• 대한간호학회지
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• 제30권1호
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• pp.60-71
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• 2000

This research is a field investigation to collect basic information about the safe and efficient use of physical restraint in hospitals and for the ultimate minimization of restraint use. The objects of this study were sixty-four patients. They were restrained physically. Add their 32 family members, 24 nurses of two university hospitals in Seoul were also involved in the study. From April 16, to May 27, 1999. Research data were collected throughout the observation and interview process. Also, the data was analyzed using frequencies and field study notes that were invented by researchers. Results of this study were as follows: 1. According to the sex and age distinction; male's restraint use was 75%, female's was 25% and pre-schoolage children 39.1%, middle age 26.5%, and senior citizens 20.3%. According to the disease distinction; neuro-system was 35.9%, respiratory system was 21.9%. In the Ward, 40.6% of ICU patients were restrained and 39.0% of pediatric ward children were also to restraint. 70.3% of patients were restrained under 5days, while 10.9% were restrained 10days. 2. Types of physical restraints were wrist restraint (45.21%), arm board (35.62%), leg restraint (8.22%), chest restraint (6.85%), elbow restraint (2.74%) and mitten restraint (1.37%). 3. The percentage was 3.5%, which was in 64 restrained out of 1828 hospitalized people. At 1st investigation, the ratio was 3.5%, the 2nd was 3.0% and the 3rd was 3.9%. 4. The reasons of using the physical restraint were 'to protect implements' (72.84%), 'to protect patients' (18.52%), 'to protect an operative site' (8.64%). 5. The result of the patients; family and nurses' response analysis was: 'It seems to be safe', 'It uses properly', 'It is convenient for relatives and nurses', 'It is helpful to treatment', 'Objective think it is not restraint' were 79.9%. 'It is discomfort and stuffy', 'The implement is ineffective' were 21.1%. However in interview of the patients who can do verbally communication, 6 of 7 was responded that 'It is stuffy and uncomfortable'. 6. When restraint is used, the main decision is usually made by the nurses 42.2% of the time. The statistics read as thus: nurses and the physician in charge 31.3%, nurses and family 12.5%, physician's order 7.8%, only family 6.2%. Although the record of restraint was only 15.6% so that only 10 cases out of all the 26 ICU patients restrained. This study shows that physical restraints which of infringe independent-right of patients, are used without using criterion, explaining the agreement. Also, subjective decision of physician, nurses, and family make the decision of using restraint. So development of practice manuals and rules for restraint implementation is urgent.

• 성인간호학회지
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• 제12권2호
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• pp.296-310
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• 2000

During the past 10 years, concern for community people's health has increased together with the changes. Public health policies and studies for community people's health, however, have influenced those in childmaternal health care to want more general coverage and studies of health and wellness. Particularly, the study of community people's health in the extent an island area is almost rare as that personal and the material benefits in this area are lacking of community people's work is large, and the basic elements of living, such as diet and elimination, are irregular due to the schedule of the tide. Thus, there are many potential health problems. In this regard, the study attempted to understand the health problems of island community people and to provide a basis for developing health promotion and health education programs. In collecting data for the study, face to face interviews were made through a structured questionnaire from October 1 to December 30, 1996. Collected data were analyzed with the SAS statistics program, descriptive statistics, t-test and ANOVA. Subjects' health status was examined by classifying into such categories as their health perception, complaints of health problem, related lifestyle, psychosocial health staus, the result of examination is as follows; 1. For subjects' health perception, 26.9% of the subject answered not sick, but not so healthy'; 30.9% thought they were healthy, while 22.9% answered that they were not healthy. 2. For the health problem complaints many complained of pains in their muscles and skeletal system, especially knee joint pain. Women's health problems related with breast and the reproductive system included 52.3% of cases doing breast self examination, while 56.55% received the cervical cancer screening test. In men's health problems, 44.2% of subjects answered that they have moderate to severe BPH(Benign Prostatic Hypertrophy) symptom. 3. There were statistically a significant difference in the degree of physical health according to marital status(p=0.0028), occupation(p=0.0442), income(p=0.0357). 4. For stress status, 17.2% was to need the intervention, 50.2% was to need observation. 5. The mean score of self-esteem was 27.7 showing a relatively high score. 6. For the rate of smoking, 37.7% used to smoke, while 28% used to take alcohol. 7. The rate of substance abuse was 45.9% of subjects. 8. Most of subjects' health behaviors included most of the acupuncture (52%). 9. The rate of subjects receiving comprehensive medical testing was 34.36% while 34.78% did after care managing behavior. 10. For the obesity grade, 53% is normal weight, low-weight 32.8%, obesity 33%. 11. For nutrition status, 78.7% illy balanced to need intervention of nutritional education. 12. For 78.7% of subjects, muscle strength and 40.7% of stretching were not good enough to need health education on physical exercises. Therefore, based on the results, appropriate health education programs need to be developed to promote health of community people on an island.

