• 한국콘텐츠학회논문지
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• 제12권11호
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• pp.258-266
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• 2012

본 연구는 일부 대학생들의 흡연행태와 흡연자와 비흡연자 간의 흡연에 대한 인식과 구강건강관리행태를 알아보고자 경상북도, 대구광역시, 강원도에 위치한 4년제 대학교에 재학 중인 대학생 260명을 대상으로 흡연에 대한 인식과 구강건강관리행태에 대해 조사한 결과 다음과 같은 결론을 얻었다. 1. 흡연자의 하루 평균 흡연량은 반 갑 미만이, 흡연기간은 1년~3년 미만이 가장 높았으며, 흡연을 시작하게 된 동기는 호기심과 주변 권유가 가장 높았고, 흡연이유는 스트레스 해소, 습관적 순으로 나타났다. 2. 흡연유무에 따른 구강건강관리행태 중 1회 잇솔질 시간, 정기적 치과 내원, 최근 치과 내원시기, 치과 방문 목적, 스켈링 및 구강보건교육 경험에서 유의한 차이가 있었다. 3. 흡연유무에 따른 구강건강에 대한 인식 중 주관적 구강건강상태에서 유의한 차이가 있었다. 4. 흡연유무에 따른 흡연에 대한 인식 중 담배, 한 두 개피 정도의 담배, 식후의 담배 및 간접흡연이 건강에 미치는 영향에 대한 인식에서 유의한 차이가 있었다. 이상의 결과로 미루어 볼 때 흡연자는 비흡연자에 비해 구강건강관리행태 및 구강건강에 대한 인식, 흡연에 대한 인식이 부족하므로, 대학생들을 위한 금연교육과 구강보건교육 프로그램 개발의 활성화가 필요하다고 사료된다.

• 대한간호학회지
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• 제38권6호
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• pp.822-830
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• 2008

Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.

• 생물정신의학
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• 제17권2호
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• pp.94-102
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• 2010

Objectives : Eye movement desensitization and reprocessing(EMDR) is a novel, time-limited psychotherapy originally developed for treatment of psychological trauma. The effectiveness of this therapy has been validated only for posttraumatic stress disorder ; however, EMDR is often applied to other psychiatric illnesses, including other anxiety disorders and depression. This pilot study tested the efficacy of EMDR added to the routine treatment for individuals with acute stage schizophrenia. Methods : This study was conducted in the acute psychiatric care unit of a university-affiliated training hospital. Inpatients diagnosed with schizophrenia were randomly assigned to either three sessions of EMDR, three sessions of progressive muscle relaxation(PMR) therapy, or only treatment as usual(TAU). All the participants received concurrent typical treatments(TAU), including psychotropic medication, individual supportive psychotherapy and group activities in the psychiatric ward. The Positive and Negative Syndrome Scale(PANSS), the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale were administered by a clinical psychologist who was blinded to the patients' group assignment. Results : Forty-five patients enrolled and forty patients(89%) completed the post-treatment evaluation. There were no between-group differences in the withdrawal rates of patients during the treatment or at the three-month follow-up session. All three groups improved significantly across each of the symptomatic domains including schizophrenia, anxiety, and depressive symptoms. However, a repeated measures ANOVA revealed no significant differences among the groups over time. Effect size for change in total PANSS scores was also similar across treatment conditions, but effect size for negative symptoms was large for EMDR(0.60 for EMDR, 0.39 for PMR and 0.21 for TAU only). Conclusion : These findings supported the use of EMDR in treating the acute stage of schizophrenia but the results failed to confirm the effectiveness of the treatment over the two control conditions in three sessions. Further studies with longer courses of treatment, more focused target dimensions of treatment, and a sample of outpatients are necessary.

