• 대한간호학회지
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• 제25권2호
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• pp.222-243
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• 1995

The purpose of this study was to present basic data in the nursing practice for the management of living kidney donor by understanding the nature and meaning of kidney donors, experiences. The research subjects were 11 living kidney donors who had donated from Mar 1991 to Feb. 1994 and discharged from the 3 hospitals in Pusan. Data has been collected by Intensive interview with donors. The data analysis has made by phenomenological method of Van Kaam for understanding the phenomenon and meaning of their experiences. The experiences of kidney donors were analyzed into the 4 situations, that is,'motivation of kidney donor', 'decision time to make kidney donation', 'pre-opperation','after donation'. The descriptive expression and common elements were drawn from original data of each situation on the basis of subjects' own words. From each situation, the com-mon elements of kidney donors' experiences were integrated, summarized and described as follows 1. Motivation of kidney donation They wanted to donate their kidney because of empathy of pain on the groung of love to the recipient and with exppectation of successful kidney transplant or as a solution of economic difficulty. 2. Experiences in deciding to make kidney do-nation In deciding to make kidney donation, donors had love toward the recipients. But they experienced conflict too. 3. Experiences before being operated on donated kidney In experiences from deciding to make kidney do nation to preoperation, donors had love toward the recipients. But they also felt anxiety or dissatisfaction. Therefore, they controlled their mind by their faith, support of medical staff or support of society. And they experienced regret for the sociological cognition or financial apprehension. 4. Experiences after kidney donation After kidney donation, donors experienced satis-faction and accompplishment in spite of mental and physical discomfortness, while they felt sense of loss / disappointment, repentance, regret, and apprehension of progress toward their condition. Thus, kidney donors donated their kidney on the ground of empathy and love to the recipient and with expectation of successful kidney transplant. But during the process of kidney donation, they ex perienced conflict, love, anxiety, regret, apprehension of economy. And after donation, they felt sense of satisfaction and accomplishment, while they felt sense of discomfortness, loss / disappointment, re-gret, repentance, or apprehension of progress toward their condition. This result contribute to nurses' role not only for the management of living kidney donors but also for the management of cadaver donors' family.

• 한국콘텐츠학회논문지
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• 제15권11호
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• pp.202-214
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• 2015

본 연구는 다문화가정 부부의 특별한 개별적 요구에 기반을 둔 부부 의사소통 및 관계증진 프로그램을 개발하고 적용 효과를 살피는 데 그 목적을 두었다. 본 프로그램은 기존 프로그램 및 선행연구 검토와 참여자의 요구조사, 전문가 면담의 과정을 통해 개발되었고, 4쌍의 다문화가정 부부에게 11주간(주 1회, 회당 120분) 부부 대화기법, 부부 상담을 활용한 부부의사소통 중재 프로그램으로 적용되었다. 프로그램이 실행되는 동안 수집된 녹음파일, 활동지, 연구자의 현장노트 등의 질적자료를 통해 살펴본 프로그램의 효과는 다음과 같다. (1) 다문화가정 부부의 친밀성이 향상되었고, (2) 부부간의 대화가 증가되었으며, (3) 특히 부부간의 의사소통 방식은 "역기능적 의사소통"에서 "협력적인 의사소통"으로 변화되었다. 결론적으로 이러한 변화가 부부관계 증진에 긍정적인 영향을 미치는 것으로 나타났다. 본 연구에서 개발한 부부 의사소통 프로그램은 다문화가정 부부대화의 물꼬를 열었다는 점과 부부갈등을 해결하고 관리하기 위해 의사소통 전략과 전문적인 상담지원을 하였다는 점에서 의의를 가진다.

