• Journal of Gastric Cancer
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• 제16권4호
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• pp.230-239
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• 2016

Purpose: The European Organization for Research and Treatment of Cancer quality-of-life questionnaire-OG25 was developed to evaluate the quality of life in patients with stomach and esophageal cancer. The following are included in the OG25 but not in the STO22: odynophagia, choked when swallowing, weight loss, trouble eating with others, trouble swallowing saliva, trouble talking, and trouble with coughing. In this study, we evaluated the quality of life of gastrectomized patients using both, the OG25 and the STO22. Materials and Methods: A total of 138 patients with partial gastrectomy (PG) (distal gastrectomy=91; pylorus-preserving gastrectomy=47) and 44 patients with total gastrectomy (TG) were prospectively evaluated. Body weight and scores from the OG25 and STO22 were evaluated preoperatively and at 3 weeks, 3 months, and 6 months after surgery. Results: Patients with TG had significant weight loss compared to patients with PG. At 3 months, TG was associated with worse scores for dysphagia, eating, odynophagia, trouble eating with others, trouble with taste, and weight loss on the OG25. TG was also associated with dysphagia, eating restrictions, and anxiety on the STO22. The OG25 helped differentiate between the groups with respect to weight loss, odynophagia, choked when swallowing, and trouble eating with others. The OG25 scores changed over time and were significantly different. Conclusions: The OG25 is a more sensitive and useful scale than the STO22 for evaluating the quality of life of gastrectomized patients, especially those with total gastrectomy.

• 대한간호학회지
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• 제30권3호
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• pp.799-812
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• 2000

This study adopts the phenomenological approach in order to explore the experience of urinary felt by the small island women and to find the meaning and structure of their experience, for the further understanding of them. This study succeeded in detecting five topics and three basic structure from eight participants, and followings are the comprehensive statement of them. The five topics include neglect of care after childbirth, unavoidable life in the tidal flat, shame which cannot be expressed even to their husbands, endless anxiety toward the expected future, and sad(dilemmatic) lived experience. The basic structure is that small island women who have urinary incontinence are apt to regard their disease as a natural destiny of women who fail to get adequate care after childbirth, and something to be endured to live in the seashore. They think of urinary incontinence as something so shameful that they cannot reveal it even to their husband and family. They believe that it even changes their personality since they must always stay alert in order to cope with the situation; for example, when it takes place unexpectedly, like too often to go to toilet, to change the underwears, to wake up in the middle of the night to go to toilet, to try not to laugh loudly, or to have showers. In addition, they accept it as a natural process of aging and incurable disease, and they consider themselves already ruined on the way of becoming uglier. They show dilemmatic abandonment: give it up unwillingly but at the same time think it is natural for others too. The unique experience of small island women with urinary incontinence implied in those statement are inseparable with the specific conditions for survival in the island. Unlike other diseases, it is considered the result of traditionally poor care after childbirth. However this misunderstanding that it is a natural phenomena for all the women who experience childbirth and aging and thereby incurable leads to an undesirable attitude toward urinary incontinence. According to the analysis, environmental conditions specific for small islands make the women there have distinct and unique experience concerned with urinary incontinence. Consequently, the future nursing plan for urinary incontinence in the small island area must be made and enforced with the consideration of these specific phenomenological meanings. Modern Korean nursing has basically been centered to hospital or urban areas. Besides, nursing intervention has long depended upon the research of western countries. This research, however, shows how greatly the regional and cultural characteristics influence the understanding of a certain disease, and is expected to make more specific and in-depth nursing approach enable for those who have urinary incontinence in small islands.

• 콘크리트학회논문집
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• 제28권6호
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• pp.673-683
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• 2016