• 대한간호학회지
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• 제28권1호
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• pp.171-183
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• 1998

The purpose of this study was to identify the incidence of urinary incontinence in adult women and to identify factors related to life style and sexual intercourse that were related to incontinence. The sample consisted of 1,065 women living in Seoul or one of five provinces. Data for this study were collected from January 16 to June 23 using structured questionnaires. The Urinary Symptom Questionnaire developed by Jackson and a demographic questionnaire were used to collect the data. The data were analyzed using frequency, percentage with an SPSS/PC$^{+}$ program. The major finding are as follows : 1. The distribution of age of subjects was as follows : 20-29(10.1%), 20-39(17.8%), 40-49(27.3%). 50-59(22.3%), 60-69(12.9%), 70-79(6.1%). 80-89(2.8%), more than 90(0.6%). The frequency of normal delivery, 0(155%), 1-2(36.0%), 3-4(29.2%), 5-6(13.0%). more than 7(6.3%). The rate of subjects with menopause was 40.8%. 2. It was reported that 50.7% of the subjects experienced urinary incontinence with stress, mixed. and urgency incontinence being 49.8%, 43.4%, 6.8% respectively. 3. The lower urinary symptoms and incidence with urinary incontinence were as follows : Daily frequency. 22.3%, nocturia. 40.8%, urgency, 71.2%, bladder pain 47.8%, unexplainned incontinence, 32.4%, noctural incontinence, 16.1%, and frequency of incontinence, 37.7%. In term of quantity of incontinence, drop/pants damp, 29.5%, dribble/pants wet, 20.5%, flood or soaking through to outer clothing, 1.7%, and flood or running down legs or onto floor, 0.2%. 4. The symptoms related to sexual intercourse and incidence of urinary incontinence were as follows : dry vagina, 39.1%, sex life trouble, 10.8%, pain during sexual intercourse, 27.4%, and urine leakage during sexual intercourse. 8.8%. 5. Life style problems related to urinary incontinence were as follows : fluid intake restriction, 20.0%, affected daily task, 24.5%. avoidance of placess and situations, 35.0%, interference in physical activities, 30.6%, interference in relationships with other people. 19.0%. interference in relationships with husband/companion, 8.1%, and time after attack of urinary symptoms, 76.9%. In term of the feeling about the rest of their lifves the women reported : perfectly happy, 11.3%. pleased, 16.9%. mostly satisfied, 20.2%, mixed feelings, 21.0%, mostly dissatisfied, 21.0%, very unhappy 8.5%, and desperate. 1.0%. In conclusion. this study was a preliminary study to provide nursing practices guidelines for incontinence in adult women. Nurse working with adult women should develop and provide adequate care for these women.n.

• 기본간호학회지
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• 제7권1호
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• pp.71-85
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• 2000

Social support was found to have buffering effects on the stress response of stroke patients. Especially, the aspects of social support found to be most influential were support from a close, personal source, and overall satisfaction with support. The purpose of this study was to identify the current social network and its characteristics according to gender difference in post-hospitalized stroke patients in Korea. The sample consisted of a convenience sample of 254 patients was recruited 129 men and 125 women who were receiving follow-up care at outpatients clinics. Four aspects of social support-source, quantity, qualify & type- were measured using the modified Social Support Inventory for Stroke Survivors(SSISS) which was developed by McColl & Friedland(1989). Regarding sources of social support, 61.4% reported for 'spouse' as primary caregiver and 31.9%, 'children'. But the distribution of sources of personal support were related to gender; 82.2% of male patients had support from their spouses, while only 40% of female patients reported from 'spouse' but 51.4% from 'children'. Among the children, daughters and sons were more significant support persons than daughters-in-law. The percentages for sources of these significant other support persons were 55.5% for 'children', 8.7% for 'spouse', and 8.3% for 'brothers'. The physician at the outpatient department was the main source of professional support. For the quantify and qualify of social support, the primary caregiver's support was more significant than support by significant other persons. Male patients reported that primary the caregiver' support was greater than that of significant other persons, while female patients perceived significant other persons as giving greater support. Regarding the type of perceived social support, the stroke patients were highly satisfied with the primary caregiver's support in aspects of instrumental, emotional, and informational support. They also reported high satisfaction with support from significant others' support in the aspect of emotional support, while emotional and informational support from professionals was reported as satisfactory. In conclusion, gender difference in the social support network was found in that male patients perceived more support from their spouses, while female patients perceived more support from their children as compared to their spouses.

