• 문화기술의 융합
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• 제6권2호
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• pp.161-168
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• 2020

본 연구의 목적은 간호대학생의 치매정책인식과 치매태도에 영향을 미치는 요인을 파악하는 것이다. 대상자는 G도시 K 대학 간호 학생 1~2학년, 184명이었다. 자료수집은 2017 년 5 월 1 일부터 5 월 31 일까지였고, SPSS / WIN 21.0 프로그램을 사용하여 one-way ANOVA, t-test, Pearson 상관계수 및 다중단계 회귀분석을 하였다. 대상자의 일반적 특성에 따른 치매태도는 치매에 대한 관심과 치매병동 근무의향에 따라 차이가 있었다. 치매정책인식, 치매지식, 노인태도와 치매태도 정도는 보통 이상이었고, 치매정책인식, 치매지식, 노인태도 및 치매 태도에서는 모두 정상관관계가 있었다. 치매태도에 영향을 미치는 영향요인은 치매정책인식(β = .22, p = .004), 치매에 관심없다(β = -.20, p = .006), 치매병동 근무 의향 없다(β = -.16, p = .021), 치매지식(β = .15, p = .027)이었고, 설명력은 23.4 %였다. 따라서 올바른 치매지식, 긍정적인 치매태도, 간호대학생의 치매정책인식을 높일 수 있는 체계적인 치매 교육 프로그램을 개발해야 한다.

• Journal of Community Nutrition
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• 제1권2호
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• pp.98-107
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• 1999

The purpose of this study was to investigate Bone Mineral Density(BMD) and affecting factors on BMD of college women in Seoul. The subjects were 47 healthy college women aged 18-25 years. Antrophometric and body fat measurements were performed by Bioelectrical Impedance Fatness Analyzer(Tanita TVF 202). Blood pressure and pulse frequency were measured. Dietary intakes and general living habits were examined through questionnaires and nutrient intakes were analyzed by Computer Aided Nutritional Analysis(CAN) program for professional. Serum total cholesterol, TG(triglyceride), HDL-cholesterol, total protein, albumin, GOT, calcium were measured by Spotchem(SP-4410). Serum osteocalcin and alkaline phosphatase(ALP) were measured to monitor bone formation. BMD of lumbar spine(L2-L4), right hip(neck, ward's triangle, trochanter) and right forearm were measured by Dual Energy X-ray Absorptiometry(DEXA). Muscle strength was measured by examining leg flexion strength(right and left), leg extension power(right and left), handgrip power(right and left) and back strength. All data were statistically analyzed by the SAS PC package program. BMD of college women was normal(by WHO, 1994). Their muscle strength was bad(by national fitness guidebook, 1995). Only a mall number of them exercised (32.6% of subjects). There was no significant difference among BMD, muscle strength and % body fat(p<0.05). There were significant differences between BMD and total cholesterol as well as TG and VLDL-cholesterol(p<0.05). Total cholesterol was associated with decreasing BMD of the right forearm(p<0.05). TG and VLDL-cholesterol are associated with increasing BMD of right hip ward's triangle(p<0.05). There were significant differences among BMD, ALP and serum total protein. ALP was associated with decreasing BMD of the right forearm(p<0.05). There were significant differences between BMD and Ca as well as between Na and K intakes (p<0.05). Intakes of Na and K were associated with decreasing BMD of the right forearm (UD)(p<0.05). There were significant differences between in BMD and pulse frequently and serum albumin (p<0.05). Serum albumin is associated with increasing BMD of L3-L4(p<0.05), right hip neck(p<0.05). %Body fat, TG, VLDL-C, Ca intake, pulse frequency and serum albumin were associated with increasing BMD(p<0.05). Intakes of Na and K, ALP, total cholesterol, total cholesterol, total protein and height are associated with decreasing BMD(p<0.05). Overall results indicate that Ca intake but to be moderate in protein and Na intakes in order to increase BMD. Body exercise was recommended to increase BMD as well.

