• 제목/요약/키워드: Ja-Bok

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자궁절제술을 받은 여성과 배우자의 성생활 (Sexual Life of Husband and Wife after Hysterectomy)

  • 김진경;고효정
    • 여성건강간호학회지
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    • 제7권1호
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    • pp.18-29
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    • 2001
  • The purpose of this study was to provide basic data from confirming factors that could help nurses tailor counseling program for married couples who were facing the prospect of a hysterectomy. A descriptive design was used to study a total of 81 married couples(total of 162 subjects) between 2 to 18 months after hysterectomy, due to a benign gynecology disease at a University Hospital in Daegu by questionnaires from March, 1999 to June, 2000. This study used Sexual Knowledge Measurement of Koo, Ja-sung(1996), Sexual Attitude Scales of Hudson, Murphy and Nurius(1994), Sexual Attitude Measurement of Jang, Soon-bok(1989), Sexual Activity Questionnaires of Thiriaway, Fallowfield and Cuzick(1996) modified and supplemented by advice of experts in order to measure sexual knowledge, sexual attitude and sexual activity, and Sexual Function Inventory of Derogatis(1979) translated by Jang, Soon-bok(1984) was used to measure sexual satisfaction of the subjects. For data analysis, the study executed $x^2$-test, t-test, ANOVA, Pearson correlation and multiple regression in accordance with the purpose of study by SPSS/PC+ WIN 10.0 program. Also this study obtained Cronbach's alpha for examination of reliability. The results are as follows : 1) The sexual knowledge of the husband was higher than that of the wife after hysterectomy by showing the mean 11.27(${\pm}2.72$) in case of the wife and the mean 11.57(${\pm}2.28$) in case of the husband, but there was no statistically significant difference(t=.681, p=.497). 2)The sexual attitude of the husband was more liberal than that of the wife after hysterectomy by showing the mean 3.25(${\pm}.48$) in case of the wife and the mean 3.42(${\pm}.48$) in case of the husband, and there was statistically significant difference(t=2.399, p=.018). 3)There was no statistically significant difference between the score of sexual activity of wife and husband by period elapsed after hysterectomy. 4)There was no statistically significant difference between the score of sexual satisfaction of wife and husband by period elapsed after hysterectomy. 5)The wife subjects showed positive correlation among sexual knowledge, sexual attitude, sexual activity and sexual satisfaction. The husband subjects showed positive correlation only between sexual knowledge and sexual activity, sexual activity and sexual satisfaction, sexual attitude and sexual satisfaction, sexual knowledge and sexual satisfaction. There was a positive correlation between the sexual knowledge, sexual attitude, sexual activity and sexual satisfaction of the wife and husband. 6)Only the variable of sexual activity among factors of sexual satisfaction of the wife subjects showed the statistical significance(F=52.452, p<0.001), while variables of sexual attitude (F=20.360, p<0.001) and sexual activity (F=14.142, p<0.05) among factors of sexual satisfaction of the husband subjects showed a statistical significance.

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간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구 (Investigation of Espoused Theories in Nursing Practice)

  • 서문자;김혜숙;이은희;박영숙;조경숙;강현숙;임난영;김주현;이소우;조복희;이명화;지성애;하양숙;손영희;권성복;김희진;추진아
    • 성인간호학회지
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    • 제13권1호
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    • pp.53-69
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    • 2001
  • As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.

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재가 뇌졸중 환자의 일상활동 수행능력, 우울, 자기효능감 및 삶의 질과의 관계 (A Study on Stroke Patients' ADL, Depression, Self-Efficacy and Quality of Life)

