• 여성건강간호학회지
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• 제1권1호
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• pp.81-96
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• 1995

This study was intended to provide women who are supposed to experience childbirth with effective nursing care exploring the childbirth experience. The purpose of this paper is to give an answer to the question of what the childbirth experience is, and phenomenological method has been used for that purpose. 17 primiparous mothers right after delivery in one university hospital of J city were served as subjects for this research. Data were collected June to October, 1993 through in depth interview with subjects using unstructured and open questions about the childbirth experience. Van Kaam's phenomenological analysis method was used for the analysis of the data. The results of the study are summarized as follows : The contents of the experience which primiparous mothers had undergone through childbirth were pain, fear, worry, relief, lightness, thankfulness, unsatisfactory, unreality, holiness for a new life, identifying the meaning of life, becoming a mother. 1. Experience before delivery Mothers experienced pain, fear, worry, unsatisfactory, relief, and thankfulness before delivery. Subjects' descriptions about the pain appeared to be various ; unbearable pain, bearable pain, anticipated pain. And their reactions were also various ours ; some endured pain, sought alternative method i.e., surgery, didn't want to reexperience it, or accepted it as women's fate. Subjects experienced fear for anticipated pain, suffering pain, and possible delayed delivery progress and were worried about delivery progress and baby wellbeing. Also, Subjects were unsatisfied with professionals' unfaithful attitude, their spouses' absence, and the ignorance of their pain. But subjects became relieved at the accustomed surroundings, good progress of delivery, support of family, care of professionals and support of other family. And they expressed their thanks to the professionals and family members for doing their best and also to their mothers who gave birth to them. 2. Experience after delivery Subjects experienced lightness, thankfulness, unsatisfactory, worry, unreality, holiness for a new life, identifying the meaning of life, becoming a mother after delivery. Mothers experienced lightness from the fact that it is over, and freshness right after delivery. They were thankful that they delivered vaginally and had an easy delivery. Subjects who delivered female baby were unsatisfied and some were worried about rearing the baby. By confessing, "I have no specific feeling, I am very confused, It is unrealistic, I feel strange", they expressed the unrealistic aspect of childbirth experience. Subjects felt holiness for a new life for novelty and birth of life. They identified the meaning of life from the fact that they felt worthy, fulfilled their duty, had their own baby, accomplished an important affair. After they experienced what it is to be a mother, they realized with it is being a mother and had a rearing expectation for the baby. The results of the study will provide basic data for caring the childbearing women.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5927-5936
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• 2014

Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

• 재활간호학회지
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• 제1권1호
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• pp.93-109
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• 1998

The purpose of study is to identify the relation between pain level and perceived family support and quality of life in musculoskeletal patient with chronic pain. The subjects for the study consist of 155 patients with musculoskeletal pain that received medical treatment in hospital or by attending hospital in Chonju. The data were collected during the period from August 5 to August 14, 1998 by means of interviews with structured questionnaire. Data analysis was done by descriptive statistics. t-test, ANOVA, Pearson's correlation, Regression. Cronbach alpha using the SAS program. The result of this study were as follows : 1. The mean score of pain was 8.02, family support was 3.88 and quality of life was 3.07. 2. Hypothesis : The first hypothesis that 'The lower pain level is, the higher quality of life is' was accepted (r=-.2178, p= .0065). In addition, pain level of musculoskeletal patient with chronic pain provided predicted 4.7%(F=7.619, P= .0065) of quality of life. The second hypothesis that 'The higher perceived family support is, the lower pain level is' was rejected (r=-.0376, p= .6425). The third hypothesis that 'The higher perceived family support is, is higher quality of life is' was accepted (r= .3212, p= .0001). In addition, perceived family support of musculoskeletal patient with chronic pain provided predicted 10.31% (F=17.597, p= .0001) of quality of life. 3. General characteristics related pain were age(F=6.85, p= .0001),educational-level(F=9.29, p= .0001), occupation(F=5.81, p= .0037), marriage status(F=8.09, p= .0005), family numbers(F=5.73, p= .001), benefits of medical care(F=4.09, p= .0019), pain period(F=9.52, p= .0001), part of pain(F=2.33, p= .0352), pain period(F=3.08, p= .0181). 4. General characteristics related pain were sex(t=3.20, p= .0017), support sources(t=3.26, p= .0014), pain period(F-4.52, p= .0018). 5. General characteristics related pain were religion(t=3.11. p= .0022), benefits of medical care(F=3.61, p= .0293), pain duration(F=3.03, p= .0195). In conclusion, perceived family support in musculoskeletal patient with chronic pain is an important factor that can improve their quality of life. Therefore, nurses must establish nursing plan included patient's family when nurses carry out nursing intervention and education for patient so that a patient promote quality of life by maintaining optimal wellbeing.

