• 한국산학기술학회논문지
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• 제17권12호
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• pp.107-119
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• 2016

본 연구는 기본간호학 이론과목에 팀 기반수업을 적용한 후 간호학생들의 자기주도적 학습, 학업적 자기효능감, 학습만족도에 미치는 효과를 탐색한 서술적 조사연구이다. 연구대상자는 G지역 소재 일개대학 간호학과에 재학중인 2학년 간호학생 104명이었으며, 자료수집은 2016년 3월2일 부터 6월15일까지 실시하였다. 자료는 SPSS 21.0 Program을 이용하여 t-test와 one-way ANOVA, paired t-test, 피어슨 상관관계(Pearson's correlation coefficients) 통계방법을 활용하여 분석하였다. 연구결과를 살펴보면 일반적인 특성에 따른 학습만족도의 차이에서 입학 시 간호사에 대한 생각(F=3.751, p<.05), 기본 간호학 실습수업에 대한 흥미 정도에서 통계적으로 유의한 차이를 보였다(t=4.410, p<.05). 자기주도적 학습은 팀기반 학습적용 전 평균 3.39점에서 적용 후 평균 3.50점으로 0.11점 상승하였으며, 통계적으로 유의한 차이를 나타냈고(t=-2.083, p=<.05), 학업적 자기효능감도 팀기반 학습 적용 후 3.12점에서 3.65점으로 0.53점 상승하였으며, 통계적으로 유의한 차이를 나타냈다(t=-14.175, p=<.001). 팀기반 학습 적용에 대한 학습만족도는 평균 3.73점으로 중간이상으로 나타났고, 팀기반 학습 적용 후 자기주도적 학습은 학업적 자기효능감(r=.512, p<.001), 학습만족도(r=.421, p<.001)와 중간정도 크기의 양의 상관관계를 보였다. 본 연구결과 팀기반 학습은 자기주도적 학습, 학업적 자기효능감, 학습만족도를 높여주는 교수법으로 급변하는 의료환경에서 간호학생들에게 졸업과 동시에 요구되는 임상수행능력을 발휘하고 다양한 간호상황에 대응하여 임상문제를 효과적으로 해결할 수 있는 역량을 함양시킬 수 있는 학습방법임을 입증하였다. 본 연구결과를 근거로 기본간호학 뿐만 아니라 다양한 간호학의 교과목 특성에 맞는 팀기반 학습법을 적용해볼 것을 제언한다.

• 기본간호학회지
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• 제3권2호
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• pp.299-316
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• 1996

This study is the descriptive survey to provide basic data for nursing intervention to pain management of cancer patients by finding more effective way to manage pain with recognize pain level and pain characteristics. To achieve the purpose of this study, the subjects of this study are 110 male or female gastro intestinal tract patients who are older than twenty, are hospitalized in Pusan University Hospital from 1995. 5. 28 to 1995. 9. 25 and have had medical treatment. The modified pain assessment of cancer patients of Cornne, H. Rosermary, M. was used as the tool of study with 16 questionaries. The pain score consists of sensory intensity score and distress score. The data was analyzed by the SPSS statistical program number, percentage, mean, standard deviation, t-test, One Way Anova and Duncan's Multiple Range Test were utilized for analysis. The results were summarized as follows : 1. In population-sociological characteristics : in the age-range of subject, the sixties are most as 32.7% and the subjects after the forties are 89.5%, in sex of subjects, male patients are 66.4% and female 33.6%, in the number of family, the subjects who has 4 or above families are 70% and the subjects who live with their spouse, sons and daughters are 54.5% 2. In the disease characteristics : stomach cancer patients were most as 39.1%. And the most of patient who had never been operated before. In time of pain, the most of subjects were intermittent. In the type of pain, the most of subjects were 'dully pain' as 31.8%. Metastatic subjects were 30.0%. In the origin of pain, nervous pressure was 50.8%. The number of complication was 46 and most of complication are obstruction as 6%. 3. In the pain level, 91subjects complained pain. And mean pain score was $287.1{\pm}116.1$ The mean pain score of female subjects was higher than that of male subjects. 4. In the pain characteristics, the pain began usually at meal time as 40.7%. The duration of pain was mostly from 1 month to 3 months as 57.1%. The appetite was mainly concerned with the pain as 31.8%. The etiology of pain was usually tumor as 69.3%. The meaning of pain was incurable disease as 14.5%, anxiety, death and suffering. 5. The 56(61%) of 91subjects were treated with Analgesic pain management. The kinds of Analgesic is usually valentac as 46.4%. The medication was usually intramuscle as 66.1% at whenever necessary, Response of Analgesic after Medication was usually 'moderate release'. The side effects of medication were nausea as 26.8%. The average amount of morphine dosage hospitalized to cancer patients with pain was 80mg in a day and metastatic cancer patients with pain was 101.9mg in a day. 6. In the relation between the disease characteristics and pain level, there is a significant statistical difference : whether subjects had been operated or not : (t=2.88, p=0.005), time of pain is(t=3.34, p=0.005), stage of metastatic(F=9.323, P=0.0002), and type of pain(F=4.013, p=0.0008). In the pain level of diagnosis, Colon cancer was $353.3{\pm}81.7$(F=2.34, p=0.049), the origin of pain, nerve pressure $316.3{\pm}98.5$(F=2.44, P=0.045), In the complication, ascites and obstruction $324.9{\pm}96.8$(T=2.60, P=0.04).