• Child Health Nursing Research
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• 제20권1호
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• pp.58-66
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• 2014

목적 본 연구에서는 국내에서 보고된 유머와 관련된 간호연구의 동향을 분석하고, 이를 고찰, 비평, 탐색, 논의하여 의미 있는 결과를 통합함으로써 유머와 관련된 간호연구의 속성을 도출하고자 한다. 이를 통해 궁극적으로는 아동을 대상으로 간호현장에서 유머중재 프로그램 개발의 과학적인 근거와 기초자료를 제공하고자 한다. 방법 본 연구는 최근 20년간 유머와 관련된 국내 간호연구논문을 통합적 고찰 방법으로 분석한 문헌고찰 연구이다. 결과 유머와 관련된 국내 간호연구논문 13편을 객관적이고 체계적으로 고찰하여 유머와 관련된 간호의 속성을 긴장완화를 위한 구체적인 도구의 사용, 즐거운 기분 유발로서 환자의 증상 완화, 유머를 활용한 간호사의 직무만족과 업무향상이라는 세 가지로 도출하였다. 결론 본 연구를 통해, 유머는 스트레스, 질병 등의 위기상황에 놓인 아동을 도울 수 있는 간호중재로서 가치가 있을 것으로 고려된다. 따라서 임상상황에서 간호사들이 아동간호 시, 유머의 기능을 충분히 활용한다면 대상자의 안녕과 건강증진에 긍정적인 결과를 가져 올 수 있을 것으로 기대된다. 또한 유머란 개인마다 차이가 있으며 시대와 사회 문화적 특성에 따라 끊임없이 변화되고 발달되어 간다는 점에서 이에 대한 계속적인 연구가 이루어질 필요가 있다고 생각한다.

• 한국병원경영학회지
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• 제9권4호
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• pp.87-100
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• 2004

The main objective of this paper is to investigate the burnout state, coping types, and their relationship with organizational citizenship behavior, and based on the investigation, to provide some reference materials for effective management of burnout and appropriate methods of coping. For this purpose, employees of Korean Red Cross Blood Center were selected as the subject of the research. Data for empirical analysis were obtained through mail survey using structured and self-administered questionnaire for 282 employees of five Red Cross Blood Centers across the nation. Following is the summary of the results: 1) Degree of organizational citizenship behavior was higher among the married, the forties in age, and the employees whose major reason for choosing to work at the Center was 'to help other people.' On the other hand, degree of burnout was higher among the single but lower among the forties in age and the employees who chose to work at the Center because of suitable abilities and interests. As for the types of coping, problem-oriented coping method was more frequently used by the married, older, relatively more-educated and higher-grade employees. 2) Among the three kinds of burnout, 'achievement burnout' was found to have the greatest influence on the organizational citizenship behavior, negatively affecting organizational citizenship behavior as a whole and all of its components except for 'sportsmanship.' Next was 'impersonality burnout,' which also had negative effect on organizational citizenship behavior as a whole, and altruism, conscientiousness and sportsmanship among the components. Finally, 'emotion burnout' appeared to have positive effect on altruism and courtesy but negative effect on sportsmanship. 3) Among the various types of coping, 'problem-oriented' and 'positive perspective' coping methods were found to positively influence overall organizational citizenship behavior, whereas 'stress dissolution' had negative effect. These results imply that special management, counselling and education are needed for sociodemographic groups with high burnout to utilize problem-oriented and positive perspective coping methods which are considered to have desirable effects in coping with burnout problems. In addition, some methods should be devised to prevent and manage the 'achievement burnout' that was found to have great negative influence on organizational citizenship behavior.

• 콘크리트학회논문집
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• 제20권2호
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• pp.239-247
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• 2008

철근콘크리트 휨 부재 보강에 자주 사용하는 탄소섬유 대신 탄소섬유 및 유리섬유 두 가지를 동시에 사용, 보강된 콘크리트 휨 부재의 강도 및 연성을 증진시키는 방안을 연구하였다. 두 가지 섬유의 혼합비가 적절한 경우, 탄소섬유가 선파단하고 보다 큰 변형 및 응력에서 유리섬유가 순차적으로 파단하는 소위 유사연성거동을 보일 수 있다. 본 연구에 사용된 두 가지 섬유가 유사연성거동을 보일 수 있는 이론적인 혼합비는 4.62 : 1 (체적비)로 나타났다. 두 가지 섬유로 보강한 무근콘크리트보의 휨 실험에서 탄소섬유 :유리섬유 = 6.8 : 1 이상인 경우 유사연성거동이 나타남을 확인하였다. 체적비 8.8 : 1의 유리섬유-탄소섬유 하이브리드 시트를 제작하고, 철근콘크리트보를 보강한 후 휨 실험을 수행하였다. 하이브리드 시트 1겹 및 2겹으로 보강한 보에서 모두 무보강 보에 비하여 강도가 증진하는 반면에, 연성이 유지되는 결과를 확인하였다. 하이브리드 시트를 사용하면 탄소섬유를 사용한 보강에 비하여 보다 경제적이면서 탄소섬유와 동등 이상의 강도 및 보다 우수한 연성을 나타내었다. 하이브리드 시트를 사용한 휨 부재 보강에서 한 가지 섬유만을 사용하는 기존의 설계 방법을 적용하여도 보수적인 설계가 가능하였다.

