• 제목/요약/키워드: 산과 간호

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청소년 대상 신체상 증진 프로그램의 효과에 대한 체계적 문헌 고찰 및 메타분석 (The Effects of Programs on Body-Image Improvement in Adolescents: A Systematic Review and Meta-Analysis)

  • 윤현정;서경산;한달롱
    • 대한간호학회지
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    • 제51권5호
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    • pp.597-616
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    • 2021
  • Purpose: This study's objective was to investigate the effects of programs that improve adolescents' body image, using a systematic review and meta-analysis. Methods: A literature search was performed in eleven electronic databases, using preferred reporting items for systematic reviews and meta-analysis guidelines. Population characteristics, contents of the programs, and measured outcomes were systematically reviewed from 21 selected studies. To estimate the size of the effects, meta-analysis was conducted using Comprehensive Meta-Analysis software. Results: The contents of the programs that aimed to improve body image included physical, psychological, interpersonal, and sociocultural interventions. Sixteen studies were meta-analyzed to estimate the effect size of body-image improvement programs. Results showed that the program for body-image improvement had significant effects on body satisfaction (effect size [ES] = 0.56, 95% confidence interval [CI] = 0.23 to 0.89), and body dissatisfaction (ES = - 0.15, 95% CI = - 0.23 to - 0.08). Conclusion: The program for body image improvement in adolescents includes a combination of physical, psychological, interpersonal relationship, and socio-cultural dimensions. The program that seeks to improve body image appears to be effective at increasing body satisfaction, and at reducing body dissatisfaction in adolescents. Thus, it is necessary to develop and apply multidimensional programs for adolescents to have a positive body image.

미혼모의 임신과 출산 과정에서 간호를 제공한 산과와 신생아 파트 간호사의 경험 (Experience of Obstetrics and Neonatal Nurses Who Provided Nursing Care during Pregnancy and Childbirth of Unmarried Mothers)

  • 조명주;도지영
    • 근관절건강학회지
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    • 제30권3호
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    • pp.168-178
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    • 2023
  • Purpose: This study explored obstetric and neonatal nurses' nursing experience of pregnancy and childbirth in unmarried mothers. Methods: In-depth interviews were conducted with 12 nurses working in obstetrics, gynecology, and neonatal departments in Seoul and Busan. The collected data were examined using qualitative content analysis. Results: A total of four categories and ten themes were derived. The four categories were "Feelings toward unmarried mothers," "Difficulties faced when caring for unmarried mothers", "Nursing moving forward together", and "Strategies to improve care for unmarried mothers". Conclusion: To ensure that nurses can provide sufficient positive support and care when caring for unmarried mothers, healthcare workers must be provided with adequate education to improve their awareness and the services for unmarried mothers; in addition, interventions are needed to alleviate negative experiences and emotions when dealing with unmarried mothers.

NIC과 연계된 산부인과 환자 간호중재에 대한 한국 건강보험 수가체계와 미국 ABC 코드체계와의 수가 비교 분석 (Korean and United States: Comparison of Costs of Nursing Interventions)

  • 홍성정;이은주
    • 성인간호학회지
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    • 제24권4호
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    • pp.358-369
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    • 2012
  • Purpose: This study was performed to compare the costs of nursing interventions implemented for the obstetrical and gynecological patients using Korean Reimbursement System and ABC codes system developed in the US for costing out interventions performed by health care professional. Methods: First, the narrative data on nursing interventions were extracted from electronic medical record system of a tertiary university and mapped with Nursing Intervention Classification (NIC) by two researchers until 100% consent was reached. Narrative nursing interventions mapped with NIC were then remapped with ABC codes system using the electronic program developed in the research. The mapping data were analyzed with real numbers, frequency, percentage, mean, and standard deviation. Results: More nursing interventions were mapped with ABC codes than Korean reimbursement system. Total of 97 different types of narrative interventions could be mapped with NIC, 43 NIC interventions could be reimbursed by ABC code but only 16 NIC interventions were reimbursed by Korea Reimbursement System. Conclusion: Korean medical insurance fee system needs amendment to include more comprehensively interventions performed by nurses which are very important to patient outcomes. Further study is needed to develop strategies to costing out nursing interventions.

최신 비침습적 산전 유전 검사(NIPT)의 임상 적용과 간호학적 의미 (Reviewing Articles Related to Recent Advances in Non-invasive Prenatal Testing and Nursing Implications)

  • 전명희;신계영;허명행;최경숙
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.675-683
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    • 2013
  • Purpose: Nineteen articles were analyzed to gather opinions and nursing implications about NIPT recently launched. Methods: Nineteen articles were selected from EBSCO (eBook business collection), Google Scholar, and two Korean academic d-bases with key words 'prenatal screening testing', 'prenatal genetic diagnostic testing', NIPT or 'cell free DNA (cfDNA)'. Authors developed a framework for analyzing the 19 articles including opinions and suggestions for future implications. Results: Eleven articles written by the first author affiliated with medicine or genetics, viewed NIPT as promising because of safety, accuracy, early detectability and cost effectiveness. Articles written by journalists or authors affiliated with history and ethics were concerned with the possible risk of ELSI (ethical, legal, social issues), erratic interpretation of test results, and lack of genetic counseling service. Conclusion: With consideration of Korean clinical, and legal circumstances, not only pregnant women and families but also health professionals must prepare for clinical NIPT implications including updating prenatal genetic testing, counseling services, protecting ELSI and amulticultural team approach.