• 기본간호학회지
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• 제6권3호
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• pp.414-433
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• 1999

The purpose of this study is to identify the needs which are perceived by one of the familiy members who have head injury parients by traffic accidents in the intensive care units. Subjects were 70 families members of head injury patients admitted to 2 general hospitals NICU located Pusan city, 1 general hospital NICU located Ulsan city from December 1. 1998 to February 28. 1999. For this study, 70 family members were interviewed with aid of a Likert scale which was developed by researcher for this study. For development of the survey instrument, literature review and open questionnaire technique with family members and the nurses working in NICU. The 50needs-items were classified into 7 groups according to the homogeneity of the items with the support of literature review. For the content validity, the instrument was reviewed by 1 nursing professor and the internal reliability of this instrument was Cronbach alpha=0.94 which is highly accepted. Data was analyzed by a SPSS computer program. Data analysis included frequency. percentage, mean, standard variance and t-test or ANOVA. The results were as followings : 1. The general characteristics of head injury patients shows that the male was 74.3%, the female was 25.7% and age distribution shows that the fifty-fifty nine years was 30%, the highest. Of religion the buddhism was the most, The diagnosis distribution shows that epidural hematoma was 32.9% and subdural hematoma was 24.3%. The mentalility distribution shows that semicoma was 31.4% and stupor was 31.4%. Hemiplegia was 42.9% 2. The general charaterisrics of the family needs of head injury patients shows that thirty-thirty nine years was 31.4%, the highest. sex distribution shows that the male was 20%, the female was 80%. Of religion the buddism was the most. 3. The family needs of head injury patients was $3.03{\pm}0.42$, needs for the information of a patient's condition was $3.65{\pm}0.48$, the highest. And needs for the information of care and treatment was $3.48{\pm}0.48$, needs to be supplied with comfortable facilities for family was $3.04{\pm}0.66$, needs to be participate in a patient's care was $2.90{\pm}0.55$, needs to be informed about the available resources was $2.83{\pm}0.59$, needs to be supported emotionally for family was $2.79{\pm}0.55$, needs for religious assistance was $2.51{\pm}0.85$. 4. Examining the family needs of head injury patients according to patient's characteristics, mentality, plegia degree and operation were shown be variables to make an effect on the needs for the head injury patients family. At all, according to severity of head. injury, the family needs of head injury patients was high. 5. Examining the family needs of head injury patients according to their general characteristics, we could know that religion, job. income were shown to be variables to make an effect on the family needs. Through the examination it can be seen that the characteristics of head injury patients and the family needs of head injury patients. In conclusion, the family needs of head injury patients was almost same the family needs of ICU patients. Therefore we must involve the family's care of head injury patients and we must provide exact and repeated explanation, education and support the family of head injury patients. As this study was resulted in selecting the families admitted to NICU of some general hospital, we couldn't stretch the result in our favor. Therefore, continuous studies are suggested.

