 유전 손실은 1 MHz에서 측정되었고, DSC와 같은 열분석을 통하여 그 경화거동을 관찰하고, BNT의 함량과 film의 경화 거동이 유전특성에 어떠한 영향을 미치는지에 대하여 조사하였다. 충진제로 사용된 BNT가 $20{\sim}50vol%$까지 증가함에 따라 그 복합체의 유전상수는 증가, 유전 손실($tan{\delta}$)은 감소하였고, BCB-BNT 복합체의 유전 상수와 유전 손실($tan{\delta}$)은 경화 반응에 거의 영향을 받지 않는다. 그러나 경화 온도가 증가함에 따라 TCC(Temperature Characteristics of Coefficient)가 감소하는 것으로 복합체의 경화는 $250^{\circ}C$ 이상에서 가장 안정하다는 것을 확인하였다.

• 접착 및 계면
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• 제2권3호
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• pp.16-24
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• 2001

포름알데히드/페놀의 몰비에 따른 레졸과 노블락 수지의 경화거동을 FT-IR 분석법으로 연구하였다. 일정한 경화온도(레졸 수지: $130^{\circ}C$, $160^{\circ}C$, $180^{\circ}C$, 노블락 수지: $160^{\circ}C$, $170^{\circ}C$, $180^{\circ}C$)에서 경화시간(3, 5, 7, 10, 20, 60분)에 따른 경화 정도를 비교하였다. 경화정도(conversion, ${\alpha}$)는 경화되지 않은 수지의 FT-IR 스펙트라 $3300cm^{-1}$에 나타나는 OH 피크의 면적을 기준으로 각각 주어진 경화시간의 OH 피크 면적 비율로 구하였다. 그 결과 포름알데히드/페놀의 몰비와 경화 온도가 증가함에 따라서 레졸과 노블락 수지의 초기 경화는 증가하였다. 특정한 경화 온도에서 integral method 분석에 의한 결과 포름알데히드/페놀의 몰비가 증가함에 따라서 레졸과 노블락 수지의 초기 경화는 증가하였다.

• 한국산학기술학회논문지
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• 제17권5호
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• pp.104-115
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• 2016

연구목적: 본 연구는 의사로부터 고혈압으로 진단받은 사람들을 대상으로 개인 건강행태 및 지역 보건의료수준이 치료순응에 미치는 영향을 파악하고자 실시하였다. 고혈압 치료순응은 고혈압 약물치료율로 조작적 정의를 하였다. 정의는 의사에게 고혈압을 진단받은 30세 이상 사람 중 현재 혈압 조절약을 한 달(30일)에 20일 이상 복용하고 있는 사람의 분율로 정의하였다. 연구방법: 2010년도 지역사회건강조사대상 만 19세 이상 성인 229,229명을 대상으로 개인특성에 따른 고혈압 치료순응지표의 차이 비교는 카이제곱 검정을 사용하였으며, 개인 및 지역수준 변수를 고려한 고혈압 치료순응의 관련지표의 지역 간 변이 파악은 다수준 로지스틱회귀분석 실시하였다. 통계 프로그램은 SPSS 18.0과 HLM 7(hierarchical linear model)을 이용하였다. 연구결과: 개인 건강행태 및 지역 보건의료수준이 고혈압 치료순응에 미치는 관련성 연구에서 건강행태 및 지역의 보건의료수준에 따라, 치료순응에 미치는 영향이 크다는 것을 알 수 있었다. 결론: 본 연구에서는 지역보건의료 수준의 변수들의 교차비가 높지는 않았지만, 개인수준의 변이에 초점을 맞춘 기존연구와는 달리 지역보건의료수준의 변이를 찾을 수 있었다는데 의의가 있었으며, 추후 많은 연구에서 지역수준을 고려한 다수준 분석이 필요할 것으로 사료된다.

• 접착 및 계면
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• 제15권3호
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• pp.100-108
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• 2014

본 연구에서는 비스페놀 A 에폭시 수지/경화제(YD-128/DDM) 조성물의 비율을 조절하여 $170^{\circ}C$의 경화온도에서 접착성능 최적화 조성비를 얻기 위한 실험을 진행하였다. DSC, TGA, DMA, TMA 열분석 장비를 사용하여 YD-128/DDM 혼합물의 당량비 변화가 경화물의 열적 특성에 미치는 영향에 대하여 조사하였으며, 조성물의 경화시간은 YD-128/DDM (1 : 1.1) 조성물을 동적 DSC를 이용하여 측정된 시간당 누적 발열량을 총 발열량으로 나누어 계산한 전환율을 토대로 결정하였다. TGA를 이용한 분해 활성화 에너지 분석에서는 경화물의 DDM 당량비가 증가할수록 열안정성과 열분해 활성화 에너지가 높게 나타났고, DMA와 TMA를 이용한 경화물의 열적 특성 조사 결과에서는 당량비 1 : 1에서 다른 당량비 조건에 비해 우수한 탄성률 및 열팽창성이 관찰되었다. 또한 각기 다른 당량비의 조성물을 $170^{\circ}C$에서 경화하여 중첩 전단 강도를 측정하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권2호
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• pp.86-93
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• 2015

