• 제목/요약/키워드: Care behavior

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NIC간호중재분류체계를 이용한 수술실 핵심간호중재분석 (Analysis of Core Interventions of Operating Room using Nursing Intervention Classification)

  • 이윤영;박광옥
    • 간호행정학회지
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    • 제8권3호
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    • pp.361-372
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    • 2002
  • Purpose : The purpose of study was to identify to analysis of core nursing interventions performed by Operating Room nurses. Method : The subjects of the study were arbitrarily selected nurses(n=104) working in Operating Room. The period for data collection was 15 days from July, 15, 2002 to July, 30. 2002. The instrument for study was 486 Nursing Interventions Classification developed by McClosky & Bulechek(2000) and was translated into Korean. In 486 nursing interventions, 57 nursing interventions were selected by more than half of 47 professional nurses group of Operating Room. 57 nursing interventions were used as a secondary questionnaire. In the secondary questionnaire, labels and definitions of all 57 interventions were listed. The collected data were self reported by Operating Room nurses. The data were analysed with SPSS program. Result : In 57 nursing interventions, the 'Behavior' domain was the most frequently used. Core interventions of Operating Room were performed several times a day by more than 50% of Operating Room nurses. Core interventions of Operating Room were 16 Core interventions, 7 classes, 5 domains. In the core interventions, the 'Physiological:Complex' domain was the most frequently used. Core interventions of Operating Room were Surgical Preperation, Infection Control:Intraoperative, Surgical Precautions, Fall Prevention, Documentation, Surgical Assistance, Environmental Management:Safety, Skin Surveillance, Physical Restraint, Pressure Ulcer Prevention, Environmental Management:Comfort, Infection Protection, Presence, Emotional Support, Specimen Management, Shift Report. Conclusion : Core interventions of Operating Room have implications for nursing care practice, nursing education, nursing research, and nursing information system in Operating Room.

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인터넷 중독 아동이 지각하는 '아버지-자녀' 관계 (The Relationships Between Fathers and Children with Internet Addiction)

  • 이영환;이화숙
    • 한국보육지원학회지
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    • 제9권1호
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    • pp.129-148
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    • 2013
  • 이 연구의 목적은 인터넷 중독 아동이 지각하는 '아버지-자녀' 관계를 알아보고자 하는 것이다. 이러한 목적을 달성하기 위하여 연구자는 인터넷 중독 '위험'으로 판정받은 아동 12명과 직접 만나는 면접 방식을 선택하였다. 이는 아동들이 실생활 속에서 느끼고 경험한 아버지에 대한 느낌과 그들의 주관적인 이야기와 의미에 귀를 기울이기 위해서다. 구체적으로는, 인터넷 중독 이라고 판명된 12명의 아동을 개별적으로 30~40분씩 4회씩 만나 구조 비 구조화된 질문을 통해 심층 인터뷰를 실시, 자료를 수집하고 수집된 자료를 가지고 범주화 분석을 실시하였다. 최종적으로 아동들을 통해 발견된 '아버지- 자녀 관계'는 (1)아버지-자녀 사이 대화의 장벽이 되는 인터넷 (2)바쁜 아버지 대신 인터넷에 관심을 갖는 자녀 (3)인터넷은 아버지와의 어색함을 회피하는 도피처 (4)자녀의 인터넷 사용 통제 불능의 아버지 등이었다. 연구결과에 의거하여 인터넷 중독 아동과 그의 아버지에게 도움이 될 바람직한 아버지 행동방식을 제시하였으며 후속연구에 대해서도 제언하였다.

