• 디지털융복합연구
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• 제14권1호
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• pp.219-227
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• 2016

본 연구는 다중역할을 하는 간호전문직 기혼 여성의 대학원생활 경험을 이해하고, 그들의 생생한 경험의 의미를 밝히기 위하여 Colaizzi의 현상학적 연구방법을 사용한 질적연구이다. 연구대상은 간호전문직 기혼 여성으로서 대학원에 재학하여 일과 학업을 병행하고 있는 석 박사 과정생으로 이들을 대상으로 반구조적인 개인심층면담을 진행하였다. 연구결과 도출된 5개의 범주는 '시간에 쫓기며 살아감', '심도 깊은 학업 부담감에 짓눌림', '가족에 대한 죄책감', '많은 역할간의 갈등으로 몸부림침', '힘든 가운데 찾은 의미와 보람'으로 나타났다. 결론적으로 현대사회의 급속한 발전과 함께 인간의 건강에 대한 건강문제를 해결함으로써 건강증진에 기여 할 수 있는 전문적인 간호사가 될 수 있도록 다양한 지지체계를 통하여 대학원과정을 배려하고 지지해 준다면 간호학문에 대한 정체성 확립을 돕고 대상자들의 건강증진을 위하여 더욱 전문적인 간호를 할 수 있을 것이다. 본 연구결과는 간호전문직 기혼 여성의 대학원생활에 대한 생생한 경험을 바탕으로 범주화한 결과로 합리적인 중재 방안의 개발에 유용한 기초자료로 이용될 수 있다.

• The Korean Journal of Pain
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• 제30권2호
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• pp.134-141
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• 2017

Background: Postoperative pain is a common, distressing symptom following arthroscopic knee surgery. The aim of this study was to compare the potential analgesic effect of dexmedetomidine after intrathecal versus intra-articular administration following arthroscopic knee surgery. Methods: Ninety patients undergoing unilateral elective arthroscopic knee surgery were randomly assigned into three groups in a double-blind placebo controlled study. The intrathecal dexmedetomidine group (IT) received an intrathecal block with intrathecal dexmedetomidine, the intra-articular group (IA) received an intrathecal block and intra-articular dexmedetomidine, and the control group received an intrathecal block and intra-articular saline. The primary outcome of our study was postoperative pain as assessed by the visual analogue scale of pain (VAS). Secondary outcomes included the effect of dexmedetomidine on total postoperative analgesic use and time to the first analgesic request, hemodynamics, sedation, postoperative nausea and vomiting, patient satisfaction, and postoperative C-reactive protein (CRP) levels. Results: Dexmedetomidine administration decreased pain scores for 4 h in both the intrathecal and intra-articular groups, compared to only 2 h in the control patient group. Furthermore, there was a significant reduction in pain scores for 6 h in the intra-articular group. The time to the first postoperative analgesia request was longer in the intra-articular group compared to the intrathecal and control groups. The total meperidine requirement was significantly lower in the intra-articular and intrathecal groups than in the control group. Conclusions: Both intrathecal and intra-articular dexmedetomidine enhanced postoperative analgesia after arthroscopic knee surgery. Less total meperidine was required with intra-articular administration to extend postoperative analgesia to 6 h with hemodynamic stability.

• 대한물리치료과학회지
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• 제11권3호
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• pp.49-59
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• 2004

The purpose of this study was carried out to rind out the prevalence of occupational musculoskeletal disorders among workers in manufacturing industries, so that the result could provide basic data necessary to prevent musculoskeletal disorders. Information on general characteristics, occupational characteristics, and musculoskeletal symptoms were obtained by a self-administered questionnaire between October and November in 2002, from 345 workers in Kim-hae and Ulsan, Kyung-nam province. The data were analyzed for chi-square test by using SPSS NVIN 10.0 program. The results are as follows: According to the self-reports, among musculoskeletal symptoms complain on shoulders are topping for 50.4%, low back is followed for 40.6%, leg/foot 35.7%, neck 34.5%, wrist/hand/finger 30.1%, and arm 24.3%. According to occupational characteristics prevalence by anatomical site, about neck pains 119 subject, occupational satisfaction is 62,6% in moderate group, work shift is 71.8% in no work shift group, each significant high. Symptom complain rate of 104 patients who complained on wrist, hand and finger pain is significantly related that 36.5% below 5 years and 36.5% above 15 years have been worked group. And each of them are significantly related 77.9% in labor workers group, 70% in no work shift group, 54.8% in frequent transfer group. Among 140 subjects who have back pain, that is significationtly reported on 37.1% below 5 years and 37.9% above 15 years and 60.0% moderate satisfied occupation group have been worked group. Therefore, some efforts should be proceeded such as improvement of working condition, flexibility for changing work, more pleasant and better working environment, and etc.

