• 한국산학기술학회논문지
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• 제18권10호
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• pp.237-245
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• 2017

본 연구는 전통시장 상인의 건강상태와 건강관련 행태를 남녀별, 전통시장 종사기간별로 규명하고 일반인들과 비교하기 위한 횡단적 서술적 조사연구이다. 자료수집은 C시 D보건소에서 2015년 6월 1일부터 6월 20일까지 C시 N전통시장에서 종사하는 상인 307명에게 신체계측과 채혈을 한 후 설문조사를 실시하였고 수집된 자료는 SPSS WIN 21.0을 이용하여 분석하였다. 연구결과 전통시장 종사자들의 현재 흡연율은 34.2%, 3.5%, 11.1%(남, 여, 전체), 연간 음주율은 68.4%, 38.5%, 45.9%(남, 여, 전체), 스트레스를 많이 느낀 대상자와 우울감 경험률은 각각 23.7%, 28.5%, 27.4%(남, 여, 전체), 5.3%, 6.1%, 5.9%(남, 여, 전체)로 일반인에 비해서 낮았으나 중등도 신체활동 시행률과 걷기 실천율은 각각 32.9%, 19.9%, 23.1%(남, 여, 전체), 85.5%, 79.2%, 80.8%(남, 여, 전체)로 매우 높아 좋은 건강행위를 실천하고 있으며 정신건강도 상대적으로 양호한 상태를 유지하고 있는 것으로 파악되었다. 그러나 일반인에 비해서 고혈압, 당뇨병, 고콜레스테롤혈증, 대사증후군 유병률이 매우 높았고 전통시장 종사기간이 길수록 복부둘레, 저 HDL-콜레스테롤혈증(low HDL-cholesterol)과 고혈압, 대사증후군, 관절염의 유병률이 높은 것으로 나타났다. 따라서 이에 대한 구체적인 원인 규명과 함께 대상자들의 특성에 맞는 장기적인 생활개선 프로그램을 마련하고 지속적으로 적용해야 할 것으로 판단된다.

• 대한간호
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• 제36권5호
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• pp.45-62
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• 1998

The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis, spss/pc+ program was utilized for descriptive statistics, adjusted standardized $X^2$-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245(59.5%) were men and 167(40.5%) were women. Age were 0-14 years 79(19.2%), 15-44 years 125(30.4%), 45-64 years 104(25.2%), over 65 years 104(25.2%). 2) There was significant association between age and the sexes ($X^2$=39.17, P=0.00). 3) There was significant association between age and history of falls ($X^2$=44.41. P= .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis ($X^2$=140.66, P= .00), chief medical diagnosis were hypertension(34), diabetis mellitus(22), arthritis(11), stroke(8), fracture(7), pulmonary tuberculosis(6), dementia(5) and cataract(5), 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives , antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness ($X^2$=2.87, P=.41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips(35.2%), trips (9.5%) and collision(4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1pm to 6pm and 7am to 12am. 9) The places of fall accident were roads(22.6%), house-stairs 06.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows(10.9%), hospital(7.5%), ice or snowy ways(5.8%), bathroom(4.9%), playground, park(4.9%), subway-stairs(4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking(37.6%), turning around or reaching for something(20.9%), going up or down stairs09.2%), exereise, working07.4%), up or down from a bed(2.7%), using wheelchair or walking aids, standing up or down from a chair(2.2%) and standing still(2.2%). 11) Anatomical locations of injuries by falls were head, face, neck(31.3%), lower extremities (29.9%). upper extremities(20.6%), spine, thorax, abdomen or pelvic contents(l1.4%) and unspecified(2.9%). 12) Types of injures were fracture(47.6%), bruises03.8%), laceration (13.3%), sprains(9.0%), headache(6.6%), abrasions(2.9%), intracranial hemorrage(2.4%) and burns(0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers(1.46%) died from fall injuries. The two fallers died from intracranial hemorrage and the four fallers died of secondary infection; pneumonia(2), sepsis(1) and cell lulitis(1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention.