최근 전 세계적으로 발생하고 있는 각종 사고 및 테러공격 등으로 인한 폭발, 충돌, 화재 사고가 빈번하게 발생하고 있으며, 특히, 2001년 미국 세계무역센터와 펜타곤에 발생한 9.11 테러사건 이후 사회적인 안전 불감증이 더욱 고조되고 있다. 또한, 2011년 일본 후쿠시마 원전사고로 인한 원전 격납건물 손상 시 발생할 수 있는 물리적, 환경적 위험성에 대한 사회적 불안감이 날로 커짐에 따라 원전격납건물, 가스탱크 등에 널리 사용되는 프리스트레스트 콘크리트 구조물에 대한 극한하중 연구가 다양하게 진행되고 있다. 본 연구에서는 2방향 비부착 프리스트레스트 콘크리트 패널 부재의 폭발저항성능을 분석하기 위하여 $1,400{\times}1,000{\times}300mm$의 철근콘크리트(RC), 프리스트레스 텐던으로만 보강된 콘크리트(PSC), 프리스트레스 텐던과 철근으로 보강된 콘크리트(PSRC) 시편을 제작하였다. 폭발하중은 ANFO 55 lbs 의 장약량을 1.0 m 이격거리로 적용하였으며, 측정하고자 하는 데이터는 초기 압력폭발하중 뿐 아니라, 반사압력, 충격량, 중앙부의 처짐, 가속도, 철근 및 콘크리트, 텐던의 변형률을 측정하여 분석하였다. 본 연구는 향후 국내외 프리스트레스트 콘크리트에 대한 방호설계 및 폭발해석 등 관련 연구분야의 중요한 자료가 될 것이라 판단된다.

• 가정과삶의질연구
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• 제32권4호
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• pp.75-89
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• 2014

The purpose of this study is to explore whether the phenomenon of both married and unmarried adults' cohabiting with their parents in Korean society is "unilaterally parasitic" on the child's side, or is "interdependent", characterized by expectation and dependence from the parent's side. As a result of this study possessing the characteristics of theoretic research, the following propensities of parent-dependent adults have been discussed. First of all, it was discovered that the ratio of adult children dependent on and cohabiting with their parents is considerable. Second, parents cohabiting with their adult children have unfavorable sociological features, such as high age, low level of education and income, and lower standards of education and income, compared to parents in normal households. Third, it was found that parent-dependent adults in Korean society maintain a relatively high rate of financial activity and stable employment-based occupation status. Fourth, it was shown that the level of satisfaction on the relationship between parent-dependent adults and their parents was discovered to be high, which is contrastive to the prediction of negative results based on some previous researches. Single adult children's age, their level of education and financial activity status, and their parents' age and level of education were deducted as variables related to the level of satisfaction of the relationship between parents and their children. It seems that the issue of married and unmarried adults' cohabiting with their parents in Korean society should be approached from various perspectives such as political, economic, socio-cultural and developmental aspects. On the basis of this fundamental awareness and several of the materials, it is pertinent that approaches to both married and unmarried adults' cohabiting with parents in Korean society should be distinguished from approaches to those in Japanese or Western society because it reflects the uniqueness of Korean society. In the phenomenon of married and unmarried adults' cohabiting with their parents in Korean society, there are several factors besides the economic factor, especially the socio-cultural factor that have the characteristics of mutual dependence between parents and their children rather than those of unilateral parasitism, in contrast with the phenomenon in Japanese or Western society. This research was aimed to contribute by establishing basic data for policy making by providing necessary information to treat the issues of instability and anxiety related to families and reflection on the matters of generations and parent-child relationships in current Korean society.

• Journal of Acupuncture Research
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• 제27권1호
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• pp.87-100
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• 2010

Background : Recently a discussion about Qi including a study about the effect or the theory of acupuncture is getting prevailing in various angles. In most of studies about acupuncture stimulus, 'Filiform acupuncture'(毫鍼) is used. A study about Nine kinds of acupuncture(九鍼), except 'Filiform acupuncture'(毫鍼) has not been reported yet, and there is no study about using a special acupuncture made for controling Qi either. Objectives : 'Dong Chu Gold Chim(DCG-chim, 東樞金鍼)' can be used for patients who are scared of a pain because it is a medical Qi-gong tool and non-invasive stimulus one. To assess a effect of Qi-gong operation using DCG-chim objectively Methods : The present study was performed to elucidate the effects of DCG-chim stimulation of an acupuncture point Baihui($GV_{20}$) on the Electroencephalogram(EEG). Twenty healthy subject were treated with DCG-chim one time accompanied by the light and vertical pressure and EEG were measured during five minutes for three times (before, during and after treatment). The EEG results of DCG-chim treatment were compared with those of 'Filiform acupuncture(毫鍼)'. Results : EEG power spectra changed significantly after both kind of acupuncture stimulation. Significant increase of $\alpha$ wave and decrease of $\beta$ wave were observed but interestingly, Mid-$\beta$ and SMR of $\beta$ wave which mean the state of concentration were increased with statistically significant. According to these results, DCG-chim stimulation of Baihui($GV_{20}$) seems to lead to relaxation with antianxietic effect and improvement of concentration at the same time. Conclusions : It would be expected that the doctor can apply DCG-chim for treating anxiety, tension, symptom caused by stress and also can use it clinically for patients who have needlphopia or children as a non-invasive procedure. It is suggested that additional studies about the effect of DCG-chim on other acupuncture points and comparison study about the effect of DCG-chim with those of the finger-pressure treatment using other tool should be done in the future.