  • 조복희;고미혜;김순영
    • 재활간호학회지
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    • 제6권1호
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    • pp.51-60
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    • 2003
  • This study was a descriptive research in search of a nursing intervention scheme to improve stroke patients' quality of life by understanding the relationship of stroke patients' ADL, depression, self-efficacy and quality of life with various variables and identifying factors that affect their quality of life. Each subject was interviewed one to one based on a structured questionnaire. With regard to research tools, Modified Barthel Index (MBI: Fortinsky et al., 1981), which was translated by Choi, Hye-sook (1996), was used in measuring ADL, Randloff's (1977) tool, which was translated by Choi, Soon-hee, was used in measuring depression, and the tool developed by Sherer et al. (1982), which is to measures self-efficacy under general conditions not limited to specific conditions, and modified by O, Bok-ja (1994) was used in measuring self-efficacy. The quality of life was measured using the scale of satisfaction of life developed by Diener et al. (1985). The results of this study were as follows: 1. The means of ADL of the subjects was $79.5{\pm}31.9$, depression $26.8{\pm}10.4$, self-efficacy $47.1{\pm}25.7$, and the quality of life $12.3{\pm}4.9$. 2. The subjects' quality of life showed a statistically significant difference according to gender (t=7.9, p= .006), satisfaction with income (F=5.8, p= .004), the burden of medical fee (F=3.7, p= .028) and the period of disease (F=2.8, p= .042). 3. With regard to relationship among ADL, depression, self-efficacy and the quality of life, ADL was in a relatively low positive correlation (r= .293, p= .003) with and the quality of life, depression in a high negative correlation (r=- .634, p= .000) with the quality of life, and self-efficacy in a positive correlation with the quality of life (r= .388, p= .000). 4. Factors that made a significant influence on the quality of life were depression (B=- .309, p= .001) and satisfaction with income (B=-2.611, p= .001). Based on these results, this study made following suggestions: 1. It is necessary to run rehabilitation programs to improve stroke patients' ADL, depression and self-efficacy. 2. It is necessary to perform research of monitoring stroke patients' quality of life in various areas using measuring tools.

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중환자실 흡인간호 및 인공호흡기관리 표준화를 통한 인공호흡기 관련 폐렴발생 감소효과에 관한 연구 (The Effects of Standardized Suction and Ventilator Management Protocol on Ventilator Associated Pneumonia in the Intensive Care Unit)

  • 송경자;유정숙;권은옥;정은자;신현주;박옥향;옥순옥;유미;윤선희;이복남;최진아;황정해;오향순
    • 한국의료질향상학회지
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    • 제8권1호
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    • pp.44-55
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    • 2001
  • Background : This study aimed at identifying the effect of the standardized protocol on lowering the incidence of the ventilator associated pneumonia(VAP). Methods : The standard protocol focusing on decreasing VAP was made and applied at 5 ICUs (Medical ICU, surgical ICU, Respiratory ICU, Neonatal ICU, Pediatric ICU) in a university affiliated tertiary hospital, from April 1, 2000 to Oct 31, 2000. The protocol involved 3 parts : hand washing, the suctioning method and ventilator circuit management. All the nursing personnel received intensive education which was consisted of lecture, video film and demonstration. 176 nurses reported the performance of handwashing pre and post intervention. And randomly selected 15 nurses were observed by charge nurse and the handwashing practice was analyzed pre and post intervention. The incidence of VAP was compared with the former year incidence. Results : The self reported frequency of hand washing increased. In the direct observation of handwashing, the frequency, time, thoroughness of hand washing during 8 hours day duty was found to be improved. The frequency was increased from 1.1 time to 4.1 times; the time was improved from 1.7 seconds to 5.7 seconds and the thoroughness of the washing practice was from 0.2 times to 3.0 times respectively (p<0.001). The incidence of VAP decreased from at a rate of 15.63 number of case per 1,000 ventilator-day (April 1~August 31, 1999) to 7.23 number of case per 1,000 ventilator-days(April 1~Oct 31, 2000)(P<0.001). Conclusion : We developed the protocols which included hand washing, the suctioning method, and ventilator circuit management. Through the implementation of the protocol, the performance of hand washing improved and the VAP incidence rate in ICU was decreased.

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간호학교수의 교수능력과 강의평가에 대한 태도조사 (Nursing Faculty Competence and Nursing Faculty's Attitude for Lecture Evaluation)

  • 서문자;도복늠;박춘자;김금순;임난영;최경숙;이선옥;김순례;최스미;박영임;최상순;정은순;조남옥
    • 한국간호교육학회지
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    • 제9권2호
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    • pp.320-328
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    • 2003
  • Nurse educators' competence is considered to be important in relation to the quality of education for nursing students. The purpose of this study was to identify the nursing faculty competence and attitude for lecture evalutaion, evlauated by nursing faculty. This article presented results focusing on South Korean nursing faculty's attutude for lecture evalutaion done by students and their opinion of the importance of nurse educator competence domains. The data collection was done from October, 2002 to August, 2003 and 151 subjects were used for the analysis. The Ideal Nursing Teacher Questionnaire was used to assess nurse faculty competence. The results showed that all of the lecture were evaluated and 59.6% of clinical practice was evaluated by nursing studuents. Nursing faculty thought that lecture evaluation by students was resonable, even though it was stressful. The most important among 5 domains of nurse educators' competence assessed by nursing faculty was nursing competence. Moreover nursing faculty responed that teaching skills domain and evaluation skills domain were more important than relationship with students domain and personality factors domain. Compared to young nursing faculty, nursing faculty who was old aged reported that nurse educators' competences in 4 domains of nursing competence, teaching skills, evaluation skills and relationship with students were more important.

