• 제목/요약/키워드: school stress

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청년 창업의도에 영향을 미치는 요인에 관한 연구 : 창업 멘토링 유무의 차이를 중심으로 (Factors Affecting Intention of Youth Entrepreneurship : A Comparative Study of Mentored vs. Non-Mentored Groups)

  • 이준병;이상직
    • 벤처혁신연구
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    • 제7권1호
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    • pp.201-223
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    • 2024
  • 창업과 관련된 연구는 비교적 활발하게 이루어지고 있는 편이다. 본 연구에서는 비교적 연구가 적은 청년을 대상으로 한 창업과 관련하여 창업의도에 미치는 영향에 대해 실증 분석을 하였다. 특히 창업 멘토링의 역할에 대해 규명하고자 했다. 이를 위해 전국의 청년을 대상으로 설문조사를 하였고 이중 유효한 250부를 구조방정식 검정하였다. 실증분석 결과는 다음과 같다. 직무스트레스, 주관적 규범, 지각된 행동통제는 청년 창업의도에 유의한 정(+)의 영향을 미쳤다. 기술적 제약은 청년 창업의도에 유의한 부(-)의 영향을 미쳤다. 반면 미래불확실성과 실패부담감은 유의성이 검정되지 않았다. 청년 창업의도에 미치는 영향력의 크기는 지각된 행동통제, 직무스트레스, 기술적 제약, 주관적 규범 순이었다. 창업 멘토링을 받지 않은 집단이 창업 멘토링을 받은 집단보다 직무스트레스, 주관적 규범, 기술적 제약이 창업의도에 미치는 영향이 큰 것으로 나타났다. 본 연구 결과는 학술적으로는 PPM(Push-Pull-Mooring)과 TPB(Theory of Planned Behavior)를 결합한 모형의 창업분야 연구의 유용성을 검정한 것이며, 실무적으로는 창업 멘토링은 청년 창업의도에 미치는 부정적인 요소의 영향력을 감소시키는 효과가 있는 것을 밝혔다는데 의의가 있었다.

Beneficial effects of oral antioxidant supplementation on semen quality parameters, reproductive hormones, and sperm DNA integrity in men with idiopathic oligoasthenoteratozoospermia

  • Chaymae Rochdi;Meriem Ouadrhiri;Larbi Allai;Ibtissam Bellajdel;Samira Mamri;Hafsa Taheri;Hanane Saadi;Ahmed Mimouni;Mohammed Choukri
    • Clinical and Experimental Reproductive Medicine
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    • 제51권2호
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    • pp.135-141
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    • 2024
  • Objective: Recently, oral antioxidants in combined forms have been used to treat men with idiopathic infertility. This study aimed to evaluate the effects of treatment with vitamin C, vitamin E, selenium, zinc, arginine, L-carnitine, and coenzyme Q10 on sperm quality parameters, DNA integrity, reproductive hormones, and pregnancy rates in men with infertility and idiopathic oligoasthenoteratozoospermia (OAT). Methods: A prospective study was conducted on 420 men with infertility and idiopathic OAT who took an oral supplement of antioxidant SP-Power tablets twice daily for 6 months. Semen quality, reproductive hormones, and the DNA fragmentation index (DFI) were evaluated at baseline and at 3 and 6 months after supplementation, using the World Health Organization 2021 guidelines. Results: No significant difference was observed in volume or the percentage of typical morphology during treatment. A significant improvement in sperm concentration was observed after supplementation (8.67±1.41, 12.17±1.91, and 19.01±0.86 at baseline, 3, and 6 months respectively, p<0.01). The total motility, progressive motility, and total motile sperm count also increased significantly (p<0.01), whereas the DFI decreased after 6 months. There was an increase in normal FSH levels and testosterone levels after 6 months of supplementation of antioxidant SP-Power but these differences were not statistically significant (p=not significant and p=0.06, respectively). Conclusion: Supplementation with SP-Power tablets improved sperm quality parameters, sperm DFI, some reproductive hormones, and pregnancy rates in men with infertility and idiopathic OAT, which could be attributed to the supplement's synergistic antioxidant action. Further studies are needed to determine the effects of supplementation on oxidative stress markers.