• 재활간호학회지
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• 제2권1호
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• pp.29-44
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• 1999

This study was carried out to obtain basic data required to plan and develop Rehabilitation Day Care Program for the stroke Survivors at home in Korea. The subjects comprised of 118 stroke survivors who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of dally living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN program. The results obtained are as follows ; 1. The mean score of the general need of rehabilitation day care program of stroke survivors was 2.78(range 1-4). The highest need among the service categories of the rehabilitation day care program was self-care and restorative activities category, and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows ; 1) In the health services referral category, the need for speech therapy was highest, followed by the need for physical therapy and occupational therapy. 2) In the psychosocial activities category, the need for self-help group was highest. 3) In the self-care and restorative activities category, the need for bathing was highest, followed by bowel training, and ambulation training. 4) The need for the recreation category was 2.62. 2. Among the need for the effect related to the utilization of day care program, the need for survivors' physical and psychological well-being was highest and was followed by the need for caregiver's physical and psychological wellbeing. Pearson's correlation analysis revealed following results ; 1. The need for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age. 2. The need for the effect related to the utilization of rehabilitation day program displayed a correlation with the level of education, ADL, and the level of depression. The stepwise multiple linear regression analysis revealed following results : 1. For the need for rehabilitation day care program service, 28.4% of the variance was initially explained by one variable, level of depression. The level of depression plus two variables, survivors' age and ADL, explained 34.2% of the variance in the need for rehabilitation day care program service. 2. For the need for the effect related to the utilization of rehabilitation day care program, 12.4% of the variance was initially explained by one variable, level of depression. The level of depression plus one variable, level of education, explained 20.4% of the variance in the need for the effect related to the utilization of rehabilitation day care program. In conclusion, above characteristics should be considered when we are planning to develop stroke survivors' rehabilitation day care program.

• Korea-Australia Rheology Journal
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• 제20권3호
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• pp.175-184
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• 2008

Chemical engineering (ChE) was conceived at the close of the 19th century as a new discipline which was designed to support then the newly-emerging industries, oil and petrochemical, by supplying the competent engineers equipped with the pertinent engineering fundamentals and skills. It helped the said industries meet the various demands and ramifications of the new pattern of the human civilization spurred by the advent of automobile transportation at the turn of the 20th century. Now ChE once again is ready to fulfill its societal responsibility as probably the most important discipline and profession in sustaining the $21^{st}$ century human civilization providing the needed engineers (ChErs) and technologies. In this study, it is attempted to analyze the role of ChE and ChErs in this context, focusing on the macroeconomic connections embedded in the discipline that allow us to envision the big pictures of the 21st century civilization where the wellbeing of the mankind invariably hinges on five essential industries, i.e., medical, pharmaceutical, energy, environment and materials. It can be argued that ChE is the only discipline that can encompass simultaneously all those five industries indispensable to sustain the 21 st century human civilization that can be termed the era of "enjoy-healthy-living-longer". It is also believed that the historical mission ChE and ChErs are supposed to fulfill now is even bigger than that they took on a hundred years ago and subsequently accomplished with remarkable success in food, clothing, shelter and entertainment industries introducing various technological innovations. The macroeconomic viewpoints are called upon in this study as were in the 2006 article (Hyun, 2006) but focusing on ChE and ChErs this time to view the connections embedded in ChE as the essential components in understanding the historical nature of the role and responsibility of ChE and ChErs. The new paradigm for ChE is also pondered over together with the frequently-cited technology concepts such as IT, BT, NT, ET and ST which are regarded intimately germane to the characteristics and perspectives of the $21^{st}$ century civilization.