• 지역사회간호학회지
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• 제15권4호
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• 대한간호학회지
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• 제11권1호
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• pp.45-63
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• 1981

This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

• 사물인터넷융복합논문지
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• 제4권1호
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• pp.7-22
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• 2018

본 연구는 혈액투석 환자의 삶의 질과 우울, 불안과의 관계를 확인하기 위한 서술적 조사 연구이다. S시 소재 N의료원 1개 종합병원 인공신장실에서 혈액투석을 받고 있는 19세 이상, 혈액투석을 시작한지 1개월 이상된 130명의 환자를 대상으로 시작되었으나 중도에 포기하거나 사망, 또는 잘못 기재된 설문지를 제외한 총 112명의 환자를 대상으로 하였다. 연구결과 대상자의 삶의 질 평균점수는 57.77점으로 나타났고, 우울은 12.25점, 불안은 10.52점으로 대상자의 삶의 질은 낮은 편이었고, 우울과 불안은 높은 편이었다. 대상자의 삶의 질, 우울, 불안 간에는 유의한 상관관계가 있었다. 삶의 질은 우울과 음의 상관관계로 나타났고(r=-.782, p<.001), 불안과도 음의 상관관계가 있었다(r=-.719, p<.001). 우울과 불안은 양의 상관관계로 나타났다(r=.873, p<.001). 삶의 질에 미치는 영향 요인에 대한 다중회귀분석을 한 결과 우울이 삶의 질에 영향을 주는 요인으로 확인되었다(β=-.585). 따라서, 본 연구의 결과 혈액 투석 환자들에서 흔히 나타나는 정서적 문제인 우울과 불안 요인 중 특히, 대상자의 삶의 질에 많은 영향을 주는 중요한 변수인 우울의 정도에 집중하여 감소시킬 수 있는 중재 전략과 대상자의 삶의 질 향상을 위한 간호중재 프로그램 개발에 기초자료를 제공하는데 의의가 있다.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.332-341
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• 2019

본 연구는 전기노인과 후기노인의 수면의 질을 조사하고 수면의 질에 영향을 미치는 요인을 비교하기 위한 서술적 조사연구이다. 연구 대상은 편의표출법을 적용하여 G도에 거주하는 재가 노인을 대상자로 200명을 선정하였다. 구조화된 설문지를 이용하여 사회 인구학적 특성, 생활습관 및 건강관련 특성, 우울, 그리고 수면의 질을 조사하였다. 자료분석은 IBM SPSS WIN/21.0을 이용하여 ${\chi}^2-test$, t-test, ANOVA(Scheffe's test), Pearson's Correlation coefficient, Multiple Regression을 이용하여 분석하였다. 연구결과는 다음과 같았다. 수면의 질은 전기노인에 비해 후기노인이 통계적으로 유의하게 나빴다. 상관관계를 분석한 결과, 전기노인에서는 우울(r=-.22, p=.038)만이 수면의 질과 유의한 부적 상관관계가 나타났다. 후기노인에서는 우울(r=-.19, p=.045)과 주관적 건강상태(r=-.29, p=.002)가 수면의 질과 유의한 부적 상관관계가 있었다. 수면의 질에 영향을 미치는 요인을 분석한 결과, 전기노인에서는 직업, 만성질병 그리고 경제수준으로 나타났고, 후기노인에서는 만성질병, 주관적 건강상태 그리고 흡연이 유의하게 나타났다. 본 연구 결과는 노인의 수면 건강을 향상시킬 수 있는 연령별 맞춤형 전략 수립에 기초자료로 활용될 수 있을 것이다.

• 한국응용과학기술학회지
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• 제41권2호
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• pp.188-198
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• 2024