Diesel Exhaust Particles Impair Therapeutic Effect of Human Wharton's Jelly-Derived Mesenchymal Stem Cells against Experimental Colitis through ROS/ERK/cFos Signaling Pathway

  • Hyun Sung Park;Mi-Kyung Oh;Joong Won Lee;Dong-Hoon Chae;Hansol Joo;Ji Yeon Kang;Hye Bin An;Aaron Yu;Jae Han Park;Hee Min Yoo;Hyun Jun Jung;Uimook Choi;Ji-Won Jung;In-Sook Kim;Il-Hoan Oh;Kyung-Rok Yu
    • International Journal of Stem Cells
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    • 제15권2호
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    • pp.203-216
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    • 2022
  • Background and Objectives: Epidemiological investigations have shown positive correlations between increased diesel exhaust particles (DEP) in ambient air and adverse health outcomes. DEP are the major constituent of particulate atmospheric pollution and have been shown to induce proinflammatory responses both in the lung and systemically. Here, we report the effects of DEP exposure on the properties of human Wharton's jelly-derived mesenchymal stem cells (WJ-MSCs), including stemness, regeneration, and immunomodulation. Methods and Results: Non-apoptotic concentrations of DEP (10 ㎍/ml) inhibited the migration and osteogenic differentiation capacity of WJ-MSCs. Gene expression profiling showed that DEP increased intracellular reactive oxygen species (ROS) and expression of pro-inflammatory and metabolic-process-related genes including cFos. Furthermore, WJ-MSCs cultured with DEP showed impaired suppression of T cell proliferation that was reversed by inhibition of ROS or knockdown of cFos. ERK inhibition assay revealed that DEP-induced ROS regulated cFos through activation of ERK but not NF-κB signaling. Overall, low concentrations of DEP (10 ㎍/ml) significantly suppressed the stemness and immunomodulatory properties of WJ-MSCs through ROS/ERK/cFos signaling pathways. Furthermore, WJ-MSCs cultured with DEP impaired the therapeutic effect of WJ-MSCs in experimental colitis mice, but was partly reversed by inhibition of ROS. Conclusions: Taken together, these results indicate that exposure to DEP enhances the expression of pro-inflammatory cytokines and immune responses through a mechanism involving the ROS/ERK/cFos pathway in WJ-MSCs, and that DEP-induced ROS damage impairs the therapeutic effect of WJ-MSCs in colitis. Our results suggest that modulation of ROS/ERK/cFos signaling pathways in WJ-MSCs might be a novel therapeutic strategy for DEP-induced diseases.

Edible mushroom (Pleurotus cornucopiae) extract vs. glibenclamide on alloxan induced diabetes: sub-acute in vivo study of Nrf2 expression and renal toxicity