연령 증가에 따른 영유아 문제행동 발생율 군집화 연구 (A Clustering Study of Young Children's Challenging Behaviors and Occurrence Rate through Age 2 to 5)

  • 유수옥
    • 아동학회지
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    • 제34권6호
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    • pp.57-75
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    • 2013
  • The purpose of this study was to examine changes in the rate of occurrence of challenging behaviors in young children according to their increase in age. The study is based on the responses of teachers in child care centers(N=246). They were asked which 38 types of challenging behavior occur most among ages 2, 3, 4, or 5 in young children's classrooms. The major results of this study were as follows. First, the occurrence rates of young children's challenging behaviors were classified into 5 clusters; decreased(Cluster 1, Cluster 2, Cluster 3), maintained(Cluster 4), or increased(Cluster 5) according to increases in their respective ages. Second, the behaviors such as throwing tantrums and biting, evident in Cluster 1, decreased very rapidly from a very high occurrence rate by age 3. The classroom culture maladjustment behaviors such as running aimlessly around the classroom and shouting, apparent in Cluster 2, had decreased rapidly from a high occurrence rate by age 4. The intentional classroom disruptive behaviors such as dropping objects to create noise and the peer culture maladjustment behaviors studied in Cluster 3 decreased gradually from a rate of medium occurrence by age 5. These results revealed the discontinuity which a few young children exhibit. Third, hurting others, observed in Cluster 4 maintained a low occurrence rate from age 2 until age 5. Using inappropriate language and threatening others in Cluster 5 increased gradually from a low occurrence at 2 to a high rate of occurrence at age 5. By carefully examining the change of young children's challenging behaviors on the basis of objective data in terms of the continuity/discontinuity and increased/decreased rate of diverse challenging behaviors, we will be better able help teachers and parents to plan the instruction, prevention and intervention of young children's challenging behaviors.

대전지역 수유기 여성의 영양섭취 상태와 식행동 (Nutritional Status and Eating Behavior of Lactating Women in Daejeon)

  • 김지선;박명순;이정원
    • 대한지역사회영양학회지
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    • 제16권1호
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    • pp.37-50
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    • 2011
  • Nutrients intake status of 73 lactating women, that is 45 breast feeding (BF), 13 formula feeding (FF) and 15 mixed feeding (MF), living in Daejeon was investigated. Self-recorded food intakes for two weekdays and eating behaviors using questionnaires were surveyed from May to August 2008. Subjects aged $29.2{\pm}3.4$ years and their infants aged $8.2{\pm}3.2$ months. Body mass index of the subjects was $21.0{\pm}3.2$. Of the subjects 23.3% were employed. Daily energy intake was $1953{\pm}391$ kcal. Mean adequacy ratio (MAR) was $0.77{\pm}0.14$ and was higher in FF ($0.86{\pm}0.13$) than in BF ($0.76{\pm}0.11$) and MF ($0.72{\pm}0.18$). Nutrients that over 50% of the subjects took less than estimated average requirement were vitamin A, riboflavin, folate, vitamin C and calcium. And index of nutritional qualities of those 5 nutrients were below one Forty six and sixths percent (46.6%) of the subjects showed GMFVD = 11111 pattern of five food group intakes and 57.5% took meals three times daily, 56.2% skipped often breakfast, and 64.4% dined out two times and more per week. Subjects having lower MAR (< 0.72, n = 24), compared with those having higher MAR (${\geq}$ 0.83, n = 24), showed more skipping daily meals and less frequency of eating-out, and took less legumes, vegetables, fishes, and milk. As the results, intakes of calcium, vitamin A, riboflavin, folate, and vitamin C were insufficient in lactating women, especially in BF and MF mothers. Meal skipping and low intakes of dairy foods, legumes, vegetables, and fishes might have adverse influences on nutritional status of lactating women. Accordingly, nutrition care program for lactating women should be focused on intake of three meals daily and a variety of food.

체질적 간호 이론 정립을 위한 연구 『동의수세보원사상초본권(東醫壽世保元四象草本卷 )』 을 중심으로 (A Study about Construction of Sasang Constitutional Nursing Theory: On the focus 『Dongyi Soose Bowon Sasang Chobongyun』)

