• 한국산학기술학회논문지
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• 제16권9호
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• pp.6099-6111
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• 2015

본 연구는 무릎 골관절염 환자를 대상으로 수중운동과 지상운동의 효과를 비교하기 위해 수행된 체계적 문헌고찰 및 메타분석 연구이다. 문헌은 Ovid-Medline, Cochrane Library CENTRAL, CINAHL과 국내 DB인 RISS와 KISS를 통해 ((osteoarthriti* OR OA) AND (aqua* OR water OR hydrotherap*)), (골관절염 AND 수중운동) 등을 주요어로 조합하여 검색하였으며, 선택배제과정을 거쳐 최종 7편(n=449)의 문헌이 분석에 포함되었다. 문헌에 대한 질 평가는 SIGN의 무작위임상시험평가도구를 사용하였으며, 질 평가 결과는 6편에서 ++, 1편에서 +로 평가되어 전반적으로 비뚤림 위험은 없는 것으로 판단하였다. 메타분석결과 운동 중재 후 수중운동군과 지상운동군의 통증변화에 대한 차이는 Standardized mean difference (SMD) -0.26(95% CI -0.49, -0.03, p=0.03, $I^2=14%$)으로 수중운동군이 지상운동군에 비해 통증이 통계적으로 유의하게 감소하는 것으로 나타났으나, 그 외 두 군간 굴곡 관절가동범위, 신전 관절가동범위, 신체기능, 삶의 질의 SMD는 각각 -0.12(95% CI -0.51, 0.27, p=0.53, $I^2=0%$), -0.04(95% CI -0.55, 0.48, p=0.89, $I^2=43%$), -0.12(-0.44, 0.19, p=0.44, $I^2=0%$), -0.15(-0.54, 0.24, p=0.46, $I^2=0%$)로 두 군간 통계적으로 유의한 차이가 없는 것으로 나타났다. 현재 시점에서 무릎 골관절염환자를 대상으로 수중운동과 지상운동의 효과를 분석한 무작위 대조군 실험 연구 수가 비교적 적어 효과크기에 대한 확증적 결과를 얻는 데에는 다소 제한이 있었으므로 향후 이와 관련된 무작위 임상시험연구와 장기적인 효과검증에 대한 노력이 지속적으로 이루어져야 할 것으로 사료된다.

• 한국학교보건학회지
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• 제9권1호
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• pp.77-98
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• 1996

