• 한국산학기술학회논문지
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• 제19권2호
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• pp.497-507
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• 2018

본 연구는 암생존자의 삶의 질에 대해 보다 면밀한 검토를 통해 이들을 위한 서비스 및 정책 마련을 위한 기초자료를 제공하고자 수행되었다. 이에 본 연구는 사회문화적 영향을 다르게 수용하게 되는 성차(gender difference)를 중심으로 암생존자의 삶의 질의 차이와 예측 요인들의 상대적 영향력을 검증하였다. 이를 위해 국민건강영양조사 제 6기 중 2013년 자료에서 추출한 암생존자 203명을 표본으로 남녀 집단간 삶의 질 평균차이 검증과 위계적 회귀분석을 실시하였다. 그 결과 삶의 질의 하위 영역 모두에서 여성이 남성에 비해 낮은 삶의 질을 보였으며, 전체적인 삶의 질에 있어서도 여성의 삶의 질은 유의미하게 낮았다. 위계적 회귀분석 결과, 성차에 따른 예측 변인이 다르게 나타났는데 남성은 주관적 건강인식이 유의한 정적 영향을 미치고 있었으며 여성은 미충족 의료욕구(unmet medical need)가 가장 큰 예측력을 가진 유의미한 변인으로 부적 영향을 미치고 있었으며, 또한 연령이 높을수록 삶의 질이 낮았으며, 주관적 건강인식과는 유의미한 정적 관계를 보였다. 이러한 결과를 통해 성차를 고려한 암생존자 관리의 방향성 제고가 필요하며 여성암생존자 중 고령, 건강상태가 좋지 못한 경우, 의료서비스의 접근성이 낮은 집단에 대한 보다 집중적 서비스를 마련해야하는 등의 실천적 함의와 후속연구에 대한 제언을 제시하였다.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.293-300
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• 2018

본 연구는 간호대학생의 직무 유형을 통해서 경력개발을 위한 교육요구는 무엇인지 알아보기 위한 목적으로 실행하였다. 연구목적의 달성을 위하여 먼저 부산 경남 지역에 있는 K 대학과 P 대학의 간호대학생 146명을 대상으로 커리어앵커 질문지를 이용하여 직무 유형을 분석하였다. 그리고 직무 유형 중에서 상위 유형의 경향성을 보이는 간호대학생 28명을 선별하여 4개의 팀으로 나누어 맵을 작성하였고, 작성된 맵의 내용을 기반으로 초점집단인터뷰를 했다. 이는 간호대학생의 실제적 목소리를 통해 경력개발을 위한 교육요구에 대해서 알아보기 위해서이다. 그 결과 첫째, 간호대학생의 커리어앵커 유형은 라이프스타일과 안전 보장이 가장 높게 나타났고, 가장 낮은 커리어앵커 유형은 순수한 도전과 관리적 역량이었다. 둘째, 경력개발을 위한 교육요구는 크게 4개의 영역, 전공역량, 실무역량, 인성역량, 자원관리역량으로 범주화하였다. 전공역량은 간호 전문지식 및 기술, 실무역량은 병동 업무처리, 의사소통, 위기대처능력, 인성역량은 협력, 책임인식, 자원관리역량은 시간 관리 능력, 스트레스 관리능력이다. 본 연구의 결과는 향후 간호대학생의 경력개발을 위한 교육적 기초자료로 활용할 수 있다는 점에서 의의가 있다. 아울러 간호실무 개선을 위한 교육과정개발에 적용할 수 있을 것으로 기대한다.

• 상하수도학회지
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• 제34권5호
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• pp.373-383
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• 2020

The purpose of this study was to evaluate the corrosion damage of large diameter metallic pipes buried in reclaimed land due to the corrosion effect by soil, and to propose a method of installing metal pipes in the reclaimed land. The results are as follow. First, the soil of the reclaimed land was gray clay, the soil specific resistance indicating soil corrosiveness was at least 120 Ω-cm, the pH was weakly acidic(5.04 to 5.60), the redox potential was at least 62 mV, the moisture content was at most 48.8%, and chlorine ions and sulfate ions were up to 4,706.1 mg/kg and 420 mg/kg. Therefore, the overall soil corrosivity score was up to 19, and the external corrosion effect seems to be very large. Second, the condition of straight part of pipes was in good condition, but most of KP joints were affected by corrosion at a severe level. The reason for this seems to be that KP joints accelerated corrosion due to stress and crevice corrosion in addition to galvanic corrosion in the same environment. Third, as a result of evaluating correlations of each item that affects the corrosion on the external part, the lower the soil resistivity and redox potential, the greater the effect on the KP joints corrosion, and the moisture content, chloride ion, and sulfate ion, the higher the value, the greater the effect on the corrosion of KP joints. In addition, among soil corrosion items, the coefficient of determination of soil resistivity with corrosion of KP joints was the highest with 0.6439~0.7672. Fourth, when installing metal pipes or other accessories because the soil of the reclaimed land is highly corrosive, it is necessary to apply a corrosion preventive method to extend the life of pipes and prevent leakage accidents caused by corrosion damage to the joint.

