• 생물정신의학
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• 제27권2호
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• pp.74-83
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• 2020

Objectives Psychological resilience plays a significant role in many aspects of mental health. The aim of this study was to find an association between childhood attention deficit hyperactivity disorder (ADHD) features and adulthood psychological resilience in patients with mood disorders. Methods A total of 213 patients with mood disorders including major depressive disorder or bipolar I, II disorder and 909 healthy controls were included. We assessed childhood ADHD features using the Wender Utah Rating Scale (WURS), adulthood psychological resilience using the Connor-Davidson Resilience Scale (CD-RISC), and current depressive mood using the Beck Depression Inventory (BDI). Pearson's correlation, multiple linear regression and a mediation analyses were performed to examine the relationships between three WURS factor (impulsivity, inattention, and mood instability) scores, the BDI score, and the CD-RISC score. Results The CD-RISC score was negatively correlated with the WURS childhood inattention factor score and current BDI score in patients with mood disorders. BDI score mediated the influence of the inattention factor score on CD-RISC score among patients with mood disorders. The CD-RISC score was significantly lower in patients with mood disorders than in controls even after controlling for age, WURS scores, and the BDI score. Conclusions An evaluation of psychological resilience is important for enhancing recovery and quality of life in patients with mood disorders. When assessing psychological resilience, current depression and ADHD features in childhood, particularly inattention, should be considered.

• 한국학교보건학회지
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• 제29권2호
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• pp.81-89
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• 2016

Purpose: This study is to analyze influencing factors of smoking intention among nonsmoking middle school students with regard to smoking attitude, knowledge and social influence. Methods: Data were collected from non smoking students of 5 middle schools in D metropolitan city. The 1,892 enrolled subjects provided informed voluntary consent prior to completing a structural questionnaire covering smoking attitudes, knowledge, social influences and general characteristics. The data were analysed using SPSS/Win 21.0 program by -test and logistic regression analysis. Results: Among the nonsmoking students, 85.5% never had an intention to smoke. In relation to general characteristics, smoking intention was significantly associated with sex, school records, socioeconomic status, relationship with parents, smoking experience, and smokers around them. In relation to attitude, knowledge, and social influence, smoking intention was significantly associated with a lower attitude score, a lower knowledge score, and a lower social norm. In the logistic regression analysis, smoking intention was associated with a lower attitude score (2.99 times), a lower social norm (2.65 times), being male (2.35 times), low socioeconomic status (2.22 times). and having smoking experience (2.70 times). Conclusion: It is needed to develop promotional strategies that could provide adjusted systematic smoking prevention education for the preferred smoking group and afford smoking prevention programs considering subject characteristics to help young adolescents avoid access to smoking in their early age.

• 대한치과기공학회지
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• 제40권2호
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• pp.83-96
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• 2018

Purpose: The purpose of this study was to examine the influence of dental technicians sense of work ethics on their organizational effectiveness such as job satisfaction and organizational citizenship behavior. Methods: A self-administered survey was conducted from August 25 to September 15, 2017, on 220 selected dental technicians. The collected data were analyzed by SPSS Win 19.0. Statistical data on frequency and percentage were obtained, and t-test, one-way ANOVA, correlation analysis and regression analysis were carried out. Results: When the subjects' sense of work ethics was analyzed, there were significant differences according to their field of work, position, dental technician career and monthly income(p<.05). Their average score in the items about a sense of work ethics was 3.80, which was a high score. As a result of analyzing the organizational effectiveness of the dental technicians, there were significant differences according to their field of work, position, dental technician career and monthly income(p<.05). The average score in job satisfaction items was 3.14, and that in organizational citizenship behavior items was 3.55. Conclusion : As a result of research, the above-mentioned findings of the study imply that as for the correlation between a sense of work ethics and organizational effectiveness, a better sense of work ethics led to better organizational effectiveness, as every variable had a significant positive correlation with each other. In addition, interpersonal relationships were identified as the factor that exerted the largest influence on both of job satisfaction and organizational citizenship behavior.

• Radiation Oncology Journal
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• 제27권1호
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• pp.15-22
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• 2009