This studies designed to work out a theoretical framework on the experience of sexual abuse from the perspective of grounded theory in an effort to provide more practical and efficient nursing intervention for female victims. The subcategories identified were "sexual abuse", "threatening", "absent mindness", "embarrassment", "horripilation", "dizziness", "wondrousness", "filthiness", "sexual curiosity", "violence level", "victim's age", "neighbors response", "victims personality", "common experience", "sexual abuse information", "family relations", "level of familiarity", "hiding", "suppression", "self-torture", "self-protection", "avoidance", "asking aid", "withdrawal", "hatred", "confusion", "dodging, "remmant", and "pursuing". The 29 subcategories given above were further integrated into 16 categories such as "victimizedness", "being astounded", "filthiness", "degree", "developmental stage", "response pattern", "personality", "rarity", "information availability", "family support", "cover-up", "escaping", "informing", "negative internalization", and "positive pursuit of change". The core categories linked to all the other categories turned out to be "being taken aback" and "filthiness" incorporating the relevant subcategories. A total of 23 theoretical hypothesis emerged in the process of analyzing data. 1. the grater sexual curiosity, the weaker the senses of being taken aback and filthiness. 2. The weaker sexual curiosity, the stronger the senses of being taken aback and filthiness. 3. The stronger the level of violence, The more violent the senses of being taken aback and filthiness. 4. The lower the level of violence, the weaker the senses of being taken aback and filthiness. 5. The younger the victims, the stronger the senses of being taken aback and filthiness. 6. The older the victims, The weaker the senses of being taken aback and filthiness. 7. 'Escaping' will transpire regardless of the given circumstances. 8. The weaker the senses of being taken aback and filthiness, the more probable 'informing' and 'escaping' transpire. 9. The stronger the senses of being taken aback and filthiness, the more probable 'informing' and 'escaping' transpire. 10. The more protective the response from 'informing' and 'escaping' transpire around, the more likely the response to being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 11. The more repelling the response from around, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 12. The more open minded the personality of the subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 13. The more closed the personality of tile subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 14. The more frequent the experience of sexual abuse, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 15. The less frequent the experience of sexual abuse, the more lilely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 16. The more available information concerning sexual abuses, the more likely response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping. 17. The less available information concerning sexual abuses, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 18. The more cohesive the family of the subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 19. The less cohesive the family of the subject, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping'. 20. The less familiar the subject is with the abuser, the more likely the response to 'being taken aback' and 'filthiness' will be 'informing' and 'escaping'. 21. The less familiar the subject is with the abuser, the more likely the response to 'being taken aback' and 'filthiness' will be 'covering-up' and 'escaping. 22. The more likely the response to 'being taken aback' and 'filthiness' is 'informing and 'escaping', the more positive changes the subject will pursue. 23. The more likely the response to 'being taken aback' and 'filthiness' is 'covering-up' and 'escaping', the more negative changes the subject will pursue. The following four hypotheses were conformed in the process of data analysis. 1) In case the level of violence is strong but 'being taken aback' and 'filthiness' in weak because of strong sexual curiosity and also if information concerning sexual abuse is not readily available and the frequency is low, negative internationalization marked by 'covering-up' and 'escaping' will take place despite the fact the subject is open-minded, the family is cohesive and the abuser is unfamiliar. 2) In case the level of violence is weak but 'being taken aback' and 'filthiness' is weak combined with weak sexual curiosity and also if information concerning sexual abuse is readily available and the response from around is protective and the frequency is high, the subject will pursue positive changes to 'being taken aback' and 'filthiness', further aided by the fact that the subject is open-minded, the family is cohesive and the abuser is unfamiliar. 3) In case the level of violence is strong and 'being taken abuse' and 'filthiness' is strong because of weak sexual curiosity and also if information concerning sexual abuse is reading available and the response from around is readily available and the response from around is protective and the frequency is low, the subject will persue positive changes marked by 'informing' and 'escaping' despite the fact that the family cohesion is weak and the abuser is familiar. 4) In case the level of violence is strong and 'being taken aback' and 'filthiness' is strong because of weak sexual curiosity and also if information concerning sexual abuse is not readily available and the response from around is respelling and the frequency is low negative internalization like 'covering-up' and 'escaping' will take place, further aggravated by the fact that the subject's personality is closed, family cohesion is weak, and subject is familiar. On the basis of the above finding, it is recommended that nursing intervention should focus on promoting the milieu conductive to the victims pursuing positive changes along with the adequate aids from protection facilities as well as from the people around them.

• 디지털융복합연구
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• 제11권12호
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• pp.657-663
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• 2013

본 연구는 비행청소년의 우울에 영향을 미치는 요인을 규명하기 위한 서술적 조사 연구이다. 연구대상은 D광역시 소재 의료 소년원에 입소한 비행 청소년 275명이었으며, 자료 수집기간은 2011월 5월에서 8월까지였다. 수집된 자료는 SPSS 20.0 통계프로그램을 이용하여 서술적 통계, t-test, ANOVA, Pearson's correlation coefficient, multiple regression으로 분석하였다. 본 연구결과 대상자의 32.4%와 52.0%는 임상적 수준의 ADHD와 우울로 나타났다. 비행소년의 ADHD 증상 및 자아존중감은 우울과 유의한 상관관계가 있었다. 비행청소년의 우울에 영향을 미치는 요인은 자아존중감, ADHD증상, 지각된 건강상태로 나타났으며 이들 전체 변수의 설명력은 37%였다. 따라서, 비행청소년들의 건상상태를 증진시키고 ADHD증상을 치료하고 자아존중감을 향상시킴으로써 우울을 예방하고 감소시킬 수 있을 것으로 생각한다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권1호
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• pp.21-25
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• 2012

The use of complementary and alternative medicines (CAM) among women with gynecologic cancer is becoming increasingly popular. Therefore, it is important to gain insight into the prevalence and factors related to the use of CAM. The aim of this study was to assess the use of CAM in women with gynecologic cancer. This is a descriptive cross-sectional study. Data were obtained from 67 gynecological cancer patients at gynecologic oncology clinic of a hospital in Turkey between October 2009 to December 2010 using a questionnaire developed specifically for this study. The instrument included questions on socio-demographic information, disease specifics and complementary and alternative medicine usage. On the basis of women's responses, all participants were divided into 2 groups: CAM users and nonusers. The findings indicated that 61.2% of the women reported the use of 1 or more CAM therapies. There were no significant differences in the sociodemographic and clinical characteristics between CAM users and nonusers (P <0.05). The most frequently used CAM method was herbal therapy (90.2%) and the second was prayer (41.5%). The main sources of information about CAM were informal (friends/ family members). A considerable proportion (56.1%) of CAM users had discussed their CAM use with their physicians or nurses. Turkish women with gynecologic cancer frequently use CAM in addition to standard medical therapy. Nurses/ oncologists caring for women with gynecologic cancer should initiate a dialogue about usage of CAM, discussing the potential adverse effects of CAM and the patient's therapeutic goals.