• 기본간호학회지
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• 제4권2호
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• pp.267-282
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• 1997

This study was to test the relationship between regular physical exercise and physical fitness in nursing students. These subjects were 54 volunteers who agreed with intention of this study and were composed of 24 active group and 30 non-active group. The selected physical fitness tests were grip strength and back strength for measuring muscular strength, sargent jump and standing broad jump for measuring power, push-up, sit-up, and heart rate for measuring total endurance, reaction time and side step test for measuring agility, stick test and stork stand for measuring balance, and trunk flexion and trunk extension for measuring flexibility. The conclusion acquired was as follows : 1) Grip strength had significant difference between active group of $29.5{\pm}5.9kg$ and non-active group $25.4{\pm}7.2kg$(t=2.283, p=.027), and back strength between active group of $54.1{\pm}13.7kg$ and non-active group of $44.7{\pm}15.7kg$(t=2.310, p=.025), 2) Sargent jump was lower with non-active group($44.9{\pm}8.6cm$) than with active group($45.3{\pm}8.8cm$), however, was not significant(t=.182, p=.856). Standing broad jump was significantly lower with non-active group of $161.3{\pm}28.7cm$ than with active group of $191.4{\pm}27.0cm$(t=3.939, p=.000). 3) Push-up showed significant difference between active group of $25.3{\pm}12.3times$ and non-active group of $11.5{\pm}5.1times$(t=5.572, p=.000), and sit-up between active group of $21.8{\pm}7.4times$ and non-active group of $17.1{\pm}5.8times$(t=2.631, p=.011), and heart rate between actvie group of $110.5{\pm}12.8$beats/min and non-active group of $121.5{\pm}9.5$beats/min(t=-3.648, p=.001). 4) Reaction time was significantly higher with non-active group of $.300{\pm}.051sec$ than with active group of $.341{\pm}.041sec$(t=-3.285, p=.002). Side step test was lower with non-active group($8.8{\pm}1.1times$) than with active group($9.2{\pm}1.2times$), however, was not significant (t=1.309, p=.196). 5) Stick test showed not significant difference between active group of $25.8{\pm}14.8sec$ and non-active group of $30.7{\pm}17.9sec$(t=-1.058, p=.295), and stork stand between active group of $4.5{\pm}3.2sec$ and non-active group of $3.7{\pm}3.5sec$(t=.918, p=.363). 6) Trunk flexion came out not significant difference between active group of $14.2{\pm}5.0cm$ and non-active group of $15.8{\pm}7.3cm$(t=-.927, p=.358), and trunk extension between active group of $67.1{\pm}6.5cm$ and non-active group of $67.3{\pm}6.6cm$(t=-.140, p=.889). 7) Power was shown to be significantly related to total endurance(r=.717, p=.000 ; r-.739, p=.000). 8) Total endurance was shown to be significantly related to agility(r=-.752, p=.000 ; r=.684, p=.000 ; r=-.664, p=.000 ; r=.598, p=.002 ; r=.864, p=.000 ; r=-.536, p=.007). These results suggest that regular physical exercise is effective in promoting and maintaining physical fitness. As the further study, it is necessary to reinvestigate the effect with more refined design.

• 기본간호학회지
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• 제6권1호
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• pp.78-95
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• 1999