• 대한간호학회지
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• 제26권3호
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• pp.688-696
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• 1996

The purpose of this study was to investigate the fluid balance of the patients who were either on soft fluid diet or total parenteral nutrition. We studied 19 patients with neurologic disorders and 22 patients with oromaxillary surgery who were admitted to either D university hospital in Choognam or S general hospital in Seoul between May and November 1995. The mean age for the patients who had oromaxillary surgery was 24 years and their average hospital stay was 9 days. The mean age of the patients with neurologic disorders was 54 years and they were bedridden for average of 71 days. For the maxillary bone surgery patients we did not limit the range of their activities in the ward during data collection period. The patients with neurological disorders were bedridden and did not move around the ward. They were all either on soft fluid diet, or total parenteral nutrition. The findings of this study are as follows ; 1) The difference of the triceps skinfold thickness between the baseline and the final measurement was 0.4cm for neurologic patient group and 0.5cm for oromaxillary surgery patient group. The difference was not statistically significant in each group. 2) In the oromaxillary surgery patient group, the daily intake of fluid in the form of pure water, other beverages, fluid diet as well as IV fluid was 4581m1 while urine output was 2979ml. The difference between fluid intake and output was statistically significant, indicating that fluid intake was far more than urine output. In neurologic patient group, the daily intake of fluid including water from fluid diet and IV fluid was 2701m1 whereas urine output was 2253m1 and they were statistically significant. 3) For a more accurate assessment we adjusted the fluid balance based on weight changes during data collection period. In the oromaxillary surgery patient group. the difference between fluid intake and output was 1238m1 after weight changes being adjusted. The difference was statistically significant, suggesting fluid overload in this patient group. In neurologic patient group, the difference between fluid intake and output considering weight changes was 124ml. The difference was not statistically significant, suggesting that the fluid intake and output was well balanced in this patient group.

• 한국산학기술학회논문지
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• 제18권10호
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• pp.281-289
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• 2017

본 연구는 일 지역 종합병원 종사자를 대상으로 환자 안전문화의 인식 정도와 환자 안전문화 인식에 미치는 요인을 파악하기 위한 목적으로 수행된 연구이다. 자료조사는 G 광역시 소재 5개 종합병원으로 의료기관 인증 평가를 받고 인증된 종합병원 종사자 343명을 대상으로 2017년 3월 12일부터 2017년 4월 21일까지 자료를 수집하였다. 수집된 자료 분석은 기술통계, t-검정과 분산분석, 사후분석, 다중회귀 분석을 실시하였다. 연구결과 환자 안전문화에 대한 인식은 5점 만점에 $3.27{\pm}.27$7점 이었으며, 환자 안전문화 하위 영역별 인식 점수로는 사고횟수 인식이 가장 높았고 직속상관 및 관리자 안전 인식이 가장 낮았다. 환자 안전문화 인식 차이를 분석한 결과, 병원 근무경력, 현부서 근무경력, 직업(전문)경력, 근무부서, 환자접촉 유무에 따라 통계적으로 유의한 차이가 있었다. 사후검정 결과 병원근무 경력, 직업경력, 현부서 근무 경력이 짧을수록 인식이 높았고, 직접접촉자에 비해 간접접촉 종사자의 환자 안전문화 인식이 높았다. 환자 안전문화 인식에 미치는 요인으로는 병원경력에서 11년 이상, 6-10년이었고, 근무부서에서는 병동 종사자이었다. 이러한 연구를 바탕으로 종합병원에서 사고를 예방하기 위해서는 종사자의 환자 안전문화 인식이 중요하다.