• 대한간호학회지
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• 제10권2호
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• pp.1-12
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• 1980

The process of having baby including pregnancy, labor and birth; is considered as crises of life cycle. It is noted that most pregnat women experience fear and anxiety through the gestational period and this may effect to the health of the baby and the mother. Therefore, we, nurses must focuse on this fear and anxiety of pregnant women and make an effort to relieve their emotional discomfort. This study was conducted to determine the pregnant women's intensity of fear and anxiety during pregnancy thus to provide some information for maternal care in terms of antenatal care. The specific objectives of this study are : 1. to determine what are the most frequently experienced fear and anxiety and how frequently the pregnant women perceive them as a fearful and anxious experience. 2. to find out the relations between the intensity of fear and anxiety of pregnancy and the demographic characteristics of the subjected women During the period May 15,1980 to June 4,1980,212 pregnant were asked to question are by trained student mures who visited to 4 obstetric clinic for antenatal care in C-city. The questionare were designed and and scheduled by author which covers 38 items about fears and anxiety during pregnancy and each item was answered by 5 seales according to it's intensity. The result analysed as percentile , mean and S.D. statistically and obtained as rollows 1) The mean age was 27,4 years, the proportion of women completed high school are 45.3%, and 51.4% has no religion 2）68.6% seplied“positive”response about fears and anxiety during pregnancy. 3) Fear relevant to pain, particularly during labor noted most frequent rate. 4) Social factors may relate to the intensity of the fears or anxiety further more socioeconomic problem take important role and affects to the expectant women, 5) Primigravida noted more fears and anxiety about pregnancy compared to multigravida and more in-tensity during aerly half gestational period than late. Majority of pregnant women have experienced fear and anxiety attendant upon pregnancy and so nurse can help the patient to be able experience 1ha difficult adjustment to be course of pregnancy and be able to get good result both fetus and mother through antenatal care.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.4939-4944
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• 2014

The purpose of this study was through a survey of awareness of cancer and cancer screening of Korean community residents to identify the stereotypes of cancer and bases for development of improved screening programs for early detection. Subjects were residing in South Korea Gangwon-Province and were over 30 years and under 69 years old. The total was 2,700 persons which underwent structured telephone survey questionnaires considered with specific rates of gender, region, and age. For statistical analysis, PASW Statistics 17.0 WIN was utilized. Frequency analysis, the Chi-square (${\chi}^2$) test for univariate analysis, and logistic regression analysis were performed. The awareness of cancer and cancer screening in subjects differed by gender, region and age. For the idea of cancer, women thought about death less than men (OR: 0.73, p<0.001). On the other hand, women had negative thoughts - fear/terror/suffering/pain/pain - more than their male counterparts (OR: 2.04, p<0.001). Next, for the idea of cancer screening, women recognized fear/terror more than men (OR: 1.38, p<0.01). The higher age, the more tension/anxiety/worry/burden/irritated/pressure (OR: 1.43, p<0.01, OR: 2.15, p<0.001, OR: 2.49, p<0.001)). People may be reminded of fear and death for cancer and of fear, terror, tension and anxiety for cancer screening. To change vague fear and negative attitudes of cancer could increase the rate of cancer screening as well as help to improve the quality of life for community cancer survivors and facilitate return to normal social life. Therefore, it is necessary to provide promotion and education to improve the awareness of cancer and cancer screening.

• 모자간호학회지
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• 제2권1호
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• pp.55-69
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• 1992