  • Chinedu Godwin Uzomba;Uchenna Kenneth Ezemagu;Mary-Sonia Ofoegbu;Njoku Lydia;Essien Goodness;Chinedum Emelike;Uchewa Obinna;Alo Joseph Nwafor;Ejikeme Felix Mbajiorgu
    • Anatomy and Cell Biology
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    • 제57권3호
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    • pp.446-458
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    • 2024
  • The study aims to compare the action of Pleurotus cornucopiae and glibenclamide on alloxan-induced diabetes and ascertain how an aqueous extract of the edible mushroom regulates the expression of nuclear factor erythroid 2-related factor 2 (Nrf2), oxidative stress biomarkers and renal toxicity in a diabetic male Wistar rat model. Twenty-five adult male Wistar rats were randomly grouped into five groups with five rats per. Group 1 and those in the treatment groups received normal feed and water ad libitum. Group 2 received intraperitoneal administration of alloxan monohydrate (150 mg/kg body weight). Group 3 received alloxan monohydrate and glibenclamide (5 mg/kg body weight bwt), group 4 received alloxan monohydrate plus the extract (250 mg/kg bwt) and group 5 received alloxan monohydrate plus the extract (500 mg/kg bwt). The administration of glibenclamide plus the extract was oral for 14 days. Glibenclamide and the extract lowered blood glucose level, catalase, and glutathione peroxidase activities, increased the superoxide dismutase (SOD) activity in rats with alloxan induced diabetes. The extract at 500 mg/kg bwt reduced the plasma urea and sodium concentration in the treated rats. The extract and glibenclamide could detoxify alloxan and restore its induced renal degeneration and glomeruli atrophy, intra renal hemorrhage and inflammation and oxidative biomarkers through activation of Nrf2 expression. The drug glibenclamide and P. cornucopiae have appreciable hypoglycemic activity and potential to restore the normal renal architecture in the rats, hence they offer similar curative effects. Additionally, the extract at 500 mg/kg bwt activated SOD and Nrf2 expression more than glibenclamide in rats with alloxan-induced diabetes.

토압식 쉴드 TBM 스크류 컨베이어 축소 모형 시험 장비: 장비 개발과 적용성 평가 (A lab-scale screw conveyor system for EPB shield TBM: system development and applicability assessment)

  • 이수형;최항석;권기범;이동준;황병현
    • 한국터널지하공간학회 논문집
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    • 제26권5호
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    • pp.533-549
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    • 2024
  • 일반적으로 토압식(earth pressure balance) 쉴드 TBM (tunnel boring machine)으로 지반 굴착 시 쏘일 컨디셔닝(soil conditioning)을 수행하여 굴착 효율성을 높이고 안정성을 도모한다. 지반 여건에 따른 최적의 첨가제 주입 조건을 결정하기 위해 컨디셔닝된 흙의 유동학적 특성을 정량적으로 파악하는 것이 중요하며, 이는 주로 유동계(rheometer)를 활용하여 이루어진다. 그러나 이는 실제 TBM에서 굴착토가 배토되는 과정을 모사할 수 없어 장비에 미치는 영향을 파악하는데 한계가 있다. 따라서 본 연구에서는 8 m급 토압식 쉴드 TBM의 챔버와 스크류 컨베이어(screw conveyor)를 1:20으로 축소시킨 모형 장비를 개발하여 실제 배토 과정을 모사하였다. 이를 위해 인공 사질토 시료를 대상으로 첨가제로 폼과 폴리머를 사용하여 축소모형시험을 수행하였다. 실험 결과, 스크류 토크는 기존에 수행한 실내 가압 베인전단시험 결과 데이터와 연계하여 항복응력과의 경향성이 일관되는 것을 확인하였으며, 스크류 토크와 항복응력 사이의 양의 비례관계를 도출하였다. 폼 주입비(foam injection ratio, FIR)에 따른 배토 효율은 전반적으로 유사한 경향을 보였으나 60% 일 때 미소하게 감소하였으며 폴리머를 첨가하면 효율이 떨어지는 것을 확인하였다. 또한 실제 토압식 쉴드 TBM과 동일하게 챔버 상, 하부에서 압력차가 발생하는 것과 스크류 컨베이어 케이싱을 따라 배토구로 갈수록 압력이 점진적으로 소산되는 과정을 확인하였다. 따라서 본 연구에서 제작한 축소모형시험 장비가 굴착토의 전단특성 및 배토 효율 평가에 활용될 수 있음을 보여준다.