• 한국식품저장유통학회지
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• 제18권1호
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• pp.103-110
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• 2011

본 연구는 소비자들의 건강기능식품에 대한 인식과 구매 의도를 조사하기 위하여 수행되었다. 연구를 위한 자료는 서울 및 경기 지역 거주 만 20세 이상의 성인 남녀 454명을 대상으로 2010년 5월 10일부터 6월 5일까지 수집되었다. 결과를 요약하면 첫째, 건강관리행동에 있어 음주빈도는 '거의 안 마신다'(41.4%), '월 1-2회'(27.8%) 등의 순이었고, 흡연량은 '안 피운다'는 응답이 80.8%로 월등히 많았다. 운동빈도는 '거의 안함'(43.8%), '주 2회 이하'(30.0%) 등의 순이었고, 스트레스는 '어느정도 받는다'는 응답이 44.5%로 가장 많았다. 건강에 대한 인식은 '건강하지만 걱정하는 편'이라는 응답이 59.5%로 가장 많았는데 '질병이 있다'는 응답도 14.5%나 되었다. 끝으로 '운동'을 통해 건강을 관리한다는 응답이 37.2% 가장 많았고, '특별히 건강관리를 하지 않는다'(26.2%)는 응답이 뒤를 이었다. 둘째, 건강기능 식품 '복용경험이 있다'고 응답한 사람은 83.5%로 높게 나타났고, 복용경험이 없는 경우, '필요성을 느끼지 못해서'(60%), '의문스러운 효과 때문'(16%) 등이 주요한 이유였다. 셋째, 건강기능식품에 대한 인식은 '인증제도가 필요'(4.44), '질병예방에 도움'(3.60), '전문판매점이 필요'(3.59) 등의 항목에 순서대로 높은 동의를 보였다. 반면에 '부작용이 없음'(2.15), '질병치료 효과가 있음'(2.58) 등의 항목에는 부정적인 태도를 보였다. 넷째, 건강기능식품에 대한 관심도는 3.09로 별로 높지 않았으나 향후 구매의도는 3.40으로 다소 높게 나타났다. 이상의 결과를 놓고 볼 때, 많은 소비자들이 건강기능식품을 복용하고 있으나 부작용을 우려하고 있고 질병치료효과나 노화방지효과 등에 대해서 부정적 태도를 보이고 있으며 또한 관심도도 별로 높지 않은 편이다. 따라서 소비자들의 우려를 불식시키고 관심도를 제고하기 위해, 품질을 개선하고 제품에 관한 충분하고 정확한 정보를 제공하며 또한 인증제도의 정착 및 홍보를 위한 소비자 교육프로그램을 시급히 마련해야 할 것이다.

• 대한간호학회지
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• 제28권3호
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• pp.739-750
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• 1998

The purpose of this study was to identify the response patterns of Health Locus of Control (HLOC) and to analysis of the health promoting behaviors depending on the response patterns of HLOC in Korean adults. The sample was composed of 300 healthy adults ranged from twenties to seventies. In data analysis, SPSS PC/sup +/ program was utilized for descriptive statistics, pearson correlation, ANOVA and cluster analysis. The results of the study were as follows : 1. The average scores of HLOC in Korean were HLOC-I : 24.12(range 6-30), HLOC-P : .21.72, HLOC-C : 17.46. 2. The total mean score of the health promoting behavior scale was 2.50 (range 1-4), and the mean scores on the subscales were ; self actualization 2.60, health responsibility 2.14, exercise 2.28, nutrition 3.16, interpersonal support 2.74, stress management 2.15. 3. The HLOC-I and health promoting behavior were correlated positively(r =0.184, p=0.001), and the HLO-C and the health promoting behavior were correlated negatively(r=-0.102, p=0.039). The HLOC-P and the health promoting behavior weren't correlated in the level of statistical significance. 4. The response patterns of HLOC in Korean adults were identified 6 types, such as pure internal, pure chance, believers in control, yea sayer, nay sayer, and complex control. The type of believers in control and the type of yea sayer were subdivided in two different types. The believers in control was the largest group(33.67%), and yea sayer was the next large group(26.33%). The pure chance and the complex control type was the smallest groups. 5. There was a significant difference in health promoting behavior depending on the response patterns of HLOC(F=2.67, p=0.010). There were also significant differences in 4 subscales of health promoting behavior : self actualization(F=3.12, P=0.003), health responsibility(F=2.15, P=0.038), nutrition(F=5.08, p=0.000), and interpersonal support(F=2.26,p=0.029). These results suggest that the response patterns of HLOC is the important factor to predict the level of health promoting behavior in Korean adults.