This study was planned and carried out 1) to identify the general menstrual characteristics, 2) to understand perimenstrual discomfort, menstrual attitude, and sex role acceptance, 3) to investigate the correlation between perimenstrual discomfort, menstrual attitude, sex role acceptance in order to provide basic information about menstruation. The subjects of this study were 313 college women and they were asked to check Menstrual Discomfort questionnaire, Menstrual Attitude Questionnaire, and Role Acceptance Scale. Data were gathered from April 1 to June 24, 1992. The results were as follows : 1) The mean age of the subjects was 19, and the mean age of monarch was 13.6 ranged from 11 to 19. The distribution of menstrual cycle showed a wide variation and the mean cycle was 29.7 days. The duration of menstrual cycle was between 2-8 days, and in 65.8% the amount of menstrual fluid was within normal limit. 2) The frequencies of perimenstrual discomfort was 56.9% when asked to check it on 5 point scale. 3) All scores of perimenstrual discomfort were higher on premenstrual period than intermenstrual period, and higher on menstrual period than premenstrual period. They were statistically significant. 4) In general, the college women perceived menstruation as natural, somewhat bothersome, and not very debilitating or predictable, although they did not deny that menstruation had some effects. 5) The correlation between perimenstrual discomfort and menstrual attitude was significant. 6) The correlation between perimenstrual discomfort and sex role acceptance was significant. 7) The correlation between menstrual attitude and sex role acceptance was significant.

• 디지털융복합연구
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• 제15권8호
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• pp.267-275
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• 2017

본 연구의 목적은 청소년의 신체상, 체질량지수, 체형인식, 외모스트레스 및 자기역량지각의 정도를 파악하고 각 변수들이 청소년의 신체상에 영향을 미치는 요인을 규명하는데 있다. 자료수집은 2017년 3월 15일부터 3월 29일까지였으며, J시에 소재한 3개 중학교에 재학 중인 청소년을 대상으로 편의 추출하였으며, 140부를 최종 분석에 사용하였다. 자료분석은 SPSS Statistics 20.0 프로그램을 이용하여 기술통계, t-test, ANOVA, 피어슨 상관관계, 다중회귀분석을 통해 분석하였다. 분석결과 청소년의 신체상은 체형인식, 외모스트레스, 자기역량지각과 유의미한 상관관계가 있었다. 다중회귀분석결과 신체상에 영향을 미치는 요인은 자기역량지각과 성별이었으며, 이들의 설명력은 21%였다(F=10.25, p<.001). 따라서 청소년의 올바른 신체상 확립을 위해 융복합적 자기역량지각강화프로그램을 개발하고 그 효과를 검증하는 연구가 필요하다.

• 한국산학기술학회논문지
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• 제17권4호
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• pp.547-555
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• 2016

본 연구는 국내에 보고된 대학생 대상의 인성교육 프로그램에 관한 연구를 살펴보고, 그 의미 있는 결과를 통합함으로써 대학생 대상의 인성교육 프로그램의 특성을 고찰하고자 시행되었다. 연구방법은 통합적 문헌고찰이며, 연구대상은 2000년부터 2015년까지 3개의 검색 데이터베이스에서 '대학생', '인성', '프로그램'으로 각각 조합하여 검색 후 선정된 논문 13편이다. 연구결과, 대학생 인성교육 프로그램은 자기이해 및 사회성 향상을 목적으로 한 연구가 가장 많았으며, 이에 대한 효과변인으로 자아존중감을 확인한 연구가 가장 많았다. 본 연구결과를 바탕으로 인성의 다양한 측면을 포함하는 프로그램의 개발이 필요하며, 인성교육은 단기간의 일회성 교육이 아닌 가정, 학교, 사회 전 분야에 걸쳐 협력하여, 장기적으로 이루어져야 할 필요가 있겠다.

• 디지털융복합연구
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• 제15권9호
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• pp.365-373
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• 2017

본 연구는 청소년의 긍정심리자본, 사회적 지지가 우울에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료 수집은 2017년 5월 9일부터 5월 19일까지였으며, J시에 소재한 2개 중학교에 재학 중인 청소년을 대상으로 편의 추출하였으며, 140부를 최종 분석에 사용하였다. 자료분석은 SPSS Statistics 20.0 프로그램을 사용하여 기술통계, t-test, ANOVA, 피어슨 상관관계, 단계적 다중회귀분석을 통해 분석하였다. 분석결과 청소년의 우울은 긍정심리자본(r=-.402 p<.01), 사회적 지지(r=-.337 p<.01)와 음의 상관관계가 있었다. 단계적 다중회귀분석결과 우울에 영향을 미치는 요인은 긍정심리자본(${\beta}=-.21$, p<.05)과 사회적 지지(${\beta}=-.20$, p<.05)와 경제적 수준(${\beta}=-.22$, p<.01)이었으며, 이들의 설명력은 22.4%(F=14.38, p<.001)였다. 따라서 본 연구결과를 바탕으로 청소년의 우울을 예방하고 완화하기 위한 융복합적 긍정 심리자본과 사회적지지 강화프로그램 개발이 필요하다.