• 성인간호학회지
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• 제26권4호
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• pp.466-478
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• 2014

Purpose: The purpose of the study was to explore and describe the experience of breast cancer self-help group activities in Korea. Methods: The data were collected via individual in-depth interviews with 8 women with breast cancer, who participated in self-help groups during 2012~2013. All interviews were audio-taped and transcribed, and they were analyzed using a phenomenological method. Results: Six theme clusters were identified. "Breakthrough toward survival" describes how the participants identified self-help groups and got involved in the activities. "Genuine comfort obtained by 'misery loves company' deals with the emotional relief and catharsis. "New life fully recharged" demonstrates the changed belief system and the joy for life and living. "Rebirth in family" deals with how family dynamics has been changed. "Societal change by raising collective consciousness" illustrates many activities to improve their rights and advocate employment issues. "Obstacles to the group harmony" illustrates the major difficulties including interpersonal conflicts the participants encountered during their participation. Conclusion: The results of the study showed that participating in self-help groups was mostly beneficial for women with breast cancer. Therefore, oncology professionals need to encourage them to participate in self-help groups and also need to provide professional support to self-help groups for their harmonious interpersonal relationships.

• 대한간호학회지
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• 제42권1호
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• pp.36-47
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• 2012

Purpose: This study was to explore adaptation experience to family among women who immigrated for marriage. Specific aims were to identify problems immigrant women face as family members and how they interact with other family members. Methods: Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 6 immigrant women as key informants, and 2 of their husbands and 2 of their mothers-in-law as general informants. Results: Through constant comparative analysis, a core category emerged as "tearing down the wall in communicating". Causal conditions were feeling frustrated in one's expectations, differences in language and life style, differences in recognition, and perceptions of discrimination and prejudice. Strategies were learning the Korean language, learning Korean culture, managing stress, mediating differences between family members, and introspecting. Intervening factors were support systems, burdens of child-rearing, and the condition of one's health. Consequences were rooting oneself in one's family and accepting one's life as it is. Conclusion: Results of the study indicate that there is a need for nurses to understand differences in communication with family members among immigrant women and to provide information and emotional support to improve the adaptation of these women to their Korean families.

• 대한간호학회지
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• 제36권7호
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• pp.1183-1192
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• 2006

Purpose: The purpose of this survey was to investigate clinical nurses' understanding of delirium and their educational need of delirious patient care. Method: A survey questionnaire regarding nurses' general perception and understanding of delirium, experience with delirious patients and educational need was developed and conducted with 179 clinical nurses in a university hospital in Seoul. Data was analyzed using descriptive statistics. Results: Nurses thought that delirium was one of the most important nursing problems and they considered it to be more treatable than to be preventable. However, the majority of nurses were ilot confident in caring for delirious patients. Nurses reported that delirium happened most often after surgery, and that possible contributing factors could be changes in physical environment and anxiety/stress, as well as medication and long-term isolation. Thirteen nursing interventions were identified but half of the nurses utilized only one or two of the thirteen. The most frequently used intervention was reorienting the patient followed by medication and emotional support, presenting family, and close observation. 99.5% of nurses addressed the importance of professional education on delirium care, especially in the area of intervention and management. Conclusion: The results support the strong need for development of a multi-component educational program on delirium care.

• Child Health Nursing Research
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• 제23권3호
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• pp.394-404
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• 2017

Purpose: The purpose of this study was to review interventions available to nurses caring for siblings of children with cancer. Methods: Searches of CINAHL, MEDLINE, PubMed, EMBASE, and RISS identified ten intervention studies published from January, 2000 to November, 2016. Results: Ten studies on interventions for siblings of pediatric cancer patients were identified as follows: 4 included camps, 4 included support groups, and 2 provided individual interventions. Theoretical frameworks were mainly cognitive behavioral theory and most studies were led by psychologists and multidisciplinary teams. The purpose of the interventions was primarily enhancing psychosocial adjustment. Siblings' fear of disease, self-esteem, and social support were improved significantly after the interventions. Findings were inconsistent with regard to depression, anxiety, behavioral problems, post-traumatic stress, health-related quality of life, and siblings' perceptions of the illness. Conclusion: Study findings showed the potential for enhancing emotional and behavioral outcomes in siblings of children with cancer. However, the number of studies was very small, and several methodological limitations were identified. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base. Moreover, future research should identify sibling's characteristics and circumstances most likely to bring benefits to the siblings.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.629-641
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• 2016