• 한국치위생학회지
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• 제14권6호
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• pp.951-959
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• 2014

Objectives: The purpose of this study was to find out the fear of dentist care, subjective recognition of dental health, and quality of life in the male high school students and to analyze the influencing factors on dental health care. Methods: A self-reported questionnaire was filled out by 243 special high-school in Deagu province from March 3 to March 14, 2014. The questionnaire consisted of general characteristics of the subjects(5 questions), subjective recognition of health and activities to improve health(6 questions), dental fear(20 questions), oral health related quality of life(16 questions). The instrument for dental fear was adapted from measured by Berggren Dental Fear Survey(DFS). A total of 20 DFS questions included treatment avoidance(8 questions), stimulus reaction(6 questions), and physiological reaction(5 questions) and score by Likert 5 scale. Cronbach alpha was 0.974 in the study. Oral health related quality of life was measured by 16 questions of CPQ11-14 for the adolescents by Lau. CPQ11-14 consisted of oral symptoms(4 questions), functional restriction(4 questions), and emotional wellbeing(4 questions). The instrument was score by Likert 5 scale and Cronbach alpha was 0.9354 in the study. Data were analyzed using SPSS 18.0 program for ANOVA and multiple regression analysis. Results: Fear of dentist care showed significant differences in treatment avoidance factor(p<0.001), stimulus reaction factor (p<0.05), and physiological reaction factor(p<0.001). The factors depended on subjective recognition of health and health-improving activities and differences in treatment avoidance factor(p<0.05) and physiological reaction factor(p<0.01). The dental symptoms factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001), alcohol drinking status(p<0.001) and regular meal(p<0.001). While function limit factors showed differences in health recognition (p<0.001), interest in health(p<0.001), smoking(p<0.001), alcohol drinking(p<0.001) and regular meal(p<0.001). Mental and social stabilities factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001) and alcohol drinking status(p<0.001). Among the factors influencing on the quality of life in dental health, interest in health(p<0.005), alcohol drinking(p<0.005) and physiological reaction in the midst of fear of dentist care(p<0.001) were the significant impact factor. Conclusions: It is necessary to develop a continuous and systematical program of dental health and dental care by experts so that the students can reduce the fear of dentist care by regular dental checkup and preventive treatment and care.

• 아동학회지
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• 제37권2호
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• pp.169-187
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• 2016

Objective: This study aimed to identify profiles based on early childhood and elementary school teachers' goal orientations and to examine differences in teacher efficacy, psychological wellbeing, and job satisfaction among these profile groups. Methods: Data were collected through a teacher questionnaire. The teacher goal-orientation scale consisted of six sub-dimensions: growth, leisure, wealth, relationship, promotion, and social contribution. Data were analyzed using latent profile analyses. Results: Latent profile analyses revealed three distinct profile groups: one group characterized by higher scores across all six dimensions (balanced-goal-orientation group); another characterized by lower scores on all six dimensions, with a relatively higher score on the relationship dimension (relationship-goal-oriented group); another one characterized by lower scores on all dimensions except the leisure goal (leisure-goal-oriented group). MANOVA showed that the balanced-goalorientation group was significantly higher in total years of teaching, educational attainment, and age, compared to the leisure-goal-oriented group. In regression analyses, when controlling for educational attainment, teacher types (kindergarten vs. elementary school) did not significantly predict each of the dummy-coded profile groups (0 = no, 1 = yes). When taking into account teachers' age and educational attainment, belonging to the balanced-goal-orientation group was consistently associated with higher levels of teacher efficacy, job satisfaction, and psychological well-being, whereas the opposite pattern was observed in leisure-goal-oriented group. Conclusion: These findings imply that it is crucial to help pre- and in-service kindergarten and elementary school teachers foster a balance between different types of goals, which would ultimately strengthen and stabilize the supply of a teaching force and the provision of a better education.