겨울철 염화칼슘(CaCl2) 처리에 따른 가로변 3가지 상록 관목류의 생육 및 생리반응 - 사철나무, 영산홍, 회양목을 중심으로 - (Growth and Physiological Response of Three Evergreen Shrubs to De-icing Salt(CaCl2) at Different Concentrations in Winter - Focusing on Euonymus japonica, Rhodoendron indicum, and Buxus koreana -)

  • 주진희;박지연;허혜;이은엽;현경학;정종석;최은영;윤용한
    • 한국조경학회지
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    • 제44권2호
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    • pp.122-129
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    • 2016
  • 본 연구는 도심 내에서 공원 및 가로수 주변에 식재된 대표적인 세 가지 상록 관목류인 사철나무(Euonymus japonica), 영산홍(Rhododendron indicum), 회양목(Buxus koreana) 등을 중심으로 겨울철 염화칼슘($CaCl_2$) 처리에 따른 생육 및 생리적 반응을 살펴봄으로써, 내염성 정도와 제설제 피해지역에 대한 내성수종을 선별하기 위한 자료로 제시하고자 한다. 염화칼슘을 각각 0%(대조구), 0.5%, 1.0%, 3.0%, 5.0% 처리한 실험구에 2014년 11월에 정식한 후 이듬해 이른 봄인 2015년 3월에 수고, 엽장, 엽폭, 엽형지수, 엽수, 생체중, 건조중, 건물률, R/T율, 엽록소함량, 엽록소형광반응, 광합성률, 기공전도도, 증산율 등의 생육 및 생리적 특성을 조사하였다. 사철나무는 3.0% 이하, 영산홍과 회양목은 1.0% 이하의 처리구에서 생존이 가능하였으며, 사철나무가 영산홍과 회양목에 비해 생육적 감소율이 비교적 낮았다. 염화칼슘 처리농도가 높을수록 대조구에 비해 생리적 반응들이 감소되는 것은 동일하나, 영산홍과 회양목은 감소세가 비교적 뚜렷한 반면, 사철나무가 완만한 감소세를 보이고 있다. 특히, 처리농도가 높아짐에 따라 영산홍은 증산율을, 회양목은 광합성율과 기공전도도를 억제시키는 경향을 보였다. 이러한 결과를 통해 사철나무가 영산홍과 회양목에 비해 염해에 좀 덜 민감한 수종임을 알 수 있어 제설제 피해지역에 상록 관목류로 적용이 가능할 것으로 본다.

불면증 변증도구 신뢰도와 타당도 평가 및 심리검사와의 상관성에 대한 초기연구 (A Pilot Study of Evaluating the Reliability and Validity of Pattern Identification Tool for Insomnia and Analyzing Correlation with Psychological Tests)

  • 정진형;이지윤;김주연;김시연;강위창;임정화;김보경;정인철
    • 동의신경정신과학회지
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    • 제31권1호
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    • pp.1-12
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    • 2020
  • Objectives: The purpose of this study was to evaluate the reliability and validity of the instrument on pattern identification for insomnia (PIT-Insomnia) and verify the correlation between PIT-Insomnia and psychological tests. Methods: Two evaluators examined the pattern identification of the participants who met insomnia disorder diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition (DSM-5) and took the Insomnia Severity Index (ISI) score over 15 once manually and twice using the PIT-Insomnia to measure the inter-rater and test-retest reliability. We also conducted the following surveys: the Pittsburgh Sleep Quality Index (PSQI), the Korean version of Beck's depression inventory (K-BDI), the Korean version of the State-Trait Anxiety Inventory (STAI-K), the Korean Symptom checklist-95 (KSCL-95), and the EuroQol-5 dimension (EQ-5D), to measure concurrent validity and correlation between the PTI-Insomnia and psychological tests. Results: 1. The test-retest reliability analysis of the pattern identification results showed moderate agreement, and test-retest reliability analysis of each pattern identification score showed agreements from poor to moderate. 2. The inter-rater reliability analysis of the pattern identification results via manual showed slight agreement, when analysis was performed with calibration, the inter-rater reliability analysis of the pattern identification results via manual showed fair agreement. 3. The concordance analysis between results via manual and the PIT-Insomnia showed poor agreement, when the analysis was performed with calibration, concordance analysis showed fair agreement. 4. The concordance analysis between the PIT-Insomnia and the PSQI showed positive linear correlation. 5. The concordance analysis between the PIT-Insomnia and the PSQI, K-BDI, STAI-K, KSCL-95, and EQ-5D showed that non-interaction between the heart and kidney have positive linear correlation with the K-BDI, anxiety item of KSCL-95, dual deficiency of the heart-spleen have positive linear correlation with somatization item of KSCL-95, paranoia item of KSCL-95, heart deficiency with timidity have positive linear correlation with stress vulnerability item of KSCL-95, parania item of KSCL-95, phlegm-fire harassing the heart have positive linear correlation with K-BDI, paranoia item of KSCL-95, depressed liver qi transforming into fire have positive linear correlation with the anxiety item of KSCL-95, parania item of KSCL-95, all pattern identification have negative linear correlation with EQ-5D. Conclusions: The PIT-Insomnia has moderate agreement of reliability and reflects the severity of insomnia since it has some concurrent validity with the PSQI. There are some correlations between the PTI-Insomnia with specific psychological tests, so we could suggest it can be used appropriately in the clinical situation.