목적: 골반부 방사선 치료를 받은 자궁경부암 환자에서 골밀도 검사 부위인 요추부위와 대퇴골 경부에서 방사선 치료 범위에 인접한 부위와 원격 부위의 골밀도 양상 및 골밀도 관련 인자와의 관련성을 알아보고자 하였다. 대상 및 방법: 고신대학교 복음병원 방사선 종양학과에서 골반부 방사선 치료를 받고 외래에서 추적 관찰하면서 2002년 11월부터 2006년 12월까지 골밀도 검사를 받은 자궁경부암 환자중 96명을 대상으로 제 1 요추부위, 제 4 요추부위와 대퇴골 경부 전체 부위에서 T-score와 Z-score를 조사하여 각 평균치가 각 부위별로 유의하게 차이가 있는지 분석하였다. 환자군의 특성과 관련하여 연령, 체중, 체질량 지수(BMI), 방사선 치료 종료 후 골밀도 검사일까지의 경과 기간, 자궁강내 근접치료(ICR) 추가 유무, 여성 호르몬 치료(HRT) 여부에 따른 T-score와의 관계를 각 부위별로 분석하였다. 결과: 전체 연령대의 각 부위별 T-score의 평균치는 제 1 요추부위가 -1.94, 제 4 요추부위가 -0.42, 대퇴골 경부 전체가 -0.53이었고 각 부위별 Z-score의 평균치는 제 1 요추부위가 -1.11, 제 4 요추부위가 -0.40, 대퇴골 경부 전체가 -0.48이었다. 제 4 요추부위 및 대퇴골 경부의 T-score와 Z-score는 제 1 요추부위와 유의한 차이를 보였으나(p<0.05), 제4요추부위와 대퇴골 경부사이에는 유의한 차이를 보이지 않았다. 60세 미만의 연령군에서도 같은 결과를 보였다. 각 부위별 T-score 모두에서 연령, ICR 여부 변수에 대해서 유의한 음의 상관 관계를 보였고(p<0.05), 체중, HRT 여부 변수에 대해서는 유의한 양의 상관 관계를 보였다(p<0.05). 체질량 지수에 대해서는 제 4 요추부위와 대퇴골 경부의 T-score와 유의한 양의 상관 관계를 보였다(p<0.05). 각 변수들이 각 부위별 T-score에 미치는 고유한 영향력을 알아보기 위한 다중 회귀 분석에서 연령은 제 1 요추부위와 대퇴골 경부의 T-score와 유의한 음의 연관을 보였으나(p<0.05) 제 4 요추부위와는 유의한 연관이 없었다. 체중은 각 부위 모두에서 T-score와 유의한 양의 연관을 보였다(p<0.05). ICR 여부 변수는 제 1 요추부위의 T-score와만 유의한 음의 연관을 보였다(p<0.05). HRT 여부 변수는 제 4 요추부위와 대퇴골 경부의 T-score와 유의한 양의 연관을 보였다(p<0.05). 결론: 본 연구에서는 제 4 요추부위와 대퇴골 경부의 T-score와 Z-score가 제 1 요추부위의 값보다 유의하게 높은 결과를 보였는데 일반인을 대상으로 한 일부 연구와는 다른 결과였다. 각 부위 간의 의미있는 차이에 대해서 노화나 다른 요인의 영향을 고려해 볼 수 있으며 방사선 치료 범위에 인접하거나 포함된 부위에서 더 높은 T-score와 Z-score를 보인 점에서 그 중 방사선의 영향도 부분적으로 작용하였을 것으로 생각된다. 방사선 치료 환자군의 골밀도 특성의 임상적인 의미에 대한 장기간의 추가적인 연구가 필요하며 이에 따라서 방사선 치료 환자에서 골밀도 검사에 의한 골다공증의 진단에 영향을 줄 수 있을 것으로 생각된다.

• 농촌의학ㆍ지역보건
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• 제24권1호
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• pp.115-129
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• 1999

일부 농촌 지역 노인을 대상으로 가족지지가 우울에 미치는 영향을 파악하기 위해 전라남도 1개 면에 거주하는 65세 이상 노인인 구 163명을 대상으로 1998년 1월 1일부터 2월 20일까지 직접 면접을 통한 설문조사를 실시하여 분석한 결과는 다음과 같다. 1. 단순분석에서 우울 정도와 관련이 있는 변수는 남자에서 주거상태, 용돈정도, 건강인식, 음주, 흡연, 신체적 수단적 활동장애 유무, 가족지지도 수준 등 이였으며 여자에서는 연령, 용돈정도, 건강인식, 흡연, 신체적 수단적 활동장애 유무, 가족지지도 수준 등이었다(p<0.05). 2. 가족지지도가 증상 영역별 우울 정도에 미치는 영향을 파악하기 위해 가족지지 정도 이외의 우울 정도와 관련되는 제 변수를 통제한 상태에서 다중 회기분석을 실시한 결과 남자의 정동증상, 신체증상, 정신운동증상, 심리적 증상 모두 통계적으로 유의하게 영향을 미쳤으며 여자에서는 신체증상, 정신운동증상, 심리적 증상에서 통계적요로 유의하게 영향을 미쳤다(p<0.05). 이상의 결과에서 농촌 노인에 있어서 가족 지지가 우울에 영향을 미치는 중요한 요인으로 작용함을 알 수 있었다. 따라서 농촌지역 노인의 우울 문제를 접근함에 있어서 가족간의 관계를 친밀하게 유지시킬 수 있는 방안을 고려하여야 할 것으로 생각한다.