  • 유정희;이의주;송일병;고병희;이수경;이향련
    • 사상체질의학회지
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    • 제16권2호
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    • pp.71-83
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    • 2004
  • 1. Objectives The purpose of nursing is to promote health and well-being for all persons. It is connected with Sasang Constitution theory have regard for viewpoint by other's a special quality & individual difference. A nursing is helping behavior to recover health, disease protection & self care ability through health education. There is need for Oriental nursing research continually. 2. Methods This study attempted to develop a fundamental nursing theory for Sasang Constitution on the focus "Dongyi Soose Bowon Sasang Chobongyun". Because the book is important to understand Lee Je-ma's early medical mind and thinking. 3. Results and Conclusions The Sasang Constitution theory lay great emphasis upon health caring medicine to promote health according to self Constitution at normal times, preventive medicine to manage byself body and mind in ordinary times. The way of Sasang Constitutional Nursing Theory is expected to set up a landmark stone in Korean nursing. It is also can product a new nursing theory. In view of 'Nature and Order' is explained inborned general human being who were gifted from nature. On the other hand, in view of 'Knowledge and Deed' based on Constitutions are explained autonomical human being. There are depend on independant control and make efforts themselves or not. It have a connected in four paradigm (human- environment-health- nursing) of nursing theory. The history taking stage claim caring of sick-people before. The ways of assesment for sick-people have to know a process of illness.

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집'으로서의 노인보호주택 사례연구 (Case Study of Assisted Living Facility (ALF) as a 'Home')

  • 김영주
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2002년도 추계학술발표대회
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    • pp.137-142
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    • 2002
  • The purpose of this study was to examine the features that make residents feel “at home” in ALFs in Southwest Virginia and to suggest further policy and design guidelines for better Quality of ALFs as a “home.” For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment, and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methos of data analysis. In addition to face-to-face interviews with 25 residents and five administrators of five ALFs, observations were conducted with personal journal. Overall, the five sites selected presented homelike features showing the philosophy of assisted living which combines housing and services. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. As a whole, residents felt isolation and loneliness and they did not have active interaction with other residents because of diverse background among the residents. However, all of them had close relationships with the staff. The staff's attitude and behavior seemed to influence greatly the residents' feeling “at home.” Despite the provision of diverse activities by the facilities, many residents did not participate in the programs. Most of the residents agreed that the rule and regulations were fair. In spite of high satisfaction with the facility, many people did not think of their current dwelling as a real ‘home.’ As the biggest difference between living in their own homes and living in the ALF, people pointed out a lack of independence, freedom, and autonomy. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and care were more important to them than feeling “at home.” Among the three factors --physical, social, and organizational-- that affect the residents' perception of ALFs as a “home, ” many emphasized the importance of social factors such as relationships with the staff and residents, and social support from their family or friends.

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임산부의 약물 인식 및 복약 순응도 조사연구 (Drug Safety Perception and Medication Adherence in Pregnancy)

  • 유기연
    • 한국임상약학회지
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    • 제23권3호
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    • pp.197-205
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    • 2013
  • Background: Many factors including drugs, dietary supplements, and food intake can affect the development and organ formation of fetuses. Because of this, subject tends to avoid consuming things like coffee, alcohol, or cigarettes due to the risks they pose during pregnancy. Therefore, analysis of drugs and favorite food consumption is needed and important to ensure safe health management for subject. Purpose: This study was conducted domestically to analyze these factors in South Korea. Method: The survey was conducted from pregnancy-related online communities for six days and the survey results were received via email for analysis. Result: A total of 127 subjects answered the questionnaire via email; the characteristics of subjects are widely varied in their ages, education levels, job statuses, and residences. The questionnaire included the intake of dietary supplements during pregnancy including vitamins and the result showed that the subjects took 2.23 different kinds of supplements on average. In order of highest frequency, 101 subjects took multivitamins; 79 subjects took an iron supplement; 30 subjects took analgesics; 20 subjects took prescribed antipyretic and medication for upper respiratory diseases; 12 subjects took antibiotics; 7 subjects took antiemetics. Their compliances were different in each medication categories. Only 8% of subjects answered that they had asked a pharmacist for medication information during pregnancy. In addition, 78% of subjects answered that they never counseled with anyone about pregnancy related medication use. Conclusion: In conclusion, many subjects took medication including dietary supplements. The role of pharmacists should be actively developed to improve subject care such as education about subject's medication uses and their food consumption behavior.