성교육이 국민학생의 성지식과 성태도에 미치는 효과 (The Effects of Sex Education on the Primary Schooler's Knowledge and Attitude about Sex)

  • 김진선
    • 여성건강간호학회지
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    • 제1권2호
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    • pp.200-221
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    • 1995
  • The confusion of the sense of value on sex is increasing because of the rapid change in social-cultural environment. Also due to a rise in the standard of living, the age of adolescence is getting lower, and so the second sexual marks appear to primary schoolers. At this time in the aspect of the education for the whole man, it's very important for primary schoolers to acquire right knowledge and desirable attitude on sex so that can overcome psychological instability caused by physical growth, be responsible for their behaviors and lead happy lives. This study was made to find out the effects of sex education for the primary schoolers' knowledge and attitude about sex. The study was designed as simulated control group pretest-posttest design, which only pretest was practiced to control group and after sex education only posttest was practiced to experimental group. The data was collected for 18 days from March 13, 1995 to March 31, 1995. The subjects of this study were 130 six-graders in a private primary school in seoul. The control group and experimental group were composed of 65 pupils, each. Sex education consisted of lecture and discussion and the materials were this researcher's own made, 'How do I grow? and related OHP film and video. This education was practiced 40 minutes at a time, at intervals of 2-4 days' six times during 3weeks. For sex knowledge tools, 20 item questionaries on the base of related reference books and contents of this study were used. For sex attitude tools, this researcher's own made 13 item questionaries were used which were revised and complemented and laying stress on the reference books. The data was analyzed through pc-SAS program. The homogeneity test in terms of the general characteristics of experimental and control group was analyzed through $x^2$-test and t-test. And the difference in the primary schoolers' score on knowledge and attitude about sex before and after the sex education was analyzed through t-test and ANCOVA. The results of this study are as follows : 1. The result of the homogeneity test in terms of the general characteristics of the experimental and control group showed that there were significant differences in economic standard($x^2$=2.92, P=0.052) and brotherly ties($x^2$=3.78, P=0.052). 2. Hypothesis 'After sex education, the score of primary schoolers' sex knowledge will be higher than before. 'showed statistically significant difference.(t=11.99, P=.0001) Sex education was practiced under control over subjective view of economic standard and brotherly ties which showed significant difference at the homogeneity test in terms of the general characteristics between the two groups. After this education, the results of comparing the score of primary schoolers' sex knowledge also showed significant difference between the two groups. So hypothesis I was supported since primary schoolers to have education showed noticeable results in the sex knowledge score. (F=16.52, P=.0001) 3. Hypothesis 'After sex education, primary schooler's sex attitude score will be higher than before' showed statistically significant(t=5.08, P=.0001) Sex education was practiced, too, under control over subjective view of economic standard and brotherly ties which showed significant difference at the homogeneity test in terms of the general characteristics between the two groups. Bat this time the results of comparing the primary schoolers' sex attitude showed no significant difference between the two groups. So hypothesis II was rejected since for primary schoolers to have sex education showed no noticeable results in sex attitude score. (F=3.52, P=.0628) These results of the study show that sex education gives affirmative change to the primary schooler's sex knowledge, bat short periods' sex education doesn't give any change to the sex attitude. For the establishment of the pupils' desirable sex attitude, systematic and concrete sex education fit for the pupils' developing stage should be practiced over a long period of time.