• The Journal of Korean Physical Therapy
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• 제15권1호
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• pp.82-95
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• 2003

Our health is intimately connected to the health of our environment. The contemporary world view which sees a radical distinction between humans as subjects and world as object can obscure our recognition of how much we rely on nature for health and survival. Indigenous traditions and contemporary scholars remind us that we live in a universe in which all things are connected, and in which nature continues to offer its gifts in co-creative partnership for the health and wellbeing of all. Living in awareness of our relationship with nature enables us to open more to the experience of nature's nurturing. Many complementary therapies derive from ancient practices that involve nature in healing partnership. Essential oils have been used for thousands of years. Hippocrates claimed that the way to health was through aromatic baths and massages. Much anecdotal evidence exists regarding aromatherapeutic positive effects on recipients. Aromatherapy is a branch of complementary or alternative therapy which is increasing in popularity, yet has scant scientific credibility. Aromatherapy should be defined as treatment using odors and practised as such. However, essential oils are usually used in conjunction with therapeutic massage and often combined with counselling of some kind. Aromatherapy complements and enhances the therapeutic powers of massage. Massage is one of the most wonderful ways to relax and is throughly beneficial to health. Massage can help unknot tense and aching muscles and other minor symptoms of stress, leaving patients fresh and energized. As the use of aromatherapy within a health care setting has grown so rapidly in recent years, and will continue to do so, the need for suitable training has become apparent. No health service can afford the risk of having staff who are inadequately trained in the practice of aromatherapy using essential oils incorrectly on those in a state of ill-health, especially if the essential oils used are not to a standard suitable for therapeutic use. Training to an acceptable level in aromatic therapy is essential for safety and effectiveness. Knowledge of the nature and make-up of essential oils, their effect on the body and the emotions, and how, when, and where to apply them is imperative in order for them to be beneficial to a patient's health. In order to achieve best practice, further research is necessary to explore the use of aromatherapy in the management of multiple disorder.

• 대한화장품학회지
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• 제31권4호
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• pp.311-321
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• 2005

차(Camellia sinensis)는 세계적으로 애용되는 음료이다. 그 중, 아시아권에서 주로 소비되는 녹차는 다양한 생리활성을 가지고 있어 화장품, 기능성식품을 위한 기능성 소재로서 선호되고 있다. 녹차의 피부에 대한 활성은 세포보호에서부터 피부 기질 단백질의 합성까지 다양하게 나타난다. 녹차 폴리페놀(green tea polyphenols; GTPs)은 활성을 나타내는 주성분으로서 항산화 활성 이외에 항암, 항염증, 피부면역능 저하방지활성 등을 보이며, 세포내 신호전달 경로에도 관여한다 GTPs는 표피각질형성세포에서 자외선 조사에 의한 산화 스트레스를 감소시키고, 그에 따르는 mitogen-activated protein kinase (MAPK) 신호전달과 세포사멸을 억제한다. 또한, 같은 세포에서 tumor necrosis factor alpha $(TNF{\alpha})$나 다른 화학물질에 의해 cyclooxygenase-2(COX-2), interleukin-8 (IL-8) 및 vascular endothelial growth factor (VEGF) 같은 염증매개물질이 유발되는 것을 막아준다. 또한, GTPs는 등물실험에서 화학물질이나 자외선에 의한 피부암의 발생도 억제하는데, 경구투여 외에 경피투여로도 효과가 있었다. 피부보호작용 이외에도 GTPs는 각질형성세포의 분화촉진, 노화된 피부세포의 증식능 회복, 피부기질단백질의 분해억제 등의 기능이 있으며, 피부세포에서의 기질단백질 생합성을 직접적으로 촉진하기도 한다. 녹차성분이 보이는 이러한 피부에 대한 활성은, 제형 측면에서의 연구가 진행되어 감에 따라 보다 효과적인 피부를 위한 소재로서의 사용 가능성을 더욱 높여주고 있다.