• 한국심리학회지 : 문화 및 사회문제
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• 제18권2호
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• pp.235-260
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• 2012

본 연구는 질적 연구의 한 방법인 근거이론에 의해 다문화가정 어머니의 자녀양육 경험을 들여다보고 이해하는데 그 목적이 있다. 이를 위해 다문화가정 어머니 12명을 연구대상으로 선정하고 심층면접을 통해 자료를 수집하고, 개방코딩, 축코딩, 선택코딩으로 자료를 분석하였다. 연구결과, 다문화가정 어머니가 경험하는 중심현상은 '자녀양육의 갈등 및 교육적 위기'와 '부모정체성 혼란'으로 나타났다. 중심현상은 경제적 어려움, 낮은 한국어수준과 문화차이, 주위의 편견과 무시와 같은 맥락적 요인과 밀접한 관련이 있었다. 또한 가족결속력, 자녀미래에 대한 긍정적 기대, 지지체계 도움의 중재적 조건에 따라 자녀양육의 갈등과 위기, 부모역할 정체성 혼란의 강도가 완화되고 있었으며, 체념과 부정, 성찰과 극복의지, 자기역량강화와 같은 작용/상호작용에 따라 자녀양육의 어려움에 대처해 나가고 있었다. 그 결과 다문화가정 어머니들은 자신의 위치와 역할에 대한 한계를 수용하고 자녀문제를 해결하기 위한 새로운 변화를 모색하고 있었으며, 그런 과정을 통해 한국사회에서 보다 능동적인 삶으로의 자리매김을 다지고 있는 것으로 나타났다. 연구결과에 기초한 논의를 통해 본 연구는 다문화가정에 대한 이해의 폭을 넓히고 향후 다문화가정 연구의 방향에 몇 가지의 시사점을 도출하였다는 데 그 의미를 찾을 수 있다.

• 한국심리학회지 : 문화 및 사회문제
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• 제29권1호
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• pp.75-99
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• 2023

본 연구는 심리부검을 통해 완결된 자살자의 자살행동과 자살위험요인을 탐색하고 이를 지표로 자살 유형을 살펴보는 데 목적이 있다. 또한 각 유형에 영향을 미치는 영향요인을 이차적으로 살펴보고자 하였다. 본 연구를 위해 128명의 완결된 자살자와 관련 유가족과 지인을 대상으로 심리부검 면담을 실시했고 유형 분석에 필요한 지표변수를 최종 선정하였다. 자살위험요인 지표변수로 정신장애, 자살/자해, 중대한 신체변화, 배우자간 갈등, 직장/학교 내 적응 및 관계문제, 실직/해고, 사업실패, 무직, 심각한 재정적 문제가 선정되었다. 자살행동 지표변수로 자살의지표현, 자살유서, 구조도움요청, 자살시간/장소/방법, 과거 자살/자해 시도, 자살자 최초발견이 선정되었다. 잠재계층분석(Latent Class Analysis)과 3단계 분석 방법(3-step method)을 이용하여 유형을 분석하였고 각 유형에 대한 차이를 규명하고자 외부변수(경제적 변화, 동거, 스트레스 존재/변화, 관계변화, 가족 중 정신장애/알코올문제/신체질병, 학교/직장 만족)를 활용하였다. 분석 결과 자살행동을 기반으로 한 유형 분석에는 5가지 계층(경제문제, 적응문제, 복합문제, 정신과문제, 사건반응), 자살위험요인을 기반으로 한 유형 분석에서는 3가지 계층(주거지-자살시도-가족발견형, 비주거지-비자살시도-지인발견형, 주거지-비자살시도-가족발견형)이 탐색되었다. 자살행동 기반 3가지 유형 간에는 성별, 결혼상태, 동거여부, 관계변화에서 유의미한 차이를 보였고 특히 유형 3(주거지-비자살시도-가족발견형)의 경우 다른 유형에 비해 동거중인 상태로, 기혼자일 가능성이 높고 대인관계 갈등이 두드러졌다. 자살위험요인 기반 5가지 유형 간에는 경제적 변화, 동거, 스트레스, 관계변화, 가족 관련 문제, 학교/직장 만족도에서 차이를 보였는데 특히 유형3(복합문제)은 상대적으로 가족 관련 문제는 없으나 개인적인 스트레스 발생과 악화가 두드러졌다. 향후 해당 유형과 유형별 영향요인에 맞는 자살예방과 위기개입 방안이 필요할 것으로 보인다.