본 연구는 코로나19 대유행을 경험한 대학생의 호흡기감염 예방 이행 수준과 영향요인을 파악하고자 시행하였다. 2023년 12월 15일부터 2024년 1월 5일까지 대학생 200명을 대상으로 온라인 설문조사를 시행하였으며, 이 중 성실히 응답한 199명의 자료를 SPSS 18.0 program을 이용하여 기술통계량, t-test, ANOVA, multiple regression으로 분석하였다. 연구결과 호흡기감염 예방 이행 수준은 48점 만점 중 평균 32.95±6.05점이었다. 호흡기감염 예방 이행 수준에 차이를 보인 일반적 특성과 호흡기감염 관련 특성은 학과(t=-2.59, p=.010), 호흡기감염 예방 교육(t=1.99, p=.048), 금년 독감예방접종(t=-2.10, p=.037), 금년 코로나19 예방접종(t=3.56, p<.001), 외출 시 사람이 모여 있는 곳에서 마스크 착용(t=4.96, p<.001)이었다. 호흡기감염 예방 이행에 영향을 미치는 요인으로 학과(β=0.31, p<.001), 금년 독감예방접종(β=-0.15, p=.046), 외출 시 사람이 모여 있는 곳에서 마스크 착용(β=-0.31, p<.001)이 다중회귀분석에서 유의한 변수로 확인되었다. 결론적으로 코로나19 유행이 종식된 이후에도 호흡기감염이 지속적으로 발생하므로 호흡기감염 예방행위 이행 증진을 위한 노력이 필요하며, 대학생을 대상으로 한 호흡기감염 예방 프로그램 개발 시 본 연구에서 확인된 요인들을 기초자료로 활용할 수 있을 것으로 기대한다.

• 한국병원경영학회지
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• 제21권2호
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• pp.1-12
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• 2016

This study examines academic research trends and the change of patterns by analyzing researches related to hospital management registered in Korea Citation Index(KCI) from 2010 to 2014 and offers basic information for interests and future research demands in the field of hospital management As research subjects, a total of 694 published articles were selected. It's to analyze them by dividing into research topics, methods and author's characteristics, and to present them by classifying the period into 2010-2011, 2012-2013, 3rd quarter of 2014 since there was no significant difference in the result between adjacent years. As a result, Korean Journal of Hospital Management has accounted for the highest published rate year after year. In the research topic analysis, it showed a decreasing trend in these research topics as medical marketing and patient satisfaction which became the biggest issue in 2010-2011 significantly were lower in 2014, but an increasing trend in job satisfaction, job stress, labor administration and workforce productivity. The most frequently cited keywords were hospital employees, job satisfaction, organizational commitment, job stress, turnover intention. According to the research method analysis, the survey was the most popular method for data collection. However, Interview and medical records as data sources showed a decline trend. As analysis methods, multivariate analysis of quantitative methods was most used. Finally, as a result of analyzing main author's characteristics, the ratio of the authors belonging to health administration and nursing departments of the academic world increased gradually. In the regional distribution, organizations in Seoul are most common, those in Daegu Gyeongbuk areas, foreign organizations showed a tendency to decrease. This is the first study to examine the annual trend on hospital management-related research issues among articles published in domestic journal and we found qualitative and quantitative advances in hospital management research filed.

• 지역사회간호학회지
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• 제12권3호
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• pp.680-695
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• 2001

The purpose of this study was to provide basic data for developing nursing intervention for middle-aged women. This study identified health status, family functionality and spousal relationship and analyzed relationship between individual characteristics and family functionality/ spousal relationship. The subjects, of this study were 1.723 women from 45 to 55 years of age, who lived in J city. Data were analyzed using percentages, means, t-tests, ANOVA and Pearson's correlation coefficients with the SPSS statistical program. The results of the study were as follow: 1. The rate of women who perceived themselves to be healthy was 36.6%, those who did not was 30.8%. The most frequent health problem was a disease of the skeletal system (13.2%). 2. The mean score of family functionality was $3.25{\pm}.60$, with cohesion score of $3.58{\pm}.66$ and adaptability score of $2.99{\pm}.63$. 3. The mean score of total spousal relationship was $3.22{\pm}.42$; the relationship with in-laws was 3.78; sexual relationship, 3.74; life style, 3.44; and recreational activity. 3.39. 4. The women who experienced menopause perceived themselves to be unhealthier than those who did not. 5. Healthy women had a high score at total spousal relationship. personality of spouse. life style, recreational activity, and children's influence. 6. The women from 40 to 50 years of age. and women who graduated from middle or high school and had medium economic status showed a high score in family functionality. There was no correlation between family functionality and experience of the menopause. 7. Lower aged women were not good in personality of spouse (p<.05), sexual relationship (p<.05), and relationship with relatives (p<.05), Inexperienced women's menopause was influenced by their children (p<.05), Women who graduated from middle or high school (p<.001) and had medium economic status (p<.05) showed a high score in spousal relationship. 8. The higher the family functionality score. the higher spousal relationship. score (p<.001): love and communication (p<.001), personality of husband (p<.05), and religion (p<.001). relationship with relatives (p<.05), but the lower the score of recreational activity (p<.05), and share of role (p<.001) in the spousal relationship. 9. In the family functionality, the higher the cohesion score. the higher was the adaptability score (p<.001). l) The higher the cohesion score, the higher were love and communication, personality of husband. life style. sexual relationship. and children's influence, but the lower were share of role in spousal relationship(p<.001). 2) The higher the adaptability score, the higher were love and communication, religion, but the lower were the personality of husband, life style. sexual relationship, recreational activity, relationship with relatives, share of role(p<.001), and children's influence in spousal relationship (p<.05). 10. Variables within the spousal relationship have relationships with other variables. 1) The higher the love and communication score. the higher personality of husband religion, life style, communication. relationship with relatives, and children s influence (p<.001). 2) The higher personality of husband life style sexual relationship. recreational activity, relationship with relatives, share of role, and children's influence (p<.001). 3) The higher the religion score, the lower the recreational activity score (p<.05). 4) The higher the life style, the higher were the sexual relationship, recreational activity. relationship with relatives. share of role, and children's influence (p<.001). 5) The higher the sexual relationship score. the higher were recreational activity. relationship with relatives, share of role. and children's influence (p<.001). 6) The higher the recreational activity, the relationship with relatives, share of role. and children's influence (p<.001). 7) The higher the relationship with relatives, the higher were the share of role. the higher children's influence (p<.001). In conclusion. the spousal relationship was not good in unhealthy women, and the family functionality was related with the age of women and educational level. Also the spousal relationship was related with the age of women, personality of husband, sexual relationship. relationship with relatives by marriage and influence of sons and daughters. Menopause was related with spousal relationship, not related with family functionality. And the family functionality not related with perceived health status. but was correlated with spousal relationship. Therefore, the health management program for middle-aged woman should take place before menopause and must be based on promoting the family functionality and spousal relationship as well as physical health.