• 한국응급구조학회지
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• 제13권3호
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• pp.41-58
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• 2009

Objective : The purpose of this study is to identify actual operations and issues of wireless paging system operation for the aged living alone as the end users of wireless paging system primarily in Gwangyang city, and thereby to explore possible advanced and integrated ways to promote social safety network for the aged. Methods : The survey tool used in this study was a structured questionnaire form consisting of question items. The researcher hereof conducted this survey by means of direct visit and interview during two seasons, i.e. from February to August, 2008 and from December 2008 to March 2009, respectively. Results : 1) For general demographic characteristics, it was found that 90.9% of all respondents were women and 61.2% of all respondents were at age 75 to 84. for health conditions, it was found that more than 90% of all respondents often took medicines due to their unhealthy body, and most of respondents suffered from musculoskeletal diseases 79.3% and circulatory diseases 61.6%. for walking capacity, it was found that 45.5% of all respondents used walking aids, and disable respondents (11.5% of all respondents) were represented primarily by those with physical disability (52.6% of disable respondents). for actual use of medical institutions, it was found 47.3% of all respondents relied on local clinics, since they preferred neighborhood hospitals or clinics they can trust for medical care. for social activities and supports, it was found that 43.6% respondents had 'needs for assistance at times' and 33.9% respondents have 'no need for assistance'. And it was found that the major difficulties in living alone at old age were represented primarily by health problems 37.8% and economic difficulties 33.5%. 2) For characteristics related to wireless paging system, it was found that 90.3% respondents used wireless paging system recommended by firemen, and 28.5% respondents used this system. and it was found that 59.6% respondents used this system once, and 85.2% respondents used it because of acute or chronic diseases. more than 90% respondents thought that they knew about wireless paging system and considered themselves safe, but 83.6% respondents didn't attach a remote control on their upper clothes, and even 49.1% respondents turned off the power of wireless paging system due to their concern about electricity bill and noise. 3) It was found that 83.6% respondents felt it necessary to use wireless paging system, and wireless paging users felt more satisfied with using the system than non-users, and 50.7% showed high satisfaction at certain psychological benefits like 'confidence in coping with critical situations' and 'a sense of relief'. In addition, it was found that some respondents who answered that 'they didn't turn off the paging system as they knew how it works' and those who answered that they knew 'how to use it' showed relatively high satisfaction. And some respondents who kept it well and felt it necessary also showed high satisfaction. 4) It was found that the level of satisfaction our respondents felt with using wireless paging system varied significantly availability($x^{2}$ = 12.759, p = .002), psychological advantages($x^{2}$ = 12.174, p = .002), knowledge about how to use system($x^{2}$ = 7.021, p = .016), power on/off($x^{2}$ = 13.221, p = .001), level of knowledge about system($x^{2}$ = 21.002, p = .000), maintenance($x^{2}$ = 9.871, p = .007) and level of necessity($x^{2}$ = 34.939, p = .000) on the statistical basis.

• 한국조경학회지
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• 제50권1호
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• pp.33-52
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• 2022

서울 송현동에 역사문화공원과 이건희 기증관이 조성될 예정이다. 송현동의 역사성은 조선 시대부터 현대까지 정치적 판도에 영향을 받은 시련의 땅으로 인식되었다. 하지만 장소성 분석은 역사적 맥락보다는 토지소유자와 용도 변화에 국한해서 다루어졌다. 그래서 본 연구는 현대문화지리학과 비교역사학 관점을 활용하여 송현동의 장소성이 문화 헤게모니에 따라 변화한 맥락을 분석하였다. 분석결과, 역사적 이행과정에서 나타나는 중화주의, 대항해, 시민혁명, 제국주의, 민족자결주의, 민족주의, 대중예술, 신자유주의 같은 범세계 차원의 문화 헤게모니는 송현동을 비롯한 북촌 일대에 새로운 지식인층을 만들어냈고, 사회제도와 공간정책에 영향을 미쳤다. 이러한 사회적 관계 속에서 송현동의 장소성은 다음과 같이 변화했다. 첫째, 송현의 소나무숲은 이상적인 유교 국가를 목표로 했던 조선 건국세력이 왕조의 영속을 기원하며 만든 비보숲이었고, 내사산의 지맥을 보호하는 사산금표제로 관리되었다. 세계적으로 대항해시대를 맞이한 조선 후기에는 연행이 늘며 청나라 문화를 향유하는 경화세족의 정원이 들어섰다. 일제 강점기에 인구가 급증하면서 주택단지개발로 소나무 숲과 정원은 사라졌지만, 인공적인 정원과 외부의 자연을 조화롭게 연결했던 차경의 경관적 미학은 현대적으로 재해석할 가치가 있다. 둘째, 세계의 근대화 물결은 북촌 일대에 신식학교를, 친일파 소유의 송현동에는 하숙집을 만들었다. 송현동 옆의 안국동천길은 시민혁명과 민족자결주의를 접한 사상가들이 교류했던 장소였고, 최대규모의 하숙집이었던 송현동은 학생들이 3.1운동에 참여하며 학생운동문화가 발아한 계기가 되었다. 안국동천길은 옛길의 모습이 보존되어 있어 광화문-북촌-인사동-돈화문로를 연결하는 역사 도심 보행 재생의 한 부분으로 의의를 지닌다. 셋째, 조선총독부의 문화 통치기부터 군사 정권기까지 송현동은 조선식산은행의 서구식 문화주택과 미국대사관 직원 숙소가 들어서며 서구문화의 통로였다. 주변 지역은 고미술과 현대미술이 공존하며 근현대 미술시장이 형성되었다. 이건희 기증관은 북촌한옥마을, 공예박물관, 현대미술관, 갤러리와 문화벨트를 이루며 시민의 공간으로 변모할 것으로 기대되고 있다. 이같이 장소를 이루었던 숲과 정원, 시민탄생의 거리, 근·현대 미술의 진원지로서 의미가 새롭게 조성될 역사문화공원과 미술관 그리고 주변 보행 네트워크와 조화롭게 재창조될 수 있도록 담론과 도전이 필요하다.