• 대한간호학회지
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• 제7권1호
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• pp.39-46
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• 1977

Despite the fact that it is not a fatal symptom. the lower back pain of human species is considered a health problem of modern society: 80% of world population experience it and the distress and dysfunction caused by interferes daily life as well as the general productivity. This study was performed to investigate the general tendency of lower back Pain on nurses: influence of nursing activities, working condition and the physical characteristics of nurses on the pain in order to provide data for prevention and treatment. 386 nurses working at 16 general hospitals throughout the country were sampled. Questionaries developed by the researcher was used for data gathering. Results are as follows : 1. Lower back pain was experienced by most(72.3%) of the nurses: the highest rate of -Pain experience was revealed to be the a9e group of 35-39 (80.8%) followed by 25-29 group (74.2%). 2. In almost all instances (91.4%), the first pain attack occurred before the age of 29, and in 73.1%. the attack occurred between the age of 15-24. 3. In 10.1%, the pain was almost persistent or occurred every other day frequency. In 9%, the pain was relieved by the administration of analgesics or "unable to move". 4. More than 6 days′sick leave due to the pain revealed to be in 2.2%. No significant difference was revealed between specialities of service. 5. Pain experience and the over or under weight revealed not to have significant relations. (X$^2$=0.55224, p〉0.7587) 6. The length of working hour of I. C. U. and O. R, revealed to be longer than that of nurses general ward, however. no significant difference on the rate of pain occurrence apparent. (X$^2$=0.4952, p〉0.8239) No significant difference on the rate of pain occurrence between nurses working over 46 hours/week and under 45 hours/week. (X$^2$=3.86241, p〉0.078318) 7. The most frequent Pain related movement revealed to be "lifting patient or heavy object" (24. 7%, N=68) followed by "the sameness of position, either standing or sitting"(16.8%) 8. Regular physical exercise revealed to have no significant influence on the rate of Pain occurrence. 9. Higher raft of pain experience was revealed in the group of nurses wearing eye glasses. Uncomfortable shoes revealed to have influenced the pain. 10. The most frequent pain relieving treatment revealed to be "rest" (54.2%, N= 151) followed by "analgesics" (12.6%, N=35) and "hot compress/fomentation"(10.5%, N=29). In 13.7% (N=38) no special care was given.

• 임상간호연구
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• 제29권2호
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• pp.198-209
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• 2023

Purpose: The purpose of this study was to develop a Korean Adult Patients Delirium Screening Tool (K-APDS) for those admitted to general wards, and to verify its reliability and validity. Methods: For the development of the tool, 12 items were derived through the results of literature review and focus group interviews with general ward nurses, and the content validity was confirmed by experts. To verify the reliability and validity of the developed tool, 317 adult patients who were admitted to general wards of three tertiary general hospitals from October to November 2022 were evaluated by the attending nurse and data were collected. Results: After factor analysis for construct validity verification, two factors were extracted, which explained 60.1% of the total variance. After the validation of the control group, the difference in the delirium incidence scores calculated using the K-APDS between the delirium group and non-delirium group was very significant (Z=-10.82, p<.001). To verify the criterion validity, K-APDS, Delirium Observation Screening, and Pearson's correlation coefficient were checked and found to be .94 (p<.001). The predictive validity test reported that the sensitivity was 91.1%, specificity was 82.4%, positive predictive value was 52.6%, and negative predictive value was 97.8%. The reliability of K-APDS was found to be high with Cronbach's ⍺=.91. Conclusion: K-APDS can screen for delirium with 2 or more points, excellent validity and reliability have been verified. Therefore, this tool could be applied immediately in the clinical field, and will contribute to the early detection of delirium, enabling rapid interventions.

• 한국간호교육학회지
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• 제4권2호
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• pp.187-203
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• 1998