• Safety and Health at Work
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• 제6권2호
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• pp.114-119
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• 2015

Background: There has been considerable interest in Japanese society in the problem of work-related stress leading to depressive symptoms, and an increasing number of primary houseworkers maintain paid employment. The purpose of this study was to examine the differential impact of multiple roles associated with psychological distress among Japanese workers. Methods: We studied 722 men and women aged 18-83 years in a cross-sectional study. The K10 questionnaire was used to examine psychological distress. Results: The proportion of participants with psychological distress was higher in women (17.8%) compared with men (11.5%). Having three roles significantly decreased the risk of psychological distress [women: odds ratio (OR), 0.37-fold; men: OR, 0.41] compared with only one role. In working married women, there was significantly less psychological distress (OR, 0.27), and those with childrearing or caregiving responsibilities for elderly parents had significantly less psychological distress (OR, 0.38) than those with only an employment role. Similarly, working married men who had childrearing or caregiving responsibilities for elderly parents had significantly less psychological distress (OR, 0.41) than those who had only an employment role. Conclusion: The present study demonstrated that participants who had only an employment role had an increased risk of psychological distress. The degree of psychological distress was not determined solely by the number of roles. It is important to have balance between work and family life to reduce role conflict and/or role submersion, which in turn may reduce the risk of psychological distress.

• 디지털융복합연구
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• 제12권1호
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• pp.61-70
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• 2014

공직윤리의 문제는 끊임없이 제기되고 다양한 법과 제도적 장치를 마련하고 있으나, 계속되는 공직윤리 위반행위는 해결되기 보다는 오히려 악화되고 있는 실정이다. 특히, 우리나라는 전통적으로 긴밀한 유대관계를 형성하고 있는 가족문화의 특수성으로 인하여 공직자의 이해충돌관계가 더욱 심각화될 수 있는 여건에 처해 있다. 최근 부산저축은행 부실관련 여러원인이 감독기관 (금융감독원) 전직자들의 취업이 문제된 바와 같이 상당수의 정부 부처고위 공직자가 로펌이나 이해관계가 얽혀 있는 회사의 영입대상이 되고, 이들이 회사의 사적 이익을 위해 공공기관에 영향력을 행사함으로써 부정부패가 발생하는 사건이 줄지어 나타나고 있다. 또한 스폰서 검사, 사회복지 예산 횡령사건과 권력형 부패사건 발생 등 온갖 불법부패 사건과 부패혐의에 대해 엄정하지 못한 법집행은 정부의 반부패 정책에 대한 국민신뢰를 크게 훼손 시키고 있다. 따라서 공직윤리제도가 완벽한 목적을 수행하기 위해서는 지속적인 제도적 문제점을 개선하고 노력해야 할 것이다.

• 한국직업건강간호학회지
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• 제25권1호
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• pp.55-64
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• 2016

Purpose: The aim of this study was to investigate the association between job stress and metabolic syndrome among male workers. Methods: A total of 396 male workers employed in an electronic company, located in 'P' city, Gyeonggi Province, who had taken medical examination at the 'D' hospital, volunteered in this study. All the data used in this study were obtained from 'D' hospital after getting consent and permission from the workers. General and occupational characteristics, medical history, and health-related behaviors of the subjects were obtained by self-administered questionnaire. Results: The highest occupational stress by sub-sector was reported in the order of insufficient job control, organizational system, lack of reward, job demand, job insecurity, physical environment, job culture, and relationship conflict. The prevalence rate of metabolic syndrome of the participants was 19.9%. The results of the multiple logistic regression analysis on metabolic syndrome of the subjects indicated that the syndrome was significantly higher among those with family history, smoking habit and ex-smoking, working duration of 3 years and over, and with higher total score of occupational stress. It was significantly more prevalent, when the degree of stress was high in the sub-sectors of occupational stress; job autonomy, job insecurity, lack of reward, and job culture. Conclusion: In conclusion, it is necessary to implement a plan to efficiently manage the job stress of these male workers, as the probability of metabolic syndrome increased with the increase of occupational stress. Furthermore, considering the highest occupational stress was found to be job autonomy among its sub-sectors, it is necessary to prepare various measures to enhance the autonomy of such employees.