• 대한정형외과학회지
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• 제55권6호
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• pp.503-510
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• 2020

목적: 고령의 환자에게 발생한 대퇴골 전자간 불안정성 골절에 대하여 관혈적 정복 및 내고정 이외의 다른 대안으로 고관절 반치환술이 선택적으로 사용되고 있다. 최근 의료 시스템과 기술의 발달로 대퇴골 전자간 골절 후 생존율이 높아지면서 중장기 이상의 기간을 고려한 대퇴 스템의 선택이 필요하다. 이에 저자들은 이중으로 가늘어 지는 직각 단면의 대퇴 스템(C2 stem)을 이용하여 불안정성 전자간 골절에 고관절 반치환술을 시행하고 5년 이상 추시한 환자에 대하여 그 임상적 방사선적 결과를 알아보고자 하였다. 대상 및 방법: 2004년 1월부터 2013년 12월까지 대퇴골 전자간 불안정성 골절에 대하여 C2 스템으로 고관절 반치환술을 시행한 43명의 환자(43 고관절)를 대상으로 하였다. 평균 연령은 78.6세(70-84세), 평균 추시 기간은 85.4개월(60-96개월)이었다. 추시 기간 동안 임상적으로는 통증, 보행 능력, 고관절 기능의 변화를 알아보았고, 방사선적으로는 피질골의 골다공증과 골 흡수 등 근위 대퇴골의 변화를 알아보았으며, 탈구와 인공 관절 주변 골절 등 추시 기간 중 발생한 합병증에 대하여 알아보았다. 결과: 통증은 수술 후 유의하게 감소하였는데, 수술 후 4년부터 증가하였고 수술 후 60개월에 보행 능력 평가에서 9예의 환자가 두 단계 보행 능력이 감소하였으며 Harris 고관절 점수는 수술 후 2년부터 3년 사이에 유의하게 감소하였다. 방사선적으로 피질골 골다공증은 14예 발생하였는데, 이 중 5예의 환자가 피질골 흡수 현상으로 진행하였다. 피질골 흡수 현상을 보인 5예 중 4예는 전자부 골절편이 불유합 된 경우였고, 3예는 역사상 골절인 경우였다. 결론: 골다공증을 동반한 고령의 환자에게 발생한 불안정성 전자간 골절에 3C 형태의 무시멘트 스템을 이용하여 고관절 반치환술을 일차로 시행하는 경우 환자의 건강 상태와 잔여 수명을 고려하여 주의 깊은 선택이 필요할 것으로 생각된다.

• 기본간호학회지
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• 제7권2호
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• pp.239-255
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• 2000