• 한국식품저장유통학회지
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• 제20권5호
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• pp.705-711
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• 2013

비단백질 구성 아미노산인 gamma amino butyric acid(GABA)는 뇌에서 억제성 신경전달물질로 작용하며 혈압 저하, 신경 안정, 이뇨 작용 등에 효과가 있는 것으로 알려져 있다. 김치로부터 두유에서 커드를 형성하는 40개 균주를 분리하였다. GABA 생산력이 높은 균주를 선별하기 위하여 분리된 균주들을 두유에 접종하여 $37^{\circ}C$에서 48시간동안 발효하였다. 분리된 균주들 가운데 발효두부에서 가장 높은 GABA 를 생산하는 383 균주는 API 분석과 16S rDNA sequence를 통하여L. sakei로 동정되었으며 L. sakei 383으로 명명하였다. L. sakei 383은 MRS 배지에서 $35^{\circ}C$, 24시간 배양할 때 가장 높은 생육을 나타내었으며 두유에 균을 접종하여 $35^{\circ}C$에서 18시간 발효 했을 때를 GABA 생산을 위한 최적 배양 조건으로 정하였으며 최대 GABA 함량은 8.65 mg/100 g이었다.

• 디지털융복합연구
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• 제13권2호
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• pp.393-399
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• 2015

오늘날은 가히 웰빙과 LOHAS 시대를 넘어 힐링시대라 할 만큼 모두들 스스로의 치료(self therapy)에 관심이 많다. 이에 따라 민간요법과 관련된 분야의 활발한 산업화 그리고 질병치료가 아닌 건강증진 등에 대한 관심이 증대되면서 다양한 분야에서 대체의학이나 대체요법에 대한 연구가 수행되고 있다. 이렇듯 민간요법을 통한 건강증진 및 인간의 자연치유력에 대한 관심이 증대되고 있는 시점에서, 민간요법에 대한 인식을 구성하는 요인들을 탐색해 보는 것은 매우 의미 있는 일이다. 이에 본 연구에서는 선행연구를 토대로 인식 속성 관련 설문문항을 개발하여 요인분석 등을 이용하여 민간요법을 구성하는 요인에 대해 탐색해 보고, 인구통계학적인 특성들에 따라 인식 속성에 어떠한 차이가 있는지를 통계적 검정해 보았다. 그 결과 24개로 구성된 민간요법 관련 측정 변수들은 4개의 요인, 즉, 건강증진요인, 안전요인, 심리요인 그리고 대안요인 등으로 분류되었다. 그리고 전체적으로 30세 이하의 젊은 층보다는 40~60대의 중장년층 그리고 학력이 높을수록 민간요법에 대한 사용경험이 높으며, 성별로는 큰 차이가 없음을 알 수 있었다.

• 한국환경생태학회지
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• 제30권2호
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• pp.261-270
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• 2016

생태복지는 인간의 복지와 건강한 생태계의 상호관계성에 대한 국제적 담론에서 시작되었다. 본 연구는 국립공원이 생태복지의 최대 실현가능 지역이라는 점에서 국립공원에 적합한 '국립공원 생태복지' 개념을 정립하고 정책방향을 설정함으로써 향후 국립공원에서의 생태복지 실현을 도모하기 위한 기초자료를 제공하는데 그 목적이 있다. 이를 위해 사전워크숍과 총 2회에 걸친 델파이 조사를 수행하였다. 본 연구를 통해 '국립공원 생태복지'는 국립공원에서 생태계의 지속가능성과 생물다양성을 유지하며, '국립공원 인간복지'와 '국립공원 생태계복지'의 조화를 지향하는 복지로 정의되었다. 2차 델파이 결과 모든 항목에서 평균 4.00 이상, 내용 타당도(CVR) 0.37 이상, 변이계수(CV) 0.5 미만으로 타당한 내용으로 확인되었다. 국립공원 생태복지의 정책방향을 설정하기 위해 생태복지의 바탕이 되는 생태계서비스의 요소들 중 국립공원에 적합한 주요 요소를 도출한 결과 공급서비스에서 먹이 식량, 물, 유전자원 3항목, 조절서비스와 기반(서식지)서비스의 모든 항목, 문화서비스에서 미적정보, 휴양관광, 심신치유, 지식체계 교육적 가치 4항목이 최종 도출되었다. 또한 본 연구에서는 국립공원 생태복지의 개념과 향후 국립공원 생태복지 정책이 어떻게 나아가야할지 방향성을 제시하였다. 그러나 이를 실현하기 위해서는 향후 이에 대한 구체적인 단위사업에 대한 실행계획이 수반되어야 하며 이를 위한 추가적인 연구가 필요할 것이다.