• 성인간호학회지
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• 제19권4호
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• pp.535-546
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• 2007

Purpose: This study was conducted to evaluate life satisfaction(LS) and to assess the factors that influence LS in senior center elderly people. Methods: The subjects were 253 elders who visited the Y city Senior Welfare Center between July 2006 and August 2006. Data were collected using structured questionnaires. The instruments were composed of Kang's Family Support Scale, Depression Scale by Sheikh & Yesavage, Laffery's Health Concept Scale, and LS scale by Choi. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program. Results: The LS level showed a maximum score of 38 with a mean score of 23.23. The mean scores for depression, health perception and family support were 5.52(maximum score, 15), 77.46(maximum score, 112), 43.45(maximum score, 55) respectively. The LS were significantly correlated with health perception, depression and family support. Depression was the most powerful predictor of and it accounted for 42.0% of the total variance in LS. A combination of significance of eudaimonistic health perception and satisfaction with pocket money accounted for 47.2% in LS. Conclusion: Depression and health perception were identified as affecting variables for the LS. Based upon these results, nurses should help the aged to enhance their LS.

• 한국직업건강간호학회지
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• 제9권2호
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• pp.79-85
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• 2000

All clinical nurses are not only faced with the physical and emotional needs of patients but also exposed to the heavy workload. In clinical settings, the nurses' stress becomes more and more critical. Understanding the stress experienced by nurses is essential for planning programs to enhance patient care and to promote nurses health. Many methods to reduce the stress were practiced for patients. In this study, the investigator examined how the imagery influence the reducing the stress of clinical nurses. For this study, the recorded tape for imagery developed in the Society of Rheumatics was applied. In order to evaluate the effect of imagery on the stress of clinical nurse, stress score, serum cortisol, blood pressure, and pulse were measured on 20 clinical nurses for 20 days. The results were as follows: 1. Stress score decreased significantly in the experimental group. And the rate of decrease in stress score was significantly higher in experimental group than in the control group. 2. The level of serum cortisol decreased significantly after the application of imagery. 3. Systolic blood pressure decreased significantly after the application of imagery. These results indicate that after applying the method of imagery on the nurses, stress score, serum cortisol level, and systolic blood pressure were significantly decreased. Therefore, this study proves that imagery is one of the methods to reduce the stress of clinical nurses.

• 간호행정학회지
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• 제12권4호
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• pp.541-554
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• 2006

Purpose: The purpose of this study is to provide basic data for the improvement of the quality in the emergency nursing services by investigating the expectation level and actual received level with nursing care and identifying the factors that influence patient satisfaction with the emergency nursing care in the military hospitals. Method: Using a self report questionnaire, data were collected from 150 patients who had been admitted in military hospitals emergency department. The data collection was done between April 17 and April 30, 2006. At least, 145 questionnaires were analyzed and used in this study. Results: The average sum score was 61.93 out of 76 with standard deviation 9.590. The mean of the patient's expectation levels with the overall emergency nursing services was $(3.25{\pm}.504)$ out of the highest score 4. the average sum score was 63.27 out of 76 with standard deviation 9.902. The mean score of the patient's actual levels with the overall emergency nursing services was $(3.33{\pm}.521)$ out of the highest score 4. Conclusion: nursing management strategies must be established to remove patient's dissatisfaction factors and to improve the emergency nursing care quality through continuous measurement and assessment of the patient's satisfaction with emergency nursing services in military hospitals.

• 성인간호학회지
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• 제14권4호
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• pp.501-509
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• 2002

Purpose: This study was performed to identify the illness intrusiveness, quality of life, and their relationships in patients with chronic liver disease. Method: Data was collected using scales of illness intrusiveness developed by Devins et al and Korean health related quality of life (KoQoLS) developed by Shim et al to measure the illness intrusiveness and quality of life from 141 chronic liver disease patients. Result: The total mean score of illness intrusiveness was $38.85{\pm}18.45$. The domain of illness intrusiveness which showed the highest mean score was health ($4.60{\pm}2.02$), and the lowest mean score domain was relationship with spouse ($20.4{\pm}1.69$). The subcategory of KoQoLS which showed the highest mean score was bodily pain ($6.96{\pm}2.98$), and the lowest mean score subcategory was vitality ($2.75{\pm}1.20$). There were negative relationships between illness intrusiveness and KoQoLS in all subcategories. Abovel all, Illness intrusiveness had the strongest negative relationship with role limitation (r=-0.641) among the KoQoLS subcategories. Conclusion: Because the illness intrusiveness had negative influence on the quality of life in patients with chronic liver disease, further research will need to specify detailed illness intrusiveness and to explore influencing factors on quality of life in them.

• 대한인간공학회지
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• 제31권4호
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• pp.525-531
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• 2012

Objective: The aim of this study is to investigate learnability of gestures-commands pair when people use gestures to control a device. Background: In vision-based gesture recognition system, selecting gesture-command pairing is critical for its usability in learning. Subjective preference and its agreement score, used in previous study(Lim et al., 2012) was used to group four gesture-command pairings. To quantify the learnability, two learning models, average time model and marginal time model, were used. Method: Two sets of eight gestures, total sixteen gestures were listed by agreement score and preference data. Fourteen participants divided into two groups, memorized each set of gesture-command pair and performed gesture. For a given command, time to recall the paired gesture was collected. Results: The average recall time for initial trials were differed by preference and agreement score as well as the learning rate R driven by the two learning models. Conclusion: Preference rate agreement score showed influence on learning of gesture-command pairs. Application: This study could be applied to any device considered to adopt gesture interaction system for device control.