The purpose of this study was to explore the care needs of family-caregivers caring for patients with a CVA and the level of self care of the patients. The subjects for the study were 112 patients with a CVA and their caregivers. These patients were seen in a hospital or out-patient-department(OPD) at two oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL checklist for self care of patients and Kim's Likert-style checklist for care needs of family-caregivers to patient with CVA. The survey was conducted from July 4 to August 30, 1999. Internal validity by calculation of Cronbach's alpha was 0.95, which was regarded as high. The survey results were analyzed using the SPSS program, with percentages, means, t-test, ANOVA and Pearson's correlation coefficients. The results of this study are as follows : 1. The level of self care for patients with a CVA was : 1) complete dependence(M=14.9, 13.1%), 2) complete independence(M=23.6, 20.9%), 3) incomplete independence(M=23.9, 21.0%), 4) incomplete dependence(M=26.6, 25.0%), 5) dependence and independence(M=23.0, 20.0%). The items for which there was a high level of self care were : 1) drinking(M=3.62), 2) eating (M=3.25), 3) position returning(M=3.18) : and the items for which there was a low level of self care were : 1) ascending and descending stairs(M=2.08), 2) walking(M=2.47). 3) putting on and taking off trousers(M=2.55). 2. The mean score of the sum of the care needs of the family-caregivers was : 1) need for immediate care and help: 2) need of the way to communicate with patient: 3) need for education and assistance related to physical functional level: 4) need to be informed about the disease, treatment and care: 5) need for social support and consultation: 6) need for appreciation: 7) need for management of nursing problems related to immobility. The highest meed factor was the need for immediate care and help(M=3.47): and lowest need factor was the need for management of nursing problems related to immobility(M=2.80). 3. There were significant differences between the level of care need and general characteristic of the caregivers, there were family-caregivers age(P=0.001), marital status (P=0.276), occupation (P=0.006), monthly income(P=0.000), Patient's relationship to caregivers(P=0.004) and health(P=0.000). 4. There were significant differences between the level of self care and general characteristic of the patients, there were patient paralytic condition(P=0.01), blood pressure(P=0.01), and length of suffering(P=0.03). 5 There were significant differences between the level of care need and the general characteristic factors, which were CVA patient's blood pressure (P=0.05), problem of medical fee (P=0.05). 6. There was significantly correlation with the family-caregivers care need and the level of self care in the CVA patient(r=0.300, P=0.000). As a result, need to promote the level of self care in patients and to meet the care need of family-caregivers for more efficient nursing of CVA patients, is emphasized. Therefore more study is needed on an efficient way to provide rehabilitation and quality nursing interventions for family-caregivers and patients with CVA.

• 한국의류산업학회지
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• 제14권5호
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• pp.766-777
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• 2012

The 13 genre paintings by Junkeun Kim in the book "Korean Games(by Stewart Culin 1858~1929)" were used to study the late $19^{th}$ century's basic costumes and Games style in Korea. The people who appear in the paintings are 26 adult males, 2 minor males, 2 adult females and 3 kisaengs. Typical men wore 'Jeogori' which had various colors and white linings with a reached hip line, and knotted with a 'go-rum' on the right side. They also wore, white colored 'Baji' with colorful sash that were knot below knee or ankle together with 'Hang-jun' or 'Daenim'. They wore 'Beoseon'. Some men wore 'Po' whose colors were blue, green, indigo, white. The general women wore 'Jeogori' in deep green and light pink, indigo, green, red, and they matched with colors for 'Kit' and, 'Go-rum', 'Kut-dong' and its 'Go-rum' was short and narrow. It was so fit and short with narrow sleeve. It had 'Dunggun-kit'(round head collar) with white 'Dong-jung' and so it fit at neck. They wore 'Chi-ma' whose color was red, light green, or light indigo. It contrasted with 'Jeogori'. The width of 'Chi-ma' was big enough. Then white inner slacks came out under the skirt. Traditional Korean games can be classified according to age and gender. Then the games can be further classified into three categories : men's games, women's games, and games for all. The games for adult are an archery practice, hunting, shovel work with a karae, making a bow, drawing Jongkung-chart, Korean chess, playing paduk, and the Korean card game. A swing is a game for women. Games for both men and women are dice play, and domino game. Games for both adult and minor males are sledge, and tightrope walking. Through genre paintings in the $19^{th}$ century, I reached a conclusion that basic costumes are similar to 'Hanbok' at the present time and the method of wearing them has not changed much. It appears that the originality of traditional costumes has been maintained.

• 대한전자공학회논문지SP
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• 제47권3호
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• pp.11-22
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• 2010

본 논문은 컨텍스트 기반의 지능형 영상 감시 시스템 구현에 관한 연구로써 기존 연구의 시공간적 제약성 및 실시간 처리가 어려운 단점을 보완하여 초당 30 프레임으로 이루어져 있는 저해상도 동영상(320*240)을 대상으로 다양한 환경에서 실시간 처리가 가능한 움직임 검출 및 장면 분석 알고리즘을 제안하고 이를 이용해 동영상 감시 시스템을 구축한다. 먼저 장면 분석을 수행하기 위한 전처리 과정인 움직임 검출 알고리즘에서는 연속된 프레임 중 의미 없는 유사 프레임과 배경을 제거하고 움직임 영역만을 검출하기 위해 웨이브렛 변환과 에지 히스토그램을 이용하여 샷의 경계를 검출한다. 다음으로 키프레임 선정 파라미터에 의해 샷 경계 내 대표 키프레임을 선정하며, 에지 히스토그램 및 수학적 형태론을 이용하여 움직임 영역만을 검출한다. 장면 분석 알고리즘에서는 검출된 객체의 수직 수평 비율과 질량 중심을 통해 재구성된 허프 변환 후의 각도를 이용해 독립 객체 분석을 수행하며, '서다, 걷다, 눕다, 앉다'의 4가지 기본 상황 정보를 정의한다. 또한 각 상황의 연결 상태 추정을 통해 일반 상황 및 위급 상황으로 구성되는 단순 상황 모델을 정의함으로써 장면 분석을 수행하며, 제안된 알고리즘의 실시간 처리 가능성을 확인하기 위해 시스템을 구성한다. 제안된 시스템은 저해상도 영상을 대상으로 인식률 면에서 평균 92.5%의 성능을 보였으며, 처리속도는 프레임 당 평균 0.74초로 실시간 처리가 가능함을 확인하였다.