• 대한간호학회지
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• 제11권2호
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• pp.23-32
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• 1981

The purpose of the study was to evaluate the educational content which had been given by midwifery training program. It was hoped that this result would help. It was sponsored by com-munity health worker plan effective health education. College of Nursing Ewha Womans University and The Korean Nurses Academic Society during the November 19 thru 24, 1979. It was carried out on July through on September 1980, and involved 22 community health workers. The results were as follows: 1. Most of the community health workers came from Seoul ＆ Pusan areas and have been working at the hospitals. There were 31.82% of Head Nurses, 27.2% of Staff Nurses, 22.73% Nurse Supervisons, 13.6% of Nurse Directors and 4.5％ of educational coordinator for Nurses. These participant had nurse-midwifery lincences by 63.64%. None of there had just midwifery lincences. 2, Age structures of the study population shows 31.82% of whom are.26-30 years and 22.73% of whom are 36. 40 years of age. This shown that seniority proportion is higher than the younger. There are 31.82% of 1-5 years, 27.27% of 6-10 year and 11-15 years, respectively by work career. 3. There are 54.55% of the institutions have opened their own midwifery training course for their nursing staff members. Because of lack of the facilities, shortage of instructors, and problems of administrative process. 4. According to the institution which opened for midwifery training courses, the participant was responsible for “midwifery”“Infant care”“MCH”“practice of midwifery”“Nursing adjustment”and“F. P.”5. During the midwifery couse, there were 8 institution who used the textbook and 4 institution who did not. Least of there referned to content matinals which was given by the sponsored. 6. There are 7 insititues who kept their training courses with other professional helps such as physicians., professiors and nurses. Some problems are pointed out by respondents such as“conflict with residents”“poor suportive administration”and“lake of manpower”. 8. The participant showed that they learned new knowledge as trends during this programs for there quality work so it need (one or twice times) a year. But they suggested that it needed more emphasis on the“maternal health care”and“role of the nurse-midwifery”. 9. The analysis of the results are as follows within the 6 areas which are given by the sponsored: There are highest ranks between“basic theory & family planning”“role of midwifery & nursing practice”. In the prenatal care the highest rank ware related to“health risk”on“idenify of risk symtoms”. In the health care areas which related to delivery, the responsers were related to“general conditions”or“high risk criteria”. In the health care area which related to high risk maternity care. In the neonatal health care, the highest rank was related to”health assessment of normal infant”. In the infant health care the responses was related to“abnormal symptoms”and“risk symptoms”. Actually, the participants show that they are more interested in“role of midwifery”“health assessment”and “high risk maternity care”are which emphasised on health promotion, health maintenance & disease preventive. 1) The midwifery training program need higher education for midwifery on a regular basis. 2) Within the open institution of midwifery training program, the nurses must be supported by their own institution and administry of social welfare must give systematic support. Also non-open institution must be open very soon. 3) All health workers including the residents & other workers, must cooperate for their phased common good of impovement of the maternity health. 4) Administration agonies & education institutions must provide the curriculum facilitis and administration systems which are needed for training of nurse-midwifery.