Autism spectrum disorder (ASD) is a neurodevelopmental disorder marked by impaired social communication and repetitive, restricted behaviors and activities. The prevalence of ASD has been increasing for the past 2 decades, but evidence-based therapeutic approaches are lacking for patients with ASD. To date, there is no cure for the core symptoms of ASD, and the existing treatments focus on improving the patient's function and adaptation by using behavioral intervention methods. Behavioral interventions have been proven to show the greatest effect when applied before the age of 2 years, for at least 40-60 hours per week. Many clinicians and ASD families are unfamiliar with the treatment methods, and consequently, may seek unproven and potentially hazardous methods. The purpose of this article was to present an extensive and updated review on evidence-based ASD behavioral interventions that are commonly used in clinical settings.

• Tribology and Lubricants
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• 제33권3호
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• pp.92-97
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• 2017

The understanding of the friction characteristics of micro-textured surface is of great importance to enhance the tribological properties of nano- and micro-devices. We fabricate rectangular patterns with submicron-scale structures on a Si wafer surface with various pitches and heights by using a focused ion beam (FIB). In addition, we fabricate tilted rectangular patterns to identify the influence of the tilt angle ($45^{\circ}$ and $135^{\circ}$) on friction behaviour. We perform the friction test using lateral force microscopy (LFM) employing a colloidal probe. We fabricate the colloidal probe by attaching a $10{\pm}1-{\mu}m$-diameter borosilicate glass sphere to a tipless silicon cantilever by using a ultraviolet cure adhesive. The applied normal loads range between 200 nN and 1100 nN and the sliding speed was set to $12{\mu}m/s$. The test results show that the friction behavior varied depending on the pitch, height, and tilt angle of the microstructure. The friction forces were relatively lower for narrower and deeper pitches. The comparison of friction force between the sub-micro-structured surfaces and the original Si surface indicate an improvement of the friction property at a low load range. The current study provides a better understanding of the influence of pitch, height, and tilt angle of the microstructure on their tribological properties, enabling the design of sub-micro- and micro-structured Si surfaces to improve their mechanical durability.

• Composites Research
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• 제18권6호
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• pp.1-8
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• 2005

섬유강화 복합재료는 우수한 기계적, 전자기적 물성 등으로 다양한 분야에서 응용되고 있다. 열경화성 복합재는 제작공정에서의 성형온도와 제품의 운용온도인 상온간의 온도차이로 형상의 변형(스프링 백)이 발생하게 된다. 이러한 스프링 백은 하이브리드 구조의 정밀한 형상 제작을 위해서 반드시 보정되어야할 부분이다. 본 연구에서는 유리섬유/에폭시 복합재와 카본섬유/에폭시 복합재로 구성된 비대칭 하이브리드 복합재를 경화사이클, 적층두께, 적층방법 등 다양한 조건을 적용하여 제작하고 3차원 좌표측정기를 이용하여 스프링 백을 측정하였다. 또한 고전 적층판 이론(CLT)과 유한요소해석(ANSYS)으로 스프링백을 예측하고 실험결과와 비교하였다. 고전 적층판 이론과 유한요소해석으로 예측된 스프링 백은 실험 결과와 잘 일치하였으며, 성형온도가 낮을수록 스프링 백이 감소되는 경향을 보임을 확인하였으나 근원적으로 스프링 백이 제거되지는 않았다.

• 정신신체의학
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• 제8권2호
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• pp.149-164
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• 2000

신체화는 진단보다는 오히려 일종의 과정으로 간주된다. 따라서 단순히 진단명을 선택하기보다는 정신병리를 알아 보려는 노력이 더 중요하다. 신체형장애의 진단 및 치료의 어려움은 환자의 질병행동 즉 정신사회적 문제를 부정하여 정신과적 접근을 기피하는 것과 밀접한 관계가 있다. 신체증상 이면에 있는 정신사회적 문제에 대한 단서를 포착하는 것은 정신과의사의 중요한 역할이다. 이런 점에서 신체화 환자들에 대한 치료적 접근은 정신과적 치료에 대한 수용을 촉진할 수 있는 특정 기술과 전략이 요구된다. 신체화 환자의 치료목표는 완치가 아니라 관리에 있다. 치료는 환자의 반응과 필요성에 따라 융통성을 두어야 한다. 평가 및 치료 초기부터 여러 과가 공동으로 접근하는 것이 효과적이다. 결론적으로 신체화의 평가 및 치료는 통합적인 접근 즉 생물정신사회적인 접근이 필요하다. 특히 다른 신경증 환자에서보다는 생물의학적 접근이 더 강조될 필요가 있다. 따라서 이런 환자들을 조기에 발견하고 환자의 정신과적 치료의 수용을 촉진시키기 위해서는 신체형환자에게 적절한 접근 즉 면담기술을 개발해야 함은 물론 다른과 의사들을 교육시키는 것도 정신과의사가 해야 할 중요한 역할에 속한다.