• 대한간호학회지
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• 제27권4호
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• pp.807-819
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• 1997

The purpose of the study was to identify the effects of a 12-week low-intensity exercise program on muscle strength, flexibility, balance, and cognitive characteristics related to the performance of activity of daily living(ADL). A total of 16 patients who were admitted to the medical unit of a general hospital in ChoongChung province were recruited, eight for the exercise group and eight for the comparison group. Four levels of low-intensity exercise from 'ROM on bed' to 'exercise while walking' were then applied to the exercise group according to their physical condition. During hospitalization, patients in the exercise group performed each level of the prescribed exercise with the researchers until they felt comfortable doing it independently. The researchers also visited the patients' homes after discharge to make sure they could perform the exercise with Theraband in their living environment. The exercise group was contacted by phone once a week to assess the frequency and intensity in which they performed the exercise as well as their physical condition. The subjects in the comparison group participated in measurements for the study without performing the exercise and were contacted by phone after discharge, in a matched time frame with the exercise group, to assess physical condition. Muscle strength, flexibility, balance, cognitive characteristics, and performance of ADL for the two groups were compared at the pretest and the posttest after the low-intensity exercise program by utilizing SPSSWIN and the results are as follows : 1) At the postest, measurements of muscle strengths showed that the strength of the dorsal flexor in the exercise group was significantly higher than in the comparison group. 2) Objective balance for the exercise group was significantly better than for the comparison group as measured by 'standing on one foot' and Tinetti gait and balance control. 3) The exercise group showed significantly higher task self-efficacy than the comparison group. 4) Perceived exertion for ADL for the exercise group was significantly lower than for the comparison group. 5) Improvement of performance of ADL without assistance was significantly higher for the exercise group than the comparison group. The findings suggest that a low-intensity exercise program would be useful for the elderly who show decline in their physical functioning due to hospitalization by partly improving physical strength, task self-efficacy, and performance of ADL. Directions for further research on issues of motivating people to exercise as well as of standardizing various types of exercise were discussed.

• 한국보건간호학회지
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• 제15권1호
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• pp.157-171
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• 2001

The study was designed to provide the fundamental information for understanding discomfort of bone marrow donors and for promoting an individual comfort by comparing the difference on discomfort between unrelated donors and related donors. The subject of the study was fifty related donors and thirty unrelated donors who was in the C University Hospital. This survey had been carried out and collected from October, 1998 to March, 1999. The scale of discomfort of donors associated with bone marrow donation were assessed by the questionnaire deviced by Kim Sang Dol and amended by the researcher. Data was analyzed by $x^2-test$, t-test, two-way ANOVA, and Pearson Correlation Coefficients. The results were as follows. 1. Considering the general characteristics of bone marrow donors according to gender, male was consisted of $60\%$ and female was consisted of $40\%$. Of those related donors are consisted for $62.5\%$ and accounted for $37.5\%$ of those unrelated donors. Considering the classification to the job, employee of company were major donors which was $35\%$, and next order was student, individual businessman, and housewife. Considering the education level. college students were $48.7\%$ and students who have less than high school level were $42.5\%$. 2. According to the above the results regarding discomfort of bone marrow donation, it is especially shown that the major cause for discomfort of bone marrow donors is on physical factor. The concrete examples for physical factor are pain in the region of bone marrow harvest and pain in the injection part by fluid therapy and blood-sampling, an immovability of the body after bone marrow harvest, and difficulties on walking. Considering physiological factor, there are an uneasiness about leading to injure their health, vague fear about the hospital. and a tedium at hospital. Environmental factors for discomfort of bone marrow donors are insufficient explanation for needle gauge and procedure of bone marrow donation and difficulty on following medical schedule. Therefore. it is necessary to establish more effective and systematically organized program for nursing intervention based on the research results. An effective program is only useful in getting rid of discomfort of bone marrow donors.