• 가정과삶의질연구
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• 제24권5호
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• pp.251-270
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• 2006

This study examined how the households used and combined financing sources to pay for college education. It compared the probability of using each source (current incomes, saving, education loans and grants) by households' socio-economic characteristics and analyzed which factors influence the decision to use each source and the amounts from each source for financing college education. Data for this study were from a questionnaire completed by 4-year college students (n=623) and were analyzed by t-tests, ANOVA and Heckman's two-step estimation models. The findings of this study were as follows: First, the most frequent source for college education was parents' savings and the second one was parents' incomes. Also, the most frequent combination of sources was saving and current incomes and the second was combination of three sources, saving, incomes and education loans. Second, the probability of using incomes was higher for younger students than for older students. The number of siblings showed significant differences among income, savings and education loans. Those who had higher incomes were more likely to use current incomes, saving, but less likely to borrow for financing college education. Middle-class income groups were more likely to borrow for education. Third, household incomes and asset holdings had generally positive impacts on the probability of using incomes and savings for college education, while total debt burden decreased both the probability and amounts of income and saving sources. The college costs had significantly positive effects on both the probability and the amounts of all of financing sources. Total grants received significantly decreased the amounts from incomes, savings and borrowing sources.

• 동의신경정신과학회지
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• 제24권1호
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• pp.109-122
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• 2013

Objectives : To research the needed Buddhistic ethical beliefs and psychotherapy from representative medical records of oriental medicine. Methods : The baseline data this research used is Myeong-Ui-Lyu-An, Sok-Myeong-Ui-Lyu-An, Ui-Bu-Jeol-Lok and from the variety of medical records; we extracted 22 medical records that refer to Buddhist thoughts. The sequence of medical records is determined by analyzing the contents of all medical records and grouping them by their categories. Results : The representative ethical mind that a doctor needs is the 'mercy thought' from Buddhism. This way, the doctor has 'pity' on patients and expects no reward for what he had done. 'Spells and religious beliefs developed into medical treatment procedures by Buddhism and oriental medicine psychotherapy. Using the belief that everything is made of the mind, which is the point of the 'Hwa-Eum' theory and the realization that the psychotic factors have a big role in the occurrence and progress of sicknesses, we emphasized supportive psychotherapy or more specifically, the suggestive therapy. 'Anguish' is an important point in the occurrence and progress of illnesses. To solve this, we used 'Zen family's 'Zen self-discipline' and ascetic life from Buddhism. According to Buddhism, a human's metal conflict and love or malingering from obsession is the cause of all mind illnesses. To heal these, a doctor must have an insight of the patient's mind more than the symptoms. Conclusions : Buddhistic thoughts suggested clearly the mentality necessary for oriental medical psychotherapist and medical ethics for a doctor.

• 대한예방한의학회지
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• 제20권2호
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• pp.39-51
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• 2016

Objectives : This study was to identify the stop-out experiences of Korean Medicine Students(K.M.S.). The stop-out is defined as a withdrawal temporarily from enrollment at a university. Methods : Data was collected through in-depth individual interviews from 2013 to 2016 and analyzed with Colaizzi's phenomenological methodology. The participants were interviewed once or twice, for 30minutes to 50minutes per interview. Results : Ten theme-clusters were identified from 21 themes. These theme-clusters were divided to 4 divisions as when they made the decision for the stop-out, during their stop-out period, when they went back to school and the meaning of their stop-out. 'A difficult situation to continue the study', 'Uncertainty about their decision and anxiety of the future' are 2 theme-clusters for when they made the decision for the stop-out, 'Conflict and anxiety', 'Novel and free time', 'Improving family relationship and finding new relationship' are 3 theme-clusters for during their stop-out period, 'Anxiety for the returning to school', 'New relationship and sense of relief' are 2 theme-clusters for when they went back to school, and 'Making a present for me', 'An opportunity for the emotional growth', 'Recovery of learning will' are 3 theme-clusters for the meaning of their stop-out that they gave to it. Conclusions : The stop - out of K.M.S. began at the hope that they want to take the lead for their lives. And they would find themselves more mature after the experience of their stop-out. This result could be a basic reference for the counselling of the faculty working with K.M.S.