본 연구는 일 간호대학생의 블록제 수업 경험의 본질을 이해하여 효율적인 교육과정 개선을 위한 기초자료를 제공하기 위해 2015년 6월 20일부터 7월 10일까지 G시에 소재한 일 대학 간호학과 학생 18명을 대상으로 실시하였다. 본 연구의 질문은 '간호대학생의 블록제 수업 경험은 어떠한가?' 이며 Colaizzi(1978)가 제시한 현상학적 연구 방법을 적용하여 자료를 분석하였다. 연구결과 58개의 구성된 의미에서 '불편한 마음', '비체계적인 학습', '안간힘 쓰기', '힘들어지는 인간관계', '새로운 발견', '발전의 기회'의 6개 주제 모음과 이에 포함된 17개의 주제와 42개의 하위 주제가 확인되었다. 따라서 간호대학생은 블록제 수업을 통하여 방대한 학습량과 과제의 홍수로 신체적, 정신적 불편감을 경험하지만, 나름 최선의 노력으로 이 과정을 무사히 마침으로써 이전에는 몰랐던 시간 활용의 중요성을 인식하게 되고, 더 나은 자신을 위해 새로운 각오를 다져나가는 기회가 됨을 알 수 있다. 이러한 결과는 간호대학생의 건강한 대학생활을 위해서 이들의 경험에 기초한 스트레스 관리 및 정서적 지지 프로그램의 개발이 필요함을 나타낸다.

• 아동학회지
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• 제32권3호
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• pp.221-239
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• 2011

The purpose of study is to understand how a principal of a child-care center and parents accept different episodes and experiences in admission counselling and their use of metaphorical expressions about this, and to illuminate the current state of play by examining the requirements of parents in selecting a child-care center. The subjects were 10 principals of private child-care centers located in the Gyeongsangbuk province of Korea, and the research materials for episodes and metaphors were collected and analyzed by means of in-depth and telephone interviews during an application period. In terms of the overall climate of the admission counselling, as shown in the various episodes, our results indicated that an increase of parents' demands occurred through a primarily consumer-centered environment, and the sudden increase in a fathers' participation, the inside circumstances of admission counselling in progress throughout the year, the non-existence of respect and credibility and the continuity of conflicts and were all observed to co-exist. In terms of the emotional meaning of counselling via metaphors, the following emotions could be inferred; hopelessness, anger, lethargy, stress, fear and eagerness. It is anticipate that this study will make a meaningful contribution to better illuminating and improving the current climates of here and now admission counselling.

• 한국의상디자인학회지
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• 제19권2호
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• pp.15-28
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• 2017

Today, modern people are exposed to various environmental pollutants such as harmful substances and stress, which can compromise health. Therefore, a healing culture that seeks to enjoy human life based on the healing of body and mind is attracting great attention. The purpose of this study is to develop environmentally friendly natural dyeing considering a healing concept with four elements: color, dye, material, and pattern. The research methods and scope are based on a theoretical review of healing and research on the literature of bedding related to natural dyes, national and international books, the Internet, etc., and naturally dyed bedding. This paper presents actual production research. The results of this study are as follows. First, the elements of color, dyeing, material and pattern were developed through the process of a bedding design development model that applies a healing concept and can be commercialized as a healing bedding product. Second, a healing color proposal was expressed in an intermediate color system of pink, ocher, lavender, and indigo colors for emotional stability, warmth, calmness, comfort and softness. Third, eco-friendly bedding using natural dyes with medicinal efficacy can obtain the healing effect of the natural treatment method, which can aid healthy sleep. Fourth, the pattern used in the bedclothes was a motif of Sarasa embroidery, flower embroidery, ribbon embroidery, and wave quilting motifs to provide psychological stability as a healing concept in the sleeping environment. The natural healing bedding with the healing concept proposed in this study has natural treatment that is beneficial to human health and the development of bedding with natural dyes will lead to an increase of demand for the sleeping environment.

• 한국화재소방학회논문지
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• 제26권5호
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• pp.13-20
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• 2012

매년 많은 소방공무원들이 화재나 고온 조건 등에 노출되어 화상으로 고통 받고 있어, 화상 예측에 대한 연구를 통해 화상을 방지할 수 있는 방법의 개발이 매우 중요하다. 그러나 피부조직의 비선형성, 혈류에 의한 열전달 분석의 불확실성 등 인체 내부의 복잡한 물리현상으로 인해 화상에 대한 연구는 매우 부족한 것이 실정이며, 특히 국내의 경우는 이에 대한 연구가 전무한 실정이다. 본 연구에서는 특히 심각한 화상을 유발할 수 있는 돌발화염(80 kW/$m^2$ 이상의 고열 유속 조건)하에서의 2도 화상 발생에 대한 예측을 수행하였다. 생체 열전달 방정식(Bio-heat transfer)을 이용하여 지배방정식을 유도하였으며, 유한차분법(Finite Difference Method)을 활용하여 화상에 대한 예측을 수행하는 수치해석 접근법을 사용하였다. 기존의 여러 연구결과로부터 인체 피부의 열물성치를 정리하였고, 그것을 바탕으로 계산을 수행하였다. 기존의 낮은 열유속에 대한 화상 실험 결과와 예측 결과를 비교하여 가장 오차가 적은 열물성치 모델을 파악하였고, 그 결과를 바탕으로 고열유속의 돌발화염에서의 2도 화상발생 노출시간을 예측하여 제시하였다.