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한강 유역 간흡충 고위험군의 감염과 관련요인 (Prevalence and Related Factors of Clonorchis Sinensis for High Risk Population in the Han Riverside Area)

  • 김희걸;강희경;소애영;김영신;박정인;한은혜;탁경숙;이선희;김진순;한명자;차선숙;성명순;최선자
    • 한국농촌간호학회지
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    • 제4권1호
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    • pp.13-21
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    • 2009
  • Purpose: This study was done to investigate the prevalence and related factors of Clonorchis Sinensis for inhabitants of the Han riverside area and to identify knowledge related to Clonorchis Sinensis and intended behavioral changes to decrease risk of infection. Method: The data were collected from December 16, 2008 to January 10, 2009. Participants were 555 people who responded to a questionnaire. Frequency, percentage, $X^2$-test, and t-test were used to analyze the data. Results: The prevalence of Clonorchis Sinensis was 7.9% in this population. Related factors for Clonorchis Sinensis were gender (male=10.8%, female=3.6%, p=0.002) and smoking (p=0.007). but habits related to ingestion of alcohol and raw fish were not significant. As for knowledge of Clonorchis Sinensis, the Clonorchiasis group had a mean score of 10.09 $({\pm}3.95)$ of a possible 17 compared to a score of only 8.27$({\pm}4.60)$ for the negative group (p=0.011). The intended behavioral change related to risk of infection, according to presence of infection or not, was significant (p=0.004). Conclusion: These results suggest that Clonorchiasis is still highly endemic in all risk areas such as the Han riverside, indicating that it is necessary to set up effective management programs for patient care and prevention of Clonorchis Sinensis.

동북(東北)아시아 유의 기원(起源)과 그 교류(交流)에 관(關)한 연구(硏究) -$4{\sim}8$세기(世紀)를 중심(中心)으로- (A study on the origination and Transmission of Yu in Northeast Asia. -from the 4th Century to the 8th Century-)

  • 박경자;조선희
    • 복식
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    • 제17권
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    • pp.29-43
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    • 1991
  • Yu was a type of dress worn on the upper part of the body which was commonly used in Northeast Asia. It was originally used by the Northern race for the need of courtesy as well as protecting cold. It was believed that Yu in Northeast Asia, which was called Kaftan, was came from Scythai lived in North Eurasian land around the Black sea. Scythians were the first-formed horse-riding race in the world and their civilization influenced those of far Asiatic sector along the steppe route. As their power expanded, their costume culture transmitted to the East(China, Korea, Japan). The upper garment, Yu, was characterized by the left-sided collars, narrow sleeves belted at the waist to the length of the hip line and the tight trouser on the lower part, which we commonly called HoBok(胡服) style. 1. Yu in Northeast Asia was originated from the Eurasians, Scythian Culture. Being exchanged, active style costumes were widely used among Chinese, Koreans and Japanese throughout centuries' including $4{\sim}8$ century. 2. Chinese Yu had a style of wide-sleeves and right-sided collars. The traditional costumes of Han race are consisted of wide-sleeved Yu on the upper and long-skirt on the lower part of the body. Before the adoptation of HoBok during reign of King Jo Mooryung in 307. B.C., HoBok style had already found in the remains since the Sang period. There were various names among Yu during the Han period. Seup, Sean Eui, Kye, Kyu were one of the styles and several names were meant for collar and sleeves. During $4{\sim}8$ centuries, clothes of right-sided collar were found, superior to that of left-sided and narrow sleeves were widely used both the royal and the humble. Various styles of decoration were seen in Yu around neck, back and sleeves comparing other nations. 3. Yu, in Korea, was typical style of Northern-bound HoBok. Both men and women had similarity in Yu style, narrow sleeves, left-sided collar, belted at the waist and to the length of hip line. Influenced by Han race, in the $4th{\sim}8th$ centuries, dual system of collar was found. But we cannot see major change in Yu and finally was connected to the present. 4. The original design of the Japanese costumes was not similar to that of Northern nomadic hunting race, which was suitable for horse-riding activities. Owing to the climates along the island, we could see various conditions ranging from the cold and to the warm. Influenced by the climates, pulling over the neck(Pancho style) were major design in Japan. As Korea was advanced earlier than Japan, Korean landed Japanese territory showing clothes. So primitive costumes had changes in style. During the $4th{\sim}8th$ period. The Korean mode was found in Haniwa (which was built to make sacrifices to the dead King) and costumes in Jeong Chang Won. Among the costumes in Jeong Chang Won, we put 3 or more costumes to the category of Yu characterizing elements of Korea and Tang period. From the $4th{\sim}8th$ century, China, Korea, Japan fell into the same cultural category, Scythai. Styles in Yu among three nations, we saw little differences, basically along times. Originated from the West Asia, Yu was transmitted to the far East changing Chinese costumes, Koreans melted it into the traditional elements and then influenced Japan.