국내 COVID-19 입원 환자의 비만, 상승된 인터루킨-6와 입원기간의 상관관계 (Correlations of obesity and elevated interleukin-6 levels with length of stay in COVID-19 patients in Korea: a retrospective study)

  • 오현정;서경산
    • Journal of Korean Biological Nursing Science
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    • 제26권2호
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    • pp.136-143
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    • 2024
  • Purpose: The purpose of this study was to investigate the associations of obesity and clinical characteristics including interleukin-6 (IL-6) with hospital length of stay (LOS) in coronavirus disease-2019 (COVID-19) patients in Korea. Methods: A retrospective descriptive study design was employed to analyze medical data from a government-designated hospital in a city of Korea. Clinical data were collected from 256 patients with COVID-19 in negative-pressure isolation wards in 2021. The following parameters were analyzed: body mass index (BMI), IL-6 levels, age, sex, comorbidities, healthy habitsat the time ofadmission, and LOS. The statistical package SPSS 26.0 was used for descriptive statistics, the independent t-test, the chi-square test, and partial correlation coefficients. Results: The age of COVID-19 patients was positively correlated with BMI (r = -.16, p = .012), IL-6 levels (r = .14, p = .022) and LOS (r = .26, p < .001). Obesity, non-drinking, hypertension, and older age were associated with longer LOS. Conclusion: These results suggest that age, obesity, and hypertension in COVID-19 patients are related to LOS. Studies investigating other factors that can affect long-term hospitalization in COVID-19 patients are suggested.

간호대학생의 진로교과목 수강 유무에 따른 진로준비행동, 전공만족도 차이 (Career Preparation Behavior and Major Satisfaction According to Whether or Not to Take Career Courses of Nursing Students)

  • 정경숙;김동원
    • 디지털융복합연구
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    • 제19권12호
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    • pp.597-604
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    • 2021
  • 본 연구의 목적은 간호대학생의 합리적인 진로 선택을 위해 진로교과목 수강 유무에 따른 진로준비행동과 전공만족도 차이를 알아보기 위한 서술적 조사연구이다. 본 연구는 B시 소재 간호대학생 221명을 대상으로 2019년 12월 1일부터 15일까지 설문조사를 실시하였다. 자료분석은 SPSS/WIN 20.0 프로그램을 이용하여 빈도와 백분율, 동질성 검사는 𝛘2-test, 공분산분석(ANCOVA)으로 분석하였다. 연구결과, 대상자의 진로교과목 수강 유무에 따라 진로준비행동(F=438.08, p<.001)과 전공만족도(F=461.45, p<.001)는 두 군간 유의한 차이를 보였다. 그러므로, 간호대학생의 성공적인 진로결정을 돕는 전략으로 진로교과목 활용을 제언한다.

간호사의 모유수유에 대한 지식정도가 모유수유 간호활동에 미치는 영향 - 산과외래, 분만실, 산과병실 및 신생아실 간호사를 중심으로 (The Effects of the Nurses' Knowledge to Breast-Feeding on the Nursing Activities for Breast-Feeding)

  • 김영혜;김미정
    • Child Health Nursing Research
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    • 제3권1호
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    • pp.52-61
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    • 1997
  • This study was attempted to identify the knowledge to breast-feeding and the performance of nursing activities for breast-feeding and to test 'how does the degree of knowledge to breast-feeding influence the nursing activities for breast-feeding?' The subjects were 180 nurses working in delivery rooms, nursery, obstetrics & pediatrics wards or OPD of obstetrics & gynecology of 8 general hospitals in Pusan as of August 3 through 13, 1996. The results are abstracted as follows. 1) Subject nurses' age, 25-29 was 45.6%(the major), education levels graduates from junior college were 95.0%, unmarried status was 62.2%, 76.5% of married nurses had children, 39.7% in-service education for Breast-Feeding, 33.7% did nursing activities for breast-feeding actively, the reason for inadequate activities for breast-feeding was 'too much other tasks.' 2) The degree of knowledge to breast-feeding ; mean score was 13.54, the degree of performance of nursing activities for breast-feeding : 92.38±20.93 points out of possible 145 points (3.19±.74 out of possible 5 points) moaned that it was a low level. 3) The hypothesis 'the nurses who have higher degrees of knowledge to breast-feeding will show higher degrees of performance of nursing activities for breast-feeding than the nurses who have lower degrees of knowledge to breast-feeding' was tested by t-test(t=-.01, P=.9888), but rejected because it turned out statistically not significant at the level of P<.05. Above results suggested the degrees of knowledge to breast-feeding and the degrees of performance of nursing activities for breast-feeding were generally low and the degree of knowledge didn't influence the nursing activities. Researchers believe that the education for breast-feeding by the nurses need to be performed systemically & practically and new method of breast-feeding education program need to include hospital managers as well as nurses related mothers and their family. In audition, researchers propose the introduction of &lactation specialist system&, for the specialist can change the attitude of feeding-mothers positively with their specialty and authority.

