• 가정∙방문간호학회지
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• 제10권1호
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• pp.58-72
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• 2003

The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

• Journal of Nutrition and Health
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• 제54권1호
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• pp.23-38
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• 2021

본 연구는 수행된 제6기와 제7기 1차년도 국민건강영양조사 2013-2016 자료를 이용하여 만 19-64세 성인 1인 가구의 식이 패턴에 따른 건강 및 영양상태를 조사하고 대사증후군 구성요소의 유병율과 위험도를 분석하였다. 주요 식이 패턴 도출을 위해 연구대상자의 장기간 섭취 패턴을 파악하고 만성질환과의 연관성을 평가하기에 적절한 [47] 반정량 식품섭취빈도조사지를 이용하였다. 식품섭취빈도조사지의 개별식품을 19개의 식품군으로 재분류하고 군집분석을 실시한 결과, 연구대상자들의 식이 패턴은 '밥과 김치' 패턴, '혼합식' 패턴, '유제품과 과일' 패턴의 총 3개 군집으로 추출되었다. 식이 패턴에 따른 연구대상자들의 일반적 특성은 '밥과 김치' 패턴과 '혼합식' 패턴에서 남성의 비율이 높았으며, 여성의 비율은 '유제품과 과일' 패턴에서 높았다. 연령은 '혼합식' 패턴은 19-29세가 많았으며, '유제품과 과일' 패턴은 50-64세가 많았다. 교육수준도 식이 패턴 간에 차이를 보였는데, '밥과 김치' 패턴에서 저학력 비율이 높은 반면 '유제품과 과일' 패턴은 고학력 비율이 높았다. 식생활 관련 요인을 비교한 결과, '혼합식' 패턴에서 아침 결식과 외식 비율이 높았으며, '유제품과 과일' 패턴은 식이보충제 이용이 높은 것으로 나타났다. 건강관련 요인을 분석한 결과, '혼합식' 패턴에서 높은 음주 빈도와 흡연 비율을 보였고, EQ-5D index는 '밥과 김치' 패턴에서 낮은 점수를 보였다. 영양소 섭취량을 비교한 결과에서 탄수화물 섭취량은 '밥과 김치' 패턴에서 높은 것으로 나타났으나, 그 외 지방, 비타민 A, 리보플라빈, 비타민 C, 나이아신, 칼슘, 인, 칼륨은 모두 '유제품과 과일' 패턴에서 섭취량이 가장 높았다. 본 연구에서는 식이 패턴에 따른 대사증후군 위험요소 위험도를 파악하기 위해 교란변수들을 차례로 보정한 후 분석을 실시하였다. 허리둘레와 중성지방은 기준치 이상이 될 위험도가 연령과 성별을 보정한 후에도 '유제품과 과일' 패턴에서 기준식이 패턴인 '밥과 김치' 패턴에 비해 각각 0.217배, 0.444배로 낮아졌으나 BMI, 폐경, 흡연상태, 음주, 에너지 섭취량을 보정한 후에는 유의적인 차이가 없었다 '밥과 김치' 패턴을 기준으로 대사증후군의 위험도를 비교하였을 때, 보정하지 않은 Model 1에서는 '유제품과 과일' 패턴에서 대사증후군 위험이 0.395배 (95% CI = 0.204-0.763)로 낮아 유의한 차이를 보였다. 교란변수를 차례로 보정한 후 식이 패턴이 대사증후군 위험도에 미치는 영향을 분석한 결과에서는 유의적인 차이를 나타내지 않았다. 현재 지속적으로 1인 가구가 증가하고 있는 추세로 보아 1인 가구에 대한 실태 파악은 매우 중요하다. 따라서 1인 가구의 식이 섭취 현황을 기반으로 한 특성을 다양하게 고려하여 대상별 영양관리 프로그램을 맞춤형으로 실시한다면 이들의 건강 및 영양관리가 효율적으로 이루어질 수 있을 것이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제17권2호
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• pp.104-111
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• 2014

Purpose: To evaluate safety, gastrointestinal tolerance, and growth of a new experimental starter formula (NESF) fortified with lutein, prebiotics, probiotics, nucleotides and beta-carotene, fed to infants within the first months of life. Methods: This was a non-randomized, open, uncontrolled study conducted from December 2010 to May 2011. Twenty-three healthy infants aged 10 days to 2 months old were enrolled. Outcomes included gastrointestinal tolerance, physical growth and safety. Prior to the initiation of the trial, the Scientific Research Institute of Nutrition of the Russian Academy of Medical Sciences confirmed that the NESF met all safety and nutritional parameters. Results: NESF was well tolerated. The majority of infants fed this formula passed semi-liquid, yellow or yellow-brown. The mean stool frequency/day was $2.5{\pm}0.4$ on study-day 14 and $1.8{\pm}0.5$ on study-day 28. The mean daily weight gain was $30.9{\pm}3.8$ grams and the mean length gain during the 28 days of follow up was $3.1{\pm}0.8cm$, corresponding to the average physical growth normally seen in the first months of life in Russian infants. Six children left the study: one refused to drink the formula, one left the study as parents changed residence; and one child's parents have recalled their informed consent due to adverse event unrelated to the product. Three infants presented adverse events possibly related to the product (rash; colic and abdominal pain; constipation). Seventeen infants completed the trial. Conclusion: This study demonstrated that lutein-fortified formula is safe, well-tolerated and supported physical growth of evaluated infants.