The grafting of a kidney has been found to be the best medical treatment for patients who have renal insufficiency failure, but the patients still have experienced much trouble and apprehension. This study was done to further nursing theory developing for patients who have has a kidney graft from another person. The research method followed grounded theory methodology of Strauss and Corbin. The subjects were three female and four male patients. This study done befween Oct. 1997 and Mar. 1998. All of the subjects were interviewed by the author. Interview were done by the long interview technique and observation. In the process of data analysis, 'heart-boiling' was found to be the core phenomenon. The results were composed to 101 concepts. These concepts were grouped into nineteen categories, and then to twelve categories. There were 12 super-class categories as follows ; 'pain', 'heart-boiling', 'experience of dialysis', 'term of admission to a hospital', 'support of other person', 'dependence on God', 'direction', 'negative reaction', 'positive reaction', 'comfortable', 'lacking', 'acceptance'. In this process, 14 hypotheses were derived from the categories as follows ; (1) The more experience with dialysis that the patients have, the stronger the heart-boiling will tend to be. (2) The less experience with dialysis the patients have, the weaker the heart-boiling will tend to be. (3) The longer admission to hospital the patients have, the stronger the heart-boiling will be. (4) The shorter the admission to hospital the patients have, the weaker the heart-boiling will be. (5) The weaker the intense-grief is, the more positive the reaction to heart-boiling the patients wll have. (6) The stronger the intense-grief is, the more negative the reaction to heart-boiling the patients will have. (7) The stronger the support of other persons that the patients have, the more positive the reaction to heart-boiling the patients will have. (8) The weaker the support of other person that the patients have, the more negative the reaction to heart-boiling the patients will have. (9) The stronger the dependence on God that the patients have, the mure positive reaction to heart-boiling the patients will have. (10) The weaker the dependence on God that the patients have, the more negative reaction to heart-boiling the patients will have. (11) The more positive thoughts that the patients have, the more positive reaction to heart-boiling the patinets will have. (12) The more negative thoughts that the patients have, the more negative reaction to heart-boiling the patients will have. (13) The more positive reaction the patients have, the more free from heart-boiling the patients tend to be. (14) The more negative reaction the patients have, the less free from heart-boiling the patients tend to be. From the analysis of observed data and comparing each class, I concluded that there are four formula relation types between reaction of patients and heart-boiling. (1) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, depend on God, have positive thoughts and another's strong support, they experience release by positive reaction to the intense-grief. (2) If patients have the experience of dialysis, have a short term admission to hospital, are weak in heart-boiling, do not depend on God, have negative thoughts, and have few supports from others, they experience attachment to heart-boiling though a negative reaction. (3) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, do not depend on God, and have negative thoughts, they experience attachment to heart-boiling through negative reaction in spite of support from another. (4) If patients have the experience of dialysis, have a long term admission into hospital, are strong in heart-boiling and satisfaction is low, but they have positive thoughts, then they experience acceptance and harmony through the positive reaction to heart-boiling. The results of this study are expected to help the way nurses care for patients who have had a kidney graft from another.

• 기본간호학회지
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• 제6권1호
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• pp.141-152
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• 1999

본 연구는 노인이 지각한 가족지지와 자아존중감 및 예방적 건강행위 이행정도와 각각의 관계를 파악하여 노인의 질적인 삶을 유지, 증진시키는 간호중재를 위한 기초자료를 제공하기 위하여 실시되었다. 연구대상은 재가노인 191명으로 K시 소재 1개의 노인학교와 8개의 노인정을 중심으로 조사하였다. 연구도구는 강현숙(1984)이 개발한 가족지지 측정도구, Rosenberg(1965)의 자아존중감 측정도구, 강윤숙(1989)이 개발한 예방적 건강행위 측정도구를 이용하여 구조화된 질문지를 이용한 면담을 통해 자료수집을 하였으며, 자료수집 기간은 1998년 9월17일부터 9월31일까지였다. 자료분석은 SAS 프로그램을 이용하여 대상자의 일반적인 특성은 실수와 백분율, 대상자의 가족지지, 자아존중감, 예방적 건강행위 이행정도는 최소값, 최대값, 평균, 표준편차를 산출하였고 일반적인 특성별 가족지지, 자아존중감, 예방적 건강행위와의 관계는 t-test와 ANOVA로 가족지지와 자아존중감 및 예방적 건강행위와의 관계는 Pearson Correlation Coefficients를 이용하였다. 연구결과는 다음과 같다. 1. 노인이 지각한 가족지지 정도는 평균 40.49점이었고, 일반적 특성에 따른 가족지지 정도는 연령, 배우자 유무, 동거유형, 경제상태, 한달 용돈 등에서 유의한 차이를 보였다. 2. 노인의 자아존중감 정도는 평균 29.01점이었고, 일반적 특성에 따른 자아존중감 정도는 교육정도, 배우자 유무, 동거유형, 경제상태, 한달용돈 등에서 유의한 차이를 보였다. 3. 노인의 예방적 건강행위 이행정도는 평균 53.15점이었고, 일반적 특성에 따른 예방적 건강 행위 이행정도는 경제상태, 한달용돈에서 유의한 차이를 보였다. 4. 노인이 지각한 가족지지와 자아존중감 및 예방적 건강행위 이행과의 상관관계에서 노인이 지각한 가족지지와 자아존중감은 유의한 순상관 관계를 보였고(r=.57, P<.001), 가족지지와 예방적 건강행위 이행정도와도 유의한 순상관 관계를 보였으며(r=.44, P<.001), 자아존중감과 예방적 건강행위 이행정도와도 서로 순상 관관계를 나타내어(r=.51, P<.001), 노인이 지각한 가족지지와 자아존중감 및 예방적 건강 행위 사이에는 유의한 상관관계가 있었다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3227-3231
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• 2014