• 대한한방부인과학회지
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• 제18권4호
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• pp.183-194
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• 2005

Purpose : This study was carried out to compare actual obesity rate, body shape perception and weight control between outpatients visiting obesity center and general population in the $20{\sim}30$ age bracket. Methods : The respondents were 72 females including 38 outpatients and 34 general population in the $20{\sim}30$ age bracket. We compared the results of the questionnaires about body shape, obesity and weight control between two groups. Data were analyzed by Student T-test and Chi-square test. Results : In questionnaire survey results, the average BMI, obesity rate, body shape distortion of the respondents who have normal weight, concern for weight control in outpatients group were significantly higher than general population group. Satisfaction on weight control in distorted group was lower than undistorted group. Conclusion : A distortion of the body shape caused unsatisfaction on weight control and it was significantly high in outpatients group, especially among the respondents who have normal weight. It is considered that the distortion of the body shape should be corrected by counselling for proper treatment.

• 대한지역사회작업치료학회지
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• 제3권1호
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• pp.43-53
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• 2013

목적 : 본 연구에서는 소뇌 실조증 환자에게 시각되먹임 프로그램 훈련을 적용 후 균형과 일상생활수행에 어떠한 변화를 나타내는지 확인해 보고자 한다. 연구방법 : 대전 모 재활병원에서 소뇌 실조증으로 진단받고 입원 중인 대상자 1명을 대상으로 주 5회기씩 총 2주간에 걸쳐 중재를 시행하였고, 사후 2주를 포함하여 총 4주간 실시하였다. 중재 전 후, 사후 균형의 변화를 확인하기 위하여 BIORescue 프로그램을 활용하여 안정성의 한계(Limit of stability; LOS)와 롬버그 검사를 시행하였고, 다른 균형평가로는 버그 균형척도를 시행하였다. 일상생활수행에 미치는 영향을 알아보기 위하여 COPM을 실시하여 분석하였다. 결과 : 소뇌 실조증 환자에게 안정성의 한계와 롬버그 검사, 버그 균형척도에서 중재 후 변화를 확인하였고, 유지가 되는 것을 확인할 수 있었다. 일상생활수행에서도 목욕하기, 이동하기, 교통수단의 이용, 세탁하기, 모임활동 5개 영역 모두 수행도와 만족도가 향상 되었다. 결론 : 소뇌 실조증 환자에게 균형향상을 위하여 시각되먹임 프로그램이 유용하게 적용되어질 수 있을 것으로 보여 진다.

• 대한족부족관절학회지
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• 제16권4호
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• pp.241-246
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• 2012

Purpose: The purpose of our study was to perform a comparison of the outcomes of the modified Brostrom procedure using only a suture anchor compared with using a suture anchor with a pushlock anchor. Materials and Methods: This was a retrospective study of chronic lateral ankle instability that underwent a modified Brostrom procedure using a bioabsorbable suture anchor & a pushlock anchor, performed by a single surgeon. A total of 88 patients were enrolled in the study. The function of the patient's ankles were scored using the American Orthopaedic Foot and Ankle Society (AOFAS), visual analogue scale (VAS) both preoperatively and postoperatively. Results: The difference in the overall means between the group A and group B was not statistically significant. But, the patient's satisfaction was better in the group B, and there were more complications in the group A. Conclusion: The technique presented here uses the modified Brostrom procedure with pushlock anchors to prevent the problems associated with subcutaneous knot irritation.

• Journal of Dental Anesthesia and Pain Medicine
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• 제16권2호
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• pp.131-136
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• 2016

Background: This study aimed to evaluate the patient's pain and quality of life after suture removal at either 3 or 7 days following the bilateral surgical extraction of impacted lower third molars. Methods: This study was a prospective, randomized controlled clinical trial carried out in 30 patients, who acted as their own control. Each patient required the bilaterally impacted mandibular third molars to be extracted. The impacted teeth were removed and the wound margins were approximated and sutured with black braided silk. The suture material was removed on day 3 on one side and on day 7 on the other. Each participant was asked to complete a questionnaire after the removal of the suture material on each designated day. Results: Regarding overall clinical symptoms, the mean VAS scores of male and female participants on day 3 were not significantly different from those on day 7. A significant difference was found in female participants, in that overall daily activity was better on day 7. There were significant differences in the ability to smile and laugh in both sexes and the ability to chew in the male participants was better on day 7. Conclusions: There were no significant differences in the patient's pain and quality of life between suture removal on day 3 or on day 7 following surgery to remove impacted lower third molars.