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일 대학병원 결혼이주여성과 한국여성의 산과적 결과 비교 (Comparison of Obstetric Outcomes between Married Immigrant and Korean Pregnant Women in University Hospital)

  • 이은숙;문희
    • 한국융합학회논문지
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    • 제9권3호
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    • pp.279-287
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    • 2018
  • 본 연구는 결혼이주여성의 산과적 결과에 미치는 요인을 파악하고 이를 한국여성의 결과와 비교하여 결혼이주여성의 출산건강에 효과적인 간호중재 수립을 위한 기초자료를 제공하고자 수행된 조사연구이다. 연구대상자는 2011년부터 2015년까지 일 대학병원 분만실에서 분만한 결혼이주여성과 한국여성 총 302명으로 하였으며 후향적으로 의무기록을 조사하였다. 자료분석은 SPSS WIN 24.0 프로그램을 이용하여 빈도, 평균과 표준편차, 로지스틱 회귀분석을 실시하였다. 산과적 결과에 영향을 미치는 요인은 결혼이주여성과 한국여성 모두 조기양막파열, 임신성고혈압, 양수이상, 내과적 질환으로 나타났으며, 결혼이주여성의 경우에는 연령, 배우자의 연령, 직업, 헤모글로빈 수치, 태반이상 등이 추가적으로 영향을 미치는 것으로 나타났다. 따라서 결혼이주여성의 산과적 결과를 향상시키기 위해서는 이들 영향 요인들을 고려한 산전관리프로그램이 필요하다.

고요산혈증과 대사증후군과의 연관성 (Association between hyperuricemia and metabolic syndrome)

  • 박윤진
    • 한국응용과학기술학회지
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    • 제39권5호
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    • pp.674-682
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    • 2022
  • 본 연구는 건강에 위협이 되는 고요산혈증과 대사증후군의 관련성을 살펴보고 고요산혈증이 신체에 미치는 영향을 분석하고자 한다. 분석 자료는 질병관리청에서 시행한 국민건강영양조사 제8기 2차(2020년도) 자료를 내려받아 사용하였으며 본 연구에서는 만 19세 이상 성인을 대상으로 요산의 검사를 시행한 대상자 중 남자 2,320명, 여자 2,893명을 최종 분석하였다. 자료의 분석은 수집된 일반적 특성과 고요산혈증에 따른 차이값은 Chi-square 검정과 t 검증을 사용하였으며 대사증후군의 하부요인과 eGFR 상승의 위험도는 회귀분석으로 분석하였고 각 변수와의 상관관계를 확인하기 위하여 Pearson correlation을 사용하였다. 본 연구를 통하여 고요산혈증이 대사증후군과 유의미한 관계가 있으며 이를 통하여 대사증후군이 콩팥질환을 포함한 혈관 질환으로 악화하지 않도록 선제 관리가 필요하다는 것을 알게 되었다. 따라서 본 연구를 통하여 환자의 연령에 맞는 건강프로그램을 개발할 것을 제안한다.

모유 중 지방산 조성 및 구조 분석 (Compositions of fatty acids and structural identification in human breast milk)

  • 유지우;금영수;강남미
    • 분석과학
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    • 제35권6호
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    • pp.229-236
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    • 2022
  • 모유의 지질대사체에 대한 연구는 축산유래 유제품의 경우와 비교하여 매우 제한적으로 이루어져 있다. 본 연구는 지용성 대사체 연구의 선행연구로서, 모유중 극성 및 비극성 지질 중의 주요 지방산 조성에 대한 세부적 정량법 및 구조동정을 목적으로 수행되었다. 인지질을 포함한 극성 지질과 비극성 지질의 분리를 위하여 silica gel을 활용한 정제법을 개발하였으며, 효과적인 methyl ester 및 pyridylcarbinol ester 유도체화 방법을 적용하여 개별 분획의 세부적 지방산조성을 분석한 결과, 16 종의 필수지방산을 확인하였으며, 이와 함께 29 종의 미량 지방산이 확인되어, 구조 분석을 실시하였다. 측쇄 지방산의 경우, 15-18 개의 탄소를 보유한 iso 및 anteiso 지방산이 주요한 것으로 확인되었다.