Background: This research evaluated the effectiveness of an online education model in teaching breast self-examination to university staff and students. Materials and Methods: 1,679 women participated in a breast self-examination online training program. Breast self-examination knowledge evaluation forms developed by Maurer (1997) were used in the research and were evaluated on a 100 point scale. Paired t-test and McNemar's Test statistics were employed. Results: The participants scored an average of 46.5 (14.0%) on knowledge on breast self-examination before training, but 77.4 (11.0%) one month after education and 76.7 (9.52%) after six months. There was a clear significant difference between these knowledge levels (p<0.05). Similarly, while the rate for systematic practice of breast self-examination among women was 30.8% before training it increased to 47.8% afterwards. Again the difference was significant (p<0.05). Conclusions: Online education is an effective method for teaching breast self-examination to women.

• 기본간호학회지
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• 제2권1호
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• pp.67-85
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• 1995

본 연구는 유방절제술 환자의 퇴원후 적응상태에 영향을 줄 수 있는 율동적 운동요법은 개발하고 그 프로그램이 유방절제술 환자에게 효과가 있는 지를 규명하기 위해 스트레스 적응모형을 사용하여 비동등성 대조군 전후 실험설계의 유사 실험 연구로 시도하였다. 1994년 7월 1일부터 9월 30일까지 부산시내에 소재하는 고신대학 부속 고신의료원 일반외과 외래에서 화학요법을 받고 있는 환자를 대상으로 대조군, 실험군을 선정하였고 실험군은 부산 송도 에어로빅에서 율동적 운동을 주2회 35-40분씩 6주동안 실시하여 10회 이상 참여하였고 대조군은 율동적 운동요법을 실시하지 않았다. 자료수집은 적응상태를 측정하기 위해 신체증상 측정도구와 관절각도지수, 신체상, 우울척도, 스트레스 지각측정도구, 사회적 적응척도를 사용하여 율동적 운동요법 전에 사전조사를 하고 10회가 끝난 후 사후조사를 하였으며 수집된 자료는 $spss/pc^+$로 $x^2-test$, t-test, two-way ANOVA, Pearson Correlation coefficient를 이용하여 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 율동적 운동요법을 시행한 실험군과 시행하지 않은 대조군은 신체적 적응 수준에서 신체적 증상에는 유의한 차이가 없었고 관절각도지수는 유의한 차이가 있었다. 둘째, 율동적 운동요법을 시행한 실험군과 시행하지 않은 대조군은 심리적 적응 수준에서 우울, 신체상, 스트레스 지각정도에 유의한 차이가 있었다. 셋째, 율동적 운동요법을 시행한 실험군과 시행하지 않은 대조군은 사회적 적응 수준도 유의한 차이가 있었다. 넷째, 율동적 운동요법이 매개변수인 건강통제위 종류에 따른 적응수준의 차이는 율동적 운동요법은 타인통제위 성향이 있는 군에서 우울을 더 감소시켰고 사회적 적응수준을 더 증진시켰다. 다섯째, 제 적응수준간의 상관관계에서 신체적 증상과 신체상, 신체상과 사회적 적응은 정상관관계가 있었다. 스트레스 지각정도는 사회적 적응, 우울과 신체상, 우울과 사회적 적응은 부적상관 관계가 있었다.