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국소한냉자극이 전신 및 국소혈액순환에 미치는 영향 -제 2 보 : 동계 및 하계의 계절변화에 따른 한냉반응- (Cold Pressor Response to Seasonal Variation in Winter and Summer)

  • 박원균;채의업
    • The Korean Journal of Physiology
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    • 제17권2호
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    • pp.93-101
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    • 1983
  • 국소한냉자극이 전신 및 국소혈액순환에 미치는 영향과 동계에 있어서 한냉에 대한 적응을 관찰하기 위하여 동계 및 하계에 편균연령 21세의 남녀 대학생 각 60명 및 50명을 대상으로 $5^{\circ}C$의 냉수에 일측 손을 담구어 3분간 국소한냉자극을 가하였다. 침수 1, 2, 3분과 회복기 1, 3, 5분에 침수한 측과 침수 반대측에서 평균혈압, 분시심박수, 광전 모세혈관 맥박의 파고, 피부전기저항을 관찰하여 다음과 같은 결과를 얻었다. 국소한냉자극시 혈압은 증가하였고 하계에서 동계보다 더 큰 증가를 보였다. 회복기에 동계는 서서히 대조치로 회복되나 하계에는 대조치보다 유의하게 감소하였다. 분시심박수는 침수시 증가하며 하계에서 동계보다 더 증가하였고 회복기에는 동계 및 하계 모두 대조치보다 감소하였다. 광전 모세혈관 맥박의 파고는 동계에는 침수 및 침수 반대측 모두 감소하였으나 침수한 측에서 더 크게 감소하였으며 이는 침수한 측에 있어서 한냉의 국소효과에 기인한 것으로 보인다. 하계에는 동계보다 작은 감소를 보였으며 회복기에는 더 빠른 회복을 보여 대조치보다 증가하였다. 피부전기저항은 침수시 침수 반대측에서는 감소하나 침수한 측에서는 유의하게 증가하였다가 회복기에 서서히 감소하였다. 침수 반대측의 감소는 동통에 의한 반응이 한냉에 의한 반응에 첨가되어 나타난 것으로 보이며, 침수한 측은 한냉에 의한 국소효과가 크기 때문인 것으로 보인다. 이상으로 $5^{\circ}C$의 국소한냉자극시 전신적 반응은 한냉자극에 의한 동통성 stress에 기인한 반응이 우세한 것으로 생각되며 김 등$^{39)}$의 보고와는 달리 동계 및 하계의 반응의 차이는 계절에 따른 한냉자극에 대한 주관적 감각의 차이에 의한 것으로 동계에서 한냉기후에 의한 국소한냉자극의 적응현상은 나타나지 않는 것으로 사료된다.

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만성질환자 배우자의 돌봄 경험에 대한 이론 구축 (A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness)

  • 최경숙;은영
    • 대한간호학회지
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    • 제30권1호
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    • pp.122-136
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    • 2000
  • Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands′ care for their wives through a qualitative research into husbands′ experience. Method 1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won. Method 2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied. Result: 1. Husbands′ burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband′s burden correlated with the age of the patients, numbers in the family, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and the husband′s understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands′ burden is explained in 22.5% by husband′s recognition of level of severity and husbands′ age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and husband′s understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients′ experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands′ identification of housework and husbands′ concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients′ to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands′ companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

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