• Asian Pacific Journal of Cancer Prevention
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• 제13권11호
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• pp.5811-5815
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• 2012

Background: Non-invasive oral verrucous carcinoma (OVC) and invasive well-differentiated oral squamous cell carcinoma (OSCC) have similar histopathologic findings but different biological behavior. These two malignancies must be correctly differentiated by pathologists. The aim of this study was to determine immunohistochemical (IHC) expression of Ki67 in OVC and well-differentiated OSCC. Methods: Expression of Ki67 was evaluated by IHC in 15 cases of epithelial hyperplasia with no dysplasia (A group), 15 cases of OVC (B group), 12 cases of microinvasive OSCC(C group) and 15 cases of well-differentiated OSCC (D group). Results: There was a significant difference in Ki67 expression based on pattern distribution of immunostaining positive cells, with quantitative and semi-quantitative analyses, among the four groups ; also, between A group and each of the other three groups (P=0.0001). But there was no significant difference between B and C, C and D, and B and D groups (P>0.05). Conclusions: The three evaluation methods of Ki67 expression showed Ki67 (Mib-1) is not a good immunohistochemical marker to assess invasion status and differentiate OVC from well-differentiated OSCC; also, it cannot be used as a diagnostic tool to distinguish between variants of OSCC with similar grade.

• Asian Pacific Journal of Cancer Prevention
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• 제13권11호
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• pp.5791-5797
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• 2012

Introduction: Return-to-work (RTW) can be a problematic occupational issue with detrimental impact on the quality of life of previously-employed breast cancer survivors. This study explored barriers and facilitators encountered during the RTW process in the area of cancer survivorship. Materials and Methods: Six focus groups were conducted using a semi-structured interview guide on 40 informants (employed multiethnic survivors). Survivors were stratified into three groups for successfully RTW, and another three groups of survivors who were unable to return to work. Each of the three groups was ethnically homogeneous. Thematic analysis using a constant comparative approach was aided by in vivo software. Results: Participants shared numerous barriers and facilitators which directly or interactively affect RTW. Key barriers were physical-psychological after-effects of treatment, fear of potential environment hazards, high physical job demand, intrusive negative thoughts and overprotective family. Key facilitators were social support, employer support, and regard for financial independence. Across ethnic groups, the main facilitators were financial-independence (for Chinese), and socialisation opportunity (for Malay). A key barrier was after-effects of treatment, expressed across all ethnic groups. Conclusions: Numerous barriers were identified in the non-RTW survivors. Health professionals and especially occupational therapists should be consulted to assist the increasing survivors by providing occupational rehabilitation to enhance RTW amongst employed survivors. Future research to identify prognostic factors can guide clinical efforts to restore cancer survivors to their desired level/type of occupational functioning for productivity and wellbeing.

• 대한간호학회지
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• 제30권4호
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• pp.1018-1034
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• 2000

The purpose of this study was to construct model of sexual adjustment in people with spinal cord injury and to determine factors that relate to sexual adjustment using methodological triangulation. A total of 134 persons who were registered members of spinal cord injury organization and admitted rehabilitation unit in the hospital were included in the study. Participants answered questionnaire concerning importance of life events, sexual concern, sexual adjustment. Qualitative data were collected through semi-structured indepth interviews from 10 individuals with spinal cord injury who were previously included in the quantitative study. Constant compatative method was used to analyze the data. The results were as follows : 1) With respect to eleven other areas of life, sex life ranked the sixth and economic status ranked the highest in terms of importance. However social life ranked the lowest among the 11areas. 2) Among seven topics related to sexuality were methods and techniques to achieve sexual satisfaction, and helping a partner cope emotionally with limitation on sexual dysfunction was the second greastest. 3) The mean score for sexual adjustment was 19.47 which can be considered. 4) A process on how individuals with spinal cord injury adjust to their changed sexual life immerged from the qualitative data. It includs 4 stages: 'stage of loss' 'stage of endeavoring' 'stage of effort' and 'stage of adjustment'. Categories showing context for the action/interaction strategies were 'steadiness' and 'rediscovery as a sexual being'. There were three factors which may stimulate the adjustment process while the others may interrupt it. Those factors included personal matters, family matters and social matters. The individuals may follow each stage step by step but may go back to the previous step depending on the outcomes of their adjustment. 5) There were three factors which may stimulate the adjustment process while the others may interrupt it. Those factors included personal matters, family matters and social matters.