한국 중장년의 치면세마 필요와 구강 및 전신건강행동의 관련성 (Association between needs for scaling and oral and general health behaviors in middle-aged people)

  • 한수진
    • 한국융합학회논문지
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    • 제11권5호
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    • pp.51-59
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    • 2020
  • 본 연구는 국민건강영양조사 제7기에 참여한 우리나라 중장년층 대표표본에서 치석제거를 필요로 하는 치주건강상태와 구강 및 전신 건강행동의 관련성을 확인하는 것이다. 제7기 국민건강영양조사에 참여한 40-64세 중장년 5,120명을 대상으로 하였고, 다변량 로지스틱 회귀분석을 수행하였으며, 인구사회학적 특성과 구강 및 전신건강상태에 대해 보정하였다. 현재 흡연(OR=1.593), 치과방문안함(OR=1.578), 현재 음주(OR: 1.420), 구강검진 비수검(OR: 1.304), 구강관리용품 비사용(OR: 1.2942)의 치면세마 필요에 대한 OR이 유의하게 높았으며, 성별 하위그룹분석 결과 성별에 따라 유의한 요인이 달랐다. 연구결과 중장년층 치주건강의 유지, 증진에 효과적인 구강 및 전신 건강행동을 확인하였다.

노인들의 보건행태가 건강관련 삶의 질에 미치는 영향요인에 관한 융합연구 (A Convergence Study on the Factors Influencing Health-related Quality of Life in the Elderly Health Behavior)

  • 이동호
    • 한국융합학회논문지
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    • 제11권3호
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    • pp.95-100
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    • 2020
  • 본 연구의 목적은 노인들의 보건행태가 건강관련 삶의 질에 미치는 요인을 파악하여 노인의 건강관련 삶의 질 향상에 필요한 기초 자료를 제공하기 위한 융합연구이다. 연구대상은 질병관리본부의 국민건강영양조사 제 7기 2차년도(2017년) 원 자료 중 한국에 거주하는 65세 이상 노인 1,367건을 대상으로 하였다. 자료분석은 연구 목적에 맞추어 SPSS/PC 21.0 통계 프로그램을 이용하여 다중 회귀분석을 실시하였다. 연구결과 건강관련 삶의 질에 가장 많은 영향을 미치는 요인으로는 정신건강이고 다음이 신체활동이었다. 이 결과를 토대로 건강관련 삶의 질을 높이기 위해 지역사회 의료기관이나 보건소가 연계한 맞춤형 건강관리 서비스 제공 및 올바른 생활습관 형성을 위한 보건교육이 매우 중요하다는 것을 알 수 있었다. 따라서 향후 노인들의 정신건강과 신체활동 증진을 위한 다양한 프로그램 개발과 적용 효과를 규명하는 후속 연구가 필요하다.

치위생학교육평가·인증체계 정립을 위한 학습성과기반 치위생 핵심역량에 관한 조사 (A study on core competence of dental hygiene based on learning outcomes for establishing dental hygiene education evaluation and certification system)

  • 이선미;장경애;이정화
    • 한국융합학회논문지
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    • 제11권9호
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    • pp.65-72
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    • 2020
  • 치위생학교육평가·인증체계 정립을 위한 학습성과기반 치위생 핵심역량을 파악하고자 치위생(학)과 전임교수 207명을 대상으로 설문 조사를 실시하였다. 핵심역량별 세부영역에서 전문가적 행동 및 윤리적 의사결정 능력(1영역)과 과학적이고 전문적인 임상치위생과 임상치과업무의 지식과 기술을 적용할 수 있는 능력(2영역)의 전체 점수가 가장 높게 나타났고, 의사소통 능력 정도(3영역)는 4.48점, 근거중심의 통합적 사고와 문제해결 능력 정도(5영역)는 4.35점으로 나타났다. 핵심역량 세부영역들은 강한 상관관계가 있는 것을 확인하여 보건의료서비스 직종간의 핵심역량 파악과 임상 실무현장에 근무하고 있는 치과위생사들의 핵심역량에 대한 질적 연구가 필요하다고 사료된다.