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여대생의 다리길이 차이와 생활습관 자세 및 통증 (Leg Length Inequality, Habitual Posture, and Pain in Women's College Students)

  • 권성복;이여진;한혜자;조경숙;임난영;이은희;손행미;박영숙;김주현;강현숙
    • 근관절건강학회지
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    • 제19권1호
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    • pp.27-36
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    • 2012
  • Purpose: The purpose of this study was to investigate the leg length Inequality, habitual posture, and pain in women's college students. Methods: The subjects were 281 students, in 8 women's college in Korea. The tapelines were used for measuring leg length Inequality and questionnaires were used for measuring habitual posture, and pain. The data were collected between August and October 2010 and analyzed using SPSSWIN 11.5. length Inequality(<1 cm). The subjects of 2.8% were the length differences of above 2cm. The worst habitual posture were leaning habits. Especially, the habits of crossing her legs were significantly different to leg length Inequality(F=3.342, $p$=.037). The subjects of 84% were felt a severe pain on the upper body such as waist, back, scapula, neck or shoulder. But there is no difference between pain and leg length Inequality. Habitual posture are related to pain(r=.212, $p$=.001). Conclusion: To protect the severe health problem of musculoskeletal system, this study results will be give aid to health education in women's college students.

주파수 의존형 LQR 설계법에 의한 무어링 윈치 제어시스템 설계 (Mooring Winch Control System Design Based on Frequency Dependent LQR Control Approach)

  • 구자삼;김영복
    • 한국항해항만학회지
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    • 제38권1호
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    • pp.29-37
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    • 2014
  • 본 논문에서는 무어링윈치시스템 제어를 위한 제어계 설계법에 대해 고찰하고 있다. 특히 무어링윈치의 동적운전이 로우프에 부가하는 급격한 부하변동을 억제함으로써 로우프 피로하중을 감소시키고 선박운동제어에 있어서의 바람직한 제어성능을 달성할 수 있도록 하는 제어기 설계법을 제안하고 있다. 최적제어이론에 기반하여, 평가함수에 주어지는 중량행렬(weighting matrix)에 주파수 특성을 부여함으로써, 고주파 모드가 포함된 제어입력이 불안전한 특성을 여기시키지 않도록 하는 것이 제어기 설계 목표이며, 이것은 곧 로우프에 급격한 부하변동을 발생시키지 않게 되는 결과를 얻게 된다. 설계된 제어기는 저차이면서도 외란에 대한 강인성 뿐 만 아니라 제어성능 또한 보장하는 유용한 기법이며 시뮬레이션 및 실험을 통해 그 유효성을 검증하고 있다.

향기요법이 혈액투석 환자의 수면장애, 수면 만족도, 피로에 미치는 효과 (The Effects of Aromatherapy on Sleep Disorders, Satisfaction of Sleep and Fatigue in Hemodialysis Patients)

  • 이은자;김복순;사인혜;문경은;김정화
    • 성인간호학회지
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    • 제23권6호
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    • pp.615-623
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of aromatherapy on sleep disorders, satisfaction of sleep and fatigue in hemodialysis patients. Methods: The study design was a quasi-experimental study with nonequivalent control group pretest-posttest design. The subjects were assigned an experimental group (N=17) and a control group (N=17). The experimental group had inhaled lavender and sweet orange for 2 minutes three times a day for 7 days. Sleep disorders were measured using Sleep Measuring Instrument and satisfaction of sleep was gauged using Visual Analogue Scale. Fatigue was checked using Fatigue Measuring instrument. Collected data were analyzed by ${\chi}^2$-test, t-test, Fisher's exact test, and paired t-test using SPSS/WIN 17.0 program. Results: There are significant differences in the sleep disorders, satisfactions of sleep and fatigue between experimental group and control group. Conclusion: Aromatherapy reduced the sleep disorders and the fatigue and increased satisfactions of sleep in hemodialysis patients. Based on the results of this study, aromatherapy can be used at the any setting as a safe and effective independent nursing intervention to sleep disorders and fatigue in hemodialysis patients.