• 대한간호학회지
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• 제28권1호
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• pp.7-16
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• 1998

Various difficulties and inconveniences arise from having a mentally handicapped child in a family and these place many demands on mothers. There are few studies in Korea on these demands nor on what mothers go through with their mentally handicapped daughters' menarche and puberty. The purpose of the study was to examine the experiences of mothers of mentally handicapped daughters, as it relates to their daughters' menarche and the beginning of puberty. With indepth interviews, both in person and by telephone and participant observation the study used a qualitative research methodology to attempt to understand the experiences of these mothers. The data were gathered from October 1995 to April 1996. The subjects for the research included nine mothers of mentally handicapped daughters whose ages ranged from 12 to 18 and who attended one of three special schools located in either Inchon or Seoul. The data were recorded and analyzed : meaningful statements were grouped according to subjects raised by the mothers. Content Analysis was also applied to identify similar content and confirm common experiences. and to highlight concepts and categorized them. The results of this study are as follows. Five categories were identified : mothers' emotional responses to their mentally handicapped daughters' menarche and menstration were of severe despair accompanied by anxiety, guilt, fear, anguish, shame and pity because the mothers were afraid their daughters would not be able to use appropriate hygienic measures during menstration and the mothers felt heavily burdened in having to look them. The mothers also had negative feelings about their daughters' physical development. The experience of mothers related to their daughters' possibilities for marriage and pregnancy were of powerlessness, distress, withdrawal, fear. pity and desperation and they were afraid that their daughters might be violated sexually. The mothers rejected the possibility of marriage and pregnancy for their daughters and instead planned very restricting futures for them. The mothers used various coping methods to bring meaning to their lives. Because the negative emotional responses of the mothers. nurses need to work to empower mothers to overcome these negative responses. Sex education can also play an important role especially for the daughters especially through the use of visual aids. Further, nurses should understand the tearing difficulties of mentally handicapped daughters, what mothers need and also what they experience with their mentally handicapped daughters. In conclusion, nurses should understand the negative experiences of the mothers in relation to their mentally handicapped daughters' menarche, help the mothers cope with the negative. emotions through real life education and counselling. In addition, there is a need for nursing interventions and an administrative system which will minimize the prejudices of society towards handicapped people.

• 문화기술의 융합
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• 제6권4호
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• pp.231-244
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• 2020

본 연구는 관상동맥중재술을 받은 지역사회 거주 노인의 건강행위 이행에 영향을 미치는 심리사회적 요인을 분석하기 위해 수행된 서술적 조사연구이다. 경상남도 J시 G대학교병원에서 관상동맥중재술을 받고 외래를 내원한 환자 126명을 대상으로 2018년 7월 15일부터 10월 2일까지 구조화된 설문지를 사용하여 자료수집 후 SPSS/WIN 21.0으로 통계 분석하였다. 분석결과 대상자 특성에 따른 건강행위 이행은 배우자 유무, 교육수준, 주관적 건강상태, 주관적 삶 만족도에 따라 차이가 있었으며, 의료인 지지, 회복탄력성에서는 정적 상관관계가 있었고, 지각된 스트레스, 지각된 스트레스의 하위영역인 가족관계, 불안과 위축, 빈곤과 재정, 우울과는 부적 상관관계가 있었다. 다중회귀분석 결과 회복탄력성, 지각된 스트레스의 하위영역인 빈곤과 재정, 교육수준, 주관적 삶 만족도가 관상동맥중재술을 받은 노인의 건강행위 이행을 27.9% 설명하는 것으로 나타났다. 이러한 결과를 기반으로 관상동맥중재술을 받은 지역사회 거주 노인의 건강행위 이행을 향상시키기 위한 간호중재 프로그램 개발과 적용이 필요하다.