• 한국융합학회논문지
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• 제6권6호
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• pp.35-42
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• 2015

본 연구는 치위생(학)과 학생들의 임상수행능력에 영향을 미치는 요인을 파악하고자 부산광역시와 울산광역시 치위생(학)과 학생들을 대상으로 2015년 3월 2일부터 6월 12일까지 설문조사를 실시하여 총 329부가 분석에 사용되었다. 비판적 사고성향은 셀프리더십(r=0.884), 임상실습 만족도(r=0.876), 임상수행능력(r=0.845)과 양의 상관관계를 나타내었고, 셀프리더십과 임상실습 스트레스(r=-0.796)는 음의 상관관계를 나타내었다. 임상수행능력에 영향을 미치는 요인은 비판적 사고성향(p<0.001), 셀프리더십(p<0.01), 임상실습 만족도(p<0.01)순으로 나타났다. 이상의 결과 치위생(학)과 학생들의 임상수행능력에 비판적 사고성향, 셀프리더십, 임상실습 만족도가 영향을 미치는 요인으로 나타나 교육시에 비판적 사고능력과 셀프리더십을 향상시킬 수 있는 교수학습 전략과 교육과정 프로그램이 개발되어야 할 필요가 있다고 생각된다. 나아가 임상실습 만족도를 충족시키고 임상수행능력 정도를 향상시킬 수 있는 보다 체계적이고 융합적인 프로그램 개발에 기초자료로 활용될 것으로 기대된다.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.1-13
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• 2009

Objectives: This study was conducted to estimate the health-related quality of life (HRQOL) using EuroQoL-5 Dimension (EQ-5D) and to identify its related factors among urban-dwelling adults. Methods: The data for this study were obtained from 1,134 subjects aged $20\sim91$, who participated in 'Survey on the health status and demand for health' in two cities of Korea (Dong-gu, Gwangju and Suncheon-si, Jeollanamdo). The HRQOL was measured using the EQ-5D instrument and EQ-5D index scores were calculated by two Korean valuation study model using time trade-off method. Results: The mean EQ-5D index scores for all subjects were $0.865{\pm}0.218$ (model A), and $0.921{\pm}0.170$ (model B). The EQ-5D index score was significantly different according to demographic and socioeconomic characteristics (gender, age, marital status, education, occupation, income, and health security system), self-rated health condition, health-related psychological assessments (enough sleep, fatigue rate, stress rate, and degree of satisfaction on the residence). The results of multiple linear regression showed that age, marital status, income, coverage of medical insurance, self-rated health condition, and fatigue rate were significantly related common statistical factors of HRQOL in two Korean valuation study model. Conclusion: Among the adults residing in urban environment, the HRQOL was significantly lower on the subjects with following conditions: higher age, being alone without a spouse as a result of death, divorce or separation, low income, medical aid program, poor self-rated health condition, and chronic fatigue. In order to improve the urban adults' quality of life, healthcare policy and health promotion program must be developed with considerations to factors related to the HRQOL.

• 생물정신의학
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• 제19권2호
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• pp.106-113
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• 2012

Objectives : The purpose of this study is to investigate the relationship between the triallelic serotonin transporter gene and stressful life events to determine their effect on depression with alcohol dependence. Methods : Ninety-five hospitalized patients with alcohol dependence (73 male, 22 female) were enrolled in this study. Thirty-two (33.7%) of the total patients were diagnosed with major depressive disorder and dysthymic disorder by Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV. The characteristics of stress were evaluated using the stressful life events scale, and depressive symptoms were assessed using the depression scale (Beck Depression Inventory, BDI). Alcoholism with depression (n = 32) and alcoholism without depression (n = 63) were genotyped for the triallelic serotonin transporter gene ($L_A$ : higher expressing allele, $L_G$/S : lower expressing allele). Results : There was no significant difference in the allele frequency between the depression group and the non-depression group (${\chi}^2$ = 0.345, p = 0.619). $L_G$/S alleles had more comorbid depression in the higher score of stressful life events scale [Mental-Haenszel (MH)-${\chi}^2$ = 4.477, p = 0.034]. But there was no significant difference in the comorbidity according to the scores from the stressful life event scale in the $L_A$ alleles (MH-${\chi}^2$ = 0.741, p = 0.399). In the results, alcohol-dependent individuals with $L_G$/S alleles had more comorbid depression than those with $L_A$ alleles when they had experienced severe stressful life events (MH-odds ratio = 2.699, p = 0.028). Conclusions : These results suggest that there is no direct relationship between triallelic serotonin transporter gene and depression in the alcohol dependent patients. But alcohol dependent individuals with the lower expressing alleles of the serotonin transporter gene were more susceptible to depression than those with the higher expressing alleles in response to stressful life events.