• 생물정신의학
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• 제25권2호
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• pp.31-37
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• 2018

Objectives The aim of this study was to evaluate the psychopathological features such as depression and anxiety in schizophrenics with obsessive-compulsive symptoms (OCS) as well as the severity of OCS according to duration of schizophrenia. Methods We randomly selected sixty four inpatients with schizophrenia. We classified the patients into two groups (OCS group, non-OCS group) according to the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Clinical and demographic features were evaluated. To assess OCS, Y-BOCS were performed. The Korean version of the Positive and Negative Syndrome Scale(K-PANSS), the Brief Psychiatric Rating Scale (BPRS), the Korean version of the Calgary Depression Scale for Schizophrenia (K-CDSS), the Beck Anxiety Inventory (BAI) and the Satisfaction With Life Scale (SWLS) were conducted. Independent t-test and chi-square test were conducted to compare the two groups. Pearson correlation analysis was performed to examine the relationship between the duration of schizophrenia and the Y-BOCS score. Results The Y-BOCS, K-CDSS, and BAI scores were higher in the OCS group. There was a significant correlation between the duration of schizophrenia and the Y-BOCS score. Conclusions Anxiety and depression symptoms were severe in the OCS group. In addition, the results of this study indicate that the longer duration of schizophrenia, the more severe the OCS. Therefore, the evaluation of OCS in schizophrenics should be accompanied by treatment intervention.

• 여성건강간호학회지
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• 제11권3호
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• pp.193-201
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• 2005

Purpose: The purpose of this study was to describe the use pattern of alternative therapies in middle aged women. Method: The subjects of this study were 530 women from 40 to 64 years of age. The data of this study was patients' records. The data was gathered from April 1st, 2004 to June 30th, 2004. Data was analyzed statistically by using the SPSS/WIN 10.0 program. Result: It was shown that 63.5% of the subjects have utilized one or more types of alternative therapy. The most common type of alternative therapy was dietary and nutritional therapy 38.3%, and the place of use was the home 64.1%. The most common reason was a recommendation by friends. The degree of satisfaction after the use of alternative therapy was 95.2%. Among users of alternative therapies, the most frequent responses to each question were as follows; Motive of Use- "for health maintenance and promotion." (62.7%) In the relation ship between general characteristics and utilization of alternative therapy, religion(x2=12.33, p=.02), exercise(x2=8.21, p=.004), and health status(x2=14.95, p=.005) showed a significant statistical difference. Conclusion: We found that middle aged women used alternative therapies more frequently than other populations. Therefore, it is suggested that medical doctors or nurses verify the true effects or side-effects from the most therapies or nurses verify the true effects or side-effects from the most common complementary or alternative therapies through experiments.

• 여성건강간호학회지
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• 제19권4호
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• pp.211-218
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• 2013

Purpose: The purpose of study was to examine effects of aromatherapy on stress, sleep, nausea and vomiting of women after laparoscopic hysterectomy. Methods: The participants were 60 women who had laparoscopic hysterectomy: experiment group for aromatherapy (n=30) and control group for routine care (n=30). The experimental group received inhalation aromatherapy for 5 minutes, twice; the first was done right after the operation, the second was at 9 pm before sleep on the same day-while the control group had no inhalation. Data were collected from July to September, 2012 at G hospital. Results: The degree of psychological stress was not significantly different between two groups (t=-1.96, p=.054). Yet, there were significant differences between two groups for degree of physiological stress (t=-3.20, p=.002), the level of cortisol (t=-2.01, p=.049), the score of sleep status (t=2.47, p=.016), the score of sleep satisfaction (t=2.43, p=.018), and the score for nausea and vomiting (t=-2.58, p=.012). Conclusion: Inhalation aromatherapy using the mixed oil of lavender, mandarin, and marjoram was effective in decreasing the level of physiological stress, cortisol, and the score for nausea and vomiting, and also allowed the participants to have a better sleep. Therefore, inhalation aromatherapy could be effective in improving the quality of life of these women during recovery.