The purpose of this study was to identify the correlation between burden and teaching effectiveness on clinical nursing practice. The subjects were collected 135 clinical nurses who have taught nursing students and worked at hospitals which have over 400 beds in Seoul, Inchon, and Kyoung-gi Do. The instruments used in this study were : the burden on clinical nursing education was measured by Montgomery (1985) developed and visual analogue scale, and effectiveness of clinical instruction was measured by Reeve (1994) developed. The results of this study were as follows. 1) Seeing that the general characteristics of participants : average ages we 32.8 years old, 29.6% of them have Catholics in religions. 75.6% of them were graduated from 3-year nursing college. 20.7% of nurses are working at the surgery ward and I.C.U in each. Clinical nursing career is average 10.03 years, clinical instructional career is 5.22 years, and clinical teaching time is 5.26 hours in a day. Contents of clinical teaching were composed of basic nursing skills 80.7%, orientation 78.5%, inspection(making rounds) 71.9%. 2) The mean score of the burden on clinical nursing instructor was 2.42 by Montgomery's scale and 4.69 by the visual analogue scale. Theses scores represented that subjects were not affected burden highly. The mean score of leaching effectiveness on clinical nursing education was 3.47 and the almost items were found to have higher level. 3) There is no statistically significant differences in the burden according to general characteristics. And the teaching effective ness on clinical nursing education according to general characteristics regarding the age, job position, clinical career and clinical educational time were shown statistically significant differences. 4) There is a negative correlation between the burden and teachin effectiveness on clinical nursing education with a correlation efficient(r=-0.396, p<0.01). Further study is recommended to explore the meaning of burden experiences of clinical instructor deeply and to identify the correlation between the burden of clinical instructor and teaching effectiveness as the job position, and to analysis differences in teaching effectiveness as subcategories.

• 대한간호학회지
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• 제30권6호
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• pp.1467-1478
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• 2000

The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.

• 한국사회복지학
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• 제55권
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• pp.231-254
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• 2003

본 연구는 장애의 특성상 인권보장이 '다수의 안전'이나 '치료적 이득'과 갈등이 있을 수밖에 없는 정신장애인의 인권 보장과 제한을 일반적으로 어떻게 이해하는지를 알아보고자 하는 것이다. 따라서 일반인 10명, 전문가 9명, 정신장애인 6명을 대상으로 각 권리(존엄성 존중, 차별대우 받지 않을 권리, 자발적 입원보장, 자유로운 환경보장)별로 문제영역(장기입원, 운전면허취득제한, 강제입원, 통신의 자유제한)을 구체화하여 면담하였다. 면담내용을 질적 분석한 결과 조사대상자들이 권리보장과 제한을 이해하는 두 가지 차원을 발견하였다. 첫 번째 차원은 권리보장과 제한을 다수에 미치는 긍정적 결과를 중심으로 정당화하느냐 아니면 인권존중의 보편적 원리를 내세워 권리중심으로 정당화하느냐 하는 것이다. 두 번째 차원은 권리보장과 제한의 판단주체를 공식적 체계에 두느냐 아니면 비공식적 체계에 두느냐 하는 것이다.

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.424-435
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• 2020

본 연구는 중소병원 간호사의 투약 근접오류경험의 영향요인을 확인하여 근접오류 예방과 안전한 투약간호를 위한 교육프로그램 개발의 기초자료를 제공함으로써 중소병원의 환자안전문화 구축에 기여하고자 시도된 서술적 조사연구이다. 수집된 자료의 분석은 SPSS/WIN 20.0을 이용하여 𝑥²-test, Independent t-test, one-way ANOVA, Logistic regression analysis를 실시하였다. 연구결과, 투약 근접오류경험에 영향을 미치는 요인은 일반적 특성 중 근무부서와 환자안전문화였다. 모수 추정치 값의 승산비(odds ratio)는 특수부서 근무자보다 일반병동 근무자가 근접오류를 경험하지 않을 교차비가 2.23(95% 신뢰구간: 1.07~4.67, p=.032)이었으며, 환자안전문화 점수가 1점 증가할 때 근접오류를 경험하지 않을 교차비가 2.24(95% 신뢰구간: 1.02~4.95, p=.045)인 것으로 나타났다. 즉, 특수부서 근무자가 일반병동 근무자보다 근접오류를 경험할 확률이 높고, 환자안전문화 인식정도가 높을수록 근접오류를 경험할 확률이 낮은 것을 알 수 있었다. 따라서 간호사들의 환자안전문화 인식 개선을 위한 병원차원의 오류감시시스템의 개발과 간호조직 차원에서 경력 및 부서별 특성에 따른 맞춤형 투약교육 프로그램을 개발하여 이론 교육과 함께 시뮬레이션 훈련이 필요할 것으로 사료된다.