• 생물정신의학
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• 제12권1호
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• pp.20-31
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• 2005

Objectives:This study was designed to investigate the characteristics of personality changes and emotional distress using the Personality Assessment Inventory (PAI) in patients with traumatic brain injury(TBI), divided into mild (MTBI) and severe (STBI) groups according to the severity of injury. Methods:The subjects were consisted of 25 patients with MTBI, 25 patients with STBI, and 25 normal controls. They were interviewed with the PAI. The data were analyzed by ${\chi}^2$ test, analysis of variance and Tukey test. Results:The results were the followings. First, Negative Impression in validity scales was elevated above cutoff point(T score 70) in both MTBI and STBI groups. Second, the clinical scales of which scores elevated above the cutoff point were Somatic Complaints, Anxiety, Anxiety-Related Disorders, Depression, and Schizophrenia in the MTBI, and Somatic Complaints and Depression in the STBI. Third, the clinical subscales above the cutoff point were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Traumatic Stress, Cognitive Depression, Affective Depression, Physiological Depression, Thought Disorder, and Affective Instability in the MTBI, and Health Concerns, Cognitive Depression, Affective Depression, and Physiological Depression in the STBI. Fourth, Suicide Ideation in treatment scales was the only scale above the cutoff point in the MTBI and the others of the treatment and interpersonal scales in the MTBI and all of these scales of the STBI were not elevated above the cutoff point. Fifth, the scales of which scores showed significant difference between the MTBI and the STBI were Somatic Complaints, Anxiety, Depression, and Suicide Ideation, the subscales were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Physiological Depression, and Psychotic Experiences. Conclusion:These results suggest that the patients with MTBI had more somatic and anxiety symptoms, depressed mood, and suicidal ideation than the patients with STBI. These characteristics are generally consistent with clinical observation and findings from previous studies of the patients with TBI, and the PAI seems to be a beneficial adjunctive assessment tool for the evaluation of patients with traumatic brain injury.

• 혜화의학회지
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• 제18권2호
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• pp.1-12
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• 2009

Most of the cholesterol is synthesized by liver in the body while about one of third is taken via dietary. The main functions of cholesterol is to protect membranes in cell surface, avoid the arterial bleeding by hypertension, and prolong the life of erythrocytes, and so on. However, overload of cholesterol leads to arteriosclerosis associated with leading death cause. Lack of physical activity, emotional and environmental stress, and low intake of protein or vitamin E induce the unbalance between HDL- and LDL-cholesterol so become a basis of ischemic disorders in heart, brain and elsewhere in the body. So far, four major classes of medications for hyperlipidemia are HMG-CoA reductase inhibitors (statins), bile acid sequestrants, nicotinic acid, and fibric acids. The statins can lower LDL and levels triglyceride, but may induce myopathy and an elevation of liver enzyme levels. The bile acid sequestrants lower LDL levels and raise HDL levels with no effect on triglyceride levels but side effects of gastrointestinal (GI) distress, constipation, and a decrease in the absorption of other drugs. Nicotinic acid and fibric acids lower LDL and triglyceride levels with showing flushing, hyperglycemia, hyperuricemia, GI distress, and hepatotoxicity dyspepsia, gallstones, myopathy, and unexplained noncardiac death as adverse effects. Above western drugs lower cholesterol by 15 to 30% while all have notable adverse effects. In traditional medicine, hyperlipidemia is regarded as retention of phlegm and fluid disease. Etiology and pathogenesis of hyperlipidemia is basically based on Spleen-Deficiency and Phlegm-Stagnation, accumulation and stasis of -heat, and Qi & blood stagnation induced by Phlegm-damp, water-dampness, and blood stasis. Thereby, strengthening Spleen and dissolving Phlegm, clearing away heat and diuresis, and supplementing Qi and activating blood circulation are commonly used therapeutic methods for hyperlipidemia. The traditional herbal medicine, have been used for patients with CVA, hypertension or hyperlipidemia in Oriental hospital or Oriental clinic. The lock and key theory is used to develop most of western medicine, however many diseases are caused by mixed factors in body-complex system. We expect that Oriental pharmacological theory could be newborn as a novel drug showing high advantage of blood levels of lipidsand QOL of performance without side effects.