• 감성과학
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• 제12권2호
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• pp.161-168
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• 2009

본 연구에서는 무구속, 무자각, 무침습적인 패치형 심장활동 모니터링 시스템(HAMS)을 개발하였다. 이 심전도 모듈은 무선 통신을 사용하여 신호를 컴퓨터로 전송 받아 실시간으로 피검자의 심장 활동 상태를 언제 어디서나 장시간 동안 손쉽게 모니터링 측정할 수 있는 이동성을 갖추고 있다. 가슴에 부착이 가능한 패치 타입의 소형 전극을 자체 제작하였고, 측정된 심전도 신호에 대한 신뢰성 검증이 이루어졌다. HRV에 대한 스트레스의 영향을 평가하기 위하여 HAMS을 이용하여 동일한 피험자를 대상으로 HRV 파라미터와 불안, 스트레스 항목에 대한 설문지 평가, 스트레스 호르몬(코티졸)양을 측정하였다. 일상 상태와 스트레스 상황에서의 값들을 비교한 결과, 많은 파라미터에서 유의미한 차이가 나타났다. 또한 피어슨 상관계수로부터 스트레스와 상관성이 높은 파라미터를 검토하였다. 이는 HAMS를 이용하여 자율신경계 기능 평가가 충분히 가능하다는 것을 보여주는 것이다. 이러한 결과로부터 HAMS를 통하여 일상생활에서 심장 이상을 예측할 수 있으며, 건강 모니터링 시스템으로 활용도가 높을 것으로 기대된다.

• 한국의류학회지
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• 제32권6호
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• pp.935-946
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• 2008

종교는 인간을 궁극적인 삶의 조건과 관련시키는 일련의 상징적인 형식과 행위이다. 종교사상은 상징을 통해 세상을 이해하고 또 상징을 통해 행위를 유발한다. 본 연구는 종교가 복식에 미치는 영향과 그 메커니즘을 규명하는데 목적을 두고 문헌을 중심으로 연구를 하였다. 세계 고등 종교 중 불교, 힌두교, 이슬람교를 중심으로 연구하였으며, 종교의 여러 구성요소가 의례로 표현되고, 복식으로 표출되는 메커니즘을 연구하며, 그러한 일련의 과정을 도식화하여 제시하는 것에 목표가 있다. 믿음체계, 경험, 공동체, 의례 등 종교의 구성요들은 긴밀한 상호 연관성을 갖는다. 특히 의례는 종교적 의미를 표현하는 상징적 행위이자 실천이며, 구원의 방편이다. 모방의례, 긍정적 혹은 부정적 의례, 희생의례, 통과의례 등의 종교적 의례들은 제사와 같은 종교 예식은 물론, 종교음악이나 복식, 건축, 미술 등의 조형예술로 표현되어 왔다. 종교는 삶의 의미를 밝혀 주고, 불안이나 갈등과 같은 문제의 해결책을 제시해 주는 신앙체제로서 복식을 포함한 문화 전반에 큰 영향력을 끼쳐 오고 있다.

• 한국항해항만학회지
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• 제42권1호
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• pp.31-38
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• 2018

본 연구는 원양선박에서 발생하는 선원들의 질환을 원격의료시스템을 통해 실태를 파악하고, 이에 대한 진단명 및 질병분류의 분석을 통해 원양선박 선원들의 질병예방과 건강증진에 기여하는데 그 목적이 있다. 2016하반기부터 2017년까지 약 14개월 동안 원격 진료를 통해 수집된 총 195명의 선원들의 진단명, 개인적, 건강적 특성을 수집하여 양적분석을 하였다. 질환발생 빈도에서 두드러기(5.6%), 요부염좌(4.1%), 급성위장관염(3.1%) 및 불안(3.1%) 등이 가장 흔하게 발생되는 상병으로 분석되었다. 질병분류에서는 근골격계(25.1%), 피부계(17.9%), 소화기계(11.3%) 순으로 나타났다. 원격의료의 발생은 30세미만이 가장 많았으며, 사관 보다는 부원의 질병발생이 많았다. 교차분석($X^2$ 검정)에서 질병이 외상보다 통계학적으로 유의하게 발생이 많았으며(p<.001), 선박의 종류(상선과 어선)에 따른 병인 간에도 차이가 있었다(p<.005).