• 대한간호
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• 제33권3호
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• pp.56-69
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• 1994

This study was done to develop self - directed learning modules related to asepsis and elimination including urine and stool for Fundamentals in Nursing practice education contents and to measure the effectiveness of those modules. The subjects of this study were 96 sophomore students in the nursing college. Self-directed learning modules were developed by the researcher on the basis of the Lippincott Learning System of Kruger (1986) and Modules for Basic Nursing Care of Ellis (1992). Videotape was editted by using videotape made by the Lippincott Company and Film strip made by the Trainex Company with Korean dubbing. Self-directed learning was done for one week with the asepsis module and two weeks with the elimination modules after confirming the requiered level of knowledge acquisition through pre-test. For measuring proficiency in self-directed learning, a written test for cognitive domain, a sufficiency test for psychomotor domain, and a confidnece examination for affective domain were given. The data were analyzed using descritive statistics, and Pearson correlation coefficient using a SPSS-PC program. The results are summarized as follows: 1. Sufficiency test and confidence examination grades showed high levels in both asepsis and elimination. 2. Written test grades showed a high level in asepsis and elimination of urine but showed a medium level in eliminationin of stool. 3. Grades of sufficiency and confidence in asepsis and elimination practice were statistically significant with a moderate positive correlation (r=0.4- 0.5, p<0.001). 4. Grades of sufficiency and written tests in asepsis and elimination practice also were statistically significant with a moderate positive correlation (r=0.5-0.7, p<0.001). 5. Students showed relatively high contentment with the self-directed learning modules themselves but revealed relatively low contentment with video program and the self-directed learning process. In conclusion, this study disclosed that proficiency levels in cognitive, affective, and psychomotor domains were high when asepsis and elimination modules were applied. Also students showed high satisfaction with the modules themselves, but didn't show high contentment with the video programs. In considering low contentment with the self-directed learning process, it is estimated the students had experienced some difficulties about using self-directed learning modules because this was their first exposure to the self-directed learning module and they were already accustomed to the demonstration-practice method.

• 기본간호학회지
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• 제3권2호
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• pp.213-233
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• 1996

This study was made on 274 apoplectics patients who received the rehabilitation therapy and tests on physical, psychological and social adaptations as outpatients in 23 general hospitals in the Seoul and Kyungi area. The basic data on degree of improvement of apoplectic patients studied from rehabilitation therapy. Data was collected over a period of 63 days, from February 21st till April, 23, 1996. The assigned physical therapist conducted direct interviews with patients after he answered the distributed questionnaires for each individual patient. The colleted data was processed by the $SPCC/C^+$ method. The results of the tests conducted to meascne the the degree of ADL dependency, depression and social activity corresponding to the physical, psychological, and social adaptation. The details are ; 1) The test to meascne the degree of ADL dependency, corresponding to the study of physical adaptation of CVA patients, indicated a mean score of 2.57(ideal score is 1.0) with a standard deviation of ${\pm}0.75$. The worst score was 3.95 while the best score was a perfect 1.0, representing a severe range of dependency. The distribution was centered with a median of 2.65 and a mode of 2.68. 2) The test to meascne the degree of depression which corresponds to the level of psychological adaptation yielded a mean of 2.99 which is higher than the normal limit of 2.45. The standard deviation was ${\pm}0.52$ and the worst score and the best score were 4.35 and Respectirdy. The distribution was centered with a median of 3.00 and a mode of 3.00. 3) The test to meascne the degree of social activities for the level of social adaptation indicated a very low mean score of 26.52 (perfect score is 144), with the standard deviation of ${\pm}16.23$. Some patients scored as high as 100, but others scored as low as 3. The distribution of social activities at a very low level was shifted to the left with a median of 24.00 and a mode of 20.00. 4) Factors influencing the level of physical, psychological and social adaptation are as follows : Factors significantly influencing the level of physical adaptation measured by ADL dependency are age, personal guardian, payer of medical expenses, and paralysis of the right arm, right leg and facial paralysis. Factors significantly influencing the level of psychological adaptation measured by the degree of depression, are age, marital status, education, medical history of individual and family, speech impediment, and facial paralysis. Factors significantly influencing the level of social adaptation measured by the degree of social activity are age, marital status, education, employment status, and the burden of medical expense. 5) The Corelationship is significant(9.00), between ADL dependeing as degree of physical adaptation and depreseion as degree of psychologial adaptation. ADL dependency is proportional to depression. But social activity is inversely protional to ADL dependeny and depression. In conclusion, the increased care for physical function of the patients is not the only necessary means to better facilitate the appropriate adaptation of CVA patients. The introduction of a solid rehabilitation program for psychological and social adaptation will also play the integral part of the treatment of CVA patients.