• 여성건강간호학회지
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• 제5권1호
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• pp.146-165
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• 1999

The purpose of this paper was to identify the performance of health promoting lifestyles and health perception over 18 years old women living Wonju city so that the results will be based for setting up women's health nursing center. The subjects were 1080 women selected by stratified and purposive sampling. The data were collected by self reporting questionnaire and interview from May to June, 1998. Data were analyzed by SPSS win program. The results were as follows : 1. The range of age was 18-84 years, The proportion according to women's lifecycle was premarital group 20.0%, delivery and rearing group 49.9%, over middle aged-elderly group 29.8%. 2. The mean menarchial age was 15.2 and menopausal age was 48. Mean frequenices of pregnancy is 2.4 and artificical abortion rate is 36.4%. Primary cause of abortion was unwanted babies 42.8%. The practice rate of family planning was 79.4% and permanent sterilization rate was 37.6%. 3. Fatigue was predominated problem in target population. Depression and headache was predominated in premarital group, headache and nervous felling in delivery and rearing group, arthritis and loss of memory in over middle aged-elderly group. 4. Only 13.7% of the target population make some efforts for their health in compare to 85.9% have attention for their health. Perception of unhealthy rate was 9.1% in premarital group, 24.8% in delivery and rearing group, 30.1% in middle aged-elderly group. 5. The average score of the HPLP(Health Promoting Lifestyle Profile) was 2.41. The variable with the highest degree of performance was interpersonal relationship, whereas the one with the lowest degree was the professional health maintenance. The significant difference was found in HPLP according to age, residential area, marital status, educational level, income level. 6. Majority(95.1%) of the target population agreed on necessity for women's health nursing center. Proper location area was presented to women's center and public health center. The priority for health education program was proper diet, family health, stress management, and exercise. In conclusion, we should prepare the education program for women's health according to women's lifecycle, because health perception, HPLP, and education program needed was differentiated in women's lifecycle. Also we suggest that women's health nursing center based community was needed for proper management of women's health.

• Journal of Trauma and Injury
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• 제30권4호
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• pp.113-119
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• 2017

Purpose: Despite the numerous protocols and evidence-based guidelines that have been published, application of the therapeutics to eligible patients is limited in clinical settings. Therefore, a rounding checklist was developed to reduce errors of omission and the implementation results were evaluated. Methods: A checklist consisting of 12 components (feeding, analgesia, sedation, thromboembolic prophylaxis, head elevation, stress ulcer prevention, glucose control, pressure sore prevention, removal of catheter, endotracheal tube and respiration, delirium monitoring, and infection control) was recorded by assigned nurses and then scored by the staff for traumatized, critically ill patients who were admitted in the trauma intensive care unit (ICU) of Dankook University Hospital for more than 2 days. A total of 170 patients (950 sheets) between April and October 2016 were divided into 3 periods (period 1, April to June; period 2, July to August; and period 3, September to October) for the analysis. Questionnaires regarding the satisfaction of the nurses were conducted twice during this implementation period. Results: Record omission rates decreased across periods 1, 2, and 3 (19.9%, 12.7%, and 4.2%, respectively). The overall clinical application rate of the checklist increased from 90.1% in period 1 to 93.8% in period 3. Among 776 (81.7%) scored sheets, the rates of full compliance were 30.2%, 46.2%, and 45.1% for periods 1, 2, and 3, respectively. The overall mean score of the questionnaire regarding satisfaction also increased from 61.7 to 67.6 points out of 100 points from period 1 to 3. Conclusions: An ICU rounding checklist could be an effective tool for minimizing the omission of preventative measures and evidence-based therapy for traumatized, critically-ill patients without overburdening nurses. The clinical outcomes of the ICU checklist will be evaluated and reported at an early date.