• 한국융합학회논문지
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• 제9권4호
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• pp.321-329
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• 2018

본 연구는 화장용 문신으로 사용되는 염료 및 색소의 대표적인 중금속과 기타 금속류 분석을 통하여 염료 및 색소에 관한 정확한 정보 제공 및 생산에 대한 적절한 지침과 통제의 기준을 확립하는데 자료를 제공하고자 시도되었다. 화장용 문신 제품 30개를 대상으로 화장용 문신 염료 기준에 해당하는 대표적인 중금속인 비소, 안티몬, 코발트, 카드뮴, 구리, 납, 아연, 바륨, 주석, 셀레늄, 크롬과 마그네슘, 망간, 티타늄, 알루미늄에 대한 성분 함유량 검출(15종)을 분석하였다. 화장용 문신 제품에 사용되는 염료 및 색소의 중금속류 성분의 함유량을 검사한 결과, 총20개 제품(66.7%)에서 기준치를 초과하는 중금속이 검출되어 안전기준에 부적합한 것으로 나타났다. 안전한 시술을 위한 전문기관의 지침과 사용되어지는 염료 및 색소에 대한 적절한 통제관리 및 표준지침, 중금속의 잠재적인 위험성에 대한 연구가 필요하다고 제시된다.

• 셀메드
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• 제6권3호
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• pp.21.1-21.15
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• 2016

In Kenya, traditional knowledge on herbal medicine has remained a mainstream source of maintaining wellbeing for generations in many communities. However, the knowledge has been eroded in the course of time due to sociocultural dynamics virtually advanced by Christianity and formal education especially in the Kikuyu community. The study documented current ethnobotanical knowledge and threat to the traditional knowledge on medicinal plants among the Kikuyu community. A survey was carried out in Mathira, Tetu, Kieni, Othaya, Mukurweini, and Nyeri Town constituencies. Thirty practicing herbalists were purposively sampled; 5 per constituency. Data was obtained through semi - structured questionnaires and analyzed both qualitatively and quantitatively. A total of 80 ailments treated using 111 medicinal plant species distributed within 98 genera and 56 families were documented. Prevalent communicable diseases treated using herbal medicine included; gonorrhea (17.5%), malaria (15%), respiratory infections (12%), colds (10%) and amoebiasis (10%). Non-communicable diseases were; joint pains (11.1%), ulcers/hyperacidity (8.7%), high blood pressure (8.7%), intestinal worms (11.1%) and arthritis/gout (10%). Frequently harvested plant materials were; roots, barks and leaves. The study concluded that, traditional medicine practitioners in Nyeri County possessed wide knowledge of herbal medicine but this knowledge was on the verge of disappearing as it was largely a preserve of the aged generation. The study recommended massive campaign about the benefits of using herbal medicine in the study area. Further pharmacological studies are recommended on the mentioned plant species aimed at establishing their efficacy and safety as well as standardization as potential drugs.

• 디지털융복합연구
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• 제13권4호
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• pp.283-293
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• 2015

본 연구는 가족을 대상으로 방문요양서비스를 제공하는 남성가족요양보호사의 독특한 돌봄 경험을 이해하는 것을 목적으로 한다. 질적연구방법을 적용하였으며 반구조화된 심층 인터뷰를 활용하여 자료를 수집하였다. 자료수집은 2012년 6월에서 8월에 이루어졌으며, 최종적으로 7명의 남성가족요양보호사가 연구에 참여하였다. 연구결과 돌봄 경험의 핵심주제는 역할전환에의 적응, 새로운 관계를 발전시킴, 함께 살아가기 위한 전략을 세움으로 분석되었다. 분석된 연구결과를 통해 남성가족요양보호사의 돌봄 경험을 조명해 봄으로써 만성장기요양 보호가 필요한 피부양자는 물론 지지가 필요한 남성가족요양보호사의 욕구를 충족할 수 있는 정책적 실천적 대안을 모색하였다.

• 대한지역사회작업치료학회지
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• 제4권1호
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• pp.11-21
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• 2014

목적 : 20대 및 30대 장애인의 시간사용을 알아보고 많은 시간을 소요하는 활동이 무언인지에 따라 희망이 어떻게 달라지는지를 분석하였다. 연구방법 : 본 연구는 2012년 11월 29일부터 12월 6일까지 부산 및 경남 지역의 재활병원에서 치료를 받고 있는 장애인 52명이 참여하였으며 주말과 평일의 일상생활시간조사를 포함한 설문지로 일대일 면접을 하였다. 결과 : 대상자들은 시간사용에서 주말에는 수면(10시간 47분)과 미디어 사용(3시간 41분), 평일에는 수면(9시간 43분)과 건강관리(5시간 12분)에 많은 시간을 소요하였다. 또한 시간사용과 희망의 관계에서는 가정관리가 주도사고와 양의 상관관계(.688)로 나타났다(p<.05). 그러나 시간사용은 희망에 영향을 미치지 않는 것으로 나타났다. 결론 : 20대 및 30대 장애인의 시간사용과 희망을 확인할 수 있었다. 이는 향후 재활분야의 전문가들에게 20대 및 30대 장애인들이 참여할 수 있는 활동을 다양하게 제시해줄 것을 제안한다.